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RecruitingNCT06392932Updated Oct 28, 2025

Esophageal Temperature During PVI Using Q-DOT Micro

An interventional study of QDOT Micro ablation catheter and ST SF ablation catheter in Atrial Fibrillation Paroxysmal, sponsored by Cedars-Sinai Medical Center. Recruiting at 1 site in United States. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2025-10-28.

Sponsored by Cedars-Sinai Medical Center · Not applicable, Interventional, and Treatment

From the registry’s dates

  • Started Oct 2024; still recruiting 2 years later.
Phase
Not applicable
Study type
Interventional
Enrollment
30
Allocation
Randomized
Ages
18 Years and older
Sex
All
01

Study summary

This study will assess how two different ablation strategies, using two different ablation catheters during catheter ablation for paroxysmal atrial fibrillation, affect the temperature of the esophagus during ablation, and the risk of injury to the esophagus.

Read the detailed description

This is a prospective randomized controlled trial, studying patients undergoing ablation involving pulmonary vein isolation for paroxysmal atrial fibrillation. Patients will be assigned to undergo conventional high-power short-duration ablation or temperature-controlled very-high-power short-duration ablation, and esophageal outcomes including temperature changes during ablation and esophageal injury as assessed by post-procedure capsule endoscopy will be compared between the groups. The hypothesis is that very-high-power short-duration ablation will lead to lower rises in esophageal temperature and lower rates of esophageal findings during capsule endoscopy.

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Conditions studied

  • Atrial Fibrillation Paroxysmal

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Keywords

  • Atrial Fibrillation
  • Esophageal thermal injury
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In context

Atrial Fibrillation

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

This study's planned enrollment of 30 is below the median of 144 across 2,380 interventional studies indexed under Atrial Fibrillation.

Browse Atrial Fibrillation studies →

Lead sponsor

Cedars-Sinai Medical Center is the lead sponsor of 441 studies on the registry; 108 are open to participants now.

Of its 62 completed or terminated interventional studies of FDA-regulated products, 47 (76%) have results posted.

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

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Who can participate

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

Inclusion criteria

  1. Provision of signed and dated informed consent form
  2. Stated willingness to comply with all study procedures and availability for the duration of the study
  3. Male or female, aged greater than or equal to 18 years
  4. Diagnosed with paroxysmal atrial fibrillation
  5. Undergoing RF catheter ablation for treatment of paroxysmal atrial fibrillation that will involve circumferential point-by-point radiofrequency ablation pulmonary vein isolation with no additional left atrial posterior wall ablation planned

Exclusion criteria

Exclusion Criteria:

  1. Patients who have undergone prior left atrial ablation procedures.
  2. Patients where the use of the Q-DOT Micro ablation catheter in QMODE+ (i.e. temperature-controlled very-high-power short-duration ablation) is felt to be unsafe.
  3. Patients who have contraindications to capsule endoscopy, or GI conditions that may increase the risks of capsule endoscopy (e.g. esophageal strictures, inflammatory bowel disease, etc)
  4. Any records flagged "break the glass" or "research opt out."
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Study design

Phase
Not applicable
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Single (Outcomes assessor)
Enrollment
30 participants (estimated)

Study arms

  • Experimental
    QDOT Arm

    Temperature-controlled very-high-power short-duration ablation using the QDOT Micro catheter.

    Device: QDOT Micro ablation catheter

  • Active comparator
    ST SF Arm

    Conventional high-power short-duration ablation using the ThermoCool ST SF catheter.

    Device: ST SF ablation catheter

Interventions

  • DeviceQDOT Micro ablation catheter

    QDOT Micro ablation catheter

  • DeviceST SF ablation catheter

    ST SF ablation catheter

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What researchers measure

Primary outcomes

  1. Maximal change in esophageal temperature during posterior wall isolation.

    Time frame: During ablation procedure.

Secondary outcomes

  1. Presence of esophageal thermal injury seen on post-procedure capsule endoscopy.

    Time frame: 2-4 days after ablation procedure.

  2. Presence of procedural complications.

    Time frame: During and immediately following ablation procedure.

Other outcomes

  1. Number of RF ablation lesions to performed pulmonary vein isolation.

    Time frame: During ablation procedure.

  2. RF time during pulmonary vein isolation.

    Time frame: During ablation procedure.

  3. Left atrial dwell time to achieve pulmonary vein isolation.

    Time frame: During ablation procedure.

  4. Achievement of first pass pulmonary vein isolation.

    Time frame: During ablation procedure.

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Study locations

1 of 1 sites recruiting
  • Cedars-Sinai Smidt Heart Institute
    Los Angeles, California 90048, United States
    Recruiting
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References and documents

Study documents

  • Protocol and statistical analysis plan · Aug 10, 2023
  • Informed consent form · Apr 23, 2024

Documents are hosted by the registry — open the source record to download them.

Individual participant data

Plan to share: No

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Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Oct 28, 2025, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT06392932
Lead sponsor
Cedars-Sinai Medical Center
Collaborators
Biosense Webster, Inc.
Responsible party
Eric Braunstein (Staff Physician I, Cedars-Sinai Medical Center) — Principal investigator
First posted
May 1, 2024
Start date
Oct 4, 2024
Primary completion
Oct 2026 (estimated)
Completion
Mar 2027 (estimated)
Last update
Oct 28, 2025

Study contacts

Eric D Braunstein, MD
Contact
Eric.Braunstein@cshs.org
310-248-6679
Tansy Aguilar
Contact
tansy.aguilar@cshs.org

Oversight

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

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