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NCT02923726: APPRAISE ATP

Assessment of Primary Prevention Patients Receiving An ICD - Systematic Evaluation of ATP

Completed NA Results posted Last updated 22 October 2024
What this trial tests

NA trial testing Arm 1 (ATP+Shock) in Sudden Cardiac Death in 2,692 participants. Completed in 6 July 2023.

Timeline
30 September 2016
Primary endpoint
6 July 2023
6 July 2023

Quick facts

Lead sponsorBoston Scientific Corporation
PhaseNA
StatusCompleted
Study typeINTERVENTIONAL
Allocationrandomized
Designparallel
Maskingsingle
Primary purposebasic science
Enrollment2,692
Start date30 September 2016
Primary completion6 July 2023
Estimated completion6 July 2023
Sites134 locations across Italy, Japan, Austria, United Kingdom, South Korea, Canada, United States, Spain

Drugs / interventions tested

Conditions studied

Sponsor

Boston Scientific Corporation — full company profile →

Who can join

21 and older, any sex, with Sudden Cardiac Death. Patients with the condition only — healthy volunteers not accepted.

Results — posted to ClinicalTrials.gov

Per-arm endpoint measurements with 95% confidence intervals where reported. Source: trial results section.

All-Cause Shock Primary · 5 years

The incidence of all-cause shocks in subjects programmed with shocks only will be compared with subjects programmed to standard therapy (ATP and shock) to assess equivalency. All shocks delivered by the device were adjudicated by an external committee as to whether they were appropriately or inappropriately delivered. All shocks, appropriate and inappropriate, contributed to the evaluation of this endpoint.

GroupValue95% CI
ATP and Shock129
Shock Only178
All-Cause Shock or Death From Any Cause Secondary · 5 years

incidence of all-cause shocks or death from any cause

GroupValue95% CI
ATP and Shock297
Shock Only322
Appropriate Shock Secondary · 5 years

incidence of first appropriate shock All shocks delivered by the device were adjudicated by an external committee as to whether they were appropriately or inappropriately delivered. Appropriate shocks contributed to the evaluation of this endpoint.

GroupValue95% CI
ATP and Shock96
Shock Only132
Inappropriate Shock Secondary · 5 years

incidence of first inappropriate shock All shocks delivered by the device were adjudicated by an external committee as to whether they were appropriately or inappropriately delivered. Inappropriate shocks contributed to the evaluation of this endpoint.

GroupValue95% CI
ATP and Shock40
Shock Only62
All Cause Mortality Secondary · 5 years

incidents of all cause mortality

GroupValue95% CI
ATP and Shock196
Shock Only174

Adverse events — posted to ClinicalTrials.gov

Time frame: Adverse Event data was collected from time of enrollment through a common end date and a median follow-up time of 40 months.. Reporting threshold: 0%. Adverse-event reports describe events observed during the trial — not all are caused by the drug.

ATP and Shock
Serious: 633/1302 (49%)
Deaths: 196/1302
Shock Only
Serious: 618/1293 (48%)
Deaths: 175/1293

Serious adverse events (139 terms)

ReactionSystemATP and ShockShock Only
Multiple heart failure symptomsCardiac disorders
PulmonaryRespiratory, thoracic and mediastinal disorders
GastrointestinalGastrointestinal disorders
Atrial Fibrillation (AF)Cardiac disorders
Heart failure symptoms - UnspecifiedCardiac disorders
CancerNeoplasms benign, malignant and unspecified (incl cysts and polyps)
Ventricular Tachycardia (VT)/Monomorphic VTCardiac disorders
Dyspnea - Heart failureCardiac disorders
RenalRenal and urinary disorders
Systemic infectionInfections and infestations
MusculoskeletalMusculoskeletal and connective tissue disorders
DeathGeneral disorders
Myocardial infarctionVascular disorders
Chest pain - OtherGeneral disorders
Ventricular Fibrillation (VF)Cardiac disorders
HematologicalBlood and lymphatic system disorders
GenitourinaryRenal and urinary disorders
Coronary Artery DiseaseVascular disorders
NeurologicalNervous system disorders
Cardiac arrestCardiac disorders
Cerebrovascular Accident (CVA) - unspecifedVascular disorders
SyncopeGeneral disorders
Chest pain - IschemicVascular disorders
Inappropriate Tachy Therapy - SVT - PG System TherapyProduct Issues
Cardiogenic shockCardiac disorders
Other adverse events (111 terms — click to expand)

ReactionSystemATP and ShockShock Only
Nonsustained Ventricular Tachycardia (NSVT)Cardiac disorders
Ventricular Tachycardia (VT)/Monomorphic VTCardiac disorders
Atrial Fibrillation (AF)Cardiac disorders
Atrial Tachycardia/Other SVT (eg AVRT, AVNRT, EAT)Cardiac disorders
Inappropriate Tachy Therapy - SVT - PG System TherapyProduct Issues
Ventricular Fibrillation (VF)Cardiac disorders
SyncopeGeneral disorders
Multiple heart failure symptomsCardiac disorders
DizzinessGeneral disorders
Dyspnea - Heart failureCardiac disorders
VT with Syncope - ArrhythmiaCardiac disorders
Atrial FlutterCardiac disorders
Heart failure symptoms - UnspecifiedCardiac disorders
Hypotension/Orthostatic HypotensionVascular disorders
Chest pain - OtherGeneral disorders
PulmonaryRespiratory, thoracic and mediastinal disorders
DyspneaRespiratory, thoracic and mediastinal disorders
Pacemaker Mediated Tachycardia - PG System TherapyProduct Issues
Post-surgical wound discomfort/bruising/swellingInjury, poisoning and procedural complications
Sinus bradycardiaCardiac disorders
NeurologicalNervous system disorders
GastrointestinalGastrointestinal disorders
Post-surgical infection (<=30 days post-implant)Injury, poisoning and procedural complications
Hematoma - Pocket (<=30 days post-implant)Injury, poisoning and procedural complications
Dislodgment - Elevated threshold -RV LeadProduct Issues
Sinus tachycardiaCardiac disorders
Premature Ventricular Contractions (PVC)Cardiac disorders
Physical traumaGeneral disorders
Abnormal laboratory valuesGeneral disorders
RenalRenal and urinary disorders
MusculoskeletalMusculoskeletal and connective tissue disorders
Head, eyes, ears, nose, throat (HEENT)General disorders
EndocrineEndocrine disorders
CancerNeoplasms benign, malignant and unspecified (incl cysts and polyps)
Oversensing - RA PG SystemProduct Issues
Thromboembolic eventsInjury, poisoning and procedural complications
Oversensing - RA LeadProduct Issues
Dislodgment - No reported signs - RV LeadProduct Issues
3rd degree AV blockCardiac disorders
VF with Syncope - ArrhythmiaCardiac disorders

Most-reported serious reactions: Multiple heart failure symptoms, Pulmonary, Gastrointestinal, Atrial Fibrillation (AF), Heart failure symptoms - Unspecified, Cancer, Ventricular Tachycardia (VT)/Monomorphic VT, Dyspnea - Heart failure.

Data from ClinicalTrials.gov NCT02923726 adverse events section.

Sponsor's own description

The primary objective is to understand the role of antitachycardia pacing (ATP) in primary prevention patients indicated for implantable cardioverter-defibrillator (ICD) therapy and programmed according to current guidance of higher rate cut-offs and therapy delays. The time to first all-cause shock will be tested in subjects with standard therapy (ATP and shocks) compared to subjects programmed to shock only to assess equivalency.

Publications & conference data

3 peer-reviewed publications reference this trial (live from Europe PMC):

  1. Assessment of Antitachycardia Pacing in Primary Prevention Patients: The APPRAISE ATP Randomized Clinical Trial.
    Schuger C, Joung B, Ando K, Mont L, et al · · 2024 · cited 16× · PMID 39361311 · DOI 10.1001/jama.2024.16531
  2. Assessment of primary prevention patients receiving an ICD - Systematic evaluation of ATP: APPRAISE ATP.
    Schuger CD, Ando K, Cantillon DJ, Lambiase PD, et al · · 2021 · cited 4× · PMID 34430946 · DOI 10.1016/j.hroo.2021.07.003
  3. One-Year Outcomes of the MODULAR ATP Trial: A Novel Leadless Pacemaker in Wireless Communication With a Subcutaneous Implantable Cardioverter Defibrillator.
    Lloyd MS, Reddy VY, Roberts P, Doshi RN, et al · · 2026 · PMID 41231774 · DOI 10.1161/circep.125.014395

Verify or expand the search:

Other recruiting trials for Sudden Cardiac Death

Currently open trials in the same condition.

Other Boston Scientific Corporation trials

Trials by the same sponsor.

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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/NCT02923726.

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