ClinicalTrials.gg
CompletedNCT03803995MAP HIS HFUpdated Oct 2, 2025

Mapping and Pacing of the His Bundle for Heart Failure Patients With Left Bundle Branch Block

An interventional study of Mapping and Pacing the His Bundle and Placing a guidewire in Coronary sinus for measurement of Q-LV during His Bundle pacing or, if needed, for LV pacing in Heart Failure and Left Bundle-Branch Block, sponsored by Abbott Medical Devices. Completed at 1 site in United States. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2025-10-02.

Sponsored by Abbott Medical Devices (part of Abbott) · Not applicable, Interventional, and Treatment

Phase
Not applicable
Study type
Interventional
Enrollment
18
Allocation
Not applicable
Ages
18 Years and older
Sex
All
01

Where this study stands

Counted across the records on this site · 2026-11-12

Among 111 studies in Heart Failure by Abbott Medical Devices — 6 open to participants now, 9 under way, none of them phase 3. Heart Failure · Abbott Medical Devices.

Enrollment
54th of 65
18 · median 128
Started
2019
with 3 others
No phase
58 of 111
2 open now
Registered
94th of 111
by date

Among the 111 studies in Heart Failure by Abbott Medical Devices, this one is the 54th largest by enrollment of the 65 interventional ones, is one of 4 that started in 2019, is one of 58 with no phase, and was the 94th registered.

By phase

111 studies; the count open now beside each. This study's row is marked.

No phasethis study58 · 2 open
Observational41 · 4 open
Phase 45 · 0 open
Other kind3 · 0 open
Phase 32 · 0 open
Phase 11 · 0 open
Phase 1/21 · 0 open

By the year they started

First in 2003; this study’s year is marked. 4 started in 2019.

Size and results

Median enrollment 128 across the 65 interventional studies, 143 across the 44 observational. Of the 98 that completed or were terminated, 51 (52%) have results posted.

Watch this landscapeDownload CSVWith an account: a weekly mail of what changed among 111 studies in Heart Failure by Abbott Medical Devices, or all of them as a file.
02

Study summary

This is a prospective, single-arm, non-randomized, non-blinded study designed to characterize the locations of His Bundle (HB) pacing that results in correction of electrical dyssynchrony and to characterize morphology and activation time of local intracardiac electrogram (IEGM) with an electro-anatomical mapping system during a device implant procedure and secondarily to assess the efficacy of HB pacing or HB plus LV pacing (when indicated) in correction of electrical dyssynchrony in heart failure patients with left bundle branch block.

03

Conditions studied

  • Heart Failure
  • Left Bundle-Branch Block
04

Who can participate

Ages eligible
18 Years and older
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

  1. Patients are undergoing implant of an Abbott pacemaker or CRT device under standard indications
  2. An with a wide QRS complex (>130 ms)
  3. ECG morphology of typical complete LBBB,
  4. Patients have heart failure with Class II-IV symptoms,
  5. LV EF \<50%
  6. At least 18 years old and not pregnant.
  7. Must provide written prior to any clinical investigation related procedure.
  8. Willing to comply with study evaluation requirements
  9. Female subjects of are required to have a negative pregnancy test done within 7 days prior to the implant procedure per site standard test. Female patients of childbearing potential should be instructed to use safe (e.g., intrauterine devices, hormonal contraceptives: contraceptive pills, implants, transdermal patches hormonal vaginal devices, injections with prolonged release.)

Exclusion criteria

Exclusion Criteria:

  1. Patients have non-specific intraventricular conduction delay or right bundle branch block
  2. Previously implanted cardiac devices with three or more permanent leads
  3. History of aortic valve repair or replacement
  4. History of tricuspid valve replacement
  5. Pregnant or nursing subjects and those who plan pregnancy during the clinical investigation follow-up period.
  6. Recent (\< 3 months) myocardial infarction, ablation, electrolyte imbalance, or any condition within the last 90 days that would contraindicate for pacemaker or CRT implant in the opinion of the investigator
  7. Presence of other anatomic or comorbid conditions, or other medical, social, or psychological conditions that, in the investigator's opinion, could limit the subject's ability to participate in the clinical investigation or to comply with follow-up requirements, or impact the scientific soundness of the clinical investigation results.
Terms in these criteria, in plain language(5)

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.

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.

NYHA class (heart failure)

The New York Heart Association’s four classes of how much heart failure limits physical activity.

I
No limits: ordinary activity causes no undue tiredness or breathlessness.
II
Slight limits: comfortable at rest, ordinary activity causes symptoms.
III
Marked limits: comfortable at rest, less than ordinary activity causes symptoms.
IV
Symptoms even at rest; any activity makes them worse.

Studies set their own limit — many outside heart failure leave out class III–IV, while heart failure studies may ask for a particular class. Check the class this study names.

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.

Childbearing potential

Able to become pregnant: from the first period until menopause, unless permanently unable to through surgery (removal of the womb, or of both ovaries or both fallopian tubes).

Criteria for people of childbearing potential usually ask for a negative pregnancy test and for contraception during the study and for a time after it.

Contraception

Ways of preventing pregnancy. “Highly effective” methods fail less than 1% of the time a year when used correctly — for example an IUD or an implant.

Criteria usually say which methods count and how long to keep using them after the last dose, sometimes for male participants too. Some studies accept a partner’s vasectomy if it was confirmed successful and that person is the participant’s only sexual partner.

05

Study design

Phase
Not applicable
Primary purpose
Treatment
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrollment
18 participants (actual)

Study arms

  • Other
    Mapping and Pacing the His Bundle

    All patients will be in this arm. Mapping and Pacing the His Bundle will be performed.

    Procedure: Mapping and Pacing the His Bundle · Procedure: Placing a guidewire in Coronary sinus for measurement of Q-LV during His Bundle pacing or, if needed, for LV pacing

Interventions

  • ProcedureMapping and Pacing the His Bundle

    During the device implant procedure, 3D electro-anatomical mapping of the His Bundle region will be performed using EnSite™ Precision™ mapping system and Advisor™ HD Grid mapping catheter. This procedure might be part of the standard-of-care at the participating centers.

  • ProcedurePlacing a guidewire in Coronary sinus for measurement of Q-LV during His Bundle pacing or, if needed, for LV pacing

    During the device implant procedure, a VisionWire coronary guidewire will also be placed into a branch of coronary sinus (CS), targeting a lateral branch. This guidewire could be used for collecting local left ventricle (LV) activation time (Q-LV) or pacing the LV. This guidewire could also be used to deliver a LV lead at physician's discretion. This procedure might be part of the standard-of-care at the participating centers.

06

What researchers measure

Primary outcomes

  1. Successful HB pacing sites

    Collect 3D Locations and electrogram characteristics (morphology and activation time) at the sites where His Bundle (HB) pacing is associated with left bundle recruitment and corrects electrical dyssynchrony at HB pacing implant procedure.

    Time frame: At device implant procedure

Secondary outcomes

  1. Success rate of HB pacing

    Measure success rate of HB pacing or HB plus Left ventricular (LV) pacing in the correction of electrical dyssynchrony at implant procedure;

    Time frame: At device implant procedure

  2. Ventricular activation during HB pacing

    Collect ventricular activation times during HB pacing or HB plus LV pacing as compared with intrinsic rhythm and other pacing configurations at implant procedure;

    Time frame: At device implant procedure

  3. Echocardiographic measurements of LV ejection fraction

    Collect echo measurements of LV ejection fraction at three-month follow-up visit

    Time frame: At three-month follow-up

  4. Echocardiographic measurements of LV end-systolic volume

    Collect echo measurements of LV end-systolic volume at three-month follow-up visit

    Time frame: At three-month follow-up

  5. Capture threshold of HB pacing

    Measure capture threshold in volts of HB pacing at implant and at follow-up visits post implant

    Time frame: Implant procedure, up to 3 days after implant procedure, two-week follow-up visit, three-month follow-up visit

  6. Lead impedance of HB pacing lead

    Measure lead impedance in ohms of HB pacing lead at implant and at follow-up visits post implant

    Time frame: Implant procedure, up to 3 days after implant procedure, two-week follow-up visit, three-month follow-up visit

  7. Sensing amplitude of HB pacing lead

    Measure sensing amplitude in millivolts of HB pacing lead at implant and at follow-up visits post implant

    Time frame: Implant procedure, up to 3 days after implant procedure, two-week follow-up visit, three-month follow-up visit

07

Study locations

1 site
  • Tampa General Hospital
    Tampa, Florida 33606, United States
08

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Oct 2, 2025, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
09

Registry details

Key details

Study ID
NCT03803995
Responsible party
Sponsor
First posted
Jan 15, 2019
Start date
Mar 20, 2019
Primary completion
Apr 20, 2024
Completion
Apr 26, 2024
Last update
Oct 2, 2025

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 2025. You cannot join it, but the record below documents what was studied.

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