New balloon ablation could change early AFib treatment
NCT ID NCT07621003
First seen Jun 27, 2026 · Last updated Aug 25, 2026 · Updated 5 times
Summary
This study tests a procedure called pulsed field ablation (PFA) for people with early-stage atrial fibrillation (AFib) diagnosed within the last 3 years. The procedure uses a balloon to deliver energy that isolates the pulmonary veins, aiming to stop abnormal heart rhythms. Researchers will compare PFA to usual care (medication) in 264 adults over 12 months to see if it reduces AFib episodes and hospitalizations.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- Pulsed field ablation (a procedure using a balloon to deliver energy to isolate pulmonary veins)
- What this could lead to
- If successful, this could offer a more effective first-line treatment for early atrial fibrillation, potentially reducing the need for long-term medication.
- What could go wrong
- This is an early-stage study with 264 participants, so results may not apply to all patients. The procedure carries risks like bleeding, heart damage, or arrhythmia recurrence.
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 264 people
The number the study aims to enrol. It can still change while the study runs.
- Started
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Aug 2026
- Expected to finish
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Mar 2031
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 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: * Adults (≥18 years) with symptomatic or asymptomatic, paroxysmal or persistent atrial fibrillation * First diagnosis of AF within the last 36 months * At least one documented episode of AF on ECG, Holter monitoring, or eligible Smart Watch Device * No prior catheter ablation for AF Exclusion Criteria: * Persistent AF \>3 years or longstanding persistent AF * Previous AF-Ablation * Ongoing continuous AAD therapy with Amiodarone at baseline * History of failed continuous AAD therapy with \> 1 agent. Exceptions are Beta blocker, Verapamil or "pill in the pocket"-therapy * Left Atrial Volume Index (LAVI) \> 50mL/m2 * Severe mitral regurgitation * Contraindications to anticoagulation therapy * Severe pulmonary or renal disease * Pregnancy, active cancer disease * Any condition or disease which is contraindication for AF ablation within 21 days or Anti-Arrhythmic Drug (AAD)
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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
10 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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Arian Sultan
RECRUITINGHamburg, 20099, Germany
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CCB Frankfurt
NOT_YET_RECRUITINGFrankfurt, Germany
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HZD Bad Oeynhausen
NOT_YET_RECRUITINGBad Oeynhausen, Germany
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Klinikum Nürnberg
NOT_YET_RECRUITINGNuremberg, Germany
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Leipzig Herzzentrum HZL
NOT_YET_RECRUITINGLeipzig, Germany
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Lukas Krankenhaus Neuss
NOT_YET_RECRUITINGNeuss, Germany
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Marien Hospital Herne
NOT_YET_RECRUITINGHerne, Germany
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Uniklinik Düsseldorf
NOT_YET_RECRUITINGDüsseldorf, Germany
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Uniklinik Gießen
NOT_YET_RECRUITINGGiessen, Germany
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Uniklinik Köln
NOT_YET_RECRUITINGCologne, Germany
More trials for these conditions
Other studies related to the condition(s) this trial covers.
- Heart hole or stroke trigger? global registry tracks who gets closure and what happens next
- Two ways to quiet a racing heart: trial pits hybrid ablation against standard catheter treatment
- Stroke's hidden heart rhythm clue under investigation
- Suture device may get heart patients walking sooner after leg vein procedures
- Two ways to catch a hidden heart rhythm after stroke
- Can an implanted heart monitor catch hidden irregular heartbeats after stroke?