Predicting Ventricular Tachycardia Events in Patients with Non-Ischemic Cardiomyopathy
Official title: Image-Based Prediction of Ventricular Tachycardia Events in Non-ischemic Cardiomyopathy, an International Multicenter Study - [The IMPROVE-NICM Study]
Run by Centro Medico Teknon · NCT06730464 · Data updated 2026-11-12
This study is trying to see if certain heart imaging tests can help predict the risk of dangerous heart rhythms and sudden cardiac death in people with non-ischemic cardiomyopathy.
Quick facts
| Study type | Observational |
|---|---|
| Ages | 18 Years and up |
| Sex | All |
| Enrollment | 500 (estimated) |
| Sponsor | Centro Medico Teknon Academic / other |
| Locations | 4 sites (Milan, Italy and 3 other locations) |
| Status | Recruiting |
| Started | October 7, 2024 |
| Main results expected | October 30, 2026 |
| Study ends | February 23, 2027 |
| Registry record updated | December 12, 2024 |
| Trial ID | NCT06730464 on ClinicalTrials.gov |
Is this trial a fit for you?
✓Likely a good fit
Ideal candidates include individuals diagnosed with non-ischemic heart disease such as dilated cardiomyopathy or post-myocarditis cardiomyopathy, who have a good functional status and have undergone at least one cardiac MRI.
✕Probably not a fit
Patients with a life expectancy of less than one year, severe functional impairment, or previously documented ventricular arrhythmias may not benefit from this study.
A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.
What this trial studies
This study aims to improve risk stratification for sudden cardiac death in patients with non-ischemic cardiomyopathy by analyzing the relationship between various cardiac imaging parameters and the occurrence of ventricular tachycardia or sudden cardiac death. It will involve a primary analysis of patients with no previous arrhythmia evidence and will validate predictors of these events in a prospective cohort. Additionally, the study will evaluate changes in scar characteristics over time using late gadolinium enhancement cardiac magnetic resonance imaging. The goal is to enhance understanding of arrhythmic risk in this patient population.
Why it matters
Potential benefit: If successful, this study could lead to better risk assessment and prevention strategies for sudden cardiac death in patients with non-ischemic cardiomyopathy.
How similar studies have gone: While this approach is innovative, previous studies have shown mixed results regarding the effectiveness of current risk stratification methods in similar patient populations.
Who can join: the full rules
Show full inclusion / exclusion criteria
Inclusion Criteria: * Diagnosis of non-ischemic heart disease involving the left ventricle, irrespectively of LVEF. This diagnosis includes: 1. Dilated cardiomyopathy (DCM) 2. Non-dilated left ventricular cardiomyopathy (NDLVC) 3. Post-myocarditis cardiomyopathy * Life expectancy of \> 1 year with a good functional status. * Signed informed consent. * At least one late gadolinium enhancement-cardiac magnetic resonance (LGE-CMR) already performed. * No VA events at the time of the 1st LGE-CMR study. Exclusion Criteria: * Pregnancy. * Life expectancy of \< 1 year, or bad functional status (NYHA IV functional class). * Other concomitant structural heart diseases (e.g. ischemic, congenital, arrhythmogenic right ventricular cardiomyopathy etc.) * No LGE-CMR at time of enrollment or LGE-CMR data not available. * Previously documented sustained ventricular arrhythmias at the time of 1st LGE-CMR. * Concomitant investigation treatments. * Medical, geographical and social factors that make study participation impractical, and inability to give written informed consent. Patient's refusal to participate in the study.
Where it's running
-
Humanitas Research Hospital (Rozzano - Milan, Italy)
Milan, Italy, Italy Recruiting -
Hospital de la Luz
Lispon, Portugal, Portugal Recruiting -
Teknon Medical Center
Barcelona, Barcelona, Spain Recruiting -
Virgen del Rocio University Hospital
Seville, Sevilla, Spain Recruiting
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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.