Could a simple pacemaker switch ease heart failure?

NCT ID NCT06052475

First seen Jun 27, 2026 · Last updated Jun 27, 2026

Summary

This trial investigates whether people with heart failure and a traditional right ventricular pacemaker feel better and have stronger hearts after switching to a more natural pacing method, such as His bundle or biventricular pacing. Participants will have their pacemaker upgraded and then spend time in both pacing modes, blinded, to compare symptoms, heart function, and quality of life. The study aims to see if a simple device change can reverse pacing-induced heart damage.

What this could mean

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

Active substance

Physiological pacing upgrade (conduction system pacing or biventricular pacing device)

What this could lead to

If successful, this could show that upgrading pacemakers to a more natural pacing method improves heart function and daily well-being for people with pacing-induced cardiomyopathy.

What could go wrong

This is a relatively small crossover trial, and the benefits may not be large or apply to all patients. The procedure itself carries risks like infection or lead displacement.

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.

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

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

  • Contact

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

Locations

  • Croydon University Hospital - Croydon Health Services

    RECRUITING

    Croydon, United Kingdom

    Contact Email: •••••@•••••

    Contact

  • Glenfield Hospital

    RECRUITING

    Leicester, United Kingdom

    Contact Email: •••••@•••••

    Contact

  • Great Western Hospitals

    RECRUITING

    Swindon, United Kingdom

    Contact Email: •••••@•••••

    Contact

  • Hammersmith Hospital

    RECRUITING

    London, United Kingdom

    Contact

  • King's College Hospital

    RECRUITING

    London, United Kingdom

    Contact Email: •••••@•••••

    Contact

  • Oxford University Hospitals

    RECRUITING

    Oxford, United Kingdom

    Contact Email: •••••@•••••

    Contact

  • Royal Papworth Hospital

    RECRUITING

    Cambridge, United Kingdom

    Contact Email: •••••@•••••

    Contact

  • St Bartholomew's Hospital - Barts Health NHS Trust

    RECRUITING

    London, United Kingdom

    Contact Email: •••••@•••••

    Contact

  • St. Richard's Hospital - University Hospitals Sussex

    RECRUITING

    Chichester, United Kingdom

    Contact Email: •••••@•••••

    Contact

  • University Hospitals Coventry and Warwickshire NHS Trust,

    RECRUITING

    Coventry, United Kingdom

    Contact

    Contact Email: •••••@•••••

  • University Hospitals Southampton

    RECRUITING

    Southampton, United Kingdom

    Contact Email: •••••@•••••

    Contact

  • Worthing Hospital - University Hospitals Sussex

    RECRUITING

    Worthing, United Kingdom

    Contact Email: •••••@•••••

    Contact