Heart Failure Clinical Trial
— OPTIREGOfficial title:
Prospective Multicentric Study of Electrical Optimization of Cardiac Resynchronization Therapy in Non-responder Patients
Verified date | January 2021 |
Source | CMC Ambroise Paré |
Contact | n/a |
Is FDA regulated | No |
Health authority | |
Study type | Interventional |
Cardiac Resynchronization Therapy (CRT) is an established treatment for patients with systolic heart failure and bundle branch block, improving functional capacity, quality of life and reducing morbi-mortality. However, one-third of patients are non-responders. Among factors associated with non-response, suboptimal electrical settings of the device, i.e. inadequate pacing vector selection and atrioventricular (AV) delay, is an important cause. The aim of the study is to investigate whether the optimization of CRT settings (pacing vector and AV delay) results in improved clinical and echocardiographic outcomes in a non-responder CRT population after 6 months of therapy.
Status | Terminated |
Enrollment | 27 |
Est. completion date | September 14, 2020 |
Est. primary completion date | August 21, 2020 |
Accepts healthy volunteers | No |
Gender | All |
Age group | 18 Years and older |
Eligibility | Inclusion Criteria: - Patient older than 18 - Patient implanted with a CRT (CRT-P or CRT-D) more than 6 months but less than 18 months before inclusion - Non-responder patients: Clinical criteria (Packer classification): Lack of improvement of NYHA functional class And/or hospitalization for heart failure Echocardiographic criteria: Lack of improvement of LVEF > 5points And/or reduction of LVESV < 15% - Patient who had signed an informed consent and is willing to comply with study requirements - Patient covered by French national healthcare insurance Exclusion Criteria: - Permanent/persistant atrial fibrillation/ supra-ventricular tachycardia - Scheduled hospitalization for major cardiac intervention or cardiac surgery in the 6 coming months - Life-expectancy of less than 6 months - Pregnant or breastfeeding women - Adults under legal protection |
Country | Name | City | State |
---|---|---|---|
France | GHEM Eaubonne | Montmorency | |
France | CMC Ambroise Paré | Neuilly-sur-Seine | Ile De France |
France | CHU de Poitiers | Poitiers |
Lead Sponsor | Collaborator |
---|---|
CMC Ambroise Paré |
France,
Type | Measure | Description | Time frame | Safety issue |
---|---|---|---|---|
Primary | Hemodynamic response | Highest Systolic Blood Pressure (SBP) obtained by stimulation vector | During the optimization session | |
Secondary | echocardiographic response | Left Ventricular Ejection Fraction (LVEF), Left Ventricular end-diastolic Volume (LVEDV), Left Ventricular End-Systolic Volume (LVESV) | at 6 months of follow-up | |
Secondary | Clinical response | Hospitalization for heart failure | at 6 months of follow up |
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