Heart scar on MRI may decide who gets a lifesaving shock device
NCT ID NCT07415642
First seen Jun 27, 2026 · Last updated Jun 27, 2026
Summary
This study looks at whether an implantable defibrillator (ICD) can reduce the risk of sudden cardiac death in people with non-ischemic dilated cardiomyopathy, a type of heart muscle disease not caused by blocked arteries. Researchers will use MRI scans to find heart scarring (fibrosis) and then randomly assign those with scarring to either get an ICD or continue standard medication. The goal is to see if the ICD improves survival and helps doctors better predict who is at highest risk.
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 an ICD saves lives in certain heart muscle disease patients and help doctors better identify who needs one.
- What could go wrong
- The trial hasn't started yet, and it's possible that ICDs may not reduce overall death risk or that complications from the device outweigh benefits.
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 720 people
The number the study aims to enrol. It can still change while the study runs.
- Expected to start
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Mar 2026
An estimate. Start dates often move.
- Expected to finish
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Dec 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: * Non-ischemic cardiomyopathy * Left ventricular late gadolinium enhancement on MRI, but not hinge-point fibrosis * Left ventricular ejection fraction \<35% on any modality * Functional class NYHA I-III * At least 3 months optimal medical treatment for heart failure Exclusion Criteria: * Indication for cardiac resynchronization therapy * Functional class NYHA IV * Typical ischemic scar tissue on CMR * Amyloidosis, sarcoidosis, hypertrophic cardiomyopathy, complex congenital heart disease * high-risk mutations causing DCM * Patient on waiting list for heart transplantation * Left ventricular assist device present * Severe valve disease * Secondary prevention indication for ICD * Untreated cardiac ischemia * High competing risk of death (\>35% in 1 year according to HFmetascore) * Active chemotherapy for cancer * Severe renal failure with dialysis expected within 3 years
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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
2 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. 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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Radboud University Medical Center
Nijmegen, Netherlands
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University Medical Center Groningen
Groningen, Netherlands
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Other studies related to the condition(s) this trial covers.
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