- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT01774357
Management and Detection of Atrial Tachyarrhythmias in Patients Implanted With BIOTRONIK DX Systems (MATRIX)
Study Overview
Status
Detailed Description
Enrollment (E0)
Timing:
• The enrollment (date of patient written informed consent) starts after implantation of a BIOTRONIK Lumax 540 VR-T DX ICD with Linoxsmart S DX or successor single chamber DX system according to current guidelines (primary or secondary prevention) but should not be later than 90 days after implantation.
Procedures:
- Check inclusion and exclusion criteria
- Patient information and written informed consent process
- Assignment of a unique study code
- ICD interrogation (re-programming if necessary)
- HMSC registration (recommended)
- Investigator assessment: appropriate atrial sensing
Documentation (note: where available the most recent assessment recorded within six months prior to hospital discharge shall be considered):
Medical History:
- Demographic data
- General history of cardiovascular disease
- Etiology of underlying heart disease
- Cardiac events and symptoms
- Documented supraventricular arrhythmia prior to implantation
Device Interrogation
- Date, home monitoring function, MRI scan
AF history:
- type (none, paroxysmal, persistent, permanent)
- date of first diagnosis (if applicable)
- EHRA classification (if applicable)
- AF burden (if available)
- CHA2DS2-VASc
- Risk factors and comorbidities:
- thyroid dysfunction
- diabetes mellitus
- COPD
- sleep apnea
- chronic renal disease
- History of thromboembolic events or stroke
Physical Examination:
- Vital signs (SBP, DBP, height, body weight, BMI)
- Current medication (substance class)
- Heart failure indices
- NYHA classification
- BNP and NT-proBNP (only if determined in routine clinical practice)
- LVEF (optional; echocardiography preferred, other methods accepted if no echo available)
- ECG parameters (12 lead ECG; optional)
- RR, PQ, and QT intervals
- QRS width
- rhythm disorders
- clinical findings, morphology
Implantation:
- Indication (primary prevention, secondary prevention)
- Type of procedure (first implantation / replacement)
- RV lead:
- Dislodgement / repositioning after implantation?
- Sufficient amplitudes (Atrial; Ventricular) and thresholds (Ventricular)
- Other clinical complications during / after implantation?
- Final lead position at discharge (apical, septal, other)
- Atrial dipole (with or without atrial wall contact at rest)
- Ease of implantation as assessed by investigator
- An extended questionnaire including more detailed information on implantation procedure, technique and initial measurements will be requested as an optional documentation where data are available
Follow-up Y1 and Y2
Timing:
• 12 and 24 months (+/-2 months) after enrollment respectively
Procedures:
- ICD interrogation / function check-up and re-programming if necessary
- Programmer download of all data not yet submitted to BIOTRONIK according to current working instruction
- Investigator assessment: appropriate atrial sensing
Documentation (note: where available the most recent assessment recorded between the current and the preceding visit shall be considered):
Physical Examination:
- Vital signs (SBP, DBP, height, body weight, BMI)
- Current medication (substance class)
- Heart Failure indices:
- NYHA classification
- BNP and NT-proBNP (only if determined in routine clinical practice)
- LVEF (optional; echocardiography preferred, other methods accepted if no echo available)
- ECG parameters (12 lead ECG; optional):
- RR, PQ, and QT intervals
- QRS width
- rhythm disorders
- clinical findings, morphology
Device Interrogation
- Date, home monitoring function, MRI scan
Event based documentation
- New-onset or worsening AF
- AF interventions
- Worsening heart failure
- Shock episode
- Thromboembolic events (CVA, TIA, PAE)
- Continuous surveillance / reporting of (serious) adverse events / (serious) adverse device effects
Study Type
Enrollment (Actual)
Contacts and Locations
Study Locations
-
-
Sachsen
-
Leipzig, Sachsen, Germany, 04289
- Herzzentrum Leipzig
-
-
Participation Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Sampling Method
Study Population
Description
Inclusion Criteria:
- Indication for implantation of a single chamber ICD (primary or secondary prevention) according to current guidelines
- Implanted with a BIOTRONIK Lumax 540 VR-T DX ICD with Linoxsmart S DX or successor single chamber DX system within 90 days prior to enrollment
- Written informed consent, willingness and ability to comply with the protocol
Exclusion Criteria:
- Age < 18 years
- Any limitation to contractual capability
- Female patients who are pregnant or breast feeding or plan a pregnancy during the course of the study
- Known active malignant disease or recovered from malignant disease within 2 years prior to enrollment
- Simultaneous participation in another study
- Life expectancy < 2 years
Study Plan
How is the study designed?
Design Details
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Time Frame |
---|---|
Frequency and types of AF-related complications
Time Frame: 24 months
|
24 months
|
Time to occurrence of first AF-related complication
Time Frame: 24 months
|
24 months
|
Time to AF-related intervention after detection of de novo or worsening AF
Time Frame: 24 months
|
24 months
|
Secondary Outcome Measures
Outcome Measure |
Time Frame |
---|---|
Frequency and type of complications related to implantation
Time Frame: 24 months
|
24 months
|
Frequency and type of lead-related complications
Time Frame: 24 months
|
24 months
|
All-cause mortality
Time Frame: 24 months
|
24 months
|
Cardiovascular hospitalization with days in hospital
Time Frame: 24 months
|
24 months
|
Significance of AF in acute decompensation of heart failure
Time Frame: 24 months
|
24 months
|
Interventions based on Home Monitoring information regarding AF
Time Frame: 24 months
|
24 months
|
Collaborators and Investigators
Sponsor
Investigators
- Principal Investigator: Gerhard Hindricks, Prof. Dr., Herzzentrum Leipzig, Germany
Study record dates
Study Major Dates
Study Start
Primary Completion (Actual)
Study Completion (Actual)
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (Estimate)
Study Record Updates
Last Update Posted (Actual)
Last Update Submitted That Met QC Criteria
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
Other Study ID Numbers
- TA102
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
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 Heart Failure
-
Tufts Medical CenterMetro West Medical CenterCompletedCongestive Heart Failure | Diastolic Heart Failure | Systolic Heart FailureUnited States
-
Abbott Medical DevicesCompletedHeart Failure | Heart Failure, Diastolic | Heart Failure, Systolic | Heart Failure NYHA Class II | Heart Failure NYHA Class III | Heart Failure With Reduced Ejection Fraction | Heart Failure NYHA Class IV | Heart Failure With Normal Ejection Fraction | Heart Failure; With Decompensation | Heart Failure...United States, Canada
-
Manipal UniversityUnknownHeart Failure | Decompensated Heart Failure | Acute Heart Failure | Diastolic Heart Failure | Systolic Heart FailureIndia
-
VA Eastern Colorado Health Care SystemNational Institute on Aging (NIA)CompletedHeart Failure | Heart Failure, Diastolic | Heart Failure, Systolic | Heart Failure With Reduced Ejection Fraction | Heart Failure With Preserved Ejection Fraction | Heart Failure; With Decompensation | Heart Failure,Congestive | Heart Failure AcuteUnited States
-
University Hospital, MontpellierCompletedHeart Failure | Diastolic Heart Failure | Systolic Heart Failure Stage CFrance
-
Lancaster General HospitalLouise von Hess Medical Research InstituteEnrolling by invitationDiastolic Heart FailureUnited States
-
Wake Forest UniversityCompletedHeart Failure, Congestive | Heart Failure With Preserved Ejection Fraction
-
Wake Forest UniversityNational Institute on Aging (NIA)CompletedHeart Failure, Congestive | Diastolic Heart FailureUnited States
-
US Department of Veterans AffairsCompleted
-
Giresun UniversityIstanbul University - Cerrahpasa (IUC)RecruitingHeart Failure | Diastolic Heart Failure | Systolic Heart FailureTurkey