TRIAGE-CRT Telemonitoring in Patients With CHF and Indication of CRT-D
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Purpose
This feasibility study will investigate the clinical benefit of the combined use of BIOTRONIK Home Monitoring (HM) and weight and blood pressure (BP) external telemonitoring (ETM) in the follow-up treatment of patients implanted with a Cardiac Resynchronization Therapy Implantable Cardioverter Defibrillator (CRT-D). The feasibility study is designed to plan and define endpoints for a larger randomized study. The study will assess the HM-parameter trends correlation with daily weight and blood pressure changes. The patient compliance rate of the two different telemonitoring systems (HM & ETM) will also be evaluated.
| Condition | Intervention | Phase |
|---|---|---|
|
Congestive Heart Failure Cardiac Resynchronization Therapy |
Device: Kronos LV-T, Lumax HF-T |
Phase 4 |
| Study Type: | Interventional |
| Study Design: | Allocation: Non-Randomized Endpoint Classification: Efficacy Study Intervention Model: Single Group Assignment Masking: Open Label Primary Purpose: Treatment |
| Official Title: | TRIAGE-CRT Telemonitoring in Patients With Congestive Heart Failure and Indication of ICD-Cardiac Resynchronization Therapy |
- Patient Compliance of Weight and Blood Pressure External Monitoring and Home Monitoring Transmissions. Percentage of Days Transmitted. [ Time Frame: 6 months ] [ Designated as safety issue: No ]
| Enrollment: | 66 |
| Study Start Date: | November 2006 |
| Study Completion Date: | January 2008 |
| Primary Completion Date: | January 2008 (Final data collection date for primary outcome measure) |
| Arms | Assigned Interventions |
|---|---|
|
Experimental: HM with weight and BP remote monitoring
Device based Home Monitoring and weight and blood pressure remote monitoring
|
Device: Kronos LV-T, Lumax HF-T
Implanted CRT-device sends out device diagnostics (e.g. heart rate, device and lead integrity, patient activity) via CardioMessenger on daily basis. In addition, daily weight and blood pressure readings are taken; remote data are analyzed by investigational sites via the internet on a weekly basis.
|
Detailed Description:
This single-arm, multi-center feasibility study will explore the clinical benefit of the combined use of BIOTRONIK Home Monitoring (HM) and weight and blood pressure (BP) external telemonitoring (ETM) in the follow-up management of heart failure patients implanted with a Cardiac Resynchronization Therapy Implantable Cardioverter Defibrillator (CRT-D). The BIOTRONIK Home Monitoring system will automatically and remotely collect device based information on a daily basis, and an external telemonitoring system will be used to determine the 'weight' and 'blood pressure' remotely at the patient's home on a daily basis. This study will evaluate retrospectively, if Home Monitoring parameters correlate with weight and blood pressure changes. The patient compliance rate of the two telemonitoring systems will also be assessed.
Target enrollment is up to 100 patients at 15 U.S. sites. Patients will be enrolled within a period of 12 to 15 months. Based on the follow-up period of 6 months per patient, the study duration is 18 to 21 months from the date of first patient enrollment. All patients will give written informed consent prior to enrollment and will be implanted with the legally marketed BIOTRONIK Kronos LV-T, or an appropriate BIOTRONIK CRT-D, as well as legally marketed pacing and defibrillation leads. In addition, all patients will be receiving a legally marketed external telemonitoring system to determine weight and blood pressure at home.
Eligibility| Ages Eligible for Study: | 18 Years and older |
| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | No |
Inclusion Criteria:
- Able to provide written informed consent
- Implanted within the past 45 days or being considered for implant with a BIOTRONIK CRT-D
- Age 18 years
- Able to follow and comply with the study related procedures
- Phone jack with landline connection at home to connect both the BIOTRONIK HM and the ETM system
- Sufficient cognitive and reading skills to operate weight & BP system Ambulatory
- Weight ≤ 400 lbs
Exclusion Criteria:
- Participation in another cardiovascular clinical study
- Life expectancy <6 months
Contacts and Locations| United States, Arizona | |
| Maricopa Medical Center | |
| Phoenix, Arizona, United States, 85008 | |
| Scottsdale Cardiology | |
| Scottsdale, Arizona, United States, 85251 | |
| United States, Delaware | |
| Christiana Care Health Services | |
| Wilmington, Delaware, United States, 19718 | |
| United States, Georgia | |
| Piedmont Hospital | |
| Atlanta, Georgia, United States, 30309 | |
| Georgia Arrhythmia Consultants | |
| Macon, Georgia, United States, 31201 | |
| United States, Illinois | |
| Loyola University Medical Center | |
| Chicago, Illinois, United States, 60135 | |
| United States, Massachusetts | |
| Massachusetts General Hospital | |
| Boston, Massachusetts, United States, 02114 | |
| United States, Michigan | |
| Thoracic & Cardiovascular Institute | |
| Lansing, Michigan, United States, 48910 | |
| United States, Missouri | |
| St. Louis Heart and Vascular | |
| St. Louis, Missouri, United States, 63136 | |
| United States, Ohio | |
| Cleveland Cardiovascular Research Foundation | |
| Cleveland, Ohio, United States, 44126 | |
| United States, South Carolina | |
| Pee Dee Cardiology | |
| Florence, South Carolina, United States, 29506 | |
| Spartanburg Regional | |
| Spartanburg, South Carolina, United States, 29303 | |
| Principal Investigator: | Joseph Akar, MD | Loyola University |
More Information
No publications provided
| Responsible Party: | Katerina de Metz / Director, Clinical Studies, Biotronik, Inc |
| ClinicalTrials.gov Identifier: | NCT00395642 History of Changes |
| Other Study ID Numbers: | 20061653 |
| Study First Received: | November 1, 2006 |
| Results First Received: | December 14, 2009 |
| Last Updated: | January 15, 2010 |
| Health Authority: | United States: Institutional Review Board |
Keywords provided by Biotronik, Inc.:
|
Congestive Heart Failure Cardiac Resynchronization Therapy Home Monitoring Telemonitoring Remote Monitoring |
Additional relevant MeSH terms:
|
Heart Failure Heart Diseases Cardiovascular Diseases |
ClinicalTrials.gov processed this record on June 18, 2013