Cardiovascular

Restrictive Cardiomyopathy

Also known as RCM, idiopathic restrictive cardiomyopathy, TNNI3/TNNT2 mutation

Restrictive Cardiomyopathy is the rarest primary cardiomyopathy, characterised by impaired ventricular filling due to abnormal myocardial stiffness in the absence of pathological hypertrophy or dilatation, resulting in severely elevated fil

ORPHA:75249 ↗Gene TNNI3Gene TNNT2Gene MYH7Prevalence Less than 1 per 100,000; least common primary cardiomyopathyOnset Any age; idiopathic genetic form often in childhood or young adulthoodAutosomal dominant (genetic forms)

5

studies recruiting now

as of 7 Sept 2026

24

studies registered in total

as of 7 Sept 2026

5

countries with a recruiting site

as of 7 Sept 2026

23 Sept 2024

most recent study posted

among recruiting studies

Recruiting trials

RecruitingNCT06607471

Multimodal and Multidisciplinary Approach to Optimize Diagnostic, Prognostic, and Therapeutic Management of Patients with Non-ischemic Cardiomyopathies and Arrhythmogenic-inflammatory Phenotypes: a Multicenter, Observational, Retrospective and Prospective Registry Study.

Sponsor Scientific Institute San RaffaeleWhere Italy (1 site)Studying Support treatment, cardiac medical treatment, aetiology-specific treatment, device implant, arrhythmia ablation, Support treatment, cardiac medical treatment, aetiology-specific treatmentUpdated 23 Sept 2024

Showing the 5 most recently updated recruiting studies, as recorded 7 Sept 2026. Live status on each study page.

Search all Restrictive Cardiomyopathy studies

Where recruiting studies are running

Countries with at least one recruiting site among the studies above, 7 Sept 2026. Tap a country to search trials there.

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About Restrictive Cardiomyopathy

Restrictive Cardiomyopathy is the rarest primary cardiomyopathy, characterised by impaired ventricular filling due to abnormal myocardial stiffness in the absence of pathological hypertrophy or dilatation, resulting in severely elevated filling pressures, biatrial enlargement, and refractory heart failure. Genetic forms are caused by mutations in sarcomeric protein genes, particularly TNNI3 and TNNT2, while secondary forms arise from infiltrative diseases such as amyloidosis, sarcoidosis, and haemochromatosis. Prognosis is poor, especially in children, with many patients requiring cardiac transplantation within years of diagnosis.

Common clinical features

Severe exertional dyspnoea and orthopnoeaMarkedly elevated jugular venous pressurePeripheral oedema and ascitesBiatrial enlargement on echocardiography with normal or near-normal ventricular sizeRestrictive transmitral Doppler filling patternAtrial fibrillationThromboembolic eventsRapidly progressive heart failure refractory to diuretic therapy

From Orphanet’s phenotype annotations (CC BY 4.0). Not a complete list.

Before you apply

Things trial teams commonly ask about for Restrictive Cardiomyopathy. Not eligibility rules; those are set by each study.

  • Excluding secondary causes of restriction (amyloidosis, sarcoidosis, haemochromatosis, radiation) is mandatory before enrolment in idiopathic RCM trials; an infiltrative disease workup including cardiac MRI and metabolic studies should be completed.
  • Haemodynamic data from right heart catheterisation (elevated filling pressures, preserved cardiac output at rest) are often required to confirm the restrictive physiology classification used for eligibility.
  • Genetic testing to identify sarcomere mutations links some patients to broader inherited cardiomyopathy trials; obtain panel results as they may open additional eligibility pathways.

Related conditions

Information, not medical advice. Trial listings are shown as recorded on ClinicalTrials.gov; whether any study is right for you is a decision for you and your clinicians, and eligibility is decided by each research team. Disease information from Orphanet (CC BY 4.0).