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NCT05774262: TELE-SPACER
Pacemaker Implantation Versus Cardioneuroablation for Functional Atrioventricular Block
NA trial testing Pacemaker implantation in Atrioventricular Block in 300 participants. Currently enrolling.
31 August 2026
Quick facts
| Lead sponsor | American Heart of Poland |
|---|---|
| Phase | NA |
| Status | Recruiting now |
| Study type | INTERVENTIONAL |
| Allocation | randomized |
| Design | parallel |
| Masking | single |
| Primary purpose | treatment |
| Enrollment | 300 |
| Start date | 1 September 2023 |
| Primary completion | 31 August 2026 |
| Estimated completion | 31 December 2026 |
| Sites | 2 locations across Poland |
Drugs / interventions tested
- Pacemaker implantation
- Cardioneuroablation (CNA)
Conditions studied
- Atrioventricular Block — all drugs for Atrioventricular Block →
Sponsor
American Heart of Poland
Who can join
Adults 18 to 75, any sex, with Atrioventricular Block. Patients with the condition only — healthy volunteers not accepted.
Sponsor's own description
The TELE-SPACER study is a multicenter, noncommercial, physician-initiated, proof-of-concept, prospective, randomized, controlled, unblinded clinical trial and registry designed to compare two methods of treatment of patients with functional Atrio-Ventricular Block (AVB): the guidelines-recommended elective pacemaker (PM) therapy vs cardiovascular autonomic tests (CAT), electrophysiologic assessment (EPS) with referral to cardioneuroablation (CNA) and reevaluation of indications for PM therapy. The main questions TELE-SPACER aims to answer are: * Can the investigators successfully treat functional AVB without implantable device (PM)? * Can the investigators prove the feasibility and safety and demonstrate non-inferiority of CNA procedure in patients with functional AVB, avoiding long-term permanent pacing, its limitations, complications and costs ? The TELE-SPACER trial will validate the European Society of Cardiology (ESC) recommendations (level C of evidence: expert opinion) for elective PM implantation and will introduce CNA as effective treatment in the functional AVB patient population. Functional AVB - defined as a persistent or paroxysmal AVB with a positive results of atropine test
Publications & conference data
2 peer-reviewed publications reference this trial (live from Europe PMC):
-
Cardioneuroablation for the treatment of reflex syncope and functional bradyarrhythmias: A Scientific Statement of the European Heart Rhythm Association (EHRA) of the ESC, the Heart Rhythm Society (HRS), the Asia Pacific Heart Rhythm Society (APHRS) and the Latin American Heart R
Aksu T, Brignole M, Calo L, Debruyne P, et al · · 2024 · cited 45× · PMID 39082698 · DOI 10.1093/europace/euae206 -
TELE-SPACER - a randomized clinical trial protocol: Cardioneuroablation versus pacemaker implantation in the treatment of vagally-mediated atrio-ventricular block.
Stodółkiewicz-Nowarska E, Stec S, Wileczek A, Skoczyński P, et al · · 2024 · cited 1× · PMID 39422462 · DOI 10.5603/cj.102195
Verify or expand the search:
- PubMed search for NCT05774262
- Europe PMC full search
- ASCO Meeting Library
- ESMO Meeting Library
- bioRxiv preprints
- medRxiv preprints
- Google Scholar
Related trials
Other trials of Pacemaker implantation
Trials testing the same drug.
- NCT05021627 — Cardiac Autonomic Nerve Improvement and Pacemaker Therapy in Patients With Sinus Bradycardia · NA · not yet recruiting
- NCT04559646 — Application of the "Haemoblock" in Pacemaker Patients · completed
- NCT04111354 — Early Mobilization After Pacemaker Implantation. · NA · completed
Other recruiting trials for Atrioventricular Block
Currently open trials in the same condition.
- NCT07250529 — Left Bundle Branch Pacing vs Right Ventricular Pacing on AHRE Burden in Patients With Preserved LVEF · NA · recruiting
- NCT07209852 — Safety, Performance, and Clinical Benefit of Pacing the Left Bundle Branch Area - Post-Market Clinical Follow-up · recruiting
- NCT07276490 — Central Haemodynamics and Pacing for AV Block · NA · recruiting
- NCT07464041 — Left Bundle Branch Area Pacing Versus Right Ventricular Pacing in Atrioventricular Block With Preserved Ejection Fractio · NA · recruiting
- NCT07521800 — Remote ECG Monitoring Post TAVI · NA · recruiting
Other American Heart of Poland trials
Trials by the same sponsor.
- NCT07476196 — Poland-Italy Aortic Research Bridge Real World Registry · recruiting
Verify against primary sources
- ClinicalTrials.gov — authoritative US registry record
- WHO ICTRP — international registry index
- EU Clinical Trials Register
- Sponsor press releases (Google)
- Trial protocol + status: ClinicalTrials.gov NCT05774262 (US National Library of Medicine, public domain)
- Publications: Europe PMC API search by NCT ID, retrieved 10 June 2026
- Drug + disease cross-links: matched in real time against Drug Landscape's normalised drug + company + condition tables
- Sponsor: as reported to ClinicalTrials.gov by American Heart of Poland
- Last refreshed: 18 March 2024
Drug Landscape aggregates and links these public records for informational use only. Always verify against the primary source before clinical or regulatory decisions. Canonical URL: https://druglandscape.com/trial/NCT05774262.
Primary sources · FDA · ClinicalTrials.gov · EMA · SEC EDGAR · ChEMBL · Wikidata · full sourcing