Trial in Arrhythmia Radioablation for Ventricular Tachycardia: Single Fraction vs Three Fractions

Trial statusRecruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexAll
Age18-90
SponsorWeill Medical College of Cornell University

About this trial

This is a research study that aims to understand if giving a lower dose of treatment all at once is as effective and safe as dividing it into three smaller doses for patients with a heart condition called refractory ventricular tachycardia (VT). These patients have not exhibited positive responses to conventional medications or procedures. This study aims to explore whether an alternative approach could yield more beneficial outcomes.

Eligibility criteria

This trial does not accept healthy volunteers

Qualifiers

Age ≥ 18 years

Ischemic cardiomyopathy

Non-ischemic cardiomyopathy

Hypertrophic cardiomyopathy

Disqualifiers

Age < 18 years

Pregnancy

Prior chest radiation therapy

Trial design

Design model

Parallel

Treatments tested in this trial

  • Radiation Therapy

    Radiation

    Group 1 (3 participants) - will receive a dose of 20 Gy ("Gray", a measurement of radiation) in a single study intervention (one study intervention day)

  • Radiation Therapy

    Radiation

    Group 2 (3 participants) - will receive a dose of 15 Gy in a single study intervention (one study intervention day)

  • Radiation Therapy

    Radiation

    Group 3 (3 participants) - will receive a dose of 10 Gy in a single study intervention (one study intervention day)

  • Radiation Therapy

    Radiation

    Group 1 (3 participants) - will receive a dose of 12 Gy given over 3 days (Days 1, 2 and 3). (Total radiation dose = 36Gy)

  • Radiation Therapy

    Radiation

    Group 2 (3 participants) - will receive a dose of 10 Gy given over 3 days (Days 1, 2 and 3). (Total radiation dose = 30Gy)

  • Radiation Therapy

    Radiation

    Group 3 (3 participants) - will receive a dose of 8 Gy given over 3 days (Days 1, 2 and 3). (Total radiation dose = 24Gy)

Treatment groups

40 Participants
are divided into 6 treatment groups

6

Treatment groups

See each treatment group below.

Group A: 20 Gy Radiation Dose (Arm 1 Group 1)Experimental treatment 1 intervention
Group B: 15 Gy Radiation Dose (Arm 1 Group 2)Experimental treatment 1 intervention
Group C: 10 Gy Radiation Dose (Arm 1 Group 3)Experimental treatment 1 intervention
Group D: 12 Gy Radiation Dose for 3 fractions (Arm 2 Group 1)Experimental treatment 1 intervention
Group E: 10 Gy Radiation Dose for 3 fractions (Arm 2 Group 2)Experimental treatment 1 intervention
Group F: 8Gy Radiation Dose for 3 fractions (Arm 2 Group 3)Experimental treatment 1 intervention

Trial outcomes

Primary outcomes

1

Efficacy as measured by number of subjects with a reduction ≥ 60% (tracked by ICD recordings) ventricular tachycardia (VT) episodes

Time frame
6 months before treatment
2

Efficacy as measured by number of subjects with a reduction ≥ 60% (tracked by ICD recordings) ventricular tachycardia (VT) episodes

Time frame
6 weeks post treatment
3

Number of treatment-related serious adverse events (SAEs)

Safety: SAEs rate ≤ 30% defined using Common Terminology Criteria for Adverse Events (CTCAE) criteria (version 5.0) that could be treatment-related (possibly, probably, or definitely related to treatment) at 6 weeks after treatment is considered clinically acceptable. The SAEs are defined as any grade 3 toxicity requiring hospitalization or any grade 4 to 5 toxicity.

Time frame
6 weeks post treatment

Secondary outcomes

1

Number of ventricular tachycardia (VT) episodes

Time frame
3 months post
2

Number of ventricular tachycardia (VT) episodes

Time frame
6 months post
3

Number of ventricular tachycardia (VT) episodes

Time frame
12 months
4

Number of subacute treatment side-effects

Subacute treatment side effects, defined as any grade according to CTCAE criteria (version 5.0)

Time frame
3 months post

Other outcomes

Sponsors and contacts

Click on the lead sponsor to view all of their trials.