Skip to main content
UK clinical trials - updated daily from ClinicalTrials.gov
TrialConnect
← Back to Search
Looking for participantsNA

Hybrid Ablation of Atrial Fibrillation in Heart Failure

Sponsor: St. George's Hospital, London

NCT ID: NCT05411614

View on ClinicalTrials.gov ↗

At a glance

What the study gets you
Access to the study treatment being tested
Type of study
Interventional (receives a drug or procedure)
Time in hospital
In-person visits at study sites — visit count not specified by the sponsor
Drug or intervention
AtriCure EPi-Sense-AF Guided Coagulation System +/- Atriclip (device), Endocardial Catheter Ablation (device)
How long the study runs
Study runs about 64 months (dates as stated)
About the drug or intervention
AtriCure EPi-Sense-AF Guided Coagulation System +/- Atriclip — device: Minimally-invasive epicardial ablation +/- left atrial appendage exclusion using an epicardial clip, combined with endocardial radiofrequency catheter ablation · Endocardial Catheter Ablation — device: Standard percutaneous endocardial catheter ablation of atrial fibrillation
Patient visit burden
Not specified by the sponsor
Type of study
Testing a treatment
Ages
18 Years and over
Who
All
Number of participants
120
Started
2022-06-25
Last checked
2025-11

Plain English Summary

What is this study?

  • • Testing a new treatment for persistent atrial fibrillation
  • • NA - 120 participants
  • • A randomised controlled trial to assess the efficacy of staged hybrid ablation when compared with standard catheter ablation in patients with non-paroxysmal atrial fibrillation (AF) and Heart Failure

Who can take part?

  • • Ages 18 Years and over
  • • Diagnosed with persistent atrial fibrillation

Where?

  • • Chertsey - Ashford & St Peters Hospital NHS Trust
  • • Epsom - Epsom General Hospital
  • • London - Cromwell Hospital
  • • London - Royal Surrey County Hospital
  • • +3 more UK sites

This is a simplified summary. Always discuss with your doctor before making any decisions.

About This Trial

A randomised controlled trial to assess the efficacy of staged hybrid ablation when compared with standard catheter ablation in patients with non-paroxysmal atrial fibrillation (AF) and Heart Failure

More detail

The objective of this randomized study is to evaluate the safety and efficacy of Convergent hybrid ablation when compared to standard catheter ablation in patients with non-paroxysmal AF and heart failure. Patients will be randomised in a 1:1 ratio. The primary efficacy endpoint will be freedom from persistent atrial arrhythmia (measured from the end of a 3-month blanking period up to 24 months (12 and 24 months).

Persistent Atrial FibrillationAtrial Fibrillation, PersistentAtrial ArrhythmiaAtrial FibrillationHeart FailureLeft Ventricular (LV) Systolic Dysfunction

How this trial compares with your answers

Answer 2 more questions to improve match

What we know so far

Condition· Matched your search
Age· Tell us your age for better matching
Gender· Tell us your sex for better matching

Still need:

  • • Tell us your age for better matching
  • • Tell us your sex for better matching

Preliminary match based on your answers. Full eligibility requires on-site assessment including medical history, physical exam, and lab tests. This does not guarantee enrolment.

Eligibility at a Glance

Key info

  • Age: 18 Years and over
  • Who can join: All genders

What the study is looking for

  • ✓Age ≥ 18 years
  • ✓Persistent or Long-standing Persistent AF
  • ✓Dilated left atrium (at least moderately dilated)
  • ✓Suitable for either procedure
  • ✓LVEF \< 50%

Who cannot take part

  • ✗Not yet optimised from a medical or lifestyle perspective for AF or heart failure
  • ✗Unable to provide written consent
  • ✗Previous open-heart surgery
  • ✗Active infection, oesophageal ulcer stricture or oesophageal varices
  • ✗Prior catheter ablation of atrial fibrillation (prior ablation for atrial flutter / supraventricular tachycardia or...
See the full criteria
Inclusion Criteria: * Age ≥ 18 years * Persistent or Long-standing Persistent AF * Dilated left atrium (at least moderately dilated) * Suitable for either procedure * LVEF \< 50% Exclusion Criteria: * Not yet optimised from a medical or lifestyle perspective for AF or heart failure * Unable to provide written consent * Previous open-heart surgery * Active infection, oesophageal ulcer stricture or oesophageal varices * Prior catheter ablation of atrial fibrillation (prior ablation for atrial flutter / supraventricular tachycardia or ventricular arrhythmia acceptable) * Contraindication to anticoagulation, or active thrombus in the left atrium despite therapeutic anticoagulation * Severe valvular heart disease * Unstable coronary artery disease * Uncontrolled ventricular arrhythmia * Heart attack or stroke within the last 90 days * Pregnant, breastfeeding, or women of childbearing age who plan to get pregnant within six months * Severe concomitant condition or presence of an implanted device that would preclude the patient from undergoing trial procedures

Where Is This Study? (7 UK sites)

Ashford & St Peters Hospital NHS Trust

Chertsey, United Kingdom

Recruiting
Site contact (verified)

Epsom General Hospital

Epsom, United Kingdom

Recruiting
Site contact (verified)

Cromwell Hospital

London, United Kingdom

ACTIVE_NOT_RECRUITING

Royal Surrey County Hospital

London, United Kingdom

Recruiting
Site contact (verified)

St Anthonys Hospital

London, United Kingdom

ACTIVE_NOT_RECRUITING

St Georges at Kingston Hospital

London, United Kingdom

Recruiting
Site contact (verified)

St Georges University of London

London, United Kingdom

Recruiting
Site contact (verified)

How to Get in Touch

Riyaz A Kaba

Sponsor contact

CONTACT

020 8725 4571 rkaba@sgul.ac.uk

Omar Ahmed

Sponsor contact

CONTACT

020 8725 4571 m2109536@sgul.ac.uk
Data sourced from ClinicalTrials.gov · Last verified: 2025-11