A Registry Based Collaborative to Measure Efficiency, Effectiveness, and Safety of Farapulse PFA Technology for AF

NCT ID: NCT06335082

Last Updated: 2025-10-31

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

ENROLLING_BY_INVITATION

Total Enrollment

10000 participants

Study Classification

OBSERVATIONAL

Study Start Date

2024-04-24

Study Completion Date

2027-01-30

Brief Summary

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The DISRUPT-AF Registry is an observational, prospective, multi-center, non-randomized, real-world registry designed to obtain clinical experience with the Farapulse Pulsed Field Ablation System for the treatment of atrial fibrillation (AF).

Detailed Description

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The DISRUPT-AF Registry is an observational, prospective, multi-center, non-randomized, real-world registry designed to obtain clinical experience with the Farapulse Pulsed Field Ablation System for the treatment of atrial fibrillation (AF). All types of AF including paroxysmal, persistent and long standing persistent may be included.

The registry has three cohorts: 1) Acute Arm, 2) Symptomatic Monitoring Only Arm, and 3) Full Monitoring Arm. In the Acute Arm, patient assessments will occur at pre- procedure and procedure visits. In both the Symptomatic Monitoring Only Arm and the Full Monitoring Arm, patient assessments will occur at pre- procedure, procedure, 3 months, and 1 year post ablation. Additionally, the Full Monitoring Arm will assess for asymptomatic recurrence at 6- and 12-months post-ablation.

Sites will be assigned to an arm in which they will enroll under based on their practices current Standard of Care. Sites can only participate in one arm.

The primary purpose of the registry is to assess clinical outcomes, including procedural efficiency, safety, and long-term effectiveness of pulsed field ablation (PFA) in the treatment of patients with AF. Also, to assess the effect of PFA technology implementation on practice patterns, operational workflow and operator experience.

The registry will utilize real world clinical data obtained from the use of commercially available technologies under the authority of a health care practitioner within a legitimate practitioner-patient relationship.

Conditions

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Atrial Fibrillation

Study Design

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Observational Model Type

COHORT

Study Time Perspective

PROSPECTIVE

Study Groups

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Acute Arm

Data will be collected at pre-ablation/baseline and at time of the ablation procedure. Sites should follow the subjects per their standard of care and at a minimum report any acute onset procedure or device-related complications through 30-days post procedure. Data collection will include procedural workflow, procedural outcomes, and acute onset procedure or device-related complications through 30 days.

Pulsed Field Ablation

Intervention Type DEVICE

Ablation using the Boston Scientific Farapulse Pulsed Field Ablation System for the treatment of atrial fibrillation (AF)

Symptomatic Monitoring Only Arm (SMO)

Data will be collected at pre-ablation/baseline, the ablation procedure, a 3-Month post-ablation office visit and 12-Months post-ablation (monitoring is triggered for symptomatic recurrences only). Data collection will include procedural workflow, procedural outcomes, acute, mid, and late onset procedure or device related complications, and symptomatic recurrence.

Pulsed Field Ablation

Intervention Type DEVICE

Ablation using the Boston Scientific Farapulse Pulsed Field Ablation System for the treatment of atrial fibrillation (AF)

Full Monitoring Arm (FM)

Data will be collected at pre-ablation/baseline, the ablation procedure, a 3-Month post-ablation office visit, interim continuous monitoring for asymptomatic arrhythmia recurrence at 6- and 12-Months post-ablation as well as monitoring as needed for symptomatic recurrences, and a 12-Month post-ablation office visit. Data collection will include procedural workflow, procedural outcomes, acute, mid, and late onset procedure or device related complications, symptomatic recurrence as well as asymptomatic recurrence.

Pulsed Field Ablation

Intervention Type DEVICE

Ablation using the Boston Scientific Farapulse Pulsed Field Ablation System for the treatment of atrial fibrillation (AF)

Interventions

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Pulsed Field Ablation

Ablation using the Boston Scientific Farapulse Pulsed Field Ablation System for the treatment of atrial fibrillation (AF)

Intervention Type DEVICE

Eligibility Criteria

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Inclusion Criteria

* Patients who, in the opinion of the Investigator, are candidates for ablation for AF
* Plans to undergo an ablation procedure using the Farapulse Pulsed Field Ablation System manufactured by Boston Scientific
* De Novo ablation unless it is a repeat procedure for a subject whose index procedure is also included in the registry
* 18 years of age or older
* Able and willing to participate in baseline and follow up evaluations for the full length of the registry

Exclusion Criteria

* Enrolled in an investigational drug or device trial, or any trial that dictates the treatment plan without prior approval from Sponsor
* Prior left atrial ablation (catheter or surgical)
* Currently receiving inotropic or mechanical support for Stage IV congestive heart failure, cardiogenic and/or septic shock.
* In the opinion of the Investigator, any known contraindication to an ablation procedure or to any device or drug required for use during an ablation procedure as assessed by the Investigator
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Boston Scientific Corporation

INDUSTRY

Sponsor Role collaborator

Heart Rhythm Clinical and Research Solutions, LLC

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Locations

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Arrhythmia Institute at Grandview

Birmingham, Alabama, United States

Site Status

Arrhythmia Research Group

Jonesboro, Arkansas, United States

Site Status

Community Memorial Health Systems

Ventura, California, United States

Site Status

The Arrythmia Center of South Florida

Delray Beach, Florida, United States

Site Status

Ascension St. Vincent's

Jacksonville, Florida, United States

Site Status

HCA Florida Mercy Hospital

Miami, Florida, United States

Site Status

Sarasota Memorial Hospital

Sarasota, Florida, United States

Site Status

Endeavor Health (Northshore)

Glenview, Illinois, United States

Site Status

Ascension St Vincent -Indianapolis Ascension Healt

Indianapolis, Indiana, United States

Site Status

MercyOne Iowa Heart Center

West Des Moines, Iowa, United States

Site Status

Norton Heart & Vascular Institute

Louisville, Kentucky, United States

Site Status

Brigham and Women's Hospital

Boston, Massachusetts, United States

Site Status

Cardiovascular Associates of Delaware Valley

Haddon Heights, New Jersey, United States

Site Status

HCA Research Institute Mission Hospital

Asheville, North Carolina, United States

Site Status

The Christ Hospital - Heart & Vascular

Cincinnati, Ohio, United States

Site Status

The Christ Hospital

Cincinnati, Ohio, United States

Site Status

OhioHealth Research Institute

Columbus, Ohio, United States

Site Status

Allegheny General Hospital

Pittsburgh, Pennsylvania, United States

Site Status

WellSpan Health

York, Pennsylvania, United States

Site Status

HCA - Trident Medical Center

North Charleston, South Carolina, United States

Site Status

Ascension St. Thomas Nashville

Nashville, Tennessee, United States

Site Status

Ascension Texas Cardiovascular

Austin, Texas, United States

Site Status

Texas Cardiac Arrhythmia Research Foundation (St. Davids)

Austin, Texas, United States

Site Status

St. Mark's Hospital

Salt Lake City, Utah, United States

Site Status

HCA Research Institute - Chippenham Hospital

Richmond, Virginia, United States

Site Status

Countries

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United States

Other Identifiers

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DISRUPT-AF

Identifier Type: -

Identifier Source: org_study_id

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