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RecruitingNCT04804748DefipaceUpdated Jul 30, 2026

The DefiPace Study

An observational study in Post-operative Atrial Fibrillation POAF, sponsored by Institut für Pharmakologie und Präventive Medizin. Recruiting at 10 sites in 2 countries. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2026-07-30.

Sponsored by Institut für Pharmakologie und Präventive Medizin · Observational

From the registry’s dates

  • Started Mar 2023; still recruiting 3 years 7 months later.
Study type
Observational
Model
Cohort
Time perspective
Prospective
Enrollment
450
Ages
18 Years and older
Sex
All
01

Study summary

Prospective, non-interventional, multi-center, international registry in two phases in consecutive patients undergoing elective cardiac surgery.

The DefiPace registry is designed in two phases

  1. to document the standard of care in 50 patients with atrial fibrillation (AF)
  2. to assess the treatment and outcomes of patients with post-operative atrial fibrilllation using low-energy cardioversion and subsequent bi-atrial pacing in clinical practice in 100 patients
Read the detailed description

Phase A Approximately 150 consecutive patients undergoing elective cardiac surgery (bypass and / or valve surgery)

  • Data regarding standard of care post-operative pacing and treatment of POAF, if applicable, will be collected from time of surgery until discharge
  • No use of an external bi-atrial pacing device
  • No use of Defipace
  • In-hospital data will be collected for all patients
  • Patients that developed POAF (n=50) will be followed-up with a phone call 30 days after surgery.

Phase B Approximately 300 consecutive patients undergoing elective cardiac surgery (bypass and / or valve surgery) with planned TMA implantation

  • In-hospital data will be collected for all patients
  • Use of the DefiPace system for the treatment (low-energy cardioversion) and post-operative prevention (bi-atrial pacing) of POAF will be documented (n=100). These patients will be followed-up with a phone call 30 days after surgery
02

Conditions studied

  • Post-operative Atrial Fibrillation POAF

Browse trials for

03

In context

Atrial Fibrillation

4,009 studies on the registry are indexed under Atrial Fibrillation; 961 are open to participants now.

This study's planned enrollment of 450 is above the median of 300 across 1,400 observational studies indexed under Atrial Fibrillation.

Browse Atrial Fibrillation studies →

Lead sponsor

Institut für Pharmakologie und Präventive Medizin is the lead sponsor of 30 studies on the registry; 4 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
Sampling method
Non-probability sample

Study population

Phase A Approximately 150 consecutive patients undergoing elective cardiac surgery (bypass and / or valve surgery) Phase B Approximately 300 consecutive patients undergoing elective cardiac surgery (bypass and / or valve surgery) with planned TMA implantation.

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

  • Patient is scheduled to undergo elective open chest cardiac surgery (bypass and / or valve surgery)
  • Patient is at least 18 years old
  • Patient with isolated bypass surgery is at least 70 years old
  • Patient with valve surgery is at least 60 years old
  • Patient provides written prior to the procedure
  • Phase B only: patient is scheduled for TMA implantation during the elective cardiac surgery and is potentially eligible for DefiPace use

Exclusion criteria

Exclusion Criteria:

  • Clinical history of either permanent, persistend or paroxysmal atrial fibrillation
  • Permanent pacemaker/defibrillator, other intra-cardiac active implanted electronic devices
  • Minimally-invasive surgery
  • Recent stroke within the last 3 months
  • A history of or current endocarditis
  • Pregnacy at the time of surgery
Terms in these criteria, in plain language(1)

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.

05

Study design

Observational model
Cohort
Time perspective
Prospective
Enrollment
450 participants (estimated)
Patient registry
No

Groups and cohorts

  • Phase A

    Approximately 150 consecutive patients undergoing elective cardiac surgery (bypass and / or valve surgery) * Data regarding standard of care post-operative pacing and treatment of POAF, if applicable, will be collected from time of surgery until discharge * No use of an external bi-atrial pacing device * No use of Defipace * In-hospital data will be collected for all patients * Patients that developed POAF (n=50) will be followed-up with a phone call 30 days after surgery

    Other: No intervention

  • Phase B

    Approximately 300 consecutive patients undergoing elective cardiac surgery (bypass and / or valve surgery) with planned TMA implantation * In-hospital data will be collected for all patients * Use of the DefiPace system for the treatment (low-energy cardioversion) and post-operative prevention (bi-atrial pacing) of POAF will be documented (n=100). These patients will be followed-up with a phone call 30 days after surgery

    Other: No intervention

Interventions

  • OtherNo intervention

    no intervention

06

What researchers measure

Primary outcomes

  1. Incidence of POAF

    Incidence of POAF

    Time frame: 30 days

  2. Termination of POAF

    Termination of POAF

    Time frame: 30 days

  3. Time in POAF

    Time in POAF (AF Burden)

    Time frame: 30 days

  4. Time to cardioversion

    Median time to cardioversion

    Time frame: 30 days

  5. Number of shocks

    Mean number of shocks per patient

    Time frame: 30 days

  6. Energy requirements

    Mean energy requirements (first/subsequent)

    Time frame: 30 days

  7. POAF recurrence

    POAF recurrence/repeat cardioversions

    Time frame: 30 days

  8. Time in ICU

    Time in ICU in hours

    Time frame: 30 days

  9. Procedural success

    Procedural success

    Time frame: 30 days

  10. Time needed for electrode placement

    Time needed for electrode placement

    Time frame: 30 days

07

Study locations

10 of 10 sites recruiting
  • Medical University of Vienna
    Vienna, 1090, Austria
    Recruiting
    • Emilio Osorio, Dr. med. · Contact
  • Universitätsklinikum Erlangen
    Erlangen, Bavaria 91054, Germany
    Recruiting
    • Friedrich Mellert, PD Dr.med. · Contact
  • Klinikum Nürnberg
    Nuremberg, Bavaria 90419, Germany
    Recruiting
    • Theodor Fischlein, Prof.Dr.med. · Contact
  • University Hospital of Würzburg
    Würzburg, Bavaria 97080, Germany
    Recruiting
    • Mohamed Hassan · Contact
  • Oldenburg Hospital AöR / Medical Campus University of Oldenburg
    Oldenburg, Lower Saxony 26133, Germany
    Recruiting
    • Fritz Mellert, PD Dr. med. · Contact
  • Heart Center Dresden GmbH University Hospital
    Dresden, Saxony 01307, Germany
    Recruiting
    • Tomas Madej, Dr. med. · Contact
  • Albert-Ludwigs-Universitaet Freiburg
    Freiburg im Breisgau, 79106, Germany
    Recruiting
    • Fatos Ballazhi, Dr. med. · Contact
  • Hannover Medical School
    Hanover, 30625, Germany
    Recruiting
    • Heidi Niehaus, PD Dr. med. · Contact
  • University Hospital Jena
    Jena, 07747, Germany
    Recruiting
    • Hristo Kirov, Dr. med. · Contact
  • University Hospital Ulm
    Ulm, 89081, Germany
    Recruiting
    • Andreas Liebold, Prof.Dr.med. · Contact
08

References and documents

Publications

  • Bechtel JF, Christiansen JF, Sievers HH, Bartels C. Low-energy cardioversion versus medical treatment for the termination of atrial fibrillation after CABG. Ann Thorac Surg. 2003 Apr;75(4):1185-8. doi: 10.1016/s0003-4975(02)04715-x. PubMed 12683560 ↗
  • Liebold A, Wahba A, Birnbaum DE. Low-energy cardioversion with epicardial wire electrodes: new treatment of atrial fibrillation after open heart surgery. Circulation. 1998 Sep 1;98(9):883-6. doi: 10.1161/01.cir.98.9.883. PubMed 9738643 ↗

Individual participant data

Plan to share: No

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Jul 30, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT04804748
Lead sponsor
Institut für Pharmakologie und Präventive Medizin
Collaborators
Osypka AG
Responsible party
Sponsor
First posted
Mar 18, 2021
Start date
Mar 28, 2023
Primary completion
Sep 30, 2027 (estimated)
Completion
Dec 31, 2027 (estimated)
Last update
Jul 30, 2026

Study contacts

Susanne Nitz, PhD
Contact
susanne.nitz@ippmed.de
+49 447185033 ext. 27
Peter Bramlage, Professor
study director · IPPMed

Oversight

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

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