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RecruitingNCT03992560TACTIC CRTUpdated Mar 10, 2023

A Prospective Randomised Multi-centre Trial Comparing cArdiac MRI Guided CRT Versus Conventional CRT Implantation in Patients With Ischaemic Cardiomyopathy

An interventional study of Guide CRT Software Prototype in Cardiovascular Diseases, sponsored by Guy's and St Thomas' NHS Foundation Trust. Recruiting at 1 site in United Kingdom. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2023-03-10.

Sponsored by Guy's and St Thomas' NHS Foundation Trust · Not applicable, Interventional, and Treatment

From the registry’s dates

  • Primary completion was expected by Jul 2024, 2 years 3 months ago, but the record still lists the study as recruiting.
  • Started Jul 2019; still recruiting 7 years 3 months later.
Phase
Not applicable
Study type
Interventional
Enrollment
218
Allocation
Randomized
Ages
18 Years and older
Sex
All
01

Study summary

The purpose of the study is to determine whether MRI guided CRT implantation (using Siemen's software prototype) is superior to standard treatment in terms of CRT response. Data will be collected at enrolment, implant, pre-discharge, 6 weeks and 6 months. The total duration of the investigation will be 6 months.

The primary endpoint will be assessed by calculating the difference in the proportion of responders (>15% reduction in end systolic volume derived from 2-dimensional transthoracic echocardiogram at 6 months post CRT implant).

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Conditions studied

  • Cardiovascular Diseases
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In context

Cardiovascular Diseases

4,902 studies on the registry are indexed under Cardiovascular Diseases; 920 are open to participants now.

This study's planned enrollment of 218 is above the median of 100 across 2,738 interventional studies indexed under Cardiovascular Diseases.

Browse Cardiovascular Diseases studies →

Lead sponsor

Guy's and St Thomas' NHS Foundation Trust is the lead sponsor of 284 studies on the registry; 79 are open to participants now.

Counted across the registry records on this site, refreshed daily.

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Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

  • >18yrs of age
  • Standard indication for CRT-P or CRT-D according to European Society of Cardiology (ESC)/European Heart Rhythm (EHRA) guidelines.1
  • Stable on optimal medical therapy for at least 3 months
  • Ischaemic aetiology
  • Patients with atrial fibrillation can be included

Exclusion criteria

Exclusion Criteria:

  • Any contraindication to pacing /implantable cardioverter-defibrillator (ICD) implant
  • Requirement for endocardial pacing
  • Contraindication to gadolinium contrast enhanced cardiac Magnetic Resonance (MR) scanning
  • Significant claustrophobia
  • Significant renal impairment with estimated glomerular filtration rate (eGFR) \<30 mL/min/1.73m2
  • Existing pacemaker or ICD system or extraction of a CRT system within the last 6 months
  • Participation in other studies with active treatment/ investigational arm
  • Pregnant or planning to become pregnant in the next 7 months
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Study design

Phase
Not applicable
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Single (Care provider)
Enrollment
218 participants (estimated)

Study arms

  • No intervention
    Standard CRT implantation
  • Experimental
    MRI guided CRT implantation

    Device: Guide CRT Software Prototype

Interventions

  • DeviceGuide CRT Software Prototype

    The medical device in the trial is a software programme that allows image fusion of previously acquired MRI images with real-time X-Ray fluoroscopic images in the cardiac catheter laboratory. We are able to use the MRI information to assess the best location to place the left ventricular lead for a CRT device and then superimpose this location onto the real-time X-Ray fluoroscopic images during the left ventricular lead implantation

06

What researchers measure

Primary outcomes

  1. >15% reduction in end systolic volume

    \>15% reduction in end systolic volume derived from 2-dimensional transthoracic echocardiogram at 6 months post CRT implant

    Time frame: 6 months

Secondary outcomes

  1. 5% absolute increase in left ventricular ejection fraction

    5% absolute increase in left ventricular ejection fraction as derived from 2D echocardiogram

    Time frame: 6 months

  2. >10% reduction in end diastolic volume

    \>10% reduction in end diastolic volume as derived from 2D echocardiogram

    Time frame: 6 months

07

Study locations

1 of 1 sites recruiting
  • Guys and St Thomas NHS Foundation Trust
    London, SE1 7EH, United Kingdom
    Recruiting
08

References and documents

Individual participant data

Plan to share: No

No publications or documents are linked to this record.

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Mar 10, 2023, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
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Registry details

Key details

Study ID
NCT03992560
Lead sponsor
Guy's and St Thomas' NHS Foundation Trust
Collaborators
King's College London
Responsible party
Sponsor
First posted
Jun 20, 2019
Start date
Jul 5, 2019
Primary completion
Jul 5, 2024 (estimated)
Completion
Jul 5, 2026 (estimated)
Last update
Mar 10, 2023

Oversight

Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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