Actively Recruiting

Phase Not Applicable
Age: 18Years +
All Genders
NCT05913375

Stereotactic Management of Arrhythmia - Radiosurgery Treatment and Evaluation of Response in Ventricular Tachycardia

Led by Maria Sklodowska-Curie National Research Institute of Oncology · Updated on 2023-10-19

20

Participants Needed

2

Research Sites

144 weeks

Total Duration

On this page

Sponsors

M

Maria Sklodowska-Curie National Research Institute of Oncology

Lead Sponsor

L

Leszek Giec Upper Silesian Medical Center of the Medical University of Silesia in Katowice, Poland

Collaborating Sponsor

AI-Summary

What this Trial Is About

Prospective single-arm study investigating the efficacy and safety of non-invasive cardiac radiosurgery for the treatment of ventricular tachycardia (VT) with reduced dose of radiation (20 Gy). The efficacy and safety outcome measures will be compared with historical control - patients treated within the SMART-VT study (NCT04642963) with a single dose of 25 Gy to test the hypothesis that reduced dose of radiation is similarly effective in terms of reduction of VT burden.

CONDITIONS

Official Title

Stereotactic Management of Arrhythmia - Radiosurgery Treatment and Evaluation of Response in Ventricular Tachycardia

Who Can Participate

Age: 18Years +
All Genders

Eligibility Criteria

Eligible

You may qualify if you...

  • Age 2 18 years or older
  • Diagnosed with structural heart disease
  • Have an implantable cardioverter defibrillator (ICD) or cardiac resynchronization therapy with defibrillation (CRT-D)
  • Clinically symptomatic ventricular arrhythmia with at least 3 episodes of ventricular tachycardia per month despite treatment
  • At least one episode of monomorphic ventricular tachycardia recorded during electrophysiological examination
  • Recurrent ventricular tachycardia after at least one failed percutaneous ablation attempt or disqualification from this treatment
  • Persistent recurrence of ventricular tachycardia despite adequate medication
  • Able and willing to give informed consent to participate in the study
Not Eligible

You will not qualify if you...

  • Premature ventricular contractions
  • Cardiac damage requiring inotropic treatment
  • Implantation of left ventricular assist device (LVAD)
  • Ventricular arrhythmia caused by channelopathy
  • Reversible cause of ventricular tachycardia
  • New York Heart Association (NYHA) stage IV heart failure
  • Myocardial infarction or cardiac surgery within the last 3 months
  • Life expectancy less than 6 months
  • Polymorphic ventricular tachycardia
  • Pregnancy or breastfeeding
  • Substrate location preventing safe radiotherapy (due to critical organ location or prior radiotherapy dose)
  • Active systemic, pulmonary, or pericardial inflammatory process requiring treatment in past 6 months, except stable sarcoidosis
  • Active uncontrolled cancer or chemo/immunotherapy within the past month or planned within one month after treatment
  • Lack of informed consent

AI-Screening

AI-Powered Screening

Complete this quick 3-step screening to check your eligibility

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Trial Site Locations

Total: 2 locations

1

Maria Skłodowska-Curie National Research Institute of Oncology, Gliwice Branch

Gliwice, Poland, 44-102

Actively Recruiting

2

Professor Leszek Giec Upper Silesian Medical Center of the Medical University of Silesia

Katowice, Poland, 40-635

Actively Recruiting

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Research Team

S

Sławomir Blamek, MD, PhD, MBA

CONTACT

M

Marcin Miszczyk, MD, PhD

CONTACT

How is the study designed?

Study Type

INTERVENTIONAL

Masking

NONE

Allocation

NA

Model

SINGLE_GROUP

Primary Purpose

TREATMENT

Number of Arms

1

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