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Trial registered on ANZCTR
Registration number
ACTRN12607000479404
Ethics application status
Approved
Date submitted
3/09/2007
Date registered
21/09/2007
Date last updated
29/06/2012
Type of registration
Retrospectively registered
Titles & IDs
Public title
The protection of left ventricular function during right ventricular pacing.
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Scientific title
PROTECT-PACE study: To assess the protection of left ventricular function during right ventricular pacing in patients diagnosed with complete heart block.
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Universal Trial Number (UTN)
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Trial acronym
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Patients diagnosed with high-grade A-V block requiring more than 90% ventricular pacing.
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Condition category
Condition code
Cardiovascular
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Other cardiovascular diseases
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
Implant of pacemaker and lead system. Results after a follow-up period of 24 months will be compared between right ventricular apex (RVA) vs right ventricular high septum (RVHS) lead placement. At the end of the study the treatment continues.
Right ventricular apex: Area at the base of the right ventricle in the heart.
Right ventricular high septum: Area near the top of the right ventricle closer to the middle of the heart.
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Intervention code [1]
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Treatment: Devices
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Comparator / control treatment
Right ventricular apex lead placement. At the end of the study the treatment continues.
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Control group
Active
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Outcomes
Primary outcome [1]
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To evaluate if RVHS pacing results in significantly improved left ventricular function (as measured by left ventricular ejection fraction) when compared to RVA pacing.
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Assessment method [1]
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Timepoint [1]
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Measured after 24 months of pacing.
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Secondary outcome [1]
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To evaluate if RVA pacing causes greater degree of left ventricular mechanical dyssynchrony compard to RVHS pacing.
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Assessment method [1]
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Timepoint [1]
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At end of 24 month period.
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Eligibility
Key inclusion criteria
Patients diagnosed with high-grade A-V block scheduled to undergo pacemaker implantation.
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Minimum age
18
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
Patient with intermittent AV block or scheduled for Implantable Cardioverter Defibrillator or Cardiac Resynchronization Therapy.
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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)
Central randomisation by sealed envelopes
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
Permutated block randomisation
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Masking / blinding
Blinded (masking used)
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Who is / are masked / blinded?
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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
Efficacy
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Statistical methods / analysis
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Recruitment
Recruitment status
Recruiting
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Date of first participant enrolment
Anticipated
1/08/2007
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Actual
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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
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Sample size
Target
238
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Accrual to date
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Final
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Recruitment in Australia
Recruitment state(s)
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Recruitment outside Australia
Country [1]
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United Kingdom
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State/province [1]
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Country [2]
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New Zealand
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State/province [2]
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Funding & Sponsors
Funding source category [1]
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Commercial sector/Industry
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Name [1]
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Medtronic Inc
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Address [1]
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4000 Lexington Avenue,
Shoreview, MN, 55126-2983
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Country [1]
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United States of America
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Primary sponsor type
Commercial sector/Industry
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Name
Medtronic Australasia
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Address
677 High St,
Kew East, Vic, 3102
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Country
Australia
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Secondary sponsor category [1]
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Commercial sector/Industry
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Name [1]
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Medtronic UK Ltd.
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Address [1]
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Sherbourne House
Croxley Business Centre,
Watford, WD18 8WW, UK
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Country [1]
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United Kingdom
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Ethics approval
Ethics application status
Approved
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Summary
Brief summary
For many years the standard approach to lead placement has been the right ventricular apex (RVA). However, early evidence suggests that right ventricular high septum (RVHS) pacing may be more beneficial compared to RVA pacing. Patients with complete heart block requiring more than 90% ventricular pacing will be randomised into two groups; RVA vs RVHS pacing. The two pacing modalities will be compared to assess left ventricular function as measured by the left ventricular ejection fraction.
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Trial website
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Trial related presentations / publications
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Public notes
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Contacts
Principal investigator
Name
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Address
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Country
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Phone
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Fax
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Email
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Contact person for public queries
Name
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Dr. Cara Weisbrod
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Address
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Medtronic Australasia
Suite 6, 667 High St, Kew East, Vic, 3102
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Country
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Australia
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Phone
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+61 3 8851 1016
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Fax
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Email
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[email protected]
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Contact person for scientific queries
Name
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Dr. Cara Weisbrod
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Address
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Medtronic Australasia
Suite 6, 667 High St, Kew East, Vic, 3102
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Country
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Australia
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Phone
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+61 3 8851 1016
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Fax
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Email
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[email protected]
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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
Documents added manually
No documents have been uploaded by study researchers.
Documents added automatically
No additional documents have been identified.
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