Trial Outcomes & Findings for Crome/Cobalt Respiration Study (NCT NCT06089694)

NCT ID: NCT06089694

Last Updated: 2026-07-21

Results Overview

Daily respiration rates will be calculated using a series of paired device-derived respiration rates and capnography waveform-derived respiration rates, where the capnography respiration rate will be the source of truth. The differences in these daily respiration rates will be evaluated to determine whether the daily device-derived respiration rate accuracy is acceptable (i.e., consistently within +/- 3 breaths per minute of the true respiration rate).

Recruitment status

COMPLETED

Target enrollment

61 participants

Primary outcome timeframe

During In-clinic Testing Visit, an average of 2 hours

Results posted on

2026-07-21

Participant Flow

Participant milestones

Participant milestones
Measure
All Enrolled Subjects
In-clinic Testing Visit: All enrolled subjects will have a Holter recorder, capnography monitor and SpO2 sensor applied and will undergo various breathing/exercise activities. Subjects will go home connected to the Holter recorder for 24 hours for collection of ambulatory data. Enabling Sensor Research Holter Mode feature: The Sensor Research Holter Mode feature within the Crome and Cobalt ICD and CRT-D devices will be enabled for a short period of time at the In-clinic Testing Visit to allow for desired data collection.
Overall Study
STARTED
61
Overall Study
COMPLETED
61
Overall Study
NOT COMPLETED
0

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Includes the 54 patients who had heart failure

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
All Enrolled Subjects
n=61 Participants
In-clinic Testing Visit: All enrolled subjects will have a Holter recorder, capnography monitor and SpO2 sensor applied and will undergo various breathing/exercise activities. Subjects will go home connected to the Holter recorder for 24 hours for collection of ambulatory data. Enabling Sensor Research Holter Mode feature: The Sensor Research Holter Mode feature within the Crome and Cobalt ICD and CRT-D devices will be enabled for a short period of time at the In-clinic Testing Visit to allow for desired data collection.
Age, Continuous
67.0 years
STANDARD_DEVIATION 11.7 • n=61 Participants
Sex: Female, Male
Female
19 Participants
n=61 Participants
Sex: Female, Male
Male
42 Participants
n=61 Participants
Race/Ethnicity, Customized
Asian Indian
0 Participants
n=61 Participants
Race/Ethnicity, Customized
African American
4 Participants
n=61 Participants
Race/Ethnicity, Customized
Native Hawaiian
0 Participants
n=61 Participants
Race/Ethnicity, Customized
Japanese
0 Participants
n=61 Participants
Race/Ethnicity, Customized
Other Pacific Islander
0 Participants
n=61 Participants
Race/Ethnicity, Customized
White or Caucasian
56 Participants
n=61 Participants
Race/Ethnicity, Customized
Not Reportable Per Local Laws or Regulations
0 Participants
n=61 Participants
Race/Ethnicity, Customized
Subject/Physician Chose not to Provide Information
0 Participants
n=61 Participants
Race/Ethnicity, Customized
Other
1 Participants
n=61 Participants
Race/Ethnicity, Customized
Hispanic or Latino
4 Participants
n=61 Participants
Race/Ethnicity, Customized
Not Hispanic or Latino
55 Participants
n=61 Participants
Race/Ethnicity, Customized
Puerto Rican
1 Participants
n=61 Participants
Race/Ethnicity, Customized
Subject/Physician Chose Not to Provide Information
0 Participants
n=61 Participants
Region of Enrollment
United States
61 Participants
n=61 Participants
Number of Participants with Heart Failure
Yes
54 Participants
n=61 Participants
Number of Participants with Heart Failure
No
7 Participants
n=61 Participants
New York Heart Association Classification
Class I
25 Participants
n=54 Participants • Includes the 54 patients who had heart failure
New York Heart Association Classification
Class II
29 Participants
n=54 Participants • Includes the 54 patients who had heart failure
New York Heart Association Classification
Class III
0 Participants
n=54 Participants • Includes the 54 patients who had heart failure
New York Heart Association Classification
Class IV
0 Participants
n=54 Participants • Includes the 54 patients who had heart failure
Number of participants with heart failure hospitalization w/o heart failure therapy/ultrafiltration
0
7 participants with hospitalization
n=61 Participants • Analysis included the 61 patients of which only 54 had heart failure so only 54 have NYHA,remaining 7 had no Heart failure
Number of participants with heart failure hospitalization w/o heart failure therapy/ultrafiltration
1
54 participants with hospitalization
n=61 Participants • Analysis included the 61 patients of which only 54 had heart failure so only 54 have NYHA,remaining 7 had no Heart failure
Number of participants with heart failure hospitalization w/o heart failure therapy/ultrafiltration
2
0 participants with hospitalization
n=61 Participants • Analysis included the 61 patients of which only 54 had heart failure so only 54 have NYHA,remaining 7 had no Heart failure
Number of participants with heart failure hospitalization w/o heart failure therapy/ultrafiltration
3
0 participants with hospitalization
n=61 Participants • Analysis included the 61 patients of which only 54 had heart failure so only 54 have NYHA,remaining 7 had no Heart failure
Number of participants with heart failure hospitalization w/o heart failure therapy/ultrafiltration
>3
0 participants with hospitalization
n=61 Participants • Analysis included the 61 patients of which only 54 had heart failure so only 54 have NYHA,remaining 7 had no Heart failure
No.of participants with heart failure hospitalizations with intravenous HF therapy/ultrafiltration
0
7 participants with hospitalization
n=61 Participants • Analysis included 61 patients, but only 54 patients had heart failure
No.of participants with heart failure hospitalizations with intravenous HF therapy/ultrafiltration
1
54 participants with hospitalization
n=61 Participants • Analysis included 61 patients, but only 54 patients had heart failure
No.of participants with heart failure hospitalizations with intravenous HF therapy/ultrafiltration
2
0 participants with hospitalization
n=61 Participants • Analysis included 61 patients, but only 54 patients had heart failure
No.of participants with heart failure hospitalizations with intravenous HF therapy/ultrafiltration
3
0 participants with hospitalization
n=61 Participants • Analysis included 61 patients, but only 54 patients had heart failure
No.of participants with heart failure hospitalizations with intravenous HF therapy/ultrafiltration
>3
0 participants with hospitalization
n=61 Participants • Analysis included 61 patients, but only 54 patients had heart failure
# participants with events with intravenous HF therapy/ultrafiltration, no hospitalization
0
54 participants with events
n=61 Participants • Of the 61 patients Included, only 54 patients who had heart failure (HF)was included in the analysis remining 7 had no HF
# participants with events with intravenous HF therapy/ultrafiltration, no hospitalization
1
0 participants with events
n=61 Participants • Of the 61 patients Included, only 54 patients who had heart failure (HF)was included in the analysis remining 7 had no HF
# participants with events with intravenous HF therapy/ultrafiltration, no hospitalization
2
0 participants with events
n=61 Participants • Of the 61 patients Included, only 54 patients who had heart failure (HF)was included in the analysis remining 7 had no HF
# participants with events with intravenous HF therapy/ultrafiltration, no hospitalization
3
0 participants with events
n=61 Participants • Of the 61 patients Included, only 54 patients who had heart failure (HF)was included in the analysis remining 7 had no HF
# participants with events with intravenous HF therapy/ultrafiltration, no hospitalization
>3
0 participants with events
n=61 Participants • Of the 61 patients Included, only 54 patients who had heart failure (HF)was included in the analysis remining 7 had no HF
Left Ventricular Ejection Fraction ( LVEF)
42.15 percentage of ejection fraction
STANDARD_DEVIATION 13.63 • n=61 Participants
Left ventricular end diastolic diameter
48.3 mm
STANDARD_DEVIATION 12.76 • n=61 Participants
LV wall thickness
10.26 mm
STANDARD_DEVIATION 1.98 • n=61 Participants

PRIMARY outcome

Timeframe: During In-clinic Testing Visit, an average of 2 hours

Population: 15 subjects were used to generate the algorithm and not included in the primary endpoint analysis. 2 subjects did not have usable data.

Daily respiration rates will be calculated using a series of paired device-derived respiration rates and capnography waveform-derived respiration rates, where the capnography respiration rate will be the source of truth. The differences in these daily respiration rates will be evaluated to determine whether the daily device-derived respiration rate accuracy is acceptable (i.e., consistently within +/- 3 breaths per minute of the true respiration rate).

Outcome measures

Outcome measures
Measure
All Enrolled Subjects
n=44 Participants
In-clinic Testing Visit: All enrolled subjects will have a Holter recorder, capnography monitor and SpO2 sensor applied and will undergo various breathing/exercise activities. Subjects will go home connected to the Holter recorder for 24 hours for collection of ambulatory data. Enabling Sensor Research Holter Mode feature: The Sensor Research Holter Mode feature within the Crome and Cobalt ICD and CRT-D devices will be enabled for a short period of time at the In-clinic Testing Visit to allow for desired data collection.
Daily Capnography Respiration Rate
15.3 breaths per minute
Standard Deviation 3.7

PRIMARY outcome

Timeframe: During In-clinic Testing Visit, an average of 2 hours

Population: 15 subjects were used to generate the algorithm and not included in the primary endpoint analysis. 2 subjects did not have usable data.

Daily respiration rate determined by the Crome and Cobalt ICD and CRT-D devices.

Outcome measures

Outcome measures
Measure
All Enrolled Subjects
n=44 Participants
In-clinic Testing Visit: All enrolled subjects will have a Holter recorder, capnography monitor and SpO2 sensor applied and will undergo various breathing/exercise activities. Subjects will go home connected to the Holter recorder for 24 hours for collection of ambulatory data. Enabling Sensor Research Holter Mode feature: The Sensor Research Holter Mode feature within the Crome and Cobalt ICD and CRT-D devices will be enabled for a short period of time at the In-clinic Testing Visit to allow for desired data collection.
Daily Device-derived Respiration Rate
15.5 breaths per minute
Standard Deviation 3.5

PRIMARY outcome

Timeframe: During In-clinic Testing Visit, an average of 2 hours

Population: 15 subjects were used to generate the algorithm and not included in the primary endpoint analysis. 2 subjects did not have usable data.

Difference between the daily respiration rate determined using capnography and the daily respiration rate determined by the Crome and Cobalt ICD and CRT-D devices.

Outcome measures

Outcome measures
Measure
All Enrolled Subjects
n=44 Participants
In-clinic Testing Visit: All enrolled subjects will have a Holter recorder, capnography monitor and SpO2 sensor applied and will undergo various breathing/exercise activities. Subjects will go home connected to the Holter recorder for 24 hours for collection of ambulatory data. Enabling Sensor Research Holter Mode feature: The Sensor Research Holter Mode feature within the Crome and Cobalt ICD and CRT-D devices will be enabled for a short period of time at the In-clinic Testing Visit to allow for desired data collection.
Difference in Respiration Rate
0.2 breaths per minute
Standard Deviation 1.1

Adverse Events

All Enrolled Subjects

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

Lidwien Vainer

Medtronic, Bakken Research Center B.V.

Phone: +31-433566752

Results disclosure agreements

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