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Abbott received FDA approval to transition the ongoing Optisure PAS to a Real World Evidence methodology through the EP Passion project
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The purpose of this post approval study is to characterize the chronic performance of the SJM Optisure family of HV leads in patients.
The Optisure lead study is a multi-center, post-approval study that will be performed in compliance with the Conditions for Approval, as agreed upon with the FDA. Patients will be permitted to enroll in the study up to 30 days post-implant of the Optisure lead. Following a successful implant, patients will be followed every 6 months until 60 months (5 years). After patients complete 60 months of follow-up, their participation in the study will end. Patients who are consented prior to implant and for whom an implant is unsuccessful will be followed for 30 days for any adverse events and then withdrawn from the study, or may have an implant reattempted if the physician and patient choose to do so.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| St. Jude Medical Optisure Lead | Patients implanted with St. Jude Medical Optisure Lead |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| St. Jude Medical Optisure Lead | Device | Patients implanted with St. Jude Medical Optisure Lead |
|
| Measure | Description | Time Frame |
|---|---|---|
| Complication Free Survival Rate at 5 Years for Complications Related to the Optisure RV Leads. | Freedom from right ventricle (RV) lead related complications within 30 days of implant at 5 years follow-up Due to early termination of study, the sample size at 5 years follow-up was insufficient to perform the pre-specified primary endpoint analysis. The endpoint was evaluated using the Kaplan-Meier method however the hypothesis test was not performed due to insufficient sample size. The percentage freedom from RV lead related complications was summarized through 5-years from attempted RV lead implant. For subjects who experienced RV lead related complication, the time to event will be calculated from the attempted implant to the date that the first event occurred. For subjects that did not experience the complication, the time to event was censored at their last known event-free time point. | 5 years |
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Inclusion Criteria:
Eligible patients will meet all of the following:
Exclusion Criteria:
Patients will be excluded if they meet any of the following:
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ICD/CRT-D indicated patients
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| Name | Affiliation | Role |
|---|---|---|
| Nicole Harbert | Abbott | Study Director |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Baptist Medical Center Princeton | Birmingham | Alabama | 35211 | United States | ||
| Phoenix Cardiovascular Research Group |
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| ID | Title | Description |
|---|---|---|
| FG000 | St. Jude Medical Optisure Lead | Patients implanted with St. Jude Medical Optisure Lead St. Jude Medical Optisure Lead: Patients implanted with St. Jude Medical Optisure Lead |
| Title | Milestones | Reasons Not Completed | |||||
|---|---|---|---|---|---|---|---|
| Overall Study |
|
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| Type | Includes Protocol | Includes SAP | Includes ICF | Document Label | Document Date | Document Uploaded Date | Document File Name |
|---|---|---|---|---|---|---|---|
| Prot | Yes | No | No | Study Protocol | Dec 12, 2013 | Apr 7, 2021 |
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| Phoenix |
| Arizona |
| 85018 |
| United States |
| St. Bernards (formerly Cardiology Associates of Northeast Arkansas) | Jonesboro | Arkansas | 72401 | United States |
| Raymond Schaerf, MD | Burbank | California | 91505 | United States |
| Desert Heart Rhythm Consultants | Palm Springs | California | 92262 | United States |
| Cardiac Rhythm Specialists, Inc. | Reseda | California | 91335 | United States |
| San Diego Heart Rhythm Center (formerly San Diego Heart and Vascular Associates) | San Diego | California | 92103 | United States |
| Jorge Diaz, M.D. , P.A. | Lake Mary | Florida | 32746 | United States |
| Northside Hospital | Atlanta | Georgia | 30342 | United States |
| Rockford Cardiology Associates | Rockford | Illinois | 61107 | United States |
| Parkview Research Center | Fort Wayne | Indiana | 46845 | United States |
| Iowa Heart Center | West Des Moines | Iowa | 50266 | United States |
| St. Elizabeth Medical Center - South Unit | Edgewood | Kentucky | 41017 | United States |
| Peninsula Cardiology Associates | Salisbury | Maryland | 21804 | United States |
| Mass Heart & Rhythm | Leominster | Massachusetts | 01453 | United States |
| Premier Medical Clinics | Flint | Michigan | 48532 | United States |
| Genesys Regional Medical Center | Grand Blanc | Michigan | 48439 | United States |
| Northern Michigan Hospital | Traverse City | Michigan | 49684 | United States |
| Minneapolis Heart Institute | Minneapolis | Minnesota | 55407 | United States |
| Jackson Heart Clinic | Jackson | Mississippi | 39216 | United States |
| Cardiology Associates of North Mississippi | Tupelo | Mississippi | 38801 | United States |
| HealthCare Partners Cardiology | Las Vegas | Nevada | 89109 | United States |
| Cardiovascular Associates of the Delaware Valley | Haddon Heights | New Jersey | 08035 | United States |
| Lourdes Cardiology Services | Voorhees Township | New Jersey | 08043 | United States |
| Presbyterian Heart Group | Albuquerque | New Mexico | 87106 | United States |
| Maimonides Medical Center | Brooklyn | New York | 11219 | United States |
| Coney Island Hospital | Brooklyn | New York | 11235 | United States |
| Cardiovascular Group of Syracuse | Liverpool | New York | 13088 | United States |
| High Point Regional Health (formerly Carolina Cardiology Cornerstone) | High Point | North Carolina | 27262 | United States |
| CarolinaEast Heart Center | New Bern | North Carolina | 28562 | United States |
| VA Medical Center Cleveland | Cleveland | Ohio | 44106 | United States |
| Great Lakes Medical Research, LLC | Willoughby | Ohio | 44094 | United States |
| Integris Baptist Medical Center | Oklahoma City | Oklahoma | 73112 | United States |
| Providence Heart and Vascular Institute | Portland | Oregon | 97225 | United States |
| Lehigh Valley Hospital | Allentown | Pennsylvania | 18105 | United States |
| Lancaster General Hospital | Lancaster | Pennsylvania | 17602 | United States |
| Arrhythmia Institute | Newtown | Pennsylvania | 18940 | United States |
| The Stern Cardiovascular Foundation | Germantown | Tennessee | 38138 | United States |
| HeartPlace | Bedford | Texas | 76021 | United States |
| VA Medical Center Dallas | Dallas | Texas | 75216 | United States |
| Cardiology Care Consultants | El Paso | Texas | 79936 | United States |
| Scott & White Memorial Hospital | Temple | Texas | 76508 | United States |
| Heart of Dixie Cardiology (formerly Dixie Regional Medical Center - River Road Campus) | St. George | Utah | 84790 | United States |
| Mary Washington Hospital | Fredericksburg | Virginia | 22401 | United States |
| Virginia Cardiovascular Specialists | Richmond | Virginia | 23229 | United States |
| Aurora Medical Group | Milwaukee | Wisconsin | 53215 | United States |
| Ziekenhuis Oost-Limburg | Genk | Limburg | 3600 | Belgium |
| Royal Alexandra Hospital | Edmonton | Alberta | T5H 3V9 | Canada |
| St. Boniface General Hospital | Winnipeg | Manitoba | R2H 2A6 | Canada |
| QE II Health Sciences | Halifax | Nova Scotia | B3H 3A7 | Canada |
| Kingston General Hospital | Kingston | Ontario | K7L 2V7 | Canada |
| London Health Sciences Centre | London | Ontario | N6A 5A5 | Canada |
| Rouge Valley Centenary | Scarborough Village | Ontario | M1B 4Z8 | Canada |
| Institut de Cardiologie de Montreal (Montreal Heart Inst.) | Montreal | Quebec | H1T1C8 | Canada |
| Universitäts-Herzzentrum Freiburg - Bad Krozingen | Bad Krozingen | 79189 | Germany |
| Tokyo Women's Medical University | Shinjuku-Ku | Kanto | 162-8666 | Japan |
| Osaka City University Hospital | Abeno-ku | Osaka | 545-8565 | Japan |
| Jichi Medical University Hospital | Shimotsuke-shi | Tochigi | 329-0498 | Japan |
| Mc-Tronik | Lodz | Poland |
| Santa Maria Hospital | Lisbon | Lisbon District | 1649-035 | Portugal |
| Withdrawal Before 12 Month (12M) Follow-up (FU) Visit |
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| Deaths Before 12M FU Visit |
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| Completed 12M FU Visit |
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| Withdrawals Before 24M FU Visit |
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| Deaths Before 24M FU Visit |
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| Completed 24M FU Visit |
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| Withdrawals Before 36M FU Visit |
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| Deaths Before 36M FU Visit |
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| Completed 36M FU Visit |
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| Withdrawals Before 48M FU Visit |
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| Deaths Before 48M FU Visit |
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| Completed 48M FU Visit |
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| Withdrawals Before 60M FU Visit |
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| Deaths Before 60M FU Visit |
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| COMPLETED | 60 FU Visit |
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| NOT COMPLETED |
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| ID | Title | Description |
|---|---|---|
| BG000 | All Enrolled Subjects | Patients implanted with St. Jude Medical Optisure Lead St. Jude Medical Optisure Lead: Patients implanted with St. Jude Medical Optisure Lead |
| Units | Counts |
|---|---|
| Participants |
|
| Title | Description | Population Description | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Denominator Units Selected | Denominators | Classes | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Age, Continuous | Mean | Standard Deviation | years |
| ||||||||||||||||||||||
| Sex: Female, Male | Count of Participants | Participants |
| |||||||||||||||||||||||
| Ethnicity (NIH/OMB) | Count of Participants | Participants |
| |||||||||||||||||||||||
| Race/Ethnicity, Customized | Count of Participants | Participants |
| |||||||||||||||||||||||
| NYHA Class per Blinded Assessor at Baseline, n(%) | Class I No limitation of physical activity. Ordinary physical activity does not cause undue fatigue, palpitation, dyspnea (shortness of breath). Class II Slight limitation of physical activity. Comfortable at rest. Ordinary physical activity results in fatigue, palpitation, dyspnea. Class III Marked limitation of physical activity. Comfortable at rest. Less than ordinary activity causes fatigue, palpitation, or dyspnea. Class IV Unable to carry on any physical activity without discomfort. Symptoms of heart failure at rest. If any physical activity is undertaken, discomfort increases. | Count of Participants | Participants |
| ||||||||||||||||||||||
| Arrhythmia History, n(%) | Count of Participants | Participants |
| |||||||||||||||||||||||
| Primary CRT-D Indication for Implant, n(%) | Count of Participants | 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 | Complication Free Survival Rate at 5 Years for Complications Related to the Optisure RV Leads. | Freedom from right ventricle (RV) lead related complications within 30 days of implant at 5 years follow-up Due to early termination of study, the sample size at 5 years follow-up was insufficient to perform the pre-specified primary endpoint analysis. The endpoint was evaluated using the Kaplan-Meier method however the hypothesis test was not performed due to insufficient sample size. The percentage freedom from RV lead related complications was summarized through 5-years from attempted RV lead implant. For subjects who experienced RV lead related complication, the time to event will be calculated from the attempted implant to the date that the first event occurred. For subjects that did not experience the complication, the time to event was censored at their last known event-free time point. | Subjects with an attempted implant. | Posted | Number | 95% Confidence Interval | % pts free from RV related complications | 5 years |
|
|
|
Up to 5 years from baseline for each participant
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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 | Right Ventricle Lead-Related Complications | Summary of RV Lead-Related Complications. A complication is an adverse event caused by or associated with the study device, system component(s), and or procedure that requires invasive intervention (e.g. lead dislodgement requiring repositioning) including RV lead perforations. All RV lead perforations will be reported as complications. | 323 | 1,735 | 58 | 1,735 | 58 | 1,735 |
| EG001 | Summary of System and/or Procedure Related Complications Not Related to the RV Lead. | Summary of System and/or Procedure Related Complications not related to the RV lead. Includes both System/Pule Generator/Lead Related (RA/LV) and Procedure Related Only | 323 | 1,735 | 134 | 1,735 | 137 | 1,735 |
| Term | Organ System | Source Vocabulary | Assessment Type | Notes | Statistical Information |
|---|---|---|---|---|---|
| Cardiac Perforation | Surgical and medical procedures | Non-systematic Assessment |
| ||
| Cardiac Tamponade | Cardiac disorders | Non-systematic Assessment |
| ||
| Elevated Pacing Thresholds | Cardiac disorders | Non-systematic Assessment |
| ||
| Infection | Infections and infestations | Non-systematic Assessment |
| ||
| Lead Dislodgement or Migration | Product Issues | Non-systematic Assessment |
| ||
| Lead Fracture | Product Issues | Non-systematic Assessment |
| ||
| Lead Noise | Product Issues | Non-systematic Assessment |
| ||
| Loss of Capture | Product Issues | Non-systematic Assessment |
| ||
| Oversensing | Product Issues | Non-systematic Assessment |
| ||
| Pericardial Effusion | Product Issues | Non-systematic Assessment |
| ||
| Twiddler's Syndrome | Cardiac disorders | Non-systematic Assessment |
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| Undersensing | Product Issues | Non-systematic Assessment |
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| Other | Product Issues | Non-systematic Assessment | One (1) unsuccessful DFT test, resulting in implanting a new lead, one (1) loose suture sleeve, and one (1) lead malfunction |
| |
| Abnormal Lead Pacing Impedance | Product Issues | Non-systematic Assessment |
| ||
| Acceleration of Arrhythmias | Product Issues | Non-systematic Assessment |
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| Device Migration | Surgical and medical procedures | Non-systematic Assessment |
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| Erosion | Product Issues | Non-systematic Assessment |
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| Generator Malfunction | Product Issues | Non-systematic Assessment |
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| Inappropriate Delivery of Therapy | Product Issues | Non-systematic Assessment |
| ||
| Lead/Port Damage | Product Issues | Non-systematic Assessment |
| ||
| Phrenic Nerve / Diaphragmatic Stimulation | Product Issues | Non-systematic Assessment |
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| Thromboemboli | Product Issues | Non-systematic Assessment |
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| Atrial Arrhythmia | Surgical and medical procedures | Non-systematic Assessment |
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| Dressler's Syndrome | Surgical and medical procedures | Non-systematic Assessment |
| ||
| Exacerbation of Heart Failure | Surgical and medical procedures | Non-systematic Assessment |
| ||
| Formation of Hematomas or Cysts | Surgical and medical procedures | Non-systematic Assessment |
| ||
| Hemothorax | Surgical and medical procedures | Non-systematic Assessment |
| ||
| ICD Site Discomfort | Surgical and medical procedures | Non-systematic Assessment |
| ||
| Pericardial Effusion | Surgical and medical procedures | Non-systematic Assessment |
| ||
| Pneumothorax | Surgical and medical procedures | Non-systematic Assessment |
| ||
| Ventricular Arrhythmia | Surgical and medical procedures | Non-systematic Assessment |
|
| Term | Organ System | Source Vocabulary | Assessment Type | Notes | Statistical Information |
|---|---|---|---|---|---|
| Abnormal Lead Defibrillation Impedance <=20 ohms or >=100 ohms | Product Issues | Non-systematic Assessment |
| ||
| Abnormal Lead Pacing Impedance <=200 ohms or >=200 ohms | Product Issues | Non-systematic Assessment |
| ||
| Elevated Pacing Thresholds | Product Issues | Non-systematic Assessment |
| ||
| Inappropriate Delivery of Therapy | Product Issues | Non-systematic Assessment |
| ||
| Lead Dislodgement or Migration | Product Issues | Non-systematic Assessment |
| ||
| Lead Noise | Product Issues | Non-systematic Assessment |
| ||
| Loss of Capture | Product Issues | Non-systematic Assessment |
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| Oversensing | Product Issues | Non-systematic Assessment |
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| Phrenic Nerve / Diaphragmatic Stimulation | Product Issues | Non-systematic Assessment |
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| Other | Product Issues | Non-systematic Assessment | RV-related: 1 shortness of breath due to RV pacing and 1 lead malfunction (unresolved as of March 2020) Non-RV-lead: 1 chest discomfort, 1 case fatigue and shortness of breath, 1 unsuccessful ATP therapy, 1 generator migration, 1 itching at site |
| |
| Allergic reaction | Product Issues | Non-systematic Assessment |
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| Back-Up Device Operation | Product Issues | Non-systematic Assessment |
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| Failure to Detect VT/VF | Product Issues | Non-systematic Assessment |
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| Fatigue (Due to Device Programming) | Product Issues | Non-systematic Assessment |
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| Infection | Surgical and medical procedures | Non-systematic Assessment |
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| Pacemaker Mediated Tachycardia (PMT) | Product Issues | Non-systematic Assessment |
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| Pectoral Stimulation | Product Issues | Non-systematic Assessment |
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| Undersensing | Product Issues | Non-systematic Assessment |
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| Bleeding | Surgical and medical procedures | Non-systematic Assessment |
| ||
| Deep Vein Thrombosis | Surgical and medical procedures | Non-systematic Assessment |
| ||
| Formation of Hematomas or Cysts | Surgical and medical procedures | Non-systematic Assessment |
| ||
| ICD Site Discomfort | Surgical and medical procedures | Non-systematic Assessment |
| ||
| Pericardial Effusion | Surgical and medical procedures | Non-systematic Assessment |
| ||
| Suture Abscess | Surgical and medical procedures | Non-systematic Assessment |
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| Thromboemboli | Surgical and medical procedures | Non-systematic Assessment |
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| Ventricular Arrhythmia | Surgical and medical procedures | Non-systematic Assessment |
|
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| Title | Organization | Phone | Extension | |
|---|---|---|---|---|
| Nicole Harbert, Program Director | Abbott | 1 972-526-4841 | nicole.harbert@abbott.com |
| Prot_000.pdf |
| ID | Term |
|---|---|
| D006333 | Heart Failure |
| D017180 | Tachycardia, Ventricular |
| ID | Term |
|---|---|
| D006331 | Heart Diseases |
| D002318 | Cardiovascular Diseases |
| D013610 | Tachycardia |
| D001145 | Arrhythmias, Cardiac |
| D000075224 | Cardiac Conduction System Disease |
| D010335 | Pathologic Processes |
| D013568 | Pathological Conditions, Signs and Symptoms |
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| Unknown or Not Reported |
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| Black or African American |
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| Native Hawaiian or Other Pacific Islander |
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| Other |
|
| White |
|
| Unknown |
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| Title | Measurements |
|---|---|
|
| Class III |
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| Class IV |
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| Not Available |
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| CRT Generator Change |
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| Familial Condition |
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| Heart Failure with Atrial Fibrillation |
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| Heart Failure with Wide QRS |
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| ICD - Other |
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| ICD Generator Change |
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| Ischemic Cardiomyopathy |
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| Non-Ischemic Cardiomyopathy |
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| Reduced ejection fraction with Frequent Dependence on V-Pacing |
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| Syncope |
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| Ventricular Tachycardia |
|