About this trial
To evaluate whether pre-treatment with semaglutide is superior to standard care in improving freedom from atrial fibrillation (AF) at 12 months following catheter ablation in patients with obesity and symptomatic AF undergoing first-time ablation.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Age 18-80 years
Symptomatic paroxysmal or persistent AF eligible for first-time catheter ablation
Body mass index ≥30 kg/m or body mass index ≥28 kg/m plus ≥1 weight-related comorbidity
No prior treatment with glucacon-like peptide-1 receptor agonists
Disqualifiers
Current use of glucacon-like peptide-1 receptor agonists or dipeptidyl peptidase 4 inhibitors or use within the last 90 days prior to screening
Current antiobesity medication use or use within the last 90 days prior to screening
A self-reported change in body weight of >5 kg within 30 days before screening
History of bariatric surgery
Trial design
Parallel
Treatments tested in this trial
Semaglutide (SEMA)
DrugCatheter ablation for AF plus semaglutide (up to 2.4 mg weekly)
Treatment groups
Trial outcomes
Primary outcomes
Freedom from atrial arrhythmia (AF/atrial flutter/atrial tachycardia >30 sec) at 12 months post-ablation (8-week-blanking period)
Locations
Sponsors and contacts
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