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STOP AF First Post-Approval Study

Recruiting
Conditions
Paroxysmal Atrial Fibrillation
Registration Number
NCT05227053
Lead Sponsor
Medtronic Cardiac Ablation Solutions
Brief Summary

The STOP AF First PAS is a prospective, global, multi-center, observational trial.

Detailed Description

The STOP AF First Post Approval Study (PAS) is a sub-study to the Cryo Global Registry. The STOP AF First PAS is a prospective, global, multi-center, observational trial. The purpose of the study is to describe long-term clinical performance and safety data in the recurrent symptomatic paroxysmal AF population treated with Arctic Front™ and Freezor™ MAX Families of cardiac cryoablation catheters (hereafter referred to as Arctic Front™ Cardiac Cryoablation Catheter System) as an alternative to antiarrhythmic drug therapy as an initial rhythm control strategy. This PAS is a condition of the pre-market approval order (P100010/S110) by the U.S. Food and Drug Administration.

Recruitment & Eligibility

Status
RECRUITING
Sex
All
Target Recruitment
200
Inclusion Criteria
  • Subject has been diagnosed with symptomatic paroxysmal AF
  • Subject is ≥ 18 years of age or minimum age as required by local regulations
  • Planned pulmonary vein isolation (PVI) procedure using the commercially available Arctic Front™ cardiac cryoablation catheter System.
  • Willing to comply with study requirements and give informed consent (defined as legally effective, documented confirmation of a subject's voluntary agreement to participate in this clinical study) or authorization per institution and geographical requirements
Exclusion Criteria

History of AF treatment with a class I or III antiarrhythmic drug, including sotalol, with the intention to prevent an AF recurrence1

. Subjects under the following conditions may be included in the study:

  1. Temporary treatment with a class I or III AAD (treatment at a therapeutic dose for a period of <4 weeks prior to the index PVI procedure)

  2. Recent treatment with a class I or III AAD (within 6 months of the index PVI procedure) at a dose below therapeutic threshold according to the AHA/ACC/HRS Guideline for the Management of Patients with Atrial Fibrillation

  3. A subject who has received a chemical cardioversion may be included in the study. This includes a chemical cardioversion prior to enrollment and between enrollment and ablation.

    • Subject has had a prior atrial ablation (except for cavo-tricuspid isthmus (CTI) ablation for AFL)
    • Subject is enrolled in a concurrent study that has not been approved for concurrent enrollment by the global study manager
    • Subject with exclusion criteria required by local law

Study & Design

Study Type
OBSERVATIONAL
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
Freedom from Atrial Fibrillation (AF) /Atrial Flutter (AFL) /Atrial Tachycardia (AT)36 months

Estimate the 36-month freedom from Atrial Fibrillation (AF) /atrial flutter (AFL) /Atrial Tachycardia (AT) recurrence using the Arctic Front™ cardiac cryoablation catheter System.

Freedom from Primary Safety Events12 months

Estimate primary safety Adverse Event (AE) rates for cryoablation using the Arctic Front™ cardiac cryoablation catheter System through 12-months.

Secondary Outcome Measures
NameTimeMethod

Trial Locations

Locations (13)

Alaska Heart Institute

🇺🇸

Anchorage, Alaska, United States

Cardiology Associates of Fairfield County

🇺🇸

Stamford, Connecticut, United States

MedStar Washington Hospital Center

🇺🇸

Washington, District of Columbia, United States

BayCare Medical Group Cardiology

🇺🇸

Clearwater, Florida, United States

Heart Rhythm Solutions

🇺🇸

Davie, Florida, United States

Iowa Heart

🇺🇸

West Des Moines, Iowa, United States

Our Lady of the Lake

🇺🇸

Baton Rouge, Louisiana, United States

Southcoast Health System

🇺🇸

North Dartmouth, Massachusetts, United States

Henry Ford Heart & Vascular

🇺🇸

Detroit, Michigan, United States

The Lindner Research Center

🇺🇸

Cincinnati, Ohio, United States

Stern Cardiovascular Foundation

🇺🇸

Germantown, Tennessee, United States

University of Tennessee Methodist Physicians

🇺🇸

Memphis, Tennessee, United States

Texas Health Research and Education Institute

🇺🇸

Dallas, Texas, United States

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