Syncope Clinical Trial
— BIOSync CLSOfficial title:
Benefit of Dual-chamber Pacing With Closed Loop Stimulation (CLS) in Tilt-induced Cardioinhibitory Reflex Syncope. A Randomized Double-blind Parallel Trial.
NCT number | NCT02324920 |
Other study ID # | BA103 |
Secondary ID | |
Status | Completed |
Phase | N/A |
First received | |
Last updated | |
Start date | October 2015 |
Est. completion date | July 2020 |
Verified date | July 2020 |
Source | Biotronik SE & Co. KG |
Contact | n/a |
Is FDA regulated | No |
Health authority | |
Study type | Interventional |
The purpose of this study is to assess whether the Closed Loop Stimulation (CLS) in addition to the DDD pacing is effective in reducing syncopal recurrences. The study hypothesis is that DDD pacing with CLS stimulation is able to prevent syncopal recurrences completely or partially by transforming syncope in pre-syncope.
Status | Completed |
Enrollment | 128 |
Est. completion date | July 2020 |
Est. primary completion date | April 2020 |
Accepts healthy volunteers | No |
Gender | All |
Age group | 40 Years and older |
Eligibility | Inclusion Criteria: Patients affected by clinical diagnosis of reflex syncope who meet all the following criteria: - age >=40 years - significant limitation of social and working life due to unpredictable or frequent syncope recurrences, =2 within the last year. - type 2B cardio-inhibitory response to TT (according to the VASIS classification). - Alternative therapies have failed or were not feasible. - exclusion of other possible competitive causes of syncope. Exclusion Criteria: - Any other indication to IPG, implantable defibrillator (ICD), cardiac resynchronization therapy (CRT), according to current guidelines Any cardiac dysfunctions possibly leading to loss of consciousness: - overt heart failure; - ejection fraction (LVEF) <40% (Echo-assessed within 3-month prior to study participation); - myocardial infarction; - diagnosis of hypertrophic or dilated cardiomyopathy; - clinically significant valvular disease; - sinus bradycardia <50 bpm or sinoatrial block; - Mobitz I second-degree atrioventricular block; - Mobitz II second or third-degree atrioventricular block; - bundle-branch block; - rapid paroxysmal supraventricular tachycardia or ventricular tachycardia; - preexcited QRS complexes; - prolonged QT interval; - Brugada syndrome; - arrhythmogenic right ventricular cardiomyopathy - Symptomatic orthostatic hypotension diagnosed by standing BP measurement; - Nonsyncopal loss of consciousness (eg, epilepsy, psychiatric, metabolic, drop-attack, cerebral transient ischemic attack, intoxication, cataplexy). - Symptomatic cardioinhibitory carotid sinus hypersensitivity. |
Country | Name | City | State |
---|---|---|---|
Canada | CHUS Sherbrooke | Sherbrooke | |
France | Pais d'Aix | Aix-en-Provence | |
France | Hopital de la Timone | Marseille | |
France | Clinique Pasteur | Toulouse | |
Italy | Policlinico Consorziale | Bari | |
Italy | Ospedale Centrale di Bolzano | Bolzano | |
Italy | A.O. Pugliese-Ciaccio | Catanzaro | |
Italy | Ospedale San Martino | Genova | |
Italy | Azienda Ospedaliera Niguarda Ca' Granda | Milano | |
Italy | A.O. Dei Colli - Monaldi - University of Campania "Luigi Vanvitelli" | Napoli | |
Italy | Azienda Ospedaliera Universitaria Federico II | Napoli | |
Italy | A.O.U. San Luigi Gonzaga | Orbassano | |
Italy | AO di Parma | Parma | |
Italy | Arcispedale Santa Maria Nuova | Reggio Emilia | |
Italy | Policlinico Casilino | Roma | |
Italy | Azienda Ospedaliera Pia Fondazione di Culto e Religione Cardinale G. Panico | Tricase | BA |
Netherlands | AMC Academic Medical Center | Amsterdam | |
Netherlands | Rijnstate Ziekenjuis | Arnhem | |
Netherlands | Zuyderland Medisch Centrum | Heerlen | |
Portugal | Santa Marta | Lisboa | |
Spain | Hospital De Bellvitge | Barcelona | |
Spain | Hospital Universitario Vall d'Hebròn | Barcelona | |
Spain | Hospital Universitario Nuestra Senora de la Candelaria | Santa Cruz | |
Spain | Hospital Virgen del Rocio | Sevilla |
Lead Sponsor | Collaborator |
---|---|
Biotronik SE & Co. KG |
Canada, France, Italy, Netherlands, Portugal, Spain,
Type | Measure | Description | Time frame | Safety issue |
---|---|---|---|---|
Primary | Patients With Recurrence of Syncopal Episode | 24 months | ||
Secondary | Patients With Recurrence of Pre-syncope or Syncope | 24 months |
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