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CompletedNCT03627585PPPRUpdated Sep 26, 2019

Reprogramming to Prevent Progressive Pacemaker-induced Remodelling

An interventional study of Personalised programming in Left Ventricular Dysfunction, Heart Failure, Systolic and Left Ventricular Failure, sponsored by University of Leeds. Completed at 2 sites in United Kingdom. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2019-09-26.

Sponsored by University of Leeds · Not applicable, Interventional, and Treatment

From the registry’s dates

  • Registered 1 year after the study started (first participant enrolled Aug 2017, registered Aug 2018).
Phase
Not applicable
Study type
Interventional
Enrollment
91
Allocation
Randomized
Ages
18 Years and older
Sex
All
01

Study summary

The aim is to provide evidence of the long-term benefits of personalised pacemaker programming on heart function and battery longevity.

This will be achieved by showing in a single centre, phase II, double-blind, randomised, placebo-controlled trial that reducing the amount of pacemaker beats to a minimum reverses these changes and extends battery life.

Read the detailed description

Patients (n=70) with long-term (>2 years) permanent pacemakers with avoidable RV pacing will be invited to participate in a single-centre, phase II, randomised, double-blind placebo-controlled trial of optimised pacing programming versus standard care. Those randomised to the intervention arm will have personalised programming to avoid right ventricular pacing, whilst those allocated to standard care will have no programming changes made. All participants will be invited back at 6 months for a repeat echocardiogram, quality of life assessment (EQ-5D-5L), blood tests and pacemaker check.

02

Conditions studied

  • Left Ventricular Dysfunction
  • Heart Failure, Systolic
  • Left Ventricular Failure
  • Pacemaker; Complication, Mechanical

Keywords

  • pacemaker
  • heart failure
  • left ventricular dysfunction
  • bradycardia
  • remodelling
03

In context

Heart Failure

5,701 studies on the registry are indexed under Heart Failure; 1,220 are open to participants now.

This study's enrollment of 91 is above the median of 72 across 3,736 interventional studies indexed under Heart Failure.

Browse Heart Failure studies →

Lead sponsor

University of Leeds is the lead sponsor of 200 studies on the registry; 25 are open to participants now.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

  • Chronic right ventricular bradycardia pacemaker implanted for at least 24 months
  • Willing and able to give informed consent for the intervention

Exclusion criteria

Exclusion Criteria:

  • Known poor imaging quality patients (details of patients excluded for this reason will be recorded)
  • Patients with complete heart block and no reprogramming options
05

Study design

Phase
Not applicable
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Quadruple (Participant, Care provider, Investigator, Outcomes assessor)
Enrollment
91 participants (actual)

Study arms

  • No intervention
    Usual Care

    Patients received echocardiogram but no pacemaker reprogramming or personalisation.

  • Active comparator
    Personalised programming

    Patient will have tailored pacemaker programming based on echocardiographic findings, blood results, and symptoms in an attempt to minimise right ventricular pacing and extend battery longevity.

    Device: Personalised programming

Interventions

  • DevicePersonalised programming

    Reprogramming protocol already test in an observation cohort will be utilised which will direct physiologists to consider pacemaker mode, base rate, utilisation of rate response, hysteresis, sleep and rest rates as well as lead outputs.

06

What researchers measure

Primary outcomes

  1. Left ventricular ejection fraction

    Left ventricular functional measure using either 3D volumes or Simpson's Biplane obtained from echocardiographic images.

    Time frame: 6 months

Secondary outcomes

  1. LV remodelling parameters

    left ventricular end diastolic and systolic volumes

    Time frame: 6 months

  2. Quality of Life Measures

    EQ-5D, Minnesota living with Heart Failure Questionnaire

    Time frame: 6 months

  3. Battery Longevity

    Impedance

    Time frame: 6 months

07

Study locations

2 sites
  • Harrogate District Foundation Trust
    Harrogate, United Kingdom
  • Leeds Teaching Hospitals NHS Trust
    Leeds, LS1 3EX, United Kingdom
08

References and documents

Publications

  • Paton MF, Gierula J, Lowry JE, Cairns DA, Bose Rosling K, Cole CA, McGinlay M, Straw S, Byrom R, Cubbon RM, Kearney MT, Witte KK. Personalised reprogramming to prevent progressive pacemaker-related left ventricular dysfunction: A phase II randomised, controlled clinical trial. PLoS One. 2021 Dec 13;16(12):e0259450. doi: 10.1371/journal.pone.0259450. eCollection 2021. PubMed 34898655 ↗

Individual participant data

Plan to share: Undecided

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Sep 26, 2019, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT03627585
Lead sponsor
University of Leeds
Responsible party
KK Witte (Senior Lecturer in Cardiology, University of Leeds) — Principal investigator
First posted
Aug 13, 2018
Start date
Aug 1, 2017
Primary completion
Jan 6, 2019
Completion
Aug 6, 2019
Last update
Sep 26, 2019

Study contacts

Klaus Witte, MD
principal investigator · University of Leeds

Oversight

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

Not currently enrolling

This study is completed, as verified in Sep 2019. You cannot join it, but the record below documents what was studied.

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