- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT02513056
Study Evaluating the Use of MRI on CMS Patients (PM/ICD)
Prospective Observational Study Evaluating the Use of MRI on CMS Beneficiaries With Non-Conditional Pacemakers and/or Implantable Cardioverter Defibrillators
Study Overview
Status
Conditions
Intervention / Treatment
Detailed Description
A referring physician will request an outpatient MRI in an implanted device patient through an order placed in the electronic ordering system, over the telephone to the MRI scheduling office, or by directly contacting a radiologist or MRI technologist. Upon receiving such a request, the referring physician will be sent a copy of the attached screening form, which is used for all implanted device patients. The form includes instructions for obtaining approval for the study and space for documenting ordering physician, study indication, and information about the patient's implanted device (if their device is not followed by a UPHS physician). For CMS beneficiaries, an addition to the form will discuss the clinical trial and ask the referring physician how the results of the MRI will change patient treatment or prognosis and what would be done were an MRI not available. The approval of an attending radiologist in the radiology section that will be interpreting the study (e.g. neuroradiology for brain MRI, cardiovascular imaging for cardiac MRI) is required.
Once the patient is deemed eligible and consented, the study staff will enter the patient into the registry as well as register them onto the trial through PennChart.
Study Type
Enrollment (Anticipated)
Contacts and Locations
Study Locations
-
-
Pennsylvania
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Philadelphia, Pennsylvania, United States, 19104
- University of Pennsylvania
-
-
Participation Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Sampling Method
Study Population
Description
Inclusion Criteria:
- Patients are at least 18 years of age
- Patients have a medically/clinically indicated need for an MRI as an outpatient
- Patients with a non-MRI conditional pacemaker and/or ICD implanted after the year 2000
- Patients are CMS beneficiaries
- Patients are willing and able to sign consent and HIPAA authorization or is authorized to sign consent for subject.
Exclusion Criteria:
- Other contraindications to MRI
- Pacemaker or ICD implanted prior to the year 2000
- Patient is unwilling/unable to sign consent and HIPAA authorization
- Leads and/or generator implanted within 6 weeks of the proposed MRI
Study Plan
How is the study designed?
Design Details
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Physician decision making
Time Frame: 4 years
|
The primary measure of this study is physician decision making.
Referring physicians will be asked about the effect of the MRI clinical management strategy, planning of treatments and interventions, as well as if/how the MRI results prevented other diagnostic studies or interventions, and other exposures (such as to ionizing radiation or iodinated contrast from CT scans).
Analysis will be tabulation of how scan would change treatment or prognosis and what would be done if MR not available (based upon referring physician response on the screening form, physician and how the physicians believe that having the MRI will impact the treatment and quality of life by completing the QOL form.
|
4 years
|
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Adverse Events
Time Frame: 4 years
|
Adverse events related to the MRI scan will be recorded and reviewed.
AE's will be reviewed based on the criteria set forth in the protocol.
AEs will be documented on an AE form and AE log and then entered into a redcap database.
|
4 years
|
Other Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Patients will be asked how the MRI affected their quality of life, concerning
Time Frame: 4 years
|
Patients will complete a Quality of Life form identifying how the MRI affected their quality of life, concerning both the MRI procedure itself and the fact that the MRI could be performed and diagnostic information about their conditions obtained.
|
4 years
|
Collaborators and Investigators
Sponsor
Investigators
- Study Chair: Mitchell Schnall, MD, PhD, University of Pennsylvania
- Principal Investigator: Harold Litt, MD, PhD, University of Pennsylvania
Study record dates
Study Major Dates
Study Start (Actual)
Primary Completion (Actual)
Study Completion (Anticipated)
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
Other Study ID Numbers
- 821487
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.
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