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CompletedNCT00157768Updated Jul 3, 2025

IRIS : Use of Implantable Defibrillator in High-risk Patients Early After Acute Myocardial Infarction

A Phase 4 interventional study of Implantable cardioverter defibrillator in Acute Myocardial Infarction, sponsored by Medtronic Cardiac Rhythm and Heart Failure. Completed at 1 site in Netherlands. Open to participants aged 18 Years to 80 Years. Per ClinicalTrials.gov, last updated 2025-07-03.

Sponsored by Medtronic Cardiac Rhythm and Heart Failure · Phase 4, Interventional, and Diagnostic

From the registry’s dates

  • Registered 6 years 2 months after the study started (first participant enrolled Jun 1999, registered Sep 2005).
Phase
Phase 4
Study type
Interventional
Enrollment
900
Allocation
Randomized
Ages
18 Years to 80 Years
Sex
All
01

Study summary

Of the patients who survive hospitalization after an acute myocardial infarction, ca. 10% die of sudden cardiac death in the following 2 years. The prognosis appears not improved by medication with antiarrhythmics (class I/III). A positive effect of beta-blockers (Metoprolol CR/Zok) on total mortality after myocardial infarction in patients with heart failure is well established. On the other hand, an implantable defibrillator (ICD) proved to be superior to medication when used for secondary prevention in patients after cardiac arrest. The question arises whether ICD therapy is also effective in primary prevention in high risk patients after acute myocardial infarction. This study determines if patients, who were defined as high risk patients in the early post infarction phase by means of noninvasive methods, benefit from primary prevention by means of an ICD. Special emphasis is put on an individual optimization of the infarction therapy, including beta-blockers.

02

Conditions studied

  • Acute Myocardial Infarction

Keywords

  • Acute myocardial infarction
  • Non-sustained ventricular tachycardia
  • Left ventricular dysfunction
  • Implantable cardioverter defibrillator
  • ICD
  • Risk-stratification
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In context

Ventricular Dysfunction, Left

255 studies on the registry are indexed under Ventricular Dysfunction, Left; 53 are open to participants now.

This study's planned enrollment of 900 is above the median of 99 across 150 interventional studies indexed under Ventricular Dysfunction, Left.

Browse Ventricular Dysfunction, Left studies →

Lead sponsor

Medtronic Cardiac Rhythm and Heart Failure is the lead sponsor of 239 studies on the registry; 6 are open to participants now.

Of its 19 completed or terminated interventional studies of FDA-regulated products, 17 (89%) have results posted.

Counted across the registry records on this site, refreshed daily.

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Who can participate

Ages eligible
18 Years to 80 Years
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

  • acute myocardial infarction (5-31 days)
  • fulfill requirement I and/or II :

    • I first ECG heart rate >= 90 bpm (within day 1-2 post MI) and LVEF \<= 40 % (within day 5-31 post-MI)
    • II >= 1 episode of non-sustained ventricular tachycardia >= 150 bpm (on Holter, within 5-31 days post-MI)

Exclusion criteria

Exclusion Criteria:

  • Patients with ventricular arrhythmia, requiring clinical therapy, before the index infarction or more than 48 h later
  • Patients with therapy refractory heart failure (NYHA IV)
  • Myocardial infarction older than 31 days
  • First-ECG not available or was recorded more than 48 h after the symptom onset.
  • Patients with indication for CABG operation before inclusion
  • Patients with cerebral organic psycho syndrome
  • Secondary diseases which clearly limit life expectancy
  • Patient with right sided artificial heart valve
  • Patients with poor compliance
  • Patients who are participating in another study
  • Unstable clinical condition
  • Pregnancy
  • No consent from patient
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Study design

Phase
Phase 4
Primary purpose
Diagnostic
Allocation
Randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
900 participants (estimated)

Interventions

  • DeviceImplantable cardioverter defibrillator
06

What researchers measure

Primary outcomes

  1. The null hypothesis is that all cause mortality in the treatment (Implantable cardioverter defibrillator =ICD) and control group is identical. The alternative hypothesis is that all cause mortality in the ICD group and control group is different.

Secondary outcomes

  1. Type of death, Arrhythmic events, Serious cardiac and cerebral interventions,

  2. Device-related complications, Hospitalizations, Quality of life

07

Study locations

1 site
  • Medtronic Bakken Research Center B.V.
    Maastricht, Netherlands
08

References and documents

Publications

  • Steinbeck G, Andresen D, Seidl K, Brachmann J, Hoffmann E, Wojciechowski D, Kornacewicz-Jach Z, Sredniawa B, Lupkovics G, Hofgartner F, Lubinski A, Rosenqvist M, Habets A, Wegscheider K, Senges J; IRIS Investigators. Defibrillator implantation early after myocardial infarction. N Engl J Med. 2009 Oct 8;361(15):1427-36. doi: 10.1056/NEJMoa0901889. PubMed 19812399 ↗
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Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Jul 3, 2025, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
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Registry details

Key details

Study ID
NCT00157768
Lead sponsor
Medtronic Cardiac Rhythm and Heart Failure
Collaborators
AstraZeneca
First posted
Sep 12, 2005
Start date
Jun 9, 1999
Primary completion
Oct 15, 2007
Completion
Oct 15, 2007
Last update
Jul 3, 2025

Study contacts

D. Andresen, Prof.
principal investigator · Klinikum am Urban, Berlin, Germany
J. Senges, Prof.
principal investigator · Herzzentrum Ludwigshafen, Germany
G. Steinbeck, Prof.
principal investigator · Klinikum Grosshadern, Munich, Germany
View the source record on ClinicalTrials.gov ↗

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This study is completed, as verified in Oct 2018. You cannot join it, but the record below documents what was studied.

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