Clinical trial Recruiting at 2 sites Observational Ages 18 and up

Pacing decisions guided by risk for pacing-induced heart muscle weakness

Official title: Pacing Advancements With Cost and Experience VALuation for Unified Patient-Led Clinical Evidence - the PACEVALUE Study

Run by Insel Gruppe AG, University Hospital Bern · NCT07276139 · Data updated 2026-11-12

This study tests a risk score to predict pacing-induced cardiomyopathy in adults getting heart rhythm devices, to tailor pacing choices.

Quick facts

Study typeObservational
Ages18 Years and up
SexAll
Enrollment4500 (estimated)
SponsorInsel Gruppe AG, University Hospital Bern
Academic / other
Locations13 sites (Canberra, Australian Capital Territory and 12 other locations)
StatusRecruiting
StartedJanuary 1, 2026
Main results expectedJanuary 1, 2028
Study endsJanuary 1, 2031
Registry record updatedSeptember 11, 2026
Trial IDNCT07276139 on ClinicalTrials.gov

Is this trial a fit for you?

Likely a good fit

Adults (18+) receiving or having received a cardiac implantable electronic device (pacemaker, ICD, or CRT) and who consent to participate and complete long-term follow-up.

Probably not a fit

Patients in whom a high-quality predictive signal cannot be derived or who do not fit the prospective cohort may not benefit from risk-guided pacing decisions.

A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.

What this trial studies

PACEVALUE is an international observational effort to use routinely collected clinical and device data to predict who is at highest risk of pacing-induced cardiomyopathy after device implantation. The study aims to help physicians personalize pacing strategies, including conduction system pacing and cardiac resynchronization therapy, to minimize complications and hospitalizations. It will develop and validate a risk model that can be applied in prospective patients and use retrospective data to support its performance. The initiative involves adults undergoing pacemakers, ICDs, or CRT devices and follows participants over time to observe outcomes related to heart function and device performance.

Why it matters

Potential benefit: If successful, the risk model could help clinicians choose pacing approaches that reduce heart failure risk and improve long-term outcomes.

How similar studies have gone: Prior work in risk stratification for device-related outcomes has shown promise, but this specific predictive approach for PICM-guided pacing is still being validated.

Who can join: the full rules

Show full inclusion / exclusion criteria
Inclusion Criteria:

* Age ≥18 years at the time of the CIED procedure
* Undergoing, or having undergone, a CIED procedure (permanent pacemaker, ICD, or CRT)
* A lawful basis for inclusion: signed informed consent prior to enrollment in the prospective arm, or a lawful basis for the further use of health-related personal data in the retrospective arm
* Prospective arm only: willing and able to participate in long-term follow-up
* Prospective arm only: sufficient language comprehension (or support) to provide informed consent and complete PROMs/PREMs

Exclusion Criteria:

* Prospective arm only: severe cognitive impairment without a legal representative
* A documented objection to the use of health-related data for research

Where it's running

  • Canberra Health Services
    Canberra, Australian Capital Territory, Australia
    Recruiting
  • Inselspital, University Hospital Bern
    Bern, Switzerland
    Recruiting
  • Acibadem City Clinic Tokuda Hospital
    Sofia, Bulgaria
    Not yet recruiting
  • University Hospital Tsaritsa Yoanna ISUL
    Sofia, Bulgaria
    Not yet recruiting
  • Dubrava University Hospital
    Zagreb, Croatia
    Not yet recruiting
  • Nicosia General Hospital
    Nicosia, Cyprus
    Not yet recruiting
Show 7 more locations
  • University Heart Center Freiburg-Bad Krozingen
    Bad Krozingen, Germany
    Not yet recruiting
  • Clinical Provincial Hospital No. 2
    Rzeszów, Poland
    Not yet recruiting
  • National Institute of Cardiology
    Warsaw, Poland
    Not yet recruiting
  • 4th Military Clinical Hospital
    Wroclaw, Poland
    Not yet recruiting
  • Medical University of Silesia
    Zabrze, Poland
    Not yet recruiting
  • Kantonsspital Baden
    Baden, Switzerland
    Not yet recruiting
  • Hôpitaux Universitaires de Genève
    Geneva, Switzerland
    Not yet recruiting

Study contacts

  • Principal investigator: Nikola A. Kozhuharov, PD Dr. med. — Inselspital, University Hospital Bern, Clinic of Cardiology
  • Study coordinator: Nikola A. Kozhuharov, PD Dr. med.
  • Email: nikola.kozhuharov@insel.ch
  • Phone: +41 31 63 2 36 50

Similar studies

Other studies for the same condition or treatment. Recruiting studies are listed first.

  • Pace-and-ablate strategy in atrial fibrillation: who benefits and long-term outcomes

    This study looks at adults with atrial fibrillation who underwent AV node ablation with permanent pacing to see who develops pacing-induced problems and how they do long-term.

    Recruiting at 5 sites Insel Gruppe AG, University Hospital Bern · Zabrze and 4 other locations · NCT07852221

  • Conduction system pacing vs biventricular pacing for CRT

    This study tests whether pacing the heart’s conduction system (HIS or left bundle) during CRT works better than standard biventricular pacing for people with heart failure.

    Recruiting Copenhagen University Hospital, Rigshospitalet · Aarhus and 4 other locations · NCT07492979

  • Left bundle branch area pacing with Tendril STS or UltiPace leads

    This study will try left bundle branch area pacing with the Tendril STS or UltiPace lead in adults who need pacemaker leads for bradycardia or related heart conditions to see if pacing and sensing are safe and work through six months after implant.

    Recruiting at 13 sites Abbott Medical Devices · Rio de Janeiro, Rio de Janeiro and 14 other locations · NCT07217392

  • Understanding brain and heart injuries after bleeding in the brain

    This study looks at how bleeding in the brain affects both the brain and the heart in adults to better understand the connection between these injuries.

    Recruiting Beijing Tiantan Hospital · Beijing, Beijing Municipality · NCT06906432

  • Using Apple Watch data to predict heart failure outcomes

    This study is testing if data from Apple Watches can help predict heart failure problems and the chances of needing to go back to the hospital for patients with heart failure.

    Recruiting University Medical Center Goettingen · Goettigen, Lower Saxony · NCT06819618

  • Comparing two pacing methods for heart failure in patients with atrial fibrillation

    This study is testing whether a new pacing method for the heart can work better than the standard method for people with heart failure and atrial fibrillation.

    Recruiting Leiden University Medical Center · Aarhus N, Aarhus N and 1 other locations · NCT06620705

How to take part

  1. Review the eligibility criteria above with your treating physician.
  2. Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
  3. Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.
Last reviewed 2026-11-14 by the Find a Trial editorial team. Information on this page is for educational purposes and is not medical advice. Always consult qualified healthcare professionals about clinical trial participation.