NCT00336284

Brief Summary

This study is a multi-center, prospective and randomized trial. The primary objective of this study is to demonstrate that the use of the BIOTRONIK Home Monitoring system (HM) can safely reduce the number of regularly scheduled office follow-up visits, compared to the conventional method of implantable cardioverter defibrillator (ICD) follow-up.

Trial Health

90
On Track

Trial Health Score

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

Enrollment
1,450

participants targeted

Target at P75+ for phase_4

Timeline
Completed

Started Nov 2005

Longer than P75 for phase_4

Geographic Reach
2 countries

110 active sites

Status
completed

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

November 1, 2005

Completed
7 months until next milestone

First Submitted

Initial submission to the registry

June 9, 2006

Completed
4 days until next milestone

First Posted

Study publicly available on registry

June 13, 2006

Completed
3 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

June 1, 2009

Completed
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

June 1, 2009

Completed
10 months until next milestone

Results Posted

Study results publicly available

March 30, 2010

Completed
Last Updated

August 3, 2010

Status Verified

July 1, 2010

Enrollment Period

3.6 years

First QC Date

June 9, 2006

Results QC Date

January 12, 2010

Last Update Submit

July 28, 2010

Conditions

Keywords

TelemonitoringICDReduction of office follow-ups

Outcome Measures

Primary Outcomes (2)

  • Home Monitoring Effectiveness

    Average number of office-based implantable cardioverter defibrillator (ICD) follow-up visits in the Home Monitoring arm vs the Conventional (calendar-based) follow-up arm.

    12 months

  • Percent of Participants Experiencing Death, Incidence of Stroke, or Event Requiring Surgical Intervention.

    Percentage of participants experiencing death, incidence of stroke, or event(s) requiring surgical intervention. Outcome measure time frame is 12 months.

    12 months

Secondary Outcomes (2)

  • Early Detection of Cardiac Events

    12 months

  • Patient Initiated Follow-up

    12 months

Study Arms (2)

Home Monitoring

ACTIVE COMPARATOR

Home Monitoring programmed on.

Other: Home Monitoring

In-Office Conventional Follow-up

OTHER

Home Monitoring programmed off.

Other: In-Office Conventional Follow-up

Interventions

Home Monitoring programmed on. In-office and Home Monitoring evaluation at 3 and 15 months post ICD implant. Home Monitoring evaluation only at 6, 9, and 12 months post ICD implant.

Home Monitoring

Home Monitoring programmed off. In-office evaluations at 3, 6, 9, 12, and 15 months post ICD implant.

In-Office Conventional Follow-up

Eligibility Criteria

Age18 Years+
Sexall
Healthy VolunteersNo
Age GroupsAdult (18-64), Older Adult (65+)

You may qualify if:

  • Implanted within the last 45 days or being considered for implant with a BIOTRONIK ICD with Home Monitoring (HM)/Intracardiac Electrogram (IEGM)-Online technology, or legally marketed future generation device with HM/IEGM Online.
  • Able to utilize the HM system throughout the study
  • Ability to give informed consent
  • Geographically stable and able to return for regular follow-ups for fifteen (15) months
  • At least 18 years old

You may not qualify if:

  • Pacemaker dependent
  • Currently enrolled in any other cardiac clinical investigation

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (110)

Site 55

Birmingham, Alabama, 35294, United States

Location

Site 68

Mesa, Arizona, 85205, United States

Location

Site 99

Phoenix, Arizona, 85016, United States

Location

Site 118

Bakersfield, California, 93301, United States

Location

Site 91

Bakersfield, California, 93301, United States

Location

Site 95

Burbank, California, 91505, United States

Location

Site 72

Fairfield, California, 94533, United States

Location

Site 43

Fremont, California, 94568, United States

Location

Site 90

Fresno, California, 93701, United States

Location

Site 73

Fresno, California, 93720, United States

Location

Site 75

Fresno, California, 93720, United States

Location

Site 67

Glendale, California, 91203, United States

Location

Site 82

Jackson, California, 95642, United States

Location

Site 78

Mission Viejo, California, 92691, United States

Location

Site 15

Sherman Oaks, California, 91403, United States

Location

Site 89

Simi Valley, California, 93065, United States

Location

Site 88

Whittier, California, 90603, United States

Location

Site 37

Boulder, Colorado, 80304, United States

Location

Site 38

Boulder, Colorado, 80304, United States

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Site 98

Denver, Colorado, 80210, United States

Location

Site 122

Newark, Delaware, 19713, United States

Location

Site 100

Brooksville, Florida, 34613, United States

Location

Site 111

Jacksonville, Florida, 32207, United States

Location

Site 40

Lakeland, Florida, 33803, United States

Location

Site 36

Lauderdale Lakes, Florida, 33313, United States

Location

Site 34

Miami, Florida, 33176, United States

Location

Site 42

Oakland Park, Florida, 33334, United States

Location

Site 13

Port Charlotte, Florida, 33952, United States

Location

Site 41

Tamarac, Florida, 33321, United States

Location

Site 60

Vero Beach, Florida, 32960, United States

Location

Site 6

Canton, Georgia, 30114, United States

Location

Site 106

Douglas, Georgia, 31533, United States

Location

Site 61

Lawrenceville, Georgia, 30045, United States

Location

Site 10

Marietta, Georgia, 30060, United States

Location

Site 66

Marietta, Georgia, 30060, United States

Location

Site 21

Chicago, Illinois, 60153, United States

Location

Site 124

Chicago, Illinois, 60657, United States

Location

Site 39

Oak Lawn, Illinois, 60453, United States

Location

Site 3

Louisville, Kentucky, 40215, United States

Location

Site 11

Owensboro, Kentucky, 42303, United States

Location

Site 51

Covington, Louisiana, 70433, United States

Location

Site 79

Hammond, Louisiana, 70403, United States

Location

Site 85

Lacombe, Louisiana, 70445, United States

Location

Site 102

Lafayette, Louisiana, 70503, United States

Location

Site 2

Lake Charles, Louisiana, 70601, United States

Location

Site 53

New Orleans, Louisiana, 70112, United States

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Site 17

Annapolis, Maryland, 21401, United States

Location

Site 25

Lanham, Maryland, 20706, United States

Location

Site 17

Riverdale, Maryland, 20737, United States

Location

Site 18

Rockville, Maryland, 20852, United States

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Site 29

Boston, Massachusetts, 02135, United States

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Site 94

Ann Arbor, Michigan, 48109-0273, United States

Location

Site 103

Bloomfield Hills, Michigan, 48302, United States

Location

Site 4

Lansing, Michigan, 48910, United States

Location

Site 12

Lapeer, Michigan, 48446, United States

Location

Site 22

Saginaw, Michigan, 48601, United States

Location

Site 14

Corinth, Mississippi, 38834, United States

Location

Site 52

Gulfport, Mississippi, 39503, United States

Location

Site 49

Bridgeton, Missouri, 63044, United States

Location

Site 105

Festus, Missouri, 63028, United States

Location

Site 121

Festus, Missouri, 63028, United States

Location

Site 45

Moberly, Missouri, 65270, United States

Location

Site 56

Osage Beach, Missouri, 65065, United States

Location

Site 108

St Louis, Missouri, 63103, United States

Location

Site 114

St Louis, Missouri, 63117, United States

Location

Site 48

St Louis, Missouri, 63128, United States

Location

Site 113

St Louis, Missouri, 63131, United States

Location

Site 74

St Louis, Missouri, 63131, United States

Location

Site 47

University City, Missouri, 63130, United States

Location

Site 117

Brick, New Jersey, 08724, United States

Location

Site 120

East Brunswick, New Jersey, 08816, United States

Location

Site 107

East Orange, New Jersey, 07019, United States

Location

Site 119

Elizabeth, New Jersey, 07202, United States

Location

Site 116

Oakhurst, New Jersey, 07755, United States

Location

Site 71

Wayne, New Jersey, 07470, United States

Location

Site 97

Las Cruces, New Mexico, 88011, United States

Location

Site 112

Batavia, New York, 14020, United States

Location

Site 19

Brooklyn, New York, 11203, United States

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Site 27

Brooklyn, New York, 11203, United States

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Site 26

Brooklyn, New York, 11209, United States

Location

Site 77

Brooklyn, New York, 11223, United States

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Site 9

Johnson City, New York, 13790, United States

Location

Site 35

New York, New York, 10021, United States

Location

Site 76

New York, New York, 10028, United States

Location

Site 115

Pinehurst, North Carolina, 28374, United States

Location

Site 57

Cleveland, Ohio, 44195, United States

Location

Site 16

Columbus, Ohio, 43210, United States

Location

Site 50

Columbus, Ohio, 43228, United States

Location

Site 84

Fairview Park, Ohio, 44129, United States

Location

Site 93

Massillon, Ohio, 44646, United States

Location

Site 30

Middletown, Ohio, 45042, United States

Location

Site 87

Middletown, Ohio, 45042, United States

Location

Site 96

Tulsa, Oklahoma, 74136, United States

Location

Site 63

Chinchilla, Pennsylvania, 18410, United States

Location

Site 62

Clarks Summit, Pennsylvania, 18411, United States

Location

Site 32

Upland, Pennsylvania, 19013, United States

Location

Site 23

Columbia, South Carolina, 29204, United States

Location

Site 20

Florence, South Carolina, 29506, United States

Location

Site 109

Lancaster, South Carolina, 29720, United States

Location

Site 5

Rock Hill, South Carolina, 29732, United States

Location

Site 59

Knoxville, Tennessee, 37923, United States

Location

Site 8

Knoxville, Tennessee, 37923, United States

Location

Site 110

Tullahoma, Tennessee, 37388, United States

Location

Site 1

Amarillo, Texas, 79106, United States

Location

Site 81

Brownsville, Texas, 78520, United States

Location

Site 33

Odessa, Texas, 79761, United States

Location

Site 80

San Antonio, Texas, 78229, United States

Location

Site 7

Yakima, Washington, 98902, United States

Location

Site 104

Toronto, Ontario, Canada

Location

Site 92

Fleurimont, Quebec, Canada

Location

Related Publications (8)

  • Varma N, Epstein AE, Irimpen A, Schweikert R, Love C; TRUST Investigators. Efficacy and safety of automatic remote monitoring for implantable cardioverter-defibrillator follow-up: the Lumos-T Safely Reduces Routine Office Device Follow-up (TRUST) trial. Circulation. 2010 Jul 27;122(4):325-32. doi: 10.1161/CIRCULATIONAHA.110.937409. Epub 2010 Jul 12.

  • Chew DS, Piccini JP, Au F, Frazier-Mills CG, Michalski J, Varma N; TRUST Investigators. Alert-driven vs scheduled remote monitoring of implantable cardiac defibrillators: A cost-consequence analysis from the TRUST trial. Heart Rhythm. 2023 Mar;20(3):440-447. doi: 10.1016/j.hrthm.2022.12.003. Epub 2022 Dec 8.

  • Varma N, Love CJ, Michalski J, Epstein AE; TRUST Investigators. Alert-Based ICD Follow-Up: A Model of Digitally Driven Remote Patient Monitoring. JACC Clin Electrophysiol. 2021 Aug;7(8):976-987. doi: 10.1016/j.jacep.2021.01.008. Epub 2021 Feb 24.

  • Varma N, Love CJ, Schweikert R, Moll P, Michalski J, Epstein AE; TRUST Investigators. Automatic remote monitoring utilizing daily transmissions: transmission reliability and implantable cardioverter defibrillator battery longevity in the TRUST trial. Europace. 2018 Apr 1;20(4):622-628. doi: 10.1093/europace/eux059.

  • Varma N, Epstein AE, Schweikert R, Michalski J, Love CJ; TRUST Investigators. Role of Automatic Wireless Remote Monitoring Immediately Following ICD Implant: The Lumos-T Reduces Routine Office Device Follow-Up Study (TRUST) Trial. J Cardiovasc Electrophysiol. 2016 Mar;27(3):321-6. doi: 10.1111/jce.12895. Epub 2016 Jan 27.

  • Varma N, Michalski J, Stambler B, Pavri BB; TRUST Investigators. Superiority of automatic remote monitoring compared with in-person evaluation for scheduled ICD follow-up in the TRUST trial - testing execution of the recommendations. Eur Heart J. 2014 May 21;35(20):1345-52. doi: 10.1093/eurheartj/ehu066. Epub 2014 Mar 3.

  • Varma N, Pavri BB, Stambler B, Michalski J; TRUST Investigators. Same-day discovery of implantable cardioverter defibrillator dysfunction in the TRUST remote monitoring trial: influence of contrasting messaging systems. Europace. 2013 May;15(5):697-703. doi: 10.1093/europace/eus410. Epub 2012 Dec 19.

  • Varma N, Michalski J, Epstein AE, Schweikert R. Automatic remote monitoring of implantable cardioverter-defibrillator lead and generator performance: the Lumos-T Safely RedUceS RouTine Office Device Follow-Up (TRUST) trial. Circ Arrhythm Electrophysiol. 2010 Oct;3(5):428-36. doi: 10.1161/CIRCEP.110.951962. Epub 2010 Aug 17.

MeSH Terms

Interventions

Blood Glucose Self-Monitoring

Intervention Hierarchy (Ancestors)

Blood Chemical AnalysisClinical Chemistry TestsClinical Laboratory TechniquesDiagnostic Techniques and ProceduresDiagnosisDiagnostic Techniques, EndocrineMonitoring, PhysiologicSelf-TestingSelf CareTherapeuticsInvestigative Techniques

Results Point of Contact

Title
Justin Michalski, M.S. / Clinical Studies Engineer
Organization
Biotronik, Inc.

Study Officials

  • Niraj Varma, MD, FRCP

    The Cleveland Clinic

    PRINCIPAL INVESTIGATOR

Publication Agreements

PI is Sponsor Employee
No
Restriction Type
OTHER
Restrictive Agreement
Yes

Study Design

Study Type
interventional
Phase
phase 4
Allocation
RANDOMIZED
Masking
NONE
Purpose
TREATMENT
Intervention Model
PARALLEL
Sponsor Type
INDUSTRY

Study Record Dates

First Submitted

June 9, 2006

First Posted

June 13, 2006

Study Start

November 1, 2005

Primary Completion

June 1, 2009

Study Completion

June 1, 2009

Last Updated

August 3, 2010

Results First Posted

March 30, 2010

Record last verified: 2010-07

Locations