N/A
Completed N=1,647
FREEDOM - A Frequent Optimization Study Using the QuickOpt Method
Source: ClinicalTrials.gov NCT00418314 ↗Enrolled (actual)
1,647
Serious AEs
14.1%
Results posted
Feb 2016
Primary outcomePrimary: Heart Failure Clinical Composite Score — 551; 559; 76; 86 participants
Summary
The objective of this study is to demonstrate that frequent atrio-ventricular (AV/PV) and inter-ventricular (V-V) delay optimization using QuickOpt in patients with cardiac resynchronization therapy device results in improved clinical response over standard of care (i.e. empiric programming or one-time optimization using any non-intracardiac electrogram optimization methods).
Outcome Measures
| Outcome | Result | p-value |
|---|---|---|
| PRIMARY Heart Failure Clinical Composite Score |
551; 559; 76; 86; 189; 183 | — |
| SECONDARY All-cause, Cardiovascular and Heart Failure Mortality; |
44; 42 | — |
| SECONDARY All Cause, Cardiovascular and Heart Failure Hospitalization |
294; 303 | — |
Eligibility Criteria
Inclusion Criteria
- Patient meets current CRT-D indications and be implanted with a St. Jude Medical (SJM) CRT¬D device with VV timing and a compatible lead system.
- Patient has the ability to complete a 6-minute hall walk with the only limiting factor to be fatigue or shortness of breath.
- Patient has the ability to independently comprehend and complete a QOL questionnaire.
Exclusion Criteria
- Patient has an epicardial ventricular lead system.
- Patient has the ability to walk ≥ 450 meters in 6 minutes
- Patient has limited intrinsic atrial activity (≤ 40 bpm).
- Patient has persistent or permanent atrial fibrillation (AF).
- Patient has a 2° or 3° heart block.
- Patient's life expectancy is less than 1 year.
- Patient is pregnant.
- Patient is on IV inotropic agents.
Data sourced from ClinicalTrials.gov (NCT00418314). Outcome figures and adverse-event rates are extracted automatically from the registry's posted results and are provided for clinician reference, not as a substitute for the primary publication. Informational only — not medical advice.