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Ventricular TachycardiaDATASNCT00157820

DATAS: The Dual Chamber & Atrial Tachyarrhythmias Adverse Events Study

A study testing Single Chamber Implantable Cardioverter Defibrillator and Dual Chamber implantable cardioverter defibrilator in people with Ventricular Tachycardia and Ventricular Fibrillation, run by Medtronic Cardiac Rhythm and Heart Failure.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
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Trial summary

The Dual Chamber \& Atrial Tachyarrhythmias Adverse Events Study (DATAS) was designed to analyze the ability of dual chamber ICDs, to reduce clinically significant adverse events as compared to single chamber ICD in a non selected population with conventional indication of ICD implantation. Read more about this study

Who is it for?
Ages 18 to 100 years
What is being tested?
Single Chamber Implantable Cardioverter Defibrillator and Dual Chamber implantable cardioverter defibrilator
Type of treatment
Medical device
Could I receive a placebo?
No, everyone receives an active treatment
How many people
354 participants
Where
No sites listed yet
Study dates
Nov 2000to Oct 2005
Phase
Interventional
Are there results?
Yes, posted in the registrySummary in the doctors' view

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 to 100 years
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Meet the Class I implantation criteria for single chamber implantable cardioverter defibrillator according to the guidelines (ACC/AHA).

Who cannot join

  • Permanent atrial fibrillation
  • Patients without structural heart disease
  • Patient meets implantation criteria for dual-chamber pacing (symptomatic sinus node disease, all 2nd Atrio-Ventricular (AV) block [except asymptomatic Mobitz I] and all 3rd degree AV block ).
  • Patient with previous system implanted (ICD or pacemaker).
  • Patients with biventricular stimulation or re-synchronization.
  • Patient has a mechanical right heart valve.
Show all 10Show fewer
  • Patient has medical conditions that would preclude the testing required by the protocol, or limit study participation.
  • Patient is unwilling or unable to cooperate or give written informed consent, or the patient is a minor and legal guardians refuse to give informed consent.
  • Patient is or will be inaccessible for follow-up at the study center.
  • Patients who are enrolled or planning to enroll in other clinical trials during the clinical study.

About this study

The Dual Chamber \& Atrial Tachyarrhythmias Adverse Events Study (DATAS) was designed to analyze the ability of dual chamber ICDs, to reduce clinically significant adverse events as compared to single chamber ICD in a non selected population with conventional indication of ICD implantation.

Read the detailed description

Single chamber (SC) implantable cardioverter defibrillators (ICDs) have several limitations that might be relevant during follow up, like atrial pacing requirements, inadequate therapies, sustained atrial tachyarrhythmias and difficulties to achieve an accurate diagnosis of the arrhythmia. Dual chamber (DC) ICDs offer an attractive rationale solution, although controversy remains if the costs and complexity of the implants offer a real clinical advantage.

The DATAS is a, prospective, multicentre, randomized, open labelled study, with three arms (two of them cross-over and the third parallels the other two)

The primary objective of this trial is to determine whether use of Dual Chamber ICD (DDED-DDDR NASPE/BPEG Defibrillator/Pacemaker Codes) results in a significant decrease in the number of primary end points.

The primary end point is a composite comprising four so-denominated "Clinically Significant Adverse Events (CSAE)":

  1. all-cause mortality
  2. invasive intervention, hospitalization (>24 h) or prolongation of hospitalization due to cardiovascular cause
  3. inappropriate shocks (two or more episodes with inappropriate shocks)
  4. sustained symptomatic atrial tachyarrhythmias that (a) require urgent termination or (b) last more than 48 h leading to therapeutic intervention.

Secondary objectives are:

  1. Number of each of the components of the CSAE.
  2. Arrhythmia related: atrial tachyarrhythmia (AT), frequency and burden, ventricular tachyarrhythmia frequency and burden number of appropriate shocks, number of inappropriate shocks, need for reprogramming, need for medication/Radiofrequency Ablation (RFA) for arrhythmia control, pacemaker syndrome and development of dual chamber pacing indication.
  3. Cardiovascular related: New York Health Association (NYHA) functional class, exercise capacity, left ventricular ejection fraction (LVEF), reduction of medication (diuretics.).
  4. Quality of life: evaluated by the SF-36, Minnesota living test, with heart failure and Symptom Checklist instruments.
Being tested
Single Chamber Implantable Cardioverter Defibrillator, Dual Chamber implantable cardioverter defibrilator
Keywords
Defibrillators, Implantable, Atrial Fibrillation, Ventricular Tachyarrhythmias, Clinical Trial
Medical subject headings
Tachycardia, Ventricular, Ventricular Fibrillation, Atrial Fibrillation

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • Single Chamber Implantable Cardioverter DefibrillatorDevice

    Also called Medtronic GEM, Medtronic Marquis family of SC ICD

    Single chamber ICD implantation: Medtronic GEM, Medtronic Marquis family of SC ICD

  • Dual Chamber implantable cardioverter defibrilatorDevice

    Also called Medtronic Jewel AF, Medtronic GemIII AT, DC ICD

    Dual chamber ICD implantation: Jewel AF \& GemIII AT as DC ICDs (DC true and SC sim arms)

Study groups in NCT00157820
Study groupRoleWhat they receive
SC trueActive comparatorSingle chamber Implantable Cardioverter Defibrillator programmed as a Single Chamber.
Receives: Device: Single Chamber Implantable Cardioverter Defibrillator
SC simExperimentalDual chamber ICD initially programmed as single chamber (SC simulated) ICD (''SC sim arm'')
Receives: Device: Dual Chamber implantable cardioverter defibrilator
DC trueExperimentalDual chamber ICD initially programmed as a DDED (''DC true arm'').
Receives: Device: Dual Chamber implantable cardioverter defibrilator

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. CSAE-score Rate(Clinical Significant Adverse Events Score Rate)

    Main outcome was defined as the CSAE-score during follow-up: CSAE-score rate. We assigned death as the worst outcome during the entire study; and premature cross-over as the main failure of the assigned therapy. So each CSAE was assigned 1 point but (a) death was assigned a score equal to the max number of CSAE in any individual patient in the entire study +1, and (b) premature authorized crossover was given a score equal to the max number of CSAE in any individual patient in that period. Thus, main outcome was defined as the CSAE-score over length of follow-up resulting in a CSAE-score rate.

    Measured: 17 months

Secondary outcomes (1)
  1. Number of Each of the Components of the CSAE

    The primary endpoint is a composite of 5 pre-determine Clinical Significant Adverse Events (CSAE): (1) all-cause mortality, (2) invasive intervention due to Cardiovascular cause, (3) hospitalization (>24h) or prolongation of hospitalization due to CV, (4) inappropriate shocks: two or more episodes with inappropriate shocks, (5) sustained symptomatic ATs that (a) require urgent termination or (b) lasted more than 48 h leading to therapeutic intervention.

    Number of each of the components of CSAE, counts the number of events for each pre-determined level.

    Measured: 17 months

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted12 Sep 2005 (estimated)
  2. Study startNov 2000
  3. Primary completionMay 2005
  4. Study completionOct 2005

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase N/A
Primary purpose
Prevention
Allocation
Randomised
Intervention model
Parallel groups
Masking
None (open label)
Enrolment
354 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT00157820
Sponsor's protocol ID
SP-DATAS
Acronym
DATAS
Status last verified
Apr 2024
First submitted
8 Sep 2005
Last updated
2 Jul 2025
Data monitoring committee
Yes
Individual data sharing
No

Publications

  • Quesada A, Almendral J, Arribas F, Ricci R, Wolpert C, Adragao P, Cobo E, Navarro X; DATAS Investigators. The DATAS rationale and design: a controlled, randomized trial to assess the clinical benefit of dual chamber (DDED) defibrillator. Europace. 2004 Mar;6(2):142-50. doi: 10.1016/j.eupc.2003.11.011.

    PubMed 15018874
  • Almendral J, Arribas F, Wolpert C, Ricci R, Adragao P, Cobo E, Navarro X, Quesada A; DATAS Steering Committee; DATAS Writing Committee; DATAS Investigators. Dual-chamber defibrillators reduce clinically significant adverse events compared with single-chamber devices: results from the DATAS (Dual chamber and Atrial Tachyarrhythmias Adverse events Study) trial. Europace. 2008 May;10(5):528-35. doi: 10.1093/europace/eun072. Epub 2008 Apr 7.

    PubMed 18390985
  • Ricci RP, Quesada A, Almendral J, Arribas F, Wolpert C, Adragao P, Zoni-Berisso M, Navarro X, DeSanto T, Grammatico A, Santini M; DATAS study Investigators. Dual-chamber implantable cardioverter defibrillators reduce clinical adverse events related to atrial fibrillation when compared with single-chamber defibrillators: a subanalysis of the DATAS trial. Europace. 2009 May;11(5):587-93. doi: 10.1093/europace/eup072.

    PubMed 19401341
  • Hadid C, Almendral J, Ortiz M, Schwab JO, Janko S, Mischke K, Arribas F, Wolpert C, Ricci R, Adragao P, Cobo E, Navarro X, Quesada A. Incidence, determinants, and prognostic implications of true pleomorphism of ventricular tachycardia in patients with implantable cardioverter-defribillators: a substudy of the DATAS Trial. Circ Arrhythm Electrophysiol. 2011 Feb;4(1):33-42. doi: 10.1161/CIRCEP.110.957068. Epub 2010 Nov 13.

    PubMed 21076160

Questions about this trial

What is this clinical trial studying?

A study testing Single Chamber Implantable Cardioverter Defibrillator and Dual Chamber implantable cardioverter defibrilator in people with Ventricular Tachycardia and Ventricular Fibrillation, run by Medtronic Cardiac Rhythm and Heart Failure.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 1 inclusion and 10 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: finished, as of the sponsor's last update on 2 Jul 2025. Status can change between updates, so confirm with the study contact before making plans.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

Are results available for this study?

Yes. Results are posted in the registry (first posted 21 Aug 2012). A summary is in the For doctors view, and the full results are on ClinicalTrials.gov.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

CSAE-score Rate(Clinical Significant Adverse Events Score Rate) (time frame: 17 months). It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT00157820, which also lists 4 linked publications.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 2 Jul 2025.

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