New heart pacing method tested against standard therapy in 850 patients
NCT ID NCT07069738
First seen Jun 27, 2026 · Last updated Sep 04, 2026 · Updated 4 times
Summary
This study compares a newer pacing method (Left Bundle Branch Area Pacing) with the standard cardiac resynchronization therapy for people with heart failure. About 850 adults with moderate to severe heart failure will take part. The goal is to see if the newer method reduces death, need for heart transplant, or heart-related complications.
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 850 people
The number the study aims to enrol. It can still change while the study runs.
- Started
-
Oct 2025
- Expected to finish
-
Nov 2029
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 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. Patient is age 18 years or above, or of legal age to give informed consent specific to state and national law 2. Patient meets a guideline-based indication for a de novo CRT-D device 3. Primary prevention indication for ICD therapy 4. Ischemic or nonischemic cardiomyopathy with LVEF ≤ 35% within 6 months of enrollment (LVEF must be assessed after the subject has been on GDMT for a minimum of 3 months) using an appropriate method of assessment (i.e. Echo, MRI, etc) 5. NYHA class II-IV despite maximally tolerated guideline directed medical therapy (GDMT)\* for at least 3 months \*GDMT is defined as all four drug classes listed below for at least 3 months prior to enrollment unless the investigator provides justification (e.g., contraindicated, not tolerated or cost): Renin Angiotensin System Inhibitors (ACE, ARB, or ARNI) Evidence based betablockers (metoprolol succinate, carvedilol, bisoprolol) Mineralocorticoid antagonists SGLT2 Inhibitor medications 6. Sinus rhythm with left bundle branch block (LBBB) defined as a QRS ≥ 140 ms in men and ≥ 130 ms in women with a predominantly negative deflection (QS or rS in lead V1 and mid QRS notching or slurring in at least two of the following leads: 1, aVL, V1, V2, V5, V6) within 3 months of enrollment 7. Patient is willing to participate in LATITUDE™ NXT remote patient monitoring 8. Patient is willing and capable of providing informed consent and participating in all testing associated with this investigation at an approved study site and at the protocol defined intervals (Note: Use of a legally authorized representative (LAR) is not allowed) 9. Patient plans to remain geographically stable (not permanently moving to another location) and can commit to all study participation requirements (procedure, follow-up visits and testing requirements) Exclusion Criteria: 1. Persistent or permanent atrial fibrillation (AF) within 3 months prior to enrollment and documented in the medical record 2. Frequent premature ventricular contractions (PVCs), atrial arrhythmias, and/or other causes of expected percentage of cardiac physiologic pacing (CPP) delivery below 95% at the time of enrollment 3. Non-LBBB conduction abnormalities (including right bundle branch block (RBB) or intraventricular conduction delay (IVCD)) within 3 months prior to enrollment 4. Complete, second degree or high degree atrioventricular (AV) block, that requires pacing at the time of enrollment 5. Current or prior pacemaker, ICD or CRT implant (Also includes non-transvenous ICD technology and leadless pacemakers) 6. Prior or planned mechanical or bioprosthetic tricuspid valve replacement 7. Currently receiving or previously received positive inotrope therapy within 3 months prior to enrollment 8. Unstable angina, acute myocardial infarction, coronary artery bypass grafting, or percutaneous coronary intervention within 3 months prior to enrollment 9. History of heart transplantation or left ventricular assist device (LVAD) implantation 10. Less than 1 year of life expectancy at the time of enrollment 11. Anticipated heart transplantation or LVAD implantation within 1 year of enrollment 12. History of ventricular septal defect (VSD) 13. Complex congenital heart disease 14. Documented diagnosis of cardiac amyloidosis 15. Known occlusion or other reason limiting central venous access for transvenous leads 16. Women of childbearing potential who are, or plan to become, pregnant during the course of the study (assessment per investigator's discretion) 17. Patient currently requiring dialysis 18. Patient with known or suspected sensitivity to Dexamethasone Acetate (DXA) 19. Patient with contrast dye allergy or unwilling/able to undergo pre-treatment with steroids and/or diphenhydramine 20. Inability or refusal to comply with the follow-up schedule including subject living at such a distance from the investigational site that attending follow-up visits would be unusually difficult or burdensome 21. Patient is enrolled in any other concurrent study. Co-enrollment into other studies such as observational studies/registries needs prior written approval by BSC. Local mandatory governmental registries are accepted for co-enrollment without approval by BSC.
Get updates
Get notified about this study
Sign up to get updates when this study changes or when new studies for Heart failure - nyha ii - iv 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.
How to take part
Only the study team decides who joins. These are the ways to reach them.
-
The places running it
40 sites. The list below names each one and where it is.
-
The official record
ClinicalTrials.gov lists the study team's own contact details, including names and phone numbers. We don't republish those.
-
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.
Contacts and locations
Locations
-
AdventHealth Tampa
RECRUITINGTampa, Florida, 33613, United States
-
Alta Bates Summit Medical Center
RECRUITINGOakland, California, 94609, United States
-
Arrhythmia Research Group
RECRUITINGJonesboro, Arkansas, 72401, United States
-
Avera Heart Hospital of South Dakota
RECRUITINGSioux Falls, South Dakota, 57108, United States
-
Baptist Hospital East Louisville
RECRUITINGLouisville, Kentucky, 40207, United States
-
Capital Cardiology Associates
RECRUITINGAlbany, New York, 12211, United States
-
Cardiology Associates Medical Group, Inc.
RECRUITINGVentura, California, 93003, United States
-
Cedars Sinai Medical Center
RECRUITINGLos Angeles, California, 90048, United States
-
Centracare Heart and Vascular Center
RECRUITINGSaint Cloud, Minnesota, 56303, United States
-
Christus Trinity Mother Frances Health System
RECRUITINGTyler, Texas, 75701, United States
-
Community Heart and Vascular Hospital
RECRUITINGIndianapolis, Indiana, 46250, United States
-
Corewell Health
RECRUITINGGrand Rapids, Michigan, 49525, United States
-
Duke University Medical Center
RECRUITINGDurham, North Carolina, 27710, United States
-
Emory University Hospital
RECRUITINGAtlanta, Georgia, 30322, United States
-
Heart Center Research, LLC
RECRUITINGHuntsville, Alabama, 35801, United States
-
Heart Hospital Baylor Plano
RECRUITINGPlano, Texas, 75093, United States
-
Mayo Clinic Phoenix
RECRUITINGPhoenix, Arizona, 85054, United States
-
Midwest Cardiovascular Institute
RECRUITINGNaperville, Illinois, 60540, United States
-
Mobile Infirmary Medical Center
RECRUITINGMobile, Alabama, 36608, United States
-
Morristown Medical Center
RECRUITINGMorristown, New Jersey, 07932, United States
-
Mount Carmel Health System
RECRUITINGColumbus, Ohio, 43219, United States
-
New York Hospital Queens
RECRUITINGFlushing, New York, 11355, United States
-
OhioHealth Research and Innovation Institute-Riverside Methodist Hospital
RECRUITINGColumbus, Ohio, 43214, United States
-
Pacific Heart Institute
RECRUITINGSanta Monica, California, 90404, United States
-
Penn Presbyterian Medical Center
RECRUITINGPhiladelphia, Pennsylvania, 19104, United States
-
Piedmont Hospital
RECRUITINGAtlanta, Georgia, 30309, United States
-
Rochester General Hospital
RECRUITINGNew York, New York, 14621, United States
-
SUNY-Upstate Medical University
RECRUITINGSyracuse, New York, 13057, United States
-
Sanger Heart and Vascular Institute
RECRUITINGCharlotte, North Carolina, 28204, United States
-
Sarasota Memorial Hospital
RECRUITINGSarasota, Florida, 34239, United States
-
Scripps Memorial Hospital
RECRUITINGLa Jolla, California, 92037, United States
-
Southcoast Physicians Group
RECRUITINGFall River, Massachusetts, 02720, United States
-
St. Mary's Duluth Clinic Regional Heart Center
RECRUITINGDuluth, Minnesota, 55805, United States
-
St.Thomas Health
RECRUITINGNashville, Tennessee, 37205, United States
-
Torrance Medical Center
RECRUITINGTorrance, California, 90505, United States
-
University of Chicago
RECRUITINGHinsdale, Illinois, 60521, United States
-
University of Iowa Hospitals and Clinics
RECRUITINGIowa City, Iowa, 52242, United States
-
University of Michigan Hospitals
RECRUITINGAnn Arbor, Michigan, 48109, United States
-
Washington Hospital Center
RECRUITINGWashington D.C., District of Columbia, 20010, United States
-
Weill Cornell Medical University
RECRUITINGNew York, New York, 10021, United States
More trials for these conditions
Other studies related to the condition(s) this trial covers.
- Could a handheld ultrasound help clinics spot heart failure sooner?
- Can yoga classes rival standard rehab for a failing heart?
- Heart failure drug probed for hidden benefit on lung pressure
- Can a heart rate drug keep heart failure patients out of the hospital?
- Nerve-stimulating implant tested for easing heart failure symptoms
- A Body-Scan test may reveal hidden fluid buildup, guiding early diuretic use