ClinicalTrials.gg
CompletedNCT05610033Updated Aug 24, 2025

Pilot evaluatIon Of NovEl tEmpoRary ExtraVascular PACING (PIONEER EV PACING) Study

An interventional study of AtaCor StealthTrac Lead in Conduction Defect, sponsored by AtaCor Medical, Inc.. Completed at 1 site in Croatia. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2025-08-24.

Sponsored by AtaCor Medical, Inc. · Not applicable, Interventional, and Treatment

Phase
Not applicable
Study type
Interventional
Enrollment
12
Allocation
Not applicable
Ages
18 Years and older
Sex
All
01

Study summary

The PIONEER EV PACING Study is prospective, multi-center, acute (in-hospital), single-arm, pilot study. The study objective is to characterize preliminary safety and performance of the AtaCor EV Temporary Pacing Lead System when used as intended for clinical use as a temporary pacing lead.

Read the detailed description

The primary safety endpoint is freedom from Adverse Device Effects, CTCAE Grade 3 or higher. The primary performance endpoint is percentage of Subjects with demonstrated pacing capture following lead fixation.

Up to 30 subjects will be enrolled at up to three (3) investigation centers. Enrolled subjects will undergo insertion of a StealthTrac Lead within one calendar day of an eligible planned index procedure that requires a temporary pacing lead. Echocardiographic evaluations will be performed before and after StealthTrac Lead insertion, as well as after the index procedure, to assess for pericardial effusion. Post-operative fluoroscopic images are required in all subjects to document the final lead position. In subjects without an underlying ventricular escape rhythm, a concomitant, commercially available pacing lead is required. Lead measurements (Thresholds, Impedance, R-Waves) and an insertion procedure survey will be obtained.

Subjects will be restricted to bed rest while the StealthTrac lead remains inserted. The StealthTrac Lead will be connected to a commercially available, constant-current temporary pacemaker programmed by the investigator to provide temporary pacing support. The StealthTrac Lead will remain inserted until the next calendar day, at a minimum, and will be removed once the clinical need for temporary pacing ends. The maximum duration of lead insertion is two (2) days following the lead insertion procedure.

Follow up evaluations will be performed for as long as the StealthTrac Lead remains inserted. Subjects will also undergo a 30-day post-removal follow-up before completing participation. On the final follow-up, prior to StealthTrac Lead removal, Subjects may be tested in multiple postures. Subjects with pacing capture in the upright posture may have ECGs recorded during various isometrics or while walking with pacing from the StealthTrac Lead.

Prior to removal, a final lead evaluation will be performed and fluoroscopy will be used to document the final lead position. Echocardiographic imaging will be obtained before and after the removal procedure to characterize any new or worsened pericardial effusions. A final post-removal follow-up will be performed in person or remotely to document any latent adverse events.

The overall study is expected to last four (4) months, comprising two (2) months for enrollment and follow-up and two (2) months to monitor study data and prepare a final report.

02

Conditions studied

  • Conduction Defect

Keywords

  • Temporary Ventricular Pacing
  • Extravascular
03

In context

Arrhythmias, Cardiac

1,051 studies on the registry are indexed under Arrhythmias, Cardiac; 236 are open to participants now.

This study's enrollment of 12 is below the median of 100 across 517 interventional studies indexed under Arrhythmias, Cardiac.

Browse Arrhythmias, Cardiac studies →

Lead sponsor

AtaCor Medical, Inc. is the lead sponsor of 11 studies on the registry; 1 is 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

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. At least 18 years old
  2. Subjects who:

    • Are undergoing one of the following planned (non-urgent) procedures that are associated with the potential need for temporary bradycardia pacing:

      • Transarterial transcatheter aortic valve implantation (TAVI)
      • Transarterial balloon aortic valvuloplasty (BAV)
      • Cardiovascular implantable electronic device (CIED) pulse generator replacement
      • Cardiovascular implantable electronic device (CIED) lead extraction OR
    • Subjects with bradycardia who are under evaluation to determine if the cause is transient or permanent

Exclusion criteria

Exclusion criteria

  1. ≥ 35 kg/m2
  2. Septic shock
  3. Severe anemia
  4. Patients on dual antiplatelet therapy or anti-coagulation that cannot be stopped for the procedure
  5. Circumstances that prevent data collection or follow-up
  6. Participation in any concurrent clinical study without prior written approval from the Sponsor
  7. Inability or unwillingness to provide to participate in the Study

    Known prior history for any of the following:

  8. Median or partial sternotomy
  9. Acute coronary syndrome within past 90 days
  10. Functional Classification IV within past 90 days
  11. Surgically corrected congenital heart disease (not including catheter-based procedures)
  12. Allergies to the device materials such as stainless steel, titanium, platinum, iridium, polyethylene, polyurethane, polycarbonate and silicone
  13. Surgery with disruption of the lung, pericardium or connective tissue between the sternum and pericardium, including adhesions
  14. Significant anatomic derangement of or within the thorax (e.g., pectus excavatum, significant scoliosis)
  15. Thoracic radiation therapy, pneumothorax, pneumomediastinum or other medical treatments which may complicate the AtaCor EV Temporary Pacing Lead System insertion procedure
  16. Any conditions which may complicate the AtaCor EV Temporary Pacing Lead System insertion procedure
  17. Pericardial disease, pericarditis and mediastinitis
  18. Medical treatments, surgeries or conditions that increase the potential for pericardial adhesions
  19. \< 1 liter
Terms in these criteria, in plain language(4)

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.

BMI (body mass index)

Weight in kilograms divided by height in metres squared. Example: 70 kg and 1.75 m gives 70 ÷ (1.75 × 1.75) ≈ 22.9.

What counts as overweight or obesity differs between countries (some use lower cut-offs), so go by the range the study states.

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.

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.

FEV1

From a breathing test (spirometry): how much air you can blow out in the first second. Often given as a percentage of what is expected for your age, height and sex.

05

Study design

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

Study arms

  • Experimental
    AtaCor EV Temporary Pacing Lead System

    Subjects implanted with the AtaCor StealthTrac Lead Model AC-101400

    Device: AtaCor StealthTrac Lead

Interventions

  • DeviceAtaCor StealthTrac Lead

    Subjects will receive the AtaCor StealthTrac Lead being evaluated in the study.

06

What researchers measure

Primary outcomes

  1. Freedom from severe ADEs

    Freedom from Adverse Device Effects, CTCAE Grade 3 or Higher

    Time frame: Up to 30 days post-lead removal

  2. Percentage of Subjects with pacing capture

    Percentage of Subjects with demonstrated pacing capture following lead fixation

    Time frame: Up to 2 days post-lead insertion

07

Study locations

1 site
  • University Hospital Center Split
    Split, 21000, Croatia
08

References and documents

Individual participant data

Plan to share: No

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 Sep 2023 to primary completion in Dec 2023, 2 months.

Of 71 industry-sponsored interventional studies with no phase under Arrhythmias, Cardiac, half reached primary completion within 15 months of starting (the median), counting those still running; a quarter within 6 and three quarters within 28. This study's 2 months is below that.

Counting every sponsor, half of 242 studies reached it within 24 months; a quarter within 12 and three quarters within 40.

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

Registered
Oct 30, 2022
First posted
Nov 8, 2022
StartActual
Sep 19, 2023
Primary completionActual
Dec 15, 2023
CompletionActual
Jan 12, 2024
Last update
Aug 24, 2025
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 Aug 24, 2025, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT05610033
Lead sponsor
AtaCor Medical, Inc.
Responsible party
Sponsor
First posted
Nov 8, 2022
Start date
Sep 19, 2023
Primary completion
Dec 15, 2023
Completion
Jan 12, 2024
Last update
Aug 24, 2025

Study contacts

Martin C Burke, DO
principal investigator · AtaCor Medical, Inc.

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

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