Could a tiny implant save thousands of heart failure patients?
NCT ID NCT05568069
First seen Jun 25, 2026 · Last updated Jun 27, 2026 · Updated 1 time
Summary
This study is testing whether an implantable defibrillator (ICD) helps people with a certain type of heart failure (non-ischemic cardiomyopathy) live longer. About 2,500 participants will be randomly assigned to receive an ICD or not, and their survival will be tracked for up to 10 years. The goal is to see if the device, which shocks the heart back into rhythm if it becomes dangerous, actually reduces deaths in this 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) or Cardiac Resynchronisation Therapy Defibrillator (CRTD)
- What this could lead to
- If this trial succeeds, it could show that ICDs save lives in people with non-ischemic heart failure, leading to updated treatment guidelines and better patient care.
- What could go wrong
- This is a large, late-stage trial, but it is still possible that ICDs do not improve survival in this specific group. There are also risks from the implant procedure, such as infection or device malfunction.
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
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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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About 2,504 people
The number the study aims to enrol. It can still change while the study runs.
- Started
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Apr 2023
- Expected to finish
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Feb 2032
An estimate. End dates often move.
- 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 years and older
- 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. A diagnosis of NICM on contrast-enhanced cardiovascular magnetic resonance imaging 2. LV scar on routine CMR (patient without scar can enter the registry) 3. New York Heart Association (NYHA) Heart Failure (HF) functional class I-III and severely impaired left ventricular function (LVEF ≤ 35% on any imaging modality) after a minimum of 3 months of treatment with optimal medical therapy (OMT) as recommended by National Institute for Health and Care Excellence (NICE) 4. Able and willing to provide informed consent Exclusion Criteria: 1. New York Heart Association (NYHA) HF functional class IV after 3 months of optimal medical therapy (OMT) 2. Acute decompensated heart failure 3. Previous implantable device in situ (PPM, Cardiac Resynchronisation Therapy (CRT) or ICD) 4. Ischemic cardiomyopathy (ICM) is defined as segmental wall motion abnormalities or wall thinning in a particular coronary territory with subendocardial or transmural late gadolinium enhancement (LGE). Patients with an LVEF ≤35% and a small amount of ischemic LGE (i.e. an infarct out of keeping with the amount of LV dysfunction) will not be excluded (so-called dual pathology patients) 5. Known diagnosis of amyloidosis, sarcoidosis, arrhythmogenic right ventricular cardiomyopathy, or hypertrophic cardiomyopathy (diseases in which there are specific guidelines regarding defibrillator therapy) 6. Known Lamin gene mutation or a positive family history of a Lamin gene mutation 7. Valve disease is considered likely to require surgery during the 3 years follow-up period 8. Complex congenital heart disease 9. Any secondary prevention ICD indication 10. Heart transplant recipient or admitted for cardiac transplantation/ left ventricular assist device 11. Clinically apparent myocardial ischemia which requires revascularization 12. Intracardiac mass which requires surgery 13. Active endocarditis 14. Active Septicaemia 15. Pregnancy 16. Life expectancy \<2 years secondary to any other cause (i.e. malignancy) 17. Active treatment with chemotherapy 18. Severe renal failure (GFR \<30) 19. Actively participating in another study without prior agreement between both Chief Investigators
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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.
How to take part
Only the study team decides who joins. These are the ways to reach them.
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The places running it
45 sites. The list below names each one and where it is.
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The official record
ClinicalTrials.gov lists the study team's own contact details, including names and phone numbers. We don't republish those.
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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
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Aberdeen Royal Infirmary
RECRUITINGAberdeen, Scotland, AB25 2ZN, United Kingdom
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Blackpool Victoria Hospiatal
RECRUITINGBlackpool, Lancashire, FY3 8NR, United Kingdom
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Castle Hill Hospital
RECRUITINGHull, Yorkshire, HU16 5JQ, United Kingdom
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Derriford Hospital
RECRUITINGPlymouth, Devon, PL6 8DH, United Kingdom
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Durham & Darlington NHS Foundation Trust
RECRUITINGDarlington, Durham, DL3 6HX, United Kingdom
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Essex Cardiothoracic Centre
RECRUITINGBasildon, Essex, SS16 5NL, United Kingdom
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Fairfield General Hospital, Northern Care Alliance NHS FT
RECRUITINGManchester, Manchester, BL9 7TD, United Kingdom
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Frimley Park Hospital
RECRUITINGCamberley, Surrey, GU16 7UJ, United Kingdom
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Glenfield Hospital
RECRUITINGLeicester, Leicestershire, LE3 9QP, United Kingdom
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Guy's Hospital
RECRUITINGLondon, London, SE1 9RT, United Kingdom
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Hammersmith Hospital, Imperial College Healthcare NHS Trust
RECRUITINGLondon, London, Wq12 0HS, United Kingdom
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James Paget University Hospitals NHS FT
RECRUITINGGorleston-on-Sea, Great Yarmouth, NR31 6LA, United Kingdom
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Kent & Canterbury Hospital
RECRUITINGCanterbury, Kent, CT1 3NG, United Kingdom
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King's College Hospital
RECRUITINGLondon, London, SE5 9RS, United Kingdom
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Leeds General Infirmary
RECRUITINGLeeds, West Yorkshire, LS1 3EX, United Kingdom
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Liverpool Heart & Chest
RECRUITINGLiverpool, Lancashire, L14 3PE, United Kingdom
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Maidstone Hospital, Maidstone & Tunbridge Wells NHS Trust
RECRUITINGMaidstone, Kent, ME16 9QQ, United Kingdom
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Morriston Hospital
RECRUITINGSwansea, SA6 6NL, United Kingdom
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Musgrove Park Hospital
ACTIVE_NOT_RECRUITINGTaunton, Somerset, TA1 5DA, United Kingdom
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New Cross Hospital
RECRUITINGWolverhampton, West Midlands, WV10 0QP, United Kingdom
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Newcastle Freeman Hospital
RECRUITINGNewcastle, Newcastle Upon Tyne, NE7 7DN, United Kingdom
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Northern General Hospital
RECRUITINGSheffield, South Yorkshire, S5 7AU, United Kingdom
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Nottingham City Hospital
RECRUITINGNottingham, Nottinghamshire, NG5 1PB, United Kingdom
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Pinderfields Hospital
RECRUITINGWakefield, West Yorkshire, WF1 4DG, United Kingdom
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Portsmouth Hospitals University NHS Trust
RECRUITINGPortsmouth, Hampshire, PO6 3LY, United Kingdom
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Royal Bournemouth Hospital
RECRUITINGBournemouth, Dorset, BH7 7DW, United Kingdom
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Royal Brompton Hospital
RECRUITINGLondon, London, SW3 6NP, United Kingdom
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Royal Devon & Exeter Hospital
RECRUITINGExeter, EX2 5DW, United Kingdom
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Royal Free Hospital
RECRUITINGLondon, London, NW3 2QG, United Kingdom
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Royal Infirmary of Edinburgh
RECRUITINGEdinburgh, Scotland, EH16 4SA, United Kingdom
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Royal Sussex County Hospital
RECRUITINGBrighton, East Sussex, BN2 5BE, United Kingdom
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Scarborough Hospital
RECRUITINGScarborough, Nortrh Yorkshire, YO12 6QL, United Kingdom
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Southampton Clinical Trials Unit
NOT_YET_RECRUITINGSouthampton, Hampshire, SO16 6YD, United Kingdom
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St Bartholomew's Hospital
RECRUITINGLondon, London, EC1A 7BE, United Kingdom
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St George's Hospital
RECRUITINGTooting, London, SW17 0QT, United Kingdom
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St Richards Hospital
RECRUITINGChichester, West Sussex, PO19 6SE, United Kingdom
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Surrey & Sussex Healthcare NHS Trust
RECRUITINGRedhill, Surrey, RH1 5RH, United Kingdom
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The James Cook University Hospital
RECRUITINGMiddlesbrough, North Yorkshire, TS4 3BW, United Kingdom
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The John Radcliffe Hospital
RECRUITINGOxford, Oxfordshire, OX3 9DU, United Kingdom
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University Hospital Coventry
RECRUITINGCoventry, Warwickshire, CV2 2DX, United Kingdom
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University Hospital Southampton NHS Foundation Trust
RECRUITINGSouthampton, Hampshire, SO16 6YD, United Kingdom
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University Hospital of North Tees
RECRUITINGHardwick, Stockton-on-Tees, TS19 8PE, United Kingdom
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University Hospital of Wales
RECRUITINGCardiff, Wales, CF14 4XW, United Kingdom
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Wansbeck General Hospital
ACTIVE_NOT_RECRUITINGAshington, Northumbria, NE63 9JJ, United Kingdom
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Worcestershire Royal Hospital
RECRUITINGWorcester, Worcestershire, WR5 1DD, United Kingdom
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Wycombe Hospital
RECRUITINGHigh Wycombe, Buckinghamshire, HP11 2TT, United Kingdom
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Wythenshaw Hospital
RECRUITINGManchester, Wythenshaw, M23 9LT, United Kingdom
More trials for these conditions
Other studies related to the condition(s) this trial covers.
- Which SGLT2 inhibitor wins? trial pits empagliflozin against dapagliflozin
- Can daily mindful breathing ease heart failure symptoms?
- Can a smartphone app keep heart failure patients out of the hospital?
- Can better training get doctors to talk about what matters most to dying veterans?
- Can AI read heart ultrasounds as well as trained sonographers?
- Can modern heart failure drugs reverse damage in three months?