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Recruiting INTERVENTIONAL NCT06059638

BradycArdia paCemaKer With AV Interval Modulation for Blood prEssure treAtmenT (BACKBEAT)

Sponsor: Medtronic

Updated 22 times since 2023 Last updated: Apr 15, 2026 Started: Dec 27, 2023 Primary completion: Dec 1, 2026 Completion: Aug 1, 2029
This information is for research purposes only and is not medical advice. Consult a healthcare provider before making any medical decision.

A observational or N/A phase clinical study on Hypertension and Hypertension, Essential, this trial is actively recruiting participants. The trial is conducted by Medtronic and has accumulated 22 data snapshots since 2023. Cardiovascular trials of this type often inform treatment guidelines for long-term patient management.

Study Description(click to expand)

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.

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.

Status Flow

~Oct 2023 – ~Dec 2023 · 2 months · monthly snapshot~Dec 2023 – ~Feb 2024 · 2 months · monthly snapshot~Feb 2024 – ~Mar 2024 · 29 days · monthly snapshot~Mar 2024 – ~Apr 2024 · 31 days · monthly snapshot~Apr 2024 – ~Jun 2024 · 2 months · monthly snapshot~Jun 2024 – ~Jul 2024 · 30 days · monthly snapshot~Jul 2024 – ~Aug 2024 · 31 days · monthly snapshot~Aug 2024 – ~Sep 2024 · 31 days · monthly snapshot~Sep 2024 – ~Oct 2024 · 30 days · monthly snapshot~Oct 2024 – ~Dec 2024 · 2 months · monthly snapshot~Dec 2024 – ~Jan 2025 · 31 days · monthly snapshot~Jan 2025 – ~Mar 2025 · 59 days · monthly snapshot~Mar 2025 – ~Apr 2025 · 31 days · monthly snapshot~Apr 2025 – ~Jun 2025 · 2 months · monthly snapshot~Jun 2025 – ~Jul 2025 · 30 days · monthly snapshot~Jul 2025 – ~Aug 2025 · 31 days · monthly snapshot~Aug 2025 – ~Sep 2025 · 31 days · monthly snapshot~Sep 2025 – ~Oct 2025 · 30 days · monthly snapshot~Oct 2025 – ~Dec 2025 · 2 months · monthly snapshot~Dec 2025 – ~Jan 2026 · 31 days · monthly snapshot~Jan 2026 – ~Apr 2026 · 4 months · monthly snapshotApr 18, 2026 – present · 2 months · daily API

Change History

22 versions recorded
  1. Apr 18, 2026 — Present [daily]

    Recruiting

    Phase: NANone

  2. Jan 2026 — Apr 2026 [monthly]

    Recruiting NA

  3. Dec 2025 — Jan 2026 [monthly]

    Recruiting NA

  4. Oct 2025 — Dec 2025 [monthly]

    Recruiting NA

  5. Sep 2025 — Oct 2025 [monthly]

    Recruiting NA

Show 17 earlier versions
  1. Aug 2025 — Sep 2025 [monthly]

    Recruiting NA

  2. Jul 2025 — Aug 2025 [monthly]

    Recruiting NA

  3. Jun 2025 — Jul 2025 [monthly]

    Recruiting NA

  4. Apr 2025 — Jun 2025 [monthly]

    Recruiting NA

  5. Mar 2025 — Apr 2025 [monthly]

    Recruiting NA

  6. Jan 2025 — Mar 2025 [monthly]

    Recruiting NA

  7. Dec 2024 — Jan 2025 [monthly]

    Recruiting NA

  8. Oct 2024 — Dec 2024 [monthly]

    Recruiting NA

  9. Sep 2024 — Oct 2024 [monthly]

    Recruiting NA

  10. Aug 2024 — Sep 2024 [monthly]

    Recruiting NA

  11. Jul 2024 — Aug 2024 [monthly]

    Recruiting NA

  12. Jun 2024 — Jul 2024 [monthly]

    Recruiting NA

  13. Apr 2024 — Jun 2024 [monthly]

    Recruiting NA

  14. Mar 2024 — Apr 2024 [monthly]

    Recruiting NA

  15. Feb 2024 — Mar 2024 [monthly]

    Recruiting NA

    Status: Not Yet RecruitingRecruiting

  16. Dec 2023 — Feb 2024 [monthly]

    Not Yet Recruiting NA

    Status: WithheldNot Yet Recruiting · Phase: NoneNA

  17. Oct 2023 — Dec 2023 [monthly]

    Withheld

    First recorded

Eligibility Summary

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.

Contact Information

Sponsor contact:
  • Medtronic
  • Orchestra BioMed, Inc
Data source: ClinicalTrials.gov

For direct contact, visit the study record on ClinicalTrials.gov .