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NCT Number: NCT05953558

French Cohort Evaluating the effectiveneSs of Atrioventricular Synchrony by the micRa AV

Transvenous cardiac pacemakers have pitfalls due to lead- and device pocket-related complications. Leadless pacemakers were developed and introduced into clinical practice to overcome the weaknesses of traditional transvenous pacemakers. The absence of atrial pacing has restricted their uses mainly for cases of paroxysmal atrioventricular block (AVB) or AVB with atrial fibrillation. The Micra AV contains an embedded accelerometer that senses the atrial contraction waveform, allowing the ventricle to be paced once the atrial contraction is complete. This atrioventricular synchronization is intended to extend the use of the device to cases of permanent complete AVB with normal sinus function. Two randomized clinicals trials have been proven it's efficacy. However, with AV-CESAR cohort, we aim to evaluate the real word effectiveness of Micra AV, in the first 1000 patients implanted by the device in France.

Recruiting

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Key information

Age range

18 year–110 year

Sex eligibility

All sexes

Study type

Observational

Primary location

Who can participate

Healthy volunteers accepted: No

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

  • All patients who underwent Micra AV implantation

Exclusion criteria

  • Refusal of consent

Treatment and study plan

Patients implanted with Micra AV

Device

The first 1000 patients implanted by the device in France

Primary outcomes

  1. Profile of patients implanted with Micra AV

    Time frame: Through study completion, an average of 3 years

    Description of the population of patients implanted by the device : age, sex, comorbidities (rate of hypertension, diabetes, ischemic heart disease, heart failure, severe pulmonary disease, severe chronic renal failure, cirrhosis, severe impairement of mobility, severe psychiatric disease or demencia and TAVR)

  2. Follow-up occurrence of upgrading to a dual-chamber pacemaker

    Time frame: Through study completion, an average of 3 years

    Rate of pacemaker syndrome and requirement of dual-chamber pacemaker upgrade

  3. Early and late device-related complications

    Time frame: Through study completion, an average of 3 years

    Rate of inhospital and late complications related to Micra AV

Secondary outcomes

  1. Assessment of the quality of life in permanent atrioventricular block and normal sinus function subgroup

    Time frame: Through study completion, an average of 3 years

    Evaluation of the quality of life using the 36-item Short Form (SF-36) questionnaire in the subgroup of 150 patients implanted for permanent atrioventricular block and normal sinus function. SF-36 is a self-report questionnaire and composed of eight multi-item scales (Physical Functioning, Role-Physical, Bodily Pain, General Health, Vitality, Social Functioning, Role-Emotional, Mental Health), with scores for each of these scales ranging from 0 to 100. Higher scores indicate better health status. A mean score of 50 has been articulated as a normative value for all scales. The SF-36 has been translated and validated in French language.

  2. Risk factors of a compromised quality of life

    Time frame: Through study completion, an average of 3 years

    Identify the risk factors associated with impaired quality of life in patients with Micra AV

Study contacts

Contact information is provided by the study sponsor or research team.

Eloi Marijon, MD,PhD

CONTACT

[email protected]

+33662833848

Fawzi Kerkouri, MD

CONTACT

[email protected]

+33767149558

Sponsors and collaborators

Lead sponsor

Paris Sudden Death Expertise Center

Other

Collaborators

  • Bichat Hospital
  • CHU de Fort de France - Martinique
  • CHU de Lille
  • CHU de Reims
  • CHU de Rouen - Accueil
  • CHU de Tours
  • Central Hospital, Nancy, France
  • Centre Cardio-Thoracique de Monaco
  • Centre Hospitalier Annecy Genevois
  • Centre Hospitalier Régional Metz-Thionville
  • Centre Hospitalier Régional et Universitaire de Brest
  • Centre Hospitalier Universitaire Dijon
  • Centre Hospitalier Universitaire de Besancon
  • Centre Hospitalier Universitaire, Amiens
  • Centre Hospitalier de Lens
  • Clinique Pasteur Toulouse
  • Clinique Saint Augustin - Bordeaux
  • Clinique Saint Pierre - Perpignan
  • Clinique Saint-Gatien - Tours
  • Clinique de la Sauvegarde
  • Clinique du Millenaire
  • European Georges Pompidou Hospital
  • Henri Mondor University Hospital
  • Hopital Prive Saint Martin - Bordeaux
  • Hospices Civils de Lyon
  • Hospital Ambroise Paré Paris
  • Hospital St. Joseph, Marseille, France
  • Hôpital Privé Les Franciscaines
  • Hôpital Privé de Lille Métropole
  • Hôpital Privé de Parly II - Le Chesnay
  • Hôpital de la Timone
  • Hôpital privé Clairval - Marseille
  • Infirmerie Protestante Lyon
  • Institut Jacques Cartier - Massy
  • Institut Mutualiste Montsouris
  • Institute Arnault Tzanck, France
  • Médipôle Lyon-Villeurbanne
  • Nantes University Hospital
  • Poitiers University Hospital
  • Rennes University Hospital
  • Universite de La Reunion
  • University Hospital of Saint-Etienne
  • University Hospital, Angers
  • University Hospital, Bordeaux
  • University Hospital, Caen
  • University Hospital, Clermont-Ferrand
  • University Hospital, Grenoble
  • University Hospital, Limoges
  • University Hospital, Montpellier
  • University Hospital, Strasbourg, France
  • University Hospital, Toulouse

Registry information

Official study title

Cohorte Française Des Patients Implantés de Micra AV

Acronym: AV-CESAR

Important dates

Study start
2023
Primary completion
2023
Study completion
2027
First posted
Jul 20, 2023
Registry last updated
Jul 20, 2023

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.