ClinicalTrials.gg
RecruitingNCT06040242Updated Mar 24, 2026

Arrhythmogenic Activity During Exercise in ARVC Patients

An interventional study of Exercise in Arrhythmogenic Right Ventricular Cardiomyopathy, sponsored by Swiss Federal Institute of Technology. Recruiting at 1 site in Switzerland. Open to participants aged 14 Years and older, including healthy volunteers. Per ClinicalTrials.gov, last updated 2026-03-24.

Sponsored by Swiss Federal Institute of Technology · Not applicable, Interventional, and Prevention

From the registry’s dates

  • Started Aug 2023; still recruiting 3 years 3 months later.
Phase
Not applicable
Study type
Interventional
Enrollment
120
Allocation
Not applicable
Ages
14 Years and older
Sex
All
01

Study summary

Current guidelines advocate that ARVC patients, typically young and active individuals with a significant history of competitive endurance sports, cease endurance training in favour of activities with low cardiac burden such as bowling and golf. Empirically, it is often suggested that heart rate during exercise should not exceed 100-120 bpm in these patients, but these guidelines are arbitrary and not scientifically based. In practice, it is estimated that up to 50% of patients do not comply with these recommendations .

Adequate quantification of the arrhythmogenic burden, defined as premature ventricular beats in proportion to all heart beats in each period of time, and cardiac load (defined as stroke volume for volume load and systolic blood pressure for pressure load) experienced by ARVC patients when performing different types of physical exercise would be a first step towards designing a safe and effective intervention so that these patients can profit from an active life style.

This study therefore aims to quantify and describe the arrhythmogenic burden and cardiac load experienced by patients with ARVC while performing different physical exercise over a range of intensities - all strictly within the range currently recommended by different cardiological societies.

Read the detailed description

In this study, ARVC patients with different genotypes will perform a series of different physical activities, including treadmill walking, cycling at different intensities, biceps curls and loaded squats while undergoing extensive cardiovascular monitoring.

02

Conditions studied

  • Arrhythmogenic Right Ventricular Cardiomyopathy

Keywords

  • exercise
  • cycling
  • physical activity
03

In context

Arrhythmogenic Right Ventricular Dysplasia

48 studies on the registry are indexed under Arrhythmogenic Right Ventricular Dysplasia; 28 are open to participants now.

This study's planned enrollment of 120 is above the median of 22 across 15 interventional studies indexed under Arrhythmogenic Right Ventricular Dysplasia.

Browse Arrhythmogenic Right Ventricular Dysplasia studies →

Lead sponsor

Swiss Federal Institute of Technology is the lead sponsor of 154 studies on the registry; 10 are open to participants now.

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

04

Who can participate

Ages eligible
14 Years and older
Sexes eligible
All
Accepts healthy volunteers
Yes

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • Definitive ARVC diagnosis according to the modified 2010 ARVC Task Force Criteria
  • Pathogenic / likely pathogenic variant in one of the following desmosomal genes: plakophilin-2 (PKP-2), desmoglein-2 (DSG-2) or desmoplakin (DSP) or gene-elusive definite ARVC (i.e., genetic test performed but no pathogenic / likely pathogenic variant found)
  • Control group: diagnosed ischemic heart disease with above 35%
  • Agreement with responsible primary cardiologist that study participation is not considered beyond acceptable levels of physical activity for this particular patient
  • No history of exercise-induced syncope in the 6 months prior to study participation
  • No history of sudden cardiac arrest in the 6 months prior to study participation
  • In patients who suffered from sudden cardiac arrest/arrhythmic syncope, only those having an implantable cardioverter-defibrillator (ICD) and being under beta-blockers/antiarrhythmic drugs are eligible for study inclusion
  • as documented by signature (Appendix Informed Consent Form)
  • Age: > 14 years
  • Body-Mass-Index (): 18.5 - 39.9 kg・m-2
  • Willing to adhere to the following study rules:

    • No intense exercise 48h prior to testing
    • No exercise 24h prior to testing
    • Sleep at least 7h the two nights before testing On test day
    • No caffeinated food or drink before testing on test day
    • No alcohol before testing on test day
    • Fully compliant with normal medication regimen including beta-blockers and antiarrhythmic medication

Exclusion criteria

Exclusion Criteria:

  • No genetic test history for ARVC variants
  • Heart failure with severely reduced (LVEF \<35%)
  • For women: Pregnancy, breastfeeding, or intention to become pregnant during the study.
  • Known or suspected non-compliance, drug, or alcohol abuse
  • Inability to follow the procedures of the study, e.g., due to language problems, psychological disorders, dementia, etc. of the participant
  • Previous enrolment into the current study
Terms in these criteria, in plain language(3)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

LVEF (left ventricular ejection fraction)

The share of blood the heart’s main pumping chamber (the left ventricle) pushes out with each beat, measured by an echocardiogram (heart ultrasound) or a MUGA scan. About 50–70% is normal.

Informed consent

Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.

You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.

BMI (body mass index)

Weight in kilograms divided by height in metres squared. Example: 70 kg and 1.75 m gives 70 ÷ (1.75 × 1.75) ≈ 22.9.

What counts as overweight or obesity differs between countries (some use lower cut-offs), so go by the range the study states.

05

Study design

Phase
Not applicable
Primary purpose
Prevention
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrollment
120 participants (estimated)

Study arms

  • Experimental
    Patients Group

    All patients will perform all exercises. Arrhythmogenic activity will compared with that assessed during treadmill walking.

    Other: Exercise

Interventions

  • OtherExercise

    Participants will perform 3 min of the different activities, followed by a 10-min recovery window.

    Also known as: cycling, squats, biceps curls, walking

06

What researchers measure

Primary outcomes

  1. count of premature ventricular beats during and after the activities

    count of premature ventricular beats during and after the activities

    Time frame: measured during the 3 min of activity and the 10 min of recovery

Secondary outcomes

  1. cardiac load during different activities, as rate-pressure product

    product of heart rate and systolic blood pressure

    Time frame: measured during the 3 min of activity

  2. cardiac load during different activities, as cardiac output

    product of heart rate and stroke volume, in L/min

    Time frame: measured during the 3 min of activity

  3. cardiac load during different activities, as peak blood pressure

    systolic blood pressure, in mmHg

    Time frame: measured during the 3 min of activity

07

Study locations

1 of 1 sites recruiting
  • Exercise Physiology Lab, Institute of Human Movement Sciences and Sport, ETH Zurich
    Zurich, Canton of Zurich 8092, Switzerland
    Recruiting
08

References and documents

Individual participant data

Plan to share: No

No publications or documents are linked to this record.

09

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reached

Started Aug 2023 (actual). Primary completion is estimated for Dec 2027, 52 months after the start.

How these figures are worked out, and which studies are left out of them.

Registered
Sep 8, 2023
First posted
Sep 15, 2023
StartActual
Aug 1, 2023
Primary completionEst.
Dec 31, 2027
CompletionEst.
Dec 31, 2027
Last update
Mar 24, 2026
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on Mar 24, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT06040242
Responsible party
Sponsor
First posted
Sep 15, 2023
Start date
Aug 1, 2023
Primary completion
Dec 31, 2027 (estimated)
Completion
Dec 31, 2027 (estimated)
Last update
Mar 24, 2026

Study contacts

Fernando G Beltrami, PhD
Contact
fernando.beltrami@hest.ethz.ch
+41446330472
Christina M Spengler, PhD, MD
Contact
spengler@ethz.ch
+41446325007
Christina M Spengler, PhD, MD
principal investigator · ETH Zurich, Exercise Physiology Lab, Institute of Human Movement Sciences and Sport

Oversight

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

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