New pacemaker setting may cut AF risk in Slow-Heart patients
NCT ID NCT07645066
First seen Jun 27, 2026 · Last updated Aug 05, 2026 · Updated 2 times
Summary
This study tests whether pacing the heart from a specific spot (posterosuperior bundle) can lower the chance of atrial fibrillation (AF) in people with sinus node dysfunction (a slow or irregular heartbeat). About 300 adults who need a pacemaker will be randomly assigned to get pacing from the new spot or the standard spot. Researchers will track AF episodes lasting 6 minutes or longer for up to 2 years.
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 300 people
The number the study aims to enrol. It can still change while the study runs.
- Expected to start
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Aug 2026
An estimate. Start dates often move.
- Expected to finish
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Feb 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.
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: * Age ≥18 years * Indication for permanent pacemaker implantation, including: * Sinus node dysfunction, defined as at least one of the following: * Symptomatic sinus bradycardia * Tachy-brady syndrome * Chronotropic incompetence * Sinus pause / arrest * Atrioventricular block (if present); if ventricular pacing is required, left bundle branch area pacing is planned * Expected survival \>1 year * Panned implantation of a device capable of detecting atrial high-rate episodes * Willing and able to provide informed consent Exclusion Criteria: * Persistent atrial fibrillation (AF) (\>7 days), long-standing persistent AF, permanent AF, or prior atrioventricular node ablation * Prior cardiac implantable electronic device (CIED) requiring replacement, upgrade, or revision * Indication for cardioverter-defibrillator (ICD) or cardiac resynchronization therapy (CRT-D) * Prior cardiac surgery, severe hepatic or renal dysfunction, or other life-threatening systemic diseases * Acute myocardial infarction within 3 months before enrollment * Persistent left superior vena cava or dextrocardia * Pregnant or breastfeeding women, or women of childbearing potential not using effective contraception * Participation in another clinical trial that may interfere * Any condition that, in the opinion of the investigator, makes participation unsuitable
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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
10 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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Affiliated Hospital of Zunyi Medical College
Zunyi, Guizhou, China
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China Medical University affiliated AnQing Municipal Hospital
Anqing, Anhui, China
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Fudan University affiliated Huadong Hospital
Shanghai, Shanghai Municipality, China
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Shanghai Jiaotong University affiliated Shanghai Ninth People's Hospital
Shanghai, Shanghai Municipality, China
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Shanghai Jiaotong University affiliated Shanghai Sixth People's Hospital
Shanghai, Shanghai Municipality, China
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Shanghai University of Traditional Chinese Medicine affiliated Putuo Hospital
Shanghai, Shanghai Municipality, China
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Tong Ren Hospital, Shanghai Jiaotong University School of Medicine
Shanghai, Shanghai Municipality, 200336, China
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Tongji University School of Medicine affiliated Tongji University
Shanghai, Shanghai Municipality, China
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Tongling People's Hospital
Tongling, Anhui, China
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Wuhan Asia General Hospital
Wuhan, Hubei, China
More trials for these conditions
Other studies related to the condition(s) this trial covers.
- Which pacing target keeps the heart stronger? a trial aims to find out
- Could a targeted chest nerve block take the sting out of pacemaker surgery?
- Tiny pacemaker, big promise: could a leadless device simplify heart pacing?
- Where to pace? new study maps best heart spots for pacemakers
- Heart pacing showdown: which spot works best?
- New pacemaker approach could improve life for heart failure patients with AFib