S-ICD Implant Without Defibrillation Testing for Ventricular Arrhythmia
(PRAETORIAN-DFT Trial)
What You Need to Know Before You Apply
What is the purpose of this trial?
This study will test the hypothesis that implantation of a subcutaneous implantable cardioverter defibrillator (S-ICD) without performing a defibrillation test is non-inferior to S-ICD implant with a defibrillation test with regards to the primary endpoint failed first shock in a spontaneous arrhythmia episode when implant position is confirmed with PRAETORIAN score.
Will I have to stop taking my current medications?
The trial information does not specify whether you need to stop taking your current medications. It's best to discuss this with the trial coordinators or your doctor.
Is the S-ICD implant generally safe for humans?
The S-ICD (subcutaneous implantable cardioverter-defibrillator) is considered generally safe for humans, as it avoids complications related to traditional ICDs (implantable cardioverter-defibrillators) that use leads inside blood vessels. Studies have shown that the S-ICD reduces common complications and is effective in treating life-threatening heart rhythm problems.12345
How does the S-ICD Implantation treatment differ from other treatments for ventricular arrhythmia?
The S-ICD Implantation is unique because it is a subcutaneous device that does not require leads to be placed inside the heart or blood vessels, unlike traditional implantable cardioverter-defibrillators (ICDs). This reduces the risk of complications associated with intravascular leads, such as infections or lead dislodgement.678910
What data supports the effectiveness of the S-ICD Implantation treatment for ventricular arrhythmia?
The S-ICD (subcutaneous implantable cardioverter-defibrillator) is designed to treat dangerous heart rhythms by delivering a shock to the heart, similar to traditional ICDs (implantable cardioverter defibrillators), which have been shown to reduce the risk of death in patients with life-threatening heart rhythm problems. The EFFORTLESS study is collecting data on the outcomes of patients with S-ICDs, indicating ongoing research into its effectiveness.1112131415
Who Is on the Research Team?
Reinoud E Knops, MD, PhD
Principal Investigator
Academisch Medisch Centrum - Universiteit van Amsterdam (AMC-UvA)
Are You a Good Fit for This Trial?
This trial is for adults over 18 who need a new subcutaneous implantable cardioverter defibrillator (S-ICD) and meet current guidelines for ICD therapy. They must be able to consent, follow up on visits, pass S-ICD screening, and not have conditions like heart failure devices (LVAD), short life expectancy, pregnancy, intracardiac thrombus or planned heart transplant.Inclusion Criteria
Exclusion Criteria
Timeline for a Trial Participant
Screening
Participants are screened for eligibility to participate in the trial
S-ICD Implantation
Participants undergo S-ICD implantation with or without defibrillation testing
Immediate Post-Implant Monitoring
Participants are monitored for complications and device functionality immediately after implantation
Follow-up
Participants are monitored for safety, efficacy, and complications related to the S-ICD over an extended period
What Are the Treatments Tested in This Trial?
Interventions
- S-ICD Implantation
Find a Clinic Near You
Who Is Running the Clinical Trial?
Academisch Medisch Centrum - Universiteit van Amsterdam (AMC-UvA)
Lead Sponsor
Boston Scientific Corporation
Industry Sponsor
Michael F. Mahoney
Boston Scientific Corporation
Chief Executive Officer since 2016
MBA from Wake Forest University, BBA in Finance from the University of Iowa
Kenneth Stein
Boston Scientific Corporation
Chief Medical Officer since 2020
MD from Harvard Medical School, MMSc in Clinical Investigation from Harvard-MIT Division of Health Sciences and Technology