ClinicalTrials.gg
RecruitingNCT07931014CASTARUpdated Nov 12, 2026

CArdiac STereotactic Radiation Treatment for Ablation of ventRicular Tachycardia

An interventional study of Stereotactic body radiation therapy (SBRT) in Ventricular Tachycardia, sponsored by Cancer Research Antwerp. Recruiting at 2 sites in Belgium. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2026-11-12.

Sponsored by Cancer Research Antwerp · Not applicable, Interventional, and Treatment

From the registry’s dates

  • Registered 7 months after the study started (first participant enrolled Feb 2026, registered Oct 2026).
  • Started Feb 2026; still recruiting 8 months later.
Updated Nov 12, 2026Newly registeredGo to Updates ↓
Phase
Not applicable
Study type
Interventional
Enrollment
20
Allocation
Not applicable
Ages
18 Years and older
Sex
All
01

Where this study stands

Counted across the records on this site · 2026-11-12

Among 21 studies in Tachycardia, Ventricular with a site in Belgium — 4 open to participants now, 4 under way, none of them phase 3. Tachycardia, Ventricular · Belgium.

Planned enrollment
14th of 15
20 · median 153
Started
2026
the only one that year
No phase
12 of 21
3 open now
Registered
21st of 21
by date
Lead sponsor
1 of 21
Cancer Research Antwerp

Among the 21 studies in Tachycardia, Ventricular with a site in Belgium, this one is the 14th largest by planned enrollment of the 15 interventional ones that give a count, is the only one that started in 2026, is one of 12 with no phase, and was the 21st registered.

Tachycardia, Ventricular

452 studies on the registry are indexed under Tachycardia, Ventricular; 121 are open to participants now.

Browse Tachycardia, Ventricular studies →

Open to participants now

4 of the 21 studies in Tachycardia, Ventricular with a site in Belgium are open now. Recruiting first, the newest first:

All 4 open studies →

A study can be open while its sites in Belgium have not opened yet or have stopped. Only those recruiting at a site in Belgium →

Who these studies take

Of the 86 Tachycardia, Ventricular studies recruiting now, 67 (78%) set no upper age limit and 1 (1%) stops at 75 or younger; 7 take children under 18; 5 take healthy volunteers.

This study: 18 Years and older · all sexes · no healthy volunteers.

The full table on the hub →

This tab as a report to print or save as PDF → With an account.

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Watch this landscapeDownload CSVNarrow it in search →With an account: a weekly mail of what changed among 21 studies in Tachycardia, Ventricular with a site in Belgium, or all of them as a file.
02

Study summary

The investigator-initiated, CArdiac Stereotactic radiation Treatment for Ablation of ventRicular tachycardia (CASTAR) study will be conducted in patients with ventricular tachycardia (VT) which is either refractory to antiarrhythmic medication therapy in maximal dose or to catheter ablation or with contraindications to antiarrhythmic medication or catheter ablation.

The study is a non-randomized, multicenter, interventional study of cardiac SBRT, for which a total dose of 25 Gy will be delivered in a single fraction using volumetric modulated arc therapy (VMAT). The aim of the CASTAR study is to assess the feasibility and the safety of cardiac SBRT for the treatment of VT. Secondary objectives are efficacy, toxicity and QoL of cardiac SBRT for Ventricular tachycardia .

Read the detailed description

The study will be conducted at multiple centers across Belgium. Twenty patients will be enrolled to the study. Interim analyses are planned to be performed when the first five or ten subjects have been treated. Participation in the study will comprise a screening period, where screening assessments must be completed before starting treatment. Eligible, consenting patients will then undergo SBRT, which is limited to a single dose delivery on one day. During SBRT, patients are closely monitored in accordance with the DEGRO guidelines for radiotherapy in patients with ICDs (Gauter-Fleckenstein 2015). After SBRT, patients will be closely monitored during a 3-5 days hospitalization. The post-treatment phase will start after patients are discharged from the hospital. Patients will be followed on regular basis to assess safety and efficacy of SBRT treatment.

03

Conditions studied

  • Ventricular Tachycardia

Keywords

  • SBRT
  • ventricular tachycardia
  • electroanatomical mapping
  • ECG-gated contrast-enhanced CT
  • 4D-CT simulation
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

  • Patients over the age of 18 with structural heart disease
  • Patients with ventricular tachycardia requiring intervention (e.g. an electrical shock or anti-tachycardia pacing via an Implantable Cardioverter Defibrillator (ICD)) which cannot be managed with medication or catheter ablation, or where there are to treatment with medication or catheter ablation.
  • Contraindications may exist due to comorbidities or due to the type or severity of the disease.
  • to participate has been obtained from the patient or from his or her legal representative.

Exclusion criteria

Exclusion Criteria:

  • Lack of evidence that the ventricular tachycardia is triggered by myocardial scarring (based on MRI, CT EAM).
  • Any to radiosurgery (e.g. inability to precisely define the target volume due to imaging artefacts caused by an LVAD)
  • Pregnancy
  • Previous radiotherapy that prevents the safe delivery of the dose.
Terms in these criteria, in plain language(2)

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.

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
    SBRT

    A single radiation dose of 25 Gy is delivered to the VT target.

    Radiation: Stereotactic body radiation therapy (SBRT)

Interventions

  • RadiationStereotactic body radiation therapy (SBRT)

    Stereotactic body radiation therapy (SBRT): a single radiation dose of 25 Gy is delivered to the VT target.

06

What researchers measure

Primary outcomes

  1. Feasibility of SBRT for the treatment of ventricular tachycardia

    Feasibility will be assessed as the successful implementation and completion of cardiac SBRT without interruption of treatment. SBRT consists of a single fraction of 25 Gy delivered to the ventricular tachycardia target.

    Time frame: Day of SBRT treatment (Day 1)

  2. Safety of SBRT for the treatment of ventricular tachycardia.

    Safety will be assessed by the incidence and severity of adverse events related to radiotherapy following cardiac SBRT. Adverse events will be assessed and graded according to the National Cancer Institute Common Terminology Criteria for Adverse Events (NCI CTCAE), version 5.0.

    Time frame: From SBRT treatment through 31 days after SBRT

Secondary outcomes

  1. Change in ventricular tachycardia burden following SBRT

    The ventricular tachycardia (VT) burden will be assessed by the number of VT episodes recorded by ECG and implantable cardioverter-defibrillator (ICD) readouts. The number of VT episodes during the 6 months following SBRT will be compared with the number during the 6 months preceding SBRT. A 6-week blanking period immediately following SBRT will be taken into account in the analysis of VT recurrences.

    Time frame: 6 months before SBRT through 6 months after SBRT

  2. Time from SBRT to first VT recurrence

    Time from SBRT treatment to the first documented recurrence of ventricular tachycardia, as determined from ICD readouts. A 6-week blanking period following SBRT will be considered in the analysis of VT recurrence.

    Time frame: From SBRT through 36 months after treatment

  3. Time from SBRT to first sustained ventricular tachycardia or ICD shock

    Time from SBRT treatment to the first occurrence of sustained ventricular tachycardia or the first appropriate ICD shock during follow-up.

    Time frame: From SBRT through 36 months after treatment

  4. Time from SBRT to first ventricular tachycardia storm

    Time from SBRT treatment to the first occurrence of a ventricular tachycardia storm during follow-up.

    Time frame: From SBRT through 36 months after treatment

  5. Change in the number of electrical storms following SBRT

    The number of electrical storms occurring following SBRT will be compared with the number occurring before SBRT treatment.

    Time frame: 6 months before SBRT through 6 months after SBRT

  6. Change in anti-tachycardia pacing and ICD shocks following SBRT

    The number of anti-tachycardia pacing (ATP) interventions and ICD shocks following SBRT will be compared with the number occurring before SBRT treatment.

    Time frame: 6 months before SBRT through 6 months after SBRT

  7. Change in anti-arrhythmic medication use following SBRT

    Anti-arrhythmic medication use will be assessed during follow-up. The type and dosage of anti-arrhythmic drugs will be collected to evaluate changes in the need for anti-arrhythmic treatment following SBRT.

    Time frame: From baseline through 36 months after SBRT

  8. Overall survival following SBRT

    Overall survival will be assessed from the date of SBRT treatment until death from any cause.

    Time frame: From SBRT through 36 months after treatment

  9. Incidence of heart transplantation following SBRT

    The number and proportion of participants requiring heart transplantation during follow-up will be assessed.

    Time frame: From SBRT through 36 months after treatment

  10. Incidence of cardiac arrhythmic mortality following SBRT

    The number and proportion of participants who die from a cardiac arrhythmic cause during follow-up will be assessed.

    Time frame: From SBRT through 36 months after treatment

  11. Incidence of cardiac non-arrhythmic mortality following SBRT

    The number and proportion of participants who die from a cardiac non-arrhythmic cause during follow-up will be assessed.

    Time frame: From SBRT through 36 months after treatment

  12. Incidence and severity of acute radiation-related adverse events

    The incidence and severity of adverse events related to radiotherapy will be assessed and graded according to the National Cancer Institute Common Terminology Criteria for Adverse Events (NCI CTCAE), version 5.0. Acute adverse events are defined according to the time period specified in the protocol.

    Time frame: Through 90 days after SBRT

  13. Incidence and severity of late radiation-related adverse events

    The incidence and severity of late adverse events related to radiotherapy will be assessed and graded according to NCI CTCAE version 5.0.

    Time frame: The protocol defines late adverse events as those occurring more than 90 days after starting radiotherapy.

07

Study locations

2 of 2 sites recruiting
  • ZAS Augustinus
    Antwerp, Belgium 2610, Belgium
    Recruiting
    • Ines Joye, PhD · Contactines.joye@zas.be · +32 3 443 37 37
    • Ines Joye, PhD · Principal investigator
  • UZA
    Edegem, Belgium 2600, Belgium
    Recruiting
    • Johan Saenen, PhD · Contactjohan.saenen@uza.be · + 32 3 821 53 16
    • Johan Saenen, PhD · Principal investigator
08

References and documents

Individual participant data

Plan to share: No

No publications or documents are linked to this record.

09

Timeline

1 registry update 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

Started Feb 2026 (actual). Primary completion is estimated for Feb 2032, 72 months after the start.

Of 86 non-industry interventional studies with no phase under Tachycardia, Ventricular, half reached primary completion within 37 months of starting (the median), counting those still running; a quarter within 25 and three quarters within 70. This study's planned 72 months is above that.

Counting every sponsor, half of 126 studies reached it within 36 months; a quarter within 20 and three quarters within 66.

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

Registered
Oct 20, 2026
First posted
Nov 12, 2026
StartActual
Feb 25, 2026
Primary completionEst.
Feb 25, 2032
CompletionEst.
Feb 25, 2035
Last update
Nov 12, 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.
Registered
First appeared on the registry. No changes since
Nov 12, 2026
Show all 1 update
  1. Nov 12, 2026
    First appeared on the registry

From the registry record's own update history. This site started tracking changes on Sep 25, 2026; for anything earlier, see the record history on ClinicalTrials.gov ↗

10

Registry details

Key details

Study ID
NCT07931014
Lead sponsor
Cancer Research Antwerp
Responsible party
Sponsor
First posted
Nov 12, 2026
Start date
Feb 25, 2026
Primary completion
Feb 25, 2032 (estimated)
Completion
Feb 25, 2035 (estimated)
Last update
Nov 12, 2026

Oversight

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

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