ClinicalTrials.gg
Not yet recruitingNCT07770230RADIATE-HFUpdated Sep 11, 2026

RADIATE-HF - Efficacy and Safety of Cardiac Radiation in Advanced Heart Failure

An interventional study of Low-dose cardiac radiation therapy (5 Gy) in Heart Failure, sponsored by Rennes University Hospital. Not yet recruiting at 1 site in France. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2026-09-11.

Sponsored by Rennes University Hospital · Not applicable, Interventional, and Treatment

Phase
Not applicable
Study type
Interventional
Enrollment
20
Allocation
Not applicable
Ages
18 Years and older
Sex
All
01

Study summary

The RADIATE-HF study is a prospective, interventional, single-center, open-label, non-randomized study conducted at the Rennes University Hospital.

The goal of this proof-of-concept trial is to demonstrate that low-dose cardiac radiation therapy (5 Gy) improves left ventricular function by more than 5% in the medium term in patients with advanced or end-stage heart failure.

The primary endpoint is the difference between the baseline value and the 6-month value of the LVEF as assessed by cardiac MRI.

The study includes a single group of 20 patients receiving the intervention (cardiac radiation).

The study is being conducted at a single investigator site.

02

Conditions studied

  • Heart Failure

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Keywords

  • advanced or end-stage heart failure
  • radiotherapy
03

In context

Heart Failure

6,331 studies on the registry are indexed under Heart Failure; 1,396 are open to participants now.

This study's planned enrollment of 20 is below the median of 76 across 4,049 interventional studies indexed under Heart Failure.

Browse Heart Failure studies →

Lead sponsor

Rennes University Hospital is the lead sponsor of 451 studies on the registry; 51 are open to participants now.

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

04

Who can participate

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

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

  1. Minimum age: 18 years
  2. Ischaemic or non-ischaemic cardiomyopathies
  3. Optimal medical treatment
  4. ≤ 40%
  5. class II or III
  6. > 6 months
  7. At least one hospital admission for heart failure within the 6 months prior to inclusion, or NT-pro BNP ≥ 1,000 pg/mL
  8. to heart transplantation and left ventricular or biventricular assist devices
  9. Having given their free and informed written consent
  10. Covered by a health insurance scheme

Exclusion criteria

Exclusion Criteria:

  1. Pregnancy or breastfeeding
  2. History of thoracic radiotherapy
  3. History of aortic and mitral valve surgery
  4. to MRI (claustrophobia, presence of metallic foreign bodies)
  5. Participation in another ongoing interventional study
  6. Adults subject to legal protection measures (judicial protection, guardianship, curatorship), deprived of their liberty, or unable to give .
Terms in these criteria, in plain language(5)

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.

NYHA class (heart failure)

The New York Heart Association’s four classes of how much heart failure limits physical activity.

I
No limits: ordinary activity causes no undue tiredness or breathlessness.
II
Slight limits: comfortable at rest, ordinary activity causes symptoms.
III
Marked limits: comfortable at rest, less than ordinary activity causes symptoms.
IV
Symptoms even at rest; any activity makes them worse.

Studies set their own limit — many outside heart failure leave out class III–IV, while heart failure studies may ask for a particular class. Check the class this study names.

Life expectancy

The study doctor’s estimate of how long someone is likely to live. Criteria use it so that people can stay in the study long enough for it to answer its question.

Contraindication

A reason a treatment, test or procedure should not be given to a particular person, such as an allergy, another illness or a medicine they take.

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.

05

Study design

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

Study arms

  • Experimental
    Low-dose cardiac radiation therapy (5 Gy)

    Radiation: Low-dose cardiac radiation therapy (5 Gy)

Interventions

  • RadiationLow-dose cardiac radiation therapy (5 Gy)

    Participants included in the RADIATE-HF study will receive a single-fraction cardiac radiotherapy treatment of 5 Gy, delivered by a linear accelerator (LINAC). This strategy aims to expose the ventricular myocardium (both ventricles) to a low, uniform dose, based on preclinical findings suggesting an anti-fibrotic and anti-remodelling effect. The procedure comprises three successive phases: 1. Pre-treatment assessments, 2. Planning and delivery of radiotherapy, 3. Post-treatment assessments.

06

What researchers measure

Primary outcomes

  1. Medium-term left ventricular function

    Difference between the baseline value and the 6-month value of LVEF as assessed by cardiac MRI. Mean difference with 95% CI. Paired plot (spaghetti plot) of baseline values versus 6-month values.

    Time frame: 6 months [± 15 days] - complete-case analysis

Secondary outcomes

  1. Ventricular dimensions and function, and the response in terms of myocardial structure and function on MRI

    Difference between baseline and 6-month values, as assessed by cardiac MRI, of: * right ventricular ejection fraction * left ventricular end-diastolic volume * right ventricular end-diastolic volume * left ventricular end-systolic volume * right ventricular end-systolic volume * late enhancement * T1 and T2 mapping * extracellular volume. Difference in mean with 95% CI; paired plot (spaghetti plot) comparing baseline values with those at 6 months.

    Time frame: 6 months [± 15 days] - complete-case analysis: as the number of patients included in the study (n = 20) is limited, no multiple imputation will be performed; all assessments will be carried out on patients with complete data.

  2. Ventricular dimensions and function, and the response in terms of myocardial structure and function on echocardiography

    Difference between the baseline value and the value at 6 months, as assessed by echocardiography, of * the left ventricular ejection fraction * the global longitudinal strain, * myocardial work * left ventricular end-diastolic volume * left ventricular end-diastolic diameter * left ventricular end-systolic volume * cardiac output Difference in mean with 95% CI; paired plot (spaghetti plot) comparing baseline values with those at 6 months.

    Time frame: 6 months [± 15 days] - complete-case analysis: as the number of patients included in the study (n = 20) is limited, no multiple imputation will be performed; all assessments will be carried out on patients with complete data.

  3. Serious complications related to the procedure

    Percentage of patients experiencing at least one serious complication (6 months) related to radiotherapy. Severity is defined according to CTCAE v6 as grade 3 toxicity requiring hospitalisation or grade 4 or 5 toxicity. Percentage with 95% CI. Adverse events will also be presented using the MedDRA 'Preferred Terms' and their severity will be assessed according to the CTCAE \[\< 3 or ≥ 3\].

    Time frame: 6 months [± 15 days] - safety analysis set: the safety analysis population will include all patients who received single-fraction radiotherapy, regardless of completion or compliance with the protocol.

  4. Hospitalisation for cardiovascular reasons

    Number of patients hospitalised for cardiovascular reasons (i.e. heart failure, arrhythmias) at 6 months. Percentage with 95% CI

    Time frame: 6 months [± 15 days] - complete-case analysis

  5. Quality of life assessment

    Difference between baseline and 6-month values for quality of life as assessed by the KCCQ, the Minnesota Living with Heart Failure Questionnaire, PGA and EQ-5D-5L. KCCQ: score from 0 to 100 Minnesota Living with Heart Failure Questionnaire: total score ranges from 0 to 105, with higher scores indicating a worse quality of life and greater impact from heart failure PGA: only one question EQ-5D-5L: Each dimension has 5 levels: no problems, slight problems, moderate problems, severe problems and extreme problems Mean difference with 95% CI. Paired plot (spaghetti plot) showing baseline values, values at 3 months and values at 6 months.

    Time frame: 6 months [± 15 days] - complete-case analysis

  6. Survival

    6-month mortality rate. Restricted Mean Survival Time, Kaplan-Meier curve

    Time frame: 6 months [± 15 days] - complete-case analysis

  7. Changes in biomarkers

    Difference between baseline and 6-month values for NT-proBNP and troponin. Mean difference with 95% CI. Paired plot (spaghetti plot) showing baseline, 3-month and 6-month values.

    Time frame: 6 months [± 15 days] - complete-case analysis

  8. Functional capacity during exercise

    Difference between the baseline value and the 6-month value of the 6-minute walk test Difference in mean with 95% CI. Paired plot (spaghetti plot) showing the baseline value, the 3-month value and the 6-month value.

    Time frame: 6 months [± 15 days] - complete-case analysis

07

Study locations

1 site
08

References and documents

Individual participant data

Plan to share: Undecided

No publications or documents are linked to this record.

09

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reachedSimilar studies: half by the dot; the band is the middle halfHalf of similar studies reached it by the dot; the band is the middle half, from a quarter to three quarters

Start is estimated for Sep 2026; primary completion for Mar 2029, 30 months later.

Of 1,118 non-industry interventional studies with no phase under Heart Failure, half reached primary completion within 29 months of starting (the median), counting those still running; a quarter within 16 and three quarters within 50. This study's planned 30 months is close to that.

Counting every sponsor, half of 1,354 studies reached it within 31 months; a quarter within 16 and three quarters within 52.

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

Registered
Aug 12, 2026
First posted
Aug 18, 2026
StartEst.
Sep 15, 2026
Primary completionEst.
Mar 2029
CompletionEst.
Sep 2029
Last update
Sep 11, 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 Sep 11, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT07770230
Responsible party
Sponsor
First posted
Aug 18, 2026
Start date
Sep 15, 2026 (estimated)
Primary completion
Mar 2029 (estimated)
Completion
Sep 2029 (estimated)
Last update
Sep 11, 2026

Study contacts

Guillaume L'Official, MD
Contact
guillaume.l.official@chu-rennes.fr
02 99 28 25 25 ext. +33
Raphaël Martins, MD
Contact
raphael.martins@chu-rennes.fr
02 99 28 25 41 ext. + 33

Oversight

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

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This study is not yet recruiting, as verified in Sep 2026. You cannot join it, but the record below documents what was studied.

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