Trial Outcomes & Findings for AcQBlate Force Sensing Ablation System US IDE for Atrial Flutter (AcQForce Flutter) (NCT NCT04658940)

NCT ID: NCT04658940

Last Updated: 2023-09-28

Results Overview

Subjects free from a composite list of pre-specified procedure/device related Serious Adverse Events (SAEs)

Recruitment status

COMPLETED

Study phase

NA

Target enrollment

115 participants

Primary outcome timeframe

7 days

Results posted on

2023-09-28

Participant Flow

Subject classification: Screen Failure: exclusion criteria identified. Enrolled: study eligible by meeting all the inclusion and none of the exclusion criteria, up to the point of the procedure (defined as the AcQBlate® FORCE inserted into the body). Attempted: the AcQBlate® FORCE was inserted into the body and not used for RF ablation. Treated: the AcQBlate® FORCE was inserted into the body and used for RF ablation.

Participant milestones

Participant milestones
Measure
All Study Participants
All subjects with typical atrial flutter will undergo percutaneous catheter ablation of the cavotricuspid isthmus using the AcQBlate Force Sensing System. AcQBlate® Force Sensing Ablation System: Percutaneous catheter ablation of the cavotricuspid isthmus
Overall Study
STARTED
115
Overall Study
COMPLETED
114
Overall Study
NOT COMPLETED
1

Reasons for withdrawal

Reasons for withdrawal
Measure
All Study Participants
All subjects with typical atrial flutter will undergo percutaneous catheter ablation of the cavotricuspid isthmus using the AcQBlate Force Sensing System. AcQBlate® Force Sensing Ablation System: Percutaneous catheter ablation of the cavotricuspid isthmus
Overall Study
Withdrawal by Subject
1

Baseline Characteristics

AcQBlate Force Sensing Ablation System US IDE for Atrial Flutter (AcQForce Flutter)

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
All Study Participants
n=115 Participants
All subjects with typical atrial flutter will undergo percutaneous catheter ablation of the cavotricuspid isthmus using the AcQBlate Force Sensing System. AcQBlate® Force Sensing Ablation System: Percutaneous catheter ablation of the cavotricuspid isthmus
Age, Categorical
<=18 years
0 Participants
n=5 Participants
Age, Categorical
Between 18 and 65 years
43 Participants
n=5 Participants
Age, Categorical
>=65 years
72 Participants
n=5 Participants
Age, Continuous
68.4 years
STANDARD_DEVIATION 10.05 • n=5 Participants
Sex: Female, Male
Female
25 Participants
n=5 Participants
Sex: Female, Male
Male
90 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
5 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
110 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
0 Participants
n=5 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=5 Participants
Race (NIH/OMB)
Asian
1 Participants
n=5 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=5 Participants
Race (NIH/OMB)
Black or African American
7 Participants
n=5 Participants
Race (NIH/OMB)
White
107 Participants
n=5 Participants
Race (NIH/OMB)
More than one race
0 Participants
n=5 Participants
Race (NIH/OMB)
Unknown or Not Reported
0 Participants
n=5 Participants
Region of Enrollment
Belgium
14 participants
n=5 Participants
Region of Enrollment
United States
91 participants
n=5 Participants
Region of Enrollment
United Kingdom
10 participants
n=5 Participants
Body Mass Index
29.41 kg/m^2
STANDARD_DEVIATION 4.59 • n=5 Participants

PRIMARY outcome

Timeframe: 7 days

Subjects free from a composite list of pre-specified procedure/device related Serious Adverse Events (SAEs)

Outcome measures

Outcome measures
Measure
All Study Participants
n=115 Participants
All subjects with typical atrial flutter will undergo percutaneous catheter ablation of the cavotricuspid isthmus using the AcQBlate Force Sensing System. AcQBlate® Force Sensing Ablation System: Percutaneous catheter ablation of the cavotricuspid isthmus
Subjects Free From Procedure/Device Related Serious Adverse Events (SAEs)
115 Participants

PRIMARY outcome

Timeframe: 20 minutes post ablation

Population: Of the 115 subjects enrolled, 5 were attempted and had the venous access portion of the ablation procedure initiated and the AcQBlate® FORCE was inserted into the body and not used for RF ablation. Of the 110 Treated subjects, one subject was unevaluable (categorized as BDB indeterminant) therefore 109 subjects were included in primary effectiveness endpoint calculations.

Acute procedural success is defined as the demonstration of bidirectional cavotricuspid isthmus block at least 20 minutes following the last radiofrequency application at the cavotricuspid isthmus with the investigational System.

Outcome measures

Outcome measures
Measure
All Study Participants
n=109 Participants
All subjects with typical atrial flutter will undergo percutaneous catheter ablation of the cavotricuspid isthmus using the AcQBlate Force Sensing System. AcQBlate® Force Sensing Ablation System: Percutaneous catheter ablation of the cavotricuspid isthmus
Subjects Achieving Acute Procedural Success
102 Participants

Adverse Events

All Study Participants

Serious events: 12 serious events
Other events: 32 other events
Deaths: 0 deaths

Serious adverse events

Serious adverse events
Measure
All Study Participants
n=115 participants at risk
All subjects with typical atrial flutter will undergo percutaneous catheter ablation of the cavotricuspid isthmus using the AcQBlate Force Sensing System. AcQBlate® Force Sensing Ablation System: Percutaneous catheter ablation of the cavotricuspid isthmus
Cardiac disorders
Atrioventricular block second degree
1.7%
2/115 • Number of events 2 • 30 days post-procedure
Cardiac disorders
Congestive Heart Failure
0.87%
1/115 • Number of events 1 • 30 days post-procedure
Cardiac disorders
Chronic left ventricular failure
0.87%
1/115 • Number of events 1 • 30 days post-procedure
Cardiac disorders
Pericardial effusion
0.87%
1/115 • Number of events 1 • 30 days post-procedure
Cardiac disorders
Pericarditis
0.87%
1/115 • Number of events 1 • 30 days post-procedure
Cardiac disorders
Supraventricular tachycardia
1.7%
2/115 • Number of events 2 • 30 days post-procedure
Infections and infestations
Infection
0.87%
1/115 • Number of events 1 • 30 days post-procedure
Vascular disorders
Deep vein thrombosis
0.87%
1/115 • Number of events 1 • 30 days post-procedure
Vascular disorders
Hypotension
1.7%
2/115 • Number of events 2 • 30 days post-procedure

Other adverse events

Other adverse events
Measure
All Study Participants
n=115 participants at risk
All subjects with typical atrial flutter will undergo percutaneous catheter ablation of the cavotricuspid isthmus using the AcQBlate Force Sensing System. AcQBlate® Force Sensing Ablation System: Percutaneous catheter ablation of the cavotricuspid isthmus
Cardiac disorders
Angina pectoris
1.7%
2/115 • Number of events 2 • 30 days post-procedure
Cardiac disorders
Atrial fibrillation
3.5%
4/115 • Number of events 4 • 30 days post-procedure
Cardiac disorders
Atrial tachycardia
0.87%
1/115 • Number of events 1 • 30 days post-procedure
Cardiac disorders
Pericarditis
0.87%
1/115 • Number of events 1 • 30 days post-procedure
Cardiac disorders
Supraventricular extrasystoles
0.87%
1/115 • Number of events 1 • 30 days post-procedure
Gastrointestinal disorders
Gastrointestinal haemorrhage
0.87%
1/115 • Number of events 1 • 30 days post-procedure
Gastrointestinal disorders
Rectal haemorrhage
0.87%
1/115 • Number of events 1 • 30 days post-procedure
General disorders
Chest discomfort
0.87%
1/115 • Number of events 1 • 30 days post-procedure
Immune system disorders
Hypersensitivity
0.87%
1/115 • Number of events 1 • 30 days post-procedure
Infections and infestations
COVID-19
0.87%
1/115 • Number of events 1 • 30 days post-procedure
Infections and infestations
Groin abscess
0.87%
1/115 • Number of events 1 • 30 days post-procedure
Injury, poisoning and procedural complications
Incision site erythema
0.87%
1/115 • Number of events 1 • 30 days post-procedure
Musculoskeletal and connective tissue disorders
Temporomandibular joint syndrome
0.87%
1/115 • Number of events 1 • 30 days post-procedure
Respiratory, thoracic and mediastinal disorders
Dyspnoea
0.87%
1/115 • Number of events 1 • 30 days post-procedure
Skin and subcutaneous tissue disorders
Ecchymosis
3.5%
4/115 • Number of events 4 • 30 days post-procedure
Skin and subcutaneous tissue disorders
Skin burning sensation
0.87%
1/115 • Number of events 1 • 30 days post-procedure
Vascular disorders
Haematoma
5.2%
6/115 • Number of events 6 • 30 days post-procedure
Vascular disorders
Hypertension
2.6%
3/115 • Number of events 3 • 30 days post-procedure

Additional Information

Karen Stephens, Director Clinical Affairs

Acutus Medical

Phone: 442-232-6080

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place