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Clinical Trials/NCT06099730
NCT06099730
Active, not recruiting
Not Applicable

Safety and Effectiveness of Pulmonary Vein isOLation And posterioR Wall Ablation wIth pulSed Field Energy in Patients With Paroxysmal and Persistent AF

Massachusetts General Hospital7 sites in 1 country360 target enrollmentDecember 14, 2023

Overview

Phase
Not Applicable
Intervention
Not specified
Conditions
Atrial Fibrillation
Sponsor
Massachusetts General Hospital
Enrollment
360
Locations
7
Primary Endpoint
Incidence of early onset primary adverse events (PAEs)
Status
Active, not recruiting
Last Updated
12 months ago

Overview

Brief Summary

The primary objective of this clinical investigation is to demonstrate the safety and 12-month effectiveness of pulmonary vein isolation (PVI) and posterior LA wall isolation in the treatment of subjects with symptomatic paroxysmal and persistent atrial fibrillation using the pulsed field ablation with the VARIPULSE™ catheter and the TRUPULSE™ generator.

Registry
clinicaltrials.gov
Start Date
December 14, 2023
End Date
November 2026
Last Updated
12 months ago
Study Type
Interventional
Study Design
Single Group
Sex
All

Investigators

Responsible Party
Principal Investigator
Principal Investigator

Moussa C Mansour

PI

Massachusetts General Hospital

Eligibility Criteria

Inclusion Criteria

  • Symptomatic paroxysmal and persistent AF with at least one AF episode electrocardiographically documented within 24 months prior to enrollment. Electrocardiographic documentation may include, but is not limited to ECG, Transtelephonic monitoring (TTM), Zio patch monitor, telemetry strip, or consumer devices
  • Age 18-80 years
  • Willing and capable of providing written consent
  • Able and willing to comply with all pre-, post- and follow-up testing and requirements.

Exclusion Criteria

  • Previous surgical or catheter ablation for AF
  • Documented LA thrombus by imaging within 48 hours before procedure (CT, TEE, or intracardiac echocardiogram at the beginning of the procedure).
  • Uncontrolled heart failure or New York Heart Association (NYHA) Class IV
  • History of blood clotting, bleeding abnormalities or contraindication to anticoagulation (heparin, warfarin, or dabigatran)
  • Significant congenital anomaly or medical problem that in the opinion of the investigator would preclude enrollment in this study
  • Presence of implanted pacemaker or Implantable Cardioverter-Defibrillator (ICD) or other implanted metal cardiac device that may interfere with the PFA energy field
  • Women who are pregnant (as evidenced by pregnancy test if pre- menopausal), lactating, or who are of child-bearing age and plan on becoming pregnant during the course of the clinical investigation
  • Life expectancy less than 12 months
  • Currently enrolled in an investigational study evaluating another device, biologic, or drug that would interfere with this trial

Outcomes

Primary Outcomes

Incidence of early onset primary adverse events (PAEs)

Time Frame: within seven (7) days of an ablation procedure

Freedom from documented atrial tachyarrhythmia episodes

Time Frame: effectiveness evaluation period (Day 91-Day 365)

Freedom from acute procedural failure

Time Frame: during ablation procedure

Study Sites (7)

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