About this trial
A prospective, multinational, randomized, double-blind, clinical trial evaluating the safety and effectiveness of a novel atrioventricular interval modulation (AVIM) algorithm downloaded into a dual-chamber Medtronic Astra/Azure pacemaker.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Patient has or is indicated for a dual-chamber pacemaker. Visit 1 can be performed within 30 days prior to a planned implant of a Medtronic Astra/Azure dual-chamber pacemaker system or at any time thereafter
On a stable antihypertension treatment regimen with at least 1 class of antihypertensive drug
Office SBP ≥135 mmHg and <180 mmHg
Average 24-Hour aSBP ≥130 mmHg and <170 mmHg
Disqualifiers
LVEF <50%
NYHA Class III-IV
History of cerebrovascular accident (CVA) or transient ischemic attack (TIA) within 6 months
Myocardial infarction (MI) within 3 months
Trial design
Parallel
Treatments tested in this trial
Medtronic Astra/Azure DR MRI IPG with AVIM therapy Activated
DeviceAntihypertensive therapy utilizing atrioventricular interval modulation.
Medtronic Astra/Azure DR MRI IPG with AVIM therapy Deactivated
DeviceAVIM therapy is deactivated
Treatment groups
Trial outcomes
Primary outcomes
Change from Baseline in the Mean 24-hour ambulatory systolic blood pressure (aSBP) at 3 Months
Between group difference in the change of mean 24-hour ambulatory systolic blood pressure (aSBP) from baseline to 3 months post randomization
Freedom from Unanticipated Serious Adverse Device Effects (USADE)
Freedom from Unanticipated Serious Adverse Device Effects (USADE) in the treatment group at 3 months.
Sponsors and contacts
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Orchestra BioMed, Inc
Lead sponsor
Medtronic
Collaborator