Interstage Monitoring Using an Implantable Loop Recorder: A Pilot Study
The primary objective of this investigation is to evaluate the feasibility and safety of implantable loop recorder implantation (using the LUX-DX™) in newborns undergoing stage 1 palliation. The secondary objective of the investigation is to evaluate the feasibility of continuous measurement of heart rate and arrhythmia using an implantable loop recorder (LUX-Dx™) during the interstage period.
An implantable loop recorder will be placed at the time of chest closure following stage 1 palliation (either at the time of index surgery or delayed). The device will be placed in a subclavicular pouch through the existing sternotomy incision. Participants will be in the study for 6 months to 3 years.
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Study Type
Study Type
Enrollment (Actual)
Enrollment
Phase
Phase
- Early Phase 1
Contacts and Locations
Study Contact
Study Contact
- Name: Audrey Dionne, MD
- Phone Number: 617-355-0000
- Email: audrey.dionne@cardio.chboston.org
Study Contact Backup
- Name: Olivia Rossi
- Email: olivia.rossi@cardio.chboston.org
Study Locations
-
-
Massachusetts
-
Boston, Massachusetts, United States, 02115
- Boston Children's Hospital
-
-
Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Description
Inclusion Criteria:
- Patients with single ventricle physiology undergoing stage 1 palliation in the 1st month of life
Exclusion Criteria:
- Prematurity (<36 weeks gestational age)
- Birth weight <2.5 kg
- Hybrid stage 1 palliation (patent ductus arteriosus stenting, bilateral pulmonary artery bands)
- Presence and/or need for devices sensitive to magnetic fields such as hearing aids, pacemaker, and other implanted devices.
- Clinical team does not think that the patient is a good candidate
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Device Feasibility
- Allocation: N/A
- Interventional Model: Single Group Assignment
- Masking: None (Open Label)
What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Number of patients with successful ILR implantation at the time of surgery
Time Frame: At the time of stage 1 surgery, typically the first week of life
|
Feasibility of ILR implantation
|
At the time of stage 1 surgery, typically the first week of life
|
|
Number of patients with ILR related complication (any of: infection, erosion, device migration, foreign body rejection phenomena, formation of hematomas or seromas, local tissue reaction and/or tissue damage
Time Frame: Between the stage 1 and stage 2 surgery, typically until 4-6 months of age
|
Safety of ILR implantation
|
Between the stage 1 and stage 2 surgery, typically until 4-6 months of age
|
Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Number of patient who completed >70% planned ILR transmissions
Time Frame: Between the stage 1 and stage 2 surgery, typically until 4-6 months of age
|
Between the stage 1 and stage 2 surgery, typically until 4-6 months of age
|
|
|
Number of patients with arrhythmias
Time Frame: Between the stage 1 and stage 2 surgery, typically until 4-6 months of age
|
Any arrhythmia, including supraventricular tachycardia, junctional ectopic tachycardia, ventricular tachycardia, atrioventricular block, pause >2.5 seconds
|
Between the stage 1 and stage 2 surgery, typically until 4-6 months of age
|
|
Number of patients with interstage complication
Time Frame: Between the stage 1 and stage 2 surgery, typically until 4-6 months of age
|
Any complication, including unplanned emergency department visit, unscheduled hospital admission, unscheduled intensive care unit admission, arrhythmias, major interstage intervention, minor interstage intervention, cardiac arrest, death
|
Between the stage 1 and stage 2 surgery, typically until 4-6 months of age
|
|
Complications at the time of ILR removal
Time Frame: At stage 2 or 3 palliation, typically between 4 months and 4 years of age
|
Defined as easily removed, removed with difficulty, removed with complication
|
At stage 2 or 3 palliation, typically between 4 months and 4 years of age
|
Collaborators and Investigators
Sponsor
Sponsor
Study record dates
Study Major Dates
Study Start (Actual)
Study Start
Primary Completion (Actual)
Primary Completion
Study Completion (Actual)
Study Completion
Study Registration Dates
First Submitted
First Submitted
First Submitted That Met QC Criteria
First Submitted That Met QC Criteria
First Posted (Actual)
First Posted
Study Record Updates
Last Update Posted (Actual)
Last Update Posted
Last Update Submitted That Met QC Criteria
Last Update Submitted That Met QC Criteria
Last Verified
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
Other Study ID Numbers
Other Study ID Numbers
- IRB-P00044387
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
Clinical Trials on Univentricular Heart
-
NCT00263406CompletedChildren With a Univentricular Heart Undergoing Surgery for Creation of a Fontan Circulation
-
NCT05454254CompletedCongenital Heart Disease | Univentricular Heart
-
NCT04026542Completed
-
NCT07532369Not yet recruitingUniventricular Heart | Congenital Anomaly | Fenestration | Failure of Fontan Type Circulation
-
NCT04782232RecruitingHeart Diseases | Cardiovascular Diseases | Heart Failure | Ventricular Dysfunction | Univentricular Heart
-
NCT07535203RecruitingUniventricular Heart | Congenital Heart Disease (CHD)
Clinical Trials on LUX-Dx™
-
NCT04790344Active, not recruiting
-
NCT06055751RecruitingAortic Stenosis | Heart Block | Atrial Fibrillation New Onset
-
NCT07572058Not yet recruiting
-
NCT01446185Completed
-
NCT05175690Completed
-
NCT01308502WithdrawnLaryngopharyngeal Reflux
-
NCT05223374CompletedChildren18-72 Months With a Suspicion Autistic Disorder
-
NCT07361055Enrolling by invitationCardio Vascular Disease | Cryoablation
-
NCT04381754UnknownHemodialysis Access Failure | Dialysis Access Malfunction | Arterio-venous Fistula | Arteriovenous Graft Stenosis