Status:

COMPLETED

Comparison of AV Optimization Methods Used in Cardiac Resynchronization Therapy (CRT)

Lead Sponsor:

Boston Scientific Corporation

Conditions:

Heart Failure

Eligibility:

All Genders

18+ years

Phase:

PHASE4

Brief Summary

The primary objective of SMART-AV is to assess the effect of SmartDelay for determining optimal AV delay timing during CRT compared to both a fixed AV delay and echocardiography-determined optimal AV ...

Detailed Description

SMART-AV is a randomized, multi-center, double-blinded, non-significant risk, three-armed trial that will investigate the effects of optimizing AV delay timing in heart failure patients receiving CRT-...

Eligibility Criteria

Inclusion

  • Patients who meet current indications for a BSC CRT-D device with the SmartDelay algorithm
  • Patients who are willing and capable of undergoing a device implant and participating in all testing associated with the SMART-AV Study
  • Patients who are on optimal and stable pharmacologic therapy
  • Patients who are expected to be in sinus rhythm at the time of implant
  • Patients who have a life expectancy of more than 360 days, per physician's discretion
  • Patients who are geographically stable and willing to comply with the required follow-up schedule
  • Patients who are 18 years of age or above, or of legal age to give informed consent specific to state and national law

Exclusion

  • Patients who are in complete heart block, or who otherwise are unable to tolerate pacing at VVI-40 RV for up to 14 days
  • Patients undergoing an upgrade of a pacemaker or implantable cardioverter-defibrillator who are unable to tolerate pacing at VVI-40 RV for up to 14 days
  • Patients who have previously received cardiac resynchronization therapy
  • Patients who are expected to receive a heart transplant or have other cardiac surgeries or procedures planned during the course of the study
  • Patients who currently have or who are likely to receive a tricuspid valve prosthesis
  • Patients who have a neuromuscular, orthopedic, or other non-cardiac condition that prevents normal, unsupported walking
  • Patients who are pregnant or planning to become pregnant during the study
  • Patients who are currently enrolled in another investigational study or registry that would directly impact the treatment or outcome of the current study

Key Trial Info

Start Date :

May 1 2008

Trial Type :

INTERVENTIONAL

Allocation :

ACTUAL

End Date :

July 1 2010

Estimated Enrollment :

1060 Patients enrolled

Trial Details

Trial ID

NCT00677014

Start Date

May 1 2008

End Date

July 1 2010

Last Update

April 24 2013

Active Locations (1)

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1

Medical College of Virginia

Richmond, Virginia, United States, 23298-0053