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N/A N=385 Randomized Prevention

A Comparison of the Pacemaker Automatic Features in Reduction of Ventricular Pacing

Bradycardia

Enrolled (actual)
385
Serious AEs
2.3%
Results posted
Feb 2020
Primary outcome: Primary: Number of Participants With Decreased Percent of Ventricular Pacing Compared to MVP Using Search AV+ — 1; 4 Participants — p=<0.0001

Study Design & Population

Study type
Interventional
Phase
N/A
Interventions
Medtronic Adapta Dual Chamber Pacemaker (Device)
Age
Adult, Older Adult · 18+ yrs
Sex
All
Sponsor
Medtronic Cardiac Rhythm and Heart Failure
Primary completion
Apr 2014

Outcome Measures

OutcomeResultp-value
PRIMARY
Number of Participants With Decreased Percent of Ventricular Pacing Compared to MVP Using Search AV+
1; 4 <0.0001 sig
SECONDARY
Percent of Ventricular Pacing
0.40; 2.95 <0.0001 sig
SECONDARY
Percentage of Reduced Percent of Atrial Fibrillation (AF) Burden 1-month Post-Implant
1.40; 0.50 0.833
SECONDARY
Change in Percent of Ventricular Pacing
-0.10; 0.00 0.265
SECONDARY
Number of Participants With Percent Ventricular Pacing Reduced to Lower Levels (<10%VP)
132; 91 <0.0001 sig
SECONDARY
Number of Participants With Decreased Percent Ventricular Pacing Stratified by Baseline Atrioventricular Block Status (No AVB - nAVB)
1; 1 <0.0001 sig
SECONDARY
Percent of Ventricular Pacing Stratified by Baseline AV Block Status (1st Degree - 1AVB)
1.50; 21.80 0.0008 sig
SECONDARY
Percent of Ventricular Pacing Stratified by Baseline AV Block Status (2nd Degree Type I & II - 2AVB)
21.40; 80.60 0.053
SECONDARY
Percent of Ventricular Pacing Stratified by Baseline AV Block Status (3rd Degree Episodic - e3AVB)
79.20; 22.45 0.493

Summary

The COMPARE-Adapta study is a randomized, multi-center, prospective study conducted in China. The purpose of the study is to compare the ability of Search AV™+ and Managed Ventricular Pacing® (MVP®) to reduce ventricular pacing in dual chamber pacemaker-indicated patients. The COMPARE-Adapta study will also observe atrial fibrillation (AF) burden as demonstrated by Cardiac Compass® and the clinical profile Adapta® pacemaker patients.

Eligibility Criteria

Inclusion Criteria

  • Signed and dated study informed consent
  • Class I or Class IIa pacemaker indication
  • Geographically stable and available for follow-up at the center for the length of the study
  • Age greater than 18
  • To be implanted with Adapta dual chamber pacemaker

Exclusion Criteria

  • Unwillingness or inability to give written informed consent to participate in the Study
  • Patient with a previously implanted pacemaker/Implantable Cardioverter-Defibrillator (ICD)/Cardiac Resynchronization Therapy (CRT) device
  • Life expectancy of less than one year
  • Patient has a mechanical tricuspid heart valve
  • Medical conditions that preclude the testing requirement by the protocol or limit study participation
  • Patient has persistent 3rd degree atrioventricular (AV) block
  • Patient has persistent atrial fibrillation (AF)
  • Patient has neurogenic syncope
  • Patient has carotid sinus syndrome
  • Patient has hypertrophic obstructive cardiomyopathy
  • Inclusion in another clinical trial or study
View full record on ClinicalTrials.gov →

Data sourced from ClinicalTrials.gov (NCT01039467). 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.

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