Clinical trial Recruiting at 1 site Observational Ages 40 to 69

Finding hidden early heart failure in at-risk adults in major German cities using mobile MRI

Official title: A Prospective, Cross-sectional, Nationwide Community-based Observational Study to Determine the Prevalence of Unrecognized Heart Failure Among Patients at Risk in Urban Areas Across Germany Using CMR

Run by German Heart Institute · NCT07185100 · Data updated 2026-11-12

This project will test whether a mobile, telemedicine‑supervised screening using cardiac MRI, lab tests, and questionnaires can find hidden (asymptomatic) heart failure in adults aged 40–69 with heart risk factors living in large German cities.

More Heart Failure With Preserved Ejection Fraction (HFPEF) trials

Quick facts

Study typeObservational
Ages40 Years to 69 Years
SexAll
Enrollment600 (estimated)
SponsorGerman Heart Institute
Academic / other
Locations1 site (Berlin)
StatusRecruiting
StartedSeptember 13, 2025
Main results expectedDecember 31, 2026
Study endsDecember 31, 2036
Registry record updatedApril 1, 2026
Trial IDNCT07185100 on ClinicalTrials.gov

Is this trial a fit for you?

Likely a good fit

Ideal candidates are asymptomatic men or women aged 40–69 who have one or more risk factors (diabetes, chronic kidney disease stage III or higher, hypertension, high cholesterol, obesity, or smoking) and can attend a mobile MRI visit in a participating major city.

Probably not a fit

People with a prior diagnosis of heart failure or reduced ejection fraction, standard MRI contraindications (e.g., pacemaker, certain implants), those outside the 40–69 age range, or who cannot attend the mobile units are unlikely to benefit from participation.

A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.

What this trial studies

WE-CARE-HF-CMR is a nationwide, cross-sectional observational program that plans to screen 600 asymptomatic adults aged 40–69 who have risk factors for heart failure. Screening combines a needle‑free, stress‑free cardiac MRI performed in mobile MRI truck units, standardized laboratory tests, and questionnaire-based medical history collected under telemedical supervision. Examinations will be deployed at multiple clinics in five German metropolitan areas (>1,000,000 residents) with emergency backup available at those locations. Results will be compared with data from the HERZCheck rural cohort to explore differences in prevalence between urban and rural populations and to test the feasibility of a mobile CMR screening workflow.

Why it matters

Potential benefit: If successful, this approach could detect asymptomatic heart failure earlier in at-risk urban adults and support earlier preventive care to slow or prevent progression.

How similar studies have gone: Community screening efforts such as the HERZCheck rural program exist and provide comparative data, but large-scale, mobile CMR screening in urban populations is relatively novel and not yet widely tested.

Who can join: the full rules

Show full inclusion / exclusion criteria
Inclusion Criteria:

Asymptomatic subjects with:

* chronic diabetes mellitus (known/diagnosed and/or antidiabetic medication and/or elevated HbA1C) and/or
* renal impairment (known/diagnosed CKD and/or in laboratory CKD III° or higher) and/or
* Hypertension (known/diagnosed and/or antihypertensive medication/treatment) and/or
* Hypercholesterolaemia (known/diagnosed and/or antilipid medication/treatment) and/or
* Obesity (known/diagnosed and/or BMI \> 30 (kg/m²)) and/or
* Smoker (known/diagnosed and/or current/previous and/or medication/treatment)
* Age 40-69 years
* female or male or diverse sex
* Ability to provide informed consent
* Provision of Informed Consent

Exclusion Criteria:

* Inability to provide written informed consent
* Diagnosed heart failure or previously detected reduced ejection fraction
* General MRI exclusion criteria (pacemaker, defibrillator, intracranial aneurysm clips, metallic foreign bodies in the eyes)
* Any MRI exclusion criteria not listed here, as determined by the MRI laboratory performing the procedure
* Haemodynamically unstable participants (heart rate \< 45/min, systolic blood pressure \< 90 mmHg)
* Claustrophobia
* Sensorineural hearing loss of 30 dB or more and tinnitus
* Acute mental disorders requiring therapy
* In the presence of pregnancy

Where it's running

  • Deutsches Herzzentrum der Charité
    Berlin, Germany
    Recruiting

Study contacts

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How to take part

  1. Review the eligibility criteria above with your treating physician.
  2. Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
  3. Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.
Last reviewed 2026-11-14 by the Find a Trial editorial team. Information on this page is for educational purposes and is not medical advice. Always consult qualified healthcare professionals about clinical trial participation.