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BIOTRONIK Conduction System Pacing With the Solia Lead

BIOTRONIK Conduction System Pacing With the Solia Lead

Status
Completed
Phases
NA
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT05251363
Acronym
BIO-CONDUCT
Enrollment
194
Registered
2022-02-22
Start date
2022-12-12
Completion date
2024-10-08
Last updated
2025-03-18

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Atrioventricular Block, Bradycardia, Cardiomyopathies, Left Bundle-Branch Block

Brief summary

The purpose of the BIO-CONDUCT study is to demonstrate the safety and effectiveness of the BIOTRONIK Solia S pacing lead when implanted in the left bundle branch (LBB) area. Safety will be assessed by evaluating serious adverse device effects that occur through 3 months post-implant. Efficacy will be assessed by evaluating implant success rate.

Interventions

DEVICESolia S lead

The Solia S pacing lead will be implanted in the LBB area for patients who meet all inclusion/exclusion criteria and give written informed consent.

Sponsors

Biotronik, Inc.
Lead SponsorINDUSTRY

Study design

Allocation
NA
Intervention model
SINGLE_GROUP
Primary purpose
TREATMENT
Masking
NONE

Eligibility

Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No

Inclusion criteria

* Patient is a candidate for implantation of a BIOTRONIK pacemaker system, per standard guidelines. Single chamber, dual chamber, and Cardiac Resynchronization Therapy with a Pacemaker (CRT-P) systems are allowed. * Patient has an implant planned to utilize left bundle branch area pacing within 30 days of consent * Patient is able to understand the nature of the study and provide written informed consent * Patient is available for follow-up visits on a regular basis for the expected duration of follow-up * Patient accepts Home Monitoring® concept * Patient age is greater than or equal to 18 years at time of consent

Exclusion criteria

* Patient meets a standard contraindication for pacemaker system implant * Patient is currently implanted with a pacemaker or Implantable Cardioverter-Defibrillator (ICD) device * Patient has had a previous unsuccessful attempt to place a lead in the LBB area * Patient has planned cardiac surgical procedures or interventional measures within 3 months after implant * Patient is expected to receive a heart transplant within 12 months * Patient life expectancy less than 12 months * Patient has the presence of another life-threatening, underlying illness separate from their cardiac disorder * Patient reports pregnancy at the time of enrollment * Patient is enrolled in any other investigational cardiac clinical study during the course of the study

Design outcomes

Primary

MeasureTime frameDescription
Serious Adverse Device Effect (SADE)-Free Rate at 3 Months3 months post implantThe overall rate of serious Solia S Left Bundle Branch (LBB) lead related adverse device effects and serious implant procedure events related to the Solia S LBB lead that occur through 3 months post-implant. The definition of adverse device effect is an untoward medical occurrence (e.g. disease, injury) related to the use of a study device. Pacemaker lead-related examples include events such as lead dislodgements or lead malfunction. The Solia S LBB lead complication-free rate is calculated as the number of subjects without one or more adverse device effect complications divided by the total number of study subjects successfully enrolled and subjects undergoing an unsuccessful implant attempt who have a qualifying primary safety endpoint event. Classification of adverse device related events from the pool of potential events is determined by a clinical events committee (CEC). The complication-free rate is expressed in percent.
Implant Success Rate of the Solia S Lead in LBB Areaat implant procedureThe percentage of subjects with Solia S placed successfully in the LBBA divided by the total number of consented study subjects in whom an implant of Solia S in the LBBA was attempted.

Secondary

MeasureTime frameDescription
Serious Adverse Device Effect (SADE)-Free Rate at 12 Months12 months post implantThe overall rate of serious Solia S LBBA lead related adverse device effects and serious implant procedure events related to the Solia S LBBA lead that occur through 12 months post-implant. The Solia S LBBA lead complication-free rate per subject, which was calculated as the number of subjects without one or more complications divided by the total number of study subjects successfully enrolled and subjects undergoing an unsuccessful implant attempt who have a qualifying safety endpoint event. The complication-free rate is expressed in percent.
Pacing Threshold Measurements for Solia S Lead at 3 Months3 months post implantPacing threshold measurements for Solia S leads implanted in the LBBA at the 3 month follow-up visit.
Sensing Measurements for Solia S Lead at 3 Months3 months post implantR-wave sensing amplitude measurements for Solia S leads implanted in the LBBA at the 3 month follow-up visit.
Pacing Impedance for Solia S Lead at 3 Months3 months post implantPacing impedance measurements for Solia S leads implanted in the LBBA at the 3 month follow-up visit.
Pacing Threshold Measurements for Solia S Lead at 6 Months6 months post implantPacing threshold measurements for Solia S leads implanted in the LBBA at the 6 month follow-up visit.
Quality of Life (QOL) From Baseline Through 12 Months Post-Implant12 months post implantThe change in the physical function Short Form-36 (SF-36, 36-Item Short Form Health Survey) QOL subscale was calculated as the mean change from baseline to 12-month follow-up for all subjects that completed both the baseline QOL and 12-month QOL questionnaire. The physical function subscale of Short Form-36 is comprised of ten questions out of the total of 36 questions. The responses to the ten questions relating to physical function were averaged at baseline and at 12 months. The difference in the averages (12 months minus baseline) is reported as the outcome for secondary endpoint 1. Note that each question and each component is scored such that a higher score defines a more favorable health state. Each is scored on a 0 to 100 range so that the lowest and highest possible scores are 0 and 100, respectively.
Pacing Impedance for Solia S Lead at 6 Months6 months post implantPacing impedance measurements for Solia S leads implanted in the LBBA at the 6 month follow-up visit.
Pacing Threshold Measurements for Solia S Lead at 12 Months12 months post implantPacing threshold measurements for Solia S leads implanted in the LBBA at the 12 month follow-up visit.
Sensing Measurements for Solia S Lead at 12 Months12 months post implantR-wave sensing amplitude measurements for Solia S leads implanted in the LBBA at the 12 month follow-up visit.
Pacing Impedance for Solia S Lead at 12 Months12 months post implantPacing impedance measurements for Solia S leads implanted in the LBBA at the 12 month follow-up visit.
Sensing Measurements for Solia S Lead at 6 Months6 months post implantR-wave sensing amplitude measurements for Solia S leads implanted in the LBBA at the 6 month follow-up visit.
Serious Adverse Device Effect (SADE)-Free Rate at 6 Months6 months post implantThe overall rate of serious Solia S LBBA lead related adverse device effects and serious implant procedure events related to the Solia S LBBA lead that occur through 6 months post-implant. The Solia S LBBA lead complication-free rate per subject, which was calculated as the number of subjects without one or more complications divided by the total number of study subjects successfully enrolled and subjects undergoing an unsuccessful implant attempt who have a qualifying safety endpoint event. The complication-free rate is expressed in percentage of participants without SADE.

Countries

United States

Participant flow

Recruitment details

The first study subject was consented on December 12, 2022. Study enrollment was completed on September 22, 2023, with a total of 194 subjects consented at 14 sites.

Pre-assignment details

Of the 194 enrolled participants, 186 met inclusion criteria and underwent an implant procedure attempt.

Participants by arm

ArmCount
Subjects With a Successful Solia S Implant in the LBBA
This includes subjects that were consented and had a successful Solia S LBBA lead implant according to the study implant success criteria.
178
Total178

Withdrawals & dropouts

PeriodReasonFG000
ImplantSubject did not meet LBBA implant criteria8
Overall Study After Implant PeriodDeath9
Overall Study After Implant PeriodLost to Follow-up2
Overall Study After Implant PeriodPhysician Decision1
Overall Study After Implant PeriodSolia S lead in LBBA Position Extracted4
Overall Study After Implant PeriodSubject Moved from Investigational Center3
Overall Study After Implant PeriodWithdrawal by Subject4

Baseline characteristics

CharacteristicSubjects With a Successful Solia S Implant in the LBBA
Age, Continuous76.2 Years
STANDARD_DEVIATION 9.12
BMI28.8 kg/m²
STANDARD_DEVIATION 5.43
Cardiac Medication at Implant
ACE Inhibitors
36 Participants
Cardiac Medication at Implant
Aldosterone Antagonist
6 Participants
Cardiac Medication at Implant
Angiotensin Receptor Blocker
51 Participants
Cardiac Medication at Implant
Angiotensin Receptor-Neprilisyn Inhibitor
2 Participants
Cardiac Medication at Implant
Anticoagulant
68 Participants
Cardiac Medication at Implant
Antiplatelet
57 Participants
Cardiac Medication at Implant
Class I Antiarrhythmic/Sodium-channel Blocker
9 Participants
Cardiac Medication at Implant
Class II Antiarrhythmic/Beta Blocker
55 Participants
Cardiac Medication at Implant
Class III Antiarrhythmic/Potassium-channel Blocker
15 Participants
Cardiac Medication at Implant
Class IV Antiarrhythmic/Calcium Channel Blocker
40 Participants
Cardiac Medication at Implant
Digitalis
2 Participants
Cardiac Medication at Implant
Diuretics Other Than Aldosterone Antagonist
60 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
8 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
156 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
14 Participants
Height67.4 Inches
STANDARD_DEVIATION 4.23
Implant Indication
Atrioventricular (AV) Block
70 Participants
Implant Indication
Other
11 Participants
Implant Indication
Planned or Prior AV Node Ablation
9 Participants
Implant Indication
Primary Heart Failure Indication
1 Participants
Implant Indication
Sinus Node Disease/Sick Sinus Syndrome
87 Participants
Medical History
Atrial Fibrillation
81 Participants
Medical History
Cardiomyopathy
13 Participants
Medical History
Cerebrovascular Disease (e.g., TIA / Stroke)
33 Participants
Medical History
Chronic Kidney Disease (CKD)
44 Participants
Medical History
Chronic Obstructive Pulmonary Disease
23 Participants
Medical History
Coronary Artery Disease
61 Participants
Medical History
Diabetes Mellitus
41 Participants
Medical History
Heart Failure
44 Participants
Medical History
Hypertension
152 Participants
Medical History
Peripheral Artery Disease
16 Participants
Medical History
Prior Myocardial Infarction
22 Participants
Medical History
Sleep Apnea
47 Participants
Medical History
Valvular Heart Disease
46 Participants
Race (NIH/OMB)
American Indian or Alaska Native
1 Participants
Race (NIH/OMB)
Asian
2 Participants
Race (NIH/OMB)
Black or African American
15 Participants
Race (NIH/OMB)
More than one race
1 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
Race (NIH/OMB)
Unknown or Not Reported
17 Participants
Race (NIH/OMB)
White
142 Participants
Sex: Female, Male
Female
65 Participants
Sex: Female, Male
Male
113 Participants
Weight186.3 Pounds
STANDARD_DEVIATION 41.66

Adverse events

Event typeEG000
affected / at risk
deaths
Total, all-cause mortality
9 / 186
other
Total, other adverse events
0 / 186
serious
Total, serious adverse events
52 / 186

Outcome results

Primary

Implant Success Rate of the Solia S Lead in LBB Area

The percentage of subjects with Solia S placed successfully in the LBBA divided by the total number of consented study subjects in whom an implant of Solia S in the LBBA was attempted.

Time frame: at implant procedure

Population: The population is defined as all enrolled subjects (subjects with successfully implanted Solia S in the LBBA) and subjects with an unsuccessful implant attempt of the Solia S in the LBBA. Determination of implant success is defined by the implanting physician at time of implant and includes assessments of the correct lead placement in the LBBA area during lead fixation. Final lead position is confirmed again after fixation.

ArmMeasureValue (NUMBER)
Intent-to-treat (ITT) - Primary Endpoint 1Implant Success Rate of the Solia S Lead in LBB Area95.7 % of participants with implant success
Comparison: H0: Implant Success Rate ≤ 80% Ha: Implant Success Rate \> 80% Used an exact binomial test comparing the observed proportion (implant success rate) to the performance goal of 80%. The lower, two-sided 95% confidence bound for the overall implant success rate must be greater than 80% to reject the null hypothesis (Ho), which would demonstrate evidence that the rate of successful Solia S LBBA implants is significantly higher than 80.0%.p-value: <0.0001Exact binomial test
Primary

Serious Adverse Device Effect (SADE)-Free Rate at 3 Months

The overall rate of serious Solia S Left Bundle Branch (LBB) lead related adverse device effects and serious implant procedure events related to the Solia S LBB lead that occur through 3 months post-implant. The definition of adverse device effect is an untoward medical occurrence (e.g. disease, injury) related to the use of a study device. Pacemaker lead-related examples include events such as lead dislodgements or lead malfunction. The Solia S LBB lead complication-free rate is calculated as the number of subjects without one or more adverse device effect complications divided by the total number of study subjects successfully enrolled and subjects undergoing an unsuccessful implant attempt who have a qualifying primary safety endpoint event. Classification of adverse device related events from the pool of potential events is determined by a clinical events committee (CEC). The complication-free rate is expressed in percent.

Time frame: 3 months post implant

Population: BIO-CONDUCT (NCT05251363) intent-to-treat subjects (having a successful or attempted Solia S implant in the LBBA) or subjects who had a qualifying primary safety endpoint event (such as a disease or injury related to the use of Solia S in the LBBA) prior to their exit from the study, were pooled with subjects in the BIO\|MASTER.Selectra 3D study (NCT04323670) who satisfied the BIO-CONDUCT inclusion/exclusion criteria and experienced the primary endpoint or had at least 76 days of follow-up.

ArmMeasureValue (NUMBER)
Intent-to-treat (ITT) - Primary Endpoint 1Serious Adverse Device Effect (SADE)-Free Rate at 3 Months98 Percentage of participants without SADE
Comparison: Ho: SADE-free rate ≤ 87.5% Ha: SADE-free rate \> 87.5% Used an exact binomial test comparing the observed proportion (overall SADE-free rate through 3 months) to the performance goal of 87.5%. The lower, two-sided 95% confidence bound for the overall SADE-free rate must be greater than 87.5% to reject the null hypothesis (Ho), which would demonstrate evidence that the SADE-free rate is significantly higher than 87.5%.p-value: <0.0001Exact binomial test
Secondary

Pacing Impedance for Solia S Lead at 12 Months

Pacing impedance measurements for Solia S leads implanted in the LBBA at the 12 month follow-up visit.

Time frame: 12 months post implant

Population: Includes Intent-to-Treat (ITT) subjects with valid pacing impedance measurements at their 12-mo follow-up. Some leads may not have a value at a visit due to valid reasons such as remote due to source documentation being unavailable.

ArmMeasureValue (MEAN)Dispersion
Intent-to-treat (ITT) - Primary Endpoint 1Pacing Impedance for Solia S Lead at 12 Months521.8 Impedance (Ω)Standard Deviation 96.6
Secondary

Pacing Impedance for Solia S Lead at 3 Months

Pacing impedance measurements for Solia S leads implanted in the LBBA at the 3 month follow-up visit.

Time frame: 3 months post implant

Population: Includes Intent-to-Treat (ITT) subjects with valid pacing impedance measurements at their 3-mo follow-up. Some leads may not have a value at a visit due to valid reasons such as remote due to source documentation being unavailable

ArmMeasureValue (MEAN)Dispersion
Intent-to-treat (ITT) - Primary Endpoint 1Pacing Impedance for Solia S Lead at 3 Months540.4 Impedance (Ω)Standard Deviation 96.4
Secondary

Pacing Impedance for Solia S Lead at 6 Months

Pacing impedance measurements for Solia S leads implanted in the LBBA at the 6 month follow-up visit.

Time frame: 6 months post implant

Population: Includes Intent-to-Treat (ITT) subjects with valid pacing impedance measurements at their 6-mo follow-up. Some leads may not have a value at a visit due to valid reasons such as remote due to source documentation being unavailable.

ArmMeasureValue (MEAN)Dispersion
Intent-to-treat (ITT) - Primary Endpoint 1Pacing Impedance for Solia S Lead at 6 Months526.7 Impedance (Ω)Standard Deviation 96.7
Secondary

Pacing Threshold Measurements for Solia S Lead at 12 Months

Pacing threshold measurements for Solia S leads implanted in the LBBA at the 12 month follow-up visit.

Time frame: 12 months post implant

Population: Includes Intent-to-Treat (ITT) subjects with valid threshold measurements at their 12-mo follow-up. Some leads may not have a value at a visit due to valid reasons, such as remote threshold information (capture control or automatic threshold measurement) is not available or thresholds not being performed at 0.4 ms, or due to source documentation being unavailable.

ArmMeasureValue (MEAN)Dispersion
Intent-to-treat (ITT) - Primary Endpoint 1Pacing Threshold Measurements for Solia S Lead at 12 Months0.98 Volts @ 0.4msStandard Deviation 0.29
Secondary

Pacing Threshold Measurements for Solia S Lead at 3 Months

Pacing threshold measurements for Solia S leads implanted in the LBBA at the 3 month follow-up visit.

Time frame: 3 months post implant

Population: Includes Intent-to-Treat (ITT) subjects with valid threshold measurements at their 3-mo follow-up. Some leads may not have a value at a visit due to valid reasons, such as remote threshold information (capture control or automatic threshold measurement) is not available or thresholds not being performed at 0.4 ms, or due to source documentation being unavailable.

ArmMeasureValue (MEAN)Dispersion
Intent-to-treat (ITT) - Primary Endpoint 1Pacing Threshold Measurements for Solia S Lead at 3 Months0.94 Volts @ 0.4msStandard Deviation 0.26
Secondary

Pacing Threshold Measurements for Solia S Lead at 6 Months

Pacing threshold measurements for Solia S leads implanted in the LBBA at the 6 month follow-up visit.

Time frame: 6 months post implant

Population: Includes Intent-to-Treat (ITT) subjects with valid threshold measurements at their 6-mo follow-up. Some leads may not have a value at a visit due to valid reasons, such as remote threshold information (capture control or automatic threshold measurement) is not available or thresholds not being performed at 0.4 ms, or due to source documentation being unavailable.

ArmMeasureValue (MEAN)Dispersion
Intent-to-treat (ITT) - Primary Endpoint 1Pacing Threshold Measurements for Solia S Lead at 6 Months0.97 Volts @ 0.4msStandard Deviation 0.27
Secondary

Quality of Life (QOL) From Baseline Through 12 Months Post-Implant

The change in the physical function Short Form-36 (SF-36, 36-Item Short Form Health Survey) QOL subscale was calculated as the mean change from baseline to 12-month follow-up for all subjects that completed both the baseline QOL and 12-month QOL questionnaire. The physical function subscale of Short Form-36 is comprised of ten questions out of the total of 36 questions. The responses to the ten questions relating to physical function were averaged at baseline and at 12 months. The difference in the averages (12 months minus baseline) is reported as the outcome for secondary endpoint 1. Note that each question and each component is scored such that a higher score defines a more favorable health state. Each is scored on a 0 to 100 range so that the lowest and highest possible scores are 0 and 100, respectively.

Time frame: 12 months post implant

Population: Population is defined as all enrolled subjects (subjects with successfully implanted Solia S in the LBBA) with evaluable, paired baseline and 12-mo measurements. Excludes subjects if baseline or 12-month QOL score cannot be calculated (due to missing or incomplete QOL data).

ArmMeasureValue (MEAN)
Intent-to-treat (ITT) - Primary Endpoint 1Quality of Life (QOL) From Baseline Through 12 Months Post-Implant11.4 Score on a Scale
Comparison: H0: Improvement in QOL Physical Function Scale ≤ 2.8 Ha: Improvement in QOL Physical Function Scale \> 2.8 Exact one-sample t-test comparing mean improvement in QOL from baseline to 12-mo post-implant to a goal of +2.8. The lower, two-sided 95% confidence bound for the improvement in QOL must be \> +2.8 to reject H0.p-value: <0.001t-test, 2 sided
Secondary

Sensing Measurements for Solia S Lead at 12 Months

R-wave sensing amplitude measurements for Solia S leads implanted in the LBBA at the 12 month follow-up visit.

Time frame: 12 months post implant

Population: Includes Intent-to-Treat (ITT) subjects with valid R-wave sensed amplitude measurements at their 12-mo follow-up. Some leads may not have a value at a visit due to valid reasons, such as atrial fibrillation or complete heart block, or due to source documentation being unavailable.

ArmMeasureValue (MEAN)Dispersion
Intent-to-treat (ITT) - Primary Endpoint 1Sensing Measurements for Solia S Lead at 12 Months12.76 mVStandard Deviation 4.83
Secondary

Sensing Measurements for Solia S Lead at 3 Months

R-wave sensing amplitude measurements for Solia S leads implanted in the LBBA at the 3 month follow-up visit.

Time frame: 3 months post implant

Population: Includes Intent-to-Treat (ITT) subjects with valid R-wave sensed amplitude measurements at their 3-mo follow-up. Some leads may not have a value at a visit due to valid reasons, such as atrial fibrillation or complete heart block, or due to source documentation being unavailable.

ArmMeasureValue (MEAN)Dispersion
Intent-to-treat (ITT) - Primary Endpoint 1Sensing Measurements for Solia S Lead at 3 Months12.37 mVStandard Deviation 4.16
Secondary

Sensing Measurements for Solia S Lead at 6 Months

R-wave sensing amplitude measurements for Solia S leads implanted in the LBBA at the 6 month follow-up visit.

Time frame: 6 months post implant

Population: Includes Intent-to-Treat (ITT) subjects with valid R-wave sensed amplitude measurements at their 6-mo follow-up. Some leads may not have a value at a visit due to valid reasons, such as atrial fibrillation or complete heart block, or due to source documentation being unavailable.

ArmMeasureValue (MEAN)Dispersion
Intent-to-treat (ITT) - Primary Endpoint 1Sensing Measurements for Solia S Lead at 6 Months12.83 mVStandard Deviation 4.78
Secondary

Serious Adverse Device Effect (SADE)-Free Rate at 12 Months

The overall rate of serious Solia S LBBA lead related adverse device effects and serious implant procedure events related to the Solia S LBBA lead that occur through 12 months post-implant. The Solia S LBBA lead complication-free rate per subject, which was calculated as the number of subjects without one or more complications divided by the total number of study subjects successfully enrolled and subjects undergoing an unsuccessful implant attempt who have a qualifying safety endpoint event. The complication-free rate is expressed in percent.

Time frame: 12 months post implant

Population: BIO-CONDUCT (NCT05251363) intent-to-treat subjects (have a successfully implanted Solia S in the LBBA or had an unsuccessful implant attempt of the Solia S in the LBBA) or subjects who had a qualifying primary safety endpoint event prior to their exit from the study were pooled with subjects in the BIO\|MASTER.Selectra 3D study (NCT04323670) who satisfied the BIO-CONDUCT inclusion/exclusion criteria and experienced the primary endpoint or had at least 335 days of follow-up.

ArmMeasureValue (MEAN)
Intent-to-treat (ITT) - Primary Endpoint 1Serious Adverse Device Effect (SADE)-Free Rate at 12 Months96.1 Percentage of participants without SADE
Secondary

Serious Adverse Device Effect (SADE)-Free Rate at 6 Months

The overall rate of serious Solia S LBBA lead related adverse device effects and serious implant procedure events related to the Solia S LBBA lead that occur through 6 months post-implant. The Solia S LBBA lead complication-free rate per subject, which was calculated as the number of subjects without one or more complications divided by the total number of study subjects successfully enrolled and subjects undergoing an unsuccessful implant attempt who have a qualifying safety endpoint event. The complication-free rate is expressed in percentage of participants without SADE.

Time frame: 6 months post implant

Population: Descriptive analysis of BIO-CONDUCT (NCT05251363) intent-to-treat subjects (have a successfully implanted Solia S in the LBBA or had an unsuccessful implant attempt of Solia S in the LBBA) or subjects who had a qualifying primary safety endpoint event prior to their exit from the study were pooled with subjects in the BIO\|MASTER.Selectra 3D study (NCT04323670) who satisfied the BIO-CONDUCT inclusion/exclusion criteria and experienced the primary endpoint or had at least 152 days of follow-up.

ArmMeasureValue (MEAN)
Intent-to-treat (ITT) - Primary Endpoint 1Serious Adverse Device Effect (SADE)-Free Rate at 6 Months96.7 Percentage of participants without SADE

Source: ClinicalTrials.gov · Data processed: Feb 4, 2026