ABLATE Post Approval Study - Synergy Ablation Lesions for Non-Paroxysmal Atrial Fibrillation

NCT ID: NCT01694563

Last Updated: 2019-10-09

Study Results

Results available

Outcome measurements, participant flow, baseline characteristics, and adverse events have been published for this study.

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

NA

Total Enrollment

365 participants

Study Classification

INTERVENTIONAL

Study Start Date

2012-09-30

Study Completion Date

2018-03-21

Brief Summary

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The primary objective of this post-approval study is to evaluate the clinical outcomes in a cohort of patients with non-paroxysmal forms of atrial fibrillation (persistent or long-standing persistent) treated during commercial use of the AtriCure Synergy Ablation System by physicians performed the Maze IV procedure.

Detailed Description

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This prospective, open label, multi-center, observational, single arm registry is designed to monitor the AtriCure Synergy Ablation System continued safety and efficacy during the peri-procedural and long-term phase during commercial use in patients being treated for non-paroxysmal forms of atrial fibrillation who are undergoing a concomitant open, on-pump cardiac surgical procedure.

Conditions

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Persistent Atrial Fibrillation Longstanding Persistent Atrial Fibrillation

Study Design

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Allocation Method

NA

Intervention Model

SINGLE_GROUP

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

open label

Study Groups

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Atrial Fibrillation

Patients with non-paroxysmal atrial fibrillation (persistent or longstanding persistent)who are scheduled to undergo elective concomitant open, on-pump cardiac surgical procedure and the Maze IV ablation procedure. This single arm registry is designed to monitor the AtriCure Synergy Ablation System for continued safety and efficacy during the peri-procedural and long term phase during commercial use.

Group Type OTHER

Synergy Ablation System

Intervention Type DEVICE

Patient will undergo an elective open cardiac surgical procedure to be performed on cardiopulmonary bypass for one or more of the following:

* Coronary Artery Bypass Grafting (CABG)
* Mitral valve repair or replacement
* Aortic valve repair or replacement
* Tricuspid valve repair or replacement The aim of the treatment is a complete bi-atrial Maze IV procedure which includes pulmonary vein isolation coupled with lesions made on both the left and right atria.

Interventions

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Synergy Ablation System

Patient will undergo an elective open cardiac surgical procedure to be performed on cardiopulmonary bypass for one or more of the following:

* Coronary Artery Bypass Grafting (CABG)
* Mitral valve repair or replacement
* Aortic valve repair or replacement
* Tricuspid valve repair or replacement The aim of the treatment is a complete bi-atrial Maze IV procedure which includes pulmonary vein isolation coupled with lesions made on both the left and right atria.

Intervention Type DEVICE

Other Intervention Names

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Isolator Synergy Handpieces Isolator Synergy Clamp

Eligibility Criteria

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Inclusion Criteria

* Age \> or equal to 18 years of age
* History of non-paroxysmal form of Atrial Fibrillation (AF) as defined by the Heart Rhythm Society/European Heart Rhythm Association/European Cardiac Arrhythmia Society Consensus Statement:

* Persistent AF shall be defined as continuous AF that is sustained beyond seven days. Episodes of AF in which a decision is made to electrically or pharmacologically cardiovert the patient after greater than or equal to 48 hours of AF but prior to 7 days, should also be classified as persistent AF episodes.
* Longstanding persistent AF shall be defined as continuous AF of greater than 12 months duration. The performance of a successful cardioversion (sinus rhythm \>30 seconds) within 12 months of an ablation procedure with documented early recurrence of AF with 30 days should not alter the classification of AF as longstanding persistent.
* Subject is scheduled to undergo elective open cardiac surgical procedure(s) to be performed on cardiopulmonary bypass for one or more of the following: Coronary Artery Bypass Grafting, Mitral valve repair or replacement, Aortic valve repair or replacement, Tricuspid valve repair or replacement. In conjunction with these procedure patent foramen ovale (PFO) or atrial septal defect (ASD) repair are allowed.
* The patient (or their legally authorized representative) agrees to participate in this study by singing the Institutional Review Board (IRB) approved informed consent form.
* Willing and able to return for scheduled follow up visits.

Exclusion Criteria

* Stand along AF without indication(s) for concomitant cardiac surgery.
* Need for emergent cardiac surgery (i.e., cardiogenic shock).
* Preoperative need for an intra-aortic balloon pump or intravenous inotropes.
* Pregnancy or desire to get pregnant for the duration of the study concomitant surgical procedure through the thirty six (36) month follow up period).
* Enrolled in another clinical trial that could confound the results of this study.
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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AtriCure, Inc.

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Patrick McCarthy, MD

Role: STUDY_CHAIR

Chief, Division of Cardiac Surgery, Northwestern University

Locations

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University of Alabama-Birmingham

Birmingham, Alabama, United States

Site Status

Scottsdale Healthcare Clinical Research Institute

Scottsdale, Arizona, United States

Site Status

USC University Hospital

Los Angeles, California, United States

Site Status

Ronald Reagan UCLA Medical Center

Los Angeles, California, United States

Site Status

Sharp Memorial Hospital

San Diego, California, United States

Site Status

Cedars-Sinai Medical Center

West Hollywood, California, United States

Site Status

Hartford Hospital

Hartford, Connecticut, United States

Site Status

Lee Memorial Hospital

Fort Myers, Florida, United States

Site Status

University of Florida Cardiothoracic Surgery

Gainesville, Florida, United States

Site Status

Bayfront Medical Center

St. Petersburg, Florida, United States

Site Status

Northside Hospital

St. Petersburg, Florida, United States

Site Status

James A. Haley Veteran's Hospital/Cardiothoracic Surgery

Tampa, Florida, United States

Site Status

Pepin Heart Hospital

Tampa, Florida, United States

Site Status

Emory University Hospital

Atlanta, Georgia, United States

Site Status

Northwestern Memorial Hospital

Evanston, Illinois, United States

Site Status

SIU- Memorial Medical Center

Springfield, Illinois, United States

Site Status

St. Francis Heart Hospital

Indianapolis, Indiana, United States

Site Status

Inidiana Heart Center

Indianapolis, Indiana, United States

Site Status

Maine Medical Center

Portland, Maine, United States

Site Status

Veteran Affairs Boston Healthcare System

West Roxbury, Massachusetts, United States

Site Status

University of Michigan

Ann Arbor, Michigan, United States

Site Status

Spectrum Health

Grand Rapids, Michigan, United States

Site Status

Sparrow Clinical Research Institute

Lansing, Michigan, United States

Site Status

William Beaumont Hospital

Royal Oak, Michigan, United States

Site Status

Munson Medical Center

Traverse City, Michigan, United States

Site Status

United Heart & Vascular/Abbott Northwestern Hospital

Minneapolis, Minnesota, United States

Site Status

Washington University

St Louis, Missouri, United States

Site Status

Missouri Baptist Medical Center

St Louis, Missouri, United States

Site Status

Nebraska Heart

Lincoln, Nebraska, United States

Site Status

St. Joseph's Regional Medical Center

Paterson, New Jersey, United States

Site Status

Mission Hospital/Asheville Heart

Asheville, North Carolina, United States

Site Status

Carolinas Medical Center

Charlotte, North Carolina, United States

Site Status

Triad Cardiac and Thoracic Surgeons/Cone Health

Greensboro, North Carolina, United States

Site Status

Altru Health System

Grand Forks, North Dakota, United States

Site Status

Good Samaritan Hospital

Cincinnati, Ohio, United States

Site Status

University Hospitals of Cleveland

Cleveland, Ohio, United States

Site Status

Toledo Hospital

Toledo, Ohio, United States

Site Status

Oklahoma Heart Hospital

Oklahoma City, Oklahoma, United States

Site Status

Oregon Health and Science University

Portland, Oregon, United States

Site Status

Pinnacle Health Hospitals

Harrisburg, Pennsylvania, United States

Site Status

Hospital of the University of Pennsylvania (HUP)

Philadelphia, Pennsylvania, United States

Site Status

Allegheny General Hospital

Pittsburgh, Pennsylvania, United States

Site Status

Baptist Memorial Hospital

Memphis, Tennessee, United States

Site Status

UT Southwestern University Hospital

Dallas, Texas, United States

Site Status

St. Mark's Hospital

Salt Lake City, Utah, United States

Site Status

Sentara Norfolk General Hospital

Norfolk, Virginia, United States

Site Status

Virginia Commonwealth University

Richmond, Virginia, United States

Site Status

Swedish Medical Center

Seattle, Washington, United States

Site Status

Aspirus Wausau Hospital

Wausau, Wisconsin, United States

Site Status

Countries

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United States

Provided Documents

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Document Type: Study Protocol and Statistical Analysis Plan

View Document

Other Identifiers

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CP2011-1

Identifier Type: -

Identifier Source: org_study_id

NCT01174745

Identifier Type: -

Identifier Source: nct_alias

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