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Externalized ConductorsCLASNCT01507987

St.Jude Medical Cardiac Lead Assessment Study

An observational study of Externalized Conductors and Visual Lead Anomalies, run by Abbott Medical Devices at 45 sites in 3 countries.

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 Cardiac Lead Assessment Study (CLAS) is designed as a prospective, non-randomized, multi-center, international postmarket surveillance study under 522 Order PS120111 (August 16, 2012). Read more about this study

Who is it for?
Ages 18 years and older
What is being tested?
Implanted with one or more of the following SJM leads: Riata leads, RiataST leads, Durata leads, and QuickSite/QuickFlex leads
Type of treatment
Medical device
How many people
2,216 participants
Where
45 sitesin 3 countries
Study dates
Mar 2013to Sep 2019
Phase
Observational
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 years and older
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Study population: Patients that have a market released St. Jude Medical Implantable Cardioverter Defibrillator (ICD) or Cardiac Resynchronization Therapy - Defibrillator (CRT-D) already implanted and also have at least one market released Riata/ Riata ST/QuickSite/QuickFlex/Durata already implanted.

Who may be able to join

  • Patient has a market released SJM Implantable Cardioverter Defibrillator (ICD), CRT-D or CRT-P already implanted.
  • Patient has at least one market released Riata/ Riata ST/QuickSite/QuickFlex/Durata already implanted in which the lead model number and lead implant date is indicated in Table 1 (see protocol attached.)
  • Have the ability to provide informed consent for study participation and be willing to comply with the prescribed evaluations as detailed in this study plan.
  • Are 18 years or above

Who cannot join

  • Patient is currently pregnant.
  • Enrolled or intend to participate in a clinical drug and/or device study, which could confound the results of this trial as determined by SJM, during the course of this clinical study

Trial locations and contacts

45 sites in 3 countries.

45 sites in 3 countries

United States41 sites
  • New Mexico Heart Institute

    Albuquerque, New Mexico, 87102

  • Asheville Cardiology Associates

    Asheville, North Carolina, 28803

  • Cardiology, P.C.

    Birmingham, Alabama, 35211

  • University Hospital of Alabama at Birmingham

    Birmingham, Alabama, 35249

  • Massachusetts General Hospital

    Boston, Massachusetts, 02114

  • Deborah Heart and Lung

    Browns Mills, New Jersey, 08015

  • The Cleveland Clinic Foundation

    Cleveland, Ohio, 44195

  • Penrose St. Francis Health Services

    Colorado Springs, Colorado, 80907

  • Ohio State University

    Columbus, Ohio, 43210

  • Saint Vincent Consultants in Cardiovascular Diseases

    Erie, Pennsylvania, 16502

  • Sutherland Cardiology Clinic

    Germantown, Tennessee, 38138

  • Heart Clinic of Hammond, LLC

    Hammond, Louisiana, 70403

  • Heart Center Research

    Huntsville, Alabama, 35801

  • Jackson Heart Clinic

    Jackson, Mississippi, 39216

  • Mountain States Medical Group Cardiology

    Johnson City, Tennessee, 37601

  • Mid-America Cardiology Associates, PC

    Kansas City, Kansas, 66160

  • Scripps Green Hospital

    La Jolla, California, 92037

  • Sparrow Clinical Research Institute

    Lansing, Michigan, 48912

  • Arkansas Heart Hospital

    Little Rock, Arkansas, 72211

  • Kaiser Permanente Los Angeles Medical Center

    Los Angeles, California, 90027

  • Arrhythmia Consultants

    Memphis, Tennessee, 38104

  • Aurora Medical Group

    Milwaukee, Wisconsin, 53215

  • Naples Heart Rhytm Specialists, PA

    Naples, Florida, 34119

  • Ochsner Medical Center

    New Orleans, Louisiana, 70121

  • Sentara Norfolk General Hospital

    Norfolk, Virginia, 23507

  • Methodist Physicians Clinic-Heart Consultants

    Omaha, Nebraska, 68114

  • OSF Healthcare Cardiovascular Institute

    Peoria, Illinois, 61614

  • Drexel University College oF Medicine

    Philadelphia, Pennsylvania, 19102

  • University of Pittsburgh Medical Center

    Pittsburgh, Pennsylvania, 15213

  • Providence Heart & Vascular Institute

    Portland, Oregon, 97225

  • Cardiac Rhythm Specialists

    Reseda, California, 91335

  • Redmond Regional Medical Center

    Rome, Georgia, 30165

  • Mercy Medical Group

    Sacramento, California, 95819

  • University of Utah Hospital

    Salt Lake City, Utah, 84132

  • South Texas Cardiovascular Consultants

    San Antonio, Texas, 78201

  • Donald Guthrie Foundation for Education and Research

    Sayre, Pennsylvania, 18840

  • Arizona Arrhythmia Consultants

    Scottsdale, Arizona, 85251

  • St. Joseph's Medical Center

    Stockton, California, 95204

  • The Toledo Hospital

    Toledo, Ohio, 43606

  • Cardiology Associates of North Mississippi

    Tupelo, Mississippi, 38801

  • Wellspan Health

    York, Pennsylvania, 17403

Other trials in United States

Japan3 sites
  • Kyoto-Katsura Hospital

    Kyoto, 615 8256

  • Osaka City University Hospital

    Osaka, Osaka, 545-8565

  • University of Tsukuba Hospital

    Tsukuba, Ibaraki, 305-8576

Other trials in Japan

Canada1 site
  • QE II Health Sciences

    Halifax, Nova Scotia, B3H 3A7

Other trials in Canada

About this study

The Cardiac Lead Assessment Study (CLAS) is designed as a prospective, non-randomized, multi-center, international postmarket surveillance study under 522 Order PS120111 (August 16, 2012).

Read the detailed description

The objective of this study was to determine the prevalence and incidence of externalized conductors and other visual lead anomalies (as evidenced by imaging) and the risk of progression to electrical dysfunction in subjects with one or more of the following St. Jude Medical (SJM) cardiac leads: Riata leads, Riata ST leads, Durata and/or QuickSite/QuickFlex Cardiac Resynchronization Therapy (CRT) leads.

Being tested
Implanted with one or more of the following SJM leads: Riata leads, RiataST leads, Durata leads, and QuickSite/QuickFlex leads
Keywords
Externalized Conductors, visual lead an

What participants receive

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

  • Implanted with one or more of the following SJM leads: Riata leads, RiataST leads, Durata leads, and QuickSite/QuickFlex leadsDevice

    Riata leads implanted between 2002-2009 Riata ST leads implanted between 2006-2009 Quicksite or QuickFlex leads implanted between 2006-2010 Durata leads implanted between 2008-2010

    Subjects were followed for three years and cinefluoroscopy imaging was done annually to determine prevalence of externalized conductors or other visual lead anomalies

Study groups in NCT01507987
Study groupRoleWhat they receive
Patients with SJM leads implantedPatient has at least one market released Riata, Riata ST, QuickSite/QuickFlex, or Durata lead implanted
Receives: Device: Implanted with one or more of the following SJM leads: Riata leads, RiataST leads, Durata leads, and QuickSite/QuickFlex leads

What is being measured

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

  1. Number of Leads With Electrical Dysfunction

    The prevalence of electrical dysfunction was calculated as the number of leads that have electrical dysfunction through three years of follow-up for the 4 lead groups divided by total number of leads in enrolled patients in each of the 4 lead groups.

    Measured: This outcome is assessed at enrollment and over the course of 3 years of follow-up

  2. Number of Leads With Externalized Conductors

    The prevalence of externalized conductors was calculated as the number of leads that have been shown to have externalized conductors by imaging at the time of enrollment in each of the 4 lead groups divided by total number of leads in enrolled patients in each of the 4 lead groups

    Measured: This outcome is assessed at enrollment

  3. Number of Other Visual Lead Anomalies by Each Subcategory (Fracture, Kink, Subclavian Crush, Other Irregularities)

    The prevalence of other visual lead anomalies (by each subcategory) was calculated as the number of leads that have been shown to have other visual anomaly (by each subcategory) at the time of enrollment in each of the 4 lead groups divided by total number of leads in enrolled patients in each of the 4 lead groups.

    Measured: This outcome is assessed at enrollment

  4. The Annual Hazard Rate of Lead Electrical Dysfunction in the Riata, Riata ST, QuickSite/QuickFlex (1056T, 1058T, 1156T, 1158T) and Durata Leads.

    Annual hazard rate is the proportion of number of leads with electrical dysfunction to the total number of lead follow-up years.

    Measured: This outcome is assessed from enrollment through the course of 3 years of follow-up

  5. The Annual Hazard Rate of New Cases of Externalized Conductors (From Enrollment to Year 1) in the Riata, Riata ST, QuickSite/QuickFlex (1056T, 1058T, 1156T, 1158T) and Durata Leads.

    Annual hazard rate calculated as ratio of all leads that are adjudicated by the committee and a have definite outcome of presence of externalized conductors to total follow-up years from enrollment to year 1

    Measured: year 1 follow-up

  6. The Annual Hazard Rate of New Cases of Externalized Conductors (From Year 1 to Year 2) in the Riata, Riata ST, QuickSite/QuickFlex (1056T, 1058T, 1156T, 1158T) and Durata Leads.

    Annual hazard rate calculated as ratio of all leads that are adjudicated by the committee and a have definite outcome of presence of externalized conductors to total follow-up years from year 1 to year 2

    Measured: year 1 to year 2 follow-up

  7. The Annual Hazard Rate of New Cases of Externalized Conductors (From Year 2 to Year 3) in the Riata, Riata ST, QuickSite/QuickFlex (1056T, 1058T, 1156T, 1158T) and Durata Leads.

    Annual hazard rate calculated as ratio of all leads that are adjudicated by the committee and a have definite outcome of presence of externalized conductors to total follow-up years from year 2 to year 3

    Measured: year 2 to year 3 follow-up

  8. The Annual Hazard Rate of New Cases of Other Visual Lead Anomalies by Each Subcategory (From Enrollment to Year 1) in the Riata, Riata ST, QuickSite/QuickFlex (1056T, 1058T, 1156T, 1158T) and Durata Leads

    Annual hazard rate calculated as proportion of leads adjudicated by the committee and a have definite outcome of presence of other visual lead anomaly to total follow up years from enrollment to year 1

    Measured: This outcome is assessed from enrollment to year 1

  9. The Annual Hazard Rate of New Cases of Other Visual Lead Anomalies by Each Subcategory (From Year 1 to Year 2) in the Riata, Riata ST, QuickSite/QuickFlex (1056T, 1058T, 1156T, 1158T) and Durata Leads

    Annual hazard rate calculated as proportion of leads adjudicated by the committee and a have definite outcome of presence of other visual lead anomaly to total follow up years from year 1 to year 2

    Measured: This outcome is assessed from year 1 to year 2 of follow-up

  10. The Annual Hazard Rate of New Cases of Other Visual Lead Anomalies by Each Subcategory (From Year 2 to Year 3) in the Riata, Riata ST, QuickSite/QuickFlex (1056T, 1058T, 1156T, 1158T) and Durata Leads

    Annual hazard rate calculated as proportion of leads adjudicated by the committee and a have definite outcome of presence of other visual lead anomaly to total follow up years from year 2 to year 3

    Measured: This outcome is assessed from year 2 to year 3 follow-up

Secondary outcomes (7)
  1. Estimation of Cumulative Lead Anomaly Events From Time of Detecting Externalized Conductors to Electrical Dysfunction, by Year of Initial Implant

    Kaplan-Meier analysis of time from externalized conductors (EC) to electrical dysfunction, by year of initial implant. Count of cumulative lead anomaly events from time of detecting EC

    Measured: This outcome is assessed from time of detecting EC till the course of 3 years of follow-up

  2. Estimation of Cumulative Lead Anomaly Events From Time of Detecting Other Visual Lead Anomaly to Electrical Dysfunction, by Year of Initial Implant

    Kaplan-Meier analysis of time from other visual lead anomaly to electrical dysfunction, by year of initial implant. Count of cumulative lead anomaly events from time of detecting other visual lead anomaly

    Measured: This outcome is assessed from time of detecting other visual lead anomaly till the course of 3 years of follow-up

  3. Number of Participants With an Adverse Event Through 30 Days Post-intervention for Lead (e.g. Extraction, Abandonment, Revision, Other).

    Number of participants with adverse events within 30 days associated with study lead related interventions for each lead group

    Measured: within 30 days associated with study lead related interventions

  4. Estimation of Cumulative Lead Anomaly Events From Time of Detecting Externalized Conductors to Clinical Intervention, by Year of Initial Implant

    time from externalized conductors to clinical intervention for all lead subgroups.

    Measured: This outcome is assessed from time of detection of externalized conductor to 3 years follow-up

  5. Estimation of Lead Anomaly Events From Time of Other Visual Lead Anomalies by Each Subcategory to Clinical Intervention, by Year of Initial Implant

    Kaplan-Meier analysis of time from visual lead anomalies for all lead and lead age subcategories to clinical intervention

    Measured: This outcome is assessed from time of detection of other visual lead anomaly until 3 years of follow-up

  6. Comparison of Number of Patients With Externalized Conductors to Number of Patients Without Externalized Conductors (EC)

    Comparison of patients with EC to those without EC: lead size effect on number of patients with or without EC (7F and 8F are lead sizes, F = French). Riata leads have 8F diameter and Riata ST leads have 7F diameter. The Riata/Riata ST families of leads were used for this comparison only to determine whether the difference in lead size (with the silicon material and other lead design factors controlled for) had an effect on externalization of conductors.

    Measured: This outcome is assessed from enrollment till the course of 3 years of follow-up

  7. Comparison of Patients With Electrical Dysfunction to Those Without Electrical Dysfunction (ED).

    Comparison of patients with ED to those without ED: subject age effect on ED

    Measured: This outcome is assessed from enrollment till the course of 3 years of follow-up

Timeline

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

  1. First posted11 Jan 2012 (estimated)
  2. Study startMar 2013
  3. Primary completionJun 2019
  4. Study completionSep 2019

Resources

More details

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

Study design
Study type
Observational
Observational model
Cohort
Time perspective
Prospective
Enrolment
2,216 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT01507987
Sponsor's protocol ID
60039775/K
Other IDs
CRD-619
Acronym
CLAS
Status last verified
Jul 2021
First submitted
6 Jan 2012
Last updated
23 Aug 2021
Data monitoring committee
No

Questions about this trial

What is this clinical trial studying?

An observational study of Externalized Conductors and Visual Lead Anomalies, run by Abbott Medical Devices at 45 sites in 3 countries.

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 4 inclusion and 2 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 23 Aug 2021. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 45 sites in United States, Japan, Canada. Whether a site is taking part right now should be confirmed with that site. See every site.

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 23 Aug 2021). 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?

Number of Leads With Electrical Dysfunction (time frame: This outcome is assessed at enrollment and over the course of 3 years of follow-up). The study lists 10 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?
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 23 Aug 2021; AzTrials last refreshed its copy on 6 Nov 2026.

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