ClinicalTrials.gg
CompletedNCT02585817RPM-CIEDUpdated Apr 25, 2019

Remote Patient Management for Cardiac Implantable Electronic Devices

An interventional study of Remote CIED Management in Arrhythmia, Cardiac, sponsored by Ratika Parkash. Completed at 1 site in Canada. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2019-04-25.

Sponsored by Ratika Parkash · Not applicable, Interventional, and Other

Phase
Not applicable
Study type
Interventional
Enrollment
176
Allocation
Not applicable
Ages
18 Years and older
Sex
All
01

Where this study stands

Counted across the records on this site · 2026-11-12

Among 73 studies in Arrhythmias, Cardiac with a site in Canada — 13 open to participants now, 15 under way, none of them phase 3. Arrhythmias, Cardiac · Canada.

Enrollment
29th of 49
176 · median 240
Started
2016
with 2 others
No phase
25 of 73
4 open now
Registered
40th of 73
by date

Among the 73 studies in Arrhythmias, Cardiac with a site in Canada, this one is the 29th largest by enrollment of the 49 interventional ones that give a count, is one of 3 that started in 2016, is one of 25 with no phase, and was the 40th registered.

Arrhythmias, Cardiac

1,051 studies on the registry are indexed under Arrhythmias, Cardiac; 236 are open to participants now.

Browse Arrhythmias, Cardiac studies →

Open to participants now

13 of the 73 studies in Arrhythmias, Cardiac with a site in Canada are open now. Recruiting first, the newest first:

8 more — sign in →

All 13 open studies →

A study can be open while its sites in Canada have not opened yet or have stopped. Only those recruiting at a site in Canada →

Who these studies take

Of the 167 Arrhythmias, Cardiac studies recruiting now, 118 (71%) set no upper age limit and 13 (8%) stop at 75 or younger; 31 take children under 18; 26 take healthy volunteers.

This study: 18 Years and older · all sexes · no healthy volunteers.

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02

Study summary

This is a pilot study to assess barriers, evaluate and implement a patient oriented CIED management model incorporating advanced technological innovation to promote a paradigm shift to patient-centered care involving remote CIED monitoring and programming. The advancement in technology is very important as it addresses several potential gaps and barriers in the care of patients with CIEDS:

  1. Long, expensive travel for patients
  2. Morbidity to patients due to delay in receiving appropriate treatment
  3. Efficiency in health care delivery
  4. Patient satisfaction
Read the detailed description

Canada is a country with a diverse geography, of which 19% of the inhabitants are in communities classified as 'rural', but many may still have long distances to travel to reach a health care facility. This results in challenges in uniform delivery of health care throughout the country. There are 25,000 pacemaker (PM) implants and 7000 implantable defibrillator (ICD) implants yearly in Canada, with approximately 120 000 patients living with these devices. The recommended follow-up for these devices are based on consensus and position statements, with the majority of patients requiring at least yearly visits to a specialized device clinic during the lifetime of their device. During the life of these patients, many issues may arise, such as atrial or ventricular arrhythmias that may result in syncope, stroke or sudden death, need for increased monitoring resulting from device advisories, or minor programming adjustments to improve device performance, or simply the need for enhanced surveillance as the device battery depletes and replacement is anticipated.

While remote monitoring technology is currently available and has permitted surveillance and device assessment from any patient location accessible to a landline or mobile phone, the use has been inconsistent in Canada. In addition, new technology has become available that not only permits surveillance, but also remote programming of these devices. The incorporation of remote programming capability, along with automatic recalibration of device settings, allows us to develop a new paradigm of remote patient management where after the patient receives their device, they would remain in the care of their local health team and no longer require travel to the specialized 'hub' clinics for follow-up.

03

Conditions studied

  • Arrhythmia, Cardiac

Keywords

  • Cardiac Implantable Electronic Devices
04

Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
No

Eligibility criteria

Inclusion Criteria:

  1. Patients with an implanted pacemaker/cardiac resynchronization therapy with a pacemaker(CRT-P) capable of remote patient management would be eligible for the study that will be followed by the site where the implantation occurred OR patients with an implanted defibrillator/CRT-D capable of remote patient management where the patients reside in a community OUTSIDE of the site where the implantation occurred. The device may be de novo, existing or a patient undergoing a pulse generator change that now has remote patient management capabilities.
  2. Able to provide consent.
05

Study design

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

Study arms

  • Experimental
    Remote CIED Management

    Patients with a CIED will undergo remote monitoring with information technology.

    Device: Remote CIED Management

Interventions

  • DeviceRemote CIED Management

    Information Technology

06

What researchers measure

Primary outcomes

  1. Generalizability: Measurement of generalizability will be done by measuring the number of patients eligible for remote patient management as a proportion of all CIED patients.

    Time frame: 6 months

Secondary outcomes

  1. Feasibility: Feasibility will be measured by the time to implement a fully functioning system at the participating centers

    Time frame: 6 months

  2. Compliance (number of received remote transmissions divided by the number of expected remote transmissions)

    Compliance to remote patient management will be measured for patients by the number of received remote transmissions divided by the number of expected remote transmissions.

    Time frame: 12 months

07

Study locations

1 site
  • QEII HSC
    Halifax, Nova Scotia B3H 3A7, Canada
08

References and documents

Publications

  • Sapp JA, Gillis AM, AbdelWahab A, Nault I, Nery PB, Healey JS, Raj SR, Lockwood E, Sterns LD, Sears SF, Wells GA, Yee R, Philippon F, Tang A, Parkash R. Remote-only monitoring for patients with cardiac implantable electronic devices: a before-and-after pilot study. CMAJ Open. 2021 Jan 25;9(1):E53-E61. doi: 10.9778/cmajo.20200041. Print 2021 Jan-Mar. PubMed 33495385 ↗

Individual participant data

Plan to share: No

09

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reachedSimilar studies: half by the dot; the band is the middle halfHalf of similar studies reached it by the dot; the band is the middle half, from a quarter to three quarters

Ran from Oct 2016 to primary completion in Mar 2019, 29 months.

Of 171 non-industry interventional studies with no phase under Arrhythmias, Cardiac, half reached primary completion within 30 months of starting (the median), counting those still running; a quarter within 14 and three quarters within 43. This study's 29 months is close to that.

Counting every sponsor, half of 242 studies reached it within 24 months; a quarter within 12 and three quarters within 40.

How these figures are worked out, and which studies are left out of them.

Registered
Oct 16, 2015
First posted
Oct 23, 2015
StartActual
Oct 2016
Primary completionActual
Mar 2019
CompletionActual
Apr 2019
Last update
Apr 25, 2019
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on Apr 25, 2019, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT02585817
Lead sponsor
Ratika Parkash
Collaborators
Cardiac Arrhythmia Network of Canada, Medtronic
Responsible party
Ratika Parkash (Staff Cardiologist, Nova Scotia Health Authority) — Sponsor-investigator
First posted
Oct 23, 2015
Start date
Oct 2016
Primary completion
Mar 2019
Completion
Apr 2019
Last update
Apr 25, 2019

Study contacts

Ratika Parkash, MD, FRCPC
principal investigator · Nova Scotia Health Authority

Oversight

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

Not currently enrolling

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

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