New pacemaker approach could improve life for heart failure patients with AFib

NCT ID NCT07604727

First seen Jun 24, 2026 · Last updated Jun 27, 2026 · Updated 1 time

Summary

This study compares two types of pacemaker procedures in adults with heart failure and atrial fibrillation who are not candidates for rhythm control. All participants will receive a heart ablation, then be randomly assigned to either conduction system pacing or standard cardiac resynchronization therapy. Researchers will track deaths, heart failure hospitalizations, and quality of life over three years to see if the newer pacing method is at least as good as the standard one.

What this could mean

Our plain-language read of the trial. This is informational only — not medical advice or a prediction.

Active substance

Conduction system pacing or cardiac resynchronization therapy (both are procedures to implant a pacemaker)

What this could lead to

If it works, this could show that conduction system pacing is a better option than standard cardiac resynchronization for managing heart failure symptoms and improving quality of life in people with atrial fibrillation.

What could go wrong

This trial has not started recruiting yet, so results are years away. It is also a noninferiority study, meaning it aims to show one method is not worse than the other, not necessarily that it is better. Risks include complications from the ablation or pacemaker implantation.

Disclaimer Read more

This is a summary of the original study . Summaries may miss details or leave out important information. Before applying or accepting participation, make sure you have read and understood the full study. Curemydisease.com takes no responsibility whatsoever for anything missed, misunderstood, or acted upon as a result of our summary — we know it does not capture everything.

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Conditions

The condition(s) this trial relates to.

atrial fibrillation heart failure

As listed by the trial registrant

The condition terms exactly as the trial's registrant entered them.

Contacts and locations

Study contacts

  • Contact

    Email: •••••@•••••

  • Contact

    Phone: •••-•••-•••• Email: •••••@•••••

Locations

  • Antonius Hospital

    Nieuwegein, Netherlands

    Contact Email: •••••@•••••

  • Azienda Ospedaliero-Universitaria Careggi

    Florence, Italy

    Contact Email: •••••@•••••

  • CHU de Grenoble

    Grenoble, France

    Contact Email: •••••@•••••

  • CHU de Rouen

    Rouen, France

    Contact Email: •••••@•••••

  • CHU la Timone

    Marseille, France

    Contact Email: •••••@•••••

  • Clinique Pasteur Toulouse

    Toulouse, France

    Contact Email: •••••@•••••

  • Department of Cardiology, IRCCS Instituto Auxologico Italiano, Ospedale San Luca

    Milan, Italy

    Contact Email: •••••@•••••

  • Department of Cardiology, Ospedale Panico

    Tricase, Italy

    Contact Email: •••••@•••••

  • Department of Cardiology, Ospedale S. Maria Nuova

    Reggio Emilia, Italy

    Contact Email: •••••@•••••

  • Department of Cardiology, Ospedali del Tigullio

    Lavagna, Italy

    Contact Email: •••••@•••••

  • FrisiusMC

    Leeuwarden, Netherlands

    Contact Email: •••••@•••••

  • Hôpital Européen Georges Pompidou

    Paris, France

    Contact Email: •••••@•••••

  • Jeroen Bosch Ziekenhuis

    's-Hertogenbosch, Netherlands

    Contact Email: •••••@•••••

  • Klinik für Kardiologie und Intensivmedizin

    Stade, Germany

    Contact Phone: •••-•••-•••• Email: •••••@•••••

  • Klinikum rechts der Isar

    München, Germany

    Contact Phone: •••-•••-•••• Email: •••••@•••••

  • Maastricht UMC

    Maastricht, Netherlands

    Contact Email: •••••@•••••

  • Marienhospital Gelsenkirchen

    Gelsenkirchen, Germany

    Contact Phone: •••-•••-•••• Email: •••••@•••••

  • Ospedale San Pietro Fatebenefratelli

    Roma, Italy

    Contact Email: •••••@•••••

  • Ospedale San Raffaele

    Milan, Italy

    Contact Email: •••••@•••••

  • Ospedale Santa Maria della Pieta

    Nola, Italy

    Contact Email: •••••@•••••

  • St. Vincenz-Krankenhaus GmbH

    Paderborn, Germany

    Contact Phone: •••-•••-•••• Email: •••••@•••••

  • University Medical Center Groningen

    Groningen, Provincie Groningen, Netherlands

    Contact Phone: •••-•••-•••• Email: •••••@•••••

    Contact

  • University Medical Center Mainz

    Mainz, Germany

    Contact Phone: •••-•••-•••• Email: •••••@•••••