BIOTRONIK CSP Lead Registry for Left Bundle Branch Area Pacing
Official title: Observation of Clinical Routine Care for Patients Implanted With BIOTRONIK Devices Used for Conduction System Pacing (CSP)
Run by Biotronik SE & Co. KG · NCT07393009 · Data updated 2026-11-12
This registry tests BIOTRONIK’s CSP-based pacing lead in patients needing a pacemaker or CRT, to see how it performs in real-life use.
Quick facts
| Study type | Observational |
|---|---|
| Ages | 18 Years and up |
| Sex | All |
| Enrollment | 1000 (estimated) |
| Sponsor | Biotronik SE & Co. KG Industry-sponsored |
| Locations | 46 sites (Adelaide and 45 other locations) |
| Status | Recruiting |
| Started | May 25, 2026 |
| Main results expected | February 1, 2033 |
| Study ends | February 1, 2033 |
| Registry record updated | October 23, 2026 |
| Trial ID | NCT07393009 on ClinicalTrials.gov |
Is this trial a fit for you?
✓Likely a good fit
Candidates are adults needing pacemaker or CRT therapy who are planned for or recently implanted with BIOTRONIK CSP leads and generators, and who can adhere to follow-up.
✕Probably not a fit
Patients with limited life expectancy, planned non-study cardiac procedures within a year, or those not receiving CSP-based therapy may derive little or no benefit.
A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.
What this trial studies
This observational registry collects long-term data on BIOTRONIK devices used for conduction system pacing, focusing on performance, outcomes, and safety in a real-world setting. It involves de novo or recently implanted LBBAP with an investigational generator and lead, and follows patients through standard follow-up using CardioMessenger and BIOTRONIK Home Monitoring. The study emphasizes unselected clinical practice rather than a controlled trial, aiming to understand how these devices perform over time. Primary endpoints include device performance, lead safety, and patient outcomes in the context of CSP-based therapies.
Why it matters
Potential benefit: If successful, patients may experience reliable pacing with a favorable safety profile and enhanced monitoring for long-term management.
How similar studies have gone: Previous CSP and LBBAP-related registries have shown promising performance and safety signals in real-world use, supporting the relevance of this observational approach.
Who can join: the full rules
Show full inclusion / exclusion criteria
Inclusion Criteria: * Guideline indication for pacemaker or cardiac resynchronization therapy with or without defibrillation function (CRT-P/-D) * Patient is intended for a de novo implantation and LBBAP therapy with an investigational generator and an investigational lead OR has just been implanted with an investigational generator and an investigational lead positioned permanently deep within the intraventricular septum and has not yet been discharged from the hospital OR transitions from the BIO\|MASTER.CSP study * Ability to understand the nature of the study * Ability and willingness to perform all follow-up visits * Ability and willingness to use the CardioMessenger and acceptance of the BIOTRONIK Home Monitoring concept Exclusion Criteria: * Planned dation from intended use * Planned for cardiac surgical procedures, heart transplantation or interventional measures other than the study procedure within one year after enrollment * Life-expectancy less than 12 months * Pregnant or breast feeding * Age less than 18 years * Participation in an interventional clinical investigation, except for submodules within this study.
Where it's running
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Kepler Universitätsklinikum GmbH
Linz, Austria Recruiting -
Fakultní nemocnice Olomouc
Olomouc, Czechia Recruiting -
FN Kralovske Vinohrady
Prague, Czechia Recruiting -
Hôpital Gabriel Montpied
Clermont-Ferrand, France Recruiting -
Hôpital privé du Confluent
Nantes, France Recruiting -
Krankenhaus Porz am Rhein gGmbH
Cologne, Germany Recruiting
Show 40 more locations
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Central Hospital of Northern Pest - Military Hospital
Budapest, Hungary Recruiting -
Semmelweis University
Budapest, Hungary Recruiting -
University of Pécs
Pécs, Hungary Recruiting -
A.O.U. Maggiore della Carita di Novara
Novara, Italy Recruiting -
Pauls Stradins Clinical University Hospital
Riga, Latvia Recruiting -
Unidade local de Saúde de Sao José, EPE - Hospital Santa Marta
Lisbon, Portugal Recruiting -
Integral Healthcare
Adelaide, Australia Not yet recruiting -
Northern Hospital
Melbourne, Australia Not yet recruiting -
Hôpital de la Timone
Marseille, France Not yet recruiting -
Centre Hospitalier Metz-Thionville
Metz, France Not yet recruiting -
Hôpital Haut Lévêque
Pessac, France Not yet recruiting -
Institut Arnaud Tzanck
Saint-Laurent-du-Var, France Not yet recruiting -
Klinikum Augsburg
Augsburg, Germany Not yet recruiting -
Universitäts-Herzzentrum Freiburg Bad Krozingen
Bad Krozingen, Germany Not yet recruiting -
Kerckhoff-Klinik GmbH
Bad Nauheim, Germany Not yet recruiting -
Herz- und Diabeteszentrum NRW
Bad Oeynhausen, Germany Not yet recruiting -
Niels-Stensen-Kliniken, Marienhospital Osnabrück
Osnabrück, Germany Not yet recruiting -
University of Szeged
Szeged, Hungary Not yet recruiting -
Assuta Medical Center
Ashdod, Israel Not yet recruiting -
Soroka Medical Center
Beersheba, Israel Not yet recruiting -
Hillel Yaffe Medical Center
Hadera, Israel Not yet recruiting -
Shaare Zedek MC
Jerusalem, Israel Not yet recruiting -
Tel Aviv Sourasky Medical Center
Tel Aviv, Israel Not yet recruiting -
Humanitas Gavazzeni
Bergamo, Italy Not yet recruiting -
Ospedale Di Summa - Perrino
Brindisi, Italy Not yet recruiting -
Niguarda Hospital
Milan, Italy Not yet recruiting -
Ospedale di Piove di Sacco
Piove di Sacco, Italy Not yet recruiting -
Fondazione Policlinico Universitario "Agostino Gemelli" Università Cattolica del Sacro Cuore
Roma, Italy Not yet recruiting -
Policlinico Casilino
Roma, Italy Not yet recruiting -
SS Annunziata Taranto
Taranto, Italy Not yet recruiting -
Auckland City Hospital
Grafton, New Zealand Not yet recruiting -
Unidade local de Saúde de Coimbra, EPE - Centro Hospitalar Universitario de Coimbra
Coimbra, Portugal Not yet recruiting -
Unidade Local de Saúde de Santa Maria, E. P. E.
Lisbon, Portugal Not yet recruiting -
Hospital Clínico y Provincial de Barcelona
Barcelona, Spain Not yet recruiting -
Hospital Universitari Germans Trias i Pujol
Barcelona, Spain Not yet recruiting -
Hospital La Luz
Madrid, Spain Not yet recruiting -
Hospital Universitario 12 de Octubre
Valencia, Spain Not yet recruiting -
Hospital Universitario La Fe
Valencia, Spain Not yet recruiting -
Inselspital, Universitätsspital Bern
Bern, Switzerland Not yet recruiting -
Universitätsspital Zürich (USZ)
Zurich, Switzerland Not yet recruiting
Study contacts
- Study coordinator: Johannes Pfaffenberger
- Email: csp-stream@biotronik.com
- Phone: +493068905
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How to take part
- Review the eligibility criteria above with your treating physician.
- Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
- Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.