Trial Outcomes & Findings for Brady MX a Quality Improvement Study (NCT NCT02976181)

NCT ID: NCT02976181

Last Updated: 2019-09-19

Results Overview

Because the study intervention was not conducted, it is not possible to compare the proportion of subjects with an SND diagnosis pre-intervention (Phase I) to the proportion post-intervention (Phase II). Instead, the proportion of subjects with an SND diagnosis in Phase I are reported

Recruitment status

COMPLETED

Target enrollment

113 participants

Primary outcome timeframe

6 and 12 months

Results posted on

2019-09-19

Participant Flow

Participant milestones

Participant milestones
Measure
Single Arm/Group Observational Registry
Bradycardia patients with both signs and symptoms of bradycardia, prior to diagnosis of SND and IPG therapy
Overall Study
STARTED
113
Overall Study
COMPLETED
112
Overall Study
NOT COMPLETED
1

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Brady MX a Quality Improvement Study

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Single Arm/Group Observational Registry
n=112 Participants
Bradycardia patients with both signs and symptoms of bradycardia, prior to diagnosis of SND and IPG therapy
Age, Continuous
Mean St. Dev.
63.6 years
STANDARD_DEVIATION 17.1 • n=99 Participants
Sex: Female, Male
Female
51 Participants
n=99 Participants
Sex: Female, Male
Male
61 Participants
n=99 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=99 Participants
Race (NIH/OMB)
Asian
0 Participants
n=99 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=99 Participants
Race (NIH/OMB)
Black or African American
0 Participants
n=99 Participants
Race (NIH/OMB)
White
0 Participants
n=99 Participants
Race (NIH/OMB)
More than one race
0 Participants
n=99 Participants
Race (NIH/OMB)
Unknown or Not Reported
112 Participants
n=99 Participants
Region of Enrollment
Mexico
112 Participants
n=99 Participants
Body Mass Index (BMI)
27.6 kg/m2
STANDARD_DEVIATION 4.9 • n=99 Participants
Blood Pressure
Systolic Blood Pressure
125.8 mmHg
STANDARD_DEVIATION 20.7 • n=99 Participants
Blood Pressure
Diastolic Blood Pressure
74.9 mmHg
STANDARD_DEVIATION 10.5 • n=99 Participants
Height
161.6 cm
STANDARD_DEVIATION 9.1 • n=99 Participants
Weight
72.0 kg
STANDARD_DEVIATION 13.8 • n=99 Participants
Symptoms
None
6 Participants
n=99 Participants
Symptoms
Chest pain
17 Participants
n=99 Participants
Symptoms
Dizziness / lightheadedness / presyncope
63 Participants
n=99 Participants
Symptoms
Dyspnea / shortness of breath
30 Participants
n=99 Participants
Symptoms
Edema
4 Participants
n=99 Participants
Symptoms
Exercise intolerance
30 Participants
n=99 Participants
Symptoms
Fatigue / weakness / lethargy
35 Participants
n=99 Participants
Symptoms
Malaise
11 Participants
n=99 Participants
Symptoms
Palpitations
24 Participants
n=99 Participants
Symptoms
Syncope
25 Participants
n=99 Participants
Cardiac and Vascular History
None
40 Participants
n=99 Participants
Cardiac and Vascular History
Brugada syndrome
0 Participants
n=99 Participants
Cardiac and Vascular History
Cardiac arrest
0 Participants
n=99 Participants
Cardiac and Vascular History
Cardiomyopathy
1 Participants
n=99 Participants
Cardiac and Vascular History
Congenital heart disease
0 Participants
n=99 Participants
Cardiac and Vascular History
Congestive heart failure
2 Participants
n=99 Participants
Cardiac and Vascular History
Coronary artery disease
8 Participants
n=99 Participants
Cardiac and Vascular History
Familial or inherited conditions with high risk fo
0 Participants
n=99 Participants
Cardiac and Vascular History
Hypertension
55 Participants
n=99 Participants
Cardiac and Vascular History
Hypotension
1 Participants
n=99 Participants
Cardiac and Vascular History
Left ventricular hypertrophy
0 Participants
n=99 Participants
Cardiac and Vascular History
Long Q/T Syndrome
0 Participants
n=99 Participants
Cardiac and Vascular History
Myocardial infarction
6 Participants
n=99 Participants
Cardiac and Vascular History
Primary / idiopathic electrical disease
1 Participants
n=99 Participants
Cardiac and Vascular History
Pulmonary hypertension (PH)
0 Participants
n=99 Participants
Cardiac and Vascular History
Valve dysfunction
1 Participants
n=99 Participants
Cardiac and Vascular History
Other cardiovascular history
1 Participants
n=99 Participants
Cardiac and Vascular History
Subject does not have heart failure
29 Participants
n=99 Participants
Cardiac and Vascular History
NYHA Class I
53 Participants
n=99 Participants
Cardiac and Vascular History
NYHA Class II
12 Participants
n=99 Participants
Cardiac and Vascular History
NYHA Class III
1 Participants
n=99 Participants
Cardiac and Vascular History
NYHA Class IV
0 Participants
n=99 Participants
Cardiac and Vascular History
No Cardiovascular Surgical History
109 Participants
n=99 Participants
Cardiac and Vascular History
Ablation
0 Participants
n=99 Participants
Cardiac and Vascular History
Carotid endarterectomy
0 Participants
n=99 Participants
Cardiac and Vascular History
Carotid stent
0 Participants
n=99 Participants
Cardiac and Vascular History
Coronary artery bypass graft (CABG)
2 Participants
n=99 Participants
Cardiac and Vascular History
Coronary artery intervention
1 Participants
n=99 Participants
Cardiac and Vascular History
Renal stent
0 Participants
n=99 Participants
Cardiac and Vascular History
Surgical MAZE
0 Participants
n=99 Participants
Cardiac and Vascular History
Valve repair
0 Participants
n=99 Participants
Cardiac and Vascular History
Valve replacement
0 Participants
n=99 Participants
Cardiac and Vascular History
No Atrial Arrythmias
88 Participants
n=99 Participants
Cardiac and Vascular History
Atrial asystole
0 Participants
n=99 Participants
Cardiac and Vascular History
AV nodal re-entrant tachycardia
0 Participants
n=99 Participants
Cardiac and Vascular History
Premature atrial complexes
2 Participants
n=99 Participants
Cardiac and Vascular History
Premature atrial complexes, non-conducted
0 Participants
n=99 Participants
Cardiac and Vascular History
SA nodal re-entry
0 Participants
n=99 Participants
Cardiac and Vascular History
Sinus node dysfunction
20 Participants
n=99 Participants
Cardiac and Vascular History
Atrial fibrillation, paroxysmal
5 Participants
n=99 Participants
Cardiac and Vascular History
Atrial fibrillation, persistant
0 Participants
n=99 Participants
Cardiac and Vascular History
Atrial fibrillation, permanent
0 Participants
n=99 Participants
Cardiac and Vascular History
Atrial flutter
0 Participants
n=99 Participants
Cardiac and Vascular History
Atrial tachycardia
0 Participants
n=99 Participants
Cardiac and Vascular History
Wandering atrial pacemaker
0 Participants
n=99 Participants
Cardiac and Vascular History
No Ventricular Arrhythmias
107 Participants
n=99 Participants
Cardiac and Vascular History
Idioventricular (ventricular escape)
0 Participants
n=99 Participants
Cardiac and Vascular History
Premature ventricular complexes (extrasystole)
4 Participants
n=99 Participants
Cardiac and Vascular History
Torsades de pointes
0 Participants
n=99 Participants
Cardiac and Vascular History
Ventricular asystole
0 Participants
n=99 Participants
Cardiac and Vascular History
Ventricular fibrillation
0 Participants
n=99 Participants
Cardiac and Vascular History
Ventricular flutter
0 Participants
n=99 Participants
Cardiac and Vascular History
Ventricular tachycardia
1 Participants
n=99 Participants
Cardiac and Vascular History
No AV Junctional Arrhythmias and Blocks
104 Participants
n=99 Participants
Cardiac and Vascular History
1st degree AV block
3 Participants
n=99 Participants
Cardiac and Vascular History
2nd degree AV block, type 1 (Wenckebach)
0 Participants
n=99 Participants
Cardiac and Vascular History
Other AV junctional arrhythmias and blocks
4 Participants
n=99 Participants
Cardiac and Vascular History
No Vascular History
104 Participants
n=99 Participants
Cardiac and Vascular History
Carotid artery disease
0 Participants
n=99 Participants
Cardiac and Vascular History
Cerebrovascular accident (stroke)
3 Participants
n=99 Participants
Cardiac and Vascular History
Deep vein thrombosis
0 Participants
n=99 Participants
Cardiac and Vascular History
Transient ischemic attack
0 Participants
n=99 Participants
Cardiac and Vascular History
Peripheral edema
1 Participants
n=99 Participants
Cardiac and Vascular History
Peripheral vascular disease
1 Participants
n=99 Participants
Cardiac and Vascular History
Poor peripheral perfusion
0 Participants
n=99 Participants
Cardiac and Vascular History
Pulmonary edema
1 Participants
n=99 Participants
Cardiac and Vascular History
Pulmonary embolism
0 Participants
n=99 Participants
Cardiac and Vascular History
Raynaud's phenomenon
0 Participants
n=99 Participants
Cardiac and Vascular History
Vascular aneurysm
1 Participants
n=99 Participants
Endocrine History
None
84 Participants
n=99 Participants
Endocrine History
Diabetes mellitus
15 Participants
n=99 Participants
Endocrine History
Hormone replacement therapy
0 Participants
n=99 Participants
Endocrine History
Hyperlipidemia
4 Participants
n=99 Participants
Endocrine History
Hyperthyroidism
2 Participants
n=99 Participants
Endocrine History
Hypothyroidism
6 Participants
n=99 Participants
Endocrine History
Renal dysfunction, requiring dialysis
1 Participants
n=99 Participants
Endocrine History
Renal dysfunction, not requiring dialysis
6 Participants
n=99 Participants
Endocrine History
Renal dysfunction, unknown dialysis
0 Participants
n=99 Participants
Respiratory / Pulmonary History
None
105 Participants
n=99 Participants
Respiratory / Pulmonary History
Asthma
1 Participants
n=99 Participants
Respiratory / Pulmonary History
Chronic obstructive pulmonary disease (COPD)
3 Participants
n=99 Participants
Respiratory / Pulmonary History
Emphysema
0 Participants
n=99 Participants
Respiratory / Pulmonary History
Hemoptysis
0 Participants
n=99 Participants
Respiratory / Pulmonary History
Lung cancer
0 Participants
n=99 Participants
Respiratory / Pulmonary History
Persistent cough
1 Participants
n=99 Participants
Respiratory / Pulmonary History
Pleural effusion
0 Participants
n=99 Participants
Respiratory / Pulmonary History
Pneumonia
1 Participants
n=99 Participants
Respiratory / Pulmonary History
Pulmonary fibrosis
0 Participants
n=99 Participants
Respiratory / Pulmonary History
Respiratory failure
0 Participants
n=99 Participants
Respiratory / Pulmonary History
Sleep apnea
1 Participants
n=99 Participants
Respiratory / Pulmonary History
Tuberculosis
0 Participants
n=99 Participants
Smoking Status
Subject never smoked (habitually)
60 Participants
n=99 Participants
Smoking Status
Subject currently smokes (habitually)
13 Participants
n=99 Participants
Smoking Status
Subject has previously smoked (habitually) but doe
38 Participants
n=99 Participants
Smoking Status
Unknown
1 Participants
n=99 Participants

PRIMARY outcome

Timeframe: 6 and 12 months

Population: Number of SND Diagnoses by Time to Diagnosis

Because the study intervention was not conducted, it is not possible to compare the proportion of subjects with an SND diagnosis pre-intervention (Phase I) to the proportion post-intervention (Phase II). Instead, the proportion of subjects with an SND diagnosis in Phase I are reported

Outcome measures

Outcome measures
Measure
Single Arm/Group Observational Registry
n=111 Participants
Bradycardia patients with both signs and symptoms of bradycardia, prior to diagnosis of SND and IPG therapy
Absolute Change in the Proportion of Subjects Diagnosed With SND at Pre Specific Time.
6 Months
69 Participants
Absolute Change in the Proportion of Subjects Diagnosed With SND at Pre Specific Time.
12 Months
70 Participants

SECONDARY outcome

Timeframe: 3, 6, and 15 months

Population: Because the study intervention was not conducted, it is not possible to compare the proportion of subjects receiving indicated therapy pre-intervention (Phase I) to the proportion post-intervention (Phase II). Instead, the proportion of SND subjects receiving indicated IPG therapy in Phase I are reported

The change between subjects referred to an indicated IPG will be measured after the intervention in total number of patients that are referred correctly. Because the study intervention was not conducted, it is not possible to compare the proportion of subjects receiving therapy referral for an indicated IPG pre-intervention (Phase I) to the proportion post-intervention (Phase II). Instead, the proportion of SND subjects receiving a referral for an indicated IPG device in Phase I are reported.

Outcome measures

Outcome measures
Measure
Single Arm/Group Observational Registry
n=70 Participants
Bradycardia patients with both signs and symptoms of bradycardia, prior to diagnosis of SND and IPG therapy
Number of SND Subjects Receiving a Referral for an Indicated IPG Device After the Intervention
3 Months
17 Participants
Number of SND Subjects Receiving a Referral for an Indicated IPG Device After the Intervention
6 Months
18 Participants
Number of SND Subjects Receiving a Referral for an Indicated IPG Device After the Intervention
15 Months
19 Participants
Number of SND Subjects Receiving a Referral for an Indicated IPG Device After the Intervention
Not implanted
51 Participants

Adverse Events

Single Arm/Group Observational Registry

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Adverse event data not reported

Additional Information

Carina Leone, Latam CVG Trial Leader

Medtronic

Phone: +5411 5789 8521

Results disclosure agreements

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