Status:

UNKNOWN

Clinical Efficacy of Early Left Bundle Branch Pacing for Cardiac Resynchronization Therapy

Lead Sponsor:

Fu Wai Hospital, Beijing, China

Collaborating Sponsors:

The First Affiliated Hospital with Nanjing Medical University

Conditions:

Heart Failure

Left Bundle Branch Pacing

Eligibility:

All Genders

18+ years

Phase:

NA

Brief Summary

This is a two-center, prospective randomized controlled trial. The aim of this study is to compare the clinical efficacy of early left bundle branch pacing for cardiac resynchronization therapy and gu...

Detailed Description

Early-resync is a two-center, prospective randomized controlled trial that is designed to determine whether early left bundle branch pacing has a better impact on LV function improvement as compared w...

Eligibility Criteria

Inclusion

  • Age ≥ 18 years;
  • symptomatic heart failure despite guideline-directed medical therapy for at least 3 months, NYHA class II-IV, with an EF between 35% and 50%;
  • complete LBBB meeting Strauss's standard definition
  • Signed informed consent.

Exclusion

  • Expected survival less than 24 months;
  • Indicated for ICD or pacing therapy;
  • History of VT, VF, or hemodynamic instability;
  • History of mechanical tricuspid valve replacement;
  • Ischemic cardiomyopathy scheduled for CABG and PCI within 3 months;
  • Severe structural heart disease may necessitate cardiac surgery or heart transplantation within 1 year;
  • Pregnancy or planning for pregnancy;
  • Hypertrophic cardiomyopathy or those underwent ventricular septal defect repair, in whom the success of LBBP is anticipated to be challenging;
  • Severe renal dysfunction (eGFR \< 15ml/min\*1.73m\^2).

Key Trial Info

Start Date :

June 26 2023

Trial Type :

INTERVENTIONAL

Allocation :

ESTIMATED

End Date :

December 30 2025

Estimated Enrollment :

36 Patients enrolled

Trial Details

Trial ID

NCT06126081

Start Date

June 26 2023

End Date

December 30 2025

Last Update

November 13 2023

Active Locations (2)

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Page 1 of 1 (2 locations)

1

Fuwai Hospital, National Center for Cardiovascular Diseases, Chinese Academy of Medical Sciences

Beijing, Beijing Municipality, China, 100037

2

The first affiliated hospital of Nanjing medical university

Nanjing, Jiangsu, China