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Tachycardia, VentricularMODULAR ATPNCT04798768

Effectiveness of the EMPOWER™ Modular Pacing System and EMBLEM™ Subcutaneous ICD to Communicate Antitachycardia Pacing

A study testing mCRM Therapy System in people with Tachycardia, Ventricular and Arrhythmia, Ventricular, run by Boston Scientific Corporation at 38 sites in 9 countries.

Active, not recruiting

Under way, not looking for participants. Everyone needed has enrolled. The study is still running.

Official record
Search all trials

Trial summary

The MODULAR ATP Clinical Study is designed to demonstrate safety, performance, and effectiveness of the Modular Cardiac Rhythm Management (mCRM) Therapy System. Read more about this study

Who is it for?
Ages 18 years and older
What is being tested?
mCRM Therapy System
Type of treatment
Medical device
Could I receive a placebo?
No, everyone receives an active treatment
How many people
297 participants
Where
38 sitesin 9 countries
Study dates
20 Jul 2021to 31 Dec 2030
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 years and older
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Patient who meets Class I, IIa, or IIb guideline ICD indications[i],[ii], or who has an existing TV-ICD[iii] or S-ICD[iv]
  • Patient who is deemed to be at risk for MVT based on at least ONE of the following:
  • History of Non-Sustained MVT with LVEF ≤ 50%
  • History of sustained VT/VF (secondary prevention) with LVEF ≤ 50% or significant cardiac scar*
  • History of syncope deemed to be arrhythmic in origin
  • History of ischemic cardiomyopathy with LVEF ≤35%
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  • History of non-ischemic cardiomyopathy with LVEF ≤35% and significant scar*
  • Patient who is willing and capable of providing informed consent (which is not to include the use of a legally authorized representative (LAR) for documentation of informed consent) and participating in all testing associated with this investigation at an approved study site and at the intervals defined by this protocol
  • Patient who is age 18 years or above, or of legal age to give informed consent specific to state and national law

Who cannot join

  • Patient with an ongoing complication due to Cardiac Implantable Electronic Device (CIED) infection or CIED explant
  • Transvenous lead remnants within the heart from a previously implanted CIED (Note: transvenous lead remnants outside the heart (e.g., in the SVC) are allowed)
  • Patient with a known LA thrombus
  • Patient with a ventricular arrhythmia due to a reversible cause
  • Patient indicated for implantation of a dual chamber pacemaker or cardiac resynchronization therapy (CRT)
  • Patient with another implanted medical device that could interfere with implant of the leadless pacemaker, such as an implanted inferior vena cava filter or mechanical tricuspid heart valve
Show all 24Show fewer
  • Patient requires rate-responsive pacing therapy
  • Patient is entirely pacemaker-dependent (defined as escape rhythm ≤ 30 bpm)
  • Patient with Acute Coronary Syndrome (i.e. Acute Myocardial Infarction, Unstable Angina) within 40 days
  • Inability to access femoral vein with a 21-French or larger inner diameter introducer sheath due to known anatomy condition, recent surgery, and/ or other relevant condition
  • Patient who has an active implanted electronic medical device intended for chronic use concomitantly with the study system, such as a left ventricular assist device (LVAD). Note that a temporary pacing wire is allowed.
  • Patient with known or suspected sensitivity to Dexamethasone Acetate (DXA)
  • Patient with a known cardiovascular anatomy that precludes implant in the right ventricle
  • Patient with a known allergy to any system components
  • Patient with a known or suspected intolerance to S-ICD conversion testing, based on physician discretion
  • Patient is not likely to have meaningful survival** for at least 12 months (documented or per investigator's discretion)
  • Patient is enrolled in any other concurrent study. Co-enrollment into other studies such as observational studies/ registries needs prior written approval by BSC. Local mandatory governmental registries are accepted for co-enrollment without approval by BSC.
  • Patient who is a woman of childbearing potential who is known to be pregnant at the time of study enrollment (method of assessment upon investigator's discretion)
  • [i]Al-Khatib, et al. 2017 AHA/ACC/HRS Guideline for Management of Patients with Ventricular Arrhythmias and the Prevention of Sudden Cardiac Death. A Report of the American College of Cardiology/American Heart Association Task Force on Clinical Practice Guidelines and the Heart Rhythm Society. Circulation. (2018); 138:e272-e391.
  • [ii] 2015 ESC Guidelines for the management of patients with ventricular arrhythmias and the prevention of sudden cardiac death: The Task Force for the Management of Patients with Ventricular Arrhythmias and the Prevention of Sudden Cardiac Death of the European Society of Cardiology (ESC). European Heart Journal (2015) 36, 2793-2867.
  • [iii] TV-ICD system is expected to be fully explanted during or prior to full Coordinated System implant
  • [iv] Potential subjects with a Model 1010 S-ICD Pulse Generator are only eligible for MODULAR ATP if they are getting upgraded to Model A209, A219 or future BSC S-ICD Pulse Generator; Patients with an existing S-ICD PG subject to the electrical overstress field action are only eligible for MODULAR ATP if they are getting a new BSC Model A209 or A219, or future BSC S-ICD Pulse Generator
  • Significant cardiac scar is defined as a scar involving at least one ventricular myocardial segment (i.e., basal infero-septum) as identified in the official findings of a cMRI, or nuclear viability study, or echo report by the interpreting radiologist/ cardiologist who is not affiliated with the study
  • meaningful survival means that a patient has a reasonable quality of life and functional status

Trial locations and contacts

38 sites in 9 countries.

38 sites in 9 countries

United States18 sites
  • Emory University Hospital

    Atlanta, Georgia, 30308

  • Cooper Hospital - University Medical Center

    Camden, New Jersey, 08103

  • Erlanger Medical Center

    Chattanooga, Tennessee, 37403

  • Cleveland Clinic

    Cleveland, Ohio, 44195

  • Ohio State University Medical Center

    Columbus, Ohio, 43210

  • Ohio Health Research Institute

    Columbus, Ohio, 43214

  • Penn State Health Milton S. Hershey Medical Center

    Hershey, Pennsylvania, 17033

  • Arrhythmia Research Group

    Jonesboro, Arkansas, 72401

  • Baptist Health Lexington

    Lexington, Kentucky, 40503

  • Northwell University Hospital

    Manhasset, New York, 11030

  • Mount Sinai Medical Center

    New York, New York, 10029

  • Sentara Norfolk General

    Norfolk, Virginia, 23507

  • AdventHealth Orlando

    Orlando, Florida, 32803

  • Hospital of the University of Pennsylvania

    Philadelphia, Pennsylvania, 19104

  • Banner University Medical Center Phoenix

    Phoenix, Arizona, 85006

  • Mayo Clinic

    Rochester, Minnesota, 55905

  • Scottsdale Healthcare - Shea

    Scottsdale, Arizona, 84258

  • University of Washington Medical Center

    Seattle, Washington, 98195

Other trials in United States

France4 sites
  • CHU Grenoble - Hospital Michallon

    Grenoble

  • CHRU de Lille

    Lille, 59000

  • CHU de Nantes-Hopital Laennec

    Nantes

  • Hospital European Georges-Pompidou

    Paris

Other trials in France

Italy4 sites
  • Spedali Civil di Brescia

    Brescia

  • Maria Cecilia Hospital SPA

    Cotignola

  • AZ Osp Monaldi

    Naples, 80131

  • Azienda Ospedaliero Universitaria Pisana

    Pisa, 56126

Other trials in Italy

United Kingdom4 sites
  • The General Infirmary

    Leeds, LS1 EX

  • Liverpool Heart and Chest Hospital

    Liverpool, L14 3PE

  • Manchester Heart Center

    Manchester, M13 9WL

  • Southampton University Hospital

    Southampton

Other trials in United Kingdom

Netherlands3 sites
  • Amsterdam University Medical Center

    Amsterdam

  • St. Antonius Ziekenhuis

    Nieuwegein

  • Erasmus MC University Medical Center

    Rotterdam, 3015 CE

Other trials in Netherlands

Canada2 sites
  • Institut de Cardiologie de Quebec (Montreal Heart)

    Montreal, Quebec, H1T 1C8

  • Institut Universitaire de Cardilogie et Pnuemologie de Quebec (IUCPQ)

    Québec

Other trials in Canada

Austria1 site
  • Kepler Universitaetsklinikum

    Linz

Other trials in Austria

Czechia1 site
  • Na Homolce Hospital

    Prague

Other trials in Czechia

Spain1 site
  • Hospital Clinic of Barcelona

    Barcelona, 08036

Other trials in Spain

About this study

The MODULAR ATP Clinical Study is designed to demonstrate safety, performance, and effectiveness of the Modular Cardiac Rhythm Management (mCRM) Therapy System.

Read the detailed description

The MODULAR ATP Clinical Study will enroll subjects with a standard Implantable Cardioverter Defibrillator (ICD) indication applying international practice guidelines, as well as those who already have an implanted S-ICD System and satisfy the inclusion criteria for this study, while not meeting any exclusion criteria. Subjects will be followed for at least 6 months following mCRM Therapy System implantation.

Being tested
mCRM Therapy System
Medical subject headings
Tachycardia, Ventricular, Arrhythmias, Cardiac

What participants receive

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

  • mCRM Therapy SystemDevice

    Also called Communication of S-ICD to Leadless Cardiac Pacemaker (LCP)

    Communication testing between S-ICD and LCP in 4 body postures as well as required electrical testing.

Study groups in NCT04798768
Study groupRoleWhat they receive
MODULAR ATP Study ParticipantsExperimentalAll subjects that signed the informed consent were included. Patients consented to receive the mCRM Therapy System which consists of the EMPOWER Leadless Pacemaker and an EMBLEM S-ICD upgraded with investigational firmware.
Receives: Device: mCRM Therapy System

What is being measured

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

  1. Safety Endpoint 1: Percentage of Subjects Without Major EMPOWER MPS System- or Procedure-Related Complications Through 6 Months

    Major EMPOWER MPS System- and Procedure-related Complication-Free Rate Subjects will be assessed for safety issues related to the procedure or system through 6 months post implant

    Measured: Implant through 6 Months Post-Implant

  2. Safety Endpoint 2: Percentage of Subjects Without Major EMPOWER MPS System- or Procedure-Related Complications Through 12 Months

    Major EMPOWER MPS System- and Procedure-related Complication-free Rate

    Subjects will be assessed for safety issues related to the procedure or system through 12 months post implant

    Measured: Implant through 12 Months Post-Implant

  3. Primary Effectiveness Endpoint 1: Percentage of Body Postures With Communication Success Between the S-ICD and EMPOWER PG

    Communication Success between the S-ICD and EMPOWER PG

    Data from subjects will be assessed for effectiveness of communication between S-ICD and the EMPOWER PG by evaluating if a paced beat is present during communication testing in four postures: upright, supine, and right and left side.

    Measured: At the 6 Month Follow-up

  4. Primary Effectiveness Endpoint 2: Percentage of Subjects Classified as a Pacing Capture Threshold (PCT) Responder

    Proportion of Subjects with Adequate Pacing Capture Threshold

    Effectiveness will be confirmed by evaluating the percentage of subjects considered to be a PCT Responder, defined as a subject with a PCT measurement of ≤ 2.0 V @ 0.4 ms pulse width

    Measured: At the 6 Month Follow-up

Secondary outcomes (2)
  1. Secondary Effectiveness Endpoint: Subject-specific Slope of EMPOWER PG Sensor-Indicated Rate to the Subject's Workload on Treadmill Test

    Metabolic-Chronotropic Relation Slope (MCR Slope) from the Kay-Wilkoff Model

    Using the Kay-Wilkoff model, data will be assessed to evaluate the proportionality of the EMPOWER PG's sensor-indicated rate to the subject's workload during the treadmill test

    Measured: At the 3 Month Visit

  2. Secondary Safety Endpoint

    All-Cause Survival; data not reported as it is still being collected

    Measured: Implant through 2 years post-implant

Timeline

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

  1. First posted15 Mar 2021
  2. Study start20 Jul 2021
  3. Primary completion6 May 2024
  4. Study completion31 Dec 2030 (estimated)

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
Treatment
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrolment
297 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT04798768
Sponsor's protocol ID
C1907
Acronym
MODULAR ATP
Status last verified
Oct 2026
First submitted
8 Mar 2021
Last updated
15 Oct 2026
Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
Yes
Individual data sharing
No: There is no plan to share IPD with other researchers in this study.

Publications

  • Lloyd MS, Brisben AJ, Reddy VY, Blomstrom-Lundqvist C, Boersma LVA, Bongiorni MG, Burke MC, Cantillon DJ, Doshi R, Friedman PA, Gras D, Kutalek SP, Neuzil P, Roberts PR, Wright DJ, Appl U, West J, Carter N, Stein KM, Mont L, Knops RE. Design and rationale of the MODULAR ATP global clinical trial: A novel intercommunicative leadless pacing system and the subcutaneous implantable cardioverter-defibrillator. Heart Rhythm O2. 2023 Jun 2;4(7):448-456. doi: 10.1016/j.hroo.2023.05.004. eCollection 2023 Jul.

    PubMed 37520021
  • Knops RE, Lloyd MS, Roberts PR, Wright DJ, Boersma LVA, Doshi R, Friedman PA, Neuzil P, Blomstrom-Lundqvist C, Bongiorni MG, Burke MC, Gras D, Kutalek SP, Amin AK, Fu EY, Epstein LM, Tolosana JM, Callahan TD, Aasbo JD, Augostini R, Manyam H, Nair DG, Mondesert B, Su WW, Pepper C, Miller MA, Grammes J, Saleh K, Marquie C, Merchant FM, Cha YM, Cunnington C, Frankel DS, West J, Matznick E, Swackhamer B, Brisben AJ, Weinstock J, Stein KM, Reddy VY, Mont L; MODULAR ATP Investigators. A Modular Communicative Leadless Pacing-Defibrillator System. N Engl J Med. 2024 Oct 17;391(15):1402-1412. doi: 10.1056/NEJMoa2401807. Epub 2024 May 18.

    PubMed 38767244
  • Lloyd MS, Reddy VY, Roberts P, Doshi RN, Wright DL, Boersma LVA, Friedman PA, Neuzil P, Blomstrom-Lundqvist C, Bongiorni MG, Burke MC, Gras D, Kutalek SP, Marijon E, Tolosana JM, Amin AK, Epstein LM, Aasbo JD, Callahan TD, Brisben AJ, West J, Matznick E, Speakman B, Bachman TN, Mont L, Knops RE. One-Year Outcomes of the MODULAR ATP Trial: A Novel Leadless Pacemaker in Wireless Communication With a Subcutaneous Implantable Cardioverter Defibrillator. Circ Arrhythm Electrophysiol. 2026 Jan;19(1):e014395. doi: 10.1161/CIRCEP.125.014395. Epub 2025 Nov 13.

    PubMed 41231774

Questions about this trial

What is this clinical trial studying?

A study testing mCRM Therapy System in people with Tachycardia, Ventricular and Arrhythmia, Ventricular, run by Boston Scientific Corporation at 38 sites in 9 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 9 inclusion and 24 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: under way, not looking for participants, as of the sponsor's last update on 15 Oct 2026. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 38 sites in United States, France, Italy, United Kingdom, Netherlands and 4 more countries. 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 26 Jun 2025). 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?

Safety Endpoint 1: Percentage of Subjects Without Major EMPOWER MPS System- or Procedure-Related Complications Through 6 Months (time frame: Implant through 6 Months Post-Implant). The study lists 4 primary outcomes in all. 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 NCT04798768, which also lists 3 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 15 Oct 2026.

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