Can a heart procedure cut stroke risk after valve repair? new trial aims to find out
NCT ID NCT07380932
First seen Jun 27, 2026 · Last updated Jun 27, 2026
Summary
This study looks at people with atrial fibrillation (an irregular heartbeat) who have already had a successful mitral valve repair. It compares two approaches: catheter ablation (a procedure to fix the heart's electrical signals) versus standard medical care. The goal is to see if ablation reduces major problems like stroke, heart failure, or death. About 956 participants will be randomly assigned to one of the two groups and followed over time.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- catheter ablation
- What this could lead to
- If successful, this could show that catheter ablation reduces the risk of heart failure, stroke, and death in patients with atrial fibrillation after mitral valve repair.
- What could go wrong
- This trial has not started recruiting yet, and it is an early-stage strategy comparison. The procedure carries risks like bleeding, infection, or heart rhythm problems, and may not prove superior to standard care.
This is an AI summary of the original study and may miss details. Read our disclaimer.
Study facts
What this study's own registry entry says, in plain language.
- Phase
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Not a phased trial
Phase numbers describe drug development. The registry uses this when they do not apply, as it does for trials of devices, procedures or behaviour changes, and for observational studies.
- Participants
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About 956 people
The number the study aims to enrol. It can still change while the study runs.
- Expected to start
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Jul 2026
An estimate. Start dates often move.
- Expected to finish
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Jan 2032
An estimate. End dates often move.
- Lead sponsor
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Other sponsor
The registry's catch-all category, for sponsors it does not file as a company, a government agency, or a research network.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
- Ages
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18 years and older
- Sex
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Anyone
- Healthy volunteers
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Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: * Patients with documented atrial fibrillation (AF). * Transcatheter edge-to-edge mitral-valve repair (TEER) for severe functional mitral valve regurgitation (MR) with successful result (less than moderate MR, gradient \< 5 mmHg) performed within a period of minimum of 30 days and a maximum of 6 months. Moderate residual MR is eligible if no further mitral valve intervention or surgery is planned and patient is stable for \> 3 months. * Provision of signed informed consent. Exclusion Criteria: * Age \<18 years * Patient not suitable for AF ablation * Previous ablation procedure for AF * Acute coronary syndrome, cardiac surgery, angioplasty, or cerebrovascular accident within 2 months prior to enrolment * Untreated hypothyroidism or hyperthyroidism requiring therapy * Enrolment in another randomised study * Indication for cardiac resynchronization therapy * Current pregnancy, breastfeeding, or women not using reliable contraceptive measures during fertility age * Mental or physical inability to participate in the study * Planned cardiovascular intervention or operation * Life expectancy ≤ 12 month
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Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
How to take part
Only the study team decides who joins. These are the ways to reach them.
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The places running it
4 sites. The list below names each one and where it is.
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The official record
ClinicalTrials.gov lists the study team's own contact details, including names and phone numbers. We don't republish those.
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A doctor treating you
A doctor who knows your case can contact a study site on your behalf, and can tell you whether this study is worth pursuing at all.
Contacts and locations
Locations
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Asklepios Hospital St. Georg
Hamburg, Germany
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University Heart and Vascular Center Frankfurt
Frankfurt, Germany
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University Hospital Cologne
Cologne, Germany
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University Hospital Münster
Münster, 48149, Germany
More trials for these conditions
Other studies related to the condition(s) this trial covers.
- Evaluation of the factors associated with bradtycardia following pulmonary vein isolation using pulsed field ablation
- Can remote exercise sessions boost heart recovery after ablation?
- Can a heart drug keep atrial fibrillation at bay after ablation?
- Can a new drug stop long atrial fibrillation episodes?
- Which ablation method best stops atrial fibrillation from returning?
- Your phone's camera might spot a hidden heart rhythm problem