- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT05252702
Aveir DR i2i Study
Aveir Dual-Chamber Leadless i2i IDE Study
Study Overview
Status
Intervention / Treatment
Detailed Description
The purpose of this clinical investigation is to evaluate the clinical safety and effectiveness of the Aveir DR Leadless Pacemaker system in a patient population indicated for a DDD(R) pacemaker.
Subjects participating in the study are followed through at least 12 months with data collected at baseline, implant procedure, pre (hospital) discharge, and follow-up at 1 month, 3 months, 6 months, 12 months, and every 6 months thereafter until study completion
Study Type
Enrollment (Actual)
Phase
- Not Applicable
Contacts and Locations
Study Locations
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Upper Austria
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Linz, Upper Austria, Austria, 4021
- Kepler Universitatsklinikum GmbH
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Flemish Brabant
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Leuven, Flemish Brabant, Belgium, 3000
- Uz Gasthuisberg
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Alberta
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Calgary, Alberta, Canada, T2N 4N1
- Foothills Medical Centre
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Newfoundland and Labrador
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St. John's, Newfoundland and Labrador, Canada, A1B 3V6
- HSC, Eastern Health
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Nova Scotia
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Halifax, Nova Scotia, Canada, B3H 3A7
- QE II Health Sciences
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Ontario
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Newmarket, Ontario, Canada, L3Y2P9
- Southlake Regional Health Centre
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Quebec
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Montreal, Quebec, Canada
- Institut de Cardiologie de Montreal (Montreal Heart Inst.)
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Prague, Czechia
- Nemocnice na Homolce
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Grenoble, France, 38043
- CHRU Albert Michallon
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Alpes
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Marseille, Alpes, France, 13005
- Hopital d'adulte de la Timone
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Hong Kong, Hong Kong, HK SAR
- Queen Mary Hospital
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HK SAR
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Hong Kong, HK SAR, Hong Kong
- Prince of Wales Hospital
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Milan, Italy, 20138
- Centro Cardiologico Monzino
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Pisa, Italy, 56100
- Azienda Ospedaliero Universitaria Pisana
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Tokyo, Japan
- Tokyo Women's Medical University
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Fukuoka
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Kitakyushu, Fukuoka, Japan
- Kokura Memorial Hospital
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Okayama-ken
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Kurashiki-shi, Okayama-ken, Japan
- Kurashiki Central Hospital
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Osaka
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Suita, Osaka, Japan
- National Cerebral & Cardiovascular Center Hospital
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Amsterdam, Netherlands, 1105 AZ
- Amsterdam Academic Medical Centre (AMC)
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Barcelona, Spain, 08036
- Hospital Clinic de Barcelona
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Extmdra
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Badajoz, Extmdra, Spain, 06080
- Hospital Universitario de Badajoz
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Taipei, Taiwan
- National Taiwan University Hospital
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London, United Kingdom, SW3 6NP
- Royal Brompton Hospital
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Soeast
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Oxford, Soeast, United Kingdom, OX3 9DU
- John Radcliffe Hospital
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Arizona
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Scottsdale, Arizona, United States, 85258
- HonorHealth
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Arkansas
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Jonesboro, Arkansas, United States, 72401
- Arrhythmia Research Group
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Little Rock, Arkansas, United States, 72211
- Arkansas Heart Hospital
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California
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Los Angeles, California, United States, 90048
- Cedars-Sinai Medical Center
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Los Angeles, California, United States, 90027
- Kaiser Permanente Los Angeles Medical Center
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Los Angeles, California, United States, 90033
- USC University Hospital
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Newport Beach, California, United States, 92663
- Premier Cardiology, Inc
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Orange, California, United States, 92868
- Providence Medical Foundation
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Pasadena, California, United States, 91105
- Huntington Memorial Hospital
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San Diego, California, United States, 92118-8411
- University of California at San Diego (UCSD) Medical Center
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Santa Monica, California, United States, 90404
- Pacific Heart Institute
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Colorado
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Littleton, Colorado, United States, 80120
- South Denver Cardiology Associates PC
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District of Columbia
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Washington D.C., District of Columbia, United States, 20010
- Washington Hospital Center
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Florida
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Jacksonville, Florida, United States, 32207
- Baptist Medical Center
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Naples, Florida, United States, 34119
- Naples Heart Rhythm Specialists, PA
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Orlando, Florida, United States, 32803
- AdventHealth Orlando
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Sarasota, Florida, United States, 34239
- Sarasota Memorial Hospital
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Georgia
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Atlanta, Georgia, United States, 30309
- Piedmont Heart Institute
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Atlanta, Georgia, United States, 30342
- Emory University Hospital
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Illinois
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Chicago, Illinois, United States, 60612
- Rush University Medical Center
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Springfield, Illinois, United States, 62769
- Prairie Education & Research Cooperative
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Iowa
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West Des Moines, Iowa, United States, 50266
- Iowa Heart Center
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Kentucky
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Lexington, Kentucky, United States, 40503
- Baptist Health Lexington
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Massachusetts
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Fall River, Massachusetts, United States, 02720
- Charlton Memorial Hospital
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Michigan
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Lansing, Michigan, United States, 48912
- Sparrow Clinical Research Institute
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Southfield, Michigan, United States, 48075
- Providence Hospital
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Minnesota
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Rochester, Minnesota, United States, 55905
- Mayo Clinic
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Nebraska
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Lincoln, Nebraska, United States, 68506
- Bryan Heart
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New Hampshire
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Manchester, New Hampshire, United States, 03102
- Catholic Medical Center
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New Jersey
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Ocean City, New Jersey, United States, 07712
- Jersey Shore University Medical Center
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New York
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Manhasset, New York, United States, 11030
- North Shore University Hospital
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New York, New York, United States, 10016
- New York University Hospital
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New York, New York, United States, 10029
- Mount Sinai Hospital
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New York, New York, United States, 10032
- New York-Presbyterian/Columbia University Medical Center
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New York, New York, United States, 10021
- New York Presbyterian Hospital/Cornell University
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Roslyn, New York, United States, 11576
- Cardiac Arrhythmia & Pacemaker Center
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North Carolina
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Winston-Salem, North Carolina, United States, 27157
- Wake Forest University Medical Center Clinical Sciences
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Ohio
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Cleveland, Ohio, United States, 44195
- The Cleveland Clinic Foundation
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Columbus, Ohio, United States, 43214
- Ohio Health Research Institute
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Oklahoma
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Oklahoma City, Oklahoma, United States, 73102
- Hightower Clinical
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Oklahoma City, Oklahoma, United States, 73135
- Oklahoma Heart Hospital South
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Oregon
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Portland, Oregon, United States, 97225
- Providence St. Vincent Medical Center
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Pennsylvania
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Lancaster, Pennsylvania, United States, 17602
- Lancaster General Hospital
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Pittsburgh, Pennsylvania, United States, 15213
- University of Pittsburgh Medical Center
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Sayre, Pennsylvania, United States, 18840
- Donald Guthrie Foundation for Education & Research
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South Dakota
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Sioux Falls, South Dakota, United States, 57104
- Sanford USD Medical Center
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Tennessee
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Nashville, Tennessee, United States, 37232
- Vanderbilt Heart & Vascular Institute
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Texas
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Austin, Texas, United States, 78705
- Texas Cardiac Arrhythmia
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San Antonio, Texas, United States, 78201
- South Texas Cardiovascular Consultants
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The Woodlands, Texas, United States, 77380
- Memorial Hermann Hospital
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Utah
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Salt Lake City, Utah, United States, 84132
- University of Utah Hospital
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Washington
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Tacoma, Washington, United States, 98405
- Franciscan Heart & Vascular Associates
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Wisconsin
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Milwaukee, Wisconsin, United States, 53215
- Aurora Medical Group
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Wausau, Wisconsin, United States, 54401
- Aspirus Wausau Hospital
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Participation Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Description
Inclusion Criteria:
- Subject must have at least one of the clinical indications before device implant in adherence with ACC/AHA/HRS/ESC dual chamber pacing guidelines
- Subject is ≥ 18 years of age or age of legal consent, whichever age is greater
- Subject has a life expectancy of at least one year
- Subject is willing to comply with clinical investigation procedures and agrees to return to clinic for all required follow-up visits, tests, and exams
- Subject has been informed of the nature of the clinical investigation, agrees to its provisions and has provided a signed written informed consent, approved by the IRB/EC
Exclusion Criteria:
- Subject is currently participating in another clinical investigation that may confound the results of this study as determined by the Sponsor
- Subject is pregnant or nursing and those who plan pregnancy during the clinical investigation follow-up period
- Subject has presence of anatomic or comorbid conditions, or other medical, social, or psychological conditions that, in the investigator's opinion, could confound the assessment of the investigational device and/or implant procedure, limit the subject's ability to participate in the clinical investigation or to comply with follow-up requirements of the clinical investigation results
- Subject has a known allergy or hypersensitivity to < 1 mg of dexamethasone sodium phosphate or any blood or tissue contacting material listed in the IFU
- Subject has an implanted vena cava filter or mechanical tricuspid valve prosthesis
- Subject has pre-existing, permanent endocardial pacing or defibrillation leads (does not include lead fragments)
- Subject has current implantation of either conventional or subcutaneous implantable cardioverter defibrillator (ICD) or cardiac resynchronization therapy (CRT) device
- Subject has an implanted leadless cardiac pacemaker (except for an Aveir ventricular leadless pacemaker)
- Subject is implanted with an electrically-active implantable medical device with stimulation capabilities (such as neurological or cardiac stimulators)
- Subject is unable to read or write
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: N/A
- Interventional Model: Single Group Assignment
- Masking: None (Open Label)
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
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Other: Single Arm
Non randomized arm
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Patients will undergo a dual chamber leadless pacemaker system implant wherein a leadless pacemaker will be implanted in the right ventricle and right atrium
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What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
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Percentage of Participants Free From Aveir DR System-Related Complications at 3-months
Time Frame: 3 months
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Aveir DR Leadless Pacemaker system complication-free-rate in de novo subjects.
A complication was defined as a device-or-procedure-related serious adverse event.
Complications included Atrial LP, Ventricular LP, and implant procedure-related complications.
Complications possibly related or related to COVID-19 were excluded.
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3 months
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Percentage of Participants Free From Aveir DR System-Related Complications at 12-months
Time Frame: 12 months
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Aveir DR Leadless Pacemaker system complication-free-rate in de novo subjects.
A complication was defined as a device-or-procedure-related serious adverse event.
Complications included Atrial LP, Ventricular LP, and implant procedure-related complications.
Complications possibly related or related to COVID-19 were excluded.
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12 months
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Percentage of Subjects With Acceptable Atrial Threshold and Amplitude Measurements at 3-months
Time Frame: 3 months
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Composite success rate of acceptable atrial pacing thresholds and P-wave amplitudes in de novo subjects.
A subject was considered to have met the primary effectiveness endpoint #1 if the pacing threshold voltage was ≤ 3.0 V at 0.4 ms at the 3-month visit and the sensed P-wave amplitude was ≥ 1.0 mV at the 3-month visit.
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3 months
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Percentage of Subjects With Acceptable Atrial Threshold and Amplitude Measurements at 12-months
Time Frame: 12 months
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Composite success rate of acceptable atrial pacing thresholds and P-wave amplitudes in de novo subjects.
A subject was considered to have met the success criteria for the endpoint if the pacing threshold voltage was ≤ 3.0 V at 0.4 ms at the 12-month visit and the sensed P-wave amplitude was ≥ 1.0 mV at the 12-month visit.
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12 months
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Percentage of Participants With AV Synchrony Success Rate at Rest While Seated
Time Frame: 3 months
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AV synchrony success was defined as subjects with a paced or sensed ventricular beat within 300 ms following a paced or sensed atrial beat (i.e., a synchronous cycle) for at least 70% of evaluable cardiac cycles.
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3 months
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Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
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Percentage of Participants Free From Aveir Atrial Leadless Pacemaker-Related Complications at 3-months
Time Frame: 3 months
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The secondary safety endpoint evaluated a 3-month Atrial LP related complication-free rate based on CEC adjudication of adverse events.
An Atrial LP complication was defined as an atrial device-or-procedure-related serious adverse event.
Complications that were exclusively related to the Ventricular LP or its delivery/retrieval were not considered Atrial LP complications and were excluded from the evaluation.
For a conservative approach, complications that could not exclusively be determined to be related to the ventricular or Atrial LP were still considered Atrial LP complications.
For example, procedure-related femoral access complications were adjudicated as Atrial LP complications.
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3 months
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Percentage of Participants Free From Aveir Atrial Leadless Pacemaker-Related Complications at 12-months
Time Frame: 12 months
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The secondary safety endpoint analysis evaluated the 12-month Atrial LP related complication-free rate (CFRA) based on CEC adjudication of adverse events.
An Atrial LP complication was defined as an atrial device-or-procedure-related serious adverse event.
Complications that were exclusively related to the Ventricular LP or its delivery/retrieval were not considered Atrial LP complications and were excluded from the evaluation.
For a conservative approach, complications that could not exclusively be determined to be related to the ventricular or Atrial LP were still considered Atrial LP complications.
For example, procedure-related femoral access complications were adjudicated as Atrial LP complications.
Complications possibly related or related to COVID-19 were excluded.
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12 months
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Slope of the Normalized Increase in the Sensor Indicated Rate Versus Normalized Workload of the Aveir Atrial Leadless Pacemaker During Exercise Testing
Time Frame: 3 months
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Appropriate and proportional rate response of the Aveir Atrial Leadless Pacemaker in de novo subjects was tested during staged exercise testing.
Exercise test data provided an estimate of the slope of the normalized increase in sensor-indicated rate versus normalized workload for each subject.
Normalizing a variable eliminates the unit and expresses it from 0-1.0.
Since both axes are normalized sensor rate and workload, there is no distinct unit of measure.
Values on the vertical axis are derived from the difference of the sensor indicated rate at each exercise stage and the base rate, divided by the difference of the age-predicted maximum heart rate and base rate.
Values on the horizontal axis are derived from the difference in the workload at each exercise stage and resting workload, divided by the difference of the maximum achieved workload and resting workload.
A slope value of 1.0 indicates the pacemaker's sensor-indicated rate increases linearly with an increase in workload.
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3 months
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Collaborators and Investigators
Sponsor
Investigators
- Study Director: Nicole Harbert, Abbott
Publications and helpful links
General Publications
- Reddy VY, Exner DV, Doshi R, Tomassoni G, Bunch TJ, Friedman P, Estes NAM, Neuzil P, de la Concha JF, Cantillon DJ; LEADLESS II Investigators. 1-Year Outcomes of a Leadless Ventricular Pacemaker: The LEADLESS II (Phase 2) Trial. JACC Clin Electrophysiol. 2023 Jul;9(7 Pt 2):1187-1189. doi: 10.1016/j.jacep.2023.01.031. Epub 2023 Mar 22. No abstract available.
- Defaye P, Reddy VY, Ip JE, Doshi RN, Exner DV, Canby RC, Bongiorni MG, Shoda M, Hindricks G, Rashtian MY, Neuzil P, Nevo JR, Badie N, Walker L, Knops RE. Atrioventricular synchrony maintained by a dual-chamber leadless pacemaker in real-world conditions. Europace. 2026 Feb 3;28(2):euag012. doi: 10.1093/europace/euag012.
- Knops RE, Ip JE, Doshi R, Exner DV, Defaye P, Canby R, Bongiorni MG, Shoda M, Hindricks G, Neuzil P, Rashtian M, Breeman KTN, Nevo JR, Ganz L, Hubbard C, Bulusu A, Reddy VY. One-Year Safety and Performance of a Dual-Chamber Leadless Pacemaker. Circ Arrhythm Electrophysiol. 2025 Apr;18(4):e013619. doi: 10.1161/CIRCEP.124.013619. Epub 2025 Mar 27.
- Doshi RN, Ip JE, Defaye P, Reddy VY, Exner DV, Canby R, Shoda M, Bongiorni MG, Hindricks G, Neuzil P, Callahan T, Sundaram S, Booth DF, Richer LP, Badie N, Knops RE. Dual-chamber leadless pacemaker implant procedural outcomes: Insights from the AVEIR DR i2i study. Heart Rhythm. 2025 Sep;22(9):2391-2400. doi: 10.1016/j.hrthm.2025.03.1941. Epub 2025 Mar 13.
- Rashtian MY, Ip JE, Exner DV, Reddy VY, Doshi RN, Defaye P, Canby RC, Bongiorni MG, Shoda M, Hindricks G, Nevo JR, Ligon D, Bulusu A, Knops RE. Temperature-based rate response in a leadless pacemaker system. Heart Rhythm. 2025 Jun;22(6):1533-1540. doi: 10.1016/j.hrthm.2024.11.032. Epub 2024 Nov 22.
- Doshi RN, Ip JE, Defaye P, Exner DV, Reddy VY, Hindricks G, Canby R, Shoda M, Bongiorni MG, Neuzil P, Callahan T, Badie N, Ligon D, Knops RE. Chronic wireless communication between dual-chamber leadless pacemaker devices. Heart Rhythm. 2025 Apr;22(4):1010-1020. doi: 10.1016/j.hrthm.2024.10.020. Epub 2024 Oct 19.
- Knops RE, Reddy VY, Ip JE, Doshi R, Exner DV, Defaye P, Canby R, Bongiorni MG, Shoda M, Hindricks G, Neuzil P, Rashtian M, Breeman KTN, Nevo JR, Ganz L, Hubbard C, Cantillon DJ; Aveir DR i2i Study Investigators. A Dual-Chamber Leadless Pacemaker. N Engl J Med. 2023 Jun 22;388(25):2360-2370. doi: 10.1056/NEJMoa2300080. Epub 2023 May 20.
Study record dates
Study Major Dates
Study Start (Actual)
Primary Completion (Actual)
Study Completion (Actual)
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (Actual)
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
- Cardiac Conduction System Disease
- Neurologic Manifestations
- Nervous System Diseases
- Cardiovascular Diseases
- Pathologic Processes
- Heart Diseases
- Neurobehavioral Manifestations
- Heart Block
- Arrhythmia, Sinus
- Primary Dysautonomias
- Autonomic Nervous System Diseases
- Orthostatic Intolerance
- Consciousness Disorders
- Unconsciousness
- Syncope
- Pathological Conditions, Signs and Symptoms
- Signs and Symptoms
- Atrioventricular Block
- Sick Sinus Syndrome
- Bradycardia
- Arrhythmias, Cardiac
- Syncope, Vasovagal
Other Study ID Numbers
- ABT-CIP-10416
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
IPD Plan Description
IPD Sharing Time Frame
IPD Sharing Access Criteria
IPD Sharing Supporting Information Type
- STUDY_PROTOCOL
- SAP
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.
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