Could a diabetes drug boost heart ablation success?
NCT ID NCT07389941
First seen Jun 25, 2026 · Last updated Jun 27, 2026 · Updated 1 time
Summary
This study tests whether taking semaglutide (a drug used for diabetes and weight loss) before a standard heart procedure called catheter ablation can help prevent atrial fibrillation from coming back. The trial will include 240 adults with obesity and symptomatic atrial fibrillation who are having their first ablation. Participants will receive either semaglutide plus ablation or standard care alone, and researchers will check heart rhythm after 12 months.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- Semaglutide (a drug for weight and diabetes management)
- What this could lead to
- If it works, this could show that pre-treatment with semaglutide helps prevent atrial fibrillation from returning after ablation in people with obesity.
- What could go wrong
- This is a Phase 4 trial, but it's not yet recruiting and has a moderate size (240 participants). The benefit may be small or not apply to all patients, and semaglutide can cause side effects like nausea or gastrointestinal issues.
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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Phase 4
Runs after approval, following long-term safety and how well the treatment works in everyday use.
- Participants
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About 240 people
The number the study aims to enrol. It can still change while the study runs.
- Expected to start
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Oct 2026
An estimate. Start dates often move.
- Expected to finish
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Apr 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.
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: * Age 18-80 years * Symptomatic paroxysmal or persistent AF eligible for first-time catheter ablation * Body mass index ≥30 kg/m or body mass index ≥28 kg/m plus ≥1 weight-related comorbidity * No prior treatment with glucacon-like peptide-1 receptor agonists Exclusion criteria: * Current use of glucacon-like peptide-1 receptor agonists or dipeptidyl peptidase 4 inhibitors or use within the last 90 days prior to screening * Current antiobesity medication use or use within the last 90 days prior to screening * A self-reported change in body weight of \>5 kg within 30 days before screening * History of bariatric surgery * History of diabetes mellitus * Hospitalization for unstable angina, or transient ischemic attack \<30 days prior to screening * Pulmonary embolism \<90 days before screening * Myocardial infarction, or stroke \<90 days prior to screening * Uncontrolled thyroid disease: thyroid-stimulating hormone \>10.0 mIU/L or \<0.4 mIU/L at screening * Active malignancy * Acute pancreatitis \<180 days before screening * History or presence of chronic pancreatitis * Chronic kidney disease with creatinine clearance \<30 mL/min * Personal or family history of medullary thyroid carcinoma or multiple endocrine neoplasia syndrome type 2 * Chronic inflammatory conditions requiring immunosuppression and/or on glucocorticoids * Pregnancy, breast-feeding or planning pregnancy
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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
The full official record for this study. This one lists no contact details, but it is the first place any would appear.
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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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