A Study for Treatment of Paroxysmal Atrial Fibrillation (PAF) by Pulsed Field Ablation (PFA) System With Irreversible Electroporation (IRE)

NCT ID: NCT04524364

Last Updated: 2025-05-25

Study Results

Results available

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

NA

Total Enrollment

272 participants

Study Classification

INTERVENTIONAL

Study Start Date

2020-08-23

Study Completion Date

2023-05-09

Brief Summary

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The primary objective is to demonstrate safety and long-term effectiveness of the irreversible electroporation (IRE) system (Circular IRE Catheter and IRE Generator) when used for isolation of the atrial pulmonary veins (PVs) in treatment of participants with paroxysmal atrial fibrillation (PAF).

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

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Participants with Paroxysmal Atrial Fibrillation (PAF)

Participants with PAF and who are candidates for catheter ablation will be enrolled.

Group Type OTHER

Pulsed Field Ablation (PFA) Therapy

Intervention Type DEVICE

Participants will undergo PFA therapy with a compatible ablation catheter when used with Multi-Channel irreversible electroporation (IRE) Generator (deliver trains of high-voltage bipolar pulses of short duration on separate channels to a multi-electrode ablation catheter) and Circular IRE Catheter (indicated for use in catheter-based cardiac electrophysiological mapping (stimulating and recording) and, when used with an IRE Generator, for cardiac ablation).

Interventions

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Pulsed Field Ablation (PFA) Therapy

Participants will undergo PFA therapy with a compatible ablation catheter when used with Multi-Channel irreversible electroporation (IRE) Generator (deliver trains of high-voltage bipolar pulses of short duration on separate channels to a multi-electrode ablation catheter) and Circular IRE Catheter (indicated for use in catheter-based cardiac electrophysiological mapping (stimulating and recording) and, when used with an IRE Generator, for cardiac ablation).

Intervention Type DEVICE

Eligibility Criteria

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Inclusion Criteria

* Diagnosed with Symptomatic paroxysmal atrial fibrillation (PAF)
* Selected for atrial fibrillation (AF) ablation procedure by pulmonary vein isolation (PVI)
* Failed at least one antiarrhythmic drug (AAD) (class I to IV) as evidenced by recurrent symptomatic atrial fibrillation AF, or intolerable or contraindicated to the AAD
* Willing and capable of providing consent
* Able and willing to comply with all pre-, post- and follow-up testing and requirements

Exclusion Criteria

* AF secondary to electrolyte imbalance, thyroid disease, or reversible or non-cardiac cause
* Previous left atrium (LA) ablation or surgery
* Participant known to require ablation outside the PV region (example. cavotricuspid isthmus \[CTI\] region, atrioventricular reentrant tachycardia, atrioventricular nodal reentry tachycardia, atrial tachycardia, ventricular tachycardia and Wolff-Parkinson-White)
* Previously diagnosed with persistent AF (greater than \[\>\] 7 days in duration)
* Severe dilatation of the LA (LAD \>50 millimeter (mm) antero-posterior diameter in case of transthoracic echocardiography (TTE))
Minimum Eligible Age

18 Years

Maximum Eligible Age

75 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Biosense Webster, Inc.

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Locations

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Medical University Graz

Graz, , Austria

Site Status

Ordensklinikum Linz Elisabethinen

Linz, , Austria

Site Status

OLV Aalst

Aalst, , Belgium

Site Status

AZ Sint-Jan Brugge

Bruges, , Belgium

Site Status

Ziekenhuis Oost-Limburg Genk Campus Sint-Jan

Genk, , Belgium

Site Status

Jessa Ziekenhuis - Campus Virga Jesse

Hasselt, , Belgium

Site Status

London Health Sciences Centre

London, Ontario, Canada

Site Status

Southlake Regional Health Centre

Newmarket, , Canada

Site Status

University Hospital Center Split

Split, , Croatia

Site Status

Nemocnice na Homolce

Prague, , Czechia

Site Status

Centre Hospitalier Universitaire (CHU) de Bordeaux

Bordeaux, , France

Site Status

Ospedale Generale Regionale "F. Miulli"

Acquaviva delle Fonti, , Italy

Site Status

Vilnius University Hospital

Vilnius, , Lithuania

Site Status

Countries

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Austria Belgium Canada Croatia Czechia France Italy Lithuania

References

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De Potter T, Grimaldi M, Duytschaever M, Anic A, Vijgen J, Neuzil P, Van Herendael H, Verma A, Skanes A, Scherr D, Purerfellner H, Rackauskas G, Jais P, Reddy VY; inspIRE Trial Investigators. Predictors of Success for Pulmonary Vein Isolation With Pulsed-field Ablation Using a Variable-loop Catheter With 3D Mapping Integration: Complete 12-month Outcomes From inspIRE. Circ Arrhythm Electrophysiol. 2024 May;17(5):e012667. doi: 10.1161/CIRCEP.123.012667. Epub 2024 Apr 24.

Reference Type DERIVED
PMID: 38655693 (View on PubMed)

Duytschaever M, De Potter T, Grimaldi M, Anic A, Vijgen J, Neuzil P, Van Herendael H, Verma A, Skanes A, Scherr D, Purerfellner H, Rackauskas G, Jais P, Reddy VY; inspIRE Trial Investigators. Paroxysmal Atrial Fibrillation Ablation Using a Novel Variable-Loop Biphasic Pulsed Field Ablation Catheter Integrated With a 3-Dimensional Mapping System: 1-Year Outcomes of the Multicenter inspIRE Study. Circ Arrhythm Electrophysiol. 2023 Mar;16(3):e011780. doi: 10.1161/CIRCEP.122.011780. Epub 2023 Feb 3.

Reference Type DERIVED
PMID: 36735937 (View on PubMed)

Provided Documents

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Document Type: Study Protocol

View Document

Document Type: Statistical Analysis Plan

View Document

Other Identifiers

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BWI_2019_08

Identifier Type: OTHER

Identifier Source: secondary_id

BWI_2019_08

Identifier Type: -

Identifier Source: org_study_id

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