NCT00277524

Brief Summary

The purpose of the OMNI study is to characterize therapy and diagnostic utilization in study participants implanted with study devices and to describe Implantable Cardioverter Defibrillator(ICD)therapy utilization for life threatening arrhythmias in primary and secondary prevention study participants. This study will assess therapies in Medtronic pacemaker, defibrillator, and cardiac resynchronization therapy devices. The first therapy is for reducing unnecessary pacing in pacemaker patients. The second therapy provides pacing therapy in an attempt to stop fast or life threatening ventricular arrhythmias in lieu of delivering a defibrillation shock. The third therapy is a diagnostic measurement of a patient's fluid status and provides the physician information on the patient's heart failure status. The study will also assess the time to a patient's first defibrillation shock and will verify that the shock was for a fast or life threatening ventricular rhythm.

Trial Health

57
Monitor

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
3,032

participants targeted

Target at P75+ for all trials

Timeline
Completed

Started Aug 2005

Longer than P75 for all trials

Geographic Reach
1 country

113 active sites

Status
terminated

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

Click on a node to explore related trials.

Study Timeline

Key milestones and dates

Study Start

First participant enrolled

August 1, 2005

Completed
5 months until next milestone

First Submitted

Initial submission to the registry

January 12, 2006

Completed
4 days until next milestone

First Posted

Study publicly available on registry

January 16, 2006

Completed
4.8 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

November 1, 2010

Completed
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

November 1, 2010

Completed
2.8 years until next milestone

Results Posted

Study results publicly available

August 28, 2013

Completed
Last Updated

August 28, 2013

Status Verified

May 1, 2013

Enrollment Period

5.3 years

First QC Date

January 12, 2006

Results QC Date

July 13, 2012

Last Update Submit

May 21, 2013

Conditions

Keywords

PacemakerDefibrillatorCardiac ResynchronizationDysynchronyHeart failureArrhythmiaTachycardiaBradycardia

Outcome Measures

Primary Outcomes (4)

  • Implanted Systems Frequencies

    Frequencies of implanted systems were measured among patients who were implanted with a device (IPT, ICD or CRT-D).

    Baseline

  • Implantable Pulse Generator (IPG) Device Baseline Programming Frequencies.

    Pacing mode is based on the NASPE/BPEG Generic (NBG) Pacemake coding which includes: I, the chambers paced (V= Ventricle, A=Atrium, D=Dual (A\&V), O=None); II, the chambers sensed (V= Ventricle, A=Atrium, D=Dual (A\&V), O=None); III, the mode of response (T=Triggered, I=Inhibited, D=Dual Triggered/Inhibited, O=None); IV, the programmable functions(R=Rate Modulated, C=Communicating, M=Multiprogrammable, P=Simple Programmable, O=None); V, the antitachycardia functions (O=None, P=Paced, S=Shocks, D=Dual (P\&S)). In addition, MVP (managed ventricular pacing) is a mode that promotes AV conduction by reducing or eliminating unnecessary RV pacing but maintains dual chamber ventricular support in the event that AV conduction is lost.

    Baseline

  • ICD/CRT-D Device Baseline Programming Frequencies

    ICD/CRT-D baseline programming, pacing mode and detection. Pacing mode is based on the NASPE/BPEG Generic (NBG) Pacemake coding which includes: I, the chambers paced (V= Ventricle, A=Atrium, D=Dual (A\&V), O=None); II, the chambers sensed (V= Ventricle, A=Atrium, D=Dual (A\&V), O=None); III, the mode of response (T=Triggered, I=Inhibited, D=Dual Triggered/Inhibited, O=None); IV, the programmable functions(R=Rate Modulated, C=Communicating, M=Multiprogrammable, P=Simple Programmable, O=None); V, the antitachycardia functions (O=None, P=Paced, S=Shocks, D=Dual (P\&S)). In addition, MVP (managed ventricular pacing) is a mode that promotes AV conduction by reducing or eliminating unnecessary RV pacing but maintains dual chamber ventricular support in the event that AV conduction is lost.

    Baseline

  • ICD/CRT-D Device Baseline Programming Measurements

    ICD/CRT-D baseline programming measurements, detection interval. Implanted Cardioverter/Defibrillator paces a patient's heart in a tachyarrhythmia prevention-pacing mode. Detection intervals are used to detect atrial tachyarrhythmia. Detection Intervals are programmable heart rate thresholds. R-R intervals that are less than the VT or VF detection intervals (in ms) are considered evidence of VT or VF, respectively. R-R intervals that are between the FVT and the VF detection intervals are considered evidence of FVT. Thus, these detection interval thresholds demarcate rate zones of detection. The rate zones are used to determine the type of therapy applied once detection occurs.

    Baseline

Secondary Outcomes (5)

  • AV Block Status by Device Type at 6 and 12 Months.

    12 months post enrollment

  • AV Block Status by Severity of Historical AV Block

    4 years post implant

  • Summary of ATP Episodes Within All Treated Episodes

    4 years post enrollment

  • Compare First Shock Rate Between Medtronic "PainFREE" Programming and "SCD-HeFT" Programming in Primary Prevention Study Participants.

    4 years post implant

  • Frequencies of Subjects With OptiVol Trends and Disease Progression.

    4 years post implant

Study Arms (1)

Overall

All patients enrolled in OMNI. Patient sub-groups include device type, history of atrial fibrillation (AF), history of investigate atrioventricular (AV) block, implant indication, and managed ventricular pacing (MVP) enabled.

Eligibility Criteria

Age18 Years+
Sexall
Healthy VolunteersNo
Age GroupsAdult (18-64), Older Adult (65+)
Sampling MethodNon-Probability Sample
Study Population

Patients receiving a specified Medtronic Implantable Pulse Generator(IPG), Implantable Cardioverter Defibrillator(ICD), or Cardiac Resynchronization Therapy-Defibrillator(CRT-D) device where informed consent and/or authorization to use and disclose health information permission has been granted.

You may qualify if:

  • Implant of new or replacement study device. Enrollment must occur no later than 40 days post-implant.
  • Study participants must be 18 years of age or older.

You may not qualify if:

  • Study participants enrolled or intend to participate in another clinical device trial during the course of this study that required specific treatment or programming.
  • Study participants unwilling and unable to comply with follow-up schedule.

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (113)

Southern Arizona Health Care System

Tucson, Arizona, 85712-2836, United States

Location

Arkansas Cardiology PA (Little Rock AR)

Little Rock, Arkansas, 72205-6231, United States

Location

California Heart Medical Associates

Fresno, California, 93720, United States

Location

Apex Cardiology

Inglewood, California, 90301-4057, United States

Location

Scripps Green Hospital Scripps Clinic Torrey Pines

La Jolla, California, 92037-1027, United States

Location

Northern California Heart Care

Larkspur, California, 94939, United States

Location

Mission Internal Medical Group

Mission Viejo, California, 92691-6384, United States

Location

Orange County Heart Institute & Research Center

Orange, California, 92868, United States

Location

Foothill Cardiology

Pasadena, California, 91105, United States

Location

Desert Cardiology Center / Desert Cardiology Medical Group Consultants

Rancho Mirage, California, 92270, United States

Location

Brett Berman Cardiology & Cardiac Electrophysiology

San Diego, California, 92103, United States

Location

Dwain L Coggins MD FACC

San Jose, California, 95124, United States

Location

Cardiology Clinic of San Antonio

Tarzana, California, 91356, United States

Location

Erol Kosar MD Inc

Torrance, California, 90503, United States

Location

Rocky Mountain Cardiology PC

Boulder, Colorado, 80304, United States

Location

Pikes Peak Cardiology

Colorado Springs, Colorado, 80909, United States

Location

Daytona Heart

Daytona Beach, Florida, 32114, United States

Location

Florida Arrhythmia Consultants

Fort Lauderdale, Florida, 33308, United States

Location

Clark & Daughtrey Medical Group PA

Lakeland, Florida, 33803, United States

Location

Melbourne Internal Medicine Associates / Century Research Associates

Melbourne, Florida, 32901, United States

Location

C. Raghavan MD PA

Orlando, Florida, 32819, United States

Location

Northwest Florida Heart Group PA

Pensacola, Florida, 32514, United States

Location

Heart & Vascular Institute of Florida

Safety Harbor, Florida, 34695-6604, United States

Location

Florida Cardiovascular Institute PA

Tampa, Florida, 33609, United States

Location

Interventional Cardiac Consultants PLC

Trinity, Florida, 34655, United States

Location

Emory University Hospital

Atlanta, Georgia, 30322, United States

Location

Northeast Georgia Heart Center PC

Gainesville, Georgia, 30501, United States

Location

Macon Electrophysiology Associates PC

Macon, Georgia, 31201, United States

Location

Cardiovascular Consultants (Savannah GA)

Savannah, Georgia, 31404, United States

Location

Edward N Shen MD Inc

Honolulu, Hawaii, 96813, United States

Location

Midwest Cardiology PC

Belleville, Illinois, 62226, United States

Location

Cardiovascular Associates

Elk Grove Village, Illinois, 60007, United States

Location

The Heart Group PC

Evansville, Indiana, 47710-1656, United States

Location

Saint Mary Medical Center (Community Healthcare System)

Hobart, Indiana, 46342, United States

Location

Cardiologists PC

Cedar Rapids, Iowa, 52403, United States

Location

King's Daughters Medical Center

Ashland, Kentucky, 41101-2843, United States

Location

University Medical Associates

Louisville, Kentucky, 40202-1901, United States

Location

Cardiovascular Associates LLC

Covington, Louisiana, 70433, United States

Location

Cardiology Associates PC

Annapolis, Maryland, 21401, United States

Location

Cardiovascular Specialists of Frederick

Frederick, Maryland, 21702, United States

Location

The Heart Center

Glen Burnie, Maryland, 21061-5613, United States

Location

Baltimore Heart Associates (Randallstown MD)

Randallstown, Maryland, 21133-4707, United States

Location

Shady Grove Adventist Hospital

Rockville, Maryland, 20850, United States

Location

Peninsula Cardiology Associates

Salisbury, Maryland, 21804, United States

Location

Internal Medicine & Cardiology Associates of Southeastern New England PC

Fall River, Massachusetts, 02720, United States

Location

New Bedford Medical Associates

New Bedford, Massachusetts, 02740, United States

Location

North Shore Cardiology Associates

Salem, Massachusetts, 01970, United States

Location

University of Massachusetts Memorial Medical Center

Worcester, Massachusetts, 01655-0002, United States

Location

University of Michigan Health System (UMHS) VA Medical Center

Ann Arbor, Michigan, 48105-2303, United States

Location

Genesys Regional Medical Center

Grand Blanc, Michigan, 48439, United States

Location

Borgess Medical Center

Kalamazoo, Michigan, 49048, United States

Location

Cardiology Consultants of East Michigan

Lapeer, Michigan, 48446, United States

Location

Great Lakes Heart and Vascular Institute PC

Saint Joseph, Michigan, 49085, United States

Location

Cardiovascular Clinical Associates PC

Southfield, Michigan, 48034, United States

Location

University of Minnesota

Minneapolis, Minnesota, 55455-0368, United States

Location

Mayo Clinic

Rochester, Minnesota, 55905-0001, United States

Location

Saint Paul Cardiology

Saint Paul, Minnesota, 55102-1036, United States

Location

Hattiesburg Clinic/Forrest General

Hattiesburg, Mississippi, 39401, United States

Location

Cardiovascular Consultants (Cape Giradeau MO)

Cape Girardeau, Missouri, 63703, United States

Location

Cardiology Consultants of Saint Louis County PC

St Louis, Missouri, 63128, United States

Location

Saint Louis Heart & Vascular PC

St Louis, Missouri, 63136-6111, United States

Location

Heart Consultants PC

Omaha, Nebraska, 68122, United States

Location

Reno Heart Physicians

Reno, Nevada, 89503-4541, United States

Location

New Jersey Heart (Elizabeth NJ)

Elizabeth, New Jersey, 07202, United States

Location

Englewood Hospital & Medical Center

Englewood, New Jersey, 07631, United States

Location

Saint Joseph's Regional Medical Center

Paterson, New Jersey, 07503, United States

Location

Cardiology Associates

Woodland Park, New Jersey, 07424, United States

Location

Albany Associates in Cardiology

Albany, New York, 12205-1438, United States

Location

Cardio Research of New York Inc

Bayside, New York, 11361, United States

Location

New York Medical Center of Queens

New York, New York, 10001, United States

Location

Heartwise Cardiology

New York, New York, 10016, United States

Location

Arrhythmia Associates of New York

New York, New York, 10028-1802, United States

Location

University Cardiovascular Associates (UCVA)

Rochester, New York, 14618-2663, United States

Location

Cardiology Associates of Schenectady PC

Schenectady, New York, 12304, United States

Location

Saint Catherine of Sienna Medical Center

Smithtown, New York, 11787-1628, United States

Location

Sanger Heart and Vascular Institute-Charlotte

Charlotte, North Carolina, 28203, United States

Location

Heart Rhythm Associates PLLC

Greenville, North Carolina, 27834, United States

Location

High Point Regional Health System

High Point, North Carolina, 27262, United States

Location

Wake Heart & Vascular Associates

Raleigh, North Carolina, 27610-1231, United States

Location

Wilmington Cardiology LLC

Wilmington, North Carolina, 28403-5345, United States

Location

Forsyth Medical Center

Winston-Salem, North Carolina, 27103, United States

Location

Altru Hospital

Grand Forks, North Dakota, 58201-4032, United States

Location

TriHealth Good Samaritan Hos

Cincinnati, Ohio, 45220-2475, United States

Location

EMH Elyria Medical Center

Elyria, Ohio, 44035, United States

Location

Heart Care Inc

Gahanna, Ohio, 43230, United States

Location

Stark Medical Specialties Inc

Massillon, Ohio, 44646, United States

Location

Ohio Institute of Cardiac Care Inc

Springfield, Ohio, 45504, United States

Location

The Toledo Clinic

Toledo, Ohio, 43623-4231, United States

Location

Bluestem Cardiology PC

Bartlesville, Oklahoma, 74006, United States

Location

Heart Consultants

Midwest City, Oklahoma, 73110, United States

Location

Terrance Khastgir MD PC

Oklahoma City, Oklahoma, 73112-4457, United States

Location

Pacific Heart Associates

Portland, Oregon, 97227, United States

Location

Altoona Regional Health Center

Altoona, Pennsylvania, 16601-4804, United States

Location

Arrhythmia Institute

Newtown, Pennsylvania, 18940-1885, United States

Location

Cardiology Consultants of Philadelphia

Philadelphia, Pennsylvania, 19107, United States

Location

Marshall-Rismiller & Associates

Pottsville, Pennsylvania, 17901, United States

Location

Columbia Heart Clinic PA

Columbia, South Carolina, 29203, United States

Location

Pee Dee Cardiology

Florence, South Carolina, 29506, United States

Location

Piedmont Cardiology Associates (Greenwood SC)

Greenwood, South Carolina, 29646, United States

Location

Memphis Heart Clinic

Memphis, Tennessee, 38120, United States

Location

James H Quillen VA Medical Center

Mountain Home, Tennessee, 37604, United States

Location

Amarillo Heart Group

Amarillo, Texas, 79106-2430, United States

Location

Dallas VA Medical Center

Dallas, Texas, 75216, United States

Location

Hall Garcia Cardiology Associates

Houston, Texas, 77030-2309, United States

Location

Heart Clinic PLLC

McAllen, Texas, 78503, United States

Location

Medical Center Hospital Odessa

Odessa, Texas, 76761, United States

Location

Cardiology Clinic of San Antonio

San Antonio, Texas, 78229, United States

Location

Cardiovascular Associates of East Texas PA

Tyler, Texas, 75701, United States

Location

Utah Cardiology (Ogden UT)

Ogden, Utah, 84405-7420, United States

Location

Virginia Cardiovascular Specialists PC

Richmond, Virginia, 23226-1928, United States

Location

CAMC Institute Clinical Trials Center

Charleston, West Virginia, 25304, United States

Location

Wisconsin Heart SC

Madison, Wisconsin, 53713-2319, United States

Location

Arrhythmia Consultants of Milwaukee SC

Wauwatosa, Wisconsin, 53226-4362, United States

Location

Related Publications (5)

  • Wathen MS, DeGroot PJ, Sweeney MO, Stark AJ, Otterness MF, Adkisson WO, Canby RC, Khalighi K, Machado C, Rubenstein DS, Volosin KJ; PainFREE Rx II Investigators. Prospective randomized multicenter trial of empirical antitachycardia pacing versus shocks for spontaneous rapid ventricular tachycardia in patients with implantable cardioverter-defibrillators: Pacing Fast Ventricular Tachycardia Reduces Shock Therapies (PainFREE Rx II) trial results. Circulation. 2004 Oct 26;110(17):2591-6. doi: 10.1161/01.CIR.0000145610.64014.E4. Epub 2004 Oct 18.

    PMID: 15492306BACKGROUND
  • Alpert JS. Are data from clinical registries of any value? Eur Heart J. 2000 Sep;21(17):1399-401. doi: 10.1053/euhj.2000.2265. No abstract available.

    PMID: 10952831BACKGROUND
  • Lamas GA, Williams A. Have the results of randomized clinical trials of pacing altered the practice of cardiac pacing? J Cardiovasc Electrophysiol. 2003 Sep;14(9 Suppl):S15-9. doi: 10.1046/j.1540-8167.14.s9.14.x.

    PMID: 12950512BACKGROUND
  • Bardy GH, Lee KL, Mark DB, Poole JE, Packer DL, Boineau R, Domanski M, Troutman C, Anderson J, Johnson G, McNulty SE, Clapp-Channing N, Davidson-Ray LD, Fraulo ES, Fishbein DP, Luceri RM, Ip JH; Sudden Cardiac Death in Heart Failure Trial (SCD-HeFT) Investigators. Amiodarone or an implantable cardioverter-defibrillator for congestive heart failure. N Engl J Med. 2005 Jan 20;352(3):225-37. doi: 10.1056/NEJMoa043399.

    PMID: 15659722BACKGROUND
  • Liang KY, Zeger S. Longitudinal data analysis using generalized linear models. Biometrika, 1986, 73:13-22.

    BACKGROUND

MeSH Terms

Conditions

Tachycardia, VentricularHeart FailureVentricular FibrillationVentricular DysfunctionBradycardiaArrhythmias, CardiacTachycardia

Condition Hierarchy (Ancestors)

Heart DiseasesCardiovascular DiseasesCardiac Conduction System DiseasePathologic ProcessesPathological Conditions, Signs and Symptoms

Results Point of Contact

Title
Melinda Hoey, Clinical Research Specialist
Organization
Medtronic Cardiac Rhythm Disease Management

Study Officials

  • Michael O. Sweeney

    Cardiovascular Division Brigham and Womens

    PRINCIPAL INVESTIGATOR

Publication Agreements

PI is Sponsor Employee
No
Restrictive Agreement
No

Study Design

Study Type
observational
Time Perspective
PROSPECTIVE
Sponsor Type
INDUSTRY
Responsible Party
SPONSOR

Study Record Dates

First Submitted

January 12, 2006

First Posted

January 16, 2006

Study Start

August 1, 2005

Primary Completion

November 1, 2010

Study Completion

November 1, 2010

Last Updated

August 28, 2013

Results First Posted

August 28, 2013

Record last verified: 2013-05

Locations