Zapping heart scars: could one radiation dose replace drugs for dangerous rhythms?
NCT ID NCT07618780
First seen Jun 27, 2026 · Last updated Jun 27, 2026
Summary
This study tests a non-invasive radiation treatment called STAR for people with a dangerous fast heart rhythm caused by heart scarring. Instead of using medications or a catheter procedure, a single targeted dose of radiation is delivered to the scarred area. The goal is to see if this approach is safe and effective as a first treatment, reducing the need for ICD shocks and improving quality of life. The trial will enroll 20 adults and follow them for one year.
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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 20 people
The number the study aims to enrol. It can still change while the study runs.
- Expected to start
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Jul 2026
An estimate. Start dates often move.
- Expected to finish
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Jul 2029
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.
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Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: * Age 18 years or older and able to provide informed consent * Structural heart disease with myocardial fibrosis identified on pre-procedural imaging, including imaging evidence of regional myocardial akinesis/thinning or documented scar on echocardiography, cardiac CT, or cardiac MRI * Sustained monomorphic ventricular tachycardia (symptomatic or requiring ICD shocks for termination) within the previous 6 months Exclusion Criteria: * Reversible causes of VT (e.g., active ischemia, drug-induced, electrolyte abnormalities) * Acute coronary syndrome within 30 days, coronary revascularization (\<90 days for bypass surgery, \<30 days for percutaneous coronary intervention) * Patients previously treated with high-dose radiotherapy that precludes safe delivery of thoracic stereotactic radiotherapy (relative contraindication) * Patients requiring chest radiotherapy for an active cancer (relative contraindication) * VT targets cannot be identified or are not suitable for targeting with stereotactic radiotherapy (such as multiple foci of arrhythmia) * Patients who cannot tolerate the radiotherapy treatment position, or whose body habitus is not permissible by treatment bed requirements * Pregnant or breast-feeding women * Patients being considered for cardiac transplant who are deemed not eligible by their transplant team for STAR
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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
1 site. 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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Southlake Regional Health Centre
Newmarket, Ontario, L3Y 2P9, Canada
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