Pulsed Field Ablation (PFA) vs Anti-Arrhythmic Drug (AAD) Therapy as a First Line Treatment for Persistent Atrial Fibrillation (NCT06096337)
๐ฉบ Plain-English Summary (8th-Grade Level)
The purpose of this study is to establish the safety and effectiveness of pulsed field ablation as a first-line ablation treatment for subjects with persistent atrial fibrillation as compared to subjects who received an initial treatment with anti-arrhythmic drugs.
Who can join: To join this study, participants generally need to meet the listed inclusion criteria (5 items) and avoid the listed exclusions (60 items).
Location: University of Alabama at Birmingham โ Birmingham, Alabama
๐ "Do I Qualify?" โ 1-Minute Self Screener
Instant ChecklistCheck every box below. If you can check all of them, you may meet the study's basic screening requirements (final eligibility is confirmed by the site team).
Usually NOT eligible if any of the following apply:
- Exclusion Criteria:
- Treated with AAD (Class I or III) โค 6 months (i.e., within 180 days) before enrollment,
- More than 7-day history of therapeutic AAD use (Class I or III), or
- โฅ 24 hours amiodarone, i Note Pill-in-the-pocket AAD use, is permitted.
- Treated with AAD ( Class I or III) \> 6 months (i.e., more than 180 days) before enrollment and experienced AAD failure (adverse drug effects or frequent AF episodes)
- Contraindication to, or unwillingness to use, AADs (Class I and III, excluding amiodarone)
- Contraindication to PFA treatment
- Contraindication to, or unwillingness to use, systemic anticoagulation, or acceptable alternatives, pre-, intra-, and post-procedure to achieve adequate anticoagulation.
- Any of the following atrial conditions:
- Left atrial (LA) anteroposterior diameter โฅ 5.5 cm, or, if LA diameter not available, non-indexed volume \>100 ml, as documented by physician note or imaging (Note: if both values are available, only the LA diameter will be used to confirm eligibility criteria)
- Any prior atrial endocardial, epicardial or surgical ablation procedure for arrhythmia, other than right sided cavotricuspid isthmus ablation or for right sided supraventricular tachycardia
- Current atrial myxoma
๐ Extracted verbatim from the official NIH eligibility criteria. Always confirm with the study coordinator.
๐ All Participating Trial Locations (61 Sites)
- University of Alabama at Birmingham โ Birmingham, Alabama
- Banner University Medical Center Phoenix โ Phoenix, Arizona
- Phoenix Cardiovascular Research Group โ Phoenix, Arizona
- Arrhythmia Research Group โ Jonesboro, Arkansas
- Scripps Memorial Hosptial โ La Jolla, California
- Stanford University Medical Center โ Palo Alto, California
- Cardiology Associates Medical Group, Inc โ Ventura, California
- HCA Florida Mercy Hospital โ Miami, Florida
- Sarasota Memorial Hospital โ Sarasota, Florida
- Tallahassee Memorial Hospital โ Tallahassee, Florida
- St. Joseph's Hospital โ Tampa, Florida
- Emory University Hospital โ Atlanta, Georgia
- Memorial Health University Medical Center โ Savannah, Georgia
- St. John's Hospital โ Springfield, Illinois
- Community Heart and Vascular Hospital โ Indianapolis, Indiana
- Mercy Hospital Medical Center-Hospital โ West Des Moines, Iowa
- Baptist Health Lexington โ Lexington, Kentucky
- Johns Hopkins Hospital โ Baltimore, Maryland
- Brigham and Women's Hospital โ Boston, Massachusetts
- Southcoast Physicians Group โ Fall River, Massachusetts
- University of Michigan Hospitals โ Ann Arbor, Michigan
- Corewell Health โ Grand Rapids, Michigan
- Mayo Clinic Foundation-Hospital โ Rochester, Minnesota
- Catholic Medical Center โ Manchester, New Hampshire
- Valley Hospital โ Paramus, New Jersey
๐ฐ Cost, Insurance & Patient Rights
- 100% Free Items: The investigational treatment and protocol-required procedures are supplied at zero cost by the sponsor.
- Routine Patient Care: Under federal law (ACA ยง 2709) and many state statutes, routine care costs are covered during participation.
- Voluntary Participation: You may withdraw at any time without affecting your standard medical care.