A study of implantable cardiac defibrillators (ICD; a device used to correct irregular heart rhythm) in a Chinese population

ISRCTN ISRCTN13448502
DOI https://doi.org/10.1186/ISRCTN13448502
Submission date
21/05/2021
Registration date
10/06/2021
Last edited
22/07/2025
Recruitment status
No longer recruiting
Overall study status
Completed
Condition category
Circulatory System
Prospectively registered
Protocol
Statistical analysis plan
Results
Individual participant data

Plain English summary of protocol

Background and study aims
An implantable cardioverter-defibrillator (ICD) is a small battery-powered device placed in your chest to monitor your heart rhythm and detect irregular heartbeats. An ICD can deliver electric shocks via one or more wires connected to your heart to fix an abnormal heart rhythm.
The subcutaneous implantable cardioverter–defibrillator (S-ICD) was designed to avoid complications related to the transvenous implantable cardioverter–defibrillator (TV-ICD) lead by using an entirely extrathoracic placement. The safety and effectiveness of S-ICD have been exhibited by many international multicenter studies, however, none of these observational studies involved the Chinese population.
This study aims to observe the incidence of inappropriate shock (IAS) at 18 months after S-ICD implantation in the Chinese population.

Who can participate?
Patients aged 18 years or older who are recommended to have ICD therapy

What does the study involve?
All the subjects will be followed up for 18 months after the procedure. The intraoperative parameters and complications, the occurrence of inappropriate shock, appropriate shock, ATP therapy, successful conversion, cardiac death, and device-related complication will be analyzed.

What are the possible benefits and risks of participating?
The treatment and follow-up frequency included in this observational study consists of the real-world clinic process and conforms to the consensus recommendation. Thus this is no additional benefits or risks.

Where is the study run from?
The First Affiliated Hospital of Xinjiang Medical University (China)

When is the study starting and how long is it expected to run for?
January 2021 to April 2024

Who is funding the study?
Boston Scientific Inc (USA)

Who is the main contact?
Tang Baopeng, tangbaopeng111@163.com

Contact information

Dr Yaodong Li
Public

The First Affiliated Hospital of Xinjiang Medical University
No 137
Liyu South Road
Urumqi
830054
China

ORCiD logoORCID ID 0000-0003-1805-9433
Phone +86 15099538881
Email boylyd@163.com

Study information

Study designMulticenter prospective observational cohort
Primary study designObservational
Secondary study designCohort study
Study setting(s)Hospital
Study typePrevention
Scientific titleThe application prospect of subcutaneous and transvenous ICD in Chinese population with primary prevention indication
Study acronymSCOPE
Study objectivesProportion of subjects that free from inappropriate shock through month 18 after the procedure is more than the performance goal of 90.3%.
Ethics approval(s)Approved 03/06/2021, The First Affiliated Hospital of Xinjiang Medical University (No 137, Liyu South Road, Urumqi, Xinjiang, China, 830054; +86 15276535185; 393518493@qq.com), ref: K202103-06
Health condition(s) or problem(s) studiedChinese population with primary prevention indication for ICD therapy
InterventionAll the subjects will be followed up for 18 months after the procedure to observe the occurrences of inappropriate shock, appropriate shock, device related complications and cardiac death.
Intervention typeDevice
Pharmaceutical study type(s)
PhaseNot Applicable
Drug / device / biological / vaccine name(s)implantable cardiac defibrillator
Primary outcome measureOccurrence of inappropriate shock will be determined according the programming reports at 1, 3, 6, 12, 18 months after the procedure.
Secondary outcome measures1. Occurrence of appropriate shock will be determined according the programming reports at 1, 3, 6, 12, 18 months after the procedure
2. Success rate of conversion will be determined according the programming reports at 1, 3, 6, 12, 18 months after the procedure
3. Occurrence of cardiac death and device related complications will be determined by clinicians at 1, 3, 6, 12, 18 months after the procedure
Overall study start date01/01/2021
Completion date01/04/2024

Eligibility

Participant type(s)Patient
Age groupAdult
Lower age limit18 Years
SexBoth
Target number of participants400
Key inclusion criteria1. Age >18 years
2. The subjects met the class I or class II indications for ICD therapy for primary prevention
3. Subjects can be screened by S-ICD ECG
4. The subjects are willing and able to sign informed consent and attend all relevant visits on time
Key exclusion criteria1. Pregnant
2. Subjects are participating in other clinical trials, which may affect this study
3. The researchers determined that the subjects were not suitable for S-ICD implantation, such as patients need or will need pacing therapy for bradycardia; Subjects with known ventricular tachycardia at a rate below 170 beats per minute or with refractory recurrent monomorphic ventricular tachycardia that could not be managed with medication or ablation therapy
4. Subjects implanted with a transvenous CRT-D or with history of pacemaker or ICD
5. Subjects with paced rhythms at baseline or post-implant of TV-ICD
6. Life expectancy <18 months
Date of first enrolment21/06/2021
Date of final enrolment01/10/2023

Locations

Countries of recruitment

  • China

Study participating centres

The First Affiliated Hospital of Xinjiang Medical University
No 137
Liyu South Road
Urumqi
830054
China
Zhongshan Hospital
No. 1609 Xietu Road
Xuhui District
Shanghai
200032
China
Fuwai Hospital
No.167 Beilishi Road
Xicheng District
Beijing
100037
China
Anzhen Hospital
No. 2 Anzhen Road
Chaoyang District
Beijing
100029
China
Anhui Provincial Hospital
No. 1 Swan Lake Road
Government District
Hefei
230031
China
Zhejiang Green City Hospital
No. 409 Gudun Road
Xihu District
Hangzhou
310012
China
Tianjin Chest Hospital
No. 261 Taierzhuang South Road
Jinnan District
Tianjin
300222
China
Sun Yat-sen Memorial Hospital
No. 107 Yanjiang West Road
Yuexiu District
Guangzhou
510030
China
Meizhou Hospital Affiliated to Sun Yat-sen University
No.34 Huangtang
Meijiang District
Meizhou
514031
China
The First Affiliated Hospital of Zhengzhou University
No. 1 Jianshe East Road
27th District
Zhengzhou
450000
China
Yunnan Fuwai Cardiovascular Disease Hospital
Intersection of Shahe North Road and Jinzhou Road
Pan-Asia Science and Technology New District
Wuhua District
Kunming
650000
China
The Second Affiliated Hospital of Army Military Medical University
No. 183 Xinqiaozheng Road
Shapingba District
Chongqing
400037
China
The Third Xiangya Hospital of Central South University
No. 138 Tongzipo Road
Yuelu District, Hexi
Changsha
410200
China
Sichuan Provincial People's Hospital
No. 32 West Second Section
First Ring Road
Qingyang District
Chengdu
610072
China
Shanghai Chest Hospital
No. 241 Huaihai West Road
Xuhui District
Shanghai
200030
China
Shanxi Provincial Cardiovascular Hospital
No. 18 Tianfen Street
Taiyuan City
Taiyuan
030024
China
The First Affiliated Hospital of Kunming Medical College
No. 295 Xichang Road
Wuhua District
Kunming
650032
China
The First Affiliated Hospital of Xi 'an Jiaotong University
No. 277 Yanta West Road
Yanta District
Xi 'an
710061
China
West China Hospital of Sichuan University
No.37 Guoxue Lane
Wuhou District
Chengdu
610041
China
Henan Provincial People's Hospital
No.7 Weiwu Road
Jinshui District
Zhengzhou
450000
China
The Second Affiliated Hospital of Harbin Medical University
No. 246, Xuefu Road
Nangang District
Harbin
150001
China

Sponsor information

Boston Scientific (United States)
Industry

No. 763 Mengzi Road
Huangpu District
Shanghai
200023
China

Phone +86 15104673346
Email XIUYUE.JIA@bsci.com
Website http://www.bostonscientific.com/en-US/home.html
ROR logo "ROR" https://ror.org/0385es521

Funders

Funder type

Industry

Boston Scientific Corporation
Government organisation / For-profit companies (industry)
Alternative name(s)
Boston Scientific, Boston Scientific Corp., BSC
Location
United States of America

Results and Publications

Intention to publish date01/07/2024
Individual participant data (IPD) Intention to shareYes
IPD sharing plan summaryOther
Publication and dissemination planPlanned publication in a high-impact peer-reviewed journal.
IPD sharing planAll data generated or analysed during this study will be included in the subsequent results publication.

Study outputs

Output type Details Date created Date added Peer reviewed? Patient-facing?
Protocol file 08/07/2021 No No
Results article 24/02/2024 22/07/2025 Yes No

Additional files

ISRCTN13448502_PROTOCOL.pdf
Uploaded 08/07/2021

Editorial Notes

22/07/2025: Publication reference added.
05/09/2023: The following changes were made to the trial record:
1. The recruitment start date was changed from 16/03/2021 to 21/06/2021.
2. The recruitment end date was changed from 01/10/2022 to 01/10/2023.
08/07/2021: Uploaded protocol (not peer reviewed).
07/06/2021: Trial's existence confirmed by The First Affiliated Hospital of Xinjiang Medical University.