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Clinical Trial Details — Status: Terminated

Administrative data

NCT number NCT03140150
Other study ID # SAFECARE
Secondary ID
Status Terminated
Phase N/A
First received
Last updated
Start date December 26, 2017
Est. completion date November 13, 2023

Study information

Verified date January 2024
Source University Hospital, Brest
Contact n/a
Is FDA regulated No
Health authority
Study type Interventional

Clinical Trial Summary

Follow-up strategy for patients implanted with a pacemaker.


Description:

This study seeks to verify that a follow-up strategy for patients implanted with a mono- or double-chamber pacemaker, stimuli-dependent or not, for 2 years, by means of data transmissions of the devices by Carelink Express during the usual consultations with the treating cardiologist significantly reduces the number of unnecessary consultations in the implant centers (without any change in treatment or pacemaker programming) compared to the usual follow-up mode recommended for this type of device.


Recruitment information / eligibility

Status Terminated
Enrollment 50
Est. completion date November 13, 2023
Est. primary completion date November 13, 2023
Accepts healthy volunteers No
Gender All
Age group 18 Years and older
Eligibility Inclusion Criteria: - Any patient implanted with a Medtronic brand AAI (R), VVI (R) and DDD (R) cardiac pacemaker, allowing transmission via Carelink Express (Medtronic) - and accepting inclusion in the study. - The patient should be followed by a city cardiologist participating in the study. Exclusion Criteria: - Age <18 years - Pregnant or likely to become pregnant during the study - Patient with an unstable medical condition, NYHA Class IV Heart Failure - Presence of psychiatric illness, depression, anxiety disorder - Presence of diseases, other than heart disease, responsible for a reduction in life expectancy for the duration of the study. - Patient unable to follow protocol (respond to questionnaires) - Change of residence planned during the study - Participation in an interventional and therapeutic clinical study; Patient participation in an observational study is permitted. - Patient not signed consent form - Patient under legal protection

Study Design


Related Conditions & MeSH terms


Intervention

Device:
Follow-up by Carelink express
Followed by the cardiologist exclusively using Carelink Express during the study period: a single visit 1 to 3 months after implantation, then followed by the cardiologist and interrogation of the stimulator by Carelink Express
Other:
Follow-up according to the usual recommendations
According to follow-up recommendations for pacemakers, a visit is planned every 6 months if the patient is dependent on the stimulator (either visits to M6, M12, M18 and M24) or annually if the patient is not dependent on the stimulator (visits to M12 and M24).

Locations

Country Name City State
France CHRU Brest Brest
France CH Lorient Lorient

Sponsors (1)

Lead Sponsor Collaborator
University Hospital, Brest

Country where clinical trial is conducted

France, 

Outcome

Type Measure Description Time frame Safety issue
Primary At least one unnecessary consultation during two years of follow-up The primary outcome measure will be at least one unnecessary consultation during two years of follow-up (apart from the first mandatory consultation in all patients) 2 years
Secondary Occurrence of a serious adverse event Comparison of the number of serious adverse events during follow-up in each arm (total mortality, hospitalizations for cardiac event, occurrence of a rhythmological event or related to the implanted device) 2 years
Secondary In-depth sociological study carried out through questionnaires and individual interviews A more in-depth study will be conducted through questionnaires and individual interviews, developed by sociologists, on representative samples of the two arms of the study (based on age, gender and type of domicile - Individual or collective housing - representative of the populations implanted in 2016) followed at a distance in terms of acceptability, impact on everyday life and the doctor-patient relationship. A survey will also be conducted with attending cardiologists to assess their acceptability of this type of follow-up. 2 years
Secondary Quality of life Quality of life questionnaires will be submitted to patients 2 years
Secondary The medical economic evaluation to measure the efficiency of the device Carelink Express allowing patients' tele-monitoring implanted by a pacemaker The main analysis will be a comparative cost study based on the following assumption: the direct costs of patient support are different from the direct costs of care for patients undergoing conventional monitoring, in particular in terms of the number Follow-up consultations and transport (COMPAS study: Mabo, 2011).
The complementary study will be a cost-utility analysis based on a utility measure obtained by the EQ-5D questionnaire.
2 years