Extra burns may keep heart rhythm steady in persistent AF
NCT ID NCT07424326
First seen Jun 27, 2026 · Last updated Jun 27, 2026
Summary
This study compares two ablation procedures for people with persistent atrial fibrillation (AF), a heart rhythm problem. Half of the 450 participants will get standard treatment (isolating the pulmonary veins), while the other half will get extra ablation lines in the heart. The goal is to see which approach better prevents AF from coming back over 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 450 people
The number the study aims to enrol. It can still change while the study runs.
- Expected to start
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Jun 2026
An estimate. Start dates often move.
- Expected to finish
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Dec 2029
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 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.
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Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: * symptomatic persistent AF * ≥1 episode of persistent AF in the last 12 months * signed informed consent Exclusion Criteria: * first-manifested AF, paroxysmal AF, long-standing persistent AF, permanent AF * SR on admission without Class I/III AADs * AF of secondary cause (e.g. hyperthyroidism) * any previous LA ablation * severe valvular disease (mitral valve insufficiency ≥3+, moderate or severe aortic stenosis) or history of valvular surgery or intervention * left ventricular ejection fraction ≤40% * pulmonary hypertension (estimated systolic pulmonary artery pressure ≥40 mm Hg) * symptomatic coronary artery disease * pregnancy * LA anteroposterior diameter ≥55 mm * body mass index ≥40 kg/m2 * age ≥80 years * chronic kidney disease stage 3b or higher * contraindication to anticoagulation * general contraindications of catheter ablation * life expectancy \<2 years due to other comorbidities
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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 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.
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Other studies related to the condition(s) this trial covers.
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