Heart device study aims to reduce painful shocks with smarter pacing
NCT ID NCT05426785
First seen Jun 25, 2026 · Last updated Jun 27, 2026 · Updated 1 time
Summary
This study compares two ways of programming implantable defibrillators (ICDs) in 398 Japanese patients. One group uses early, multiple bursts of rapid pacing (ATP) to stop dangerous heart rhythms, while the other uses a longer detection time before pacing. The goal is to see which approach reduces the need for painful shocks and is safe. Results could help doctors set ICDs to work better for patients.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- Anti-tachycardia pacing (ATP) delivered by an implantable cardioverter defibrillator (ICD)
- What this could lead to
- If successful, this could lead to fewer painful shocks from ICDs, improving quality of life for patients at risk of dangerous heart rhythms.
- What could go wrong
- This is a mid-stage study in a specific population (Japanese patients), so results may not apply broadly. The intervention is a device setting change, not a new therapy, so the impact is incremental.
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 398 people
The number the study aims to enrol. It can still change while the study runs.
- Started
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May 2023
- Expected to finish
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Dec 2027
An estimate. End dates often move.
- 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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18 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 has an indication for ICD according to the The Japanese Circulation Society (JCS )/ Japanese Heart Rhythm Society (JHRS) 2021 Guideline Focused Update on Non-Pharmacotherapy of Cardiac Arrhythmias * Patient is either planned for de novo ICD implantation or is already implanted with an investigational ICD for 10 days or less. * Patient can be treated with ATP therapy for both VT and VF zone * Patient is willing and able to use the CardioMessenger and accepts the Home Monitoring concept * Patient is willing to visit the hospital in accordance with physician's instruction * Patient is able to understand the nature of the study and to provide written informed consent Exclusion Criteria: * Patient planned for implantation with or already implanted with Cardiac Resynchronization Therapy Defibrillator (CRT-D) device * A patient who is confirmed to have received ICD therapy * A patient who is diagnosed as Idiopathic VF (e.g. Brugada syndrome, Long QT Syndrome, other IVF) * Age \< 18 years * A patient who has impaired mental status * Life expectancy less than 18 months * Participation in another interventional clinical investigation * Pregnant or breastfeeding
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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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Kokura Memorial Hospital
Kitakyushu, Fukuoka, 8028555, Japan
More trials for these conditions
Other studies related to the condition(s) this trial covers.
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