New heart lead could improve pacing for thousands with heart failure
NCT ID NCT06830746
First seen Jun 27, 2026 · Last updated Jun 27, 2026
Summary
This study tests a new type of wire (lead) for implantable heart devices like ICDs or CRT-Ds. The lead is designed to pace the heart's natural conduction system, which may work better than standard pacing. About 414 adults who need these devices will be followed for 3 months to check if the lead is safe and works well.
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
-
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
-
About 414 people
The number the study aims to enrol. It can still change while the study runs.
- Started
-
Apr 2025
- Expected to finish
-
May 2028
An estimate. End dates often move.
- 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.
- Ages
-
18 to 99 years
- 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 must meet current clinical practice guidelines for implantation of ICD or CRT-D and will undergo one of the following: 1. de novo Abbott ICD system implant (single or dual chamber) 2. de novo Abbott CRT-D system implant and is intended to also undergo left ventricle coronary sinus lead implant (for patients indicated for CRT-D according to locally approved indications) 2. Subject is ≥ 18 years of age or age of legal consent, whichever age is greater. 3. Subject is willing to undergo implant defibrillation testing if requested. Subjects with AF in whom defibrillation testing is required must have been on or willing to be on uninterrupted anticoagulation therapy before, during, and after the implant procedure. 4. Subject is willing to comply with clinical investigation procedures and agrees to return to clinic for all required follow-up visits, tests, and exams. 5. Subject has been informed of the nature of the clinical investigation, agrees to its provisions and has provided a signed written informed consent, approved by the IRB/EC. Exclusion Criteria: 1. Subject has had myocardial infarction or unstable angina within 40 days prior to signing consent 2. Subject has had recent cardiac revascularization (angioplasty, stent or bypass graft) in the 4 weeks prior to signing consent or planned within 3 months following consent 3. Subject has had any other therapeutic cardiovascular procedure (such as transcatheter aortic valve replacement, MitraClip, cardiac surgery, left atrial appendage closure, patent foramen ovale closure, or any ablation procedures) in the 3 months prior to signing consent or planned within 3 months following consent 4. Subject has had a recent Cerebrovascular Accident (CVA) or Transient Ischemic Attack (TIA) within 3 months of prior to signing consent 5. Subject has a life expectancy of less than 12 months 6. Subject has contraindications for standard RV transvenous and/or LBBAP lead placement (e.g., mechanical right heart valve) 7. Subject is contraindicated for ≤1mg Dexamethasone sodium phosphate. 8. Subject is pregnant or breastfeeding women, or women of childbearing potential and who are not on a reliable form of birth regulation method or abstinence 9. Subject has an existing pacemaker (including a temporary pacing system), ICD, CRT, or cardiac contractility modulation (CCM) device or leads 10. Subject has any evidence of active infection or undergoing treatment for an infection 11. Subject is enrolled or planning to enroll in another clinical trial that might confound the results of the present study 12. Subject has moderate or severe aortic stenosis 13. Subject has ventricular septal defect (VSD) or had prior surgery on the interventricular septum that could impact LBBAP implant, such as septal myomectomy, ethanol septal ablation, VSD repair, etc 14. Subject has end-stage renal disease 15. Subject has NYHA IV classification 16. Subject has undergone cardiac transplantation or have a classification of Status 1 for cardiac transplantation or consideration for transplantation during the study follow-up period 17. Subject has had previously extracted leads 18. Subject has had an LV Assist Device 19. Subject has had a failed LBBAP lead implant Defibrillation testing exclusion criteria (these are part of general exclusion criteria when defibrillation testing is requested): 1. Subject has pre-existing or suspected pneumothorax during implant 2. Subject has current known intracardiac left atrial or Left Ventricular thrombus 3. Subject has severe proximal three-vessel or left main coronary artery disease without revascularization 4. Subject has Ejection Fraction less than 20% 5. Subject has recent stroke or transient ischemic attack (within the last 6 months) 6. Subject has known inadequate external defibrillation 7. Subject has any other known medical condition not listed that precludes their participation in the opinion of the investigator
Get updates
Get notified about this study
Sign up to get updates when this study changes or when new studies for Heart failure are added.
Genom att skicka in godkänner du våra Användarvillkor
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
-
ASST Grande Ospedale Metropolitano Niguarda
Milan, Lombard, 20162, Italy
-
AdventHealth Orlando
Orlando, Florida, 32803, United States
-
Arrhythmia Research Group
Jonesboro, Arkansas, 72401, United States
-
Banner University Medical Center Phoenix
Phoenix, Arizona, 85006, United States
-
Beth Israel Deaconess Medical Center
Boston, Massachusetts, 02215, United States
-
CHRU Hopital de Pontchaillou
Rennes, Brittan, 35033, France
-
CHU Trousseau
Chambray-lès-Tours, Centre-Val de Loire, 37170, France
-
Changi General Hospital
Singapore, Singapore
-
Erlanger Medical Center
Chattanooga, Tennessee, 37403, United States
-
Geisinger Medical Center
Danville, Pennsylvania, 17822, United States
-
Heart Center Research LLC
Huntsville, Alabama, 35801, United States
-
Hospital Universitari i Politècnic La Fe
Valencia, 46026, Spain
-
Hospital Universitario Virgen de las Nieves
Granada, 18014, Spain
-
Hospital of the University of Pennsylvania
Philadelphia, Pennsylvania, 19104, United States
-
Hôpital Pitié Salpetrière
Paris, Ile, 75013, France
-
Hôpitaux Universitaires de Genève
Geneva, 1205, Switzerland
-
Lancaster General Hospital
Lancaster, Pennsylvania, 17602, United States
-
MUHC- Montreal General Hospital
Montreal, H3G 1A4, Canada
-
Max Super Specialty Hospital
New Delhi, National Capital Territory of Delhi, 110017, India
-
MedStar Washington Hospital Center
Washington D.C., District of Columbia, 20010, United States
-
Medical City Dallas Hospital
Dallas, Texas, 75230, United States
-
Monash Health
Clayton, Victoria, Australia
-
National Heart Centre Singapore
Singapore, 169609, Singapore
-
New York Presbyterian Hospital/Cornell University
New York, New York, 10021, United States
-
Ospedale S.S. Annunziata
Taranto, Apulia, 74100, Italy
-
Premier Cardiology, Inc.
Newport Beach, California, 92663, United States
-
Prince of Wales Hospital
Hong Kong, Hong Kong
-
Princess Alexandra Hospital
Woolloongabba, Queensland, Australia
-
Queen Mary Hospital
Hong Kong, Hong Kong
-
Royal Adelaide Hospital
Adelaide, South Australia, Australia
-
Sentara Norfolk General Hospital
Norfolk, Virginia, 23507, United States
-
Sree Chitra Tirunal Institute for Medical Sciences & tech.
Trivandrum, New Delhi, 695-011, India
-
Tan Tock Seng Hospital
Singapore, Singapore
-
The Cleveland Clinic Foundation
Cleveland, Ohio, 44195, United States
-
The Prince Charles Hospital
Chermside, Queensland, Australia
-
University of California at San Diego (UCSD) Medical Center
San Diego, California, 92103, United States
-
Velammal Medical College Hospital
Madurai, Tmlnadu, 625009, India
More trials for these conditions
Other studies related to the condition(s) this trial covers.
- Phase IV, single-center, double blind, randomized, crossover, placebo-controlled study, to investigate the effect of dual bronchodilation with umeclidinium vilanterol on patients with COPD, hyperinflation and heart failure.
- Can zapping the heart beat drugs for AF in heart failure?
- Which SGLT2 inhibitor wins? trial pits empagliflozin against dapagliflozin
- Can daily mindful breathing ease heart failure symptoms?
- Can a smartphone app keep heart failure patients out of the hospital?
- Can better training get doctors to talk about what matters most to dying veterans?