Vest Prevention of Early Sudden Death Trial and VEST Registry
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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 |
- Sudden death mortality [ Time Frame: three months after myocardial infarction ] [ Designated as safety issue: No ]
- 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:
|
| 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 |
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:
- If no PCI within the first 8 hours following the MI: ≥ 8 hours after MI
- If acute PCI occurs within 8 hours of MI: ≥8 hours after PCI
- 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| Contact: Carol Maguire, RN | 415-476-5148 | cmaguire@medicine.ucsf.edu |
Hide Study 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 | |
| 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 June 18, 2013