New heart ablation device under scrutiny for persistent AF
NCT ID NCT06858306
First seen Jun 25, 2026 · Last updated Jun 27, 2026 · Updated 1 time
Summary
This study follows 200 adults with persistent atrial fibrillation (a type of irregular heartbeat lasting more than 7 days but less than a year) who are treated with the Sphere-9 catheter and Affera ablation system. The goal is to see how safe the procedure is and how well it prevents the return of abnormal heart rhythms over 3 years. Participants must have already tried at least one heart rhythm medication without success.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- Sphere-9™ Catheter and Affera™ Ablation System (a device that uses heat energy to destroy tiny areas of heart tissue causing abnormal rhythms)
- What this could lead to
- If successful, this study could confirm that the Sphere-9 and Affera system is a safe and effective way to control persistent atrial fibrillation, helping patients stay free from irregular heartbeats for years.
- What could go wrong
- This is an observational study, not a randomized trial, so results may be less definitive. The procedure carries risks like bleeding, infection, or heart damage, and some patients may still have 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.
- Participants
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About 200 people
The number the study aims to enrol. It can still change while the study runs.
- Started
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Sep 2025
- Expected to finish
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Oct 2030
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.
Who is studied
Subjects 18 years or older with a planned de novo procedure using commercially available Sphere-9™ Catheter and Affera™ Ablation System.
- 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: 1. A diagnosis of recurrent symptomatic persistent AF (continuous AF sustained longer than 7 days but less than 12 months) 2. Refractory (i.e. not effective, not tolerated, or not desired) to at least one Class I or III antiarrhythmic drug (AAD) 3. Patient is ≥ 18 years of age 4. Planned de novo pulmonary vein isolation procedure using commercially available Sphere-9™ Catheter and Affera Ablation System 5. Patient is willing and able to comply with study requirements and give informed consent Exclusion Criteria: 1. Long-standing persistent AF (continuous AF sustained \>12 months) 2. Prior left atrial catheter or surgical ablation 3. Life expectancy \<36 months 4. Presence of a permanent pacemaker, biventricular pacemaker, loop recorder/insertable cardiac monitor (ICM), or any type of implantable cardiac defibrillator (with or without biventricular pacing function) 5. Current or anticipated participation in any other clinical trial of a drug, device or biologic during the duration of this study not pre-approved by Medtronic
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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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Allegheny General Hospital
Pittsburgh, Pennsylvania, 15212, United States
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Atrium Health Carolinas Medical Center
Charlotte, North Carolina, 28230, United States
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Centra Medical Group Stroobants Cardiovascular Center
Lynchburg, Virginia, 24501, United States
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Doylestown Health Cardiology
Doylestown, Pennsylvania, 18901, United States
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Houston Methodist Hospital
Houston, Texas, 77030, United States
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Mayo Clinic
Rochester, Minnesota, 55905, United States
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Minneapolis Heart Institute Foundation
Minneapolis, Minnesota, 55407, United States
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Montefiore Medical Center
New York, New York, 10467, United States
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OhioHealth
Columbus, Ohio, 43214, United States
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Piedmont Heart Institute
Atlanta, Georgia, 30309, United States
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Sarasota Memorial Hospital
Sarasota, Florida, 34239, United States
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Texas Health Resources
Fort Worth, Texas, 76104, United States
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University of Alabama at Birmingham Hospital
Birmingham, Alabama, 35294, United States
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University of Virginia Medical Center
Charlottesville, Virginia, 22903, United States
More trials for these conditions
Other studies related to the condition(s) this trial covers.
- Two ways to quiet a racing heart: trial pits hybrid ablation against standard catheter treatment
- Extra vein ablation tested to keep persistent AFib from returning
- Duel of ablation catheters: which wins for persistent AF?
- Can a new drug stop long atrial fibrillation episodes?
- Which ablation method wins for tough atrial fibrillation cases?
- Can a diabetes drug keep the heart in rhythm?