ClinicalTrials.gg
CompletedNCT05633394STEP VUpdated Aug 24, 2025

Subcostal Temporary Extravascular Pacing V Study

An interventional study of AtaCor StealthTrac Lead in Conduction Defect, sponsored by AtaCor Medical, Inc.. Completed at 1 site in Paraguay. 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 Basic science

Phase
Not applicable
Study type
Interventional
Enrollment
29
Allocation
Not applicable
Ages
18 Years and older
Sex
All
01

Study summary

The STEP V Study is a prospective, multicenter, acute (in-hospital), single-arm feasibility study. The objective of the study is to evaluate the early safety and performance of the latest AtaCor EV Temporary Pacing Lead System over a two-day use period.

Read the detailed description

The primary safety objective is freedom from Adverse Device Effects (ADE). The primary performance objective is summary statistics for pacing capture threshold, impedance, and sensed R-wave amplitude with the StealthTrac Lead from insertion through removal.

Up to three (3) Investigational Sites will participate with up to 50 subjects enrolled in the study. Subjects indicated for closed-chest cardiac invasive procedures will be eligible for participation. Subjects undergoing a qualifying index procedure will have a Model AC-101400 StealthTrac Lead inserted and evaluated over the follow-up period. Subject participation is expected to be 2 days with the Study Lead inserted, plus 30 days post lead removal. A 30 day (+/-3 days) post-removal follow-up will also be performed to document any latent adverse events. Subjects remain enrolled until completion of the 30-Day Follow Up.

The maximum duration for study participation is 33 days. Study duration estimated to be 3 years after the first study enrollment.

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 29 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 indicated for closed-chest cardiac invasive procedure, including:

    • 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 revision

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 (e.g., inability to perform a short walk with the Holter monitor)
  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
Basic science
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrollment
29 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 ADEs

    Freedom from Adverse Device Effects (ADE)

    Time frame: Up to 2 days post-insertion

  2. Pacing Capture Threshold (mA or V)

    Summary statistics for pacing capture threshold with the StealthTrac Lead from insertion through removal

    Time frame: Up to 2 days post-insertion

  3. Impedance (Ohms)

    Summary statistics for impedance with the StealthTrac Lead from insertion through removal

    Time frame: Up to 2 days post-insertion

  4. Sensed R-Wave Amplitude (mV)

    Summary statistics for sensed R-wave amplitude with the StealthTrac Lead from insertion through removal

    Time frame: Up to 2 days post-insertion

07

Study locations

1 site
  • Sanatorio Italiano
    Asunción, Paraguay
08

Updates

Tracking since Sep 25, 2026
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 ↗
09

Registry details

Key details

Study ID
NCT05633394
Lead sponsor
AtaCor Medical, Inc.
Responsible party
Sponsor
First posted
Dec 1, 2022
Start date
Jan 23, 2023
Primary completion
May 29, 2025
Completion
Jun 30, 2025
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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Discussion

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