Randomized Assessment of TcMS for VT Storm

Trial statusRecruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexAll
Age18+
SponsorUniversity of Pennsylvania

About this trial

Three-arm randomized clinical trial comparing two strategies of TcMS to sham stimulation in patients with VT storm. The hypothesis of the study is that TcMS will reduce the burden of VT in the 24 hours after randomization compared to sham stimulation and that TcMS with theta burst stimulation (TBS) will be more effective at reducing VT burden than low frequency TcMS.

Eligibility criteria

This trial does not accept healthy volunteers

Qualifiers

≥3 episodes of sustained VT or appropriate ICD therapies within 24 hours despite the use of at least one antiarrhythmic drug

Disqualifiers

Plan for catheter ablation of VT in the next 24 hours

Pregnancy

Contraindication to TcMS (i.e. implantable ventricular assist device, metal implanted in the head or neck [except the mouth], implanted medication pumps, cochlear implant, implanted brain stimulator, ocular implant, history of malignancy in the neck)

Trial design

Design model

Parallel

Treatments tested in this trial

  • Magnetic Stimulation

    Device

    Transcutaneous Magnetic Stimulation

Treatment groups

60 Participants
are divided into 3 treatment groups
Group A: Sham StimulationPlacebo comparator 1 intervention
Group B: Low Frequency TcMSActive comparator 1 intervention
Group C: Theta Burst Stimulation TcMSActive comparator 1 intervention

Trial outcomes

Primary outcomes

1

VT Burden (24 hours)

Number of episodes of sustained ventricular tachycardia

Time frame
24 hours after randomization

Secondary outcomes

1

VT burden (72 hours)

Number of episodes of sustained ventricular tachycardia

Time frame
72 hours after randomization
2

Freedom from VT

Freedom from sustained VT

Time frame
24 hours after randomization
3

Blood Pressure

Change in mean arterial blood pressure

Time frame
Immediately before and after stimulation
4

Heart Rate

Change in heart rate

Time frame
Immediately before and after stimulation

Other outcomes

Sponsors and contacts

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