UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000057500
Receipt number R000064976
Scientific Title Efficacy of Cardiac Resynchronization Therapy in Patients with Non-Left Bundle Branch Block type ECG: Multicenter Registry
Date of disclosure of the study information 2025/04/08
Last modified on 2026/04/05 15:26:14

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Basic information

Public title

Efficacy of Cardiac Resynchronization Therapy in Patients with Non-Left Bundle Branch Block type ECG: Multicenter Registry

Acronym

non-LBBB CRT Study

Scientific Title

Efficacy of Cardiac Resynchronization Therapy in Patients with Non-Left Bundle Branch Block type ECG: Multicenter Registry

Scientific Title:Acronym

non-LBBB CRT Study

Region

Japan


Condition

Condition

Heart failure patients with non-left bundle branch block type ECG who meet the class IIa/IIb recommendation for cardiac resynchronization therapy (CRT) according to the Japanese guideline on non-pharmacological therapy of cardiac arrhythmias

Classification by specialty

Cardiology

Classification by malignancy

Others

Genomic information

NO


Objectives

Narrative objectives1

In the Japanese guidelines, the indication for cardiac resynchronization therapy (CRT) in heart failure patients with reduced left ventricular ejection fraction (EF <=35%, HFrEF) and non-left bundle branch block (non-LBBB) ECG is classified as Class IIa for a QRS duration >=150 msec and Class IIb for a QRS duration between 120 msec and 149 msec. However, clinical evidence on CRT in this population are largely limited. This study aims to evaluate the efficacy of CRT in Japanese HFrEF patients with non-LBBB ECG.

Basic objectives2

Efficacy

Basic objectives -Others


Trial characteristics_1


Trial characteristics_2


Developmental phase



Assessment

Primary outcomes

The criteria for CRT responders (LVEF, LVESV, Clinical Composite Score)

Key secondary outcomes



Base

Study type

Observational


Study design

Basic design


Randomization


Randomization unit


Blinding


Control


Stratification


Dynamic allocation


Institution consideration


Blocking


Concealment



Intervention

No. of arms


Purpose of intervention


Type of intervention


Interventions/Control_1


Interventions/Control_2


Interventions/Control_3


Interventions/Control_4


Interventions/Control_5


Interventions/Control_6


Interventions/Control_7


Interventions/Control_8


Interventions/Control_9


Interventions/Control_10



Eligibility

Age-lower limit

20 years-old <=

Age-upper limit


Not applicable

Gender

Male and Female

Key inclusion criteria

1. Patient's age should be 20 y/o or more at the time of consent acquisition.
2. Therapeutic indication of cardiac resynchronization therapy should be based on the Japanese guideline (2018 JCS/JHRS non-pharmacological guideline).
3. QRS morphology should not meet the Strauss's criteria for left bundle branch block (LBBB).

Strauss's Criteria for LBBB:
1. Intrinsic QRS duration >140 ms (men) or >130 ms (women).
2. QS or rS pattern in leads V1 and V2.
3. Notching or slurring in the mid-QRS complex in at least two of the following leads: V1, V2, V5, V6, I, and aVL.

Key exclusion criteria

1. Patients who meet Class III indication of CRT in the Japanese guideline.
2. Patients with frequent recurrent ventricular tachycardia (VT) or ventricular fibrillation (VF) that cannot be controlled with antiarrhythmic drugs or catheter ablation.
3. Patients with severe drug-refractory congestive heart failure classified as NYHA functional class IV who are not candidates for heart transplantation, cardiac resynchronization therapy (CRT), or left ventricular assist device.
4. Patients who have refused the rPatients who have refused the registration to this study.
5. Patients who are made ineligible for this study by physicians.
6. Patients who have LBBB type ECG based on the Strauss's criteria.

Target sample size

100


Research contact person

Name of lead principal investigator

1st name Masahide
Middle name
Last name Harada

Organization

Fujita Health University

Division name

Department of Cardiology

Zip code

4701192

Address

1-98 Dengakugakugo Kutsukakcho Toyoake Aichi Japan

TEL

0562932312

Email

mharada@fujita-hu.ac.jp


Public contact

Name of contact person

1st name Masahide
Middle name
Last name Harada

Organization

Fujita Health University

Division name

Department of Cardiology

Zip code

4701192

Address

1-98 Dengakugakugo Kutsukakcho Toyoake Aichi Japan

TEL

0562932312

Homepage URL


Email

mharada@fujita-hu.ac.jp


Sponsor or person

Institute

Fujita Health University

Institute

Department

Personal name



Funding Source

Organization

Fujita Health University

Organization

Division

Category of Funding Organization

Other

Nationality of Funding Organization



Other related organizations

Co-sponsor


Name of secondary funder(s)



IRB Contact (For public release)

Organization

Fujita Health University Certified Review Board

Address

1-98 Dengakugakugo Kutsukakcho Toyoake Aichi Japan

Tel

0562932865

Email

crb-f@fujita-hu.ac.jp


Secondary IDs

Secondary IDs

NO

Study ID_1


Org. issuing International ID_1


Study ID_2


Org. issuing International ID_2


IND to MHLW



Institutions

Institutions



Other administrative information

Date of disclosure of the study information

2025 Year 04 Month 08 Day


Related information

URL releasing protocol


Publication of results

Unpublished


Result

URL related to results and publications


Number of participants that the trial has enrolled

100

Results


Results date posted


Results Delayed


Results Delay Reason


Date of the first journal publication of results


Baseline Characteristics


Participant flow


Adverse events


Outcome measures


Plan to share IPD


IPD sharing Plan description



Progress

Recruitment status

No longer recruiting

Date of protocol fixation

2024 Year 10 Month 21 Day

Date of IRB

2024 Year 10 Month 21 Day

Anticipated trial start date

2025 Year 04 Month 07 Day

Last follow-up date

2025 Year 12 Month 31 Day

Date of closure to data entry


Date trial data considered complete


Date analysis concluded



Other

Other related information

All patients who underwent CRT as of 29/March/2019 (after publication of the JCS/JHRS non-pharmacological guidelines) and completed the clinical follow-up before 31/Dec/2025 will be retrospectively enrolled.


Management information

Registered date

2025 Year 04 Month 03 Day

Last modified on

2026 Year 04 Month 05 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/icdr_e/ctr_view.cgi?recptno=R000064976