NCT05599022

Brief Summary

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.

Trial Health

77
On Track

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
60

participants targeted

Target at P25-P50 for not_applicable

Timeline
29mo left

Started May 2023

Longer than P75 for not_applicable

Geographic Reach
1 country

1 active site

Status
recruiting

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

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Study Timeline

Key milestones and dates

Study Progress55%
May 2023Oct 2028

First Submitted

Initial submission to the registry

October 24, 2022

Completed
7 days until next milestone

First Posted

Study publicly available on registry

October 31, 2022

Completed
7 months until next milestone

Study Start

First participant enrolled

May 22, 2023

Completed
5.1 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

July 1, 2028

Expected
3 months until next milestone

Study Completion

Last participant's last visit for all outcomes

October 1, 2028

Last Updated

April 21, 2026

Status Verified

April 1, 2026

Enrollment Period

5.1 years

First QC Date

October 24, 2022

Last Update Submit

April 16, 2026

Conditions

Outcome Measures

Primary Outcomes (1)

  • VT Burden (24 hours)

    Number of episodes of sustained ventricular tachycardia

    24 hours after randomization

Secondary Outcomes (8)

  • VT burden (72 hours)

    72 hours after randomization

  • Freedom from VT

    24 hours after randomization

  • Blood Pressure

    Immediately before and after stimulation

  • Heart Rate

    Immediately before and after stimulation

  • Pain

    Immediately after stimulation

  • +3 more secondary outcomes

Study Arms (3)

Sham Stimulation

PLACEBO COMPARATOR

With the coil directed away from the patient, 600 pulses of TcMS will be delivered at minimal energy output.

Device: Magnetic Stimulation

Low Frequency TcMS

ACTIVE COMPARATOR

With the coil directed at the stellate ganglion, 60 minutes of 1Hz stimulation will be delivered targeting the stellate ganglion.

Device: Magnetic Stimulation

Theta Burst Stimulation TcMS

ACTIVE COMPARATOR

With the coil directed at the stellate ganglion, 600 pulses of continuous theta burst stimulation will be delivered targeting the stellate ganglion.

Device: Magnetic Stimulation

Interventions

Transcutaneous Magnetic Stimulation

Low Frequency TcMSSham StimulationTheta Burst Stimulation TcMS

Eligibility Criteria

Age18 Years+
Sexall
Healthy VolunteersNo
Age GroupsAdult (18-64), Older Adult (65+)

You may qualify if:

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

You may not qualify if:

  • 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)

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

Hospital of the University of Pennsylvania

Philadelphia, Pennsylvania, 19104, United States

RECRUITING

MeSH Terms

Conditions

Tachycardia, Ventricular

Condition Hierarchy (Ancestors)

TachycardiaArrhythmias, CardiacHeart DiseasesCardiovascular DiseasesCardiac Conduction System DiseasePathologic ProcessesPathological Conditions, Signs and Symptoms

Central Study Contacts

Study Design

Study Type
interventional
Phase
not applicable
Allocation
RANDOMIZED
Masking
DOUBLE
Who Masked
PARTICIPANT, CARE PROVIDER
Purpose
TREATMENT
Intervention Model
PARALLEL
Sponsor Type
OTHER
Responsible Party
SPONSOR

Study Record Dates

First Submitted

October 24, 2022

First Posted

October 31, 2022

Study Start

May 22, 2023

Primary Completion (Estimated)

July 1, 2028

Study Completion (Estimated)

October 1, 2028

Last Updated

April 21, 2026

Record last verified: 2026-04

Data Sharing

IPD Sharing
Will not share

Locations