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Trial details imported from ClinicalTrials.gov
For full trial details, please see the original record at
https://clinicaltrials.gov/study/NCT00323661
Registration number
NCT00323661
Ethics application status
Date submitted
8/05/2006
Date registered
9/05/2006
Date last updated
13/02/2012
Titles & IDs
Public title
Closed Loop Stimulation, Cognitive Performance, and Quality of Life in Pacemaker Patients
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Scientific title
COGNITION - Cognitive Performance & Closed Loop Stimulation
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Secondary ID [1]
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BA079
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Universal Trial Number (UTN)
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Trial acronym
COGNITION
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Cardiac Pacing, Artificial
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Condition category
Condition code
Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
Treatment: Devices - Rate-adaptive pacemaker: accelerometer
Treatment: Devices - Rate-adaptive pacemaker: Closed Loop Stimulation
Experimental: 1 - Rate-adaptation by Closed Loop Stimulation
Active comparator: 2 - Accelerometer based pacing rate adaptation
Treatment: Devices: Rate-adaptive pacemaker: accelerometer
Accelerometer based pacing rate adaptation
Treatment: Devices: Rate-adaptive pacemaker: Closed Loop Stimulation
Closed Loop Stimulation (CLS) is a unique concept in rate-adaptive pacing that uses the natural cardiovascular control loop to determine the appropriate pacing rate. Closed Loop Stimulation is the only rate-adaptive system responding to mental stress and thereby assuring optimal cerebral perfusion in everyday activity.
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Intervention code [1]
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Treatment: Devices
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Comparator / control treatment
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Control group
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Outcomes
Primary outcome [1]
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Cognitive performance assessed by the Number Connection Test
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Assessment method [1]
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Timepoint [1]
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24 months
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Secondary outcome [1]
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Quality of life assessed by the SF-08
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Assessment method [1]
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Timepoint [1]
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12 months and 24 months
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Secondary outcome [2]
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occurrence of atrial fibrillation
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Assessment method [2]
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Timepoint [2]
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12 months and 24 months
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Secondary outcome [3]
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occurrence of serious adverse events
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Assessment method [3]
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Timepoint [3]
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12 months and 24 months
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Secondary outcome [4]
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self-assessment of general well-being, mental and physical performance assessed by Visual Analogue Scales
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Assessment method [4]
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Timepoint [4]
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12 months and 24 months
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Secondary outcome [5]
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Home Monitoring data
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Assessment method [5]
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Timepoint [5]
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24 months
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Eligibility
Key inclusion criteria
* Patients with a CYLOS pacemaker (implantation within the last 3 to 6 weeks)
* Closed Loop Stimulation mode activated since pre-hospital discharge
* Patients with chronotropic incompetence according to physician's judgment
* Maximum sinus rate < 100 beats per minute (bpm) OR percentage of atrial pacing = 25%
* Patients suitable for rate-adaptive pacing for at least 2 years
* Patient informed consent
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Minimum age
55
Years
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Maximum age
No limit
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Sex
Both males and females
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Can healthy volunteers participate?
No
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Key exclusion criteria
* Age under 55
* Pregnant and breast-feeding women
* Patients who are already enrolled in another study
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Study design
Purpose of the study
Treatment
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Allocation to intervention
Randomised controlled trial
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
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Masking / blinding
Blinded (masking used)
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Who is / are masked / blinded?
The people receiving the treatment/s
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Intervention assignment
Parallel
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Other design features
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Phase
Phase 4
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Type of endpoint/s
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Statistical methods / analysis
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Recruitment
Recruitment status
Completed
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Data analysis
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Reason for early stopping/withdrawal
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Other reasons
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Date of first participant enrolment
Anticipated
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Actual
1/05/2006
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Date of last participant enrolment
Anticipated
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Actual
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Date of last data collection
Anticipated
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Actual
1/03/2011
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Sample size
Target
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Accrual to date
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Final
405
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Recruitment in Australia
Recruitment state(s)
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Recruitment hospital [1]
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Sydney Adventist Hospital - Sydney
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Recruitment postcode(s) [1]
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NSW 2076 - Sydney
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Recruitment outside Australia
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Austria
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Linz
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Austria
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Ried
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Austria
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Steyr
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Austria
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Wien
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Brazil
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Brasilia - DF
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Brazil
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Porto Alegre
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Brazil
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Sao Paulo
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Canada
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Burnaby, B.C.
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Canada
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Kelowna BC
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Canada
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Montreal
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Canada
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Surrey BC
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Canada
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Toronto, Ontario
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Czech Republic
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Brno
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Germany
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Aachen
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Bielefeld
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Bocholt
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Ebersberg
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Essen
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Heidelberg
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Herford
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Jena
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Kiel
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Leipzig
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Lübeck
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Quakenbrück
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Recklinghausen
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Würzburg
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Hong Kong
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Hong Kong
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Israel
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Holon
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Slovakia
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Bratislava
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Slovakia
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Kosice
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Spain
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Valencia
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Funding & Sponsors
Primary sponsor type
Commercial sector/industry
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Name
Biotronik SE & Co. KG
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Address
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Country
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Ethics approval
Ethics application status
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Summary
Brief summary
The purpose of this study is to compare the influence of accelerometer-based rate adaptation and Closed Loop Stimulation on cognitive performance and quality of life in pacemaker patients.
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Trial website
https://clinicaltrials.gov/study/NCT00323661
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Trial related presentations / publications
Wiegand U, Nuernberg M, Maier SK, Weiss C, Sancho-Tello MJ, Hartmann A, Schuchert A, Maier P, Chan NY. The COGNITION study rationale and design: influence of closed loop stimulation on cognitive performance in pacemaker patients. Pacing Clin Electrophysiol. 2008 Jun;31(6):709-13. doi: 10.1111/j.1540-8159.2008.01075.x.
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Public notes
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Contacts
Principal investigator
Name
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Uwe Wiegand, Prof. Dr.
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Address
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Sana-Klinikum Remscheid, 42859 Remscheid, Germany
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Contact person for scientific queries
No information has been provided regarding IPD availability
What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
No documents have been uploaded by study researchers.
Results not provided in
https://clinicaltrials.gov/study/NCT00323661
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