- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT05650658
Left vs Left Randomized Clinical Trial
Cardiac Resynchronization Therapy Using His/Left Bundle Branch Pacing vs Biventricular Pacing With a Left Ventricular Epicardial Lead in Patients With Heart Failure (HF) With Left Ventricular Ejection Fraction (LVEF)≤50% and With Either a Wide QRS Complex (>130 ms) or With/Anticipated >40% Pacing Randomized Clinical Trial
Study Overview
Status
Conditions
Intervention / Treatment
Detailed Description
In this prospective, randomized, multi-center clinical trial, the investigators aim to prospectively evaluate the comparative effectiveness His or Left bundle branch pacing (His/LBBP) vs. biventricular pacing (BiVP) in patients with heart failure due to left ventricular systolic dysfunction (LVEF≤50%) and with either a wide QRS (≥130 ms) or with/anticipated >40% pacing who are already receiving current standard heart failure pharmacological therapy by assessing all cause death and heart failure hospitalization at the end of the study.
Additional formal secondary objectives include evaluation disease-specific quality and psychological adjustment changes at 1 year after device implant and evaluation of a composite of death of any cause or heart failure hospitalization or more >15% increase in the left ventricular end-systolic volume index at the end of the study.
Study Type
Enrollment (Estimated)
Phase
- Not Applicable
Contacts and Locations
Study Contact
- Name: Mihail G Chelu, MD, PhD
- Phone Number: 7137987291
- Email: leftvsleft@bcm.edu
Study Contact Backup
- Name: Merin Thomas
- Phone Number: 7137987291
- Email: merin.thomas@bcm.edu
Study Locations
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Calgary, Canada
- Recruiting
- University Of Calgary
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Contact:
- Nirav Bhagat
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Principal Investigator:
- Derek Exner
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Kitchener, Canada
- Recruiting
- Waterloo Wellington Cardiovascular Research Institute (WWCRI) - St. Mary's General Hospital
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Contact:
- Mary Radyk
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Principal Investigator:
- Claus Rinne
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Montreal, Canada
- Recruiting
- Research Institute of the McGill University Health Centre (RI-MUHC) - MUHC, Montreal General Hospital
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Principal Investigator:
- Jacqueline Joza
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Contact:
- Fiorella Rafti
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Québec, Canada
- Recruiting
- Université Laval
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Principal Investigator:
- Francois Philippon, MD
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Contact:
- Marina Sanchez
- Phone Number: (418) 656-8711
- Email: marina.sanchez.1@ulaval.ca
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Alberta
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Edmonton, Alberta, Canada
- Not yet recruiting
- Mazankowski Alberta Heart Institute/University of Alberta
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Contact:
- Lee-Ann Langkaas
- Phone Number: 0000000000
- Email: Lee-Ann.Langkaas@albertahealthservices.ca
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Principal Investigator:
- Evan Martow, MD
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British Columbia
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Vancouver, British Columbia, Canada
- Recruiting
- University of British Columbia
-
Principal Investigator:
- Jason Andrade, MD
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Contact:
- Munyura Yannick
- Phone Number: 0000000000
- Email: yannick.munyura@ubc.ca
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Victoria, British Columbia, Canada
- Recruiting
- Victoria Cardiac Arrhythmia Trials (VCAT) Inc.
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Principal Investigator:
- Laurence Sterns, MD
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Contact:
- Matthew Coxon
- Phone Number: (250) 595-0400
- Email: mcoxon@catrials.org
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Nova Scotia
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Halifax, Nova Scotia, Canada
- Recruiting
- Nova Scotia Health Authority
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Principal Investigator:
- Ratika Parkash, MD
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Contact:
- Stephanie Hobbs
- Phone Number: 0000000000
- Email: Stephanie.hobbs@nshealth.ca
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Ontario
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Hamilton, Ontario, Canada
- Recruiting
- Hamilton Health Sciences (HHS)
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Principal Investigator:
- Jorge Wong, MD
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Contact:
- Kiran Qamar
- Phone Number: (905) 521-2100
- Email: qamarulisl@HHSC.CA
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Newmarket, Ontario, Canada
- Recruiting
- Newmarket Electrophysiology Research Group Inc. (NERG)
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Principal Investigator:
- Mouhannad Sadek, MD
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Contact:
- Lynn Nyman
- Phone Number: (905) 895-4521
- Email: lnyman@southlake.ca
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Ottawa, Ontario, Canada
- Recruiting
- University of Ottawa Heart Institute
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Contact:
- Maitreya PATEL
- Phone Number: 0000000000
- Email: MaPatel@ottawaheart.ca
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Principal Investigator:
- Calum Redpath, MD
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Toronto, Ontario, Canada
- Recruiting
- Sunnybrook Research Institute
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Principal Investigator:
- Christopher Cheung, MD
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Contact:
- Ambreen Syeda
- Phone Number: (416) 480-6100
- Email: ambreen.syeda@sunnybrook.ca
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Quebec
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Montreal, Quebec, Canada
- Recruiting
- Montreal Heart Institute
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Contact:
- François François
- Phone Number: (514) 376-3330
- Email: Francois.Lemarbre@icm-mhi.org
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Principal Investigator:
- Alexandre Raymond-Paquin, MD
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Saint-Jean-sur-Richelieu, Quebec, Canada
- Not yet recruiting
- CIUSSS de l'Estrie - CHUS
-
Principal Investigator:
- Felix Ayala-Paredes, MD
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Contact:
- Marie-Claude Grenier
- Phone Number: 0000000000
- Email: marie-claude.grenier.ciussse-chus@ssss.gouv.qc.ca
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-
-
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Arizona
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Gilbert, Arizona, United States, 85297
- Recruiting
- Mercy Gilbert & Chandler Regional Medical Centers, Gilbert AZ
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Principal Investigator:
- Jaskanwal Bisla, MD
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Contact:
- Jacqueline Killian
- Phone Number: (480) 406-7231
- Email: jacqueline.killian@commonspirit.org
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Tucson, Arizona, United States, 85719
- Recruiting
- University of Arizona College of Medicine- Phoenix
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Contact:
- Raeven Maxwell
- Phone Number: (312) 237-5891
- Email: Raeven.Maxwell@bannerhealth.com
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Principal Investigator:
- Michael Zawaneh, MD
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Arkansas
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Little Rock, Arkansas, United States, 72205
- Recruiting
- University of Arkansas for Medical Sciences (UAMS)
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Contact:
- Urvashi Kalola
- Phone Number: 0000000000
- Email: ukalola@uams.edu
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Principal Investigator:
- Subodh Devabhaktuni, MD
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California
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La Jolla, California, United States, 92093
- Recruiting
- University of California San Diego
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Contact:
- Jesus Gil
- Phone Number: 0000000000
- Email: jegil@health.ucsd.edu
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Principal Investigator:
- Farshad Raissi, MD
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-
Colorado
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Denver, Colorado, United States, 80217
- Recruiting
- University of Colorado (Anschutz Medical Campus)
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Contact:
- Tanner Bloks
- Phone Number: 0000000000
- Email: tanner.bloks@cuanschutz.edu
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Principal Investigator:
- Matthew Zipse, MD
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Littleton, Colorado, United States, 80124
- Recruiting
- South Denver Cardiology Associates
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Principal Investigator:
- Srikanth Sundaram, MD
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Contact:
- Kathrin Siegel
- Phone Number: (303) 703-2162
- Email: ksiegel@southdenver.com
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Connecticut
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Hartford, Connecticut, United States, 06102
- Recruiting
- Hartford Hospital
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Principal Investigator:
- Eric Crespo, MD
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Contact:
- Saskia Campbell
- Phone Number: (860) 972-1558
- Email: Saskia.Campbell@hhchealth.org
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New Haven, Connecticut, United States, 06511
- Recruiting
- Yale University
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Contact:
- Meg Leiss
- Phone Number: 0000000000
- Email: Margaret.leiss@yale.edu
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Principal Investigator:
- Mark Blitzer, MD
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Florida
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Davie, Florida, United States, 33328
- Recruiting
- Heart Rhythm Solutions
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Contact:
- Daniela Rodriguez
- Phone Number: (954) 707-5200
- Email: Daniela@heartrhythmsolutions.com
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Principal Investigator:
- Awais K Humayun, MD
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Jacksonville, Florida, United States, 32211
- Not yet recruiting
- University of Florida Jacksonville
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Contact:
- Latonya Been
- Phone Number: 0000000000
- Email: latonya.been@ufhealth.org
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Principal Investigator:
- Aditya Saini, MD
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Miami Beach, Florida, United States, 33140
- Not yet recruiting
- Mount Sinai Medical Center of Florida, Inc.
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Contact:
- Giselle Cortez
- Phone Number: 00000000000
- Email: Giselle.CortezVargas@msmc.com
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Principal Investigator:
- Jose Sleiman, MD
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Palm Beach Gardens, Florida, United States, 33418
- Recruiting
- Cleveland Clinic Florida
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Principal Investigator:
- Ricardo Hernandez, MD
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Contact:
- Maria Gomez Mejia
- Phone Number: (954) 659-6204
- Email: MEJIAGM@ccf.org
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South Pasadena, Florida, United States, 33707
- Not yet recruiting
- Florida Heart and Vascular, LLC dba Florida Heart Rhythm Specialist, PLLC
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Principal Investigator:
- David Kenigsberg, MD
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Contact:
- Adryanna Alban
- Phone Number: 0000000000
- Email: adryanna.alban@flahrs.com
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Tampa, Florida, United States, 33613
- Recruiting
- University of South Florida
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Contact:
- Jacky He
- Phone Number: (813) 250-2462
- Email: jackyhe@usf.edu
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Principal Investigator:
- Bengt Herweg, MD
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Illinois
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Chicago, Illinois, United States, 60637
- Recruiting
- University of Chicago
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Contact:
- Shahram Sarrafi
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Principal Investigator:
- Gaurav Upadhyay, MD
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Chicago, Illinois, United States, 60612
- Recruiting
- Rush University
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Contact:
- Nusrat Jahan
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Principal Investigator:
- Timothy Larsen, DO
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Evanston, Illinois, United States, 60208
- Recruiting
- Northwestern University
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Contact:
- Katrina Martin
- Phone Number: (312) 695-4067
- Email: katrina.martin@nm.org
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Principal Investigator:
- Nishant Verma, MD
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Naperville, Illinois, United States, 60540
- Enrolling by invitation
- CIS Clinical Research Corporation
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Indiana
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Indianapolis, Indiana, United States, 46202
- Recruiting
- Trustees of Indiana University
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Principal Investigator:
- Antonio Navarrete, MD
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Contact:
- Molly Stearns
- Phone Number: (317) 962-1130
- Email: mstearns2@IUHEALTH.ORG
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Kentucky
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Louisville, Kentucky, United States, 40207
- Recruiting
- Baptist Health Louisville
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Contact:
- Karin Cryan
- Phone Number: 0000000000
- Email: karin.cryan@BHSI.COM
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Principal Investigator:
- John Mandrola, MD
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Massachusetts
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Boston, Massachusetts, United States, 02114
- Recruiting
- Massachusetts General Hospital
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Contact:
- Chris Azzam
- Phone Number: 0000000000
- Email: cazzam@MGH.HARVARD.EDU
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Principal Investigator:
- Shaan Khurshid, MD
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Boston, Massachusetts, United States, 02215
- Recruiting
- Beth Israel Deaconess Medical Center
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Principal Investigator:
- Andrew Locke, MD
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Contact:
- Henry Xie
- Phone Number: (617) 632-8956
- Email: hxie1@bidmc.harvard.edu
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Minnesota
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Rochester, Minnesota, United States, 55905
- Recruiting
- Mayo Clinic
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Principal Investigator:
- Yong-Mei Cha, MD
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Contact:
- Axe M Ahmed
- Phone Number: 0000000000
- Email: Ahmed.Abdimajid@mayo.edu
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New Jersey
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Hackensack, New Jersey, United States, 07601
- Recruiting
- HMH Hospitals Corporation
-
Contact:
- Stephanie Lynes
- Phone Number: (732) 897-2871
- Email: stephanie.lynes@hmhn.org
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Principal Investigator:
- Taya Glotzer, MD
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Marlton, New Jersey, United States, 08053
- Recruiting
- Virtua Health
-
Contact:
- Marisa Brown
- Phone Number: (856) 355-1226
- Email: Mbrown3@virtua.org
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Principal Investigator:
- Aatish Garg, MD
-
Newark, New Jersey, United States, 07112
- Recruiting
- Newark Beth Israel Medical Center
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Contact:
- Patricia Policastro
- Phone Number: (973) 926-8451
- Email: Patricia.Policastro@rwjbh.org
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Principal Investigator:
- David Man, MD
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Ridgewood, New Jersey, United States, 07450
- Recruiting
- The Valley Hospital, Inc.
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Principal Investigator:
- Suneet Mittal, MD
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Contact:
- Lauren Tedeschi
- Phone Number: (201) 447-8453
- Email: ltedesc2@Valleyhealth.com
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New Mexico
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Albuquerque, New Mexico, United States, 87102
- Recruiting
- Lovelace Medical Center
-
Contact:
- Zinai Tellez
-
Principal Investigator:
- Sean Mazer
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New York
-
New York, New York, United States, 10021
- Recruiting
- Weill Cornell Medicine
-
Principal Investigator:
- Jim Cheung, MD
-
Contact:
- Penn Collins
- Phone Number: (315) 481-7389
- Email: gpc4001@med.cornell.edu
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New York, New York, United States, 10029
- Recruiting
- Icahn School Of Medicine At Mount Sinai
-
Principal Investigator:
- Jacob Koruth, MD
-
Contact:
- Ugur Gurol
- Phone Number: (646) 581-1360
- Email: Ugur.Gurol@mountsinai.org
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New York, New York, United States, 10032
- Not yet recruiting
- Columbia University Medical Center/New York-Presbyterian Hospital (CUMC/NYPH)
-
Contact:
- Alicha Daniel
- Phone Number: 0000000000
- Email: aad2223@cumc.columbia.edu
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Principal Investigator:
- Ellie Coronmilas, MD
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North Carolina
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Asheville, North Carolina, United States, 28803
- Recruiting
- MH Mission Hospital LLLP- Asheville Cardiology Associates
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Contact:
- Olivia Lim
- Phone Number: 0000000000
- Email: olivia.lim@hcahealthcare.com
-
Principal Investigator:
- Michael Manogue, MD
-
Chapel Hill, North Carolina, United States, 27599
- Recruiting
- University of North Carolina
-
Principal Investigator:
- Anil Gehi, MD
-
Contact:
- Elias Wen
- Phone Number: 0000000000
- Email: emwen@email.unc.edu
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Charlotte, North Carolina, United States, 28204
- Recruiting
- Novant Health
-
Contact:
- Darren N Crawford
-
Principal Investigator:
- Thomas Kambur
-
-
Ohio
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Cincinnati, Ohio, United States, 45219
- Recruiting
- The Christ Hospital
-
Contact:
- Susanne Pasley
- Phone Number: 0000000000
- Email: Susanne.Pasley@thechristhospital.com
-
Principal Investigator:
- Edward Schloss, MD
-
Cleveland, Ohio, United States, 44195
- Recruiting
- Cleveland Clinic
-
Contact:
- Raquel Rozich
- Phone Number: 0000000000
- Email: Rozichr@ccf.org
-
Principal Investigator:
- Roy Chung, MD
-
Cleveland, Ohio, United States, 44109
- Recruiting
- The MetroHealth System
-
Contact:
- Pete Leo
- Phone Number: (216) 778-2714
- Email: pleo@metrohealth.org
-
Principal Investigator:
- Soufian Almahameed, MD
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-
Oregon
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Portland, Oregon, United States, 97239
- Recruiting
- Oregon Health & Science University
-
Contact:
- Liz Cannard
- Phone Number: 0000000000
- Email: cannarde@ohsu.edu
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Principal Investigator:
- Eric Stecker, MD
-
-
Pennsylvania
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Allentown, Pennsylvania, United States, 18015
- Recruiting
- St. Luke's University Health Network
-
Contact:
- Kyle McFadden
- Phone Number: 0000000000
- Email: Kyle.McFadden@sluhn.org
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Principal Investigator:
- Sudip Nanda, MD
-
Allentown, Pennsylvania, United States, 18103
- Recruiting
- Lehigh Valley Hospital Inc.
-
Contact:
- Traci L Eichelberger
- Phone Number: 0000000000
- Email: Traci.Eichelberger@jefferson.edu
-
Principal Investigator:
- Babak Borzognia, MD
-
Lancaster, Pennsylvania, United States, 17603
- Recruiting
- Penn Medicine Lancaster General
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Principal Investigator:
- Matthew Bernabei, MD
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Contact:
- Andrew Hershey
- Phone Number: (717) 544-1412
- Email: Andrew.Hershey@pennmedicine.upenn.edu
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Philadelphia, Pennsylvania, United States, 19104
- Recruiting
- University of Pennsylvania
-
Principal Investigator:
- Robert Schaller, MD
-
Contact:
- Mary Gnap
- Phone Number: (215) 349-8446
- Email: Mary.gnap@pennmedicine.upenn.edu
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Philadelphia, Pennsylvania, United States, 19107
- Recruiting
- Thomas Jefferson University Hospital
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Contact:
- Mckenna Krall
-
Principal Investigator:
- Behzad Pavri
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Pittsburgh, Pennsylvania, United States, 15212
- Recruiting
- Allegheny-Singer Research Institute
-
Principal Investigator:
- Joshua Silverstein, MD
-
Contact:
- Minesh Lathia
- Phone Number: (412) 359-8468
- Email: minesh.lathia@ahn.org
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Pittsburgh, Pennsylvania, United States, 15213
- Recruiting
- University of Pittsburg
-
Principal Investigator:
- Krishna Kancharla, MD
-
Contact:
- Sherry Pellegrino
- Phone Number: (412) 647-8210
- Email: pellegrinosl@upmc.edu
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Scranton, Pennsylvania, United States, 18510
- Recruiting
- Geisinger Commonwealth School of Medicine
-
Contact:
- Grace E Hughes
-
Principal Investigator:
- Jess Oren, MD
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-
South Carolina
-
Charleston, South Carolina, United States, 29425
- Recruiting
- Medical University of South Carolina (MUSC)
-
Contact:
- Olivia Washington
- Phone Number: (843) 792-0464
- Email: washoliv@musc.edu
-
Principal Investigator:
- Anne Kroman, MD
-
Greenville, South Carolina, United States, 29605
- Not yet recruiting
- Prisma Health-Upstate
-
Contact:
- Prisma Health-Upstate Shrum
- Phone Number: 0000000000
- Email: ann.shrum@prismahealth.org
-
Principal Investigator:
- Adam Barnett, MD
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-
Texas
-
Arlington, Texas, United States, 76011
- Not yet recruiting
- Texas Health Research & Education Institute
-
Contact:
- Rebecca Wade
- Phone Number: 0000000000
- Email: rebeccawade@texashealth.org
-
Principal Investigator:
- Theodore Takata, MD
-
Houston, Texas, United States, 77030
- Recruiting
- Baylor College of Medicine
-
Principal Investigator:
- Mihail Chelu, MD
-
Contact:
- Stephen Harold
- Phone Number: (713) 798-7227
- Email: harold@bcm.edu
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-
Utah
-
Salt Lake City, Utah, United States, 84124
- Recruiting
- St. Mark's Hospital
-
Principal Investigator:
- Nischala Nannapaneni, MD
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Contact:
- Pragyna Gundaboina
- Phone Number: 0000000000
- Email: Pragyna.Gundaboina@HCAhealthcare.com
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-
Vermont
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Burlington, Vermont, United States, 05402
- Recruiting
- University of Vermont
-
Contact:
- Sonja Baden
- Phone Number: (802) 847-8833
- Email: Sonja.Baden@uvmhealth.org
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Principal Investigator:
- Daniel Lustgarten, MD
-
-
Virginia
-
Charlottesville, Virginia, United States, 22908
- Recruiting
- University of Virginia Health System
-
Principal Investigator:
- Rohit Malhotra
-
Contact:
- Katie L Sullivan
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Falls Church, Virginia, United States, 22042
- Recruiting
- Inova Heart and Vascular Institute
-
Principal Investigator:
- Brett Atwater, MD
-
Contact:
- Tracy Plummer
- Phone Number: (703) 776-3567
- Email: tracy.plummer@inova.org
-
Newport News, Virginia, United States, 23606
- Recruiting
- Sentara Healthcare
-
Contact:
- Linette Klevan
-
Principal Investigator:
- Erich Kiehl
-
Richmond, Virginia, United States, 23284
- Recruiting
- Virginia Commonwealth University
-
Principal Investigator:
- Jordana Kron, MD
-
Contact:
- Melissa Sears
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-
Washington
-
Seattle, Washington, United States, 98195
- Recruiting
- University of Washington
-
Contact:
- Adele Stefanowicz
- Phone Number: 0000000000
- Email: amstef99@uw.edu
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Principal Investigator:
- Kristen Patton, MD
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Participation Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Description
Inclusion Criteria:
- Men and women 18 years of age or older.
- A LVEF ≤ 50% within 6 months prior to enrollment.
- Resting QRS duration ≥130 ms as evidenced by a historical 12-lead ECG prior to enrollment OR anticipated right ventricular pacing >40% OR device in place with right ventricular pacing > 40%.
- Are optimized on HF guideline directed medical therapy according to current HF published guidelines OR patient's physician will make an effort to start all guideline-directed medical therapy and titrate doses up as permitted by the participant clinical status and co-morbidities prior to implantation procedure.
Exclusion Criteria:
- Women who are pregnant, lactating, or plan to become pregnant during the course of the trial.
- Participants with angiographic evidence of coronary disease who are candidates for coronary revascularization and are likely to undergo coronary artery bypass graft surgery or percutaneous coronary, intervention in the next three (3) months.
- Enzyme-positive myocardial infarction within the past three (3) months prior to enrollment.
- Coronary artery bypass graft surgery or percutaneous coronary intervention (balloon and/or stent angioplasty) within the past three (3) months prior to enrollment.
- Reversible non-ischemic cardiomyopathy (e.g., acute viral myocarditis).
- Participants with Chagas disease, cardiac sarcoidosis or amyloidosis.
- Expected to receive left ventricular assist device or heart transplantation within 6 months.
- Participants with primary severe valvular disease (e.g., aortic stenosis).
- Have a life expectancy of less than 12 months.
- Participants with irreversible brain damage from preexisting cerebral disease.
- Participants with a contrast dye allergy unable or unwilling to undergo pretreatment with steroids and/or diphenhydramine.
- Participants participating in any other interventional cardiovascular clinical trial.
- Participants who would be unable to comply with the study's follow-up visit schedule; or
- Participants who had any prior unsuccessful attempt at implantation of biventricular pacing (BiVP), His Bundle Pacing (HBP), or Left Bundle Branch Pacing (LBBP) device.
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: Triple
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
|---|---|
|
Active Comparator: His/Left Bundle Branch Pacing (His/LBBP)
Patients with LVEF≤35% at entry will receive a His/LBB defibrillator which includes implantation of three leads, an endocardial right atrial lead, an endocardial right ventricular ICD lead, and an endocardial His-bundle or left bundle branch pacing lead directly pacing the intrinsic conduction system. Patients with LVEF 36-50% at entry will receive His/LBB pacemaker which includes implantation of two leads, an endocardial right atrial lead, and an endocardial His-bundle or left bundle branch pacing lead directly pacing the intrinsic conduction system. |
Pacing at the level His-Bundle or left bundle branch is used to correct the underlying conduction abnormality, resulting in a faster and more homogeneous activation of the heart pacing directly via the intrinsic conduction system of the heart accompanied by a right atrial endocardial lead and a right ventricular defibrillator endocardial lead for LVEF≤35% and by a right atrial endocardial lead for LVEF 36-50%.
|
|
Active Comparator: Biventricular Pacing (BiVP)
Patients with LVEF≤35% at entry will receive a BiV defibrillator which includes implantation of three leads, an endocardial right atrial lead, an endocardial right ventricular ICD lead, and and an epicardial left ventricular lead implanted in a branch of the coronary sinus. Patients with LVEF 36-50% at entry will receive BiV pacemaker which includes implantation of three leads, an endocardial right atrial lead, an endocardial right ventricular pacing lead, and and an epicardial left ventricular lead implanted in a branch of the coronary sinus. |
Biventricular pacing has been shown to improve outcomes by delivering synchronized electrical stimuli to the right and left ventricles utilizing an an endocardial right atrial lead, an endocardial right ventricular lead, and an epicardial left ventricular lead implanted in a branch of the coronary sinus. For LVEF≤35% a biventricular pacemaker-defibrillator will be implanted while for LVEF 36-50% a biventricular pacemaker will be implanted. |
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
A combined clinical endpoint of all-cause mortality and hospitalization for heart failure
Time Frame: 5.5 years
|
The primary efficacy outcome will be described using Kaplan-Meier freedom from event curves over time, with event-free survival compared between assigned treatment arms using a logrank test, stratified by levels of the two factors (LVEF (≤35% vs. 36 to 50%) and conduction abnormality (LBBB vs non-LBBB)) used for randomization.
|
5.5 years
|
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Assess change in Kansas City Cardiomyopathy Questionnaire-12 (KCCQ-12) at 12 months
Time Frame: 12 months
|
Assess change in Kansas City Cardiomyopathy Questionnaire-12 (KCCQ-12) item score measured before and at 12 months after implant.
|
12 months
|
|
Change in composite endpoint comprised of death, first hospitalization for worsening HF and left ventricular end systolic volume index (LVESVi) at 5.5 years
Time Frame: 5.5 years
|
Secondary endpoint measured from all cause death, first hospitalization for heart failure and echocardiography on left ventricular end-systolic volume index (LVESVi) in the His/LBBP vs. BIV-BiVP arm
|
5.5 years
|
|
Death from any cause at 5.5 years
Time Frame: 5.5 years
|
Secondary endpoint measured from all cause death
|
5.5 years
|
|
Death from any cardiovascular cause at 5.5 years
Time Frame: 5.5 years
|
Secondary endpoint measured from death due to cardiovascular causes
|
5.5 years
|
|
Hospitalization for heart failure at 5.5 years
Time Frame: 5.5 years
|
Secondary endpoint measured from first hospitalization for heart failure
|
5.5 years
|
|
Cardiovascular hospitalization at 5.5 years
Time Frame: 5.5 years
|
Secondary endpoint measured from first hospitalization for cardiovascular disease
|
5.5 years
|
|
Change in NYHA Classification at 12 months
Time Frame: 12 months
|
Secondary endpoint measured from New York Heart Association class
|
12 months
|
|
Change in Six Minute Walk Test performance at 12 months
Time Frame: 12 months
|
Secondary endpoint measured from Six Minute Walk Test
|
12 months
|
|
Change in NT-proBNP at 12 months
Time Frame: 12 months
|
Measurement of heart failure serum biomarker NT-proBNP
|
12 months
|
|
Composite of cardiovascular death or heart transplant or durable left ventricular assist device or more > 15% increase in the LVESVi or change in KCCQ-12 at the end of the study using win ratio
Time Frame: 5.5 years
|
Secondary endpoint measured from cardiovascular death or heart transplant or durable left ventricular assist device or more > 15% increase in the LVESVi or change in KCCQ-12 at the end of the study using win ratio
|
5.5 years
|
|
Total HF hospitalizations
Time Frame: 5.5 years
|
Total number of HF hospitalizations
|
5.5 years
|
|
Composite of cardiovascular death or first HF hospitalization
Time Frame: 5.5 years
|
Secondary endpoint measured from cardiovascular death, first hospitalization for heart failure
|
5.5 years
|
|
Composite cardiovascular death or HF hospitalization or heart transplant or durable left ventricular assist device
Time Frame: 5.5 years
|
Secondary endpoint measured from cardiovascular death, heart transplant or durable left ventricular assist device
|
5.5 years
|
|
Patient activity measured through cardiovascular implantable electronic devices (CIED) at 12 months
Time Frame: 12 months
|
Measurement Patient activity measured through cardiovascular implantable electronic devices (CIED)
|
12 months
|
Other Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Appropriate ICD therapy for ventricular arrhythmias
Time Frame: 5.5 years
|
Antitachycardia pacing or ICD shocks
|
5.5 years
|
|
Change in Left Ventricular Ejection Fraction (LVEF) at 12 months
Time Frame: 12 months
|
Measurement of LVEF before and at 12 months after implant using echocardiography
|
12 months
|
|
Incidence of atrial tachyarrhythmia events
Time Frame: 5.5 years
|
Atrial arrhythmia event measured through cIED
|
5.5 years
|
Collaborators and Investigators
Sponsor
Collaborators
Investigators
- Principal Investigator: Mihail G Chelu, MD, PhD, Baylor College of Medicine
- Principal Investigator: Kenneth A Ellenbogen, MD, Virginia Commonwealth University
Study record dates
Study Major Dates
Study Start (Actual)
Primary Completion (Estimated)
Study Completion (Estimated)
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (Actual)
Study Record Updates
Last Update Posted (Estimated)
Last Update Submitted That Met QC Criteria
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
Other Study ID Numbers
- PLACER 2021C3- 24160
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
product manufactured in and exported from the U.S.
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
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