ClinicalTrials.gg
CompletedNCT04590144APOLLOUpdated Jul 24, 2025

Safety and Performance of INVICTA Ventricular DF4 LEADS With Active Fixation-(APOLLO)

An interventional study of INVICTA lead in Ventricular Arrythmia, Lead and ICD, sponsored by MicroPort CRM. Completed at 45 sites in 8 countries. Open to participants aged 18 Years and older, including healthy volunteers. Per ClinicalTrials.gov, last updated 2025-07-24.

Sponsored by MicroPort CRM (part of MicroPort Scientific Corporation) · Not applicable, Interventional, and Treatment

Phase
Not applicable
Study type
Interventional
Enrollment
446
Allocation
Not applicable
Ages
18 Years and older
Sex
All
01

Study summary

The primary objective of this study is to assess the safety and key electrical performance of the INVICTA leads equipped with DF4 connector: ACTIVE fixation type models (single and dual coil: INVICTA 1CR, INVICTA 2CR)

Read the detailed description

APOLLO study is a pre-market approval (INVICTA leads - devices under investigation - are not CE marked), interventional, prospective, longitudinal, international (European), multicenter, single arm study.

The devices under investigation, the INVICTA defibrillation leads, are new quadripolar leads, to be used with Implantable Cardiac Defibrillators and Cardiac Resynchronization Therapy Defibrillators (ICD/CRT-D).

This clinical study intends to demonstrate safety and electrical performances of the INVICTA leads among the different models: active fixation either single coil (model 1CR) or dual coil (model 2CR)leads models. The clinical data will be used to support the application to CE marking of INVICTA leads.

The primary endpoints will be evaluated at 3 months post-implantation; secondary endpoints will be evaluated up to 2 years post-implantation.

A total number of 445 patients will be enrolled in the study, in up to 60 centers in Europe.

The follow-up visits are scheduled at hospital discharge, at 1 month, at 3 months, at 6 months, at 12 months, at 18 months and at 24 months, post-implant

02

Conditions studied

  • Ventricular Arrythmia
  • Lead
  • ICD
  • Heart Failure

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03

In context

Heart Failure

6,331 studies on the registry are indexed under Heart Failure; 1,396 are open to participants now.

This study's enrollment of 446 is above the median of 76 across 4,049 interventional studies indexed under Heart Failure.

Browse Heart Failure studies →

Lead sponsor

MicroPort CRM is the lead sponsor of 25 studies on the registry; 3 are open to participants now.

First submitted after MicroPort CRM became part of MicroPort Scientific Corporation.

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. Any patient presenting an ICD or CRT-D indication as detailed in the latest ESC guidelines
  2. Scheduled for a de-novo implant of an ICD (VR, DR) or CRT-D, manufactured by MicroPort CRM and equipped with a DF4 connector
  3. Signed and dated

Exclusion criteria

Exclusion Criteria:

  1. Tricuspid valvular disease or any type of tricuspid replacement heart valve (mechanical or tissue)
  2. Transient tachyarrhythmias due to reversible causes (such as drug intoxication, electrolyte imbalance, sepsis, hypoxia or other factors as myocardial infarction or electric shock)
  3. to a maximum single dose of 330 µg dexamethasone sodium phosphate (DSP)
  4. Active myocarditis
  5. Previous implant of pacemaker, ICD or CRT-D device and leads
  6. Currently enrolled or planning to participate in a potentially confounding drug or device trial during the course of this study
  7. Incapacitated subject or under guardianship, inability to understand the purpose of the study, or to meet follow-up visits at the implanting centre as defined in the plan
  8. Minor subjects
  9. Pre-menopausal women
  10. Drug addiction or abuse
  11. less than 1 year
Terms in these criteria, in plain language(4)

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.

Contraindication

A reason a treatment, test or procedure should not be given to a particular person, such as an allergy, another illness or a medicine they take.

Investigational drug or device

A drug or device being studied in a clinical trial.

It may be new, or already approved and being studied for another use, dose or form. Criteria often leave out people who took part in another study of one within a recent period, commonly 30 days or five half-lives.

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
Treatment
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrollment
446 participants (actual)

Study arms

  • Experimental
    INVICTA lead

    All patients eligible for enrolment in whom the INVICTA lead is attempted (Implant of the INVICTA lead

    Device: INVICTA lead

Interventions

  • DeviceINVICTA lead

    The implant or the attempt to implant an INVICTA lead

    Also known as: Implant of the INVICTA lead

06

What researchers measure

Primary outcomes

  1. 1.Freedom from INVICTA lead-related complications 1.Freedom from INVICTA lead-related complications [Time Frame: 90 days

    Freedom from INVICTA lead-related complications as assessed by an independent events adjudicator and defined as any INVICTA lead-related serious adverse device effect (SADE) that resulted in patient death or required an additional invasive intervention

    Time frame: 90 days

  2. 2.INVICTA lead electrical performance at 3 months

    Right Ventricular (RV) pacing threshold (V) of the INVICTA lead, measured by the implanted ICD/CRT-D with 0.5 ms pulse width

    Time frame: 3 months

Secondary outcomes

  1. INVICTA lead pacing threshold

    RV lead pacing threshold amplitude (V), measured by the implanted ICD/CRT-D with 0.5 ms pulse width

    Time frame: 24 months

  2. INVICTA lead impedances

    RV lead pacing impedance (Ohm) and defibrillation coil impedance (Ohm), measured by the implanted ICD/CRT-D

    Time frame: 24 months

  3. INVICTA sensing threshold

    RV lead endocardial R wave amplitude (mV), measured by the implanted ICD/CRT-D

    Time frame: 24 months

  4. Percentage of the shocks that successfully terminate a ventricular arrhythmia episode

    Percentage of endocardial shock therapies that successfully terminate ventricular arrhythmia episodes, calculated as the proportion of successful shocks on the total number of shocks delivered during defibrillation testing or spontaneous ventricular arrhythmias

    Time frame: 24 months

  5. Acute INVICTA lead complications

    Assessment of Acute INVICTA lead complications

    Time frame: 30 days

  6. Chronic INVICTA lead complications

    Assessment of Chronic INVICTA lead complications

    Time frame: > 30 days

  7. Daily INVICTA autothreshold values (V)

    Assessment of Daily INVICTA autothreshold values (V)

    Time frame: 1 month

  8. .INVICTA lead handling assessment

    Summary of the investigators' opinion about INVICTA handling at implant

    Time frame: At implant (day 0)

  9. INVICTA lead implant success rate

    % of enrolled patients successfully implanted with an INVICTA lead

    Time frame: At implant (day 0)

  10. Serious Adverse Events up to 24 months

    Report of SAEs occurred up to 24 months post-implantation

    Time frame: 24 months

Other outcomes

  1. Acute complication rates as a function of the lead position

    Acute complication rates as a function of the lead position (apical vs septal)

    Time frame: < 30 days

  2. Chronic complication rates as a function of the lead position

    Chronic complication rates as a function of the lead position (apical vs septal

    Time frame: > 30 days

  3. Electrical performances as a function of the lead position

    Electrical performances as a function of the lead position (apical vs septal)

    Time frame: 24 months

07

Study locations

45 sites
  • Kepler Universitätsklinikum GmbH
    Linz, Austria
  • CH Annecy
    Annecy, France
  • CHU Brest
    Brest, France
  • CHU Clermont- Ferrand
    Clermont-Ferrand, France
  • CHU Grenoble
    Grenoble, France
  • CHU Lille
    Lille, France
  • Hôpital St Joseph
    Marseille, France
  • CHU Strasbourg
    Strasbourg, France
  • CHU Tours
    Tours, France
  • RWTH Aachen
    Aachen, Germany
  • Herz- und Gefäßzentrum Bad Bevensen
    Bad Bevensen, Germany
  • Evangelisches Klinikum Bethel
    Bielefeld, Germany
  • Universitäts- Herzzentrum Freiburg -Bad Krozingen
    Freiburg im Breisgau, Germany
  • Hausärztlich- Kardiologisches MVZ "Am Felsenkeller" GmbH
    Pirna, Germany
  • Cliniche Humanitas Gavazzeni
    Bergamo, Italy
  • Ospedale di Desenzano del Garda
    Desenzano del Garda, Italy
  • Ospedale Piemonte (IRCCS Bonino Pulejo)
    Messina, Italy
  • AO di Rilievo Nazionale A. Cardarelli
    Naples, Italy
  • Univ. degli Studi della Campania L. Vanvitelli
    Naples, Italy
  • Osp SS Annunziata
    Taranto, Italy
  • AO Univ. S. Maria della Misericordia
    Udine, Italy
  • AULSS 8 Berica - Vicenza
    Vicenza, Italy
  • Elisabeth Tweesteden Ziekenhuis
    Tilburg, Netherlands
  • Isala Klinieken
    Zwolle, Netherlands
  • ULS Amadora/Sintra
    Amadora, Portugal
  • ULS de Coimbra
    Coimbra, Portugal
  • ULS do Alto Ave
    Creixomil, Portugal
  • ULS Alentejo Central
    Evora, Portugal
  • Hospital Santa Maria
    Lisbon, Portugal
  • ULS de Sao Jose - Hospital Santa Marta
    Lisbon, Portugal
  • ULS Santo Antonio
    Porto, Portugal
  • ULS Gaia/Espinho
    Vila Nova de Gaia, Portugal
  • Hospital Clínico Universitario de Valencia
    Valencia, Spain, Spain
  • Hospital General de Alicante
    Alicante, Spain
  • Hospital Josep Trueta,
    Girona, Spain
  • Hospital Virgen de las Nieves
    Granda, Spain
  • Hospital Universitario de Gran Canaria
    Las Palmas, Spain
  • Hospital Clinico de Madrid
    Madrid, Spain
  • Hospital Universitario 12 de Octubre
    Madrid, Spain
  • Hospital Universitario Virgen de la Victoria
    Málaga, Spain
  • Hospital General Universitario de Valencia
    Valencia, Spain
  • Hospital Universitario y Politécnico La Fe
    Valencia, Spain
  • Barnet Hospital, Royal Free Trust
    Barnet, United Kingdom
  • Queen Elizabeth
    Birmingham, United Kingdom
  • Great Western Hospital
    Swindon, United Kingdom
08

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Jul 24, 2025, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
09

Registry details

Key details

Study ID
NCT04590144
Lead sponsor
MicroPort CRM
Responsible party
Sponsor
First posted
Oct 19, 2020
Start date
Jun 4, 2021
Primary completion
Mar 16, 2022
Completion
Dec 23, 2024
Last update
Jul 24, 2025

Study contacts

Pedro Marques, MD
principal investigator · Hospital de Santa Maria - Lisboa - Portugal

Oversight

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

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This study is completed, as verified in Jul 2025. You cannot join it, but the record below documents what was studied.

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