SOLAR & ATRILAZE Atrial Fibrillation Trial

NCT ID: NCT00734058

Last Updated: 2008-08-13

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

UNKNOWN

Clinical Phase

PHASE3

Total Enrollment

90 participants

Study Classification

INTERVENTIONAL

Study Start Date

2008-12-31

Study Completion Date

2012-06-30

Brief Summary

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The purpose of study is to conduct a pivotal evaluation of the EndoPhotonix™ SOLAR™ System and ATRILAZE™ System in order to obtain a labeling claim on the devices for the treatment of atrial fibrillation.

The study will test the safety and effectiveness of the EndoPhotonix™ Laser Ablation Systems to photocoagulate cardiac tissue during cardiac surgery, to create electrical isolation of the pulmonary veins and create other electrical isolation lesions in order to treat atrial fibrillation. The surgical procedure will be conducted during concomitant mitral valve repair or replacement surgery or in combination with other cardiac surgery including aortic valve surgery, tricuspid valve surgery, or coronary artery bypass surgery.

Detailed Description

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The study objective is to generate Level II controlled data to support the expansion of indications for the SOLAR™ System based on 0-30 day data; as well as to support the expansion of indications for the SOLAR™ System and ATRILAZE™ System for the treatment of atrial fibrillation based on 180 days data. The data will be evaluated by comparing post-operative data to the historical control data. The subjects in the study cohort will receive laser ablation therapy using the investigational device during a concomitant surgical procedure.

Conditions

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Atrial Fibrillation

Keywords

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Ablation AF Atrial Fibrillation Cardiac Endocardial Endocardium EP Electrophysiology Epicardial Epicardium Heart Interventional Lesion PVI Pulmonary Vein MAZE Surgery Surgical Treatment Patients with persistent AF with 3 months duration Requiring concomitant open heart surgery

Study Design

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Allocation Method

NA

Intervention Model

SINGLE_GROUP

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Persistent AF

Treatment arm to be compared with historical control.

Group Type EXPERIMENTAL

Laser MAZE by Ablation of Cardiac Tissue

Intervention Type DEVICE

The protocol calls for the creation of the pulmonary vein isolation lesion through the use of the SOLAR™. The additional lesions are to be created using the ATRILAZE™. At surgeon discretion, the ganglia may be ablated and left and right atrial appendages may be removed.

Interventions

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Laser MAZE by Ablation of Cardiac Tissue

The protocol calls for the creation of the pulmonary vein isolation lesion through the use of the SOLAR™. The additional lesions are to be created using the ATRILAZE™. At surgeon discretion, the ganglia may be ablated and left and right atrial appendages may be removed.

Intervention Type DEVICE

Other Intervention Names

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Maze Maze procedure

Eligibility Criteria

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Inclusion Criteria

* Age at least 18 years
* Documented long term persistent atrial fibrillation (also known as permanent AF).of at least 3 months duration. Persistent AF is defined as AF which is sustained beyond seven days, or lasting less than seven days but necessitating pharmacologic or electrical cardioversion. Long term persistent AF is defined as continuous AF of greater than three months duration.
* Concomitant indication for open heart surgery for at least one of the following:

* Mitral valve repair or replacement
* Aortic valve repair or replacement
* Tricuspid valve repair or replacement
* Atrial septal defect (ASD) repair
* Patent foramen ovale (PFO) closure
* Coronary artery bypass procedure
* Be able to take anticoagulation therapy (Warfarin / Coumadin®)
* Be able to fulfill study requirements
* Willing and able to comply with the requirements of the protocol including follow-up requirements
* Willing and able to sign a study specific informed consent

Exclusion Criteria

* Life expectancy \< 1 year
* NYHA class = IV
* Left ventricular ejection fraction (LVEF) measurement \<30%
* Left atrial diameter \> 7.5 cm
* Wolff-Parkinson-White (WPW) Syndrome
* Pregnancy or desire to be pregnant within 1 year of the study treatment
* Myocardial infarction within the previous 6 weeks
* Presence of a previously implanted device (valve, CS leads, or ICD)
* Known allergy, contraindication, or inability to comply with warfarin (Coumadin®) or heparin therapy
* Known allergy or contraindication to complying with anti-arrhythmic (Class IA, IC, III) therapy
* Previous thoracic procedure resulting in sternal opening and/or pericardial opening (e.g., CABG, valve replacement or repair)
* Current diagnosis of active endocarditis, local or systemic infection
* Renal failure requiring dialysis or hepatic failure
* Emergent cardiac surgery (cardiogenic shock)
* Preoperative need for intra-aortic balloon pump, IV inotropes or vasoactive agents
* Currently participating in another clinical research study
* Cerebral vascular accident or transient ischemic attack within previous 180 days or at any time with a documented residual neurological deficit
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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EndoPhotonix, Inc.

INDUSTRY

Sponsor Role lead

Responsible Party

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EndoPhotonix, Inc.

Principal Investigators

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Kirk S. Honour

Role: STUDY_CHAIR

EndoPhotonix, Inc.

Central Contacts

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Kirk S. Honour

Role: CONTACT

Phone: 651-452-3000

Email: [email protected]

Cory H. White

Role: CONTACT

Email: [email protected]

Other Identifiers

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EP-AF-080808

Identifier Type: -

Identifier Source: org_study_id