CClinicalTrials.gg
CompletedNCT00940888Updated Feb 4, 2019Results posted

SJ4 Post Approval Study in Implantable Cardioverter-Defibrillator and Cardiac Resynchronization Therapy Defibrillator Patients

An observational study in Tachyarrhythmias, Sudden Cardiac Death and Heart Failure, sponsored by Abbott Medical Devices. Completed at 1 site in United States. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2019-02-04.

Sponsored by Abbott Medical Devices · Observational

Study type
Observational
Model
Case-only
Time perspective
Prospective
Enrollment
1,701
Ages
18 Years and older
Sex
All
01

Study summary

The purpose of this study is to characterize the chronic performance of the St. Jude Medical SJ4 connector and RV high voltage SJ4 leads.

02

Conditions studied

  • Tachyarrhythmias
  • Sudden Cardiac Death
  • Heart Failure

Keywords

  • ICD
  • CRTD
  • Heart Failure
  • DF4
03

In context

Heart Failure

5,697 studies on the registry are indexed under Heart Failure; 1,219 are open to participants now.

This study's enrollment of 1,701 is above the median of 200 across 1,678 observational studies indexed under Heart Failure.

Browse Heart Failure studies →

Lead sponsor

Abbott Medical Devices is the lead sponsor of 525 studies on the registry; 35 are open to participants now.

Of its 52 completed or terminated interventional studies of FDA-regulated products, 43 (83%) have results posted.

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

04

Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
No
Sampling method
Non-probability sample

Study population

ICD and CRTD indicated patients

Inclusion criteria

  • Have an approved indication per ACC/AHA/HRS guidelines for implantation of heart failure or life-threatening ventricular tachyarrhythmias and will be implanted with a St. Jude Medical SJ4 system.
  • Have the ability to provide informed consent for study participating and be willing and able to comply with the prescribed follow-up test and schedule of evaluations.

Exclusion criteria

Exclusion Criteria:

  • Be currently participating in a clinical investigation that includes an active treatment arm.
  • Have a life expectancy of less than 6 months due to any condition.
  • Be less than 18 years of age.
05

Study design

Observational model
Case-only
Time perspective
Prospective
Enrollment
1,701 participants (actual)

Groups and cohorts

  • No treatment: ICD/CRTD-indicated

    Device: SJ4 connector and RV high voltage SJ4 lead

Interventions

  • DeviceSJ4 connector and RV high voltage SJ4 lead

    Standard of care implantation of SJ4 device system

06

What researchers measure

Primary outcomes

  1. Right Ventricle (RV) Bipolar Capture Thresholds

    Time frame: 5 years

  2. Complication Free Survival Rate Related to the High Voltage RV SJ4 Lead or SJ4 Connector

    Time frame: 5 years

07

Results

Posted Aug 14, 2017

Participant flow

Participant flow — Overall Study
MilestoneSJ4 System Implanted
Started1701
Completed866
Not completed835
Withdrew: Unsuccessful implant4
Withdrew: Death461
Withdrew: Withdrawn - non-death364
Withdrew: Lost to follow-up6

Outcome measures

PrimaryRight Ventricle (RV) Bipolar Capture Thresholds
Time frame:
5 years
Reported as:
Mean · Volts
Right Ventricle (RV) Bipolar Capture Thresholds
VoltsSJ4 System Implanted
Right Ventricle (RV) Bipolar Capture Thresholds0.92 (0.89 to 0.95)
PrimaryComplication Free Survival Rate Related to the High Voltage RV SJ4 Lead or SJ4 Connector
Time frame:
5 years
Reported as:
Number · percentage of patients
Complication Free Survival Rate Related to the High Voltage RV SJ4 Lead or SJ4 Connector
percentage of patientsSJ4 System Implanted
Complication Free Survival Rate Related to the High Voltage RV SJ4 Lead or SJ4 Connector96.4 (95.5 to 97.2)

Adverse events

Non-serious events are listed at a 1% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
SJ4 System Implanted—0/1,701 (0%)376/1,701 (22.1%)
Most frequent other events
Showing 10 of 13
Most frequent other events
EventSJ4 System Implanted
LV Phrenic Nerve/ Diaphragmatic Stimulation ObservationGeneral disorders51/1701
RV Lead or DF4 Connector Related ComplicationGeneral disorders50/1701
RV Lead or DF4 Connector Related ObservationGeneral disorders45/1701
System and/or Procedure Related ComplicationGeneral disorders44/1701
RA Oversensing ObservationGeneral disorders40/1701
System and/or Procedure Related ObservationGeneral disorders38/1701
Bleeding/ Hematoma ObservationSurgical and medical procedures38/1701
Infection ComplicationInfections and infestations36/1701
Inappropriate Shock(s) ObservationGeneral disorders33/1701
LV Lead Dislodgment or Migration ComplicationGeneral disorders21/1701

Baseline characteristics

Participants had an approved indication, as per ACC/AHA/HRS guidelines, for implantation of an ICD or CRT-D system for treatment of heart failure or life-threatening ventricular tachyarrhythmia(s) and will be implanted with a St. Jude Medical SJ4 system and had given informed consent prior to enrollment.

Age, Continuous
Age, Continuous(years)SJ4 System Implanted
Mean65 ± 13
Sex: Female, Male
Sex: Female, Male(Participants)SJ4 System Implanted
Female482
Male1219
Race/Ethnicity, Customized
Race/Ethnicity, Customized(participants)SJ4 System Implanted
American Indian Or Alaska Native1
Asian20
Black or African American235
Hispanic or Latino53
Iranian1
Middle Eastern1
Native Hawaiian or Pacific Islander4
Other- Non Hispanic2
Persian1
White1382
Hispanic/ Black (Puerto Rican)1
Region of Enrollment
Region of Enrollment(participants)SJ4 System Implanted
United States1701
New York Heart Association (NYHA) Class
New York Heart Association (NYHA) Class(participants)SJ4 System Implanted
Class 194
Class 2541
Class 3816
Class 429
Not Available221
Left Ventricular (LV) Ejection Fraction (%)
Left Ventricular (LV) Ejection Fraction (%)(Percentage)SJ4 System Implanted
Mean29 ± 12
Primary Indication for Device Implant
Primary Indication for Device Implant(participants)SJ4 System Implanted
CRT-D Upgrade65
DEFINITE5
Familial Condition31
HF With Wide QRS484
HF Without QRS45
HF Without Sinus Rhythm70
ICD Upgrade44
MADIT II228
PAVE14
Physician Designated19
SCD-HeFT409
Syncope39
VF83
VT164
Not Available1
08

Study locations

1 site
  • The Cleveland Clinic Foundation
    Cleveland, Ohio 44195, United States
09

References and documents

Individual participant data

Plan to share: No

No publications or documents are linked to this record.

10

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Feb 4, 2019, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
11

Registry details

Key details

Study ID
NCT00940888
Lead sponsor
Abbott Medical Devices
Responsible party
Sponsor
First posted
Jul 16, 2009
Start date
Jun 2009
Primary completion
Sep 2015
Completion
Dec 2015
Results posted
Aug 14, 2017
Last update
Feb 4, 2019

Study contacts

Bruce Wilkoff, MD
principal investigator · The Clevleland Clinic Foundation

Oversight

Data monitoring committee
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is completed, as verified in Jan 2019. You cannot join it, but the record below documents what was studied.

Follow this study

Get an email when the registry record changes — status, dates, results — or when someone posts here.

Sign in to follow

Discussion

Questions and observations about this study, from anyone following it. Not medical advice, and not a channel to the study team — their contact details are on the registry record.

Sign in to join the discussion. Reading takes no account; posting does. You choose a display name, and a pseudonym is the default.

Nothing here yet. If you are running this trial, taking part in it, or weighing whether to, this is the place to say so.

Start the discussion