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Note: This record shows only the 20 elements of the WHO Trial Registration Data Set. To view changes that have been made to the source record, or for additional information about this trial, click on the URL below to go to the source record in the primary register.
Register: ClinicalTrials.gov
Last refreshed on: 17 October 2012
Main ID:  NCT00399594
Date of registration: 13/11/2006
Primary sponsor: University of Calgary
Public title: Effect of Targeting Left Ventricular Lead Position on the Rate of Response to Cardiac Resynchronization Therapy. INCREMENTAL
Scientific title: Investigating Non-response to Cardiac Resynchronization: Evaluation of Methods to Eliminate Non-response & Target Appropriate Lead Location (INCREMENTAL).
Date of first enrolment: March 2011
Target sample size: 300
Recruitment status: Active, not recruiting
URL:  http://clinicaltrials.gov/show/NCT00399594
Study type:  Interventional
Study design:  Allocation: Randomized, Endpoint Classification: Safety/Efficacy Study, Intervention Model: Parallel Assignment, Masking: Double Blind (Subject, Caregiver, Outcomes Assessor), Primary Purpose: Treatment  
Countries of recruitment
Canada
Contacts
Name:   Derek V Exner, MD, MPH
Address: 
Telephone:
Email:
Affiliation:  Libin Cardiovascular Institute of Alberta, University of Calgary
Key inclusion & exclusion criteria

Inclusion Criteria:

- LV EF = 0.40 measured within 3 months of enrollment,

- SAS class 3 or 4 symptoms indicative of moderate to severe functional capacity
limitation due to heart failure within 1 month of enrollment.

- Confirmed dyssynchrony on screening echo (1.1.9), &

- On stable doses of ACE inhibitor or angiotensin II blocker & a beta-blocker for = 2
months unless medically contra-indicated.

- Controlled heart rate if in permanent AF (resting <70 & maximal <120).

Exclusion Criteria:

- Unable or unwilling to provide informed consent,

- Medical condition other than heart failure likely to cause death < 1 year,

- Cardiac transplant planned within 6 months,

- Known contra-indication to transvenous CRT device implant (e.g., active sepsis,
artificial tricuspid valve, known vascular occlusion that will prevent delivery of
leads transvenously),

- Clinically significant myocardial infarction within last 2 months, or

- Coronary bypass graft surgery = 2 months or coronary angioplasty = 1 month



Age minimum: 18 Years
Age maximum: N/A
Gender: Both
Health Condition(s) or Problem(s) studied
Cardiac Pacing, Artificial
Defibrillators
Heart Failure, Congestive
Intervention(s)
Procedure: A
Procedure: B
Primary Outcome(s)
Change in end systolic volume plus reduction in symptoms [Time Frame: over 12 months]
Secondary Outcome(s)
Hospitalization [Time Frame: Study duration]
LV volumes. [Time Frame: Change over 12 months]
Minnesota Living with Heart Failure score. [Time Frame: Change over 12 months]
Mortality [Time Frame: Study duration]
N-terminal pro-B-type natriuretic peptide. [Time Frame: Change over 12 months]
New York Heart Association class. [Time Frame: Change over 12 months]
Short form thirty six score. [Time Frame: Change over 12 months]
Six minute walk distance. [Time Frame: Change over 12 months]
Specific Activity Scale score. [Time Frame: Change over 12 months]
Secondary ID(s)
CAH 70-3402
Source(s) of Monetary Support
Please refer to primary and secondary sponsors
Secondary Sponsor(s)
Cambridge Heart Inc.
Canadian Institutes of Health Research (CIHR)
Hoffmann-La Roche
Medtronic
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