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RecruitingNCT05856461PADN+AFUpdated May 25, 2023

Pulmonary Artery Denervation in Patients With Atrial Fibrillation and Group 2 of Pulmonary Hypertension

An interventional study of Pulmonary vein isolation and Sham pulmonary artery denervation in Atrial Fibrillation and Pulmonary Hypertension, sponsored by Meshalkin Research Institute of Pathology of Circulation. Recruiting at 1 site in Russian Federation. Open to participants aged 18 Years to 80 Years. Per ClinicalTrials.gov, last updated 2023-05-25.

Sponsored by Meshalkin Research Institute of Pathology of Circulation · Not applicable, Interventional, and Treatment

From the registry’s dates

  • Primary completion was expected by Dec 2024, 1 year 10 months ago, but the record still lists the study as recruiting.
  • Started May 2023; still recruiting 3 years 5 months later.
Phase
Not applicable
Study type
Interventional
Enrollment
116
Allocation
Randomized
Ages
18 Years to 80 Years
Sex
All
01

Study summary

The goal of the study is to compare efficacy and safety of the pulmonary artery denervation procedure combined with atrial fibrillation ablation versus atrial fibrillation ablation alone in patients with paroxysmal and persistent atrial fibrillation and group 2 of the pulmonary hypertension

02

Conditions studied

  • Atrial Fibrillation
  • Pulmonary Hypertension

Keywords

  • Atrial fibrillation
  • Pulmonary Hypertension
  • Remote magnetic navigation
  • Catheter ablation
03

In context

Atrial Fibrillation

4,009 studies on the registry are indexed under Atrial Fibrillation; 961 are open to participants now.

This study's planned enrollment of 116 is below the median of 150 across 2,476 interventional studies indexed under Atrial Fibrillation.

Browse Atrial Fibrillation studies →

Lead sponsor

Meshalkin Research Institute of Pathology of Circulation is the lead sponsor of 119 studies on the registry; 9 are open to participants now.

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

04

Who can participate

Ages eligible
18 Years to 80 Years
Sexes eligible
All
Accepts healthy volunteers
No

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • Mean pulmonary artery pressure > 25 mm Hg and pulmonary artery wedge pressure > 15 mm Hg by right heart catheterization
  • Paroxysmal or persistent atrial fibrillation
  • II-III
  • BNP > 105 pg/ml
  • Indications for catheter ablation of atrial fibrillation according guidelines
  • > 50%

Exclusion criteria

Exclusion Criteria:

  • Group 1,3,4 of the pulmonary hypertension
  • Left atrium diameter > 6 cm
  • Planned open heart surgery procedure
  • Previous heart valve surgery
  • Severe aortic, pulmonary, tricuspid or mitral, valves regurgitation
  • Thrombus in the left heart chambers
Terms in these criteria, in plain language(2)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

NYHA class (heart failure)

The New York Heart Association’s four classes of how much heart failure limits physical activity.

I
No limits: ordinary activity causes no undue tiredness or breathlessness.
II
Slight limits: comfortable at rest, ordinary activity causes symptoms.
III
Marked limits: comfortable at rest, less than ordinary activity causes symptoms.
IV
Symptoms even at rest; any activity makes them worse.

Studies set their own limit — many outside heart failure leave out class III–IV, while heart failure studies may ask for a particular class. Check the class this study names.

LVEF (left ventricular ejection fraction)

The share of blood the heart’s main pumping chamber (the left ventricle) pushes out with each beat, measured by an echocardiogram (heart ultrasound) or a MUGA scan. About 50–70% is normal.

05

Study design

Phase
Not applicable
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Double (Participant, Outcomes assessor)
Enrollment
116 participants (estimated)

Study arms

  • Sham comparator
    Pulmonary vein isolation+sham pulmonary artery denervation (group 1)

    In group 1, standard pulmonary vein isolation will be performed (with manual or remote robotic 3D navigation using radiofrequency energy) with sham pulmonary artery denervation procedure including 3D reconstruction of the pulmonary artery tree and creation of the false ablation point

    Procedure: Pulmonary vein isolation · Procedure: Sham pulmonary artery denervation

  • Active comparator
    Pulmonary vein isolation+pulmonary artery denervation (group 2)

    In group 2, standard pulmonary vein isolation will be performed (with manual or remote robotic 3D navigation using radiofrequency energy) combined with pulmonary artery denervation procedure

    Procedure: Pulmonary vein isolation · Procedure: Pulmonary artery denervation

Interventions

  • ProcedurePulmonary vein isolation

    Circumferential pulmonary vein isolation procedure using 3D navigation systems with entrance and exit block verification

  • ProcedureSham pulmonary artery denervation

    Sham pulmonary artery denervation procedure includes 3D reconstruction of the right ventricular outflow tract, main, left and right pulmonary arteries with creation of the false ablation points. No true ablation lesions will be performed in the pulmonary artery

  • ProcedurePulmonary artery denervation

    Pulmonary artery denervation procedure includes 3D reconstruction of the right ventricular outflow tract, main, left and right pulmonary arteries and 3 circles of ablation lesions (bifurcation of the main pulmonary artery, left and right pulmonary arteries)

06

What researchers measure

Primary outcomes

  1. Freedom from Atrial Fibrillation/Atrial Flutter/Atrial Tachycardia

    Freedom from Atrial Fibrillation/Atrial Flutter/Atrial Tachycardia 3 months after blanking period without antiarrhythmic drugs

    Time frame: 12 months

Secondary outcomes

  1. Perioperative complications

    Perioperative complications, including Death, Stroke, TIA, myocardial infarction, cardiac tamponade, pulmonary vein stenosis, pulmonary vein stenosis, vascular complications

    Time frame: 30 days

  2. Clinical adverse events

    Death, Stroke, TIA, myocardial infarction, cardiac arrest, bleedings

    Time frame: 12 months

  3. Number of hospitalizations

    Hospitalizations due to atrial fibrillation of heart failure

    Time frame: 12 months

  4. Mean pulmonary artery pressure

    Changes in mean pulmonary artery pressure between groups

    Time frame: 12 months

  5. Pulmonary vascular resistance

    Changes in the pulmonary vascular resistance between groups

    Time frame: 12 months

  6. Pulmonary wedge pressure

    Changes in the pulmonary wedge pressure between groups

    Time frame: 12 months

  7. Systolic pulmonary artery pressure

    Changes in the systolic pulmonary artery pressure between groups

    Time frame: 12 months

  8. 6-minutes walking distance

    Changes in the 6-minutes walking distance between groups

    Time frame: 12 months

  9. Atrial fibrillation burden

    Changes in the atrial fibrillation burden between groups

    Time frame: 12 months

  10. Brain natriuretic peptide

    Changes in the brain natriuretic peptide between groups

    Time frame: 12 months

07

Study locations

1 of 1 sites recruiting
  • E. Meshalkin National Medical Research Center
    Novosibirsk, 630055, Russian Federation
    Recruiting
08

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on May 25, 2023, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
09

Registry details

Key details

Study ID
NCT05856461
Responsible party
Sponsor
First posted
May 12, 2023
Start date
May 22, 2023
Primary completion
Dec 29, 2024 (estimated)
Completion
Feb 22, 2025 (estimated)
Last update
May 25, 2023

Study contacts

Alexander Romanov, MD
Contact
abromanov@mail.ru
+73833327655
Vitaly Shabanov, MD
Contact
v.v.shabanov@hotmail.com
+73833327655
Alexander B Romanov, MD
principal investigator · E. Meshalkin National Medical Research Center

Oversight

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

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