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Cardiac Rhythm DisorderNCT04559945

The LEADLESS II IDE Study for the Aveir VR Leadless Pacemaker System

A study testing Aveir VR Leadless Pacemaker System in people with Cardiac Rhythm Disorder and Bradycardia, run by Abbott Medical Devices at 53 sites in 8 countries.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
Search all trials

Trial summary

prospective, non-randomized, multi-center, international clinical study is designed to confirm the safety and effectiveness of the Aveir LP System in a subject population indicated for a VVI(R) pacemaker. Read more about this study

Who is it for?
Ages 18 years and older
Conditions the study is for
Cardiac Rhythm Disorder, Bradycardia
What is being tested?
Aveir VR Leadless Pacemaker System
Type of treatment
Medical device
Could I receive a placebo?
No, everyone receives an active treatment
How many people
1,276 participants
Where
53 sitesin 8 countries
Study dates
13 Nov 2020to 15 Sep 2023
Phase
Interventional
Are there results?
Yes, posted in the registrySummary in the doctors' view

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 18 years and older
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Subject must have one of the clinical indications before device implant in adherence with Medicare, ACC/AHA/HRS/ESC single chamber pacing guidelines including:
  • Chronic and/or permanent atrial fibrillation with 2° or 3° AV or bifascicular bundle branch block (BBB block), including slow ventricular rates (with or without medication) associated with atrial fibrillation; or
  • Normal sinus rhythm with 2° or 3° AV or BBB block and a low level of physical activity or short expected lifespan (but at least one year); or
  • Sinus bradycardia with infrequent pauses or unexplained syncope with EP findings; and
  • Subject is ≥18 years of age; and
  • Subject has a life expectancy of at least one year; and
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  • Subject is not enrolled in another clinical investigation; and
  • Subject is willing to comply with clinical investigation procedures and agrees to return for all required follow-up visits, tests, and exams; and
  • Subject has been informed of the nature of the study, agrees to its provisions and has provided a signed written informed consent, approved by the IRB/EC; and
  • Subject is not pregnant and does not plan to get pregnant during the course of the study.

Who cannot join

  • Subject has known pacemaker syndrome, has retrograde VA conduction, or suffers a drop in arterial blood pressure with the onset of ventricular pacing; or
  • Subject is allergic or hypersensitive to < 1 mg of dexamethasone sodium phosphate (DSP);
  • Subject has a mechanical tricuspid valve prosthesis; or
  • Subject has a pre-existing endocardial pacing or defibrillation leads; or
  • Subject has current implantation of either conventional or subcutaneous implantable cardioverter defibrillator (ICD) or cardiac resynchronization therapy (CRT) device; or
  • Subject has an implanted vena cava filter; or
Show all 10Show fewer
  • Subject has evidence of thrombosis in one of the veins used for access during the procedure; or
  • Subject had recent cardiovascular or peripheral vascular surgery within 30 days of enrollment; or
  • Subject has an implanted leadless cardiac pacemaker or
  • Subject is implanted with an electrically-active implantable medical device with stimulation capabilities (such as neurological or cardiac stimulators).

Trial locations and contacts

53 sites in 8 countries.

53 sites in 8 countries

United States38 sites
  • Piedmont Athens Regional Medical Center

    Athens, Georgia, 30306

  • University Hospital - University of Alabama at Birmingham (UAB)

    Birmingham, Alabama, 35294

  • Lahey Clinic Medical Center

    Burlington, Massachusetts, 01805

  • University Hospitals Cleveland Medical Center

    Cleveland, Ohio, 44106

  • The Cleveland Clinic Foundation

    Cleveland, Ohio, 44195

  • Ascension St. John Hospital

    Detroit, Michigan, 48236

  • St. Elizabeth Medical Center - South Unit

    Edgewood, Kentucky, 41017

  • Inova Fairfax Hospital

    Falls Church, Virginia, 22042

  • Cone Health Medical Group HeartCare

    Greensboro, North Carolina, 27401

  • The Heart Center PC

    Huntsville, Alabama, 35801

  • Kansas University Medical Center

    Kansas City, Kansas, 66160

  • Sparrow Clinical Research Institute

    Lansing, Michigan, 48912

  • Baptist Health Lexington

    Lexington, Kentucky, 40503

  • University of Kentucky

    Lexington, Kentucky, 40536

  • South Denver Cardiology Associates PC

    Littleton, Colorado, 80120

  • University of Southern California

    Long Beach, California, 90803

  • Methodist University Hospital

    Memphis, Tennessee, 38104

  • Naples Heart Rhythm Specialists PA

    Naples, Florida, 34119

  • Ochsner Medical Center

    New Orleans, Louisiana, 70121

  • New York Presbyterian Hospital/Cornell University

    New York, New York, 10021

  • Mount Sinai Hospital

    New York, New York, 10029

  • Premier Cardiology Inc

    Newport Beach, California, 92663

  • Jersey Shore University Medical Center

    Ocean Township, New Jersey, 07712

  • Integris Baptist Medical Center

    Oklahoma City, Oklahoma, 73112

  • Orlando Health

    Orlando, Florida, 32806

  • Kansas City Cardiac Arrhythmia Research Foundation

    Overland Park, Kansas, 66211

  • Huntington Memorial Hospital

    Pasadena, California, 91105

  • University of Pittsburgh Medical Center

    Pittsburgh, Pennsylvania, 15213

  • Mayo Clinic

    Rochester, Minnesota, 55905

  • Redmond Regional Medical Center

    Rome, Georgia, 30165

  • Cardiac Arrhythmia & Pacemaker Center

    Roslyn, New York, 11576

  • University of Utah Hospital

    Salt Lake City, Utah, 84132

  • South Texas Cardiovascular Consultants

    San Antonio, Texas, 78201

  • Honor Health

    Scottsdale, Arizona, 85258

  • Mercy Hospital St. Louis

    St Louis, Missouri, 63141

  • Memorial Hermann Hospital

    The Woodlands, Texas, 77380

  • Munson Medical Center

    Traverse City, Michigan, 49684

  • WellSpan Health

    York, Pennsylvania, 17405

Other trials in United States

Canada6 sites
  • Foothills Medical Centre

    Calgary, Alberta

  • Kinsgston General Hospital

    Kingston, Ontario

  • Institut de Cardiologie de Montreal (Montreal Heart Inst.)

    Montreal, Quebec

  • Southlake Regional Health Centre

    Newmarket, Ontario

  • Institut de Cardiologie de Quebec (Hospital Laval)

    Québec, Quebec

  • HSC, Eastern Health

    St. John's, Newfoundland and Labrador, A1B 3V6

Other trials in Canada

France3 sites
  • CHRU Albert Michallon

    Grenoble

  • Hopital d'adulte de la Timone

    Marseille

  • CHRU Hopital de Pontchaillou

    Rennes

Other trials in France

Netherlands2 sites
  • Amsterdam Academic Medical Centre (AMC)

    Amsterdam

  • Isala - ZWolle

    Zwolle

Other trials in Netherlands

Czechia1 site
  • Na Homolce Hospital

    Prague, 150 30

Other trials in Czechia

Italy1 site
  • Centro Cardiologico Monzino

    Milan

Other trials in Italy

Spain1 site
  • Hospital Universitario Infanta Cristina

    Badajoz, 6080

Other trials in Spain

United Kingdom1 site
  • Royal Brompton Hospital

    London

Other trials in United Kingdom

About this study

Official title: The LEADLESS II IDE Study (Phase II): A Safety and Effectiveness Trial for a Leadless Pacemaker System

prospective, non-randomized, multi-center, international clinical study is designed to confirm the safety and effectiveness of the Aveir LP System in a subject population indicated for a VVI(R) pacemaker.

Being tested
Aveir VR Leadless Pacemaker System
Keywords
Bradycardia, Pacemaker, Leadless
Medical subject headings
Arrhythmias, Cardiac, Bradycardia

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • Aveir VR Leadless Pacemaker SystemDevice

    Patients will undergo an attempted leadless pacemaker implant

Study groups in NCT04559945
Study groupRoleWhat they receive
Aveir VR Leadless PacemakerExperimentalVVIR pacing
Receives: Device: Aveir VR Leadless Pacemaker System

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Complication-Free Rate (CFR)

    Complication is any device-or-procedure related serious adverse event, or serious adverse device effect, including those that prevented initial implantation. Complications possibly related or related to COVID-19 were excluded. Percentage of participants free from complications are reported

    Measured: 6 weeks

  2. Complication-Free Rate (CFR)

    Complication is any device-or-procedure related serious adverse event, or serious adverse device effect, including those that prevented initial implantation. Complications possibly related or related to COVID-19 were excluded. The complication free rate reported describes the Kaplan-Meier estimate of the percentage of patients that had no complications at the given time point.

    Measured: 12 months

  3. Pacing Thresholds and R-wave Amplitudes Within the Therapeutic Range

    Success Rate is percentage of subjects who have acceptable pacing threshold and sensing amplitudes, which are defined as pacing threshold <=2.0V at 0.4 ms pulse width and R-wave amplitude =>5.0 mV or => value at implant.

    Measured: 6 Weeks (Aveir VR Leadless Pacemaker arm)

  4. Pacing Thresholds and R-wave Amplitudes Within the Therapeutic Range

    Success Rate is percentage of subjects who have acceptable pacing threshold and sensing amplitudes at 12-Month post-implant visit, which are defined as pacing threshold <=2.0V at 0.4 ms pulse width and R-wave amplitude =>5.0 mV or => value at implant.

    Measured: 12 months

Secondary outcomes (2)
  1. Appropriate and Proportional Rate Response During Graded Exercise Testing

    Temperature-based rate response feature was evaluated to determine whether an appropriate and proportional rate response was achieved during maximal effort graded treadmill exercise testing protocol (CAEP). Subjects were asked to perform a six-minute walk test to identify optimal sensor parameters prior to conducting a CAEP test. Exercise test data provide an estimate of the slope of the normalized increase in sensor-indicated rate versus normalized workload for each subject. Normalizing a variable eliminates the unit. Since both axes are normalized, there is no unit of measure. The vertical axis is derived from the difference of the sensor indicated rate at each exercise stage and the base rate, divided by the difference of the age-predicted maximum heart rate and base rate. Values on the horizontal axis are derived from the difference in the workload at each exercise stage and resting workload, divided by the difference of the maximum achieved workload and resting workload.

    Measured: 3 month follow up

  2. Survival Rate of Patients Implanted With the Nanostim Leadless Pacemaker

    All-Cause Mortality through 2 years among subjects implanted with the Nanostim Leadless Pacemaker. The Nanostim Leadless Pacemaker is functionally similar to the Aveir VR Leadless Pacemaker, and was evaluated in The LEADLESS II IDE Study (Phase I) - NCT02030418. For detailed demographic and study information including adverse events, refer to NCT02030418

    Measured: 2 years

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted23 Sep 2020
  2. Study start13 Nov 2020
  3. Primary completion18 Jul 2022
  4. Study completion15 Sep 2023

Resources

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
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrolment
1,276 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT04559945
Sponsor's protocol ID
ABT-CIP-10355
Status last verified
Aug 2025
First submitted
17 Sep 2020
Last updated
20 May 2026
Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
Yes
Individual data sharing
No

Publications

  • Rashtian MY, Ip JE, Exner DV, Reddy VY, Doshi RN, Defaye P, Canby RC, Bongiorni MG, Shoda M, Hindricks G, Nevo JR, Ligon D, Bulusu A, Knops RE. Temperature-based rate response in a leadless pacemaker system. Heart Rhythm. 2025 Jun;22(6):1533-1540. doi: 10.1016/j.hrthm.2024.11.032. Epub 2024 Nov 22.

    PubMed 39581426
  • Reddy VY, Exner DV, Doshi R, Tomassoni G, Bunch TJ, Friedman P, Estes NAM, Neuzil P, de la Concha JF, Cantillon DJ; LEADLESS II Investigators. 1-Year Outcomes of a Leadless Ventricular Pacemaker: The LEADLESS II (Phase 2) Trial. JACC Clin Electrophysiol. 2023 Jul;9(7 Pt 2):1187-1189. doi: 10.1016/j.jacep.2023.01.031. Epub 2023 Mar 22. No abstract available.

    PubMed 36951813

Questions about this trial

What is this clinical trial studying?

A study testing Aveir VR Leadless Pacemaker System in people with Cardiac Rhythm Disorder and Bradycardia, run by Abbott Medical Devices at 53 sites in 8 countries.

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 10 inclusion and 10 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: finished, as of the sponsor's last update on 20 May 2026. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 53 sites in United States, Canada, France, Netherlands, Czechia and 3 more countries. 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?

Yes. Results are posted in the registry (first posted 20 May 2026). A summary is in the For doctors view, and the full results are on ClinicalTrials.gov.

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?

Complication-Free Rate (CFR) (time frame: 6 weeks). The study lists 4 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT04559945, which also lists 2 linked publications.

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 20 May 2026; AzTrials last refreshed its copy on 31 Oct 2026.

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