ClinicalTrials.Veeva

Menu

DATAS: The Dual Chamber & Atrial Tachyarrhythmias Adverse Events Study

Medtronic logo

Medtronic

Status

Completed

Conditions

Defibrillators, Implantable
Ventricular Fibrillation
Ventricular Tachycardia

Treatments

Device: Dual Chamber implantable cardioverter defibrilator
Device: Single Chamber Implantable Cardioverter Defibrillator

Study type

Interventional

Funder types

Industry

Identifiers

NCT00157820
SP-DATAS

Details and patient eligibility

About

The Dual Chamber & Atrial Tachyarrhythmias Adverse Events Study (DATAS) was designed to analyze the ability of dual chamber ICDs, to reduce clinically significant adverse events as compared to single chamber ICD in a non selected population with conventional indication of ICD implantation.

Full description

Single chamber (SC) implantable cardioverter defibrillators (ICDs) have several limitations that might be relevant during follow up, like atrial pacing requirements, inadequate therapies, sustained atrial tachyarrhythmias and difficulties to achieve an accurate diagnosis of the arrhythmia. Dual chamber (DC) ICDs offer an attractive rationale solution, although controversy remains if the costs and complexity of the implants offer a real clinical advantage.

The DATAS is a, prospective, multicentre, randomized, open labelled study, with three arms (two of them cross-over and the third parallels the other two)

The primary objective of this trial is to determine whether use of Dual Chamber ICD (DDED-DDDR NASPE/BPEG Defibrillator/Pacemaker Codes) results in a significant decrease in the number of primary end points.

The primary end point is a composite comprising four so-denominated "Clinically Significant Adverse Events (CSAE)":

  1. all-cause mortality
  2. invasive intervention, hospitalization (>24 h) or prolongation of hospitalization due to cardiovascular cause
  3. inappropriate shocks (two or more episodes with inappropriate shocks)
  4. sustained symptomatic atrial tachyarrhythmias that (a) require urgent termination or (b) last more than 48 h leading to therapeutic intervention.

Secondary objectives are:

  1. Number of each of the components of the CSAE.
  2. Arrhythmia related: atrial tachyarrhythmia (AT), frequency and burden, ventricular tachyarrhythmia frequency and burden number of appropriate shocks, number of inappropriate shocks, need for reprogramming, need for medication/Radiofrequency Ablation (RFA) for arrhythmia control, pacemaker syndrome and development of dual chamber pacing indication.
  3. Cardiovascular related: New York Health Association (NYHA) functional class, exercise capacity, left ventricular ejection fraction (LVEF), reduction of medication (diuretics.).
  4. Quality of life: evaluated by the SF-36, Minnesota living test, with heart failure and Symptom Checklist instruments.

Enrollment

354 patients

Sex

All

Ages

18 to 100 years old

Volunteers

No Healthy Volunteers

Inclusion criteria

  • Meet the Class I implantation criteria for single chamber implantable cardioverter defibrillator according to the guidelines (ACC/AHA).

Exclusion criteria

  • Permanent atrial fibrillation
  • Patients without structural heart disease
  • Patient meets implantation criteria for dual-chamber pacing (symptomatic sinus node disease, all 2nd Atrio-Ventricular (AV) block [except asymptomatic Mobitz I] and all 3rd degree AV block ).
  • Patient with previous system implanted (ICD or pacemaker).
  • Patients with biventricular stimulation or re-synchronization.
  • Patient has a mechanical right heart valve.
  • Patient has medical conditions that would preclude the testing required by the protocol, or limit study participation.
  • Patient is unwilling or unable to cooperate or give written informed consent, or the patient is a minor and legal guardians refuse to give informed consent.
  • Patient is or will be inaccessible for follow-up at the study center.
  • Patients who are enrolled or planning to enroll in other clinical trials during the clinical study.

Trial design

Primary purpose

Prevention

Allocation

Randomized

Interventional model

Parallel Assignment

Masking

None (Open label)

354 participants in 3 patient groups

SC true
Active Comparator group
Description:
Single chamber Implantable Cardioverter Defibrillator programmed as a Single Chamber.
Treatment:
Device: Single Chamber Implantable Cardioverter Defibrillator
SC sim
Experimental group
Description:
Dual chamber ICD initially programmed as single chamber (SC simulated) ICD (''SC sim arm'')
Treatment:
Device: Dual Chamber implantable cardioverter defibrilator
DC true
Experimental group
Description:
Dual chamber ICD initially programmed as a DDED (''DC true arm'').
Treatment:
Device: Dual Chamber implantable cardioverter defibrilator

Trial contacts and locations

0

Loading...

Data sourced from clinicaltrials.gov

Clinical trials

Find clinical trialsTrials by location
© Copyright 2025 Veeva Systems