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TerminatedNCT04877327X-TRAUpdated Mar 12, 2024

Strategy of Crossing Two Ablation Techniques (Cryoballoon and Radiofrequency) After the Recurrence of Paroxysmal AF and the Need for a New Procedure

An interventional study of Ablation in Atrial Fibrillation, sponsored by Galaxia Empírica. Terminated at 9 sites in Spain. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2024-03-12.

Sponsored by Galaxia Empírica · Not applicable, Interventional, and Treatment

Why this study was terminated
Low recruitment
Phase
Not applicable
Study type
Interventional
Enrollment
16
Allocation
Randomized
Ages
18 Years and older
Sex
All
01

Study summary

Randomized phase III clinical trial to compare the efficacy of the two most widely used ablation techniques (cryotherapy and radiofrequency) after recurrence of atrial fibrillation (AF) in patients requiring a new ablation procedure.

02

Conditions studied

  • Atrial Fibrillation
03

In context

Atrial Fibrillation

3,870 studies on the registry are indexed under Atrial Fibrillation; 924 are open to participants now.

This study's enrollment of 16 is below the median of 144 across 2,380 interventional studies indexed under Atrial Fibrillation.

Browse Atrial Fibrillation studies →

Lead sponsor

Galaxia Empírica is the lead sponsor of 3 studies on the registry; none are open to participants now.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

  • Paroxysmal FA (one that ends, spontaneously or not, within 7 days of its onset. GUIDELINES ESC FA 2020)
  • Have undergone an initial AF ablation procedure using Cryoballoon or point-to-point focal RF within the three years prior to the initial visit.
  • During the initial AF ablation procedure ONLY pulmonary vein isolation / ablation will have been performed
  • Documented recurrence of AF lasting more than 30 seconds after the first ablation procedure.
  • With the ability and willingness to sign the informed consent of the patient.
  • With a minimum follow-up capacity of 12 months.

Exclusion criteria

Exclusion Criteria:

  • Patients aged \<18 years.
  • Previous heart surgery.
  • Moderate or severe mitral valve disease.
  • Severe dilation of the left atrium, defined as a volume greater than 48 ml / m2 or a left atrial diameter greater than 50 mm in the parasternal long axis.
  • Contraindication for anticoagulation.
  • Pregnancy or pregnancy intention during the 12-month follow-up.
  • Life expectancy less than 12 months.
  • Unavailability for follow-up for 12 months.
  • Simultaneous participation in another clinical trial
05

Study design

Phase
Not applicable
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
16 participants (actual)

Study arms

  • Experimental
    Cross-over of ablation technique

    Cross-over of cardiac ablation procedures (cryotherapy and radiofrequency; radiofrequency and cryotherapy)

    Procedure: Ablation

  • No intervention
    Repetition of the same technique

    Repeat the same procedure (cryotherapy and cryotherapy; radiofrequency and radiofrequency)

Interventions

  • ProcedureAblation

    Cryotherapy and radiofrequency

06

What researchers measure

Primary outcomes

  1. Compare the effectiveness of the technique crossover strategy versus the repetition of the same technique for the isolation of the pulmonary veins during a second ablation procedure indicated by recurrence of AF

    The rate of recurrent AF will be documented to check whether it is better to cross ablation techniques or not. This efficacy is defined as the absence of documented AF recurrence lasting more than 30 seconds, during a 12-month follow-up after the second ablation procedure.

    Time frame: 42 months

Secondary outcomes

  1. To compare the efficacy of the AF re-ablation procedure based on the initial technique and the technique of the second procedure, during a 12-month follow-up after the second ablation procedure.

    The patient's events during follow-up will be evaluated through follow-up visits and verification of his medical history and the rate of recurrent AF will be documented.

    Time frame: 42 months

  2. Analyze potential predictors of efficacy of each of the techniques based on the anatomy of the left atrium and pulmonary veins. Evaluate the number of reconnected pulmonary veins through cardiac imaging procedures

    Evaluate the anatomical location of reconnection in each patient referred for re-ablation, depending on the technique used in the first procedure.

    Time frame: 42 months

07

Study locations

9 sites
  • Hospital Universitario Virgen de las Nieves Granada
    Granada, Andalucía, Spain
  • Hospital Virgen de la Victoria
    Málaga, Andalucía, Spain
  • Complejo hospitalario universitario de Albacete
    Albacete, Castilla La Mancha, Spain
  • Hospital Virgen de la Salud
    Toledo, Castilla La Mancha, Spain
  • Hospital General Universitario de Alicante
    Alicante, Comunidad Valenciana, Spain
  • Hospital Clínico Valencia
    Valencia, Comunidad Valenciana, Spain
  • Complejo Hospitalario Universitario de Santiago de Compostela
    Santiago De Compostela, Galicia, Spain
  • Hospital 12 de Octubre
    Madrid, Spain
  • Hospital Puerta de Hierro
    Madrid, Spain
08

References and documents

Individual participant data

Plan to share: No

No publications or documents are linked to this record.

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Mar 12, 2024, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT04877327
Lead sponsor
Galaxia Empírica
Responsible party
Sponsor
First posted
May 7, 2021
Start date
Aug 31, 2021
Primary completion
Feb 1, 2024
Completion
Feb 1, 2024
Last update
Mar 12, 2024

Oversight

Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is terminated, as verified in Mar 2024. You cannot join it, but the record below documents what was studied.

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