UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000038661
Receipt number R000044035
Scientific Title MORE-CRT MPP"MOre REsponse on Cardiac Resynchronization Therapy (CRT) with MultiPoint Pacing (MPP)"
Date of disclosure of the study information 2019/12/13
Last modified on 2022/05/25 16:46:16

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Basic information

Public title

MORE-CRT MPP"MOre REsponse on Cardiac Resynchronization Therapy (CRT) with MultiPoint Pacing (MPP)"

Acronym

MORE-CRT MPP

Scientific Title

MORE-CRT MPP"MOre REsponse on Cardiac Resynchronization Therapy (CRT) with MultiPoint Pacing (MPP)"

Scientific Title:Acronym

MORE-CRT MPP

Region

Japan Asia(except Japan) North America
Australia Europe


Condition

Condition

Heart Failure

Classification by specialty

Cardiology

Classification by malignancy

Others

Genomic information

NO


Objectives

Narrative objectives1

The purpose of this Clinical investigation is to assess the impact of the Multi Point Pacing (MPP) feature at 12 months in the treatment of patients not responding to standard Cardiac Resynchronization Therapy (CRT) after 6 months.

Basic objectives2

Safety,Efficacy

Basic objectives -Others


Trial characteristics_1

Confirmatory

Trial characteristics_2

Pragmatic

Developmental phase

Not applicable


Assessment

Primary outcomes

The primary endpoint of this study is evaluated at 12 months after enrollment and it is defined as the percentage of non-responder patients converted to responders after 6 months of MPP feature turned ON compared to baseline, as measured by Left Ventricular End Systolic Volume (LVESV) reduction of at least 15%.

Key secondary outcomes

The secondary endpoints of this study are evaluated at 12 months after enrollment and are defined as

- Reduction of LVESV between baseline and 6 Months visit
- Packer s Clinical Composite Score evaluation between baseline and 12 Months visit and between 6 Months and 12 Months visits
- Reverse LV remodeling, measured as changes in LVESV, LVEDD and LVEF
- NYHA Class changes
- 6 minutes walking test changes
- Quality of Life (MLWHF and EQ-5D) changes


Base

Study type

Interventional


Study design

Basic design

Parallel

Randomization

Randomized

Randomization unit

Individual

Blinding

Open -no one is blinded

Control

Dose comparison

Stratification

NO

Dynamic allocation

NO

Institution consideration

Institution is considered as a block.

Blocking

NO

Concealment

Central registration


Intervention

No. of arms

2

Purpose of intervention

Treatment

Type of intervention

Device,equipment

Interventions/Control_1

"MPP ON Group"
Subjects with an LVESV reduction of less than 15% will be classified as NON RESPONDERS. The Randomization procedure assigns subjects to the Treatment Group (MPP ON) or Control Group (MPP OFF) in a 1:1 ratio.These subjects should be randomized and the device programmed to either MPP OFF or MPP ON per the randomization assignment.

Interventions/Control_2

"MPP OFF Group"
Subjects with an LVESV reduction of less than 15% will be classified as NON RESPONDERS. The Randomization procedure assigns subjects to the Treatment Group (MPP ON) or Control Group (MPP OFF) in a 1:1 ratio.These subjects should be randomized and the device programmed to either MPP OFF or MPP ON per the randomization assignment.

Interventions/Control_3


Interventions/Control_4


Interventions/Control_5


Interventions/Control_6


Interventions/Control_7


Interventions/Control_8


Interventions/Control_9


Interventions/Control_10



Eligibility

Age-lower limit

18 years-old <=

Age-upper limit


Not applicable

Gender

Male and Female

Key inclusion criteria

Eligible patients will meet ALL the following criteria:

- Meets the current ESC or ACCF/AHA/HRS Class I or Class IIa indications for CRT implant and the patients who are planned to be implanted study devices (including upgrades from single or dual chamber ICDs)
- Must be willing and able to comply with study requirements
- Must indicate their understanding of the study and willingness to participate by signing an appropriate informed consent form

Key exclusion criteria

Patients will be excluded if they meet ANY of the following criteria

- Already had a CRT device implanted
- Myocardial Infarction, unstable angina within 40 days prior the enrollment
- Recent cardiac revascularization (PTCA, Stent or CABG) in the 4 weeks prior to enrollment or planned for the 3 months following
- Cerebrovascular Accident (CVA) or Transient Ischemic Attack (TIA) in the 3 months prior the enrollment
- Primary valvular disease requiring surgical correction
- Atrial Fibrillation:
~ Persistent AF at the time of enrollment
~ Permanent AF not treated with AV node ablation within 2 weeks from the CRT implant
~ History or incidence of Paroxysmal or Persistent AF within 30 days prior the enrollment
- Unable to comply with the follow up schedule
- Less than 18 years of age
- Pregnant or are planning to become pregnant during the duration of the investigation
- Classification of Status 1 for cardiac transplantation or consideration for transplantation over the next 12 months
- Undergone a cardiac transplantation
- Life expectancy < 12 months
- Currently participating in any other clinical investigation

Target sample size

6898


Research contact person

Name of lead principal investigator

1st name Heidi
Middle name
Last name Hindrichs

Organization

Abbott

Division name

Global Clinical and Regulatory Affairs

Zip code

91342

Address

15900 Valley View Court, Sylmar, CA91342, USA

TEL

+1-818-493-3297

Email

heidi.hinrichs@abbott.com


Public contact

Name of contact person

1st name Nikesha
Middle name N
Last name Harrington

Organization

Abbott

Division name

Clinical Affairs

Zip code

75024

Address

6901 Preston Rd., Plano, TX 75024, USA

TEL

+1-972-526-4813

Homepage URL


Email

nikesha.harrington@abbott.com


Sponsor or person

Institute

Abbott

Institute

Department

Personal name



Funding Source

Organization

Abbott

Organization

Division

Category of Funding Organization

Outside Japan

Nationality of Funding Organization

USA


Other related organizations

Co-sponsor


Name of secondary funder(s)



IRB Contact (For public release)

Organization

Non-Profit Organization MINS Institutional Review Board

Address

Mita 5-20-9-401, Minato-ku, Tokyo

Tel

03-6416-1868

Email

http://www.npo-mins.com/


Secondary IDs

Secondary IDs

YES

Study ID_1

ClinicalTrials.gov

Org. issuing International ID_1

NCT02006069

Study ID_2

jRCT

Org. issuing International ID_2

jRCT1032190138

IND to MHLW



Institutions

Institutions

信州大学(長野県)、福岡徳州会病院(福岡県)、聖マリアンナ医科大学(神奈川県)、国立循環器病研究センター(大阪府)


Other administrative information

Date of disclosure of the study information

2019 Year 12 Month 13 Day


Related information

URL releasing protocol

https://clinicaltrials.gov/ct2/show/NCT02006069

Publication of results

Partially published


Result

URL related to results and publications


Number of participants that the trial has enrolled


Results


Results date posted


Results Delayed


Results Delay Reason


Date of the first journal publication of results


Baseline Characteristics


Participant flow


Adverse events


Outcome measures


Plan to share IPD


IPD sharing Plan description



Progress

Recruitment status

Terminated

Date of protocol fixation

2018 Year 04 Month 09 Day

Date of IRB

2019 Year 07 Month 18 Day

Anticipated trial start date

2019 Year 12 Month 20 Day

Last follow-up date

2021 Year 05 Month 30 Day

Date of closure to data entry


Date trial data considered complete


Date analysis concluded



Other

Other related information



Management information

Registered date

2019 Year 11 Month 22 Day

Last modified on

2022 Year 05 Month 25 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000044035


Research Plan
Registered date File name

Research case data specifications
Registered date File name

Research case data
Registered date File name