ClinicalTrials.gg
CompletedNCT05352776SECURE EVUpdated Aug 29, 2023

Sensing and Defibrillation With a Commercially Available ICD Coupled With a Parasternal Extravascular Lead (SECURE EV) Study

An interventional study of AtaCor EV-ICD Lead in Ventricular Arrhythmia, Ventricular Tachycardia and Ventricular Fibrillation, sponsored by AtaCor Medical, Inc.. Completed at 1 site in Paraguay. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2023-08-29.

Sponsored by AtaCor Medical, Inc. · Not applicable, Interventional, and Device feasibility

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

Study summary

The SECURE EV Study is a prospective, multi-center, single-arm study without concurrent or historical controls. The objectives of the study are 1) to characterize safety of the AtaCor EV-ICD Lead up to 90 days post-implant, and 2) to characterize sensing and conversion of induced VF up to 90 days post-implant.

Read the detailed description

The primary safety objective of the study is to characterize safety of the AtaCor EV-ICD Lead up to 90 days post-implant. The primary performance objective is to characterize sensing and conversion of induced VF up to 90 days post-implant.

Up to 3 Investigational Sites Worldwide will participate with up to 20 subjects enrolled in the study. Patients undergoing de novo or replacement ICD procedure will be eligible for participation. Study participation requires sub-chronic evaluation of the lead up to 90 days.

Subjects will receive a concomitant EV-ICD System, comprising the investigational EV-ICD Lead connected to a commercially available ICD. Prior to discharge, the EV-ICD will be programmed to monitor only to detect and store ventricular arrhythmias over the 90-day follow-up period.

After the EV-ICD System is removed (up to 90 days post-implant), the Subject will be followed for an additional 30 days then exit the study. The duration of study participation for an individual Subject is 120 ± 7 days. The study is expected to complete within 6 months of the first enrollment.

02

Conditions studied

  • Ventricular Arrhythmia
  • Ventricular Tachycardia
  • Ventricular Fibrillation

Keywords

  • Ventricular Defibrillation
  • Extravascular
03

In context

Tachycardia, Ventricular

451 studies on the registry are indexed under Tachycardia, Ventricular; 120 are open to participants now.

This study's enrollment of 18 is below the median of 71 across 280 interventional studies indexed under Tachycardia, Ventricular.

Browse Tachycardia, Ventricular studies →

Lead sponsor

AtaCor Medical, Inc. is the lead sponsor of 11 studies on the registry; 1 is 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

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. At least 18 years old
  2. Indicated for de novo or replacement ICD procedure

Exclusion criteria

Exclusion Criteria:

  1. IV functional class
  2. ≥ 35 kg/m2
  3. Inotropic therapy in past 180 days
  4. Subjects who require continual ventricular pacing
  5. Presence or planned use of a subcutaneous ICD lead, subcutaneous coils/arrays, epicardial patches or epicardial pace/sense leads within the study period.
  6. Planned MRI within the study period
  7. Subjects on anticoagulation or antiplatelet therapy that cannot be temporarily discontinued for the procedure
  8. Logistical or safety related circumstances that may prevent data collection or follow-up
  9. Participation in any concurrent clinical study without prior written approval from the Sponsor
  10. Inability to give an to participate in the Study

    Known prior history for any of the following:

  11. Structural abnormalities of the heart that may increase risk of the study procedure or an obstructed/restricted pathway into the mediastinum for the EV-ICD Dilator, EV-ICD Delivery Tool and EV-ICD Lead
  12. Uncontrolled paroxysmal, persistent or permanent atrial fibrillation
  13. Median or partial sternotomy
  14. Surgery with disruption of the lung, pericardium or connective tissue between the sternum and pericardium
  15. Significant anatomic derangement of or within the thorax (e.g., pectus excavatum, significant scoliosis)
  16. Thoracic radiation therapy, pneumothorax, pneumomediastinum or other medical treatments/conditions which may complicate the EV-ICD Lead insertion procedure
  17. Pericardial disease, pericarditis and mediastinitis
  18. Medical treatments, surgeries or conditions that increase the potential for pericardial adhesions
  19. \< 1.0 Liter
  20. Surgically corrected congenital heart disease (not including catheter-based procedures)
  21. Allergies to the device materials as listed in the Instructions for Use (IFU)
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.

NYHA class (heart failure)

The New York Heart Association’s four classes of how much heart failure limits physical activity.

I
No limits: ordinary activity causes no undue tiredness or breathlessness.
II
Slight limits: comfortable at rest, ordinary activity causes symptoms.
III
Marked limits: comfortable at rest, less than ordinary activity causes symptoms.
IV
Symptoms even at rest; any activity makes them worse.

Studies set their own limit — many outside heart failure leave out class III–IV, while heart failure studies may ask for a particular class. Check the class this study names.

BMI (body mass index)

Weight in kilograms divided by height in metres squared. Example: 70 kg and 1.75 m gives 70 ÷ (1.75 × 1.75) ≈ 22.9.

What counts as overweight or obesity differs between countries (some use lower cut-offs), so go by the range the study states.

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.

FEV1

From a breathing test (spirometry): how much air you can blow out in the first second. Often given as a percentage of what is expected for your age, height and sex.

05

Study design

Phase
Not applicable
Primary purpose
Device feasibility
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrollment
18 participants (actual)

Study arms

  • Experimental
    AtaCor EV-ICD Lead System

    Subjects implanted with the AtaCor EV-ICD Lead Model AC-7001

    Device: AtaCor EV-ICD Lead

Interventions

  • DeviceAtaCor EV-ICD Lead

    Subjects will receive the AtaCor EV-ICD Lead being evaluated in the study.

06

What researchers measure

Primary outcomes

  1. Incidence of ADEs

    Incidence of Adverse Device Effects (ADEs)

    Time frame: Up to 120 days post-implant

  2. Induced VF Conversion Success

    Induced VF conversion success with ≥10 J safety margin 60-90 days post-implant

    Time frame: Up to 90 days post-implant

Secondary outcomes

  1. Lowest Defibrillation Conversion Energy

    Lowest Defibrillation Conversion Energy (J) at implant with left mid-axillary PG location

    Time frame: Procedure

  2. Induced VF Conversion Success - Implant

    Induced VF conversion success rate at implant with left pectoral PG location

    Time frame: Procedure

  3. Induced VF Conversion Success - 30 Days

    Induced VF conversion success with ≥10 J safety margin at 30 days

    Time frame: Up to 30 days post-implant

  4. Sensing and Detection of Ventricular Arrhythmias

    Ability to automatically sense and detect induced and spontaneous ventricular arrhythmias

    Time frame: Up to 90 days post-implant

  5. Detection Time for VT/VF

    Detection time for spontaneous VT/VF episodes recorded during follow-up by the permanent TV-ICD System and concomitantly implanted investigational EV-ICD System

    Time frame: Up to 90 days post-implant

  6. Detection Time and Time-to-Therapy

    EV-ICD VF detection time and time-to-therapy

    Time frame: Up to 90 days post-implant

  7. Brady Pacing Electrical Performance: Pacing Capture Threshold

    Pacing Capture Threshold (V)

    Time frame: Up to 90 days post-implant

  8. Brady Pacing Electrical Performance: Pacing Impedance

    Pacing Impedance (ohms)

    Time frame: Up to 90 days post-implant

  9. Brady Pacing Electrical Performance: R-wave Amplitude

    R-wave Amplitude (mV)

    Time frame: Up to 90 days post-implant

07

Study locations

1 site
  • Sanatorio Italiano
    Asunción, Paraguay
08

References and documents

Individual participant data

Plan to share: No

No publications or documents are linked to this record.

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Aug 29, 2023, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT05352776
Lead sponsor
AtaCor Medical, Inc.
Responsible party
Sponsor
First posted
Apr 29, 2022
Start date
May 18, 2022
Primary completion
Sep 21, 2022
Completion
Oct 20, 2022
Last update
Aug 29, 2023

Study contacts

Martin C Burke, DO
principal investigator · AtaCor Medical, Inc.

Oversight

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

Not currently enrolling

This study is completed, as verified in Aug 2023. You cannot join it, but the record below documents what was studied.

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