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Low observed spontaneous coronary event rate among enrolled subjects
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The purpose of ST Detect study is to evaluate whether naturally occurring spontaneous coronary events and exercise induced cardiac ischemia, give rise to detectable changes on intracardiac electrogram (EGM) signals in patients that are indicated for an Implantable Cardioverter Defibrillator (ICD) who have coronary artery disease.
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| ICD | Device | Subjects implanted with an ICD. |
| Measure | Description | Time Frame |
|---|---|---|
| Number of Participants With ST Segment Changes During Myocardial Infarction | The primary objective of the study was to observe if there are any detectable ST segment changes on an electrogram (EGM) signal from an implanted cardiac defibrillator (ICD) during myocardial infarctions among study participants. | Implant to 2 years |
| Measure | Description | Time Frame |
|---|---|---|
| Occurrence of Spontaneous Coronary Event | During the study, spontaneous coronary ischemic events were categorized as STEMI, Non-ST elevated myocardial infarction (NSTEMI), or Unstable Angina. This objective was to provide estimates of rates per patient year for the study population. Rates are presented as: Average number of events per patient year (95% Confidence Interval) | Implant to 2 years |
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Inclusion Criteria:
Subject is indicated for an ICD implantation
AND subject must meet ONE of the following:
Exclusion Criteria:
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Subjects coming into the hospital or the emergency room needing a defibrillator device having had coronary artery disease as outlined in the inclusion criteria.
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| Name | Affiliation | Role |
|---|---|---|
| George Crossley, MD | St. Thomas Research Institute and University of Tennessee College of Medicine Nashville, TN | Principal Investigator |
| Timothy Henry, MD | Minneapolis Heart Institute Foundation Minneapolis, MN | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Anchorage | Alaska | 99508 | United States | |||
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| ID | Title | Description |
|---|---|---|
| FG000 | ICD Indicated | Subjects indicated for ICD therapy and at risk for recurrent myocardial infarction. |
| Title | Milestones | Reasons Not Completed | |||||
|---|---|---|---|---|---|---|---|
| Overall Study |
|
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| ST Segment Changes Measured by an ICD in Subjects Who Test Positive for Ischemia During an Exercise Stress Test | Patients underwent an exercise stress test at their one month study visit. This objective was to summarize the magnitude of the hearts electrical activity signal measured by the implanted ICD during a positive exercise stress test for ischemia. | One-month follow-up visit |
| Number of Years of Stored Data in a Database of the Hearts Electrical Activity in This Specific Patient Population to be Used for Future Research. | The device in this study included an additional capacity to collect and store information about the hearts electrical activity specific to ischemic heart disease. This additional capacity of the device is not currently available in market release ICDs. There is no measure to this objective, other than reporting the number of follow-up years of data accrued, which can be used by Medtronic for additional research. | Implant to 2 years |
| Participants That Consented to Wear a Holter Monitor for a Period of 24 Hours to Collect Heart Sounds Data. | When study subjects completed their six-month follow-up visit, they were asked if they would consent to wear a Holter monitor for a period of 24 hours to collect Heart Sounds data. The study subject would have to return to the center the following day to return the Holter monitor and have their ICD EGM vectors reprogrammed. | Six-month follow-up visit |
| Brandon |
| Florida |
| 33511 |
| United States |
| Orlando | Florida | 32806 | United States |
| Davenport | Iowa | 52803 | United States |
| Boston | Massachusetts | 02215 | United States |
| Minneapolis | Minnesota | 55407 | United States |
| Kansas City | Missouri | 64111 | United States |
| Mineola | New York | 11501 | United States |
| Stony Brook | New York | 11794 | United States |
| Gastonia | North Carolina | 28054 | United States |
| Raleigh | North Carolina | 27610 | United States |
| Cincinnati | Ohio | 45219 | United States |
| Nashville | Tennessee | 37203 | United States |
| Austin | Texas | 78705 | United States |
| Burlington | Vermont | 05401 | United States |
| Richmond | Virginia | 23225 | United States |
| Morgantown | West Virginia | 26505 | United States |
| Linz | Austria |
| Liège | Belgium |
| Copenhagen | Denmark |
| Berlin | Germany |
| Heidelberg | Germany |
| Nuremberg | Germany |
| Zwolle | Netherlands |
| Kristiansand | Norway |
| COMPLETED |
|
| NOT COMPLETED |
|
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| ID | Title | Description |
|---|---|---|
| BG000 | ICD Indicated | Subjects indicated for ICD therapy and at risk for recurrent myocardial infarction. |
| Units | Counts |
|---|---|
| Participants |
|
| Title | Description | Population Description | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Denominator Units Selected | Denominators | Classes | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Age, Categorical | Count of Participants | Participants |
| |||||||||||||||||||||||
| Age, Continuous | Mean | Standard Deviation | years |
| ||||||||||||||||||||||
| Sex: Female, Male | Count of Participants | Participants |
| |||||||||||||||||||||||
| Region of Enrollment | Number | participants |
|
| Type | Title | Description | Population Description | Reporting Status | Anticipated Posting Date | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Time Frame | Units Analyzed | Denominator Units Selected | Arm/Group Information | Denominators | Classes | Analyses | ||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Primary | Number of Participants With ST Segment Changes During Myocardial Infarction | The primary objective of the study was to observe if there are any detectable ST segment changes on an electrogram (EGM) signal from an implanted cardiac defibrillator (ICD) during myocardial infarctions among study participants. | During the study, none of the subjects presented with a ST Elevation Myocardial Infarction (STEMI). Therefore, there was not the opportunity to measure the hearts electrical activity during one of these events. | Posted | Implant to 2 years |
|
| |||||||||||||||||||
| Secondary | Occurrence of Spontaneous Coronary Event | During the study, spontaneous coronary ischemic events were categorized as STEMI, Non-ST elevated myocardial infarction (NSTEMI), or Unstable Angina. This objective was to provide estimates of rates per patient year for the study population. Rates are presented as: Average number of events per patient year (95% Confidence Interval) | There were 175 subjects that consented to participate in the study, and two subjects were not implanted with an ICD by the time the study was terminated. Therefore data collected by the implanted ICD in the remaining 173 subjects was analyzed. | Posted | Number | 95% Confidence Interval | Events per patient year | Implant to 2 years |
|
| ||||||||||||||||
| Secondary | ST Segment Changes Measured by an ICD in Subjects Who Test Positive for Ischemia During an Exercise Stress Test | Patients underwent an exercise stress test at their one month study visit. This objective was to summarize the magnitude of the hearts electrical activity signal measured by the implanted ICD during a positive exercise stress test for ischemia. | Posted | Mean | Standard Deviation | millivolts | One-month follow-up visit |
|
| |||||||||||||||||
| Secondary | Number of Years of Stored Data in a Database of the Hearts Electrical Activity in This Specific Patient Population to be Used for Future Research. | The device in this study included an additional capacity to collect and store information about the hearts electrical activity specific to ischemic heart disease. This additional capacity of the device is not currently available in market release ICDs. There is no measure to this objective, other than reporting the number of follow-up years of data accrued, which can be used by Medtronic for additional research. | There were 175 subjects that consented to participate in the study, and two subjects were not implanted with an ICD by the time the study was terminated. Therefore the number of years of stored device data to utilize for future research as collected by the implanted ICD in the remaining 173 subjects was analyzed. | Posted | Number | Years | Implant to 2 years |
|
| |||||||||||||||||
| Secondary | Participants That Consented to Wear a Holter Monitor for a Period of 24 Hours to Collect Heart Sounds Data. | When study subjects completed their six-month follow-up visit, they were asked if they would consent to wear a Holter monitor for a period of 24 hours to collect Heart Sounds data. The study subject would have to return to the center the following day to return the Holter monitor and have their ICD EGM vectors reprogrammed. | A subset of participants opting to wear a Holter monitor for 24 hours to collect Heart Sounds data, and then returning the following day for device reprogramming. | Posted | Number | Participants | Six-month follow-up visit |
|
|
Baseline through 2 years.
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| ID | Title | Description | Deaths (Affected) | Deaths (At Risk) | Serious Events (Affected) | Serious Events (At Risk) | Other Events (Affected) | Other Events (At Risk) |
|---|---|---|---|---|---|---|---|---|
| EG000 | ICD Indicated | Subjects indicated for ICD therapy and at risk for recurrent myocardial infarction. | 86 | 175 | 20 | 175 |
| Term | Organ System | Source Vocabulary | Assessment Type | Notes | Statistical Information |
|---|---|---|---|---|---|
| Angina pectoris | General disorders |
| |||
| Cardiac failure | General disorders |
| |||
| Cardiac failure acute | General disorders |
| |||
| Pneumonia | General disorders |
| |||
| Unstable angina | General disorders |
| |||
| Lead dislodgement | General disorders |
| |||
| NSTEMI | General disorders |
| |||
| Ventricular tachycardia | General disorders |
| |||
| Anaemia | General disorders |
| |||
| Chest pain | General disorders |
| |||
| Dyspnoea | General disorders |
| |||
| Chronic obstructive pulmonary disease | General disorders |
| |||
| Gastrointestinal haemorrhage | General disorders |
| |||
| Inappropriate device therapy | General disorders |
| |||
| Urinary tract infection | General disorders |
| |||
| Atrial fibrillation | General disorders |
| |||
| Atrial flutter | General disorders |
| |||
| Bleeding | General disorders |
| |||
| Cerebrovascular accident | General disorders |
| |||
| Cholecystitis acute | General disorders |
| |||
| Deep vein thrombosis | General disorders |
| |||
| Gastroenteritis | General disorders |
| |||
| Hypotension | General disorders |
| |||
| Implant site infection | General disorders |
| |||
| Intermittent claudication | General disorders |
| |||
| Ischaemic cardiomyopathy | General disorders |
| |||
| Non-cardiac chest pain | General disorders |
| |||
| Pulmonary embolus | General disorders |
| |||
| Seizure | General disorders |
| |||
| Syncope | General disorders |
| |||
| Acute renal insufficiency | General disorders |
| |||
| Atelectasis | General disorders |
| |||
| Abdominal hernia | General disorders |
| |||
| Abscess | General disorders |
| |||
| Acute coronary syndrome | General disorders |
| |||
| Adenocarcinoma | General disorders |
| |||
| Adverse drug reaction | General disorders |
| |||
| Ankle fracture | General disorders |
| |||
| Atrial tachycardia | General disorders |
| |||
| Bronchitis bacterial | General disorders |
| |||
| COPD Exacerbation | General disorders |
| |||
| Cardio-respiratory arrest | General disorders |
| |||
| Carotid artery stenosis | General disorders |
| |||
| Cellulitis | General disorders |
| |||
| Clostridium difficile sepsis | General disorders |
| |||
| Colitis ischaemic | General disorders |
| |||
| Colon cancer | General disorders |
| |||
| Dehydration | General disorders |
| |||
| Diverticular perforation | General disorders |
| |||
| Diverticulum | General disorders |
| |||
| Dressler's syndrome | General disorders |
| |||
| Endocarditis | General disorders |
| |||
| Faecaloma | General disorders |
| |||
| Fall | General disorders |
| |||
| Fatigue | General disorders |
| |||
| Gastritis | General disorders |
| |||
| Gout | General disorders |
| |||
| Hypotension | General disorders |
| |||
| Haematuria | General disorders |
| |||
| Haemoptysis | General disorders |
| |||
| Hepatitis C | General disorders |
| |||
| Hypersensitivity | General disorders |
| |||
| Hypertension | General disorders |
| |||
| Implant site hematoma | General disorders |
| |||
| Incision site hematoma | General disorders |
| |||
| Incisional hernia | General disorders |
| |||
| Infected hydrocele | General disorders |
| |||
| Infected sebaceous cyst | General disorders |
| |||
| Lower extremity edema | General disorders |
| |||
| Lymph node abscess | General disorders |
| |||
| Mental status changes | General disorders |
| |||
| Musculoskeletal pain | General disorders |
| |||
| Nasal septum deviation | General disorders |
| |||
| Neuralgia | General disorders |
| |||
| Obesity | General disorders |
| |||
| Oedema | General disorders |
| |||
| Oedema peripheral | General disorders |
| |||
| Oesophageal carcinoma | General disorders |
| |||
| Orthostatic hypotension | General disorders |
| |||
| Pneumothorax | General disorders |
| |||
| Pain | General disorders |
| |||
| Pain in extremity | General disorders |
| |||
| Pancreatitis | General disorders |
| |||
| Phimosis | General disorders |
| |||
| Post-traumatic headache | General disorders |
| |||
| Presyncope | General disorders |
| |||
| Radiculopathy | General disorders |
| |||
| Rectal cancer | General disorders |
| |||
| Renal artery stenosis | General disorders |
| |||
| Renal failure acute | General disorders |
| |||
| Renal mass | General disorders |
| |||
| Respiratory failure | General disorders |
| |||
| Respiratory tract infection | General disorders |
| |||
| Sepsis | General disorders |
| |||
| Sepsis MRSA | General disorders |
| |||
| Septic shock | General disorders |
| |||
| Skin laceration | General disorders |
| |||
| Spinal osteoarthritis | General disorders |
| |||
| Staphylococcal bacteraemia | General disorders |
| |||
| Stomach mass | General disorders |
| |||
| Thyroglossal cyst | General disorders |
| |||
| Traumatic fracture | General disorders |
| |||
| Urosepsis | General disorders |
| |||
| Ventricular fibrillation | General disorders |
| |||
| Wound haemorrhage | General disorders |
| |||
| Angina Unstable | General disorders |
|
| Term | Organ System | Source Vocabulary | Assessment Type | Notes | Statistical Information |
|---|---|---|---|---|---|
| Atrial fibrillation | General disorders |
| |||
| Angina pectoris | General disorders |
| |||
| Dyspnea | General disorders |
|
In most cases, contracts allow investigators ("PI") to publish per the publication strategy/Clinical Investigational Plan following Medtronic's review for (a) disclosure of confidential information ("CI"), and (b) selection and order of publications by the publications committee. Any such CI is deleted prior to publication/presentation. Medtronic may not otherwise censor/interfere with the publication.
| Title | Organization | Phone | Extension | |
|---|---|---|---|---|
| ST Detect Study Team | Medtronic Cardiac Rhythm Disease Management | 1-800-328-2518 | medtronicCRMtrials@medtronic.com |
| ID | Term |
|---|---|
| D003324 | Coronary Artery Disease |
| D000072658 | Non-ST Elevated Myocardial Infarction |
| ID | Term |
|---|---|
| D003327 | Coronary Disease |
| D017202 | Myocardial Ischemia |
| D006331 | Heart Diseases |
| D002318 | Cardiovascular Diseases |
| D001161 | Arteriosclerosis |
| D001157 | Arterial Occlusive Diseases |
| D014652 | Vascular Diseases |
| D009203 | Myocardial Infarction |
| D007238 | Infarction |
| D007511 | Ischemia |
| D010335 | Pathologic Processes |
| D013568 | Pathological Conditions, Signs and Symptoms |
| D009336 | Necrosis |
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| Austria |
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| Norway |
|
| Netherlands |
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| Germany |
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| Belgium |
|
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| Title | Denominators | Categories | ||||
|---|---|---|---|---|---|---|
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