STOP Persistent AF

NCT ID: NCT03012841

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

186 participants

Study Classification

INTERVENTIONAL

Study Start Date

2017-03-02

Study Completion Date

2019-08-13

Brief Summary

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To demonstrate safety and effectiveness of the Arctic Front Advance™ and Freezor MAX® Cardiac CryoAblation Catheters for the treatment of drug refractory recurrent symptomatic persistent atrial fibrillation (AF).

Detailed Description

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Conditions

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Atrial Fibrillation

Study Design

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Allocation Method

NA

Intervention Model

SINGLE_GROUP

Arctic Front Advance Cardiac CryoAblation Catheter and Freezor MAX Cardiac CryoAblation Catheter
Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Treatment Arm

Subjects enrolled and treated with Arctic Front Advance Cardiac CryoAblation Catheter

Group Type EXPERIMENTAL

Arctic Front Advance Cardiac CryoAblation Catheter

Intervention Type DEVICE

Cryoablation

Interventions

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Arctic Front Advance Cardiac CryoAblation Catheter

Cryoablation

Intervention Type DEVICE

Other Intervention Names

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Freezor MAX Cardiac CryoAblation Catheter

Eligibility Criteria

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Inclusion Criteria

* Documentation of symptomatic persistent AF: Defined as having a continuous episode lasting longer than 7 days but less than 6 months documented by consecutive ECG recordings OR Defined as having a continuous episode lasting longer than 7 days but less than 6 months documented by an ECG recording and one doctor note indicating patient had symptoms consistent with AF
* Failure or intolerance of at least one Class I or III antiarrhythmic drug
* Age 18 or older (or older than 18 if required by local law)

Exclusion Criteria

* Left atrial diameter \> 5.0 cm (anteroposterior)
* Prior left atrial ablation or surgical procedure (including left atrial appendage closures)
* Presence or likely implant of a permanent pacemaker, biventricular pacemaker, loop recorder, or any type of implantable cardiac defibrillator (with or without biventricular pacing function) within 12 months
* Presence of any pulmonary vein stents
* Presence of any pre-existing pulmonary vein stenosis
* Pre-existing hemidiaphragmatic paralysis
* Presence of any cardiac valve prosthesis
* +3 and +4 mitral valve regurgitation or stenosis
* Any cardiac surgery, myocardial infarction, percutaneous coronary intervention (PCI) / percutaneous transluminal coronary angioplasty (PTCA) or coronary artery stenting which occurred during the 3 month interval preceding the consent date
* Unstable angina
* New York Heart Association (NYHA) Class III or IV congestive heart failure and/or documented left ventricular ejection fraction (LVEF) less than or equal to 35% measure by acceptable cardiac testing (e.g. Transthoracic echocardiogram (TTE))
* Primary pulmonary hypertension
* Rheumatic heart disease
* Thrombocytosis, thrombocytopenia
* Any condition contraindicating chronic anticoagulation
* Active systemic infection
* Hypertrophic cardiomyopathy
* Cryoglobulinemia
* Uncontrolled hyperthyroidism
* Any cerebral ischemic event (strokes or transient ischemic attacks (TIAs)) which occurred during the 6 month interval preceding the consent date
* Any woman known to be pregnant or breastfeeding, or any woman of child bearing potential who is not on a reliable form of birth regulation method or abstinence
* Life expectancy less than one year
* Current or anticipated participation in any other clinical trial of a drug, device or biologic during the duration of the study not pre-approved by Medtronic
* Known allergies or hypersensitivities to adhesives
* Known drug or alcohol dependency
* Unwilling or unable to comply fully with study procedures and follow-up
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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Hugh Calkins, MD

Role: PRINCIPAL_INVESTIGATOR

Johns Hopkins University

Vivek Reddy, MD

Role: PRINCIPAL_INVESTIGATOR

Icahn School of Medicine at Mount Sinai

Locations

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Banner-University Medical Center Phoenix

Phoenix, Arizona, United States

Site Status

Colorado Heart and Vascular

Lakewood, Colorado, United States

Site Status

Medical Center of the Rockies

Loveland, Colorado, United States

Site Status

Cardiac Arrhythmia Service

Boca Raton, Florida, United States

Site Status

Saint Vincent's Medical Center

Jacksonville, Florida, United States

Site Status

Northwestern University

Chicago, Illinois, United States

Site Status

NorthShore University Health System

Evanston, Illinois, United States

Site Status

The Johns Hopkins Hospital

Baltimore, Maryland, United States

Site Status

Massachusetts General Hospital

Boston, Massachusetts, United States

Site Status

St. Luke's Health System

Kansas City, Missouri, United States

Site Status

Englewood Hospital & Medical Center

Englewood, New Jersey, United States

Site Status

Icahn School of Medicine at Mount Sinai

New York, New York, United States

Site Status

Northwell Health (Lenox Hill Hospital and Staten Island University Hospital)

New York, New York, United States

Site Status

Asheville Cardiology Associates

Asheville, North Carolina, United States

Site Status

Doylestown Health Cardiology

Doylestown, Pennsylvania, United States

Site Status

Vanderbilt University Medical Center

Nashville, Tennessee, United States

Site Status

Baylor Research Institute

Dallas, Texas, United States

Site Status

Virginia Mason Medical Center

Seattle, Washington, United States

Site Status

Swedish Medical Center

Seattle, Washington, United States

Site Status

Victoria Cardiac Arrhythmia Trials

Victoria, British Columbia, Canada

Site Status

London Health Sciences Centre

London, Ontario, Canada

Site Status

Institut Universitaire de Cardiologie et de Pneumologie de Québec

Québec, , Canada

Site Status

Tokyo Medical and Dental University

Bunkyō, Tokyo, Japan

Site Status

Jikei University Hospital

Tokyo, , Japan

Site Status

Yokohama City Minato Red Cross Hospital

Yokohama, , Japan

Site Status

Countries

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United States Canada Japan

References

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Su WW, Reddy VY, Bhasin K, Champagne J, Sangrigoli RM, Braegelmann KM, Kueffer FJ, Novak P, Gupta SK, Yamane T, Calkins H; STOP Persistent AF Investigators. Cryoballoon ablation of pulmonary veins for persistent atrial fibrillation: Results from the multicenter STOP Persistent AF trial. Heart Rhythm. 2020 Nov;17(11):1841-1847. doi: 10.1016/j.hrthm.2020.06.020. Epub 2020 Jun 24.

Reference Type DERIVED
PMID: 32590151 (View on PubMed)

Provided Documents

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Document Type: Study Protocol: Version 4

View Document

Document Type: Study Protocol: Version 5

View Document

Document Type: Study Protocol: Version 6

View Document

Document Type: Statistical Analysis Plan

View Document

Other Identifiers

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STOP Persistent AF

Identifier Type: -

Identifier Source: org_study_id

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