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Trial registered on ANZCTR
Registration number
ACTRN12608000593336
Ethics application status
Approved
Date submitted
22/10/2008
Date registered
21/11/2008
Date last updated
21/11/2008
Type of registration
Retrospectively registered
Titles & IDs
Public title
Pacing Alternate Sites using SelectSecure (PASSES Study): To assess the ease of implant in targeting alternate pacing sites with a catheter delivered lead compared with the stylet lead.
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Scientific title
The PASSES Study: Assessing the implant success rates and the clinical and economic benefits for implanting dual chamber pacemaker and leads at alternate pacing locations with the SelectSecure lead.
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Universal Trial Number (UTN)
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Trial acronym
The PASSES Study
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Dual Chamber pacemakers
3857
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Condition category
Condition code
Cardiovascular
4052
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0
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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
Implantation of a dual chamber pacemaker and leads (catheter delivered or stylet) at alternate pacing site (Right Ventricular Outflow Tract (RVOT) and Right Atrial septum). This is a permanent pacemaker implant involving a one-off surgical procedure.
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Intervention code [1]
3582
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Treatment: Devices
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Comparator / control treatment
Implanation of a dual chamber pacemaker and stylet leads at traditional pacing location (Atrial appendage and Right Ventricular (RV) Apex)
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Control group
Active
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Outcomes
Primary outcome [1]
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Implant success rate measured with Fluoroscopy images, 12 lead paced Echocardiogram (ECG) and Physician assessment for position verification.
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Assessment method [1]
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Timepoint [1]
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Implant, Pre-hospital discharge, 3 months
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Secondary outcome [1]
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Health Care Utilisation collected from medical records and a Patient Diary.
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Assessment method [1]
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Timepoint [1]
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Pre-hospital Discharge (PHD), 3 months, 6 months, 6 monthly for up to 10 years
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Secondary outcome [2]
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Patient Symptoms (questions asked to patients by Physician at follow-up visits), and Adverse events. Eg. Implant complications, lead performance outside expectation such as dislodgement, loss of capture, threshols and sendsing concerns. These will be collected at follow up visits by testing the electrical performance of the leads and reviewing the device diagnostics.
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Assessment method [2]
8347
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Timepoint [2]
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PHD, 3 months, 6 months, 6 monthly for up to 10 years
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Secondary outcome [3]
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Atrial Fibrillation and Heart failure burden measured by Physician assessment of Heart Failure (New York Heart Association Classification) and Pacemaker diagnostics for Atrial Fibrillation burden .
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Assessment method [3]
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Timepoint [3]
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PHD, 3 months, 6 months, 6 monthly for up to 10 years
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Eligibility
Key inclusion criteria
Patient has standard indications for first implantation of a dual chamber Brady Pacemaker
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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
Previous pacemaker implant and
patients with mechanical right heart valves
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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)
Sealed opaque envelopes
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
Computerised sequence generation stratified per investigator
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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
Safety/efficacy
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Statistical methods / analysis
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Recruitment
Recruitment status
Active, not recruiting
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Date of first participant enrolment
Anticipated
3/09/2004
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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
200
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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 postcode(s) [1]
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3550
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Recruitment postcode(s) [2]
1205
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3121
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Recruitment postcode(s) [3]
1206
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6009
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Recruitment postcode(s) [4]
1207
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2310
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Recruitment postcode(s) [5]
1208
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5000
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Recruitment postcode(s) [6]
1209
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4000
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Recruitment postcode(s) [7]
1210
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2076
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Recruitment postcode(s) [8]
1211
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3084
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Recruitment outside Australia
Country [1]
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New Zealand
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State/province [1]
1288
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Wellington
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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 Australasia Pty Ltd
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Address [1]
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97 Waterloo Road
North Ryde, NSW 2113
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Country [1]
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Australia
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Primary sponsor type
Commercial sector/Industry
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Name
Medtronic Australasia Pty Ltd
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Address
97 Waterloo Road
North Ryde, NSW 2113
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Country
Australia
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Secondary sponsor category [1]
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None
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Name [1]
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Address [1]
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Country [1]
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
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Uniting Health Care Human Research Ethics Committee
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Ethics committee address [1]
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The Wesley Hospital, PO Box 499, Auchenflower, Qld, 4066
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Ethics committee country [1]
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Australia
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Date submitted for ethics approval [1]
6118
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Approval date [1]
6118
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18/05/2005
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Ethics approval number [1]
6118
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Ethics committee name [2]
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Wakefield Hospital HREC
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Ethics committee address [2]
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300 Wakefield Street, Adelaide SA 5000
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Ethics committee country [2]
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Australia
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Date submitted for ethics approval [2]
6119
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Approval date [2]
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05/08/2004
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Ethics approval number [2]
6119
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Summary
Brief summary
Medical evidence suggests that the right ventricular (RV) apex and right atrial (RA) appendage may be suboptimal lead locations for providing chronically effective pacing therapy. Over recent years alternate pacing sites, or ‘selective sites’, have been proposed and evaluated. These are sites other than the traditional Atrial Appendage and RV Apex pacing. Such sites are suggested to reduce ventricular dysfunction, atrial arrhythmias, and influence morbidity resulting from asynchronous Left Ventricular (LV) activation associated with traditional RV apex pacing. The Medtronic SelectSecure Deflectable Catheter Delivered Lead System was developed to assist physicians implanting a pacing lead in an RV or RA selective site such as the RVOT or the ventricular septum, the Bachman bundle area or the atrial septum. PASSES is a prospective, randomised, multicenter clinical trial to assess the ease of implant in targeting alternate pacing sites with a catheter delivered lead compared with the stylet lead. The chronic aspect of the study will enable analysis of the long-term lead performance and will provide a first estimation of economic benefits for pacing with a new therapy and tool. This study compares the novel approach of new therapy of pacing selective sites with new tools to the traditional pacing therapy and tools. During the follow-up period information will be collected on lead performance (electrical and clinical data), adverse events, health care utilization, and progression of HF and AF. This is expected to provide information on the long-term lead performance, and the clinical and economic benefits for implanting alternate sites with the SelectSecure lead.
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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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Arianne Lee
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Address
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97 Waterloo Road, North Ryde NSW 2113
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Country
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Australia
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Phone
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+61 2 9857 9086
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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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Arianne Lee
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Address
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97 Waterloo Road, North Ryde NSW 2113
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Country
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Australia
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Phone
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+61 2 9857 9086
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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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