Can a higher dose of heart radiation stop dangerous rhythms?
NCT ID NCT05594368
First seen Aug 21, 2026 · Last updated Aug 21, 2026
Summary
This trial is testing whether a higher dose of targeted radiation to the heart can reduce the return of ventricular tachycardia, a dangerous fast heart rhythm, in people with structural heart disease. The treatment, called stereotactic arrhythmia radioablation, aims to create scar tissue in the heart to block abnormal electrical signals. The study will enroll about 15 patients who have not been helped by standard treatments like catheter ablation. Researchers will compare the safety and effectiveness of escalating radiation doses, up to 32.5 Gy, against the usual 25 Gy dose.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- Stereotactic arrhythmia radioablation (a single, targeted high-dose radiation treatment to the heart)
- What this could lead to
- If higher radiation doses work, this could offer a non-invasive treatment option for people with recurrent ventricular tachycardia who have not responded to other therapies.
- What could go wrong
- This is an early-phase trial with a small number of participants, so results may not apply broadly. Higher radiation doses also carry risks of damage to nearby healthy tissue.
This is an AI summary of the original study and may miss details. Read our disclaimer.
Study facts
What this study's own registry entry says, in plain language.
- Phase
-
Phase 1
The first testing in people. Mainly checks safety and dose, usually in a small group.
- Participants
-
About 15 people
The number the study aims to enrol. It can still change while the study runs.
- Started
-
Jul 2022
- Expected to finish
-
Dec 2028
An estimate. End dates often move.
- Lead sponsor
-
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
-
18 years and older
- Sex
-
Anyone
- Healthy volunteers
-
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: Patients with structural heart disease, in particular ischemic and non-ischemic cardiomyopathy: Implanted ICD and/or CRT-D. Prior ≥1 failed catheter ablation (with endocardial ± epicardial approach based on the substrate location and the ECG morphology of clinical VTs) procedure to control sustained monomorphic VT using currently recommended mapping and ablation techniques,2 or patients in whom ablation is not feasible. Reasons for lack of epicardial ablation and non-feasibility of catheter ablation must be specified. Sustained VT recurrence after catheter ablation on optimised antiarrhythmic medication. Age ≥18 years. IRB-approved, written informed consent must be provided Exclusion Criteria: Patients with only premature ventricular contractions. Patients with sustained VT/VF who demonstrate: Acute myocardial infarction; Primary electrical disease (channelopathy); Reversible and treatable cause (e.g., drug-induced or intoxication) of VT that can be adequately addressed otherwise; A target that cannot be safely and precisely defined based on stereotactic radiotherapy accuracy requirements (e.g., anatomical interference from OARs, overlapping prior radiation therapy to the thoracic region); Pregnancy or breastfeeding; Inability to provide informed consent.
Get updates
Get notified about this study
Sign up to get updates when this study changes or when new studies for Ventricular tachycardia are added.
By submitting, you agree to our Terms of use
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.
How to take part
Only the study team decides who joins. These are the ways to reach them.
-
The places running it
3 sites in 2 countries. The list below names each one and where it is.
-
The official record
ClinicalTrials.gov lists the study team's own contact details, including names and phone numbers. We don't republish those.
-
A doctor treating you
A doctor who knows your case can contact a study site on your behalf, and can tell you whether this study is worth pursuing at all.
Contacts and locations
Locations
-
Inselspital Bern
RECRUITINGBern, Switzerland
-
University Hospital Ostrava
RECRUITINGOstrava, Czechia
-
University Hospital Zurich
RECRUITINGZurich, Canton of Zurich, 8091, Switzerland
More trials for these conditions
Other studies related to the condition(s) this trial covers.
- Can a new electric pulse technique tame Post-Heart-Attack heart rhythms faster?
- Can two advanced heart maps guide a more precise fix for dangerous arrhythmias?
- Could a short course of steroids calm a dangerous heart rhythm?
- CT scan roadmap may improve heart ablation success
- 4,000 heart patients to be tracked after ablation procedure
- Smart patches could save hearts: hospital trial tests continuous monitoring