New heart ablation method aims to stop AFib recurrence
NCT ID NCT07587541
First seen Jun 27, 2026 · Last updated Jun 27, 2026
Summary
This study tests whether a new catheter ablation system using pulsed field energy can better control persistent atrial fibrillation (AF) by targeting low-voltage areas in the heart and isolating the superior vena cava, in addition to standard pulmonary vein isolation. About 618 adults with persistent AF will be randomly assigned to different ablation strategies. The goal is to see which approach reduces the return of irregular heart rhythms at 6 and 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 618 people
The number the study aims to enrol. It can still change while the study runs.
- Expected to start
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May 2026
An estimate. Start dates often move.
- Expected to finish
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Nov 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 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.
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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 Participants must meet all the following criteria: 1. Age ≥18 years 2. Persistent AF, defined as continuous AF lasting at least 7 days 3. Indication for catheter ablation according to the latest ESC guidelines 4. Written informed consent Exclusion criteria Participants will be excluded if any of the following criteria apply: 1. Inability or unwillingness to provide informed consent 2. Continuous AF duration duration of ≥2 years 3. Documented atrial tachycardia or atrial flutter 4. Previous left atrial catheter ablation or cardiac surgery 5. Planned cardiac surgery within the first 3 months after inclusion 6. History of heart transplantation, current listing for transplantation, or planned cardiac assist device implantation 7. Severe mitral or aortic valvular disease, according to the ESC guidelines 8. Platelet count \<50,000 cells/mm³ 9. Body mass index \>45 kg/m² or \<18 kg/m² 10. Untreated thyroid dysfunction (patients may be included once hypothyroidism or hyperthyroidism is adequately treated) 11. Absolute contraindication to oral anticoagulation 12. Any comorbidity that limits life expectancy to \<1 year 13. Active systemic infection (enrolment permitted after successful treatment) 14. Women who are pregnant or breastfeeding 15. Women of childbearing potential not using highly effective contraception (PEARL Index \<1%) 16. End-stage renal disease (GFR \<15 ml/min/1.73 m2) or hepatic failure (Child Pugh C) 17. Acutely decompensated heart failure (NYHA IV), inclusion is possible only after stabilization to a NYHA functional status better than IV 18. Participation in another randomized controlled trial
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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
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The official record
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A doctor treating you
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More trials for these conditions
Other studies related to the condition(s) this trial covers.
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- Zapping the ear: a new way to stop Post-Surgery heart rhythm problems?
- Can a new mapping and ablation system fix recurring atrial fibrillation?
- Extra vein ablation tested to keep persistent AFib from returning