- ICH GCP
- Amerikanska kliniska prövningsregistret
- Klinisk prövning NCT05650658
Vänster vs vänster randomiserad klinisk prövning
Hjärtåtersynkroniseringsterapi med hjälp av hans/vänstra grenstimulering vs biventrikulär stimulering med en vänsterkammar epikardiell ledning hos patienter med hjärtsvikt (HF) med vänsterkammars ejektionsfraktion (LVEF)≤50 % och med antingen ett brett QRS-komplex (>130 ms) eller med/förväntad >40 % pacing randomiserad klinisk prövning
The investigators aim to prospectively test the comparative effectiveness of His or Left bundle branch pacing in relation to patient centered outcomes (quality of life, physical activity, heart failure hospitalization, mortality) and comparative safety in relation to device-related complications and re-interventions (e.g., lead dislodgement, infection) relative to standard of care biventricular pacing 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.
Studieöversikt
Status
Betingelser
Intervention / Behandling
Detaljerad beskrivning
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.
Studietyp
Inskrivning (Beräknad)
Fas
- Inte tillämpbar
Kontakter och platser
Studiekontakt
- Namn: Mihail G Chelu, MD, PhD
- Telefonnummer: 7137987291
- E-post: leftvsleft@bcm.edu
Studera Kontakt Backup
- Namn: Inderpreet Parmar, BDS,MSHI,PMP
- Telefonnummer: 7137987291
- E-post: Inderpreet.Parmar@bcm.edu
Studieorter
-
-
Arizona
-
Gilbert, Arizona, Förenta staterna, 85297
- Rekrytering
- Mercy Gilbert & Chandler Regional Medical Centers, Gilbert AZ
-
Huvudutredare:
- Jaskanwal Bisla, MD
-
Kontakt:
- Jacqueline Killian
- Telefonnummer: (480) 406-7231
- E-post: jacqueline.killian@commonspirit.org
-
Tucson, Arizona, Förenta staterna, 85719
- Rekrytering
- University of Arizona College of Medicine- Phoenix
-
Kontakt:
- Raeven Maxwell
- Telefonnummer: (312) 237-5891
- E-post: Raeven.Maxwell@bannerhealth.com
-
Huvudutredare:
- Michael Zawaneh, MD
-
-
Arkansas
-
Little Rock, Arkansas, Förenta staterna, 72205
- Rekrytering
- University of Arkansas for Medical Sciences (UAMS)
-
Kontakt:
- Urvashi Kalola
- Telefonnummer: 0000000000
- E-post: ukalola@uams.edu
-
Huvudutredare:
- Subodh Devabhaktuni, MD
-
-
California
-
La Jolla, California, Förenta staterna, 92093
- Rekrytering
- University of California San Diego
-
Kontakt:
- Jesus Gil
- Telefonnummer: 0000000000
- E-post: jegil@health.ucsd.edu
-
Huvudutredare:
- Farshad Raissi, MD
-
-
Colorado
-
Denver, Colorado, Förenta staterna, 80217
- Rekrytering
- University of Colorado (Anschutz Medical Campus)
-
Kontakt:
- Tanner Bloks
- Telefonnummer: 0000000000
- E-post: tanner.bloks@cuanschutz.edu
-
Huvudutredare:
- Matthew Zipse, MD
-
Littleton, Colorado, Förenta staterna, 80124
- Rekrytering
- South Denver Cardiology Associates
-
Huvudutredare:
- Srikanth Sundaram, MD
-
Kontakt:
- Kathrin Siegel
- Telefonnummer: (303) 703-2162
- E-post: ksiegel@southdenver.com
-
-
Connecticut
-
Hartford, Connecticut, Förenta staterna, 06102
- Rekrytering
- Hartford Hospital
-
Huvudutredare:
- Eric Crespo, MD
-
Kontakt:
- Saskia Campbell
- Telefonnummer: (860) 972-1558
- E-post: Saskia.Campbell@hhchealth.org
-
New Haven, Connecticut, Förenta staterna, 06511
- Rekrytering
- Yale University
-
Kontakt:
- Meg Leiss
- Telefonnummer: 0000000000
- E-post: Margaret.leiss@yale.edu
-
Huvudutredare:
- Mark Blitzer, MD
-
-
Florida
-
Davie, Florida, Förenta staterna, 33328
- Rekrytering
- Heart Rhythm Solutions
-
Kontakt:
- Daniela Rodriguez
- Telefonnummer: (954) 707-5200
- E-post: Daniela@heartrhythmsolutions.com
-
Huvudutredare:
- Awais K Humayun, MD
-
Jacksonville, Florida, Förenta staterna, 32211
- Rekrytering
- University of Florida Jacksonville
-
Kontakt:
- Latonya Been
- Telefonnummer: 0000000000
- E-post: latonya.been@ufhealth.org
-
Huvudutredare:
- Aditya Saini, MD
-
Miami Beach, Florida, Förenta staterna, 33140
- Har inte rekryterat ännu
- Mount Sinai Medical Center of Florida, Inc.
-
Kontakt:
- Giselle Cortez
- Telefonnummer: 00000000000
- E-post: Giselle.CortezVargas@msmc.com
-
Huvudutredare:
- Jose Sleiman, MD
-
Palm Beach Gardens, Florida, Förenta staterna, 33418
- Rekrytering
- Cleveland Clinic Florida
-
Huvudutredare:
- Ricardo Hernandez, MD
-
Kontakt:
- Maria Gomez Mejia
- Telefonnummer: (954) 659-6204
- E-post: MEJIAGM@ccf.org
-
South Pasadena, Florida, Förenta staterna, 33707
- Har inte rekryterat ännu
- Florida Heart and Vascular, LLC dba Florida Heart Rhythm Specialist, PLLC
-
Huvudutredare:
- David Kenigsberg, MD
-
Kontakt:
- Adryanna Alban
- Telefonnummer: 0000000000
- E-post: adryanna.alban@flahrs.com
-
Tampa, Florida, Förenta staterna, 33613
- Rekrytering
- University of South Florida
-
Kontakt:
- Jacky He
- Telefonnummer: (813) 250-2462
- E-post: jackyhe@usf.edu
-
Huvudutredare:
- Bengt Herweg, MD
-
-
Illinois
-
Chicago, Illinois, Förenta staterna, 60637
- Rekrytering
- University of Chicago
-
Kontakt:
- Shahram Sarrafi
-
Huvudutredare:
- Gaurav Upadhyay, MD
-
Chicago, Illinois, Förenta staterna, 60612
- Rekrytering
- Rush University
-
Kontakt:
- Nusrat Jahan
-
Huvudutredare:
- Timothy Larsen, DO
-
Evanston, Illinois, Förenta staterna, 60208
- Rekrytering
- Northwestern University
-
Kontakt:
- Katrina Martin
- Telefonnummer: (312) 695-4067
- E-post: katrina.martin@nm.org
-
Huvudutredare:
- Nishant Verma, MD
-
Naperville, Illinois, Förenta staterna, 60540
- Anmälan via inbjudan
- CIS Clinical Research Corporation
-
-
Indiana
-
Indianapolis, Indiana, Förenta staterna, 46202
- Rekrytering
- Trustees of Indiana University
-
Huvudutredare:
- Antonio Navarrete, MD
-
Kontakt:
- Molly Stearns
- Telefonnummer: (317) 962-1130
- E-post: mstearns2@IUHEALTH.ORG
-
-
Kentucky
-
Louisville, Kentucky, Förenta staterna, 40207
- Rekrytering
- Baptist Health Louisville
-
Kontakt:
- Karin Cryan
- Telefonnummer: 0000000000
- E-post: karin.cryan@BHSI.COM
-
Huvudutredare:
- John Mandrola, MD
-
-
Massachusetts
-
Boston, Massachusetts, Förenta staterna, 02114
- Rekrytering
- Massachusetts General Hospital
-
Kontakt:
- Chris Azzam
- Telefonnummer: 0000000000
- E-post: cazzam@MGH.HARVARD.EDU
-
Huvudutredare:
- Shaan Khurshid, MD
-
Boston, Massachusetts, Förenta staterna, 02215
- Rekrytering
- Beth Israel Deaconess Medical Center
-
Huvudutredare:
- Andrew Locke, MD
-
Kontakt:
- Henry Xie
- Telefonnummer: (617) 632-8956
- E-post: hxie1@bidmc.harvard.edu
-
-
Minnesota
-
Rochester, Minnesota, Förenta staterna, 55905
- Rekrytering
- Mayo Clinic
-
Huvudutredare:
- Yong-Mei Cha, MD
-
Kontakt:
- Axe M Ahmed
- Telefonnummer: 0000000000
- E-post: Ahmed.Abdimajid@mayo.edu
-
-
New Jersey
-
Hackensack, New Jersey, Förenta staterna, 07601
- Rekrytering
- HMH Hospitals Corporation
-
Kontakt:
- Stephanie Lynes
- Telefonnummer: (732) 897-2871
- E-post: stephanie.lynes@hmhn.org
-
Huvudutredare:
- Taya Glotzer, MD
-
Marlton, New Jersey, Förenta staterna, 08053
- Rekrytering
- Virtua Health
-
Kontakt:
- Marisa Brown
- Telefonnummer: (856) 355-1226
- E-post: Mbrown3@virtua.org
-
Huvudutredare:
- Aatish Garg, MD
-
Newark, New Jersey, Förenta staterna, 07112
- Rekrytering
- Newark Beth Israel Medical Center
-
Kontakt:
- Patricia Policastro
- Telefonnummer: (973) 926-8451
- E-post: Patricia.Policastro@rwjbh.org
-
Huvudutredare:
- David Man, MD
-
Ridgewood, New Jersey, Förenta staterna, 07450
- Rekrytering
- The Valley Hospital, Inc.
-
Huvudutredare:
- Suneet Mittal, MD
-
Kontakt:
- Lauren Tedeschi
- Telefonnummer: (201) 447-8453
- E-post: ltedesc2@Valleyhealth.com
-
-
New Mexico
-
Albuquerque, New Mexico, Förenta staterna, 87102
- Rekrytering
- Lovelace Medical Center
-
Kontakt:
- Zinai Tellez
-
Huvudutredare:
- Sean Mazer
-
-
New York
-
New York, New York, Förenta staterna, 10021
- Rekrytering
- Weill Cornell Medicine
-
Huvudutredare:
- Jim Cheung, MD
-
Kontakt:
- Penn Collins
- Telefonnummer: (315) 481-7389
- E-post: gpc4001@med.cornell.edu
-
New York, New York, Förenta staterna, 10029
- Rekrytering
- Icahn School of Medicine at Mount Sinai
-
Huvudutredare:
- Jacob Koruth, MD
-
Kontakt:
- Ugur Gurol
- Telefonnummer: (646) 581-1360
- E-post: Ugur.Gurol@mountsinai.org
-
New York, New York, Förenta staterna, 10032
- Har inte rekryterat ännu
- Columbia University Medical Center/New York-Presbyterian Hospital (CUMC/NYPH)
-
Kontakt:
- Alicha Daniel
- Telefonnummer: 0000000000
- E-post: aad2223@cumc.columbia.edu
-
Huvudutredare:
- Ellie Coronmilas, MD
-
-
North Carolina
-
Asheville, North Carolina, Förenta staterna, 28803
- Rekrytering
- MH Mission Hospital LLLP- Asheville Cardiology Associates
-
Kontakt:
- Olivia Lim
- Telefonnummer: 0000000000
- E-post: olivia.lim@hcahealthcare.com
-
Huvudutredare:
- Michael Manogue, MD
-
Chapel Hill, North Carolina, Förenta staterna, 27599
- Rekrytering
- University of North Carolina
-
Huvudutredare:
- Anil Gehi, MD
-
Kontakt:
- Elias Wen
- Telefonnummer: 0000000000
- E-post: emwen@email.unc.edu
-
Charlotte, North Carolina, Förenta staterna, 28204
- Rekrytering
- Novant Health
-
Kontakt:
- Darren N Crawford
-
Huvudutredare:
- Thomas Kambur
-
-
Ohio
-
Cincinnati, Ohio, Förenta staterna, 45219
- Rekrytering
- The Christ Hospital
-
Kontakt:
- Susanne Pasley
- Telefonnummer: 0000000000
- E-post: Susanne.Pasley@thechristhospital.com
-
Huvudutredare:
- Edward Schloss, MD
-
Cleveland, Ohio, Förenta staterna, 44195
- Rekrytering
- Cleveland Clinic
-
Kontakt:
- Raquel Rozich
- Telefonnummer: 0000000000
- E-post: Rozichr@ccf.org
-
Huvudutredare:
- Roy Chung, MD
-
Cleveland, Ohio, Förenta staterna, 44109
- Rekrytering
- The MetroHealth System
-
Kontakt:
- Pete Leo
- Telefonnummer: (216) 778-2714
- E-post: pleo@metrohealth.org
-
Huvudutredare:
- Soufian Almahameed, MD
-
-
Oregon
-
Portland, Oregon, Förenta staterna, 97239
- Rekrytering
- Oregon Health & Science University
-
Kontakt:
- Liz Cannard
- Telefonnummer: 0000000000
- E-post: cannarde@ohsu.edu
-
Huvudutredare:
- Eric Stecker, MD
-
-
Pennsylvania
-
Allentown, Pennsylvania, Förenta staterna, 18015
- Rekrytering
- St. Luke's University Health Network
-
Kontakt:
- Kyle McFadden
- Telefonnummer: 0000000000
- E-post: Kyle.McFadden@sluhn.org
-
Huvudutredare:
- Sudip Nanda, MD
-
Allentown, Pennsylvania, Förenta staterna, 18103
- Rekrytering
- Lehigh Valley Hospital Inc.
-
Kontakt:
- Traci L Eichelberger
- Telefonnummer: 0000000000
- E-post: Traci.Eichelberger@jefferson.edu
-
Huvudutredare:
- Babak Borzognia, MD
-
Lancaster, Pennsylvania, Förenta staterna, 17603
- Rekrytering
- Penn Medicine Lancaster General
-
Huvudutredare:
- Matthew Bernabei, MD
-
Kontakt:
- Andrew Hershey
- Telefonnummer: (717) 544-1412
- E-post: Andrew.Hershey@pennmedicine.upenn.edu
-
Philadelphia, Pennsylvania, Förenta staterna, 19104
- Rekrytering
- University of Pennsylvania
-
Huvudutredare:
- Robert Schaller, MD
-
Kontakt:
- Mary Gnap
- Telefonnummer: (215) 349-8446
- E-post: Mary.Gnap@pennmedicine.upenn.edu
-
Philadelphia, Pennsylvania, Förenta staterna, 19107
- Rekrytering
- Thomas Jefferson University Hospital
-
Kontakt:
- Mckenna Krall
-
Huvudutredare:
- Behzad Pavri
-
Pittsburgh, Pennsylvania, Förenta staterna, 15212
- Rekrytering
- Allegheny-Singer Research Institute
-
Huvudutredare:
- Joshua Silverstein, MD
-
Kontakt:
- Minesh Lathia
- Telefonnummer: (412) 359-8468
- E-post: minesh.lathia@ahn.org
-
Pittsburgh, Pennsylvania, Förenta staterna, 15213
- Rekrytering
- University of Pittsburg
-
Huvudutredare:
- Krishna Kancharla, MD
-
Kontakt:
- Sherry Pellegrino
- Telefonnummer: (412) 647-8210
- E-post: pellegrinosl@upmc.edu
-
Scranton, Pennsylvania, Förenta staterna, 18510
- Rekrytering
- Geisinger Commonwealth School of Medicine
-
Kontakt:
- Grace E Hughes
-
Huvudutredare:
- Jess Oren, MD
-
-
South Carolina
-
Charleston, South Carolina, Förenta staterna, 29425
- Rekrytering
- Medical University of South Carolina (MUSC)
-
Kontakt:
- Olivia Washington
- Telefonnummer: (843) 792-0464
- E-post: washoliv@musc.edu
-
Huvudutredare:
- Anne Kroman, MD
-
Greenville, South Carolina, Förenta staterna, 29605
- Har inte rekryterat ännu
- Prisma Health-Upstate
-
Kontakt:
- Prisma Health-Upstate Shrum
- Telefonnummer: 0000000000
- E-post: ann.shrum@prismahealth.org
-
Huvudutredare:
- Adam Barnett, MD
-
-
Texas
-
Arlington, Texas, Förenta staterna, 76011
- Rekrytering
- Texas Health Research & Education Institute
-
Kontakt:
- Rebecca Wade
- Telefonnummer: 0000000000
- E-post: rebeccawade@texashealth.org
-
Huvudutredare:
- Theodore Takata, MD
-
Houston, Texas, Förenta staterna, 77030
- Rekrytering
- Baylor College of Medicine
-
Huvudutredare:
- Mihail Chelu, MD
-
Kontakt:
- Stephen Harold
- Telefonnummer: (713) 798-7227
- E-post: harold@bcm.edu
-
-
Utah
-
Salt Lake City, Utah, Förenta staterna, 84124
- Rekrytering
- St. Mark's Hospital
-
Huvudutredare:
- Nischala Nannapaneni, MD
-
Kontakt:
- Pragyna Gundaboina
- Telefonnummer: 0000000000
- E-post: Pragyna.Gundaboina@HCAhealthcare.com
-
-
Vermont
-
Burlington, Vermont, Förenta staterna, 05402
- Rekrytering
- University of Vermont
-
Kontakt:
- Sonja Baden
- Telefonnummer: (802) 847-8833
- E-post: Sonja.Baden@uvmhealth.org
-
Huvudutredare:
- Daniel Lustgarten, MD
-
-
Virginia
-
Charlottesville, Virginia, Förenta staterna, 22908
- Rekrytering
- University of Virginia Health System
-
Huvudutredare:
- Rohit Malhotra
-
Kontakt:
- Katie L Sullivan
-
Falls Church, Virginia, Förenta staterna, 22042
- Rekrytering
- Inova Heart and Vascular Institute
-
Huvudutredare:
- Brett Atwater, MD
-
Kontakt:
- Tracy Plummer
- Telefonnummer: (703) 776-3567
- E-post: tracy.plummer@inova.org
-
Newport News, Virginia, Förenta staterna, 23606
- Rekrytering
- Sentara Healthcare
-
Kontakt:
- Linette Klevan
-
Huvudutredare:
- Erich Kiehl
-
Richmond, Virginia, Förenta staterna, 23284
- Rekrytering
- Virginia Commonwealth University
-
Huvudutredare:
- Jordana Kron, MD
-
Kontakt:
- Melissa Sears
-
-
Washington
-
Seattle, Washington, Förenta staterna, 98195
- Rekrytering
- University of Washington
-
Kontakt:
- Adele Stefanowicz
- Telefonnummer: 0000000000
- E-post: amstef99@uw.edu
-
Huvudutredare:
- Kristen Patton, MD
-
-
-
-
-
Calgary, Kanada
- Rekrytering
- University of Calgary
-
Kontakt:
- Nirav Bhagat
-
Huvudutredare:
- Derek Exner
-
Kitchener, Kanada
- Rekrytering
- Waterloo Wellington Cardiovascular Research Institute (WWCRI) - St. Mary's General Hospital
-
Kontakt:
- Mary Radyk
-
Huvudutredare:
- Claus Rinne
-
Montreal, Kanada
- Rekrytering
- Research Institute of the McGill University Health Centre (RI-MUHC) - MUHC, Montreal General Hospital
-
Huvudutredare:
- Jacqueline Joza
-
Kontakt:
- Fiorella Rafti
-
Québec, Kanada
- Rekrytering
- Université Laval
-
Huvudutredare:
- Francois Philippon, MD
-
Kontakt:
- Marina Sanchez
- Telefonnummer: (418) 656-8711
- E-post: marina.sanchez.1@ulaval.ca
-
-
Alberta
-
Edmonton, Alberta, Kanada
- Rekrytering
- Mazankowski Alberta Heart Institute/University of Alberta
-
Kontakt:
- Lee-Ann Langkaas
- Telefonnummer: 0000000000
- E-post: Lee-Ann.Langkaas@albertahealthservices.ca
-
Huvudutredare:
- Evan Martow, MD
-
-
British Columbia
-
Vancouver, British Columbia, Kanada
- Rekrytering
- University of British Columbia
-
Huvudutredare:
- Jason Andrade, MD
-
Kontakt:
- Munyura Yannick
- Telefonnummer: 0000000000
- E-post: yannick.munyura@ubc.ca
-
Victoria, British Columbia, Kanada
- Rekrytering
- Victoria Cardiac Arrhythmia Trials (VCAT) Inc.
-
Huvudutredare:
- Laurence Sterns, MD
-
Kontakt:
- Matthew Coxon
- Telefonnummer: (250) 595-0400
- E-post: mcoxon@catrials.org
-
-
Nova Scotia
-
Halifax, Nova Scotia, Kanada
- Rekrytering
- Nova Scotia Health Authority
-
Huvudutredare:
- Ratika Parkash, MD
-
Kontakt:
- Stephanie Hobbs
- Telefonnummer: 0000000000
- E-post: Stephanie.hobbs@nshealth.ca
-
-
Ontario
-
Hamilton, Ontario, Kanada
- Rekrytering
- Hamilton Health Sciences (HHS)
-
Huvudutredare:
- Jorge Wong, MD
-
Kontakt:
- Kiran Qamar
- Telefonnummer: (905) 521-2100
- E-post: qamarulisl@HHSC.CA
-
Newmarket, Ontario, Kanada
- Rekrytering
- Newmarket Electrophysiology Research Group Inc. (NERG)
-
Huvudutredare:
- Mouhannad Sadek, MD
-
Kontakt:
- Lynn Nyman
- Telefonnummer: (905) 895-4521
- E-post: lnyman@southlake.ca
-
Ottawa, Ontario, Kanada
- Rekrytering
- University of Ottawa Heart Institute
-
Kontakt:
- Maitreya PATEL
- Telefonnummer: 0000000000
- E-post: MaPatel@ottawaheart.ca
-
Huvudutredare:
- Calum Redpath, MD
-
Toronto, Ontario, Kanada
- Rekrytering
- Sunnybrook Research Institute
-
Huvudutredare:
- Christopher Cheung, MD
-
Kontakt:
- Ambreen Syeda
- Telefonnummer: (416) 480-6100
- E-post: ambreen.syeda@sunnybrook.ca
-
-
Quebec
-
Montreal, Quebec, Kanada
- Rekrytering
- Montreal Heart Institute
-
Kontakt:
- François François
- Telefonnummer: (514) 376-3330
- E-post: Francois.Lemarbre@icm-mhi.org
-
Huvudutredare:
- Alexandre Raymond-Paquin, MD
-
Saint-Jean-sur-Richelieu, Quebec, Kanada
- Rekrytering
- CIUSSS de l'Estrie - CHUS
-
Kontakt:
- Marie-Claude Grenier
- Telefonnummer: 0000000000
- E-post: marie-claude.grenier.ciussse-chus@ssss.gouv.qc.ca
-
Huvudutredare:
- Félix Ayala-Paredes, MD
-
-
Deltagandekriterier
Urvalskriterier
Åldrar som är berättigade till studier
Tar emot friska volontärer
Kön som är behöriga för studier
Beskrivning
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.
Studieplan
Hur är studien utformad?
Designdetaljer
- Primärt syfte: Behandling
- Tilldelning: Randomiserad
- Interventionsmodell: Parallellt uppdrag
- Maskning: Trippel
Vapen och interventioner
Deltagargrupp / Arm |
Intervention / Behandling |
|---|---|
|
Aktiv komparator: 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%. |
|
Aktiv komparator: 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. |
Vad mäter studien?
Primära resultatmått
Resultatmått |
Åtgärdsbeskrivning |
Tidsram |
|---|---|---|
|
A combined clinical endpoint of all-cause mortality and hospitalization for heart failure
Tidsram: 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
|
Sekundära resultatmått
Resultatmått |
Åtgärdsbeskrivning |
Tidsram |
|---|---|---|
|
Assess change in Kansas City Cardiomyopathy Questionnaire-12 (KCCQ-12) at 12 months
Tidsram: 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
Tidsram: 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
|
|
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
Tidsram: 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
|
|
Death from any cause at 5.5 years
Tidsram: 5.5 years
|
Secondary endpoint measured from all cause death |
5.5 years
|
|
Death from any cardiovascular cause at 5.5 years
Tidsram: 5.5 years
|
Secondary endpoint measured from death due to cardiovascular causes |
5.5 years
|
|
Hospitalization for heart failure at 5.5 years
Tidsram: 5.5 years
|
Secondary endpoint measured from first hospitalization for heart failure |
5.5 years
|
|
Cardiovascular hospitalization at 5.5 years
Tidsram: 5.5 years
|
Secondary endpoint measured from first hospitalization for cardiovascular disease |
5.5 years
|
|
Total HF hospitalizations
Tidsram: 5.5 years
|
Total number of HF hospitalizations |
5.5 years
|
|
Composite of cardiovascular death or first HF hospitalization
Tidsram: 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
Tidsram: 5.5 years
|
Secondary endpoint measured from cardiovascular death, heart transplant or durable left ventricular assist device |
5.5 years
|
|
Change in NYHA Classification at 12 months
Tidsram: 12 months
|
Secondary endpoint measured from New York Heart Association class |
12 months
|
|
Change in Six Minute Walk Test performance at 12 months
Tidsram: 12 months
|
Secondary endpoint measured from Six Minute Walk Test |
12 months
|
|
Patient activity measured through cardiovascular implantable electronic devices (CIED) at 12 months
Tidsram: 12 months
|
Measurement Patient activity measured through cardiovascular implantable electronic devices (CIED) |
12 months
|
|
Change in NT-proBNP at 12 months
Tidsram: 12 months
|
Measurement of heart failure serum biomarker NT-proBNP |
12 months
|
Andra resultatmått
Resultatmått |
Åtgärdsbeskrivning |
Tidsram |
|---|---|---|
|
Appropriate ICD therapy for ventricular arrhythmias
Tidsram: 5.5 years
|
Antitachycardia pacing or ICD shocks |
5.5 years
|
|
Incidence of atrial tachyarrhythmia events
Tidsram: 5.5 years
|
Atrial arrhythmia event measured through cIED |
5.5 years
|
|
Change in Left Ventricular Ejection Fraction (LVEF) at 12 months
Tidsram: 12 months
|
Measurement of LVEF before and at 12 months after implant using echocardiography |
12 months
|
Samarbetspartners och utredare
Sponsor
Samarbetspartners
Utredare
- Huvudutredare: Mihail G Chelu, MD, PhD, Baylor College of Medicine
- Huvudutredare: Kenneth A Ellenbogen, MD, Virginia Commonwealth University
Publikationer och användbara länkar
Allmänna publikationer
- Chelu MG, Poole JE, Ellenbogen KA. Physiologic Pacing in Heart Failure. N Engl J Med. 2026 Jan 22;394(4):367-381. doi: 10.1056/NEJMra2415650.
- Ternes CM, Kim JA, Basu A, Ellenbogen KA, Chelu MG. Cardiac Resynchronization Therapy: A Review. JAMA. 2026 May 26;335(20):1796-1807. doi: 10.1001/jama.2026.4893.
- Abe TA, Evbayekha EO, Jackson LR 2nd, Al-Khatib SM, Lewsey SC, Breathett K. Evolving Indications, Challenges and Advances in Cardiac Resynchronization Therapy for Heart Failure. J Card Fail. 2026 Feb;32(2):499-514. doi: 10.1016/j.cardfail.2025.01.031. Epub 2025 Apr 16.
- Infeld M, Cyr JA, Sanchez-Quintana D, Madias C, Udelson JE, Lustgarten DL, Meyer M. Physiological Pacing for the Prevention and Treatment of Heart Failure: a State-of-the-Art Review. J Card Fail. 2024 Dec;30(12):1614-1628. doi: 10.1016/j.cardfail.2024.08.063. Epub 2024 Oct 29.
Användbara länkar
Studieavstämningsdatum
Studera stora datum
Studiestart (Faktisk)
Primärt slutförande (Beräknad)
Avslutad studie (Beräknad)
Studieregistreringsdatum
Först inskickad
Först inskickad som uppfyllde QC-kriterierna
Första postat (Faktisk)
Uppdateringar av studier
Senaste uppdatering publicerad (Faktisk)
Senaste inskickade uppdateringen som uppfyllde QC-kriterierna
Senast verifierad
Mer information
Termer relaterade till denna studie
Ytterligare relevanta MeSH-villkor
Andra studie-ID-nummer
- H-52279
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