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BradycArdia paCemaKer With AV Interval Modulation for Blood prEssure treAtmenT

Sponsor: Orchestra BioMed, Inc

NCT ID: NCT06059638

View on ClinicalTrials.gov ↗

At a glance

What the study gets you
Access to the study treatment being tested
Type of study
Interventional (receives a drug or procedure)
Time in hospital
In-person visits at study sites — visit count not specified by the sponsor
Drug or intervention
Medtronic Astra/Azure DR MRI IPG with AVIM therapy Activated (device), Medtronic Astra/Azure DR MRI IPG with AVIM therapy Deactivated (device)
How long the study runs
Study runs about 68 months (dates as stated)
About the drug or intervention
Medtronic Astra/Azure DR MRI IPG with AVIM therapy Activated — device: Antihypertensive therapy utilizing atrioventricular interval modulation. · Medtronic Astra/Azure DR MRI IPG with AVIM therapy Deactivated — device: AVIM therapy is deactivated
Patient visit burden
Not specified by the sponsor
Type of study
Testing a treatment
Ages
18 Years and over
Who
All
Number of participants
316
Started
2023-12-27
Last checked
2026-09

Plain English Summary

What is this study?

  • • Testing a new treatment for hypertension
  • • NA - 316 participants
  • • A prospective, multinational, randomized, double-blind, clinical trial evaluating the safety and effectiveness of a novel atrioventricular interval modulation (AVIM) algorithm downloaded into a dual-chamber Medtronic Astra/Azure pacemaker

Who can take part?

  • • Ages 18 Years and over
  • • Diagnosed with hypertension

Where?

  • • London - Royal Brompton
  • • London - St. Bartholomew's Hospital
  • • London - St. Thomas Hospital
  • • Oxford - John Radcliffe Hospital
  • • +1 more UK sites

This is a simplified summary. Always discuss with your doctor before making any decisions.

About This Trial

A prospective, multinational, randomized, double-blind, clinical trial evaluating the safety and effectiveness of a novel atrioventricular interval modulation (AVIM) algorithm downloaded into a dual-chamber Medtronic Astra/Azure pacemaker.

More detail

The study will be conducted in three phases: 1) Screening Phase, 2) Double-blind Randomized Phase (1 year), and 3) Unblinded Phase (2 years). Patients scheduled for implantation of an Astra/Azure pacemaker, or those who already have one implanted, who also have hypertension, may be screened for inclusion into this study. Subjects meeting randomization eligibility criteria will have the investigational AVIM Therapy RAMware downloaded into the Astra/Azure pacemaker and be randomized 1:1 to either have AVIM therapy turned ON or turned OFF. All subjects will continue to receive antihypertensive drug therapy.

HypertensionHypertension, SystolicHypertension, Essential

How this trial compares with your answers

Answer 2 more questions to improve match

What we know so far

Condition· Matched your search
Age· Tell us your age for better matching
Gender· Tell us your sex for better matching

Still need:

  • • Tell us your age for better matching
  • • Tell us your sex for better matching

Preliminary match based on your answers. Full eligibility requires on-site assessment including medical history, physical exam, and lab tests. This does not guarantee enrolment.

Eligibility at a Glance

Key info

  • Age: 18 Years and over
  • Who can join: All genders

What the study is looking for

  • ✓On a stable antihypertension treatment regimen with at least 1 class of antihypertensive drug
  • ✓Office SBP ≥135 mmHg and \<180 mmHg
  • ✓Average 24-Hour aSBP ≥130 mmHg and \<170 mmHg

Who cannot take part

  • ✗LVEF \<50%
  • ✗NYHA Class III-IV
  • ✗History of cerebrovascular accident (CVA) or transient ischemic attack (TIA) within 6 months
  • ✗Myocardial infarction (MI) within 3 months
  • ✗Prior percutaneous or surgical coronary, carotid, or endovascular intervention within 3 months
See the full criteria
Inclusion Criteria: 1. Patient has or is indicated for a dual-chamber pacemaker. Visit 1 can be performed within 30 days prior to a planned implant of a Medtronic Astra/Azure dual-chamber pacemaker system or at any time thereafter 2. On a stable antihypertension treatment regimen with at least 1 class of antihypertensive drug 3. Office SBP ≥135 mmHg and \<180 mmHg 4. Average 24-Hour aSBP ≥130 mmHg and \<170 mmHg Exclusion Criteria: 1. LVEF \<50% 2. NYHA Class III-IV 3. History of cerebrovascular accident (CVA) or transient ischemic attack (TIA) within 6 months 4. Myocardial infarction (MI) within 3 months 5. Prior percutaneous or surgical coronary, carotid, or endovascular intervention within 3 months 6. Permanent atrial fibrillation 7. Mitral valve regurgitation greater than or equal to grade 3 8. Aortic stenosis with a valve area less than 1.5 cm2 9. Has an active or prior device-based anti-hypertensive treatment (e.g., renal denervation procedure, baroreflex activation therapy) 10. Has an existing active cardiac device or neurostimulator other than the recent Astra/Azure pacemaker implant

Where Is This Study? (5 UK sites)

Royal Brompton

London, United Kingdom

Recruiting
Hospital R&D contact (matched)

Main Email: gstt.research.rbhh@nhs.net

gstt.research.rbhh@nhs.netn/a

St. Bartholomew's Hospital

London, United Kingdom

Recruiting

St. Thomas Hospital

London, United Kingdom

Recruiting
Hospital R&D contact (matched)

Main Email: gstt.research.rbhh@nhs.net

gstt.research.rbhh@nhs.netn/a

John Radcliffe Hospital

Oxford, United Kingdom

Recruiting

Southampton General Hospital

Southhampton, United Kingdom

Recruiting
Hospital R&D contact (matched)

Dr Mikayala King

researchmanagement@uhs.nhs.uk023 81208215

How to Get in Touch

Steven J. Evans, MD

Sponsor contact

CONTACT

917-670-5933 sevans@orchestrabiomed.com

Angela Stagg

Sponsor contact

CONTACT

astagg@orchestrabiomed.com
Data sourced from ClinicalTrials.gov · Last verified: 2026-09