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Pacemaker signals may unmask a rare heart condition
NCT ID NCT07734285
First seen Jul 29, 2026 · Last updated Jul 30, 2026 · Updated 1 time
Summary
This study explores whether the electrical signal measured by a pacemaker or defibrillator during implantation can help identify cardiac amyloidosis — a condition where abnormal proteins build up in the heart. Researchers will enroll 242 adults aged 65 and older who already need a pacemaker due to heart rhythm problems and also have thickened heart walls. Alongside standard implantation, participants will receive extra tests including a heart scan, blood work, and a small fat biopsy to confirm or rule out amyloidosis. The goal is to see if the pacemaker's readings alone can reliably flag the disease.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- What this could lead to
- If successful, this could provide a simple, low-cost way to screen for cardiac amyloidosis during routine pacemaker implantation.
- What could go wrong
- This is an early diagnostic study, not a treatment trial. The electrical signal test may not prove accurate enough to replace standard biopsies or scans.
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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About 242 people
The number the study aims to enrol. It can still change while the study runs.
- Expected to start
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Sep 2026
An estimate. Start dates often move.
- Expected to finish
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May 2030
An estimate. End dates often move.
- Lead sponsor
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Other sponsor
The registry's catch-all category, for sponsors it does not file as a company, a government agency, or a research network.
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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65 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.
Inclusion Criteria: * Patient referred for CIED implantation (pacemaker or Implantable Cardioverter Defibrillator with a pacemaker feature) due to at least one conduction abnormality (Atrioventricular block, Sinoatrial block or Atrial fibrillation with slow ventricular rate). Patients referred for implantation of an Implantable Cardioverter Defibrillator with a pacemaker feature can be included if they present one of these conduction abnormalities. * Left ventricular hypertrophy definite as maximal end-diastolic interventricular septum thickness ≥ 12mm * Patients aged ≥ 65 years * Written consent * Patient affiliated to a social security Exclusion Criteria: * Severe aortic stenosis (valve area ≤ 1 cm2) * Known cardiac amyloidosis * Indication for cardiac resynchronisation therapy * Indication for left bundle branch physiological pacing * Ejection fraction \< 45% on echocardiography. * Participation in another interventional study involving human participants or being in the exclusion period at the end of a previous study involving human participants. * Patient on AME (state medical aid) * Adults subject to a legal protection measure (guardianship, curatorship, or safeguard of justice). * Patients deprived of their liberty by a judicial or administrative decision.
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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.
How to take part
Only the study team decides who joins. These are the ways to reach them.
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The official record
ClinicalTrials.gov lists the study team's own contact details, including names and phone numbers. We don't republish those.
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A doctor treating you
A doctor who knows your case can contact a study site on your behalf, and can tell you whether this study is worth pursuing at all.
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Other studies related to the condition(s) this trial covers.
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