UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000047888
Receipt number R000054582
Scientific Title Transcatheter closure of secundum atrial septal defect using Cocoon Septal Occluder:- Immediate and long term results
Date of disclosure of the study information 2022/05/29
Last modified on 2022/06/09 04:11:17

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Basic information

Public title

Transcatheter closure of secundum atrial septal defect using Cocoon Septal Occluder:- Immediate and long term results

Acronym

Transcatheter closure of secundum atrial septal defect using Cocoon Septal Occluder:- Immediate and long term results

Scientific Title

Transcatheter closure of secundum atrial septal defect using Cocoon Septal Occluder:- Immediate and long term results

Scientific Title:Acronym

Transcatheter closure of secundum atrial septal defect using Cocoon Septal Occluder:- Immediate and long term results

Region

Asia(except Japan)


Condition

Condition

Atrial septal Defect

Classification by specialty

Cardiology Cardiovascular surgery

Classification by malignancy

Others

Genomic information

NO


Objectives

Narrative objectives1

To evaluate feasibility, effectiveness, safety, and long term outcome of transcatheter closure (TCC) of atrial septal defect (ASD) using Cocoon septal occluder.

Basic objectives2

Safety,Efficacy

Basic objectives -Others


Trial characteristics_1


Trial characteristics_2


Developmental phase



Assessment

Primary outcomes

Efficacy: successful closure of defect without significant shunt (not more than mild) on six months of follow-up.

Saftey: successful deployment without either major peri-procedural complications (death, device embolization, cardiac perforation, pericardial effusion, stroke, infective endocarditis, atrioventricular block) or late embolization, erosion, and residual shunting on follow up.

Key secondary outcomes

Death, device embolization, cardiac perforation, pericardial effusion, stroke, infective endocarditis, atrioventricular block, late embolization, erosion, and residual shunting.


Base

Study type

Interventional


Study design

Basic design

Single arm

Randomization

Non-randomized

Randomization unit


Blinding

Open -no one is blinded

Control

Uncontrolled

Stratification


Dynamic allocation


Institution consideration


Blocking


Concealment



Intervention

No. of arms

1

Purpose of intervention

Treatment

Type of intervention

Device,equipment

Interventions/Control_1

Transcatheter closure of secundum atrial septal defect using Cocoon Septal Occluder (Vascular Innovation, Thailand)

Interventions/Control_2


Interventions/Control_3


Interventions/Control_4


Interventions/Control_5


Interventions/Control_6


Interventions/Control_7


Interventions/Control_8


Interventions/Control_9


Interventions/Control_10



Eligibility

Age-lower limit

4 years-old <

Age-upper limit


Not applicable

Gender

Male and Female

Key inclusion criteria

Patients with atrial septal defect more than 4 year old with
1, echocardiographic evidence of right ventricular volume overload.
2, significant left to right shunt
3,maximum diameter of ASD less than 40 mm with adequate rims.

Key exclusion criteria

Aanomalous pulmonary venous connection,
Associated complex cardiac anomaly,
Eisenmenger syndrome,
Impaired left ventricular systolic function, and
Inadequate (<4mm) inferior vena cava (IVC) rim

Target sample size

320


Research contact person

Name of lead principal investigator

1st name Santosh
Middle name Kumar
Last name Sinha

Organization

LPS Institute of Cardiology

Division name

Department of Cardiology

Zip code

208002

Address

D 17, Medical College Campus, GSVM, Swaroop Nagar

TEL

00917042132737

Email

fionasan@rediffmail.com


Public contact

Name of contact person

1st name Najeeb
Middle name Ullah
Last name Sofi

Organization

LPS institute of Cardiology

Division name

Department of Cardiology

Zip code

208002

Address

D 17, Medical College Campus, GSVM, Swaroop Nagar

TEL

0091-7042132737

Homepage URL


Email

sofinajeeb@gmail.com


Sponsor or person

Institute

LPS Institute of Cardiology
Department of Cardiology

Institute

Department

Personal name



Funding Source

Organization

LPS Institute of Cardiology
Department of Cardiology

Organization

Division

Category of Funding Organization

Self funding

Nationality of Funding Organization



Other related organizations

Co-sponsor


Name of secondary funder(s)



IRB Contact (For public release)

Organization

Institutional Ethical Committee, LPS institute of Cardiology

Address

GT Road, Swaroop Nagar, Kanpur, UP, India 208002

Tel

0091-7042132737

Email

sofinajeeb@gmail.com


Secondary IDs

Secondary IDs

NO

Study ID_1


Org. issuing International ID_1


Study ID_2


Org. issuing International ID_2


IND to MHLW



Institutions

Institutions

LPS Institute of Cardiology


Other administrative information

Date of disclosure of the study information

2022 Year 05 Month 29 Day


Related information

URL releasing protocol


Publication of results

Published


Result

URL related to results and publications


Number of participants that the trial has enrolled

320

Results

Efficacy 312(97.5%)
Safety 312(97.5%)
Mean Procedural time (mins) 23.5
Mean Fluoroscopy time (mins) 6.8
Periprocedural complications 27 (8.4%)
Cardiac death 0 (0%)
Device embolization 2 (0.6%)
Cardiac perforation 1 (0.3%)
Pericardial effusion 3 (0.9%)
Transient supraventricular arrhythmias 15 (4.6%)
Transient atrioventricular block 6 (1.8%)
Local site hematoma 0 (0%)
Stroke 0 (0%)
Transient headache 8 (2.5%)

Closure rate 312 (100%)
Late embolization 0 (0%)
Erosion 0(0%)
Residual shunting 2 (0.6%)

Results date posted

2022 Year 05 Month 29 Day

Results Delayed


Results Delay Reason


Date of the first journal publication of results


Baseline Characteristics

Sex (Female/Male) 238(74%)/82(26%)
Age (years) 14.6 (6-29)

Clinical Indications
a. Right ventricular overload 320(100%)
b. Failure to thrive 81(25.3%)
c. Recurrent respiratory tract infection 73(22.8%)
d. Exrecise intolerance 57(17.%)
e. Pulmonary hypertension 13(4.1%)
f. Palpitation 9(2.8%)

Rhythm
a. Sinus rhythm 313(97.8%)
b. Atrial fibrillation (AFib) 5(1.5%)

Deficient rims (<5mm) 52(16.2%)
a. Posterior 14(4.3%)
b. Aortic 33(10.3%)
c. Superior 5(1.2%)
d. Inferior 0(0)
Absent aortic rim 11(3.4%)

Weight (kg) 30.2 (10-53)

Pulmonary vs. systemic flow (Qp/Qs) 2.6(1.4-3.6)

Associated disease 7(2.1%)
a. Rheumatic mitral stenosis 2(0.6%)
b. Patent ductus arteriosus (PDA) 3(0.9)
c. Ventricular septal defect (VSD) 2(0.6%)
Normal Situs solitus 317(99%)
Situs inversus 3(1%)

Follow up duration (months) 50.92 (12.5-89)
Hospital stay (hours) 29.4

Participant flow


Adverse events


Outcome measures


Plan to share IPD


IPD sharing Plan description



Progress

Recruitment status

Completed

Date of protocol fixation

2012 Year 08 Month 03 Day

Date of IRB

2012 Year 09 Month 06 Day

Anticipated trial start date

2012 Year 11 Month 01 Day

Last follow-up date

2021 Year 09 Month 13 Day

Date of closure to data entry

2021 Year 09 Month 13 Day

Date trial data considered complete


Date analysis concluded



Other

Other related information



Management information

Registered date

2022 Year 05 Month 29 Day

Last modified on

2022 Year 06 Month 09 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000054582


Research Plan
Registered date File name

Research case data specifications
Registered date File name

Research case data
Registered date File name