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.
Quick facts
| Study type | Observational |
|---|---|
| Ages | 40 Years to 69 Years |
| Sex | All |
| Enrollment | 600 (estimated) |
| Sponsor | German Heart Institute Academic / other |
| Locations | 1 site (Berlin) |
| Status | Recruiting |
| Started | September 13, 2025 |
| Main results expected | December 31, 2026 |
| Study ends | December 31, 2036 |
| Registry record updated | April 1, 2026 |
| Trial ID | NCT07185100 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
- Principal investigator: Sebastian Kelle, Prof. Dr. — Deutsches Herzzentrum der Charité
- Study coordinator: Prof. Dr. Sebastian Kelle
- Email: sebastian.kelle@dhzc-charite.de
- Phone: +493045931182
Similar studies
Other studies for the same condition or treatment. Recruiting studies are listed first.
-
Renal Nerve Stimulation to Help Blood Pressure in AF and HFpEF
This study tests whether stimulating the kidneys with a catheter can safely lower blood pressure in adults with atrial fibrillation and HFpEF who also have hypertension.
-
Cardio-Metabolic Clinic care for adults with type 2 diabetes and cardiovascular disease
This trial tests whether a specialized Cardio-Metabolic Clinic can improve heart function and overall health for adults with type 2 diabetes and cardiovascular disease compared with usual care.
-
Optimised Cardio-Renal Care for CKD and heart disease
This study tests whether a specialised Cardio-Renal Clinic can improve heart and kidney health and quality of life for adults with chronic kidney disease and cardiovascular disease.
-
Resmetirom for MASH with HFpEF in adults
This study tests whether resmetirom can be given safely and show liver-related effects in adults with MASH and heart failure with preserved ejection fraction over 24 weeks.
-
Elecoglipron vs placebo for adults with HFpEF or HFmrEF
This Phase 3 study tests whether elecoglipron helps people with HFpEF or HFmrEF who are on dapagliflozin and standard care.
-
Iron infusion and MRI to study inflammation in HFpEF
A small early-phase study tests whether an iron infusion affects heart inflammation in people with HFpEF, using MRI measures before and after treatment.
How to take part
- Review the eligibility criteria above with your treating physician.
- Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
- Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.