Cardiac Magnetic Resonance Guidance of Implantable Cardioverter Defibrillator Implantation in Non-ischemic Dilated Cardiomyopathy (CMR-ICD)
Primary Purpose
Non-ischemic Dilated Cardiomyopathy
Status
Recruiting
Phase
Not Applicable
Locations
Germany
Study Type
Interventional
Intervention
ICD/CRT-D implantation
Sponsored by
About this trial
This is an interventional treatment trial for Non-ischemic Dilated Cardiomyopathy
Eligibility Criteria
Inclusion Criteria:
- NIDCM (idiopathic or familial)*
- LVEF ≤35% and presence of fibrosis on CMR
- Diagnostic CMR scan
- Age ≥18 years
- Written informed consent
- Ability to give informed consent
Exclusion Criteria:
- ICM [previous myocardial infarction, previous percutaneous coronary intervention]
- Other cardiomyopathies (hypertrophic cardiomyopathy, arrhythmogenic right ventricular cardiomyopathy, restrictive cardiomyopathy, infiltrative cardiomyopathies [e.g. cardiac amyloidosis, cardiac sarcoidosis, hemochromatosis and iron overload cardiomyopathy], left ventricular non-compaction cardiomyopathy, reversible cardiomyopathies [Takotsubo syndrrome, peripartum cardiomyopathy, chemotherapy induced cardiomyopathy].
- Myocarditis
- Contraindication for CMR at study entry (including severe claustrophobia, pacemaker or ICD, metallic cerebral or intracranial implants, known allergy to gadolinium)
- Severe renal insufficiency (creatinine clearance <30 mL/min)
- Current pacemaker or defibrillator in situ
- Current indication for device therapy (e.g. secondary prophylaxis after aborted SCD)
- Renal impairment defined as an eGFR <30 milliliters
- Age <18 years
- Patients presenting with pregnancy
- Patients without informed consent
- Participation in another randomized trial
- Life expectancy <2 years
Sites / Locations
- Universität zu LübeckRecruiting
Arms of the Study
Arm 1
Arm 2
Arm Type
Experimental
No Intervention
Arm Label
ICD group
Optimal HF care group
Arm Description
Patients receiving OMT and ICD or cardiac resynchronization therapy with a defibrillator (CRT-D) if indicated.
Patients receiving OMT and CRT pacemaker (CRT-P) implantation without a defibrillator if indicated. Patients without CRT indication will receive an ICM for detection of malignant VAs.
Outcomes
Primary Outcome Measures
Death from any cause
Death from any causes during follow-up - after discharge.
Secondary Outcome Measures
Full Information
NCT ID
NCT04558723
First Posted
September 16, 2020
Last Updated
May 17, 2022
Sponsor
Prof. Dr. med. Ingo Eitel
Collaborators
Deutsches Zentrum für Herz-Kreislauf-Forschung (DZHK)
1. Study Identification
Unique Protocol Identification Number
NCT04558723
Brief Title
Cardiac Magnetic Resonance Guidance of Implantable Cardioverter Defibrillator Implantation in Non-ischemic Dilated Cardiomyopathy
Acronym
CMR-ICD
Official Title
Randomized Controlled, Multi-centre Trial of Cardiac Magnetic Resonance Guidance of Implantable Cardioverter Defibrillator Implantation in Non-ischemic Dilated Cardiomyopathy
Study Type
Interventional
2. Study Status
Record Verification Date
May 2022
Overall Recruitment Status
Recruiting
Study Start Date
January 14, 2021 (Actual)
Primary Completion Date
November 2023 (Anticipated)
Study Completion Date
November 2025 (Anticipated)
3. Sponsor/Collaborators
Responsible Party, by Official Title
Sponsor-Investigator
Name of the Sponsor
Prof. Dr. med. Ingo Eitel
Collaborators
Deutsches Zentrum für Herz-Kreislauf-Forschung (DZHK)
4. Oversight
Studies a U.S. FDA-regulated Drug Product
No
Studies a U.S. FDA-regulated Device Product
No
Data Monitoring Committee
Yes
5. Study Description
Brief Summary
Patients with diagnostic CMR images for assessment of LGE/fibrosis and evidence/presence of non-ischaemic myocardial fibrosis/scar will be randomized to the following treatment groups in a 1:1 ratio: ICD group or Optimal HF care group.
Detailed Description
The primary objective of this study is to evaluate the hypothesis that implantable cardioverter defibrillator (ICD) therapy would decrease the risk of death from any cause in comparison to optimal heart failure (HF) care without ICD insertion in patients with NIDCM, left ventricular ejection fraction (LVEF) ≤35% and presence of myocardial fibrosis on cardiac magnetic resonance (CMR) imaging.
6. Conditions and Keywords
Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Non-ischemic Dilated Cardiomyopathy
7. Study Design
Primary Purpose
Treatment
Study Phase
Not Applicable
Interventional Study Model
Parallel Assignment
Masking
None (Open Label)
Allocation
Randomized
Enrollment
760 (Anticipated)
8. Arms, Groups, and Interventions
Arm Title
ICD group
Arm Type
Experimental
Arm Description
Patients receiving OMT and ICD or cardiac resynchronization therapy with a defibrillator (CRT-D) if indicated.
Arm Title
Optimal HF care group
Arm Type
No Intervention
Arm Description
Patients receiving OMT and CRT pacemaker (CRT-P) implantation without a defibrillator if indicated. Patients without CRT indication will receive an ICM for detection of malignant VAs.
Intervention Type
Other
Intervention Name(s)
ICD/CRT-D implantation
Intervention Description
ICD/CRT-D implantation (if indicated)
Primary Outcome Measure Information:
Title
Death from any cause
Description
Death from any causes during follow-up - after discharge.
Time Frame
Day 0
10. Eligibility
Sex
All
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria:
NIDCM (idiopathic or familial)*
LVEF ≤35% and presence of fibrosis on CMR
Diagnostic CMR scan
Age ≥18 years
Written informed consent
Ability to give informed consent
Exclusion Criteria:
ICM [previous myocardial infarction, previous percutaneous coronary intervention]
Other cardiomyopathies (hypertrophic cardiomyopathy, arrhythmogenic right ventricular cardiomyopathy, restrictive cardiomyopathy, infiltrative cardiomyopathies [e.g. cardiac amyloidosis, cardiac sarcoidosis, hemochromatosis and iron overload cardiomyopathy], left ventricular non-compaction cardiomyopathy, reversible cardiomyopathies [Takotsubo syndrrome, peripartum cardiomyopathy, chemotherapy induced cardiomyopathy].
Myocarditis
Contraindication for CMR at study entry (including severe claustrophobia, pacemaker or ICD, metallic cerebral or intracranial implants, known allergy to gadolinium)
Severe renal insufficiency (creatinine clearance <30 mL/min)
Current pacemaker or defibrillator in situ
Current indication for device therapy (e.g. secondary prophylaxis after aborted SCD)
Renal impairment defined as an eGFR <30 milliliters
Age <18 years
Patients presenting with pregnancy
Patients without informed consent
Participation in another randomized trial
Life expectancy <2 years
Central Contact Person:
First Name & Middle Initial & Last Name or Official Title & Degree
Ingo Eitel, Prof. Dr.
Phone
+49 451 500 44501
Email
ingo.eitel@uksh.de
First Name & Middle Initial & Last Name or Official Title & Degree
Thomas Stiermaier, Dr.
Phone
+49 451 500 44501
Email
thomas.stiermaier@uksh.de
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Ingo Eitel, Prof. Dr.
Organizational Affiliation
Medical Clinic II - University Heart Center Lübeck
Official's Role
Principal Investigator
Facility Information:
Facility Name
Universität zu Lübeck
City
Lübeck
State/Province
Schleswig-Holstein
ZIP/Postal Code
23538
Country
Germany
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Ingo Eitel, Prof. Dr. med.
First Name & Middle Initial & Last Name & Degree
Thomas Stiermaier, Dr.med
12. IPD Sharing Statement
Learn more about this trial
Cardiac Magnetic Resonance Guidance of Implantable Cardioverter Defibrillator Implantation in Non-ischemic Dilated Cardiomyopathy
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