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NCT04245345: AccelAV

Accelerometer Sensing for Micra AV Study

Completed NA Results posted Last updated 23 February 2023
What this trial tests

NA trial testing Accelerometer Sensing for Micra AV Study in AV Block in 157 participants. Completed in 10 January 2022.

Timeline
9 June 2020
Primary endpoint
1 January 2022
10 January 2022

Quick facts

Lead sponsorMedtronic Cardiac Rhythm and Heart Failure
PhaseNA
StatusCompleted
Study typeINTERVENTIONAL
Allocationna
Designsingle group
Maskingnone
Primary purposetreatment
Enrollment157
Start date9 June 2020
Primary completion1 January 2022
Estimated completion10 January 2022
Sites20 locations across Hong Kong, United States

Drugs / interventions tested

Conditions studied

Sponsor

Medtronic Cardiac Rhythm and Heart Failure — full company profile →

Who can join

18 and older, any sex, with AV Block or AV Block Complete. 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.

Atrioventricular (AV) Synchrony During Rest at 1-month Post-implant in Subjects With Persistent 3rd Degree Atrioventrcular Block (AVB) and Normal Sinus Node Function Primary · 1-month post-implant

Atrioventricular synchrony is defined for each P-wave during the 20-minute resting period. Specifically, for each electrocardiogram (ECG) confirmed P-wave that occurs during the 20-minute resting period at the 1-month visit, the endpoint will be considered met if a ventricular beat (ventricular pace or sensed event) is within 300 ms following an ECG confirmed P-wave. The reported percentage is the average percentage of P-waves considered synchronous across all patients during the 20-minute resting period.

GroupValue95% CI
AccelAV Evaluable for Primary Objective85.481.1 – 88.9
Stability of AV Synchrony During Rest Between 1-month and 3-months Post-implant in Subjects With Persistent 3rd Degree AVB and Normal Sinus Node Function Secondary · Between 1-month and 3-months post-implant

AV synchrony is defined for each ECG confirmed P-wave that occurs during the 20-minute resting period at both the 1-month visit and 3-months visits. For each P-wave the endpoint will be considered met if a ventricular beat (ventricular pace or sensed event) is within 300 ms following an ECG confirmed P-wave. The reported percentages are the average percentage of P-waves considered synchronous across all patients during the 20-minute resting period at each visit (month 1 or month 3).

AV synchrony at 1-month
GroupValue95% CI
AccelAV Evaluable for Secondary Objective86.181.2 – 89.9
AV synchrony at 3-months
GroupValue95% CI
AccelAV Evaluable for Secondary Objective84.178.3 – 88.6
Difference in AV Synchrony (Month 3 - Month 1)
GroupValue95% CI
AccelAV Evaluable for Secondary Objective-2.0-6.8 – 2.9
Percentage of Ambulatory AV Synchrony at 1-month Post-implant in Subjects With Persistent 3rd Degree AVB and Normal Sinus Node Function Secondary · 1-month post-implant

AV synchrony is defined for each P-wave during the the 24-hour Holter monitoring period while the subject went about their activities of daily living. Specifically, for each electrocardiogram (ECG) confirmed P-wave that occurs during the 24-hour Holter period at the 1-month visit, the endpoint will be considered met if a ventricular beat (ventricular pace or sensed event) is within 300 ms following an ECG confirmed P-wave. The reported percentage is the average percentage of P-waves considered synchronous across all patients during the 24-hour Holter monitoring period.

GroupValue95% CI
AccelAV Evaluable for Primary Objective74.570.4 – 78.2
Left Ventricular Outflow Tract Velocity Time Integral Secondary · Within 48 hours of procedure

Characterize the change in stroke volume, as measured by left ventricular outflow tract (LVOT) velocity time Integral (VTI), during Micra AV mediated VDD (atrioventricular synchronous ventricular pacing) pacing and VVI (asynchronous ventricular pacing) pacing in subjects with persistent 3rd degree AV block and normal sinus node function

LVOT VTI during VVI mode
GroupValue95% CI
AccelAV Evaluable for Secondary Objective21.419.7 – 23.1
LVOT VTI during VDD mode
GroupValue95% CI
AccelAV Evaluable for Secondary Objective23.721.7 – 25.6
LVOT VTI difference (VDD-VVI)
GroupValue95% CI
AccelAV Evaluable for Secondary Objective2.31.5 – 3.1

Adverse events — posted to ClinicalTrials.gov

Time frame: Adverse events were collected from the time of consent through 3-month follow-up. Reporting threshold: 0%. Adverse-event reports describe events observed during the trial — not all are caused by the drug.

AccelAV Enrolled Cohort
Serious: 45/157 (29%)
Deaths: 2/157

Serious adverse events (30 terms)

ReactionSystemAccelAV Enrolled Cohort
Cardiac arrestCardiac disorders
Atrial fibrillationCardiac disorders
Cardiac failureCardiac disorders
Pericardial effusionCardiac disorders
Acute left ventricular failureCardiac disorders
Acute myocardial infarctionCardiac disorders
Cardiac failure congestiveCardiac disorders
Cerebrovascular accidentNervous system disorders
Aortic stenosisVascular disorders
HypertensionVascular disorders
ThrombocytopeniaBlood and lymphatic system disorders
Atrial flutterCardiac disorders
Atrioventricular block completeCardiac disorders
BradycardiaCardiac disorders
Cardiac failure acuteCardiac disorders
Cardiac tamponadeCardiac disorders
Cardio-respiratory arrestCardiac disorders
Coronary artery diseaseCardiac disorders
Intracardiac thrombusCardiac disorders
PericarditisCardiac disorders
EndocarditisInfections and infestations
Septic shockInfections and infestations
Haemorrhage intracranialNervous system disorders
PresyncopeNervous system disorders
Transient ischaemic attackNervous system disorders
Other adverse events (20 terms — click to expand)

ReactionSystemAccelAV Enrolled Cohort
Pacemaker syndromeGeneral disorders
PalpitationsCardiac disorders
DizzinessNervous system disorders
DyspnoeaRespiratory, thoracic and mediastinal disorders
HypertensionVascular disorders
Atrial fibrillationCardiac disorders
Atrial flutterCardiac disorders
BradycardiaCardiac disorders
Cardiac failure congestiveCardiac disorders
FatigueGeneral disorders
Implant site erythemaGeneral disorders
Non-cardiac chest painGeneral disorders
OedemaGeneral disorders
Puncture site haemorrhageGeneral disorders
Vascular access site haemorrhageInjury, poisoning and procedural complications
SyncopeNervous system disorders
Pleuritic painRespiratory, thoracic and mediastinal disorders
Deep vein thrombosisVascular disorders
Orthostatic hypotensionVascular disorders
Thrombophlebitis superficialVascular disorders

Most-reported serious reactions: Cardiac arrest, Atrial fibrillation, Cardiac failure, Pericardial effusion, Acute left ventricular failure, Acute myocardial infarction, Cardiac failure congestive, Cerebrovascular accident.

Data from ClinicalTrials.gov NCT04245345 adverse events section.

Sponsor's own description

The purpose of the AccelAV Study is to characterize chronic AV synchrony in subjects implanted with MicraTM AV device. This study will be conducted upon market approval of the MicraTM AV Transcatheter Pacing System.

Publications & conference data

1 peer-reviewed publication reference this trial (live from Europe PMC):

  1. Advancements in Leadless Pacemakers: What the Second-generation Micra AV2 Brings to Cardiac Care.
    Garweg C, Willems R. · · 2024 · cited 1× · PMID 39885931 · DOI 10.17925/hi.2024.18.2.3

Verify or expand the search:

Other recruiting trials for AV Block

Currently open trials in the same condition.

Other Medtronic Cardiac Rhythm and Heart Failure trials

Trials by the same sponsor.

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Data sources for this page

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/NCT04245345.

Primary sources · FDA · ClinicalTrials.gov · EMA · SEC EDGAR · ChEMBL · Wikidata · full sourcing