Heart hole repair without X-Rays: major trial launches
NCT ID NCT07054541
First seen Jun 24, 2026 · Last updated Jun 27, 2026 · Updated 2 times
Summary
This large study tests whether closing a common heart hole (atrial septal defect) using only ultrasound guidance and special tools is as good as the standard X-ray method. The goal is to avoid radiation and contrast dye risks, such as cancer and kidney injury. About 666 participants will be randomly assigned to either the ultrasound or X-ray group, and a separate group of patients who cannot have X-rays will also be studied.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- ultrasound-guided procedure with specialized instruments
- What this could lead to
- If successful, this could offer a safer, radiation-free and contrast-free way to close heart holes, reducing long-term cancer risk and allowing treatment for pregnant women and those with allergies or kidney problems.
- What could go wrong
- This is a Phase 4 trial, but it is not yet recruiting. The ultrasound method may not be as effective as the standard X-ray method in all cases, and the specialized instruments may not work for every patient.
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 666 people
The number the study aims to enrol. It can still change while the study runs.
- Expected to start
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Mar 2026
An estimate. Start dates often move.
- Expected to finish
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Oct 2027
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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2 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.
RCT Eligibility Criteria Inclusion Criteria: * Age ≥ 2 years * Diagnosed with secundum-type atrial septal defect (ASD) with a diameter ≥ 6 mm and ≤ 36 mm, accompanied by right heart volume overload * The distance from the defect margin to the coronary sinus, inferior vena cava, superior vena cava, and pulmonary veins is ≥ 5 mm; the distance to the atrioventricular valve is ≥ 7 mm Exclusion Criteria: * Pregnant women * Contrast agent allergy * Renal insufficiency * Associated cardiac malformations requiring surgical intervention * Right-to-left shunt ASD * Ostium primum ASD and sinus venosus ASD * Any severe infection within one month before the procedure * Intracardiac thrombus Cohort Eligibility Criteria: Inclusion Criteria: * Age ≥ 2 years * Diagnosed with secundum-type atrial septal defect (ASD) with a diameter ≥ 6 mm and ≤ 36 mm, accompanied by right heart volume overload * The distance from the defect margin to the coronary sinus, inferior vena cava, superior vena cava, and pulmonary veins is ≥ 5 mm; the distance to the atrioventricular valve is ≥ 7 mm * Contraindications to radiation exposure or refusal to undergo fluoroscopy-guided procedures Exclusion Criteria: * Associated cardiac malformations requiring surgical intervention * Right-to-left shunt ASD * Ostium primum ASD and sinus venosus ASD * Any severe infection within one month before the procedure * Intracardiac thrombus
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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
1 site. 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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Chinese Academy of Medical Sciences, Fuwai Hospital
Beijing, Beijing Municipality, 100037, China
More trials for these conditions
Other studies related to the condition(s) this trial covers.
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- Could a simple blood test predict lung danger in heart defect patients?
- Dissolvable heart patch could spare patients from surgery
- New catheter system tested for safer heart defect repair
- Heart surgery on wheels: no X-Rays, no hospital needed?