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Hypertrophic Cardiomyopathy (HCM)MAP HCMNCT07454135

Mechanisms of Atrial Pathoelectrophysiology in HCM

An observational study of Hypertrophic Cardiomyopathy (HCM) and Atrial Fibrillation (AF), run by Guy's and St Thomas' NHS Foundation Trust at 1 site in United Kingdom.

Recruiting

Looking for participants now. Contact the study team or a site below to ask about taking part.

Sites and contacts
Official record

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Trial summary

This study aims to learn why atrial fibrillation (AF), a type of irregular heartbeat, happens more often and is harder to treat in people with hypertrophic cardiomyopathy (HCM). HCM is an inherited condition where the heart muscle is thicker than usual. Read more about this study

Who is it for?
Ages 18 to 80 years
How many people
40 participants
Where
1 siteUnited Kingdom
Study dates
26 May 2026to 30 Sep 2027
Phase
Observational

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 to 80 years
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Study population: Patients with hypertrophic cardiomyopathy and atrial fibrillation requiring atrial fibrillation ablation.

Who may be able to join

  • Paroxysmal or persistent atrial fibrillation
  • Diagnosis of hypertrophic cardiomyopathy
  • Patient planning to proceed to atrial fibrillation ablation following clinical consultation
  • Age 18-80 years
  • Able and willing to provide written informed consent
  • Able and willing to comply with study follow up requirements

Who cannot join

  • Any clinical contra-indication to ablation
  • Any disease limiting life expectancy to <1 year
  • Potential participant currently pregnant or breast feeding
  • Contraindication to MRI including renal dysfunction (eGFR<30ml/min)
  • Unable to understand verbal or written explanations given in English

Trial locations and contacts

1 site in 1 country. Contact the study team or a site near you to ask about taking part.

United Kingdom1 site, 1 recruiting
  • Guy's and St Thomas' NHS Foundation Trust

    London

    Magdalena Klis, 02071887188, magda.klis@kcl.ac.uk

    Recruiting

Other trials in United Kingdom

About this study

This study aims to learn why atrial fibrillation (AF), a type of irregular heartbeat, happens more often and is harder to treat in people with hypertrophic cardiomyopathy (HCM). HCM is an inherited condition where the heart muscle is thicker than usual.

Researchers will study electrical signals from the heart and advanced heart imaging. By doing this, they hope to better understand how AF behaves in people with HCM and why treatments may not work as well for them.

The information from this study may help improve future treatments for people who have both HCM and AF.

Keywords
hypertrophic cardiomyopathy, atrial fibrillation
Medical subject headings
Cardiomyopathy, Hypertrophic, Atrial Fibrillation

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

Study groups in NCT07454135
Study groupRoleWhat they receive
Patients with HCM and AFNot described

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Changes in bipolar voltage, conduction velocity, refractory periods and conduction divergence of the atria in patients with HCM and AF compared to patients with AF and structurally normal hearts

    Measured: At the time of the clinical ablation procedure

Secondary outcomes (2)
  1. Correlatation between the bipolar voltage in the atria with directly measured left atrial pressure, extent of late gadolinium enhancement and ventricular extracellular volume .

    Measured: At the time of clinical ablation procedure

  2. Reduction in AF inducibility in silico models following simulated ablation

    Measured: Based on measurements taken during the clinical ablation procedure

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted6 Mar 2026
  2. Study start26 May 2026
  3. Primary completion30 Sep 2027 (estimated)
  4. Study completion30 Sep 2027 (estimated)

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Observational
Observational model
Cohort
Time perspective
Prospective
Enrolment
40 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT07454135
Sponsor's protocol ID
339394
Acronym
MAP HCM
Status last verified
Mar 2026
First submitted
2 Mar 2026
Last updated
11 Sep 2026
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
No

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