Sustained Treatment of Paroxysmal Atrial Fibrillation Post-Approval Study (STOP AF PAS)

NCT ID: NCT01456949

Last Updated: 2025-02-13

Study Results

Results available

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

NA

Total Enrollment

402 participants

Study Classification

INTERVENTIONAL

Study Start Date

2012-06-26

Study Completion Date

2017-11-30

Brief Summary

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The Post-Approval Study (PAS) is a prospective multi-center, non-randomized, single arm, controlled,unblinded clinical study designed to provide long-term safety and effectiveness of the Arctic Front® Cardiac CryoAblation System.

Detailed Description

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Safety and effectiveness will be evaluated against pre-specified performance criteria as determined by the sponsor and FDA. The criteria set in this study have been previously used to demonstrate safety and effectiveness in cryoablation and radio-frequency ablation for the treatment of paroxysmal atrial fibrillation.

The analyses of the primary effectiveness objective will take place once all the subjects with a study cryoablation procedure attempt have reached 36 months of follow-up post-cryoablation procedure. The analysis of the primary safety objective will take place once all the subjects with a study cryoablation procedure attempt have reached 12 months of follow-up post-cryoablation procedure. The analyses for the secondary objectives will take place once all subjects with a study cryoablation attempt have reached 36 months of follow-up post-cryoablation procedure.

Conditions

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Paroxysmal Atrial Fibrillation (PAF)

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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Single Arm

Cryoablation

Group Type OTHER

Medtronic Arctic Front® Cardiac CryoAblation System

Intervention Type DEVICE

Cardiac cryoablation to isolate the pulmonary veins using the Arctic Front® CryoAblation System, with point ablation using the Freezor® Max as needed.

Interventions

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Medtronic Arctic Front® Cardiac CryoAblation System

Cardiac cryoablation to isolate the pulmonary veins using the Arctic Front® CryoAblation System, with point ablation using the Freezor® Max as needed.

Intervention Type DEVICE

Other Intervention Names

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Medtronic CryoCath CryoConsole Arctic Front® Cardiac CryoAblation Catheter Arctic Front Advance™ Cardiac CryoAblation Catheter Freezor® MAX Cardiac CryoAblation Catheter

Eligibility Criteria

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Inclusion Criteria

1. Documented PAF:

* Diagnosis of paroxysmal atrial fibrillation (PAF), AND
* 2 or more episodes of AF during the 3 months preceding the consent Date, AND
* At least 1 episode of AF documented with a tracing within 12 months preceding the consent date.
2. Age 18 years or older
3. Failure for the treatment of AF (effectiveness or intolerance) of at least one membrane active AAD for rhythm control.

Exclusion Criteria

1. Any previous left atrial (LA) ablation (except permissible retreatment subjects)
2. Any previous LA surgery
3. Current intracardiac thrombus (can be treated after thrombus is resolved)
4. Presence of any pulmonary vein stents
5. Presence of any pre-existing pulmonary vein stenosis
6. Pre-existing hemidiaphragmatic paralysis
7. Anteroposterior LA diameter \> 5.5 cm by TTE
8. Presence of any cardiac valve prosthesis
9. Clinically significant mitral valve regurgitation or stenosis
10. Myocardial infarction, PCI / PTCA or coronary artery stenting which occurred during the 3 month interval preceding the Consent Date
11. Unstable angina
12. Any cardiac surgery which occurred during the 3 month interval preceding the Consent Date
13. Any significant congenital heart defect corrected or not (including atrial septal defects or pulmonary vein abnormalities but not including minor PFO)
14. NYHA class III or IV congestive heart failure
15. Left ventricular ejection fraction (LVEF) \< 40%
16. 2º (Type II) or 3º atrioventricular block
17. Presence of a permanent pacemaker, biventricular pacemaker, atrial defibrillator or any type of implantable cardiac defibrillator (with or without biventricular pacing function)
18. Brugada syndrome
19. Long QT syndrome
20. Arrhythmogenic right ventricular dysplasia
21. Sarcoidosis
22. Hypertrophic cardiomyopathy
23. Known cryoglobulinemia
24. Uncontrolled hyperthyroidism
25. Any cerebral ischemic event (strokes or TIAs) which occurred during the 6 month interval preceding the Consent Date.
26. Any woman known to be pregnant
27. Life expectancy less than one (1) year
28. Current or anticipated participation in any other clinical trial of a drug, device or biologic during the duration of this study not pre-approved by Medtronic
29. Unwilling or unable to comply fully with study procedures and followup
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Medtronic Cardiac Ablation Solutions

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Bradley P. Knight, MD, FACC, FHRS

Role: PRINCIPAL_INVESTIGATOR

Northwestern Memorial Hospital

Locations

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Alaska Heart Institute

Anchorage, Alaska, United States

Site Status

Banner Good Samaritan Medical Center

Phoenix, Arizona, United States

Site Status

Good Samaritan Hospital

San Jose, California, United States

Site Status

Colorado Heart and Vascular

Denver, Colorado, United States

Site Status

Daytona Heart Group

Daytona Beach, Florida, United States

Site Status

Broward General Medical Center

Fort Lauderdale, Florida, United States

Site Status

University of Florida

Gainesville, Florida, United States

Site Status

Emory University Hospital

Atlanta, Georgia, United States

Site Status

WellStar Kennestone Hospital

Marietta, Georgia, United States

Site Status

Northwestern Memorial Hospital

Chicago, Illinois, United States

Site Status

Memorial Advanced Cardiovascular Institute

South Bend, Indiana, United States

Site Status

Massachusetts General Hospital

Boston, Massachusetts, United States

Site Status

Brigham and Women's Hospital

Boston, Massachusetts, United States

Site Status

Metropolitan Cardiology Consultants PA

Coon Rapids, Minnesota, United States

Site Status

St. Mary's Hospital - Mayo Clinic

Rochester, Minnesota, United States

Site Status

HealthEast St. Joseph's Hospital

Saint Paul, Minnesota, United States

Site Status

Bryan LGH

Lincoln, Nebraska, United States

Site Status

Asheville Cardiology Associate PA

Asheville, North Carolina, United States

Site Status

Bethesda North Hospital l TriHealth Hatton Institute

Cincinnati, Ohio, United States

Site Status

Oklahoma Heart Institute

Tulsa, Oklahoma, United States

Site Status

Capital Cardiovascular Associates

Camp Hill, Pennsylvania, United States

Site Status

Geisinger Medical Center

Danville, Pennsylvania, United States

Site Status

Doylestown Cardiology Associates

Doylestown, Pennsylvania, United States

Site Status

Lancaster Heart & Stroke

Lancaster, Pennsylvania, United States

Site Status

University of Pittsburgh Medical Center

Pittsburgh, Pennsylvania, United States

Site Status

Columbia Heart Clinic

Columbia, South Carolina, United States

Site Status

Stern Cardiovascular

Germantown, Tennessee, United States

Site Status

Saint Thomas Research Institute

Nashville, Tennessee, United States

Site Status

University of Texas Southwestern Medical Center

Dallas, Texas, United States

Site Status

Saint Luke's Episcopal Hospital - Texas Medical Center

Houston, Texas, United States

Site Status

Baylor Research Institute

Plano, Texas, United States

Site Status

Inova Fairfax Hospital

Fairfax, Virginia, United States

Site Status

Royal Alexandra Hospital

Edmonton, Alberta, Canada

Site Status

Vancouver General Hospital

Vancouver, British Columbia, Canada

Site Status

Victoria Cardiac Arrhythmia Trials Inc

Victoria, British Columbia, Canada

Site Status

Hôpital du Sacre Coeur de Montreal

Montreal, Quebec, Canada

Site Status

McGill University Health Centre

Montreal, Quebec, Canada

Site Status

Montreal Heart Institute

Montreal, Quebec, Canada

Site Status

Institut Universitaire de Cardiologie et de Pneumologie de Québec

Québec, Quebec, Canada

Site Status

Countries

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United States Canada

References

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Knight BP, Novak PG, Sangrigoli R, Champagne J, Dubuc M, Adler SW, Svinarich JT, Essebag V, Hokanson R, Kueffer F, Jain SK, John RM, Mansour M; STOP AF PAS Investigators. Long-Term Outcomes After Ablation for Paroxysmal Atrial Fibrillation Using the Second-Generation Cryoballoon: Final Results From STOP AF Post-Approval Study. JACC Clin Electrophysiol. 2019 Mar;5(3):306-314. doi: 10.1016/j.jacep.2018.11.006. Epub 2018 Dec 26.

Reference Type DERIVED
PMID: 30898232 (View on PubMed)

Provided Documents

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Document Type: Study Protocol: Clinical Investigation Plan Version 4

View Document

Document Type: Study Protocol: Clinical Investigation Plan Version 5

View Document

Document Type: Study Protocol: Clinical Investigation Plan Version 6

View Document

Document Type: Statistical Analysis Plan

View Document

Other Identifiers

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STOP AF PAS

Identifier Type: -

Identifier Source: org_study_id

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