Status:

COMPLETED

RethinQ Study - Evaluating Pacing in Heart Failure Patients

Lead Sponsor:

Abbott Medical Devices

Conditions:

Heart Failure

Eligibility:

All Genders

18+ years

Phase:

PHASE3

Brief Summary

Patients with heart failure have a pumping action of the ventricles in which one ventricle contracts before the other ventricle. This uncoordinated (unsynchronized) pumping is due to a delay in the st...

Detailed Description

1.0 Problem of Interest Patients with heart failure have a pumping action of the ventricles in which one ventricle contracts before the other ventricle. This uncoordinated (unsynchronized) pumping is...

Eligibility Criteria

Inclusion

  • Have an approved indication for implantation of an ICD.
  • Have advanced HF with a New York Heart Association (NYHA) Classification of III, despite receiving optimal pharmacological therapy.
  • Have a stable heart failure medical regimen.
  • Have a left ventricular ejection fraction (LVEF) \<= 35%.
  • Have evidence of mechanical dyssynchrony as measured by echocardiography using tissue Doppler imaging or M-mode.
  • Have a QRS duration \< 130 ms (present in all ECG leads).
  • Have the ability to complete exercise stress testing and 6-minute hall walk test, with the only limiting factors being related to cardiac fitness.
  • Have the ability to independently comprehend and complete a quality of life questionnaire.
  • Have the ability to provide informed consent for study participation and be willing and able to comply with the prescribed follow-up tests and schedule of evaluations.

Exclusion

  • Have a standard bradycardic indication for pacing.
  • Have been previously treated with CRT.
  • Have continuous atrial fibrillation \[AF\] (continuous is defined as AF lasting \> 1 month) within 1 year prior to enrollment or have undergone cardioversion for AF in the past month.
  • Have the ability to walk \> 450 meters during the 6-minute walk test.
  • Have a NYHA Classification of I, II or IV.
  • Have symptomatic chronic obstructive pulmonary disease (COPD) as it relates to exercise ability.
  • Have a classification of Status 1 for cardiac transplantation or consideration for transplantation over the next 6 months.
  • Have had a recent myocardial infarction, unstable angina or cardiac revascularization (percutaneous transluminal coronary angioplasty \[PTCA\] or coronary artery bypass graft \[CABG\]) within 40 days of enrollment.
  • Have had a recent cerebrovascular accident (CVA) or transient ischemic attack (TIA) within 3 months of enrollment.
  • Have severe musculoskeletal disorder(s).
  • Pregnant or planning for pregnancy in the next 6 months.
  • Currently participating in, or have participated in any clinical investigation within the last 30 days (the only exception being that of a registry trial).
  • Have a life expectancy of less than 6 months.
  • Less than 18 years of age.

Key Trial Info

Start Date :

July 1 2005

Trial Type :

INTERVENTIONAL

Allocation :

ACTUAL

End Date :

July 1 2007

Estimated Enrollment :

250 Patients enrolled

Trial Details

Trial ID

NCT00132977

Start Date

July 1 2005

End Date

July 1 2007

Last Update

February 4 2019

Active Locations (34)

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Page 1 of 9 (34 locations)

1

University Hospital University of Alabama at Birmingham

Birmingham, Alabama, United States, 35294

2

Arizona Arrhythmia Consultants

Scottsdale, Arizona, United States, 85251

3

Arkansas Cardiology, PA

Little Rock, Arkansas, United States, 72205

4

Arkansas Heart Hospital

Little Rock, Arkansas, United States, 72211