ICD or not? landmark trial tests defibrillator necessity in seniors with heart failure.

NCT ID NCT05373940

First seen Jun 25, 2026 · Last updated Jun 27, 2026 · Updated 1 time

Summary

This study is testing whether people aged 70 and older with heart failure and a weak heart pump live just as long with only medication as they do with an implanted defibrillator (ICD). The trial will randomly assign 730 participants to receive either an ICD plus medication or medication alone, and track survival over four years. The goal is to see if skipping the ICD is safe and avoids unnecessary procedures in this age group.

What this could mean

Our plain-language read of the trial. This is informational only — not medical advice or a prediction.

Active substance

Implantable cardioverter defibrillator (ICD)

What this could lead to

If successful, this could show that older heart failure patients can safely skip an ICD and rely on medication alone, avoiding surgery and device risks.

What could go wrong

The trial is still recruiting and results are years away. It may find that skipping the ICD leads to more sudden cardiac deaths, or that the benefit of the ICD is too small to outweigh its risks.

Disclaimer Read more

This is a summary of the original study . Summaries may miss details or leave out important information. Before applying or accepting participation, make sure you have read and understood the full study. Curemydisease.com takes no responsibility whatsoever for anything missed, misunderstood, or acted upon as a result of our summary — we know it does not capture everything.

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Conditions

The condition(s) this trial relates to.

heart failure sudden arrhythmia death syndrome prevention target

As listed by the trial registrant

The condition terms exactly as the trial's registrant entered them.

Contacts and locations

Study contacts

  • Contact

    Phone: •••-•••-•••• Email: •••••@•••••

  • Contact

    Phone: •••-•••-•••• Email: •••••@•••••

Locations

  • CHU Amiens-Picardie-Site sud

    RECRUITING

    Amiens, 80054, France

    Contact Email: •••••@•••••

  • CHU Brest - Hôpital La Cavale Blanche

    RECRUITING

    Brest, 29200, France

    Contact Phone: •••-•••-•••• Email: •••••@•••••

  • CHU Grenoble Alpes

    RECRUITING

    La Tronche, 38700, France

    Contact Phone: •••-•••-•••• Email: •••••@•••••

  • CHU Poitiers

    RECRUITING

    Poitiers, 86021, France

    Contact Email: •••••@•••••

  • CHU Strasbourg

    RECRUITING

    Strasbourg, 67200, France

    Contact Phone: •••-•••-•••• Email: •••••@•••••

  • CHU de Nantes

    RECRUITING

    Nantes, 44093, France

    Contact Phone: •••-•••-•••• Email: •••••@•••••

  • CHU de Rouen

    RECRUITING

    Rouen, 76000, France

    Contact Phone: •••-•••-•••• Email: •••••@•••••

  • Centre Cardiologique du Nord

    RECRUITING

    Saint-Denis, 93207, France

    Contact Phone: •••-•••-•••• Email: •••••@•••••

  • Centre Hospitalier d'Aix en provence

    RECRUITING

    Aix-en-Provence, 13616, France

    Contact Phone: •••-•••-•••• Email: •••••@•••••

  • Clinique Pasteur

    RECRUITING

    Toulouse, 31076, France

    Contact Phone: •••-•••-•••• Email: •••••@•••••

  • Groupement d'Hôpitaux de l'Institut Catholique de Lille

    RECRUITING

    Lomme, 59462, France

    Contact Phone: •••-•••-•••• Email: •••••@•••••

  • Hôpital Bichat - Claude Bernard

    RECRUITING

    Paris, 75014, France

    Contact Phone: •••-•••-•••• Email: •••••@•••••

  • Hôpital Pitié-Salpétrière

    RECRUITING

    Paris, 75013, France

    Contact Phone: •••-•••-•••• Email: •••••@•••••

  • Hôpital Pontchaillou

    RECRUITING

    Rennes, 35033, France

    Contact Phone: •••-•••-•••• Email: •••••@•••••

  • Hôpital Trousseau

    RECRUITING

    Tours, 37170, France

    Contact Phone: •••-•••-•••• Email: •••••@•••••

  • Hôpital de Brabois

    RECRUITING

    Nancy, 54710, France

    Contact Email: •••••@•••••

  • Hôpital de La Timone

    RECRUITING

    Marseille, 13385, France

    Contact Phone: •••-•••-•••• Email: •••••@•••••

  • Hôpital européen Georges Pompidou

    RECRUITING

    Paris, , 75015, France

    Contact Phone: •••-•••-•••• Email: •••••@•••••

  • HôpitalHenri Mondor

    RECRUITING

    Créteil, 94000, France

    Contact Phone: •••-•••-•••• Email: •••••@•••••