Pacemaker tweak may ease heart failure by calming nerves
NCT ID NCT04573699
First seen Jun 24, 2026 · Last updated Jun 27, 2026 · Updated 1 time
Summary
This study tested a modified pacemaker in 34 people with heart failure (NYHA class II or III). The device delivers special pacing signals to reduce overactive sympathetic nerve activity, which can strain the heart. Researchers measured changes in arterial elastance, a sign of relaxed blood vessels, to see if the therapy worked safely during a short procedure.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- a modified pacemaker that delivers cardiac neuromodulation therapy (CNT) to calm overactive nerves
- What this could lead to
- If it works, this could lead to a new pacemaker-based therapy that helps heart failure patients feel better and live more comfortably.
- What could go wrong
- This was a small, early feasibility study with only 34 people, so results may not apply to everyone. The therapy is still experimental and needs much more testing.
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.
- Participants
-
34 people
The number who actually took part.
- Started
-
Dec 2020
- Finished
-
Dec 2022
- Lead sponsor
-
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.
Who is studied
These are Heart Failure subjects willing to participate in a short acute clinical study during the implantation or replacement of a single chamber ICD.
- Ages
-
18 years and older
- Sex
-
Anyone
- Healthy volunteers
-
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.
Inclusion Criteria: 1. Subject is ≥ 18 years of age 2. Subject has a primary indication and is scheduled for ICD implantation or replacement 3. Subject has heart failure NYHA Class II or III Exclusion Criteria: 1. Subject is to receive a single chamber defibrillator 2. Subject has an ejection fraction of 25% or less 3. Subject's systolic blood pressure is less than 120 mm Hg on the day of implant 4. Subject has decompensated heart failure 5. Subject has significant (\>2+) mitral regurgitation, aortic regurgitation or aortic stenosis. 6. Subject has permanent atrial fibrillation 7. Subject has atrial fibrillation on the day of the study. 8. Subject has hypertrophic cardiomyopathy, restrictive cardiomyopathy or interventricular septal thickness ≥15 mm 9. Subject has a history of prior neurological events (stroke or TIA) within the past year or a neurological event (stroke or TIA) at any prior time that has resulted in residual neurologic deficit. 10. Subject has a history of autonomic dysfunction 11. Women who are pregnant or breast-feeding 12. Subject cannot or is unwilling to provide informed consent.
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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
-
Silesian Center for Heart Diseases
Zabrze, 41-800, Poland
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Other studies related to the condition(s) this trial covers.
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