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NCT04153747: POWER-FAST
High Radiofrequency Power for Faster and Safer Pulmonary Vein Ablation Trial (POWER FAST III)
NA trial testing High-power and short-duration radiofrequency ablatio (70 W / 9-10 s) in Atrial Fibrillation in 304 participants. Completed in 30 December 2023.
30 April 2023
Quick facts
| Lead sponsor | Hospital Universitario La Paz |
|---|---|
| Phase | NA |
| Status | Completed |
| Study type | INTERVENTIONAL |
| Allocation | randomized |
| Design | parallel |
| Masking | none |
| Primary purpose | treatment |
| Enrollment | 304 |
| Start date | 25 April 2019 |
| Primary completion | 30 April 2023 |
| Estimated completion | 30 December 2023 |
| Sites | 1 location across Spain |
Drugs / interventions tested
- High-power and short-duration radiofrequency ablatio (70 W / 9-10 s)
- Low-power (25-40 W) radiofrequency ablation guided by lesion size index (LSI) and ablation index (AI) values
- Esophageal endoscopy
- Daily 30-seconds ECG
Conditions studied
- Atrial Fibrillation — all drugs for Atrial Fibrillation →
- Catheter Ablation — all drugs for Catheter Ablation →
Sponsor
Hospital Universitario La Paz
Who can join
18 and older, any sex, with Atrial Fibrillation or Catheter Ablation. Patients with the condition only — healthy volunteers not accepted.
Sponsor's own description
Multicenter 1:1 randomized study. Two atrial fibrillation ablation strategies are compared: 1) conventional ablation using point-by-point radiofrequency applications with power 40 W guided by LSI \> 6 or AI \> 500 on the anterior aspect of pulmonary veins and power 25 W guided by LSI \>5 or AI \>350 on the posterior wall near the esophagus; 2) point-by-point RF applications with power set at 70 W and duration 9-10 s. The main objective of the trial is the incidence of esophageal lesions evaluated with systematic endoscopy and clinical efficacy evaluated with daily ECG transtelephonic transmissions during 1-year follow-up. Secondary objectives include total RF time and parameters of acute PV isolation efficacy (first-pass isolation, acute reconnections and dormant conduction).
Publications & conference data
1 peer-reviewed publication reference this trial (live from Europe PMC):
-
High-Power Short-Duration Radiofrequency Application for Faster and Safer Pulmonary Vein Isolation: The POWER-FAST III Trial.
Castrejón-Castrejón S, Martínez Cossiani M, Basterra Sola N, Romero Roldán JD, et al · · 2025 · cited 8× · PMID 39708035 · DOI 10.1016/j.jacep.2024.10.009
Verify or expand the search:
- PubMed search for NCT04153747
- Europe PMC full search
- ASCO Meeting Library
- ESMO Meeting Library
- bioRxiv preprints
- medRxiv preprints
- Google Scholar
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Other Hospital Universitario La Paz trials
Trials by the same sponsor.
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Verify against primary sources
- ClinicalTrials.gov — authoritative US registry record
- WHO ICTRP — international registry index
- EU Clinical Trials Register
- Sponsor press releases (Google)
- Trial protocol + status: ClinicalTrials.gov NCT04153747 (US National Library of Medicine, public domain)
- Publications: Europe PMC API search by NCT ID, retrieved 10 June 2026
- Drug + disease cross-links: matched in real time against Drug Landscape's normalised drug + company + condition tables
- Sponsor: as reported to ClinicalTrials.gov by Hospital Universitario La Paz
- Last refreshed: 10 January 2024
Drug Landscape aggregates and links these public records for informational use only. Always verify against the primary source before clinical or regulatory decisions. Canonical URL: https://druglandscape.com/trial/NCT04153747.
Primary sources · FDA · ClinicalTrials.gov · EMA · SEC EDGAR · ChEMBL · Wikidata · full sourcing