CClinicalTrials.gg
CompletedNCT00450684CARE-CHDUpdated Oct 10, 2014

Cardiac Resynchronization Therapy in Congenital Heart Defects

A Phase 2/3 interventional study of Implantation and testing of CRT and Implantation and testing of CRT in Congenital Heart Defects, sponsored by Competence Network for Congenital Heart Defects. Completed at 16 sites in 2 countries. Per ClinicalTrials.gov, last updated 2014-10-10.

Sponsored by Competence Network for Congenital Heart Defects · Phase 2/3, Interventional, and Treatment

Phase
Phase 2/3
Study type
Interventional
Enrollment
55
Allocation
Randomized
Sex
All
01

Study summary

The objective of this multicentre prospective therapeutic study is to evaluate the effects of CRT on the right and left ventricular function of patients with CHD in the medium and long term. Patients who reject the randomization or cannot be paced with right ventricular pacing alone will be enrolled in group C with continuous biventricular pacing, which is the main group in this study. Optional: Immediately after implantation the patients are divided into group A and B (randomized, single blind (for the patient), cross-over design).

The treatment and the completing follow-up examination will take approximately 18 months and includes seven visits - one previous to the CRT and six at certain times afterward. At selected time intervals echocardiographic 3D and Tissue Doppler Imaging to evaluate the global and regional ventricular function are performed. Subjective quality of life assessment (questionnaire) will also be performed at the defined follow-up intervals, and if applicable (optional) also objective assessment of the physical performance (VO2 max).

55 patients also including children and adults with CHD are planned to be included in the study. The main target is to provide evidence of the effectiveness of CRT with biventricular stimulation in terms of improved ventricular function (ejection fraction and QRS interval).

02

Conditions studied

  • Congenital Heart Defects
03

In context

Heart Defects, Congenital

1,007 studies on the registry are indexed under Heart Defects, Congenital; 257 are open to participants now.

This study's enrollment of 55 is close to the median of 60 across 524 interventional studies indexed under Heart Defects, Congenital.

Browse Heart Defects, Congenital studies →

Lead sponsor

Competence Network for Congenital Heart Defects is the lead sponsor of 8 studies on the registry; none are open to participants now.

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

04

Who can participate

Ages eligible
Child (0–17), Adult (18–64), Older adult (65+)
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

  • Patients with congenital heart defects
  • Heart failure of the Morphologically right or left system ventricle with an absolute ejection fraction of \< 40% in the failed ventricle
  • NYHA classes II-IV
  • Optimal drug therapy for heart failure according to the ESC guidelines
  • QRS interval ≥ 120 ms (demonstrated in at least two relevant ECG derivations, depending on existing bundle branch block symptoms)
  • Patients with chronic stimulation of the subpulmonary ventricle by a 1- or 2-ventricle pacemaker, which also meets the above-mentioned criteria
  • Patients with morphologically right ventricle in system position and significant insufficiency of the systemic atrioventricular valve, if they also meet the criteria listed above

Exclusion criteria

Exclusion Criteria:

  • PTCA, cardiomyoplasty or myocardial infarction / unstable angina pectoris or cerebral insult within the 6 weeks preceding the planned cardiac resynchronisation therapy
  • Patients with pulmonary hypertension / Eisenmenger's syndrome
  • Life expectancy \< 1 year due to a non-cardiac disease
  • Anticipated poor compliance by the patient
  • Pregnancy and breastfeeding
  • Known or persistent abuse of prescription medicines, recreational drugs or alcohol
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Study design

Phase
Phase 2 / Phase 3
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Single group
Masking
Quadruple (Participant, Care provider, Investigator, Outcomes assessor)
Enrollment
55 participants (actual)

Study arms

  • Experimental
    Group A

    Implantation and testing of CRT

    Device: Implantation and testing of CRT

  • Experimental
    Group B

    IImplantation and testing of CRT

    Device: Implantation and testing of CRT

Interventions

  • DeviceImplantation and testing of CRT

    Biventricular pacing for 12 weeks (CRT ON) followed by automatic rhythmicity or the original, conventional biventricular stimulation for 12 weeks (CRT OFF), then returning to biventricular pacing (CRT ON).

  • DeviceImplantation and testing of CRT

    Automatic rhythmicity or original conventional biventricular stimulation for 12 weeks (CRT OFF) followed by biventricular pacing (CRT ON).

06

What researchers measure

Primary outcomes

  1. Ejection fraction

    Time frame: 7 visits

  2. QRS-interval

    Time frame: 7 visits

Secondary outcomes

  1. Echocardiographic standard parameters (e.g. LVIDd. FS, RVIDd)

    Time frame: 7 visits

  2. Tissue Doppler echocardiography: dyssynchrony parameters, regional myocardiac function

    Time frame: 7 visits

  3. 3D echocardiography:LV volumes, LVEF, Dyssynchrony index

    Time frame: 7 visits

  4. NT pro-BNP

    Time frame: 7 visits

  5. Spiroergometry: performance P (W/kg), incl. VO2,max

    Time frame: 6 visits

  6. Walking distance in 6 minutes

    Time frame: 6 visits

  7. Decrease of hospitalization

    Time frame: 18 months

  8. Decrease of ventricular and atrial arrhythmias

    Time frame: 18 months

  9. Prevention or postponement of heart transplantation

    Time frame: 18 Months

  10. Quality of life

    Time frame: 6 visits

  11. death

    Time frame: 18 months

07

Study locations

16 sites
  • AKH Wien, Klinische Abteilung für Pädiatrische Kardiologie
    Wien, A-1090, Austria
  • Universitätsklinikum Münster, Klinik für angeborene (EMAH) und erworbene Herzfehler
    Münster, North Rhine-Westphalia D-48149, Germany
  • Universitätsklinikum Halle (Saale), Universitätsklinik und Poliklinik für Pädiatrische Kardiologie
    Halle, Saxony-Anhalt D-06120, Germany
  • Uniklinik RWTH Aachen, AÖR, Klinik für Kinderkardiologie
    Aachen, D-52074, Germany
  • Herz- und Diabeteszentrum NRW, Klinik für Kinderkardiologie und angeborene Herzfehler
    Bad Oeynhausen, D-32545, Germany
  • Charité - Universitätsmedizin Berlin, Klinik für Pädiatrie mit Schwerpunkt Kardiologie
    Berlin, D-13353, Germany
  • Deutsches Herzzentrum Berlin, Klinik für Angeborene Herzfehler/Kinderkardiologie
    Berlin, D-13353, Germany
  • Elektrophysiologie Bremen und Herzzentrum Bremen, Abteilung für Angeborene Herzfehler/Kinderkardiologie
    Bremen, D-28227, Germany
  • Universitätsklinikum Erlangen, Kinderkardiologische Abteilung
    Erlangen, D-91054, Germany
  • Universitäts-Herzzentrum Freiburg Bad Krozingen, Zentrum für Kinder- und Jugendmedizin, Angeborene Herzfehler/Pädiatrische Kardiologie
    Freiburg, D-79106, Germany
  • Universitäres Herzzentrum Hamburg, Kinderkardiologie
    Hamburg, D-20246, Germany
  • Universitätsklinikum des Saarlandes, Klinik für Pädiatrische Kardiologie
    Homburg/Saar, D-66421, Germany
  • Deutsches Herzzentrum München, Klinik für Kinderkardiologie und angeborene Herzfehler
    München, D-80336, Germany
  • Universitätsklinikum Münster, Klinik und Poliklinik für Kinder- und Jugendmedizin, Pädiatrische Kardiologie
    Münster, D-48149, Germany
  • Deutsches Kinderherzzentrum Sankt Augustin, Abt. Kardiologie/Angeborene Herzfehler
    Sankt Augustin, D-53757, Germany
  • Universitätsklinik für Kinder- und Jugendmedizin Tübingen, Abt. Kinderkardiologie, Pulmologie, Intensivmedizin
    Tübingen, D-72076, Germany
08

References and documents

Related links

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Oct 10, 2014, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT00450684
Lead sponsor
Competence Network for Congenital Heart Defects
Responsible party
Sponsor
First posted
Mar 22, 2007
Start date
May 2007
Primary completion
Feb 2012
Completion
Sep 2013
Last update
Oct 10, 2014

Study contacts

Hashim Abdul-Khaliq, Prof., MD
principal investigator · Competence Network for Congenital Heart Defects
View the source record on ClinicalTrials.gov ↗

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This study is completed, as verified in Oct 2014. You cannot join it, but the record below documents what was studied.

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