Clinical trials

BIOTRONIK’s excellent quality devices and therapy solutions are clinically proven by robustly designed and managed clinical trials - from one of the most impressive programs in the CRM industry with more than 50 studies currently ongoing. Our comprehensive portfolio of major clinical trials supports our quality solutions and is aimed at making a real difference in advancing effective, efficient, comprehensive healthcare delivery. Our landmark trials address important unanswered clinical questions and have the potential to impact therapy guidelines.

Investing in meaningful clinical research of clear significance and rigorously running clinical trials to achieve unequivocal endpoint conclusions, BIOTRONIK demonstrates commitment and leadership in clinical excellence.
 

BIOTRONIK Landmark CRM Clinical Trial Programs
 

The COMPAS trial is the first and only large-scale pacemaker patient study to demonstrate that daily automatic remote monitoring with BIOTRONIK Home Monitoring® is safe and effective in the long-term and significantly reduces hospitalizations for atrial arrhythmias and related stroke.

The results support safe and efficient long-term pacemaker follow-up with exception-based care, based on reliable early detection enabling earlier intervention, and can change the way physicians care for their pacemaker patients.

 

 

No. of patients
No. of centers
Status

Results published in:
European Heart Journal
538
43
completed


November 2011

 

Publications:
Mabo P, Victor F, Bazin P, Ahres S, Babuty D, Da Costa A, Binet D, Daubert JC.. A Randomized Trial of Long-Term Remote Monitoring of Pacemaker Recipients (The COMPAS Trial). European Heart Journal 2011; doi: 10.1093/eurheartj/ehr419European Heart Journal 2011; doi: 10.1093/eurheartj/ehr419
 

 

This study is a multi-center, prospective and randomized trial. The primary objective of this study is to demonstrate that the use of the BIOTRONIK Home Monitoring system (HM) can safely reduce the number of regularly scheduled office follow-up visits, compared to the conventional method of implantable cardioverter defibrillator (ICD) follow-up.  

 

No. of patients
No. of centers
Status
Results published in
Circulation1:
Circulation Arrhythmia & EP2:
1,450
102
closed

Jul.2010

Aug. 2010

 

Publications:
Varma N, Epstein AE, Irimpen A, Schweikert R, Love C. Efficacy and Safety of Automatic Remote Monitoring for Implantable Cardioverter-Defibrillator Follow-Up: The TRUST Trial. Circulation 2010;122:325-332

Varma N, Michalski J, Epstein AE, Schweikert R. Automatic Remote Monitoring of Implantable Cardioverter-Defibrillator Lead and Generator Performance: The TRUST Trial. Circulation Arrhythm Electrophysiol 2010;3;428-436

 

 

The IMPACT Study will investigate the clinical benefit of the combined use of BIOTRONIK Home Monitoring (HM) technology and a predefined anticoagulation plan compared to conventional device evaluation and physician-directed anticoagulation in patients with implanted dual-chamber defibrillators or cardiac resynchronization therapy devices.  

 

No. of patients
No. of centers
Status

Design paper published in:
American Heart Journal
2,718
100
ongoing


Sep. 2009

 

Publications:
Ip J, Waldo A, Lip G, Rothwell P, Martin D, Bersohn M, Choucair W, Akar J, Wathen M, Rohani P, Halperin J. Multicenter randomized study of anticoagulation guided by remote rhythm monitoring in patients with implantable cardioverter-defibrillator and CRT-D devices: Rationale, design, and clinical characteristics of the initially enrolled cohort: The IMPACT study. Am Heart J 2009;158:364-370.e1
 

 

Atrial fibrillation (AF) is the most common arrhythmia encountered in clinical practice. The incidence and prevalence of AF increase exponentially with increasing age and AF is associated with higher mortality, more frequent hospitalization, and lower quality of life. Furthermore, AF is often associated with heart failure. The majority of AF is initiated by ectopic foci found primarily in the pulmonary veins. It was shown that catheter ablation of those veins could eliminate episodes of AF. In patients with heart failure, catheter ablation could improve cardiac function, symptoms and quality of life. It remains still unknown whether AF ablation is more effective than conventional treatment in terms of mortality and morbidity.  

 

No. of patients
No. of centers
Status

Design published in:
PACE
420
50
ongoing


August 2009

 

Publications:
Marrouche N, Brachmann J. Catheter Ablation versus Standard Conventional Treatment in Patients with Left Ventricular Dysfunction and Atrial Fibrillation (CASTLE-AF) - Study Design. PACE 2009; 32(8): 987–994.
 

 

The objective of this study is to prospectively estimate the all-cause complication rates at 6-months for patients undergoing generator replacement due to elective replacement indicator (ERI), advisory, or upgrade without a planned system modification or with a planned system modification. Secondarily, this study aims to compare the influence of baseline variables contributing to the all-cause complication rates for subjects undergoing generator replacement.  

 

No. of patients
No. of centers
Status

Results published in:
Circulation
1,750
71
completed


Oct. 2010

 

Publications: 
Poole J, Gleva M, Mela T, Chung M, Uslan D, Borge R, Gottipaty V, Shinn T, Dan D, Feldman L, Seide H, Winston S, Gallagher J, Langberg J, Mitchell K, Holcomb R. Complication Rates Associated With Pacemaker or Implantable Cardioverter-Defibrillator Generator Replacements and Upgrade Procedures. Results from the REPLACE registry. Circulation 2010;122:1553-1561.
 

 

1 Varma N et al. Circulation 2010;122:325-332
2 Varma N et al. Cicrulation Arrhythmia and Electrophysiology 2010;3:428-436

 

 

 

 

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