High Intensity Focused Ultrasound (HIFU) Ablation System Study

NCT ID: NCT00392106

Last Updated: 2008-06-17

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

SUSPENDED

Clinical Phase

PHASE3

Total Enrollment

240 participants

Study Classification

INTERVENTIONAL

Study Start Date

2006-04-30

Study Completion Date

2011-06-30

Brief Summary

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The purpose of this study is to determine if the HIFU Pulmonary Vein Ablation System is effective in the treatment of paroxysmal Atrial Fibrillation compared to the control of best medical therapy with FDA approved antiarrhythmic drugs.

Detailed Description

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Atrial fibrillation (AF) is the most common sustained cardiac arrhythmia affecting an estimated 2.2 million persons in the United States (US). In addition to being debilitating, AF has been identified as a leading risk factor for stroke. AF is often associated with structural heart disease, but a substantial number of AF patients have little or no detectable structural heart disease. A patient with AF is up to 5 times more likely to have a stroke than the general population.

Recently, it has been demonstrated that for a significant portion of AF patients (80% - 95 %) the arrhythmia originates in one of the four pulmonary veins (PV's). Furthermore, it has been shown that isolation of this arrhythmia by ablation can, in the majority of patients (50-70%), eliminate or markedly reduce episodes of AF. Currently, there are a number of modalities being investigated to treat AF. They include radiofrequency, laser, thermal, cryo, microwave, and ultrasound ablation of targeted areas in the atrium and/or PVs.

Comparison(s): Clinical success of High Intensity Focused Ultrasound (HIFU) Ablation for Pulmonary Vein Isolation in the treatment of Atrial Fibrillation, compared to medical therapy with anti-arrhythmic drugs (AADs).

Conditions

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Atrial Fibrillation

Keywords

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atrial fibrillation arrhythmia AF ablation antiarrhythmic agent catheter ablation pulmonary veins

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Control

Class I or III anti-arrhythmic drug for the treatment of AF

Group Type ACTIVE_COMPARATOR

propafenone

Intervention Type DRUG

Anti-arrhythmic drug prescribed for treatment of atrial fibrillation

flecainide

Intervention Type DRUG

Anti-arrhythmic drug prescribed for the treatment of Atrial fibrillation

dofetilide

Intervention Type DRUG

Anti-arrhythmic drug prescribed for treatment of atrial fibrillation

sotolol

Intervention Type DRUG

Anti-arrhythmic Drug prescribed for treatment of Atrial Fibrillation

Amiodarone

Intervention Type DRUG

Anti-arrhythmic Drug prescribed for the treatment of Atrial Fibrillation

Treatment

Pulmonary vein ablation with HIFU

Group Type EXPERIMENTAL

Pulmonary vein ablation

Intervention Type DEVICE

Electrical isolation of pulmonary vein with high-intensity focused ultrasound

Interventions

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propafenone

Anti-arrhythmic drug prescribed for treatment of atrial fibrillation

Intervention Type DRUG

flecainide

Anti-arrhythmic drug prescribed for the treatment of Atrial fibrillation

Intervention Type DRUG

dofetilide

Anti-arrhythmic drug prescribed for treatment of atrial fibrillation

Intervention Type DRUG

sotolol

Anti-arrhythmic Drug prescribed for treatment of Atrial Fibrillation

Intervention Type DRUG

Pulmonary vein ablation

Electrical isolation of pulmonary vein with high-intensity focused ultrasound

Intervention Type DEVICE

Amiodarone

Anti-arrhythmic Drug prescribed for the treatment of Atrial Fibrillation

Intervention Type DRUG

Other Intervention Names

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Rhyhmol Tambocor Tikosyn Betapace Left atrial ablation Pacerone

Eligibility Criteria

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Inclusion Criteria

* Documented atrial fibrillation
* Failed or intolerant to at least 1 anti-arrhythmic drug
* Able to take anti-coagulant therapy

Exclusion Criteria

* Able to take at least 1 approved anti-arrhythmic drug
* Not pregnant
* Available for follow-up for at least 12 months


* Persistent or permanent atrial fibrillation
* Mitral disease
* Prior surgical treatment for atrial fibrillation
* Ablation for treatment of atrial fibrillation within 6 months
* Severe left ventricular hypertrophy
* Known untreated coagulopathy
* Unstable angina
* Prior stroke
* Uncontrolled heart failure
* Secondary causes of atrial fibrillation
* Uncorrected hyperthyroidism within 12 months
* Pulmonary embolism within 6 months
* Pneumonia or acute pulmonary disease within 3 months
* Pacemaker/ICD
* High risk for esophageal disease
* Currently enrolled in investigational drug or device study
Minimum Eligible Age

18 Years

Maximum Eligible Age

70 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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ProRhythm, Inc.

INDUSTRY

Sponsor Role lead

Responsible Party

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ProRhythm, Inc.

Principal Investigators

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Warren Jackman, MD

Role: PRINCIPAL_INVESTIGATOR

Oklahoma University Health Sciences Center

Hugh Calkins, MD

Role: PRINCIPAL_INVESTIGATOR

Johns Hopkins Medical Center

Locations

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Fullerton Vascular Medical Group

Fullerton, California, United States

Site Status

University of California, Los Angeles

Los Angeles, California, United States

Site Status

Piedmont Hospital

Atlanta, Georgia, United States

Site Status

Lexington Central Baptist Hospital

Lexington, Kentucky, United States

Site Status

Johns Hopkins Hopsital

Baltimore, Maryland, United States

Site Status

Lahey Clinic

Burlington, Massachusetts, United States

Site Status

Beaumont Hospital

Royal Oak, Michigan, United States

Site Status

New York University Hospital

New York, New York, United States

Site Status

Stony Brook University Hospital

Stony Brook, New York, United States

Site Status

Wake Forest University Health Systems

Winston-Salem, North Carolina, United States

Site Status

Hillcrest Hospital

Cleveland, Ohio, United States

Site Status

Cleveland Clinic Foundation

Cleveland, Ohio, United States

Site Status

The Ohio State University Heart Center

Columbus, Ohio, United States

Site Status

Oklahoma University Health Sciences Center

Oklahoma City, Oklahoma, United States

Site Status

Hospital of the University of Pennsylvania

Philadelphia, Pennsylvania, United States

Site Status

Medical University of South Carolina

Charleston, South Carolina, United States

Site Status

Texas Cardiac Arrhythmia Research

Austin, Texas, United States

Site Status

University of Texas, Southwestern

Dallas, Texas, United States

Site Status

Sentara Norfolk General Hospital

Norfolk, Virginia, United States

Site Status

Homolka Hospital

Prague, , Czechia

Site Status

University of Virginia

Charlottesville, Virginia, United States

Site Status

Countries

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United States Czechia

Other Identifiers

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NCT00392106

Identifier Type: -

Identifier Source: secondary_id

CLIN-003

Identifier Type: -

Identifier Source: org_study_id