ClinicalTrials.gg
CompletedNCT03305692Updated Sep 27, 2021

ECG Belt vs. Echocardiographic Optimization of CRT

An interventional study of Optimization of CRT Device in Heart Failure, Systolic, sponsored by Alan J. Bank, MD. Completed at 1 site in United States. Open to participants aged 18 Years to 110 Years. Per ClinicalTrials.gov, last updated 2021-09-27.

Sponsored by Alan J. Bank, MD · Not applicable, Interventional, and Treatment

From the registry’s dates

  • Primary completion was Aug 2021, 5 years 2 months ago, and no results have been posted to the registry.

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Phase
Not applicable
Study type
Interventional
Enrollment
3
Allocation
Randomized
Ages
18 Years to 110 Years
Sex
All
01

Where this study stands

Counted across the records on this site · 2026-11-14

Among 83 studies in Heart Failure, Systolic with a site in United States — 17 open to participants now, 21 under way, none of them phase 3. Heart Failure, Systolic · United States.

Enrollment
60th of 69
3 · median 40
Started
2017
with 3 others
No phase
44 of 83
10 open now
Registered
28th of 83
by date

Among the 83 studies in Heart Failure, Systolic with a site in United States, this one is the 60th largest by enrollment of the 69 interventional ones that give a count, is one of 4 that started in 2017, is one of 44 with no phase, and was the 28th registered.

Heart Failure, Systolic

230 studies on the registry are indexed under Heart Failure, Systolic; 51 are open to participants now.

Browse Heart Failure, Systolic studies →

Open to participants now

17 of the 83 studies in Heart Failure, Systolic with a site in United States are open now. Recruiting first, the newest first:

12 more — sign in →

All 17 open studies →

A study can be open while its sites in United States have not opened yet or have stopped. Only those recruiting at a site in United States →

Who these studies take

Of the 29 Heart Failure, Systolic studies recruiting now, 19 (66%) set no upper age limit and 2 (7%) stop at 75 or younger; 2 take children under 18; 1 takes healthy volunteers.

This study: 18 Years to 110 Years · all sexes · no healthy volunteers.

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02

Study summary

Cardiac resynchronization therapy (CRT) has been a valuable intervention for patients with systolic heart failure for over 15 years. Despite years of research, there is a still a 25-40% non-responder rate depending on the outcomes measured. CRT optimization is a term used to describe the act of individualizing the therapy (CRT programming) for an individual patient. This is not often performed, but when it is, echocardiography is utilized. Recent work of body surface mapping using a novel system called the ECG Belt has shown a relationship between measures of electrical dyssynchrony and acute and chronic heart pumping function. This study will compare outcomes of patients randomized to either echocardiographic or ECG Belt optimization of CRT devices.

Read the detailed description

This is a prospective randomized study designed to determine whether cardiac resynchronization therapy (CRT) device programming guided by the ECG Belt (Medtronic, PLC) improves echocardiographic and functional outcomes in heart failure (HF) patients. The population will include patients treated with CRT for standard indications (not implanted for the sole purposes of this study). The study will focus enrollment on patients who do not have baseline characteristics predicting the best CRT response. Therefore the study will not enroll patients having non-ischemic HF etiology, left bundle branch (LBBB) morphology, and QRSd > 150 ms or those previously RV paced.

03

Conditions studied

  • Heart Failure, Systolic

Keywords

  • cardiac resynchronization therapy
  • pacing
  • echocardiography
  • optimization
  • heart failure
04

Who can participate

Ages eligible
18 Years to 110 Years
Sexes eligible
All
Accepts healthy volunteers
No

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • Willing and able to provide for participation in the study
  • Age ≥18 years
  • Received a first-time CRT device for standard clinical indication (can be upgraded from non-CRT pacemaker or defibrillator if ventricular pacing \< 10%)
  • Adequate echocardiographic images for EF \& LVESV determination

Exclusion criteria

Exclusion Criteria:

  • Unhealed open wounds on the torso and/or a history of documented severe allergic reactions from electrode gel
  • Enrollment in a concurrent study that could confound the results of this study
  • Pregnant or could become pregnant within the 6 month follow-up period
  • Non-ischemic cardiomyopathy, LBBB morphology, and QRSd > 150 ms
  • Dysrhythmia (AF or PVCs) that will likely result in aggregate ventricular pacing \< 90% over the 6 month follow-up period
Terms in these criteria, in plain language(2)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

Informed consent

Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.

You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.

ECG (electrocardiogram)

A recording of the heart’s electrical activity, taken with stickers on the chest, arms and legs. It takes a few minutes and does not hurt.

05

Study design

Phase
Not applicable
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Single (Outcomes assessor)
Enrollment
3 participants (actual)

Study arms

  • Experimental
    ECG Belt

    Use ECG Belt body surface mapping system to optimize CRT programming.

    Diagnostic Test: Optimization of CRT Device

  • Experimental
    Echocardiography

    Use mitral inflow echocardiography to optimize CRT programming.

    Diagnostic Test: Optimization of CRT Device

Interventions

  • Diagnostic testOptimization of CRT Device

    Use a body surface mapping system to quantify electrical dyssynchrony or echocardiography to quantify diastolic blood flow characteristics. Program the pacemaker to maximize the benefit of the modality the subject is randomized to.

06

What researchers measure

Primary outcomes

  1. Echocardiographic assessment of LV function

    Change in ejection fraction

    Time frame: 6 months post optimization

  2. Echocardiographic assessment of LV size

    Change in left ventricular end-systolic volume

    Time frame: 6 months post optimization

07

Study locations

1 site
  • United Heart & Vascular Clinic
    Saint Paul, Minnesota 55102, United States
08

References and documents

Individual participant data

Plan to share: No — We do not plan to share IPD with other researchers.

No publications or documents are linked to this record.

09

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reachedSimilar studies: half by the dot; the band is the middle halfHalf of similar studies reached it by the dot; the band is the middle half, from a quarter to three quarters

Ran from Oct 2017 to primary completion in Aug 2021, 45 months.

Of 52 non-industry interventional studies with no phase under Heart Failure, Systolic, half reached primary completion within 27 months of starting (the median), counting those still running; a quarter within 13 and three quarters within 46. This study's 45 months is above that.

Counting every sponsor, half of 56 studies reached it within 30 months; a quarter within 16 and three quarters within 50.

How these figures are worked out, and which studies are left out of them.

Registered
Sep 26, 2017
First posted
Oct 10, 2017
StartActual
Oct 31, 2017
Primary completionActual
Aug 17, 2021
CompletionActual
Aug 17, 2021
Last update
Sep 27, 2021
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on Sep 27, 2021, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT03305692
Lead sponsor
Alan J. Bank, MD
Collaborators
Medtronic
Responsible party
Alan J. Bank, MD (Medical Director of Research - United Heart & Vascular Clinic, Allina Health System) — Sponsor-investigator
First posted
Oct 10, 2017
Start date
Oct 31, 2017
Primary completion
Aug 17, 2021
Completion
Aug 17, 2021
Last update
Sep 27, 2021

Study contacts

Alan Bank, MD
principal investigator · United Heart & Vascular Clinic - Allina Health System

Oversight

Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
Yes
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is completed, as verified in Sep 2021. You cannot join it, but the record below documents what was studied.

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