Evaluation of the BIOTRONIK AutoAdapt Algorithm for Continuous Automatic Adaptive Cardiac Resynchronization
NCT04774523 · Status: COMPLETED · Phase: NA · Type: INTERVENTIONAL · Enrollment: 198
Last updated 2025-09-18
Summary
BIO\|Adapt study is designed to provide evidence for the clinical benefit of the CRT AutoAdapt feature. This feature provides continuous adaptation of AV delay and biventricular pacing modality. However, additional clinical data on the short and mid-term improvement of CRT-D patients by the CRT AutoAdapt feature are needed.
Conditions
- Heart Failure
- Cardiac Arrhythmia
- Left Ventricular Dysfunction
Interventions
- PROCEDURE
-
Echo-based assessment of the acute hemodynamic effect of the CRT AutoAdapt feature.
Patients in the AutoAdapt group undergo the echo-based assessment of the acute hemodynamic effect of the CRT AutoAdapt feature. Three steps must be followed: 1. Standard AV programming: perform echo for AoVTI assessment. 2. Echo-optimized AV programming: perform standard echo-based AV-optimization (Ritter method or iterative method, according to routine at investigational site); measure AoVTI at optimized setting. 3. AutoAdapt optimized programming: The system allows different programming options for the parameter 'Adaptive AV reduction'. The nominal value is 0.7, but it can be modified to different values ranging from 0.5 to 0.9. The AoVTI shall be measured at standard setting of the "Adaptive Av reduction" parameter, 0.7.
- PROCEDURE
-
Echocardiography AV optimization
Patient in the control group undergo the routine echo-based AV-optimization that is usually performed at the investigational site (Ritter method or iterative method). Performance of an additional VV-delay optimization is left to the investigator discretion
- PROCEDURE
-
Echocardiography
Echocardiography must be performed at baseline and 12 month Follow Up to collect the LVEF/LVESD(V)/LVEDD(V)
- OTHER
-
Self Assessment Score
Patient must complete the self assessment score at 6 and 12 month Follow Up, that will be use for the Packer Clinical Composite Score
Sponsors & Collaborators
-
Biotronik SE & Co. KG
lead INDUSTRY
Principal Investigators
-
Francisco Javier García Fernandez, Physician · Hospital Universitario de Burgos, Spain
Study Design
- Allocation
- NON_RANDOMIZED
- Purpose
- TREATMENT
- Masking
- NONE
- Model
- PARALLEL
Eligibility
- Min Age
- 18 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2021-08-31
- Primary Completion
- 2024-07-31
- Completion
- 2025-07-31
Countries
- Spain
Study Locations
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