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NCT04798768: MODULAR ATP

Effectiveness of the EMPOWER™ Modular Pacing System and EMBLEM™ Subcutaneous ICD to Communicate Antitachycardia Pacing

Active, enrolled NA Results posted Last updated 31 March 2026
What this trial tests

NA trial testing mCRM Therapy System in Tachycardia, Ventricular in 297 participants. Participants enrolled and being followed up; not accepting new ones.

Timeline
20 July 2021
Primary endpoint
6 May 2024
31 December 2030

Quick facts

Lead sponsorBoston Scientific Corporation
PhaseNA
StatusActive, enrolled
Study typeINTERVENTIONAL
Allocationna
Designsingle group
Maskingnone
Primary purposetreatment
Enrollment297
Start date20 July 2021
Primary completion6 May 2024
Estimated completion31 December 2030
Sites38 locations across France, Italy, Netherlands, Austria, United Kingdom, Canada, United States, Spain

Drugs / interventions tested

Conditions studied

Sponsor

Boston Scientific Corporation — full company profile →

Who can join

18 and older, any sex, with Tachycardia, Ventricular or Arrhythmia, Ventricular. 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.

Safety Endpoint 1: Percentage of Subjects Without Major EMPOWER MPS System- or Procedure-Related Complications Through 6 Months Primary · Implant through 6 Months Post-Implant

Major EMPOWER MPS System- and Procedure-related Complication-Free Rate Subjects will be assessed for safety issues related to the procedure or system through 6 months post implant

GroupValue95% CI
Interim Analysis Cohort97.592.5 – NA
Safety Endpoint 2: Percentage of Subjects Without Major EMPOWER MPS System- or Procedure-Related Complications Through 12 Months Primary · Implant through 12 Months Post-Implant

Major EMPOWER MPS System- and Procedure-related Complication-free Rate Subjects will be assessed for safety issues related to the procedure or system through 12 months post implant

GroupValue95% CI
CE Mark Cohort98.393.3 – NA
Primary Effectiveness Endpoint 1: Percentage of Body Postures With Communication Success Between the S-ICD and EMPOWER PG Primary · At the 6 Month Follow-up

Communication Success between the S-ICD and EMPOWER PG Data from subjects will be assessed for effectiveness of communication between S-ICD and the EMPOWER PG by evaluating if a paced beat is present during communication testing in four postures: upright, supine, and right and left side.

GroupValue95% CI
Interim Analysis Cohort98.897.0 – NA
Primary Effectiveness Endpoint 2: Percentage of Subjects Classified as a Pacing Capture Threshold (PCT) Responder Primary · At the 6 Month Follow-up

Proportion of Subjects with Adequate Pacing Capture Threshold Effectiveness will be confirmed by evaluating the percentage of subjects considered to be a PCT Responder, defined as a subject with a PCT measurement of ≤ 2.0 V @ 0.4 ms pulse width

GroupValue95% CI
Interim Analysis Cohort97.493.4 – NA
Secondary Effectiveness Endpoint: Subject-specific Slope of EMPOWER PG Sensor-Indicated Rate to the Subject's Workload on Treadmill Test Secondary · At the 3 Month Visit

Metabolic-Chronotropic Relation Slope (MCR Slope) from the Kay-Wilkoff Model Using the Kay-Wilkoff model, data will be assessed to evaluate the proportionality of the EMPOWER PG's sensor-indicated rate to the subject's workload during the treadmill test

GroupValue95% CI
Patients Implanted With S-ICD and Leadless Cardiac Pacemaker0.960.91 – 1.02

Adverse events — posted to ClinicalTrials.gov

Time frame: Entire available follow up: implant through 3.5 years to-date (median participant follow up = 1.3 years). Reporting threshold: 0%. Adverse-event reports describe events observed during the trial — not all are caused by the drug.

MODULAR ATP Study Participants
Serious: 113/288 (39%)
Deaths: 18/297

Serious adverse events (23 terms)

ReactionSystemMODULAR ATP Study Particip…
CardiovascularCardiac Disorders
CardiovascularVascular Disorders
Non-cardiovascularInfections and Infestations
Leadless Cardiac Pacemaker - ProcedureInjury, Poisoning and Procedural Complications
Non-cardiovascularRespiratory, Thoracic and Mediastinal Disorders
Non-cardiovascularGeneral Disorders
S-ICD System TherapyProduct Issues
Non-cardiovascularRenal and Urinary Disorders
CardiovascularGeneral Disorders
S-ICD System ProcedureInjury, Poisoning and Procedural Complications
Non-cardiovascularEndocrine Disorders
Non-cardiovascularGastrointestinal Disorders
S-ICD ElectrodeProduct Issues
S-ICD Defibrillation and Conversion TestingInjury, Poisoning and Procedural Complications
S-ICD System Patient RelatedInjury, Poisoning and Procedural Complications
TV Lead Extraction ProcedureInjury, Poisoning and Procedural Complications
Non-cardiovascularNervous System Disorders
Modular System (LCP+S-ICD)Product Issues
S-ICD PGProduct Issues
S-ICD System DiagnosisProduct Issues
Non-cardiovascularSkin and Subcutaneous Tissue Disorders
Non-cardiovascularBlood and Lymphatic System Disorders
Leadless Cardiac Pacemaker - Right Ventricle - BradyProduct Issues
Other adverse events (18 terms — click to expand)

ReactionSystemMODULAR ATP Study Particip…
CardiovascularCardiac Disorders
S-ICD System ProcedureInjury, Poisoning and Procedural Complications
Leadless Cardiac Pacemaker - ProcedureInjury, Poisoning and Procedural Complications
S-ICD System TherapyProduct Issues
CardiovascularGeneral Disorders
Non-cardiovascularGeneral Disorders
CardiovascularVascular Disorders
S-ICD System Patient RelatedGeneral Disorders
S-ICD System Patient RelatedInjury, Poisoning and Procedural Complications
Modular System (LCP+S-ICD)Product Issues
S-ICD PGProduct Issues
Non-cardiovascularEndocrine Disorders
Non-cardiovascularGastrointestinal Disorders
Non-cardiovascularInfections and Infestations
Leadless Cardiac Pacemaker - Right Ventricle - BradyInjury, Poisoning and Procedural Complications
S-ICD Defibrillation and Conversion TestingInjury, Poisoning and Procedural Complications
Non-cardiovascularMusculoskeletal and Connective Tissue Disorders
S-ICD ElectrodeProduct Issues

Most-reported serious reactions: Cardiovascular, Cardiovascular, Non-cardiovascular, Leadless Cardiac Pacemaker - Procedure, Non-cardiovascular, Non-cardiovascular, S-ICD System Therapy, Non-cardiovascular.

Data from ClinicalTrials.gov NCT04798768 adverse events section.

Sponsor's own description

The MODULAR ATP Clinical Study is designed to demonstrate safety, performance, and effectiveness of the Modular Cardiac Rhythm Management (mCRM) Therapy System.

Publications & conference data

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

  1. A Modular Communicative Leadless Pacing-Defibrillator System.
    Knops RE, Lloyd MS, Roberts PR, Wright DJ, et al · · 2024 · cited 58× · PMID 38767244 · DOI 10.1056/nejmoa2401807
  2. Design and rationale of the MODULAR ATP global clinical trial: A novel intercommunicative leadless pacing system and the subcutaneous implantable cardioverter-defibrillator.
    Lloyd MS, Brisben AJ, Reddy VY, Blomström-Lundqvist C, et al · · 2023 · cited 22× · PMID 37520021 · DOI 10.1016/j.hroo.2023.05.004
  3. Subcutaneous Implantable Cardioverter Defibrillator: A Contemporary Overview.
    Guarracini F, Preda A, Bonvicini E, Coser A, et al · · 2023 · cited 3× · PMID 37629509 · DOI 10.3390/life13081652
  4. [History of cardiac pacemaker therapy in Germany].
    Lemke B. · · 2024 · cited 1× · PMID 38421397 · DOI 10.1007/s00399-024-01010-4
  5. 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
  6. [Modular heart rhythm management : EMPOWER™ leadless pacemaker as an add-on to the EMBLEM™ S-ICD].
    Rudic B, Dürschmied D, Akin I, Kuschyk J. · · 2025 · PMID 41160164 · DOI 10.1007/s00399-025-01113-6

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