CClinicalTrials.gg
Status unknownNCT05162716CROSS-LEFT-AFUpdated Dec 17, 2021

Cardiac ResynchrOniSation Via Stimulation of the LEFT Bundle in AF Patients.

An observational study in Pacing-Induced Cardiomyopathy, sponsored by Nicolas Clementy, MD, PhD. Status unknown at 1 site in France. Open to participants aged 18 Years to 99 Years. Per ClinicalTrials.gov, last updated 2021-12-17.

Sponsored by Nicolas Clementy, MD, PhD · Observational

The sponsor has not verified this record recently (last verified Dec 2021), so the status shown — last known as Recruiting — may be out of date.
Study type
Observational
Model
Cohort
Time perspective
Prospective
Enrollment
50
Ages
18 Years to 99 Years
Sex
All
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Study summary

Permanent ventricular pacing may be complicated with ventricular dyssynchrony and subsequent pacing-induced cardiomyopathy. We hypothesized that left bundle branch area pacing may prevent the development of pacing-induced cardiomyopathy in patients with permanent atrial fibrillation requiring permanent ventricular pacing.

Patients with permanent atrial arrhythmia with an indication of cardiac pacing and atrioventricular junction ablation will be prospectively enrolled.

They will undergo the implantation of a single-chamber pacemaker with left bundle branch area pacing, and then atrioventricular junction ablation.

They will be prospectively followed during 6 months.

Read the detailed description

Patients with permanent atrial arrhythmia with an indication of cardiac pacing and atrioventricular junction ablation will be prospectively enrolled.

They will undergo the implantation of a single-chamber pacemaker with left bundle branch area pacing confirmed according to electrocardiographic parameters. Atrioventricular node ablation will be performed the following day through a femoral venous approach.

Perioperative data and potential complications will be collected. Patients will be prospectively followed during 6 months. They will have clinical examination, 12-lead ECG, and an echocardiography.

02

Conditions studied

  • Pacing-Induced Cardiomyopathy

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Keywords

  • left bundle branch area pacing; atrial fibrillation; atrioventricular ablation; pacing-induced cardiomyopathy
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In context

Cardiomyopathies

1,176 studies on the registry are indexed under Cardiomyopathies; 287 are open to participants now.

This study's planned enrollment of 50 is below the median of 153 across 515 observational studies indexed under Cardiomyopathies.

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Lead sponsor

This is the only study on the registry with Nicolas Clementy, MD, PhD as lead sponsor.

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

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Who can participate

Ages eligible
18 Years to 99 Years
Sexes eligible
All
Accepts healthy volunteers
No
Sampling method
Non-probability sample

Study population

Patients indicated with pacemaker implantation and atrioventricular junction ablation for symptomatic chronic atrial arrhythmia.

Inclusion criteria

  • Permanent atrial arrhythmia
  • Symptoms related to an insufficient rate control under optimal medical therapy

Exclusion criteria

Exclusion Criteria:

  • Indication of prophylactic defibrillator
  • Already implanted with a cardiac device
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Study design

Observational model
Cohort
Time perspective
Prospective
Enrollment
50 participants (estimated)
Target follow-up
6 Months
Patient registry
Yes

Groups and cohorts

  • LBBAP

    Patients with permanent atrial arrhythmia with an indication of cardiac pacing and atrioventricular junction ablation will undergo the implantation of a single-chamber pacemaker with left bundle branch area pacing, and then atrioventricular junction ablation.

    Device: Single-chamber pacemaker implantation with left bundle branch area pacing

Interventions

  • DeviceSingle-chamber pacemaker implantation with left bundle branch area pacing

    A prepectoral single-chamber pacemaker is implanted with a 3830 (Medtronic) IS-1 pacing lead screwed via the right ventricle in the deep interventricular septum in order to capture the left Purkinje system on the left ventricular endocardial side.

    Also known as: Atrioventricular junction ablation

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What researchers measure

Primary outcomes

  1. Heart failure hospitalization

    Hospitalization for decompensated heart failure

    Time frame: 6 months

Secondary outcomes

  1. Mortality

    Death from any cause

    Time frame: 6 months

  2. Electrical remodeling

    QRS width

    Time frame: 6 months

  3. Complications

    Perioperative complications

    Time frame: 30 days

  4. Volumetric response

    Left ventricular ejection fraction, left ventricular volumes

    Time frame: 6 months

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Study locations

1 of 1 sites recruiting
  • CHRU de Tours
    Tours, Please Select... 37000, France
    Recruiting
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References and documents

Individual participant data

Plan to share: Undecided

No publications or documents are linked to this record.

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Dec 17, 2021, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
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Registry details

Key details

Study ID
NCT05162716
Lead sponsor
Nicolas Clementy, MD, PhD
Collaborators
Dr Arnaud BISSON
Responsible party
Nicolas Clementy, MD, PhD (Associate Professor, University Hospital, Tours) — Sponsor-investigator
First posted
Dec 17, 2021
Start date
May 1, 2020
Primary completion
May 30, 2022 (estimated)
Completion
Oct 30, 2022 (estimated)
Last update
Dec 17, 2021

Study contacts

Nicolas CLEMENTY
Contact
nclementy@yahoo.fr
+33618072141

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 status unknown, as verified in Dec 2021. You cannot join it, but the record below documents what was studied.

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