Vest Prevention of Early Sudden Death Trial and VEST Registry

This study is currently recruiting participants.
Verified April 2013 by University of California, San Francisco
Sponsor:
Collaborator:
Zoll Medical Corporation
Information provided by (Responsible Party):
University of California, San Francisco
ClinicalTrials.gov Identifier:
NCT01446965
First received: October 3, 2011
Last updated: April 29, 2013
Last verified: April 2013
  Purpose

This study explores the hypothesis that wearable defibrillators can impact mortality by reducing sudden death during the first three months after a heart attack in persons with high risk for life-threatening arrhythmias.


Condition Intervention Phase
Myocardial Infarction
Ventricular Dysfunction
Sudden Death
Ventricular Tachycardia
Ventricular Fibrillation
Device: wearable defibrillator
Phase 3

Study Type: Interventional
Study Design: Allocation: Randomized
Endpoint Classification: Efficacy Study
Intervention Model: Parallel Assignment
Masking: Single Blind (Outcomes Assessor)
Primary Purpose: Treatment
Official Title: Prevention of Sudden Death After Myocardial Infarction Using a LifeVest Wearable Cardioverter-defibrillator

Resource links provided by NLM:


Further study details as provided by University of California, San Francisco:

Primary Outcome Measures:
  • Sudden death mortality [ Time Frame: three months after myocardial infarction ] [ Designated as safety issue: No ]

Secondary Outcome Measures:
  • Cardiovascular, all-cause, and other cause specific mortality [ Time Frame: three months after myocardial infarction ] [ Designated as safety issue: No ]
  • incidence of ventricular arrhythmias [ Time Frame: three months after myocardial infarction ] [ Designated as safety issue: No ]
  • adverse events attributable to wearable defibrillator use [ Time Frame: three months after myocardial infarction ] [ Designated as safety issue: Yes ]
  • compliance with wearable defibrillator use [ Time Frame: three months after myocardial infarction ] [ Designated as safety issue: No ]

Estimated Enrollment: 1900
Study Start Date: July 2008
Estimated Study Completion Date: September 2015
Estimated Primary Completion Date: September 2015 (Final data collection date for primary outcome measure)
Arms Assigned Interventions
Experimental: Wearable defibrillator
subjects will use a wearable defibrillator for three months following myocardial infarction
Device: wearable defibrillator
LifeVest wearable defibrillator
Other Names:
  • LifeVest
  • wearable cardioverter-defibrillator
  • WCD
  • WD
No Intervention: Conventional treatment

Detailed Description:

In patients with ventricular dysfunction immediately following myocardial infarction, sudden death may be responsible for up to 50% of total mortality. Wearable defibrillators may reduce sudden death by providing immediate detection and treatment of ventricular arrhythmias. This study is design to demonstrate a reduction in sudden death measured at three months following myocardial infarction among patients who have ventricular dysfunction.

  Eligibility

Ages Eligible for Study:   18 Years and older
Genders Eligible for Study:   Both
Accepts Healthy Volunteers:   No
Criteria

Inclusion Criteria:

  • Patients identified in the hospital or within 7 days after discharge with a diagnosis of an acute MI (STEMI or Non-STEMI)
  • LV ejection fraction ≤35% determined at the following time point:

    1. If no PCI within the first 8 hours following the MI: ≥ 8 hours after MI
    2. If acute PCI occurs within 8 hours of MI: ≥8 hours after PCI
    3. If CABG is planned (before or within 7 days of discharge), wait to enroll and then use the most recent assessment at least 48 hours post CABG
  • Age ≥ 18 years

Exclusion Criteria:

  • Existing ICD or indication for an ICD at the time of screening
  • Existing unipolar pacemakers/leads
  • Chronic renal failure requiring hemodialysis after hospital discharge
  • Chest circumference too small or too large for LifeVest garment*
  • Participants discharged to an institutional setting with an anticipated stay > 7 days
  • Pregnancy
  • Inability to consent
  • Any other condition or circumstance that in the judgment of the clinician makes the participant unsuitable for the study.
  Contacts and Locations
Please refer to this study by its ClinicalTrials.gov identifier: NCT01446965

Contacts
Contact: Carol Maguire, RN 415-476-5148 cmaguire@medicine.ucsf.edu

  Hide Study Locations
Locations
United States, Alaska
Alaska Heart Institute Recruiting
Anchorage, Alaska, United States, 99508
Contact: Lori Heaney     907-550-2283     lheaney@alaskaheart.com    
Contact: Deidre Rambur     907-561-3211     drambur@alaskaheart.com    
Principal Investigator: Steve Compton, MD            
United States, California
Cardiovascular Consultants Heart Center Recruiting
Fresno, California, United States, 93720
Contact: Tonya Reavis     559-432-4303 ext 7229     tonya.reavis@cvchc.com    
Principal Investigator: Michael Gen, MD            
Salinas Valley Memorial Healthcare System Recruiting
Salinas, California, United States, 93901
Contact: Terri Nielsen     831-759-1838     tnielsen2@svmh.com    
Principal Investigator: Harlan Grogin, MD            
University of California, San Francisco Recruiting
San Francisco, California, United States, 94143
Contact: Kourtney Imburgia     415-502-0938     kimburgia@medicine.ucsf.edu    
Principal Investigator: Greg Marcus, MD            
United States, Colorado
University of Colorado Recruiting
Aurora, Colorado, United States, 80045
Contact: Heather Maurer     303-724-6473     HEATHER.MAURER@UCDENVER.EDU    
Contact: Christina Schmitt     303-724-2098     Christina.Schmitt@ucdenver.edu    
Principal Investigator: William Sauer, MD            
United States, Connecticut
Hartford Hospital Recruiting
Hartford, Connecticut, United States, 06102
Contact: Arben Ademi     860-545-3561     Aademi@harthosp.org    
Principal Investigator: Steven L Zweibel, MD            
United States, Delaware
Christiana Care Health Services Recruiting
Newark, Delaware, United States, 19718
Contact: Catherine Wade     302-733-2658     CaWade@Christianacare.org    
Principal Investigator: Michael E Stillabower, MD            
United States, Florida
University of Florida Recruiting
Gainsville, Florida, United States, 32610
Contact: Tempa Curry     352-273-8937     tempa.curry@medicine.ufl.edu    
Principal Investigator: William Miles, MD            
Watson Clinic for Research, Inc. Recruiting
Lakeland, Florida, United States, 33805
Contact: Noreen McGowan     866-688-6826     NMcgowan@watsonclinic.com    
Principal Investigator: Neal G Kavesh, MD            
Melbourne Cardiac Resarch Institute Recruiting
Melbourne, Florida, United States, 32901
Contact: Mary Sochaki, 32901     321-821-4969     msochackimcri@gmail.com    
Principal Investigator: Rajiv Chandra, MD            
Florida Heart Group/Florida Hospital Recruiting
Orlando, Florida, United States, 32803
Contact: Delores Barnes     407-303-5600 ext 1102018     delores.b.barnes@flhosp.org    
Principal Investigator: George Monir, MD            
United States, Illinois
Advocate Christ Hospital Recruiting
Oak Lawn, Illinois, United States, 60453
Contact: Diane Braun     708-684-4209     diane.braun@advocatehealth.com    
Principal Investigator: Manoj Duggal, MD            
Lutheran General Suspended
Park Ridge, Illinois, United States, 60068
United States, Indiana
The Heart Group/Deaconess Hospital Recruiting
Evansville, Indiana, United States, 47713
Contact: Amanda Johnson, CNA     812-490-4505     amanda.jonson@deaconess.com    
Contact: Melissa Hansen     (812) 490-4507     melissa.hansen@deaconess.com    
Principal Investigator: Chandrashekar Kumbar, MD            
United States, Kentucky
Western Kentucky Heart and Lung Recruiting
Bowling Green, Kentucky, United States, 42101
Contact: Beau Wilkins     270-779-3957     beau.wilkins@topper.wku.edu    
Contact: Shirley Powell     270-782-0151 ext 103     ep.heartandlung@insightbb.com    
Principal Investigator: Frank Schwender, MD            
University of Kentucky Gill Heart Institute Recruiting
Lexington, Kentucky, United States, 40536
Contact: Mandy Hatfield     859-323-1082     mandy.hatfield@uky.edu    
Principal Investigator: Samy-Claude Elayi, MD            
United States, Louisiana
Ochsner Clinic Recruiting
New Orleans, Louisiana, United States, 70121
Contact: Cristine Hardy     504-842-6832     chardy@ochsner.org    
Contact         mlunn@ochsner.org    
Principal Investigator: Daniel Morin, MD            
United States, Massachusetts
Brigham and Women's Hospital Recruiting
Boston, Massachusetts, United States, 02115
Contact: Deborah Manuelian     617-732-5087     DMANUELIAN@PARTNERS.ORG    
Principal Investigator: Bruce Koplan, MD            
Massachusetts General Hospital Recruiting
Boston, Massachusetts, United States, 02114
Contact: Amanda M Anderson     617-643-2887     aanderson11@partners.org    
Principal Investigator: Theofanie Mela, MD            
Tufts Medical Center Recruiting
Boston, Massachusetts, United States, 02111
Contact: Melanie Marshall     617-636-5938     mmarshall@tuftsmedicalcenter.org    
Contact: Laurie Butts     617-636-5938     Lbutts@tuftsmedicalcenter.org    
Principal Investigator: Jonathan Weinstock, MD            
University of Massachusetts Memorial Recruiting
Worcester, Massachusetts, United States, 01655
Contact: Kaethe Giaquinto     508-856-2376     kaethe.Giaquinto@umassmed.edu    
Contact: Anjali Ryzewicz     (508) 856-5143     Anjali.Ryzewicz@umassmed.edu    
Principal Investigator: Lawrence Rosenthal, MD            
United States, New Jersey
The Valley Hospital Recruiting
Ridgewood, New Jersey, United States, 07450
Contact: Kimberly Michel     201-447-8000 ext 2745     kmichel@valleyhealth.com    
Principal Investigator: Gerald Sotsky, MD            
United States, New Mexico
Presbyterian Heart Group Recruiting
Albuquerque, New Mexico, United States, 87106
Contact: Rae Woods     505-563-2716     rwoods@phs.org    
Contact: Susan Salazar     505-563-2716     ssalazar2@phs.org    
Principal Investigator: Lawrence Nair, MD            
United States, New York
Albany Associates in Cardiology Recruiting
Albany, New York, United States, 12205
Contact: Amy Sheldon     518-435-2758     Amy.Sheldon@primecarepc.com    
Contact: Tabitha Harting     (518)435-2759     Tabitha.Harting@primecarepc.com    
Principal Investigator: Robert S. Phang, MD            
Montefiore Medical Center Recruiting
Bronx, New York, United States, 10467
Contact: Dalena Hervias     718-920-5733     dahervia@montefiore.org    
Principal Investigator: Jay Gross, MD            
United Health Services Recruiting
Johnson City, New York, United States, 13790
Contact: Terri Peters, RN, MSN     607-763-5697     Terri_Peters@uhs.org    
Contact: Kathy Hughes     607-763-5483     Kathy_huges@uhs.org    
Principal Investigator: Nicohlas Stamato, MD            
Long Island Jewish Hospital Recruiting
New Hyde Park, New York, United States, 11040
Contact: Marisa Kavanaugh-Hogans     718-470-4257     Mkavanaugh@NSHS.edu    
Principal Investigator: David Slotwiner, MD            
Huntington Hospital Recruiting
New York, New York, United States, 11743
Contact: Dana Kuziw     631-547-7191     dkuziw@hunthosp.org    
Principal Investigator: Paul Maccaro, MD            
Mount Sinai Hospital Recruiting
New York, New York, United States, 10029
Contact: Nicole Rothman     212-241-8353     nicole.rothman@mountsinai.org    
Principal Investigator: Nicholas Skipitaris, MD            
Lenox Hill Hospital Recruiting
New York City, New York, United States, 10075
Contact: Mariamne Reyna     212-434-3362     mreyna@lenoxhill.net    
Principal Investigator: Ranjit Suri, MD            
University Cardiovascular Associates (Rochester) Recruiting
Rochester, New York, United States, 14626
Contact: Kerry Estes     585-239-7334     Kerry_estes@ucva.com    
Principal Investigator: Sarah Taylor, MD            
Stony Brook University Recruiting
Stony Brook, New York, United States, 11794
Contact: Jennifer Intravaia, RN, CCRC     631-444-3626     Jennifer.Intravaia@sbumed.org    
Contact: Michelle Yeung     631-444-8475     Michelle.Yeung2@stonybrookmedicine.edu    
Principal Investigator: Eric Rashba, MD            
United States, North Carolina
University of North Carolina @ Chapel Hill Recruiting
Chapel Hill, North Carolina, United States, 27599
Contact: Cassandra Ramm     919-843-1610     cassandra_ramm@med.unc.edu    
Principal Investigator: Paul Mounsey, MD            
Duke University Medical Center Recruiting
Durham, North Carolina, United States, 27710
Contact: Anthony Waldron, Jr     919-681-9772     anthony.waldronjr@duke.edu    
Contact: Deborah Hickey     919-668-3524     deborah.hickey@duke.edu    
Principal Investigator: Donald Hegland, MD            
Wake Forest University Health Sciences Recruiting
Winston Salem, North Carolina, United States, 27157
Contact: Nancy Sherrill     336-716-4667     nsherril@wfubmc.edu    
Principal Investigator: Tony W. Simmons, MD            
United States, Ohio
University Hospital Case Medical Center Recruiting
Columbus, Ohio, United States, 44106
Contact: Maria Scheutzow     216-286-6550     Maria.Scheutzow@UHhospitals.org    
Principal Investigator: Robert Goldstein, MD            
North Ohio Heart Center-North Ohio Research Recruiting
Elyria, Ohio, United States, 44035
Contact: Darlene Carr     440-366-2264     dcarr@nohc.com    
Principal Investigator: Kara Quan, MD            
Cardiovascular Research Center, LLC/Mercy St Vincent Recruiting
Toledo, Ohio, United States, 43608
Contact: Julie Neidhardt     419-251-4919     Julie_Neidhardt@mhsnr.org    
Contact: Michelle Hickam     419-251-4919     michelle_hickam@mhsnr.org    
Principal Investigator: Ameer Kabour, MD            
United States, Oklahoma
Oklahoma Heart Institute-Hillcrest Recruiting
Tulsa, Oklahoma, United States, 74104
Contact: Jennifer Seader     918-579-5865     JSeader@hillcrest.com    
Contact: Jolene Durham     918-579-4939     jdurham@hillcrest.com    
Principal Investigator: David A. Sandler, MD            
United States, Oregon
Oregon Heart & Vascular Recruiting
Springfield, Oregon, United States, 97477
Contact: Gayle Buie     541-222-2889     NBuie@peacehealth.org    
Contact: Becky Hammerschmith     541-510-9308     bhammerschmith@peacehealth.org    
Principal Investigator: Ramakota Reddy, MD            
United States, Pennsylvania
Chambersburg Hospital Recruiting
Chambersburg, Pennsylvania, United States, 17201
Contact: Cindy Green     717-267-4880     cgreen@summithealth.org    
Contact: Jacklyn Newell     717-262-4697     JNEWELL@summithealth.org    
Principal Investigator: Aylmer Tang, MD            
Geisinger Heart Institute Recruiting
Danville, Pennsylvania, United States, 17822
Contact: Lori Scalzo     570-808-6382     lmscalzo1@geisinger.edu    
Contact: Jeff Ruhl     570.271.7176     jaruhl@geisinger.edu    
Principal Investigator: Gopi Dandamudi, MD            
United States, Rhode Island
Brown Medical School-Rhode Island Hospital Recruiting
Providence, Rhode Island, United States, 02903
Contact: Mary Grogan     401-444-9828     mgogan@lifespan.org    
Principal Investigator: Peem Lorvidhaya, MD            
United States, South Carolina
Providence/South Carolina Heart Center Recruiting
Columbia, South Carolina, United States, 29204
Contact: Kelly Crump, RN     803-255-2927     Kcrump@scheart.com    
Principal Investigator: Venkateshwar Gottipaty, MD            
McLeod Health/Pee Dee Cardiology Recruiting
Florence, South Carolina, United States, 29506
Contact: Rhonda Johnson     843-667-1891 ext 8465     rjohnson@mcleodhealth.org    
Principal Investigator: Rajesh Malik, MD            
United States, Tennessee
Wellmont Holston Valley Recruiting
Kingsport, Tennessee, United States, 37660
Contact: Ashley Sparks, LVN, CRC     423-230-5062     asparks@mycva.com    
Principal Investigator: Gregory Jones, MD            
Turkey Creek Medical Center Recruiting
Knoxville, Tennessee, United States, 37934
Contact: Nancy Bradley, RN, CRC     865-218-7538     nancy.bradley@hma.com    
Contact: Beth Polk, RN, CCRC     865-218-7535     beth.polk@hma.com    
Principal Investigator: Malcolm Foster, MD            
United States, Texas
Baylor University Medical Center Recruiting
Dallas, Texas, United States, 75226
Contact: Jenny Cruthis     214-820-3319     jenncru@baylorhealth.edu    
Principal Investigator: Jay Franklin, MD            
University of Texas Southwestern Medical Center Recruiting
Dallas, Texas, United States, 75390
Contact: Dana Red     214-590-5015     dana.red@utsouthwestern.edu    
Principal Investigator: Richard Wu, MD            
United States, Virginia
Carilion Clinic Recruiting
Roanoke, Virginia, United States, 24014
Contact: Karen Buchanan, BSN, RN     540-981-7493     kdbuchanan@carilionclinic.org    
Contact: Amanda VanLaeken     540-853-0460     ahvanlaeken@carilionclinic.org    
Principal Investigator: Soufian Almahameed, MD            
United States, Washington
Cardiac Study Center Recruiting
Tacoma, Washington, United States, 98405
Contact: Kathy Marks     253-572-7320 ext 3030     kathymarks@cardiacstudycenter.com    
Contact: Alison Swarens     253-403-1707     Alison.Swarens@multicare.org    
Principal Investigator: Tariq Salam, MD            
Germany
Universität Heidelberg Recruiting
Heidelberg, Deutschland, Germany, 69120
Contact: Sonja Tran     49062115637124     sonja.tran@med.uni-heidelberg.de    
Principal Investigator: Dierk Thomas, MD            
Sponsors and Collaborators
University of California, San Francisco
Zoll Medical Corporation
Investigators
Principal Investigator: Jeffrey E Olgin, MD University of California, San Francisco
Study Director: Byron K Lee, MD University of California, San Francisco
Principal Investigator: Mark J Pletcher, MD, MPH University of California, San Francisco
  More Information

No publications provided

Responsible Party: University of California, San Francisco
ClinicalTrials.gov Identifier: NCT01446965     History of Changes
Obsolete Identifiers: NCT00628966
Other Study ID Numbers: 90D0114
Study First Received: October 3, 2011
Last Updated: April 29, 2013
Health Authority: United States: Institutional Review Board

Keywords provided by University of California, San Francisco:
myocardial infarction, acute
myocardial infarction
ventricular dysfunction
death, sudden, cardiac
death, sudden
death
ventricular tachycardia
ventricular fibrillation
defibrillation, electric
cardioversion, electric
electric countershock
defibrillators, external

Additional relevant MeSH terms:
Death
Death, Sudden
Infarction
Myocardial Infarction
Tachycardia
Ventricular Fibrillation
Tachycardia, Ventricular
Ventricular Dysfunction
Pathologic Processes
Ischemia
Necrosis
Myocardial Ischemia
Heart Diseases
Cardiovascular Diseases
Vascular Diseases
Arrhythmias, Cardiac

ClinicalTrials.gov processed this record on May 23, 2013