Endocardial Mapping with the CoreMap EP Mapping System

NCT ID: NCT06529978

Last Updated: 2025-03-18

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

RECRUITING

Clinical Phase

NA

Total Enrollment

150 participants

Study Classification

INTERVENTIONAL

Study Start Date

2024-07-25

Study Completion Date

2026-12-31

Brief Summary

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This is a global, multi-site, prospective, feasibility study.

Detailed Description

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The INvENI Study consists of three phases. For Phase 1, the goal is to collect and analyze high fidelity endocardial electrograms (EGMs) in patients with persistent and long-standing persistent AF. For Phase 2, the goal is the initial development and evaluation of a CoreMap-guided tailored ablation strategy and to demonstrate safety and chronic efficacy of the CoreMap EP Mapping System. For Phase 3, the goal is the evaluation of a CoreMap-guided tailored ablation strategy and to demonstrate both chronic safety and effectiveness in de novo PerAF patients.

Conditions

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Persistent Atrial Fibrillation

Study Design

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Allocation Method

NON_RANDOMIZED

Intervention Model

SEQUENTIAL

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Phase 1- Mapping Only

For Phase 1, the goal is to collect and analyze high fidelity endocardial EGMs in patients with persistent and long-standing persistent AF.

Group Type EXPERIMENTAL

CoreMap EP Mapping System Mapping

Intervention Type DEVICE

Endocardial mapping to collect and analyze high fidelity endocardial EGMs in patients with persistent and long-standing persistent AF.

Phase 2- Map Guided Ablation

The Phase 2 goal is the initial development and evaluation of a CoreMap-guided tailored ablation strategy and to demonstrate safety and chronic efficacy of the CoreMap EP Mapping System.

Group Type EXPERIMENTAL

CoreMap EP Mapping System Mapping

Intervention Type DEVICE

Endocardial mapping to collect and analyze high fidelity endocardial EGMs in patients with persistent and long-standing persistent AF.

CoreMap EP Mapping System Map-Guided Ablation

Intervention Type DEVICE

Initial development and evaluation of a map-guided tailored ablation strategy and to demonstrate safety and chronic efficacy of the CoreMap EP Mapping System.

Phase 3 - Map Guided Ablation

For Phase 3, the goal is the evaluation of a CoreMap guided tailored ablation strategy and to demonstrate chronic safety and effectiveness in de novo PerAF patients with the CoreMap EP Mapping System.

Group Type EXPERIMENTAL

CoreMap EP Mapping System Mapping

Intervention Type DEVICE

Endocardial mapping to collect and analyze high fidelity endocardial EGMs in patients with persistent and long-standing persistent AF.

CoreMap EP Mapping System Map-Guided Ablation

Intervention Type DEVICE

Initial development and evaluation of a map-guided tailored ablation strategy and to demonstrate safety and chronic efficacy of the CoreMap EP Mapping System.

Interventions

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CoreMap EP Mapping System Mapping

Endocardial mapping to collect and analyze high fidelity endocardial EGMs in patients with persistent and long-standing persistent AF.

Intervention Type DEVICE

CoreMap EP Mapping System Map-Guided Ablation

Initial development and evaluation of a map-guided tailored ablation strategy and to demonstrate safety and chronic efficacy of the CoreMap EP Mapping System.

Intervention Type DEVICE

Eligibility Criteria

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Inclusion Criteria

1. Subject has persistent or long-standing persistent AF, at the discretion of the investigator
2. Subject is 18 to 80 years of age
3. Patient scheduled for standard of care AF ablation
4. Subject is able to provide written informed consent
5. Subject is able and willing to complete all study procedures

Exclusion Criteria

1. Any of the following within three months of enrollment:

1. Myocardial infarction (MI)
2. Any surgical or percutaneous cardiac procedure including coronary intervention and cardiac ablation
3. Confirmed thrombus on imaging
2. Any of the following within six months of enrollment: a) Cardiac surgery including coronary artery bypass grafting, ventriculotomy, atriotomy b) Thromboembolic event (stroke)
3. Any of the following cardiac conditions:

1. New York Heart Association (NYHA) IV
2. Left ventricular ejection fraction (LVEF) \< 30%
3. Carotid stenting or endarterectomy
4. Atrial or ventricular septal closure or left atrial appendage closure
5. Implanted permanent pacemaker, biventricular pacemaker, or any type of implantable cardiac defibrillator
6. Presence of intramural thrombus, tumor (including atrial myxoma), or other abnormality that precludes vascular access, catheter introduction, or manipulation
7. Unstable angina
8. Prior mitral or tricuspid valve surgery, repair, prosthetic or mechanical valve
9. Moderate to severe mitral valve stenosis or other severe valvular disease
10. Any blood clotting or bleeding abnormalities
4. Contraindication to systemic anticoagulation
5. AF secondary to electrolyte imbalance, acute alcohol intoxication, or reversible or non-cardiac cause
6. Body mass index (BMI) \> 40 kg/m2
7. Severe pulmonary disease, pulmonary hypertension, or any chronic respiratory condition
8. Renal failure requiring dialysis or transplant
9. Acute illness, active systemic infection, or sepsis
10. Active drug or alcohol dependency
11. Any contra-indication that may extend procedure time, at the discretion of the operator
12. Any woman known to be pregnant or breastfeeding, or any woman of childbearing potential who is not on a reliable form of birth regulation method or abstinence
13. Subject considered part of vulnerable population
14. Life expectancy less than one year
15. Employee of the study site or Sponsor
16. Subjects who are currently enrolled in another study that would directly interfere with this study
Minimum Eligible Age

18 Years

Maximum Eligible Age

80 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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CoreMap Inc.

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Locations

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Na Homolce Hospital

Praha Klanovice, , Czechia

Site Status RECRUITING

Countries

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Czechia

Central Contacts

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Jim Foster, SysEng

Role: CONTACT

6178723908

Sarah Kalil

Role: CONTACT

Other Identifiers

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CD001

Identifier Type: -

Identifier Source: org_study_id

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