Studying Routine Patient Care With BIOTRONIK Devices That Allow a More Natural Heart Stimulation
BIO|STREAM-CSP
Observation of Clinical Routine Care for Patients Implanted With BIOTRONIK Devices Used for Conduction System Pacing (CSP)
1 other identifier
observational
1,000
0 countries
N/A
Brief Summary
The registry is designed to assess outcome, performance and residual safety aspects of BIOTRONIK products which are used in the context of CSP based on long-term data from an unselected, real-life clinical set-up.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P75+ for all trials
Started May 2026
Longer than P75 for all trials
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
First Submitted
Initial submission to the registry
January 9, 2026
CompletedFirst Posted
Study publicly available on registry
February 6, 2026
CompletedStudy Start
First participant enrolled
May 29, 2026
CompletedPrimary Completion
Last participant's last visit for primary outcome
February 1, 2033
ExpectedStudy Completion
Last participant's last visit for all outcomes
February 1, 2033
May 15, 2026
December 1, 2025
6.7 years
January 9, 2026
May 13, 2026
Conditions
Keywords
Outcome Measures
Primary Outcomes (7)
SADE-d free rate related to any investigatonal device
Rate of serious adverse device effects possible, probable or causal related to any investigational device.
throughout study duration, average of 4 years; annual evaluations
Rate of successful acute implantation in LBBAP using investigational devices in LBBAP
All implantations, in which the investigator decides to leave the Solia CSP S pacing lead permanently deep within the intraventricular septum are counted as acute success.
Day 1
Capture type at implantation
The investigator confirms the type of pacing capture for any implantation in which the pacing lead is permanently positioned deep within the interventricular septum. Success rates for LBBAP and CSP are determined based on ECG parameters.
Day 1
Long-term maintenance of LBBAP
The investigator is asked to assess the effectiveness of LBBAP during follow-up based on the interpretation of a 12-lead ECG recording.
throughout study duration, average of 4 years; annual evaluations
Electrical parameters - pacing threshold
The investigators will be asked to record the pacing thresholds (Volts) of the LBBAP leads at a pulse width of 0.4 ms.
throughout study duration, average of 4 years; annual evaluations
Electrical parameters - sensing amplitude
The investigators will be asked to record the sensing amplitude (Millivolts) of the LBBAP leads.
throughout study duration, average of 4 years; annual evaluations
Electrical parameters - pacing impedance
The investigators will be asked to record the lead pacing impedance (Ohms) of the LBBAP leads.
throughout study duration, average of 4 years; annual evaluations
Interventions
Observation of clinical routine care for patients implanted with BIOTRONIK devices used for conduction system pacing (CSP)
Eligibility Criteria
The patient population consists exclusively of patients with an indication for pacemaker or cardiac resynchronization therapy according to the current clinical practice.
You may qualify if:
- Guideline indication for pacemaker or cardiac resynchronization therapy with or without defibrillation function (CRT-P/-D)
- Patient is intended for a de novo implantation and LBBAP therapy with an investigational generator and an investigational lead OR has just been implanted with an investigational generator and an investigational lead positioned permanently deep within the intraventricular septum and has not yet been discharged from the hospital OR transitions from the BIO\|MASTER.CSP study
- Ability to understand the nature of the study
- Ability and willingness to perform all follow-up visits
- Ability and willingness to use the CardioMessenger and acceptance of the BIOTRONIK Home Monitoring concept
You may not qualify if:
- Planned dation from intended use
- Planned for cardiac surgical procedures, heart transplantation or interventional measures other than the study procedure within one year after enrollment
- Life-expectancy less than 12 months
- Pregnant or breast feeding
- Age less than 18 years
- Participation in an interventional clinical investigation, except for submodules within this study.
Contact the study team to confirm eligibility.
Sponsors & Collaborators
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Central Study Contacts
Study Design
- Study Type
- observational
- Observational Model
- OTHER
- Time Perspective
- PROSPECTIVE
- Target Duration
- 4 Years
- Sponsor Type
- INDUSTRY
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
January 9, 2026
First Posted
February 6, 2026
Study Start
May 29, 2026
Primary Completion (Estimated)
February 1, 2033
Study Completion (Estimated)
February 1, 2033
Last Updated
May 15, 2026
Record last verified: 2025-12