ClinicalTrials.gg
CompletedNCT03257436SMARTMSPUpdated Jan 3, 2022Results posted

Strategic Management to Improve CRT Using Multi-Site Pacing Post Approval Study (Reference # C1918)

An interventional study of CRT-D in Left Ventricular Dysfunction, sponsored by Boston Scientific Corporation. Completed at 54 sites in United States. Open to participants aged 18 Years and older, including healthy volunteers. Per ClinicalTrials.gov, last updated 2022-01-03.

Sponsored by Boston Scientific Corporation · Not applicable, Interventional, and Other

Phase
Not applicable
Study type
Interventional
Enrollment
586
Allocation
Not applicable
Ages
18 Years and older
Sex
All
01

Study summary

Prospective, multi-center, single arm, post approval study to be conducted in the United States.

Read the detailed description

Evaluate the effectiveness of Boston Scientific (BSC)'s LV MSP (Left Ventricular MultiSite Pacing) feature in the Resonate family of CRT-D devices and confirm safety in a post approval study when used in accordance with its approved labeling.

02

Conditions studied

  • Left Ventricular Dysfunction

Keywords

  • Pacing
03

In context

Ventricular Dysfunction, Left

260 studies on the registry are indexed under Ventricular Dysfunction, Left; 57 are open to participants now.

This study's enrollment of 586 is above the median of 100 across 151 interventional studies indexed under Ventricular Dysfunction, Left.

Browse Ventricular Dysfunction, Left studies →

Lead sponsor

Boston Scientific Corporation is the lead sponsor of 528 studies on the registry; 40 are open to participants now.

Of its 64 completed or terminated interventional studies of FDA-regulated products, 56 (88%) 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
Yes

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  1. Subjects who received de novo implantation of BSC's Resonate family of CRT-D devices with the LV MSP feature4 and BSC's ACUITYTM X4 LV Quadripolar leads. A Resonate family of CRT-D device upgrade from previous single or dual chamber pacemaker or ICD implantation is allowed.
  2. Subjects must meet BSC labeled indication for CRT-D implantation.
  3. Subjects must have a functional RA lead and RV lead implanted
  4. Subjects who are willing and capable of providing
  5. Subjects who are willing and capable of participating in all testing/visits associated with this clinical study at an approved clinical study center and at the intervals defined by this protocol
  6. Subjects who are age 18 and above, or of legal age to give informed consent specific to state and national law

Exclusion criteria

Exclusion Criteria:

  1. Subjects who received LV pacing prior to receiving the Resonate family of CRT-D system implantation.
  2. Subjects who received the LV MSP therapy post CRT-D implantation but prior to enrollment
  3. Subjects with documented history of permanent AF
  4. Subjects with documented permanent complete AV block
  5. Subjects who are expected to receive a heart transplant during the 12 months course of the study
  6. Subjects with documented of less than 12 months
  7. Subjects who enrolled in any other concurrent study or registry, with the exception of mandatory national or governmental registry, without prior written approval from BSC
Terms in these criteria, in plain language(2)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

Informed consent

Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.

You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.

Life expectancy

The study doctor’s estimate of how long someone is likely to live. Criteria use it so that people can stay in the study long enough for it to answer its question.

05

Study design

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

Study arms

  • Other
    Single Arm

    General population who receive a Boston Scientific Resonate family of CRT-D device in accordance with its labeled indication for use.

    Device: CRT-D

Interventions

  • DeviceCRT-D

    Left Ventricular MultiSite Pacing

06

What researchers measure

Primary outcomes

  1. LV MSP Feature Related Complication-Free Rate

    Proportion of subjects free from LVMSP feature related complications at 12 months

    Time frame: Between 6 month visit and the 12 month visit in non-responders with LV MSP on for any duration.

  2. Proportion of LV MSP Group Subjects With an Improved Clinical Composite Score at 12 Months

    Proportion of non-responders with LV MSP enabled at 6 months who were responders at 12 months. Responders were defined as having an Improved Clinical Composite Score at 12 Months.

    Time frame: 12 Month Follow Up

07

Results

Posted Jan 3, 2022
Limitations and caveats
Because the study was not designed to randomize subjects to conventional CRT or LV MSP, the potential incremental benefit of LV MSP cannot be quantified.

Participant flow

Participant flow — Overall Study
MilestoneSingle Arm
Started584
Completed489
Not completed95
Withdrew: Withdrawal by subject76
Withdrew: Death19

Outcome measures

PrimaryLV MSP Feature Related Complication-Free Rate

Proportion of subjects free from LVMSP feature related complications at 12 months

Time frame:
Between 6 month visit and the 12 month visit in non-responders with LV MSP on for any duration.
Reported as:
Number · percentage of participants
LV MSP Feature Related Complication-Free Rate
percentage of participantsSingle Arm
LV MSP Feature Related Complication-Free Rate99 (94.1 to NA)
Statistical analysis
  • Single Arm · Kaplan meir methodology: 99
PrimaryProportion of LV MSP Group Subjects With an Improved Clinical Composite Score at 12 Months

Proportion of non-responders with LV MSP enabled at 6 months who were responders at 12 months. Responders were defined as having an Improved Clinical Composite Score at 12 Months.

Time frame:
12 Month Follow Up
Reported as:
Number · percentage of participants
Proportion of LV MSP Group Subjects With an Improved Clinical Composite Score at 12 Months
percentage of participantsSingle Arm
Proportion of LV MSP Group Subjects With an Improved Clinical Composite Score at 12 Months51.3 (41.4 to NA)
Statistical analysis
  • Single Arm · Proportion: 51.3

Adverse events

Collected over Adverse event data were collected from enrollment until the time the subject's participation ended. Subjects were considered to have completed the study after 12 months of follow up.. Non-serious events are listed at a 0% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
Single Arm19/584 (3.3%)131/584 (22.4%)72/584 (12.3%)
Most frequent serious events
Showing 10 of 64
Most frequent serious events
EventSingle Arm
Multiple heart failure symptomsCardiac disorders22/584
Dyspnea - Heart failureCardiac disorders15/584
RenalRenal and urinary disorders14/584
GastrointestinalGastrointestinal disorders12/584
PulmonaryRespiratory, thoracic and mediastinal disorders10/584
Heart failure symptoms - UnspecifiedEye disorders8/584
Ventricular Tachycardia (VT)/Monomorphic VTCardiac disorders8/584
GenitourinaryRenal and urinary disorders7/584
Chest Pain - OtherGeneral disorders5/584
CancerNeoplasms benign, malignant and unspecified (incl cysts and polyps)5/584
Most frequent other events
Showing 10 of 35
Most frequent other events
EventSingle Arm
Extracardiac stimulation - LV LeadProduct Issues21/584
Pacemaker Mediated Tachycardia - PG System TherapyProduct Issues8/584
MusculoskeletalMusculoskeletal and connective tissue disorders3/584
Elevated threshold - LV LeadProduct Issues3/584
Ventricular Tachycardia (VT)/Monomorphic VTCardiac disorders2/584
GastrointestinalGastrointestinal disorders2/584
Hematoma - Pocket (<=30 days post-implant)Injury, poisoning and procedural complications2/584
Post-surgical infection (<=30 days post-implant)Injury, poisoning and procedural complications2/584
Post-surgical wound discomfort/bruising/swellingInjury, poisoning and procedural complications2/584
PulmonaryRespiratory, thoracic and mediastinal disorders2/584

Baseline characteristics

Total subjects with non-missing values

Age, Continuous
Age, Continuous(Years)Single Arm
Mean66.7 ± 11
Sex: Female, Male
Sex: Female, Male(Participants)Single Arm
Female211
Male372
Race (NIH/OMB)
Race (NIH/OMB)(Participants)Single Arm
American Indian or Alaska Native2
Asian2
Native Hawaiian or Other Pacific Islander0
Black or African American95
White460
More than one race10
Unknown or Not Reported14
Region of Enrollment
Region of Enrollment(participants)Single Arm
United States583
08

Study locations

54 sites
  • Mobile Infirmary Medical Center
    Mobile, Alabama 36604, United States
  • Phoenix Cardiovascular Group
    Phoenix, Arizona 85006, United States
  • Cardiology Associates of NEA
    Jonesboro, Arkansas 72401, United States
  • Foothill Cardiology Medical Group
    Arcadia, California 91007, United States
  • Chula Vista Cardiac Center
    Chula Vista, California 91910, United States
  • Kaiser Permanente Los Angeles Medical Center
    Los Angeles, California 90027, United States
  • Desert Heart Rhythm Consultants
    Palm Springs, California 92262, United States
  • Cardiology Associates Medical Group
    Ventura, California 93003, United States
  • Yale University School of Medicine
    New Haven, Connecticut 06520, United States
  • Delray Medical Center
    Delray Beach, Florida 33484, United States
  • UF Health Jacksonville
    Jacksonville, Florida 32209, United States
  • Florida Hospital Waterman
    Lake Mary, Florida 32746, United States
  • Tallahassee Research Institute
    Tallahassee, Florida 32308, United States
  • Augusta University
    Augusta, Georgia 30912, United States
  • Alexian Brothers Hospital Network
    Elk Grove Village, Illinois 60007, United States
  • Carle Foundation Hospital
    Urbana, Illinois 61801, United States
  • Parkview Hospital Inc
    Fort Wayne, Indiana 46845, United States
  • University of Kansas Medical Center
    Kansas City, Kansas 66160, United States
  • Norton Heart Specialist
    Louisville, Kentucky 40205, United States
  • Advanced Cardiovascular Specialists
    Shreveport, Louisiana 71105, United States
  • MedStar Heart and Vascular Institute
    Baltimore, Maryland 21237, United States
  • Beth Israel Deaconess Medical Center
    Boston, Massachusetts 02215, United States
  • Ascension St. John Hospital & Medical Center
    Detroit, Michigan 48236, United States
  • Genesys Regional Medical Center
    Grand Blanc, Michigan 48439, United States
  • St. Mary's of Michigan Research Institute at Covenant Medical Ceter
    Saginaw, Michigan 48601, United States
  • UMMC- Division of Cardiology
    Jackson, Mississippi 39216, United States
  • St. Lukes Hospital
    Kansas City, Missouri 64111, United States
  • Billings Clinic
    Billings, Montana 59101, United States
  • Methodist Physicians Clinic Heart Consultants
    Omaha, Nebraska 68114, United States
  • Deborah Heart and Lung Center
    Browns Mills, New Jersey 08015, United States
  • Hackensack University Medical Canter
    Hackensack, New Jersey 07601, United States
  • Montefiore Medical Center
    Bronx, New York 10467, United States
  • Durham VA medical Center
    Durham, North Carolina 27705, United States
  • WakeMed
    Raleigh, North Carolina 27610, United States
  • Trihealth- Good Samaritan & Bethesda North Hospitals
    Cincinnati, Ohio 45220, United States
  • The Ohio State University Wexner Medical Center
    Columbus, Ohio 43210, United States
  • St. Elizabeth Youngstown Hospital
    Youngstown, Ohio 44501, United States
  • Salem Health
    Salem, Oregon 97301, United States
  • Penn Presbyterian Medical Center
    Philadelphia, Pennsylvania 19104, United States
  • UPMC Presbyterian
    Pittsburgh, Pennsylvania 15213, United States
  • Pinnacle Health Cardiovascular Institute
    Wormleysburg, Pennsylvania 17043, United States
  • Berk Cardiologists
    Wyomissing, Pennsylvania 19610, United States
  • AnMed Health Clinical Research
    Anderson, South Carolina 29621, United States
  • Rapid City Regional Health
    Rapid City, South Dakota 75501, United States
  • Stern Cardiovascular Foundation
    Germantown, Tennessee 38138, United States
  • Vanderbilt University Medical Center
    Nashville, Tennessee 37232, United States
  • Heartplace, PA
    Bedford, Texas 76021, United States
  • Brooke Army Medical Center
    Fort Sam Houston, Texas 78234, United States
  • UT Health
    Houston, Texas 77030, United States
  • University of Utah
    Salt Lake City, Utah 84132, United States
  • University of Virginia
    Charlottesville, Virginia 22908, United States
  • Carient Heart and Vascular
    Manassas, Virginia 20109, United States
  • Sentara Norfolk General
    Norfolk, Virginia 23507, United States
  • St. Mary's Medical Center
    Huntington, West Virginia 25702, United States
09

References and documents

Study documents

PDFs hosted by the registry, ClinicalTrials.gov.

Individual participant data

Plan to share: No

10

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 Jan 2018 to primary completion in Nov 2020, 34 months.

Results were first posted in Jan 2022, 1 year 1 month after primary completion.

Of 34 interventional studies with no phase under Ventricular Dysfunction, Left, half reached primary completion within 36 months of starting (the median), counting those still running; a quarter within 24 and three quarters within 86. This study's 34 months is close to that.

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

Registered
Aug 18, 2017
First posted
Aug 22, 2017
StartActual
Jan 5, 2018
Primary completionActual
Nov 19, 2020
CompletionActual
Nov 19, 2020
Results first posted
Jan 3, 2022
Last update
Jan 3, 2022
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 Jan 3, 2022, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
11

Registry details

Key details

Study ID
NCT03257436
Responsible party
Sponsor
First posted
Aug 22, 2017
Start date
Jan 5, 2018
Primary completion
Nov 19, 2020
Completion
Nov 19, 2020
Results posted
Jan 3, 2022
Last update
Jan 3, 2022

Study contacts

Saba Samir
principal investigator · University of Pittsburgh Medical Center

Oversight

Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
Yes
View the source record on ClinicalTrials.gov ↗

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This study is completed, as verified in Dec 2021. You cannot join it, but the record below documents what was studied.

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