New pacing technique may lower heart failure risk in pacemaker patients
NCT ID NCT05585411
First seen Jun 26, 2026 · Last updated Jun 27, 2026 · Updated 1 time
Summary
This study tests if a newer pacing method, left bundle branch area pacing, is better than standard right ventricular pacing for people who need a pacemaker. Researchers will compare outcomes like death, heart failure, and heart damage in 450 participants over two years. The goal is to see if the newer method can prevent complications from long-term pacing.
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 area pacing (a procedure to place a pacemaker lead in a specific heart area)
- What this could lead to
- If successful, this could show that a newer pacing method reduces the risk of heart failure and death compared to standard pacing.
- What could go wrong
- This is an early-stage comparison study with 450 participants, so results may not apply to all patients. The procedure itself carries standard risks of pacemaker implantation, such as infection or lead displacement.
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 450 people
The number the study aims to enrol. It can still change while the study runs.
- Started
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Nov 2022
- Expected to finish
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Nov 2026
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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19 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: 1. At least 19 years old and willing and capable to give informed consent 2. Patients who is willing and able to comply with the prescribed follow-up tests and schedule of evaluations. 3 Scheduled to receive a pacemaker implant 4. Substantial percentage of V pacing rate (\>40%) is anticipated Exclusion criteria: 1. Incapacitated or unable to read or write 2. Patient who is an indication of ICD or CRT 3. History of prosthetic valve surgery on tricuspid valve 4. Prior myocardial infarction including ventricular septum 5. Life expectancy \< 12 months due to any condition 6. Unavailable for at least 24 months of follow-up visits 7. Pregnant or breastfeeding at the time of signing consent 8. Prior Heart transplant surgery 9. Persistent Left Superior Vena Cava (PLSVC)
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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
8 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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Asan Medical Center
RECRUITINGSeoul, South Korea
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Bucheon Sejong Hospital
RECRUITINGBucheon-si, South Korea
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Chungbuk National University Hospital
RECRUITINGChungju, South Korea
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GyeongSang National University Changwon Hospital
RECRUITINGChangwon, South Korea
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Kyunghee University hospital
RECRUITINGSeoul, South Korea
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Seoul National University Hospital
RECRUITINGSeoul, South Korea
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Seoul Saint Mary's Hospital
RECRUITINGSeoul, South Korea
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Yonsei University Health System, Severance Hospital
NOT_YET_RECRUITINGSeoul, South Korea
More trials for these conditions
Other studies related to the condition(s) this trial covers.
- Armband heart tracker takes on holter monitors
- A thin wire in the Heart's wiring: registry tracks a new pacing lead
- 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?
- Smarter heart pacing could cut hospital stays for heart failure patients