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New ICD lead shows promise in heart rhythm study
NCT ID NCT04863664
First seen Jun 27, 2026 · Last updated Jun 27, 2026
Summary
This study tested a new type of wire (lead) for implantable heart devices that deliver shocks to stop dangerous fast heart rhythms. Researchers checked how safe and effective the lead was in 998 people who needed a defibrillator or heart failure device. The lead was placed in a specific spot in the heart to see if it could reliably stop abnormal rhythms.
This is an AI summary of the original study and may miss details. Read our disclaimer.
Study facts
What this study's own registry entry says, in plain language.
- Phase
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Not a phased trial
Phase numbers describe drug development. The registry uses this when they do not apply, as it does for trials of devices, procedures or behaviour changes, and for observational studies.
- Participants
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998 people
The number who actually took part.
- Started
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Jun 2021
- Finished
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Nov 2025
- Lead sponsor
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A company
The lead sponsor is a pharmaceutical, biotech, or medical-device company.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
- Ages
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12 years and older
- Sex
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Anyone
- Healthy volunteers
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Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
LEADR Inclusion Criteria: * Subject meets current clinical practice guidelines for implantation of ICD or CRT-D and will undergo one of the following: * de novo Medtronic CRT-D system implant * de novo Medtronic ICD system implant (single or dual chamber) * Subject has, per local law and requirements, the minimum age for autonomously signing an ICF (minimum age of 18 years) * Subject is willing to undergo implant defibrillation testing if requested. * Subject is geographically stable and willing and able to complete the study procedures and visits for the duration of the follow-up. LEADR Exclusion Criteria: * Subject is unwilling or unable to personally provide Informed Consent. * Subject has contraindications for standard RV transvenous lead placement (e.g., mechanical right heart valve). * Subject is contraindicated for ≤1 mg dexamethasone acetate. * Subject has a life expectancy of less than 12 months * For subject undergoing defibrillation testing the following medical conditions exclude them: * Pre-existing or suspected pneumothorax during implant * Current intracardiac left atrial or left ventricular (LV) thrombus * Severe aortic stenosis * Severe proximal three-vessel or left main coronary artery disease without revascularization * Unstable angina * Ejection Fraction less than 25% * Recent stroke or transient ischemic attack (within the last 6 months) * Known inadequate external defibrillation * Any other known medical condition not listed that precludes their participation in the opinion of the investigator * Subject is enrolled or planning to enroll in a concurrent clinical study that may confound the results of this study, without documented pre-approval from a Medtronic study manager. * Subject with any exclusion criteria as required by local law (e.g., age or other). * Pregnant women or breastfeeding women, or women of childbearing potential and who are not on a reliable form of birth regulation method or abstinence * Subject with an existing pacemaker (including transcatheter pacing system), ICD, or CRT device or leads * Subject with any evidence of active infection or undergoing treatment for an infection * Recent (or planned) cardiac surgery or stenting less than 1 month before implant * End stage renal disease * Subjects with NYHA IV classification * Subjects with a transplanted heart * Subjects with previously extracted leads * Subjects with Left Ventricular Assist Device LEADR LBBAP Inclusion Criteria: * Subject meets current local clinical practice guidelines for implantation of ICD (single or dual chamber) or CRT-D system and will undergo one of the following: a) De novo Medtronic ICD system implant (single or dual chamber) or b) De novo Medtronic CRT-D system implant and is intended to also undergo LV lead implant (for patients indicated for CRT-D according to locally approved indications/indications) * Subject is 12 years of age or older and also is greater than 30 kg in weight at time of enrollment, has cardiac anatomy conducive to RV coil placement, and is allowed to participate in study per local law and requirements. Subjects from 12 years of age until adult also have a separate indication for pacing or CRT or are anticipated to develop one. * Subject provides written authorization and/or consent per institution and geographical requirements. * Subject is geographically stable and willing and able to complete the study procedures and visits for the duration of the follow-up * Subject is willing to undergo implant defibrillation testing if requested LEADR LBBAP Exclusion Criteria: * Subject has contraindication for screw-in active fixation transvenous lead placement (e.g., mechanical right heart valve) * Subject is contraindicated for ≤1 mg dexamethasone acetate * Subject has a life expectancy of less than 12 months * For subject undergoing defibrillation testing the following medical conditions exclude them: * Pre-existing or suspected pneumothorax * Current intracardiac left atrial or LV thrombus * Severe aortic stenosis * Severe proximal three-vessel or left main coronary artery disease without revascularization * Unstable angina * Recent stroke or transient ischemic attack (within the last 6 months) * Known inadequate external defibrillation * Any other known medical condition not listed that precludes their participation in the opinion of the investigator * Subject is enrolled or planning to enroll in a concurrent clinical study that may confound the results of this study, without documented pre-approval from a Medtronic study manager * Subject is pregnant or breastfeeding, or subject is of childbearing potential and not on a reliable form of birth regulation method or abstinence * Subject with an existing pacemaker (including transvenous and transcatheter pacing system), ICD (transvenous) or CRT-D (transvenous) device or leads * Subject with previous subcutaneous ICD (S-ICD), extravascular ICD (EV ICD) or Implantable Cardiac Monitor explanted within 30 days before implant * Subject with any evidence of active bacterial infection or undergoing treatment for a bacterial infection within the last 30 days * Recent (or planned) cardiovascular intervention within 30 days before or after implant, such as cardiac surgery, cardiac ablation, Percutaneous Coronary Intervention (PCI), or temporary cardiac pacing for \>12 hours * Subjects with end stage renal disease * Subjects with NYHA IV classification * Subjects with a transplanted heart or on the waiting list for a heart transplant * Subjects with previously extracted leads * Subjects with Left Ventricular Assist Device * Subjects that are vulnerable adults
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Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
Contacts and locations
Locations
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LEADR & LEADR LBBAP: Imperial College Healthcare NHS Trust - Hammersmith Hospital
London, W12 0HS, United Kingdom
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LEADR & LEADR LBBAP: Institut Jantung Negara - National Heart Institute
Kuala Lumpur, 50400, Malaysia
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LEADR & LEADR LBBAP: Institut Universitaire de Cardiologie et de Pneumologie de Quebec
Québec, Quebec, G1V 4G5, Canada
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LEADR & LEADR LBBAP: Kokura Memorial Hospital
Kitakyushu, Fukuoka, 802-8555, Japan
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LEADR & LEADR LBBAP: Minneapolis Heart Institute Foundation
Minneapolis, Minnesota, 55407, United States
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LEADR & LEADR LBBAP: National Cerebral and Cardiovascular Center
Suita, Osaka, 564-8565, Japan
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LEADR & LEADR LBBAP: Queen Mary Hospital
Hong Kong, Hong Kong
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LEADR & LEADR LBBAP: Royal Adelaide
Norwood, South Australia, 5000, Australia
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LEADR & LEADR LBBAP: South Shore University Hospital/Northwell Health
Bay Shore, New York, 11030, United States
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LEADR & LEADR LBBAP: The Prince Charles Hospital
Chermside, Queensland, 4032, Australia
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LEADR & LEADR LBBAP: University of Virginia Medical Center
Charlottesville, Virginia, 22903, United States
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LEADR & LEADR LBBAP: Virginia Commonwealth University Health System
Richmond, Virginia, 23298, United States
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LEADR & LEADR LBBAP: West China Hospital of Sichuan University
Chengdu, China
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LEADR &LEADR LBBAP: Canberra Hospital
Garran, 2605, Australia
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LEADR LBBAP: Aurora St. Luke's Hospital
Milwaukee, Wisconsin, 53215, United States
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LEADR LBBAP: Geisinger Wyoming Valley Medical Center
Wilkes-Barre, Pennsylvania, 18711, United States
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LEADR LBBAP: Hospital Universitario Virgen de las Nieves
Granada, Granada, 18014, Spain
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LEADR LBBAP: Maastricht Universitair Medisch Centrum
Maastricht, Limburg, Netherlands
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LEADR LBBAP: OC Santé - Clinique du Millénaire
Montpellier, 34960, France
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LEADR LBBAP: Szpital Uniwersytecki w Krakowie
Krakow, Poland
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LEADR LBBAP: The Christ Hospital
Cincinnati, Ohio, 45219, United States
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LEADR LBBAP: The Ohio State University Wexner Medical Center
Columbus, Ohio, 43210, United States
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LEADR LBBAP: Torrance Memorial Medical Center
Torrance, California, 90505, United States
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LEADR LBBAP: Universitair Ziekenhuis Antwerpen
Edegem, Antwerp, 2650, Belgium
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LEADR& LEADR LBBAP: Vanderbilt University medical Center
Nashville, Tennessee, 37232, United States
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LEADR: Ashford Hospital
Ashford, South Australia, 8032, Australia
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LEADR: Azienda Socio Sanitaria Territoriale (ASST) Papa Giovanni XXIII
Bergamo, 24127, Italy
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LEADR: CHU Hôpitaux de Rouen - Hôpital Charles Nicolle
Rouen, 76031, France
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LEADR: Centre Hospitalier Universitaire de Grenoble - Site Nord
La Tronche, 38700, France
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LEADR: Centro Hospitalar de Lisboa Ocidental, E.P.E. Hospital de Santa Cruz Cardiology
Carnaxide, 2790-134, Portugal
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LEADR: Cleveland Clinic
Cleveland, Ohio, 44195, United States
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LEADR: Hartford Hospital
Hartford, Connecticut, 06106, United States
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LEADR: Heart Center Research
Huntsville, Alabama, 35801, United States
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LEADR: Hospital Universitari Bellvitge
L'Hospitalet de Llobregat, Spain
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LEADR: Hospital Universitario y Politécnico La Fe
Valencia, 46026, Spain
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LEADR: Hospital of the University of Pennsylvania
Philadelphia, Pennsylvania, 19104, United States
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LEADR: Klinicki Centar Srbije Pejsmejker centar
Belgrade, Serbia
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LEADR: Klinikum Bielefeld Kardiologie
Bielefeld, Bielefeld, 33604, Germany
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LEADR: Lehigh Valley Hospital - Cedar Crest
Allentown, Pennsylvania, 18103, United States
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LEADR: Lourdes Cardiology Services
Voorhees Township, New Jersey, 08034, United States
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LEADR: Ng Teng Fong General Hospital
Singapore, Singapore, Singapore
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LEADR: Presbyterian Heart Group
Albuquerque, New Mexico, 87108, United States
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LEADR: Princess Margaret Hospital
Lai Chi Kok, 999077, Hong Kong
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LEADR: Rigshospitalet
Copenhagen, 2100, Denmark
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LEADR: Saint Luke's Mid America Heart Institute
Kansas City, Missouri, 64111, United States
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LEADR: Shanxi Cardiovascular Hospital
Taiyuan, Shanxi, 030000, China
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LEADR: Southlake Regional Health Centre
Newmarket, Ontario, L3Y8C3, Canada
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LEADR: Texas Cardiac Arrhythmia Research Foundation
Austin, Texas, 78705, United States
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LEADR: Texas Health Fort Worth Hospital
Fort Worth, Texas, 76104, United States
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LEADR: Tokyo Women's Medical University Hospital
Shinjuku-Ku, Tokyo, 162-8666, Japan
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LEADR: TriHealth Hatton Research Institute
Cincinnati, Ohio, 45202, United States
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LEADR: University of Calgary
Calgary, Alberta, T2N 4N1, Canada
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LEADR: University of South Florida
Tampa, Florida, 33606, United States
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LEADR: Universitätsklinikum Krems
Krems, Mitterweg, 3500, Austria
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LEADR: Washington University School of Medicine
St Louis, Missouri, 63110, United States
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