Safety and Performances of the LINEA Cardiac Pacing Lead Optimized for the Implantation in Interventricular Septum

Trial statusRecruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexAll
Age18+
SponsorMicroPort CRM

About this trial

The purpose of the clinical investigation is to evaluate the safety and performances of the new LINEA cardiac pacing lead, intended for placement at the interventricular septum.

Eligibility criteria

This trial does not accept healthy volunteers

Qualifiers

Patient indicated for cardiac pacing according to the most recent guidelines from the European Society of Cardiology (ESC)

Patient planned for a de novo implantation of an ALIZEA, BOREA or CELEA Single Chamber (SR) or Dual Chamber (DR) pacemaker from MicroPort CRM

Patient planned for a catheter-guided ventricular pacing lead implantation in the interventricular septum area

Patient's pacemaker with the remote monitoring functions accepted by the patient and planned to be activated

Disqualifiers

Patient planned for a device upgrade, or a device or a lead replacement

Patient with a congenital heart disease, hypertrophic cardiomyopathy or infiltrative cardiomyopathy

Patient with a Left Ventricular Ejection Fraction (LVEF) ≤ 35%

Patient already enrolled in another clinical investigation that could confound the results of this clinical investigation (e.g., clinical investigations involving intra-cardiac device)

Trial design

Design model

Single group

Treatments tested in this trial

  • Use of LINEA cardiac pacing lead

    Device

    Use of LINEA cardiac pacing lead and delivery catheter for implantation of pacemaker

Treatment groups

450 Participants
are divided into 1 treatment group
Group A: LINEA cardiac pacing leadExperimental treatment 1 intervention

Trial outcomes

Primary outcomes

1

LINEA lead complication free rate at 3 months

Proportion of patients free from complication related to the LINEA lead. A complication is defined as a SADE with a probable or causal relationship to the LINEA lead which triggered an additional invasive intervention or resulted in patient death

Time frame
3 months after implantation
2

LINEA lead pacing threshold amplitude at 3 months

Mean ventricular pacing threshold amplitude

Time frame
3 months after implantation

Secondary outcomes

1

Success rate of LINEA lead minimum sensed amplitude

Proportion of patients with minimum sensed amplitude ≥ 5 mV

Time frame
3 months after implantation
2

General performances of LINEA lead

Pacing threshold amplitude, impedance and minimum sensed amplitude obtained with the LINEA lead at each patient's visit. LBB pacing threshold amplitude obtained with the LINEA lead during implantation, as well as the chronaxie measurement

Time frame
Implantation, 72 hours from implantation, 1 month, 3 months, 6 months, 18 months, 30 months and 42 months after implantation
3

Safety of the LINEA lead

LINEA lead complication free rate over time, calculated based on number of Adverse Events and Device Deficiencies related to the lead

Time frame
Implantation, 72 hours from implantation, 1 month, 3 months, 6 months, 18 months, 30 months and 42 months after implantation
4

Safety of the FLEXIGO delivery catheter and the FLEXIGO slitter

FLEXIGO catheter complication free rate, calculated based on number of Adverse Events and Device Deficiencies related to the catheter or the slitter

Time frame
Implantation, 72 hours from implantation, 1 month, 3 months, 6 months, 18 months, 30 months and 42 months after implantation

Other outcomes

1

Early outcome - Absence of Unanticipated Serious Adverse Device Effect (USADE) related to LINEA lead

Proportion of patients free from USADE. Any event caused by use of the LINEA lead or any accessory packaged with the lead, will be considered as an ADE related to the LINEA lead. The endpoint evaluation will be based on an independent safety events adjudication from a Clinical Events Committee (CEC), based on investigational site reporting

Time frame
1 month after implantation
2

Early outcome - LINEA lead pacing threshold amplitude at 1 month

Mean ventricular pacing threshold amplitude

Time frame
1 month after implantation
3

Early outcome - Other LINEA lead and FLEXIGO delivery catheter safety and performance

\- Implantation success rate - Proportion of LINEA lead successfully implanted at the interventricular septum and fulfilling or not LBBAP success criteria according to the operator's decision

Time frame
1 month after implantation
4

Early outcome - Other LINEA lead and FLEXIGO delivery catheter safety and performance

\- Short term electrical performances variation - Pacing threshold variation between implantation and 1 month, and electrical performances of the LINEA lead (pacing threshold, impedance and minimum sensed amplitude)

Time frame
1 month after implantation

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