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NCT03185832: HINODE

Heart Failure and Sudden Cardiac Death Japan Registry

Completed Results posted Last updated 14 February 2022
What this trial tests

trial testing CRT-D in Heart Failure in 354 participants. Completed in 1 December 2020.

Timeline
21 July 2017
Primary endpoint
1 December 2020
1 December 2020

Quick facts

Lead sponsorBoston Scientific Corporation
StatusCompleted
Study typeOBSERVATIONAL
Enrollment354
Start date21 July 2017
Primary completion1 December 2020
Estimated completion1 December 2020
Sites34 locations across Japan

Drugs / interventions tested

Conditions studied

Sponsor

Boston Scientific Corporation — full company profile →

Who can join

20 and older, any sex, with Heart Failure or Arrhythmias, Cardiac. 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.

Number of Participants With Ventricular Arrhythmia Associated Symptoms - ICD/CRT-D Cohorts Primary · 12 months follow up

Number of Participants with first appropriately treated ventricular arrhythmia (by anti tachycardia pacing \[ATP\] or shock) or life-threatening symptoms associated to ventricular arrhythmia (defined as hemodynamic instability which requires treatment), whichever comes first under MADIT Arm B or C programming conditions in a study population with a majority of Japanese subjects.

GroupValue95% CI
CRT-D Cohort3
ICD Cohort8
Number of Participant Deaths - Pacing Cohort Primary · 12 months follow up

All-cause mortality in subjects with a maximum of 3 risk factors (analyzed for MADIT II data).

GroupValue95% CI
Pacing Cohort3
Number of Participant Deaths - Non-Device Cohort Primary · 12 months follow up

All-cause mortality in the subject cohort with 2 to 5 predefined SCD driving risk factors.

GroupValue95% CI
Non-device Cohort5
Number of Participant Deaths - ICD/CRT-D Cohorts Secondary · 12 months follow up

All-cause mortality for the ICD and the CRT-D cohorts.

GroupValue95% CI
CRT-D Cohort5
ICD Cohort3
Number of Participants With Composite HF Event - ICD/CRT-D/Pacing Cohorts Secondary · 12 months follow up

Number of Participants with HF events, which require intravenous (IV) treatment and/or heart failure (HF) related hospitalization, or which led to HF death

GroupValue95% CI
CRT-D Cohort16
ICD Cohort27
Pacing Cohort9
Number of Participants With Complication - ICD/CRT-D/Pacing Cohorts Secondary · 12 months follow up

Complication refers to qualified serious adverse device effects (SADEs) post success implantation, such as re-implant procedure, required invasive procedure related to the device system, pacing exit block, all-cause infection, and death due to therapy failure.

GroupValue95% CI
CRT-D Cohort3
ICD Cohort4
Pacing Cohort2

Adverse events — posted to ClinicalTrials.gov

Time frame: Adverse events are collected through study completion, an average of 20 months. Reporting threshold: 0%. Adverse-event reports describe events observed during the trial — not all are caused by the drug.

Actively Enrolled Patients
Serious: 172/354 (49%)
Deaths: 39/354

Serious adverse events (62 terms)

ReactionSystemActively Enrolled Patients
Dyspnea - Heart FailureCardiac disorders
Multiple Heart Failure SymptomsCardiac disorders
Heart Failure Symptoms - UnspecifiedCardiac disorders
PulmonaryRespiratory, thoracic and mediastinal disorders
Ventricular Tachycardia (VT)/Monomorphic VTCardiac disorders
Atrial Fibrillation (AF)Cardiac disorders
GastrointestinalGastrointestinal disorders
CancerNeoplasms benign, malignant and unspecified (incl cysts and polyps)
Physical TraumaGeneral disorders
Coronary Artery DiseaseCardiac disorders
DeathGeneral disorders
Ventricular Fibrillation (VF)Cardiac disorders
Chest Pain - IschemicCardiac disorders
Fatigue - Heart FailureCardiac disorders
Other - Patient conditionGeneral disorders
MusculoskeletalMusculoskeletal and connective tissue disorders
Weight Gain - Heart FailureCardiac disorders
Other - Heart failure patient conditionCardiac disorders
Peripheral Vascular DiseaseGeneral disorders
Adverse Reaction - MedicationGeneral disorders
NeurologicalNervous system disorders
RenalRenal and urinary disorders
Head, eyes, ears, nose, throat (HEENT)General disorders
Renal Failure/Insufficiency - Heart FailureRenal and urinary disorders
Atrial Tachycardia/Other SVT (e.g. AVRT, AVNRT, EAT)Cardiac disorders
Other adverse events (44 terms — click to expand)

ReactionSystemActively Enrolled Patients
RenalRenal and urinary disorders
Atrial Fibrillation (AF)Cardiac disorders
Dyspnea - Heart FailureCardiac disorders
Ventricular Tachycardia (VT)/Monomorphic VTCardiac disorders
Physical TraumaGeneral disorders
Multiple Heart Failure SymptomsCardiac disorders
Heart Failure Symptoms - UnspecifiedCardiac disorders
Fever and/or VirusGeneral disorders
GastrointestinalGastrointestinal disorders
Head, eyes, ears, nose, throat (HEENT)General disorders
Inappropriate tachy therapy - SVT - Defibrillation LeadProduct Issues
Extracardiac Stimulation - LV LeadProduct Issues
Ventricular Fibrillation (VF)Cardiac disorders
Atrial Tachycardia/Other SVT (e.g. AVRT, AVNRT, EAT)Cardiac disorders
DizzinessCardiac disorders
Other - Heart failure patient conditionCardiac disorders
Nonsustained ventricular tachycardia (NSVT)Cardiac disorders
DyspneaCardiac disorders
Pleural Effusion - unrelated procedure/deviceRespiratory, thoracic and mediastinal disorders
Adverse Reaction - MedicationGeneral disorders
HematologicalBlood and lymphatic system disorders
MusculoskeletalMusculoskeletal and connective tissue disorders
EndocrineEndocrine disorders
Extracardiac Stimulation - LV PG SystemProduct Issues
Hematoma - pocket (<= 30 days post-implant)Product Issues
Dizziness - Heart FailureCardiac disorders
Chest Pain - Heart FailureCardiac disorders
Renal Failure/Insufficiency - Heart FailureRenal and urinary disorders
Dehydration - Heart FailureCardiac disorders
Atrial FlutterCardiac disorders
Hypotension/Orthostatic HypotensionCardiac disorders
Hypertension/Hypertensive CrisisCardiac disorders
Mitral RegurgitationCardiac disorders
SyncopeCardiac disorders
Other - Patient conditionGeneral disorders
Transient Ischemic Attack (TIA)Nervous system disorders
Intracardiac thrombusCardiac disorders
Hemorrhage - unrelated procedure/deviceGeneral disorders
System InfectionProduct Issues
NeurologicalNervous system disorders

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

Data from ClinicalTrials.gov NCT03185832 adverse events section.

Sponsor's own description

The purpose of this observational registry is to collect clinical events and outcome data in 4 different study populations (cohorts), with a majority of Japanese subjects, that are at risk of sudden cardiac death (SCD) and heart failure (HF) events. These event rates will be compared with available published data mainly from Europe and the United States. Selected Subject Cohorts: 1. Selected subject cohort with criteria for SCD (without spontaneous prior ventricular sustained arrhythmia) and de novo Implantable Cardioverter-Defibrillator (ICD) device treatment. 2. Selected subject cohort with criteria for SCD and widely accepted standard cardiac resynchronization therapy (CRT) indication who received a de novo CRT-Defibrillator (CRT-D) device treatment. 3. Selected subject cohort who are clinically expected to require \>40% right ventricular pacing with a left ventricular ejection fraction (LVEF) ≤50%, any determined New York Heart Association (NYHA) Class, and receiving pacemaker (PM) or CRT-Pacemaker (CRT-P) therapy despite previous device history (de novo, box changes, system revisions or upgrades). 4. Selected subject cohort with criteria for SCD fulfilling European Society of Cardiology (ESC) ICD or CRT-D therapy guidelines (2016) with an LVEF ≤35%, having 2 to 5 predefined SCD risk factors but do not have or had have a cardiac implanted defibrillator, CRT-D, PM, or CRT-P. The primary endpoint will report on the Composite rate of first appropriately treated ventricular arrhythmia (by anti-tachycardia pacing \[ATP\] or shock) or life-threatening symptoms associated to ventricular arrhythmia (defined as hemodynamic instability which requires treatment), whichever comes first under MADIT RIT Arm B or C programming conditions in a study population with a majority of Japanese subjects. This primary end point is assessed in the ICD/CRT-D implanted patient cohort. The all-cause mortality in subjects with a maximum of 3 risk factors (analyzed for MADIT II data) will be assessed in the Pacing (PM/CRT-P) patient cohort. The all-cause mortality will be assessed in the non-implanted subject cohort.

Publications & conference data

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

  1. Rationale and design of the HINODE study: Heart failure indication and sudden cardiac death prevention trial Japan.
    Yamasaki H, Ando K, Ikeda T, Mitsuhashi T, et al · · 2021 · cited 7× · PMID 34386129 · DOI 10.1002/joa3.12577
  2. Prediction of heart failure events based on physiologic sensor data in HINODE defibrillator patients.
    Nishii N, Sakata Y, Murohara T, Ando K, et al · · 2024 · cited 3× · PMID 38956896 · DOI 10.1002/ehf2.14890
  3. Prognostic Implications of Heart Rate Score and Its Temporal Change in Left Ventricular Systolic Dysfunction: Insights From the HINODE Study.
    Okada M, Inoue K, Tanaka N, Tanaka K, et al · · 2025 · PMID 41293642 · DOI 10.1002/joa3.70216

Verify or expand the search:

Other trials of CRT-D

Trials testing the same drug.

Other recruiting trials for Heart Failure

Currently open trials in the same condition.

Other Boston Scientific Corporation trials

Trials by the same sponsor.

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