PACMAN
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Purpose
The purpose of this study was to evaluate the benefit of biventricular pacing in patients with heart failure who were receiving optimal pharmacological therapy, and who were either with or without an ICD indication
| Condition | Intervention | Phase |
|---|---|---|
|
Heart Failure |
Device: Contak heart failure devices |
Phase 4 |
| Study Type: | Interventional |
| Study Design: | Allocation: Randomized Intervention Model: Crossover Assignment Masking: Single Blind Primary Purpose: Treatment |
| Official Title: | Pacing for Cardiomyopathies, a European Study- A Therapy Acceptance Study |
- Improvement in functional capacity as measured by a six-minute walk test at 6 months
- Improvement in Quality of Life at 6 months; Improvement in NHYA classification at 6 months; incidence of adverse events at 6 months
| Estimated Enrollment: | 262 |
| Study Start Date: | January 2000 |
| Estimated Study Completion Date: | September 2005 |
Heart Failure is a syndrome that affects millions of patients in Europe with over half a million new cases reported annually. Drug therapy had been the conventional treatment of choice until the emergence of cardiac resynchronization therapy (CRT) where biventricular pacing can be delivered to the heart through a pacemaker or implantable cardioverter defibrillator. This study was designed to assess the effect of CRT on patients optimized on conventional heart failure medication including diuretics, beta blockers and ACE inhibitors. The effect of CRT was evaluated by comparison of 6 minute walk performance, Quality of Life and NHYA class after 6 months with CRT therapy either programmed ON or OFF. In addition, evaluation of the incidence of adverse events (predefined as ventricular arrhythmias, hospitalizations, drop-outs, complications and patient deaths) was done between groups at 6 months. Patients were all programmed ON after 6 months and data was collected for an additional 6 months.
Eligibility| Ages Eligible for Study: | 18 Years to 80 Years |
| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | No |
Inclusion Criteria:
- NYHA Class III and IV with EF < 35%; Optimal individual drug therapy in 2 weeks prior to enrollment including ACE inhibitors; beta blockers and diuretics unless not tolerated
Exclusion Criteria:
- Reduced life expectancy of < 6 months or candidate for heart transplant within 6 months; chronic/recurrent atrial fibrillation/flutter
Contacts and Locations| Belgium | |
| Guidant Corporation, , , Belgium | |
| Diegem, Belgium, 1831 | |
| Germany | |
| Medizinische Klinik I, University RWTH Aachen | |
| Aachen, Germany, 52057 | |
| Principal Investigator: | P HANRATH, MD | Medizinische Klinik I, University RWTH Aachen, Pauwelsstr. 30, 52057 Aachen, Germany |
More Information
No publications provided
| ClinicalTrials.gov Identifier: | NCT00180596 History of Changes |
| Other Study ID Numbers: | PACMAN-1099 |
| Study First Received: | September 15, 2005 |
| Last Updated: | September 15, 2005 |
| Health Authority: | Germany: Federal Institute for Drugs and Medical Devices |
Additional relevant MeSH terms:
|
Heart Failure Heart Diseases Cardiovascular Diseases |
ClinicalTrials.gov processed this record on June 17, 2013