Complete AV BlockLVPACENCT01302717
Left Ventricular Pacing to Avoid Cardiac Enlargement Study
A study testing LV pacing and RV pacing in people with Complete AV Block and Sick Sinus Syndrome, run by Seoul National University Hospital at 2 sites in South Korea.
Trial summary
In this study, the investigators will examine whether left ventricular pacing is superior to right ventricular apical pacing in preventing deterioration of left ventricular systolic function and cardiac remodeling in patients with bradycardia with high risk for development of pacing-induced heart failure. Read more about this study
- Who is it for?
- Ages Up to 80 years
- Conditions the study is for
- Complete AV Block, Sick Sinus Syndrome
- What is being tested?
- LV pacing and RV pacing
- Type of treatment
- Medical device
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 0 participants
- Where
- 2 sitesSouth Korea
- Study dates
- Apr 2010to 31 Dec 2019
- Phase
- Interventional
- Are there results?
- None posted in the registry
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages Up to 80 years
- All sexes
- No healthy volunteers
- Child, Adult, Older adult
Who may be able to join
- Sinus-node dysfunction or bradycardia due to advanced atrioventricular block
- Paced QRS duration ≥185 ms
Who cannot join
- Left ventricular ejection fraction < 50 %
- Acute coronary syndrome
- If they had undergone percutaneous coronary intervention or coronary-artery bypass surgery within the previous 3 months
- if they had a life expectancy of less than 1 year
- if they had received a heart transplant
Trial locations and contacts
2 sites in 1 country.
South Korea2 sites
Seoul National University Bundang Hospital
Seongnam, 464-707
Seoul National University Hospital
Seoul, 110-744
About this study
Official title: Impact of Left Ventricular Pacing on Left Ventricular Systolic Function in High-risk Bradycardia Patients
In this study, the investigators will examine whether left ventricular pacing is superior to right ventricular apical pacing in preventing deterioration of left ventricular systolic function and cardiac remodeling in patients with bradycardia with high risk for development of pacing-induced heart failure.
Read the detailed description
In this prospective, we will randomly assign 98 patients who need permanent pacemaker due to complete atrioventricular block or sick sinus syndrome to receive left ventricular pacing (49 patients) or right ventricular apical pacing (49 patients). Patients will be paced with temporary pacemaker lead, and only those with paced QRS duration ≥185 ms will be enrolled.
The primary endpoint is left ventricular ejection fraction measured by modified Simpson method at 12 months. The secondary end points include left ventricular systolic end-systolic and diastolic volume, LV strain, NYHA functional class, exercise performance (using treadmill test), quality of life (using SF-36v2), NT-proBNP at 12 months.
- Conditions
- Complete AV Block, Sick Sinus Syndrome
- Being tested
- LV pacing, RV pacing
- Keywords
- Left ventricular pacing
- Medical subject headings
- Sick Sinus Syndrome
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
LV pacingDevice
The left ventricular lead are positioned preferentially at the posterolateral or lateral venous branches of the coronary sinus.
RV pacingDevice
The right ventricular lead are positioned at the right ventricular apex.
| Study group | Role | What they receive |
|---|---|---|
| Right ventricular pacing | Active comparator | Not described Receives: Device: RV pacing |
| Left ventricular pacing | Experimental | Not described Receives: Device: LV pacing |
What is being measured
The primary outcome is the main question the study is designed to answer.
Left ventricular ejection fraction (%) at 12 months
Measured by modified Simpson's method
Measured: 12 months
Secondary outcomes (5)
Left ventricular end-systolic volume (ml) at 12 months
Measured by modified Simpson method
Measured: 12 months
Left ventricular end-diastolic volume (ml) at 12 months
Measured by modified Simpson method
Measured: 12 months
NYHA functional class
Measured: 12 months
Functional capacity
measured by treadmill test
Measured: 12 months
NT-proBNP
plasma level
Measured: 12 months
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted24 Feb 2011 (estimated)
- Study startApr 2010
- Primary completion31 Dec 2019 (estimated)
- Study completion31 Dec 2019 (estimated)
Why it stopped: Difficulty in enrollment
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Other trials for Complete AV BlockStudies of the same condition, open and under way.
- More trials run by Seoul National University HospitalThe sponsor's other registered studies.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Interventional
- Phase
- Phase N/A
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- None (open label)
- Enrolment
- 0 participants (actual)
Sponsor and investigators
- Lead sponsor
- Seoul National University Hospital
- Sponsor type
- University, hospital or other
- Responsible party
- Principal investigator, Seil Oh, Seoul National University Hospital
- Investigators
- Seil Oh, MD, PhD, Study chair, Seoul National University Hospital
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT01302717
- Sponsor's protocol ID
- LVPACE
- Acronym
- LVPACE
- Status last verified
- Apr 2023
- First submitted
- 19 Feb 2011
- Last updated
- 18 Apr 2023
- Results posted
- No
- Data monitoring committee
- No
Study at a glance
From the registry record, last updated by the sponsor on 18 Apr 2023. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Impact of Left Ventricular Pacing on Left Ventricular Systolic Function in High-risk Bradycardia Patients
- ClinicalTrials.gov ID
- NCT01302717
- Acronym / sponsor ID
- LVPACE / LVPACE
- Conditions
- Complete AV Block, Sick Sinus Syndrome
- Keywords
- Left ventricular pacing
- Study type
- Interventional
- Recruitment status
- WithdrawnReason stopped: Difficulty in enrollment
- Enrolment
- 0 participants (actual)
- Lead sponsor
- Seoul National University HospitalUniversity, hospital or other
- Study start
- Apr 2010
- Primary completion
- 31 Dec 2019 (estimated)
- Study completion
- 31 Dec 2019 (estimated)
- First posted
- 24 Feb 2011 (estimated)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
In this study, the investigators will examine whether left ventricular pacing is superior to right ventricular apical pacing in preventing deterioration of left ventricular systolic function and cardiac remodeling in patients with bradycardia with high risk for development of pacing-induced heart failure.
Detailed description
In this prospective, we will randomly assign 98 patients who need permanent pacemaker due to complete atrioventricular block or sick sinus syndrome to receive left ventricular pacing (49 patients) or right ventricular apical pacing (49 patients). Patients will be paced with temporary pacemaker lead, and only those with paced QRS duration ≥185 ms will be enrolled.
The primary endpoint is left ventricular ejection fraction measured by modified Simpson method at 12 months. The secondary end points include left ventricular systolic end-systolic and diastolic volume, LV strain, NYHA functional class, exercise performance (using treadmill test), quality of life (using SF-36v2), NT-proBNP at 12 months.
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- None (open label)
- Number of arms
- 2
| Arm | Type | Receives |
|---|---|---|
| Right ventricular pacing | Active comparator | Device: RV pacing |
| Left ventricular pacing | Experimental | Device: LV pacing |
Who may qualify
- Ages
- Up to 80 years
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Child, Adult, Older adult
Key inclusion criteria (2 listed)
- Sinus-node dysfunction or bradycardia due to advanced atrioventricular block
- Paced QRS duration ≥185 ms
Key exclusion criteria (5 listed)
- Left ventricular ejection fraction < 50 %
- Acute coronary syndrome
- If they had undergone percutaneous coronary intervention or coronary-artery bypass surgery within the previous 3 months
- if they had a life expectancy of less than 1 year
- if they had received a heart transplant
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| LV pacingThe left ventricular lead are positioned preferentially at the posterolateral or lateral venous branches of the coronary sinus. | Device | Left ventricular pacing |
| RV pacingThe right ventricular lead are positioned at the right ventricular apex. | Device | Right ventricular pacing |
Primary outcome
Left ventricular ejection fraction (%) at 12 months
Time frame: 12 months
Measured by modified Simpson's method
5 secondary outcomes
Left ventricular end-systolic volume (ml) at 12 months
Time frame: 12 months
Left ventricular end-diastolic volume (ml) at 12 months
Time frame: 12 months
NYHA functional class
Time frame: 12 months
Functional capacity
Time frame: 12 months
NT-proBNP
Time frame: 12 months
Results and safety
The study was withdrawn before enrolling participants, so there are no results.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 18 Apr 2023.
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
Seil Oh, MD, PhD study chair
Seoul National University Hospital
2 sites in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A study testing LV pacing and RV pacing in people with Complete AV Block and Sick Sinus Syndrome, run by Seoul National University Hospital at 2 sites in South Korea.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 2 inclusion and 5 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: withdrawn, as of the sponsor's last update on 18 Apr 2023. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 2 sites in South Korea. Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
Are results available for this study?
The study was withdrawn before enrolling participants, so there are no results.
How can a doctor refer a patient or contact the research team?
The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Left ventricular ejection fraction (%) at 12 months (time frame: 12 months). It is what the study was designed to measure, not a finding.
Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 18 Apr 2023.