Trial Outcomes & Findings for ADVANCE-D: Antitachycardia Pacing (ATP) Delivery for Painless Implantable Cardioverter Defibrillator (ICD) Therapy (NCT NCT00147277)

NCT ID: NCT00147277

Last Updated: 2025-07-11

Results Overview

Termination of Ventricular Tachycardia is calculated as percentage of successfully terminated episodes, adjusted for multiple events with (GEE) method. This technique yields an average therapy efficacy and 95% CI that is based on number of patients, number of episodes per patient, and magnitude of the correlation between responses within patients.

Recruitment status

COMPLETED

Study phase

PHASE4

Target enrollment

925 participants

Primary outcome timeframe

one year

Results posted on

2025-07-11

Participant Flow

Participant milestones

Participant milestones
Measure
8 Pulses Anti-Tachycardia Pacing (ATP)
8 pulses ATP delivered in the right ventricle to treat Fast Ventricular Tachycardia (FVT)
15 Pulses Anti-Tachycardia Pacing (ATP)
15 pulses ATP delivered in the right ventricle to treat Fast Ventricular Tachycardia (FVT)
Overall Study
STARTED
475
450
Overall Study
COMPLETED
475
450
Overall Study
NOT COMPLETED
0
0

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

ADVANCE-D: Antitachycardia Pacing (ATP) Delivery for Painless Implantable Cardioverter Defibrillator (ICD) Therapy

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
8 Pulses Anti-Tachycardia Pacing (ATP)
n=475 Participants
8 pulses ATP delivered in the right ventricle to treat Fast Ventricular Tachycardia (FVT)
15 Pulses Anti-Tachycardia Pacing (ATP)
n=450 Participants
15 pulses ATP delivered in the right ventricle to treat Fast Ventricular Tachycardia (FVT)
Total
n=925 Participants
Total of all reporting groups
Age, Categorical
<=18 years
0 Participants
n=99 Participants
0 Participants
n=107 Participants
0 Participants
n=206 Participants
Age, Categorical
Between 18 and 65 years
214 Participants
n=99 Participants
203 Participants
n=107 Participants
417 Participants
n=206 Participants
Age, Categorical
>=65 years
261 Participants
n=99 Participants
247 Participants
n=107 Participants
508 Participants
n=206 Participants
Age, Continuous
64 years
STANDARD_DEVIATION 10.9 • n=99 Participants
63.4 years
STANDARD_DEVIATION 12.2 • n=107 Participants
63.7 years
STANDARD_DEVIATION 11.6 • n=206 Participants
Sex: Female, Male
Female
66 Participants
n=99 Participants
48 Participants
n=107 Participants
114 Participants
n=206 Participants
Sex: Female, Male
Male
409 Participants
n=99 Participants
402 Participants
n=107 Participants
811 Participants
n=206 Participants
Region of Enrollment
Italy
180 participants
n=99 Participants
169 participants
n=107 Participants
349 participants
n=206 Participants
Region of Enrollment
Germany
109 participants
n=99 Participants
106 participants
n=107 Participants
215 participants
n=206 Participants
Region of Enrollment
France
84 participants
n=99 Participants
77 participants
n=107 Participants
161 participants
n=206 Participants
Region of Enrollment
Spain
76 participants
n=99 Participants
75 participants
n=107 Participants
151 participants
n=206 Participants
Region of Enrollment
Portugal
7 participants
n=99 Participants
8 participants
n=107 Participants
15 participants
n=206 Participants
Region of Enrollment
Belgium
8 participants
n=99 Participants
7 participants
n=107 Participants
15 participants
n=206 Participants
Region of Enrollment
Israel
9 participants
n=99 Participants
6 participants
n=107 Participants
15 participants
n=206 Participants
Region of Enrollment
United Kingdom
2 participants
n=99 Participants
2 participants
n=107 Participants
4 participants
n=206 Participants

PRIMARY outcome

Timeframe: one year

Population: 934 patients were created in the electronic data capture system, only 925 patients were enrolled in the study: 4 patients in the 8 pulses arm and 5 patients in the 15 pulses arm were created by mistake and excluded from analysis. The analysis were performed with the Intention To Treat (ITT) method.

Termination of Ventricular Tachycardia is calculated as percentage of successfully terminated episodes, adjusted for multiple events with (GEE) method. This technique yields an average therapy efficacy and 95% CI that is based on number of patients, number of episodes per patient, and magnitude of the correlation between responses within patients.

Outcome measures

Outcome measures
Measure
8 Pulses Anti-Tachycardia Pacing (ATP)
n=475 Participants
8 pulses ATP delivered in the right ventricle to treat Fast Ventricular Tachycardia (FVT)
15 Pulses Anti-Tachycardia Pacing (ATP)
n=450 Participants
15 pulses ATP delivered in the right ventricle to treat Fast Ventricular Tachycardia (FVT)
Efficacy of Anti Tachycardia Pacing (ATP) Therapy to Terminate Fast Ventricular Tachycardia (With Cycle Length of 240ms-320msec)
64.9 Percentage of FVT episodes terminated
69.7 Percentage of FVT episodes terminated

SECONDARY outcome

Timeframe: one year

Outcome measures

Outcome data not reported

SECONDARY outcome

Timeframe: one year

Outcome measures

Outcome data not reported

SECONDARY outcome

Timeframe: one year

Outcome measures

Outcome data not reported

SECONDARY outcome

Timeframe: one year

Outcome measures

Outcome data not reported

SECONDARY outcome

Timeframe: one year

Outcome measures

Outcome data not reported

Adverse Events

Serious adverse events

Adverse event data not reported

Other adverse events

Adverse event data not reported

Additional Information

Laura Manotta

Medtronic Italia S.p.A.

Phone: 003902241371

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place