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NCT00559988: IMPACT
The IMPACT of BIOTRONIK Home Monitoring Guided Anticoagulation on Stroke Risk in Patients With ICD and CRT-D Devices
Phase 4 trial testing Home Monitoring Guided OAC in Atrial Fibrillation in 2,718 participants. Terminated before completion.
1 June 2013
Quick facts
| Lead sponsor | Biotronik, Inc. |
|---|---|
| Phase | Phase 4 |
| Status | Terminated |
| Study type | INTERVENTIONAL |
| Allocation | randomized |
| Design | parallel |
| Masking | single |
| Primary purpose | prevention |
| Enrollment | 2,718 |
| Start date | 1 February 2008 |
| Primary completion | 1 June 2013 |
| Estimated completion | 1 June 2013 |
| Sites | 80 locations across United States, Australia, Canada, Denmark, Germany, United Kingdom |
Drugs / interventions tested
- Home Monitoring Guided OAC — full drug profile →
- Physician-Directed OAC — full drug profile →
Conditions studied
- Atrial Fibrillation — all drugs for Atrial Fibrillation →
- Atrial Flutter — all drugs for Atrial Flutter →
- Stroke — all drugs for Stroke →
- Embolism, Systemic Arterial — all drugs for Embolism, Systemic Arterial →
Sponsor
Biotronik, Inc. — full company profile →
Who can join
18 and older, any sex, with Atrial Fibrillation or Atrial Flutter. Patients with the condition only — healthy volunteers not accepted.
What's being measured
Primary outcomes are the specific endpoints the trial is designed to prove or disprove.
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Composite Primary Endpoint: Kaplan-Meier Estimate of Patients Without a Stroke, Systemic Embolism, or Major Bleed
Time frame: From date of enrollment until date of primary endpoint event, assessed up to study exit, with a mean treatment duration of 2.0 years
The primary endpoint is to demonstrate whether early detection of atrial arrhythmias based on BIOTRONIK Home Monitoring technology combined with a predefined anticoagulation plan in the Home Monitoring Guided OAC group is superior to the Physician-Directed OAC group reflecting conventional care and physician directed treatment of AF in terms of risk reduction of the primary composite endpoint incl
Sponsor's own description
The IMPACT Study will investigate the potential clinical benefit of the combined use of BIOTRONIK Home Monitoring (HM) technology and a predefined anticoagulation plan compared to conventional device evaluation and physician-directed anticoagulation in patients with implanted dual-chamber defibrillators or cardiac resynchronization therapy devices.
Publications & conference data
5 peer-reviewed publications reference this trial (live from Europe PMC):
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Randomized trial of atrial arrhythmia monitoring to guide anticoagulation in patients with implanted defibrillator and cardiac resynchronization devices.
Martin DT, Bersohn MM, Waldo AL, Wathen MS, et al · · 2015 · cited 270× · PMID 25908774 · DOI 10.1093/eurheartj/ehv115 -
Characteristics of patients with atrial high rate episodes detected by implanted defibrillator and resynchronization devices.
Miyazawa K, Pastori D, Martin DT, Choucair WK, et al · · 2022 · cited 21× · PMID 34426836 · DOI 10.1093/europace/euab186 -
Can Machine Learning Disrupt the Prediction of Sudden Death?
Narayan SM, Rogers AJ. · · 2023 · cited 2× · PMID 36889874 · DOI 10.1016/j.jacc.2022.12.027 -
Atrial fibrillation and stroke: the evolving role of rhythm control.
Patel TK, Passman RS. · · 2013 · cited 1× · PMID 23397289 · DOI 10.1007/s11936-013-0234-9 -
Trends of Decentralized Clinical Trials Using Digital Technology for Decentralization
Sato T, Mizumoto S, Ota M, Shikano M. · · 2022 · DOI 10.2139/ssrn.4243284
Verify or expand the search:
- PubMed search for NCT00559988
- Europe PMC full search
- ASCO Meeting Library
- ESMO Meeting Library
- bioRxiv preprints
- medRxiv preprints
- Google Scholar
Related trials
Other recruiting trials for Atrial Fibrillation
Currently open trials in the same condition.
- NCT07429214 — A Study of VARIPULSE Catheter and TRUPULSE Generator With VARIPULSE Pro Software in Participants With PAF or PsAF · NA · recruiting
- NCT07271238 — Feasibility Study on the VERAFEYE Imaging and Navigation System for Guided Catheter Ablation Procedures · NA · recruiting
- NCT07388108 — Atrial Dyssynchrony to Predict Arrhythmias in the Postoperative Setting of Cardiovascular Surgery. · recruiting
- NCT07428967 — AV Node Ablation and CONDUCTion System Pacing for Atrial Fibrillation With Preserved Left Ventricular Function · NA · recruiting
- NCT06650995 — AlEX-DHF: Ablation and Exercise in Diastolic Heart Failure · NA · recruiting
Other Biotronik, Inc. trials
Trials by the same sponsor.
- NCT05251363 — BIOTRONIK Conduction System Pacing With the Solia Lead · NA · completed
- NCT04870281 — Atrial Fibrillation Associated With Heart Failure Treated by BIOTRONIK's CRT-DX System · terminated
- NCT04175626 — Safety and Effectiveness of the Orsiro Sirolimus Eluting Coronary Stent System in Subjects With Coronary Artery Lesions · completed
- NCT04076917 — Assessment of the Utility of BIOMONITOR to Identify Atrial Fibrillation (AF) in Ablation Candidates Using Precise AF Det · terminated
- NCT03884608 — Analysis of Both Sex and Device Specific Factors on Outcomes in Patients with Non-Ischemic Cardiomyopathy · completed
Verify against primary sources
- ClinicalTrials.gov — authoritative US registry record
- WHO ICTRP — international registry index
- EU Clinical Trials Register
- Sponsor press releases (Google)
- Trial protocol + status: ClinicalTrials.gov NCT00559988 (US National Library of Medicine, public domain)
- Publications: Europe PMC API search by NCT ID, retrieved 10 June 2026
- Drug + disease cross-links: matched in real time against Drug Landscape's normalised drug + company + condition tables
- Sponsor: as reported to ClinicalTrials.gov by Biotronik, Inc.
- Last refreshed: 1 November 2017
Drug Landscape aggregates and links these public records for informational use only. Always verify against the primary source before clinical or regulatory decisions. Canonical URL: https://druglandscape.com/trial/NCT00559988.
Primary sources · FDA · ClinicalTrials.gov · EMA · SEC EDGAR · ChEMBL · Wikidata · full sourcing