Radiation beams target dangerous heart rhythms
NCT ID NCT05696522
First seen Sep 22, 2026 ยท Last updated Sep 22, 2026
Summary
Ventricular tachycardia is a fast, abnormal heart rhythm that can be life-threatening, especially in people whose hearts are already damaged. Standard treatments include drugs, implanted defibrillators, and catheter ablation, but some frail patients cannot safely undergo ablation. This small trial tests whether stereotactic ablative radiotherapy, a precise form of high-dose radiation, can reduce episodes of ventricular tachycardia and improve quality of life in adults who have not responded to other treatments.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- stereotactic ablative radiotherapy, a precisely targeted form of high-dose radiation
- What this could lead to
- If it works, radiotherapy could offer a non-invasive option for people with dangerous heart rhythms who are too frail for catheter ablation.
- What could go wrong
- This is a very small study of four people, so results may not apply broadly. Radiation near the heart carries risks of inflammation or damage to surrounding tissue.
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Study facts
What this study's own registry entry says, in plain language.
- Phase
-
Not a phased trial
Phase numbers describe drug development. The registry uses this when they do not apply, as it does for trials of devices, procedures or behaviour changes, and for observational studies.
- Participants
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4 people
The number who actually took part.
- Started
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Jan 2023
- Finished
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May 2026
- Lead sponsor
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Other sponsor
The registry's catch-all category, for sponsors it does not file as a company, a government agency, or a research network.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
- Ages
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18 to 85 years
- Sex
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Anyone
- Healthy volunteers
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Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: 1. They are at least 18-85 years old. 2. They have recurrent VT (at least three episodes in the preceding six months) requiring therapy from an ICD, that is refractory to conventional treatments - both maximally tolerated doses of anti- arrhythmic drugs and/or conventional catheter ablation. 3. They are too frail or do not wish to undergo conventional catheter ablation. 4. They have not had previous radiotherapy to the anticipated treatment field. Exclusion Criteria: 1. They have polymorphic VT or ventricular fibrillation (VF). 2. They have inotrope-dependent heart failure or a left ventricular assist device (LVAD) in situ. 3. They are unlikely to live more than 12 months irrespective of the VT. 4. There is a potentially reversible cause for the VT e.g. critical coronary artery disease or a metabolic problem such as an overactive thyroid gland. 5. They are unable to provide informed consent. 6. They have had previous radiotherapy to the anticipated treatment field. 7. The patient weighs in excess of 170kg (maximum weight capacity of the tables in the imaging department).
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Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
Contacts and locations
Locations
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St Bartholomew's Hospital
London, EC1A 7BE, United Kingdom
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