New heart mapping tech could improve AFib treatment
NCT ID NCT06529978
First seen Jun 27, 2026 · Last updated Jul 15, 2026 · Updated 2 times
Summary
This study tests a new mapping system (CoreMap) to help doctors treat persistent atrial fibrillation (AFib), a type of irregular heartbeat. About 245 adults with persistent AFib will have a standard procedure called ablation, but with the CoreMap system guiding the treatment. The goal is to see if the system is safe and helps prevent AFib from coming back for at least 12 months.
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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 245 people
The number the study aims to enrol. It can still change while the study runs.
- Started
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Jul 2024
- Expected to finish
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Dec 2026
An estimate. End dates often move.
- Lead sponsor
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A company
The lead sponsor is a pharmaceutical, biotech, or medical-device company.
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 to 80 years
- 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: 1. Subject has persistent or long-standing persistent AF, at the discretion of the investigator (Phase 1 \& 2) 2. Subject has PerAF with no history of prior AF ablation therapy (Phase 3) 3. Subject is 18 to 80 years of age 4. Subject has presence of AF-related symptoms and is scheduled for clinically indicated standard of care AF ablation to manage PerAF (Phase 2 or 3) or long-standing PerAF (Phase 2) 5. Subject is able to provide written informed consent 6. Subject is able and willing to complete all study procedures Exclusion Criteria: 1. Any of the following within three months of enrollment: 1. Myocardial infarction (MI) 2. Any surgical or percutaneous cardiac procedure including coronary intervention and cardiac ablation 3. Confirmed thrombus on imaging 2. Any of the following within six months of enrollment: 1. Cardiac surgery including coronary artery bypass grafting, ventriculotomy, atriotomy 2. Thromboembolic event (stroke) 3. Any of the following cardiac conditions: 1. New York Heart Association (NYHA) IV 2. Left ventricular ejection fraction (LVEF) \< 30% 3. Left atrial diameter \>55mm (anterioposterior) (Phase 3) 4. Carotid stenting or endarterectomy 5. Atrial or ventricular septal closure or left atrial appendage closure 6. Implanted permanent pacemaker, biventricular pacemaker, or any type of implantable cardiac defibrillator; loop recorders are permitted. 7. Presence of intramural thrombus, tumor (including atrial myxoma), or other abnormality that precludes vascular access, catheter introduction, or manipulation 8. Unstable angina 9. Prior mitral or tricuspid valve surgery, repair, prosthetic or mechanical valve 10. Moderate to severe mitral valve stenosis or other severe valvular disease 11. Any blood clotting or bleeding abnormalities 4. Contraindication to systemic anticoagulation 5. AF secondary to electrolyte imbalance, acute alcohol intoxication, or reversible or non-cardiac cause 6. Body mass index (BMI) \> 40 kg/m2 7. Severe pulmonary disease, pulmonary hypertension, or any chronic respiratory condition 8. Renal failure requiring dialysis or transplant 9. Acute illness, active systemic infection, or sepsis 10. Active drug or alcohol dependency 11. Hypertrophic cardiomyopathy or cardiac amyloidosis 12. Cor pulmonale 13. Any contra-indication that may extend procedure time, at the discretion of the operator 14. Any woman known to be pregnant or breastfeeding, or any woman of childbearing potential who is not on a reliable form of birth regulation method or abstinence 15. Subject considered part of vulnerable population 16. Life expectancy less than one year 17. Employee of the study site or Sponsor 18. Subjects who are currently enrolled in another study that would directly interfere with this study
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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 in 2 countries. 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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NCH Downtown Baker Hospital
ENROLLING_BY_INVITATIONNaples, Florida, 34102, United States
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Na Homolce Hospital
RECRUITINGPraha Klanovice, Czechia
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University of Vermont Medical Center
ENROLLING_BY_INVITATIONBurlington, Vermont, 05401, United States
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Virginia Commonwealth University (VCU)
ENROLLING_BY_INVITATIONRichmond, Virginia, 23284, United States
More trials for these conditions
Other studies related to the condition(s) this trial covers.
- Two ways to quiet a racing heart: trial pits hybrid ablation against standard catheter treatment
- Extra vein ablation tested to keep persistent AFib from returning
- Duel of ablation catheters: which wins for persistent AF?
- Can a new drug stop long atrial fibrillation episodes?
- Which ablation method wins for tough atrial fibrillation cases?
- Can a diabetes drug keep the heart in rhythm?