New pacemaker technique may cut AF risk in heart patients
NCT ID NCT07250529
First seen Jun 27, 2026 · Last updated Jun 27, 2026
Summary
This study compares two ways of placing a pacemaker lead in people who need frequent pacing. One method (left bundle branch pacing) aims to activate the heart more naturally than the standard method. The goal is to see if it reduces the time the heart spends in fast, irregular rhythms that can lead to atrial fibrillation. About 244 adults with normal heart pumping function will take part.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- Left bundle branch pacing (a type of pacemaker lead placement)
- What this could lead to
- If it works, this could point toward a better pacing method that lowers the risk of developing atrial fibrillation in people who need a pacemaker.
- What could go wrong
- This is a relatively small, early-stage trial (244 participants) comparing two pacing techniques. The benefit may be modest, and results may not apply to all patients.
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 244 people
The number the study aims to enrol. It can still change while the study runs.
- Started
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Feb 2026
- Expected to finish
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Jun 2029
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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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.
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Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: * Age ≥ 18 years * Scheduled implantation of a dual-chamber pacemaker for: Permanent complete heart block Permanent second-degree AV block (Mobitz II or Mobitz I) * Documented preserved LVEF (≥50%) * Sinus rhythm at baseline * Ability to provide written informed consent Exclusion Criteria: * History of paroxysmal, persistent, or permanent atrial fibrillation * Previous atrial fibrillation ablation (catheter-based or surgical) * LVEF \< 50% * Sinus node disease * Transient AV block requiring pacemaker implantation * Significant structural or valvular heart disease * Requirement for pacemaker system upgrade during the study period * Requirement for antiarrhythmic therapy for causes other than atrial fibrillation * Existing pacemaker or other cardiac device requiring modification for study participation * Enrollment in another clinical trial that could interfere with study endpoints or pacing parameters * Contraindication to LBBP or associated lead implantation procedure * Life expectancy \< 12 months * Any condition judged by the investigator to compromise participation or the integrity of study data
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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 places running it
1 site. The list below names each one and where it is.
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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.
Contacts and locations
Locations
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University General Hospital of Patras
RECRUITINGPátrai, Greece
More trials for these conditions
Other studies related to the condition(s) this trial covers.
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- Can a breathing workout and walks help dialysis patients with irregular heartbeats?
- Zapping the ear: a new way to stop Post-Surgery heart rhythm problems?
- Can a new mapping and ablation system fix recurring atrial fibrillation?
- Can shedding pounds stop atrial fibrillation in its tracks?
- Pacemaker algorithm tuned to Heart's pumping may beat standard rate response