Promising heart rhythm fix trial halted early – only 7 patients tested
NCT ID NCT03737929
First seen Jun 27, 2026 · Last updated Jun 27, 2026
Summary
This study aimed to see if combining surgical and catheter ablation (hybrid therapy) works better than standard catheter ablation alone for people with persistent atrial fibrillation. The trial was terminated after enrolling only 7 participants, so no meaningful conclusions can be drawn. The approach remains experimental and unproven.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- Hybrid ablation (surgical epicardial ablation combined with percutaneous catheter ablation)
- What this could lead to
- If it had succeeded, this approach could have offered a more effective treatment for persistent atrial fibrillation, potentially reducing recurrence and the need for repeat procedures.
- What could go wrong
- The trial was terminated early with only 7 participants, so results are not reliable. Hybrid ablation also carries higher complication risks than catheter ablation alone.
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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7 people
The number who actually took part.
- Started
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Jul 2019
- Finished
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Jan 2024
- 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: * To have a history of symptomatic persistent atrial fibrillation (AF) (continuous AF lasting 7 days or more) or long-standing persistent AF (continuous AF lasting for more than 12 months) * To be refractory to or intolerant to at least one class I (flecainide / propafenone) or III (sotalol / amiodarone) antiarrhythmic drug, * To be at least 18 years of age, * To agree to participate (signature of the informed consent) Exclusion Criteria: * A previous AF ablation procedure, * A longstanding persistent AF \> 3 years, * A paroxysmal AF * AF consecutive to electrolyte imbalance, thyroid disease, or other reversible non-cardiovascular cause, * Presence of left atrial appendage (LAA) thrombus, * Left atrial size ≥ 70ml/m² on transthoracic echocardiogram (TTE), * Left ventricular ejection fraction \< 35%, * Cardiac surgery (other than AF treatment) planned within 12 months, * Contra-indication to heparin and/or oral anticoagulation * Contra-indication to transoesophageal echocardiogram (TEE) * Carotid stenosis \> 80%, * Active infection or sepsis * Pleural adhesions, * Elevated hemi diaphragm * Proven and untreated sleep apnoea syndrome, * Occurrence of a cerebrovascular accident (CVA) or a transient ischemic attack (TIA) during the past 6 months, * History of blood clotting abnormalities * Indication for a permanent dual antiplatelet therapy * History of thoracic radiation, * History of myocarditis or pericarditisHistory of cardiac tamponade, * History of thoracotomy or cardiac surgery, * Body-mass-index \> 40 kg/m2, * Significant lung dysfunction * Contra-indication to anesthesia * Patient with chronic obstructive pulmonary disease (COPD) * Pregnancy, * Life expectancy less than 12 months, * Adults protected by the law
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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.
Contacts and locations
Locations
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CHU Toulouse, Hôpital Rangueil
Toulouse, 31059, France
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Cardiology-rytmology
Paris, France
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Cardiology-rytmology service
Toulouse, France
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