NCT02186704

Brief Summary

The primary aim of the "Sensing Atrial High Rate Episodes with DX System in Implantable Cardioverter Defibrillators Trial" (SENSE Trial) is to assess the efficacy of a implantable cardioverter-defibrillator (ICD) lead with dedicated atrial sensing dipoles in detecting atrial high rate episodes. The study hypothesis is that an ICD system with a lead with dedicated atrial sensing dipoles will have a diagnostic yield comparable to that of a standard dual chamber ICD system and superior to that of a standard single chamber ICD system.

Trial Health

87
On Track

Trial Health Score

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

Enrollment
450

participants targeted

Target at P75+ for all trials

Timeline
Completed

Started Jul 2014

Longer than P75 for all trials

Geographic Reach
1 country

8 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

July 1, 2014

Completed
6 days until next milestone

First Submitted

Initial submission to the registry

July 7, 2014

Completed
3 days until next milestone

First Posted

Study publicly available on registry

July 10, 2014

Completed
3.6 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

March 1, 2018

Completed
4 months until next milestone

Study Completion

Last participant's last visit for all outcomes

July 1, 2018

Completed
Last Updated

August 28, 2018

Status Verified

August 1, 2018

Enrollment Period

3.7 years

First QC Date

July 7, 2014

Last Update Submit

August 27, 2018

Conditions

Keywords

Atrial FibrillationImplantable DefibrillatorsImplanted Electrodes

Outcome Measures

Primary Outcomes (1)

  • Atrial High Rate Episode

    Atrial high rate episode \> 30 seconds in duration

    1 year

Secondary Outcomes (1)

  • Atrial Sensing (DX System)

    1 year

Other Outcomes (1)

  • Atrial High Rate Episode > 6 Minutes (DX System)

    1 year

Study Arms (3)

ICD with DX system

Implantable cardioverter-defibrillator recipients with DX system

Device: ICD with DX system

Dual chamber ICD

Dual chamber implantable-cardioverter-defibrillator recipients (retrospective cohort from IMPACT study)

Single chamber ICD

Single chamber implantable cardioverter-defibrillator recipients (retrospective cohort from Cornell registry)

Interventions

Implantable cardioverter defibrillator (ICD) system implantation with single lead with ventricular sensing and pacing and defibrillation combined with dedicated atrial sensing dipole.

Also known as: Biotronik Ilesto 7 VR-T ICD, Biotronik Lumax Smart S DX ICD lead, Future FDA-approved Biotronik DX-capable ICD and leads
ICD with DX system

Eligibility Criteria

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

Subjects with standard indications for implantable cardioverter-defibrillator implantation and no prior history of atrial fibrillation

You may qualify if:

  • Fulfills standard indications for ICD implantation
  • Subject or legally authorized representative can provide written authorization per institutional requirements
  • Subject is intended to be implanted with a complete Biotronik DX system (consisting of a Biotronik Ilesto 7 VR-T DX ICD or any future FDA approved Lumax VR-T DX ICD, and the Biotronik Linox Smart S DX lead), or has been implanted with a complete Biotronik DX system no more than 30 days prior to the date of consent
  • Able to comply with Home Monitoring

You may not qualify if:

  • Subject has prior diagnosis of atrial fibrillation or atrial flutter
  • Subject has need for atrial pacing
  • Subject unwilling or unable to give informed consent or participate in follow-up
  • Subject is unable to comply with Home Monitoring
  • Subject is pregnant
  • Subject has less than one year estimated life expectancy
  • Subject was implanted with a cardiac device capable of detecting AHREs prior to implantation of the Biotronik DX system
  • Subject was implanted with Biotronik DX system and had an AHRE detection before enrollment

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (8)

University of Alabama at Birmingham

Birmingham, Alabama, 35294, United States

Location

Massachusetts General Hospital

Boston, Massachusetts, 02114, United States

Location

Weill Cornell Medical College

New York, New York, 10021, United States

Location

Westchester Medical Center

Valhalla, New York, 10532, United States

Location

The Ohio State Wexner University Medical Center

Columbus, Ohio, 43210, United States

Location

Promedica Heart and Vascular Institute

Toledo, Ohio, 43615, United States

Location

Einstein Medical Center

Philadelphia, Pennsylvania, 19141, United States

Location

Vanderbilt University

Nashville, Tennessee, 37232, United States

Location

MeSH Terms

Conditions

Atrial Fibrillation

Interventions

Defibrillators, Implantable

Condition Hierarchy (Ancestors)

Arrhythmias, CardiacHeart DiseasesCardiovascular DiseasesPathologic ProcessesPathological Conditions, Signs and Symptoms

Intervention Hierarchy (Ancestors)

DefibrillatorsElectrodesElectrical Equipment and SuppliesEquipment and SuppliesElectrodes, ImplantedProstheses and Implants

Study Officials

  • George Thomas, MD

    Weill Medical College of Cornell University

    PRINCIPAL INVESTIGATOR

Study Design

Study Type
observational
Observational Model
CASE CONTROL
Time Perspective
PROSPECTIVE
Sponsor Type
OTHER
Responsible Party
SPONSOR

Study Record Dates

First Submitted

July 7, 2014

First Posted

July 10, 2014

Study Start

July 1, 2014

Primary Completion

March 1, 2018

Study Completion

July 1, 2018

Last Updated

August 28, 2018

Record last verified: 2018-08

Data Sharing

IPD Sharing
Will not share

Locations