Clinical trial • Phase II • Cardiology

Hydrogen for Atrial fibrillation

Phase II trial of Hydrogen for Atrial fibrillation. Randomised, open-label. 136 participants.

Overview

Trial Therapeutic Area
Cardiology
Trial Disease
Atrial fibrillation
Trial Stage
Phase II
Drug Modality
Small molecule

Key dates

Initial CTIS Submission Date
28-10-2025
First CTIS Authorization Date
25-02-2026

Trial design

Randomised, open-label Phase II trial across 2 sites in France.

Randomised
Yes
Open Label
Yes
Target Sample Size
136
Trial Duration For Participant
365

Eligibility

Recruits 136 Protected persons are explicitly excluded (pregnant women, women in labour, breastfeeding mothers, persons deprived of liberty, persons receiving certain psychiatric care, persons admitted to health or social care institutions for other purposes, minors, persons under legal protection or unable to express consent). Minors are excluded; participants must sign the study consent form. No vulnerable population was selected in the trial population settings..

Pregnancy Exclusion
Persons referred to in Articles L1121-5 to L1121-8 of the CSP and Articles 31 to 35 of Regulation 536/2014 (corresponds to all protected persons: pregnant women, women in labor, breastfeeding mothers, persons deprived of their liberty by judicial or administrative decision, persons receiving psychiatric care pursuant to Articles L. 3212-1 and L. 3213-1 who are not covered by the provisions of Article L. 1121-8, persons admitted to a health or social care institution for purposes other than research, minors, persons subject to legal protection measures or unable to give their consent).
Vulnerable Population
Protected persons are explicitly excluded (pregnant women, women in labour, breastfeeding mothers, persons deprived of liberty, persons receiving certain psychiatric care, persons admitted to health or social care institutions for other purposes, minors, persons under legal protection or unable to express consent). Minors are excluded; participants must sign the study consent form. No vulnerable population was selected in the trial population settings.

Inclusion criteria

  • {"criterion_text":"- Be over 18 years of age\n- Have paroxysmal or persistent AF with symptoms lasting less than 6 months\n- Be a candidate for first-time AF ablation (cryoablation, electroporation)\n- Understand and agree to comply with the study procedures\n- Have a smartphone\n- Be enrolled in a social security program or have similar rights\n- Have signed the study consent form"}

Exclusion criteria

  • {"criterion_text":"- Be over 80 years of age\n- Persons referred to in Articles L1121-5 to L1121-8 of the CSP and Articles 31 to 35 of Regulation 536/2014 (corresponds to all protected persons: pregnant women, women in labor, breastfeeding mothers, persons deprived of their liberty by judicial or administrative decision, persons receiving psychiatric care pursuant to Articles L. 3212-1 and L. 3213-1 who are not covered by the provisions of Article L. 1121-8, persons admitted to a health or social care institution for purposes other than research, minors, persons subject to legal protection measures or unable to give their consent).\n- Personnel with a hierarchical relationship with the principal investigator\n- Have a left atrial diameter ≥ 50 mm on TEE.\n- Have a history of AF ablation.\n- Radiofrequency ablation.\n- Patient undergoing long-term anti-inflammatory treatment.\n- Patients with gas administration equipment (CPAP, NIV, etc.)\n- Women of childbearing potential\n- Uncooperative patients\n- During exclusion period from another study"}

Endpoints

Primary endpoints

  • {"endpoint_text":"- The primary endpoint is binary and composite, defined as: - The absence of early recurrence during the blanking period (3 months post-ablation), defined as any episode of AF, atrial flutter, or atrial tachycardia lasting at least 30 seconds AND - Improvement in quality of life defined as a decrease in the AFEQT (Atrial Fibrillation Effect on Quality of Life) score of at least 5 points (72) between D0 and M3.","definition_or_measurement_approach":"Composite binary endpoint: (1) absence of early recurrence during the 3-month blanking period, where recurrence is any episode of AF, atrial flutter, or atrial tachycardia lasting ≥ 30 seconds; AND (2) improvement in QoL defined as a decrease in AFEQT score ≥ 5 points between day 0 (D0) and month 3 (M3)."}

Secondary endpoints

  • {"endpoint_text":"- Number of hospitalizations or electrical cardioversions or drug-induced cardioversions during the blanking period","definition_or_measurement_approach":"Count of hospitalizations and cardioversions (electrical or drug-induced) occurring during the 3-month blanking period."}
  • {"endpoint_text":"- Late recurrence (> 3 months and up to 12 months after ablation)","definition_or_measurement_approach":"Occurrence of AF recurrence occurring >3 months and up to 12 months post-ablation."}
  • {"endpoint_text":"- Variation in blood concentration of inflammation markers (GB, CRPus, and IL-6) between 24 hours pre-ablation and 24–48 hours post-ablation","definition_or_measurement_approach":"Change in blood levels of white blood cells (GB), high-sensitivity CRP (CRPus), and IL-6 between 24 hours before ablation and 24–48 hours after ablation."}
  • {"endpoint_text":"- Collection of adverse events that will be described and graded using the Common Terminology Criteria for Adverse Events v5.0 (CTCAE) terminology.","definition_or_measurement_approach":"All adverse events collected and described; severity graded according to CTCAE v5.0."}
  • {"endpoint_text":"- Customized questionnaire on patient acceptance of hydrogen therapy treatment upon admission to the hospital (part 1) and upon discontinuation of hydrogen therapy (part 2)","definition_or_measurement_approach":"Patient-reported acceptability assessed using a bespoke questionnaire administered at hospital admission and at discontinuation of hydrogen therapy."}
  • {"endpoint_text":"- Customized hetero-questionnaire on healthcare providers' acceptance of hydrogen therapy treatment","definition_or_measurement_approach":"Healthcare provider acceptability assessed using a bespoke hetero-questionnaire."}

Recruitment

Planned Sample Size
136
Recruitment Window Months
36
Consent Approach
Participants must sign the study consent form. A subject information sheet and informed consent form are provided (L1_SIS and ICF patient). Minors and other protected persons are excluded; consent is provided by the participant. Documents/translations in the dossier include French-language versions.

Geography

Total Number Of Sites
2
Total Number Of Participants
136

France

Earliest CTIS Part Ii Submission Date
08-12-2025
Latest Decision Or Authorization Date
25-02-2026
Processing Time Days
79
Number Of Sites
2
Number Of Participants
136

Sites

Site Name
Centre Hospitalier Universitaire Grenoble Alpes
Department Name
Cardiology
Principal Investigator Name
Pascal DEFAYE
Principal Investigator Email
pdefaye@chu-grenoble.fr
Contact Person Name
Pascal DEFAYE
Contact Person Email
pdefaye@chu-grenoble.fr
Site Name
Hospices Civils De Lyon
Department Name
Cardiology
Principal Investigator Name
Philippe CHEVALIER
Principal Investigator Email
philippe.chevalier@chu-grenoble.fr
Contact Person Name
Philippe CHEVALIER

Sponsor

Primary sponsor

Full Name
Centre Hospitalier Universitaire Grenoble Alpes
Organisation Type
Hospital/Clinic/Other health care facility
Country Of Registered Address
France

Third parties

  • {"country":"France","full_name":"DGOS (French Health Ministry)","duties_or_roles":"Source of monetary support","organisation_type":"Government"}

Investigational products

Investigational Product Name
Mélange gazeux H2/ N2 3,6%/96,4%
Active Substance
Hydrogen
Modality
Small molecule
Routes Of Administration
INTRANASAL USE
Route
INTRANASAL USE
Maximum Dose
Max daily dose 1440 l; Max total dose 4320 l over max treatment period 3 days

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