CClinicalTrials.gg
CompletedNCT02488681Updated Apr 12, 2018Results posted

Micra Transcatheter Pacing System Continued Access Study Protocol

An interventional study of Micra Pacemaker Implant in Bradycardia, sponsored by Medtronic. Completed at 29 sites in United States. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2018-04-12.

Sponsored by Medtronic · Not applicable, Interventional, and Treatment

Phase
Not applicable
Study type
Interventional
Enrollment
285
Allocation
Not applicable
Ages
18 Years and older
Sex
All
01

Study summary

Medtronic is sponsoring the Micra Continued Access (CA) study to provide continued access to the Micra System while the marketing application is under review by the Food and Drug Administration (FDA).

Read the detailed description

The Micra CA study is a prospective, non-randomized, multi-center, study designed to allow controlled access of the Micra system when used as intended. All subjects enrolled in the Micra CA Study will be prospectively followed from implant, at 6-month intervals until study closure (i.e. FDA approval). Patients with previous or existing inactive implanted cardiac stimulation systems will have additional follow ups.

02

Conditions studied

  • Bradycardia

Browse trials for

03

In context

Bradycardia

306 studies on the registry are indexed under Bradycardia; 69 are open to participants now.

This study's enrollment of 285 is above the median of 99 across 174 interventional studies indexed under Bradycardia.

Browse Bradycardia studies →

Lead sponsor

Medtronic is the lead sponsor of 42 studies on the registry; 5 are open to participants now.

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

Inclusion criteria

  • Subject or legally authorized representative provides written authorization and/or consent per institution and geographical requirements
  • Subject meets Class I or ll indication for implantation of single chamber ventricular pacemaker and is intended to be implanted with a Micra System
  • Subject able and accessible for follow-up per study requirements
  • Subject is at least 18 years of age
  • Patient is not enrolled in a concurrent drug and/or device study that may confound registry result.

Exclusion criteria

Exclusion Criteria:

  • Subject has had an acute myocardial infraction (AMI) within 30 days of implant
  • Subject has implantation of neurostimulator or any other chronically implanted device which uses current in the body
  • Subject with mechanical tricuspid valve, implanted vena cava filter, or left ventricular assist device (LVAD)
  • Subjects who are morbidly obese and physician believes telemetry communication of ≤5 inches (12.5 cm) could not be obtained with programmer head.
  • Subject who femoral venous anatomy is unable to accommodate a 23 French introducer sheath or implant on the right side of the heart (for example due to obstructions or sever tortuosity) in the opinion of the implanter
  • Subjects with known intolerance to Nickel-Titanium (Nitinol) Alloy
  • Subject for whom a single dose of 1.0mg dexamethasone acetate may be contraindicated
  • Subjects with life expectancy less than 12-months
  • Subject is enrolled in a concurrent drug and/or device study that may confound CA study results
05

Study design

Phase
Not applicable
Primary purpose
Treatment
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrollment
285 participants (actual)

Study arms

  • Experimental
    Micra Pacemaker Implant

    Micra Pacemaker Implant

    Device: Micra Pacemaker Implant

Interventions

  • DeviceMicra Pacemaker Implant
06

What researchers measure

Primary outcomes

  1. Complications

    Micra system and/or procedure-related complication rate

    Time frame: 3 months post last follow up

07

Results

Posted Jan 3, 2018

Participant flow

A total of 285 subjects were consented at 31 research centers in the United States from June 2015 to April 2016 when FDA approval was obtained.

Participant flow — Overall Study
MilestoneMicra Pacemaker Implant
Started276
Completed269
Not completed7
Withdrew: Implant unsuccessful7

Outcome measures

PrimaryComplications

Micra system and/or procedure-related complication rate

Time frame:
3 months post last follow up
Reported as:
Number · % participants with complication
Complications
% participants with complicationMicra Pacemaker Implant
Complications4 (2 to 7)

Adverse events

Collected over From implant attempt to last subject follow-up, ranging from 0 to approximately 12 months.. Non-serious events are listed at a 0% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
Micra Pacemaker Implant—27/276 (9.8%)16/276 (5.8%)
Most frequent serious events
Showing 10 of 22
Most frequent serious events
EventMicra Pacemaker Implant
Incision site haemorrhageInjury, poisoning and procedural complications3/276
Atrioventricular block completeCardiac disorders2/276
Cardiac perforationCardiac disorders2/276
Pericardial effusionCardiac disorders2/276
Chronic obstructive pulmonary diseaseRespiratory, thoracic and mediastinal disorders2/276
Cardio-respiratory arrestCardiac disorders1/276
Cardiogenic shockCardiac disorders1/276
Myocardial infarctionCardiac disorders1/276
Supraventricular tachycardiaCardiac disorders1/276
Adverse drug reactionGeneral disorders1/276
Most frequent other events
Most frequent other events
EventMicra Pacemaker Implant
Device pacing issueGeneral disorders4/276
Incision site haematomaInjury, poisoning and procedural complications3/276
Atrioventricular block completeCardiac disorders2/276
Cardiac discomfortCardiac disorders1/276
PericarditisCardiac disorders1/276
Device capturing issueGeneral disorders1/276
Incision site infectionInfections and infestations1/276
Incision site haemorrhageInjury, poisoning and procedural complications1/276
SeromaInjury, poisoning and procedural complications1/276
Neurological symptomNervous system disorders1/276

Baseline characteristics

Patients with a Micra implant attempt

Age, Continuous
Age, Continuous(years)Micra Pacemaker Implant
Mean76.1 ± 11.9
Sex: Female, Male
Sex: Female, Male(Participants)Micra Pacemaker Implant
Female121
Male155
Ethnicity (NIH/OMB)
Ethnicity (NIH/OMB)(Participants)Micra Pacemaker Implant
Hispanic or Latino6
Not Hispanic or Latino264
Unknown or Not Reported6
Race (NIH/OMB)
Race (NIH/OMB)(Participants)Micra Pacemaker Implant
American Indian or Alaska Native3
Asian4
Native Hawaiian or Other Pacific Islander0
Black or African American19
White248
More than one race0
Unknown or Not Reported2
Region of Enrollment
Region of Enrollment(participants)Micra Pacemaker Implant
United States276
08

Study locations

29 sites
  • Cedars-Sinai Medical Center
    Los Angeles, California 90048, United States
  • Yale University
    New Haven, Connecticut 06510, United States
  • Baptist Heart Specialists
    Jacksonville, Florida, United States
  • Baptist Hospital of Miami
    Miami, Florida 33176, United States
  • Emory University
    Atlanta, Georgia, United States
  • Iowa Heart Center
    West Des Moines, Iowa 50266, United States
  • Michigan Heart
    Ypsilanti, Michigan 48197, United States
  • Minneapolis Heart Institute Foundation
    Minneapolis, Minnesota 55407, United States
  • CentraCare Heart and Vascular Center
    Saint Cloud, Minnesota 56303, United States
  • Mid America Heart Institute
    Kansas City, Missouri 64111, United States
  • Morristown Memorial Hospital
    Morristown, New Jersey 07960, United States
  • The Valley Hospital
    Ridgewood, New Jersey 07450, United States
  • North Shore LIJ Health System
    Manhasset, New York 11030, United States
  • NYU Langone Medical Center
    New York, New York 10016, United States
  • Duke University Medical Center
    Durham, North Carolina 27710, United States
  • Cleveland Clinic
    Cleveland, Ohio 44195, United States
  • The Ohio State University
    Columbus, Ohio 43210, United States
  • University of Oklahoma Health Science Center
    Oklahoma City, Oklahoma 73104, United States
  • Oklahoma Heart Hospital Research Foundation
    Oklahoma City, Oklahoma 73120, United States
  • Providence Health and Services
    Portland, Oregon 97220, United States
  • Lancaster General Hospital
    Lancaster, Pennsylvania 17604, United States
  • University of Pittsburgh Medical Center UPMC Presbyterian
    Pittsburgh, Pennsylvania 15213, United States
  • Lankenau Institute for Medical Research
    Wynnewood, Pennsylvania 19096, United States
  • The Stern Cardiovascular Foundation
    Germantown, Tennessee 38138, United States
  • Vanderbilt University Medical Center Heart and Vascular Institute
    Nashville, Tennessee 37232, United States
  • Baylor Research Institute
    Dallas, Texas 75204, United States
  • CHI Saint Luke's Health - Baylor Saint Luke's Medical Center
    Houston, Texas 77030, United States
  • University of Virginia Medical Center
    Charlottesville, Virginia 22908, United States
  • Aurora Cardiovascular Services
    Milwaukee, Wisconsin 53215, United States
09

References and documents

Publications

  • Piccini JP, Cunnane R, Steffel J, El-Chami MF, Reynolds D, Roberts PR, Soejima K, Steinwender C, Garweg C, Chinitz L, Ellis CR, Stromberg K, Fagan DH, Mont L. Development and validation of a risk score for predicting pericardial effusion in patients undergoing leadless pacemaker implantation: experience with the Micra transcatheter pacemaker. Europace. 2022 Jul 21;24(7):1119-1126. doi: 10.1093/europace/euab315. PubMed 35025987 ↗
  • El-Chami MF, Shinn T, Bansal S, Martinez-Sande JL, Clementy N, Augostini R, Ravindran B, Sagi V, Ramanna H, Garweg C, Roberts PR, Soejima K, Stromberg K, Fagan DH, Zuniga N, Piccini JP. Leadless pacemaker implant with concomitant atrioventricular node ablation: Experience with the Micra transcatheter pacemaker. J Cardiovasc Electrophysiol. 2021 Mar;32(3):832-841. doi: 10.1111/jce.14881. Epub 2021 Jan 23. PubMed 33428248 ↗
  • Garg A, Koneru JN, Fagan DH, Stromberg K, Padala SK, El-Chami MF, Roberts PR, Piccini JP, Cheng A, Ellenbogen KA. Morbidity and mortality in patients precluded for transvenous pacemaker implantation: Experience with a leadless pacemaker. Heart Rhythm. 2020 Dec;17(12):2056-2063. doi: 10.1016/j.hrthm.2020.07.035. Epub 2020 Aug 4. PubMed 32763431 ↗
10

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Apr 12, 2018, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
11

Registry details

Key details

Study ID
NCT02488681
Lead sponsor
Medtronic
Responsible party
Sponsor
First posted
Jul 2, 2015
Start date
Jun 2015
Primary completion
Jul 2016
Completion
Jul 2016
Results posted
Jan 3, 2018
Last update
Apr 12, 2018

Oversight

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

Not currently enrolling

This study is completed, as verified in Mar 2018. 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