New pacing technique may improve outcomes after heart valve procedure
NCT ID NCT07236489
First seen Jun 27, 2026 · Last updated Jun 27, 2026
Summary
This study tests a newer pacing method called left bundle branch area pacing against standard pacing in people who need a pacemaker after a TAVI procedure. About 266 participants will be enrolled to see if the new method reduces heart-related deaths, hospitalizations for heart failure, and the need for repeat surgeries. The goal is to find a better way to manage heart block without causing additional heart strain.
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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 266 people
The number the study aims to enrol. It can still change while the study runs.
- Started
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Nov 2025
- Expected to finish
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Nov 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: * Patients who have undergone TAVI for severe aortic valve disease within the past 3 months * Preserved left ventricular ejection fraction (LVEF ≥ 50%) * Indications for pacemaker implantation according to guidelines, including : * Third-degree atrioventricular (AV) block * Second-degree AV block Mobitz type 2 or symptomatic Mobitz type 1 * Alternating left and right bundle branch block * HV interval ≥ 70 ms during electrophysiological study * Pre-existing right bundle branch block with worsening conduction disturbances post-TAVI * Prolongation of QRS and PR intervals post-procedure justifying pacemaker implantation * Signed informed consent * Patient affiliated with the national health insurance system Exclusion Criteria: * Left ventricular ejection fraction (LVEF) \< 50% before TAVI * Contraindication to implantation of an endocardial pacemaker (vascular access issues, sepsis) * Previously implanted pacemaker * Patients under legal guardianship, curatorship, or judicial protection * Participation in another interventional therapeutic clinical trial
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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
7 sites. 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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Brest University Hospital
RECRUITINGBrest, Finistère, 29200, France
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Clermont Ferrand University Hospital
NOT_YET_RECRUITINGClermont-Ferrand, Puy-de-Dôme, 63003, France
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Nantes University Hospital
RECRUITINGNantes, Loire-Atlantique, 44093, France
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Poitiers University Hospital
RECRUITINGPoitiers, Vienne, 86021, France
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Rennes University Hospital
RECRUITINGRennes, Ille-et-Vilaine, 35033, France
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Rouen University Hospital
RECRUITINGRouen, Seine-Maritime, 76031, France
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Tours University Hospital
RECRUITINGTours, Indre-et-Loire, 37044, France
More trials for these conditions
Other studies related to the condition(s) this trial covers.
- Pacemaker lead position may cut heart rhythm complication
- Can a smarter pacemaker lead save the Heart's pumping power?
- Which pacing target keeps the heart stronger? a trial aims to find out
- Can a pacemaker slip in through the neck vein?
- Can a smarter pacemaker lead placement spare the heart after surgery?
- Pacemaker showdown: which device spares the Heart's valve?