NCT02447081

Brief Summary

This was a prospective, multicenter, observational, nonrandomized study to compile real world outcome data on the use of the Amulet™ device in non-valvular atrial fibrillation (NVAF) subjects. The study was designed to follow the Instructions For Use (IFU) to gather data on the implant procedure through two years of follow up with the Amulet™ device in a commercial clinical setting."

Trial Health

98
On Track

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
1,088

participants targeted

Target at P75+ for all trials

Timeline
Completed

Started Jun 2015

Typical duration for all trials

Geographic Reach
16 countries

51 active sites

Status
completed

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

Click on a node to explore related trials.

Study Timeline

Key milestones and dates

First Submitted

Initial submission to the registry

April 27, 2015

Completed
21 days until next milestone

First Posted

Study publicly available on registry

May 18, 2015

Completed
14 days until next milestone

Study Start

First participant enrolled

June 1, 2015

Completed
3.4 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

October 23, 2018

Completed
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

October 23, 2018

Completed
1.2 years until next milestone

Results Posted

Study results publicly available

December 30, 2019

Completed
Last Updated

December 30, 2019

Status Verified

December 1, 2019

Enrollment Period

3.4 years

First QC Date

April 27, 2015

Results QC Date

November 1, 2019

Last Update Submit

December 11, 2019

Conditions

Outcome Measures

Primary Outcomes (4)

  • Number of Participants With Acute Serious Adverse Events

    Acute adverse events were defined as those serious events with an onset date ≤ 7 days post-procedure

    0 to 7 days post procedure

  • Number of Participants With Late Serious Adverse Events Greater Than 7 Days Post Procedure

    Late adverse events were defined as those serious events with an onset date \> 7 days post-procedure

    7 days through 2 years

  • Number of Participants With Ischemic Stroke, Systemic Embolism and Cardiovascular Death

    Occurrence of ischemic stroke, systemic embolism, and cardiovascular death through 2 years

    Implant through 2 years

  • Number of Participants With Major Bleeding Events

    Clinical events were adjudicated by the CEC as major bleeding events if they met the definition of Type 3 or greater on the Bleeding Academic Research Consortium (BARC) scale.

    Implant through 2 years

Secondary Outcomes (7)

  • Number of Participants With Technical Success

    During implant procedure, approximately 30 to 60 minutes

  • Number of Participants With Procedural Success

    During the implant procedure and hospital stay, approximately 1 or 2 days

  • Number of Participants With Oral Anti-coagulation Usage

    At discharge, approximately 1 or 2 days after the procedure

  • Number of Participants With Oral Anti-coagulation Usage

    At 1 to 3 months

  • Number of Participants With Oral Anti-coagulation Usage

    At 6 months

  • +2 more secondary outcomes

Study Arms (1)

Subjects implanted with Amulet Device

All subjects who receive the Amulet device will be followed.

Device: Subjects implanted with Amulet Device

Interventions

Percutaneous Left Atrial Appendage occlusion with successful implant of occlusion device.

Subjects implanted with Amulet Device

Eligibility Criteria

Age18 Years+
Sexall
Healthy VolunteersNo
Age GroupsAdult (18-64), Older Adult (65+)
Sampling MethodNon-Probability Sample
Study Population

Patients with non-valvular atrial fibrillation

You may qualify if:

  • Subject with history of paroxysmal, persistent or permanent NVAF
  • Subject who is 18 years or older, or of legal age to give informed consent specific to state and national law
  • Subject who is eligible for an Amulet LAA Occluder device according to current international guidelines and per physician discretion
  • Subject who is willing and capable of providing informed consent, participating in all associated study activities

You may not qualify if:

  • Subject with evidence of an intracardiac thrombus
  • Subject with active infection or active endocarditis or other infections producing bacteremia
  • Subject where the placement of the device would interfere with any intracardiac or intravascular structures
  • Subject with any medical disorder that would interfere with completion or evaluation of clinical study results
  • Women of childbearing potential who are, or plan to become, pregnant during the time of the study (method of assessment per physician discretion)
  • Subject with LAA anatomy that does not accommodate a device per the sizing guidelines

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (51)

Fiona Stanley Hospital

Murdoch, Western Australia, WA 6150, Australia

Location

Universitaire Ziekenhuizen Gasthuisberg

Leuven, Belgium

Location

Hospital Clinico San Borja Arriaran

Santiago, 83600160, Chile

Location

Rigshospitalet

Copenhagen, 2100, Denmark

Location

Helsinki University Central Hospital

Helsinki, Uusimaa, Finland

Location

Turku University Hospital

Turku, Finland

Location

Hopital Haut Leveque

Pessac, Aquitaine, 33600, France

Location

CHU du Bocage

Dijon, Burgundy, 21034, France

Location

CHRU Lille

Lille, North-Calais, 59037, France

Location

CHU d'Amiens

Amiens, Picardy, 80054, France

Location

Klinikum Coburg

Coburg, Bavaria, 96450, Germany

Location

Internistische Klinik Dr. Müller, München-Thalkirchen

Munich, Bavaria, 81379, Germany

Location

Universitaetsklinikum Ulm

Ulm, Bavaria, 89081, Germany

Location

Zentrum fur Herzgesundheit/Kardiologie am Alice Hospital Darmstadt

Darmstadt, Hesse, 64287, Germany

Location

CardioVaskuläres Centrum St. Katharinen

Frankfurt am Main, Hesse, 60389, Germany

Location

Universitätsklinikum Düsseldorf

Düsseldorf, North Rhine-Westphal, 40225, Germany

Location

Zentralklinik Bad Berka Gmbh

Bad Berka, Thuringia, 99437, Germany

Location

Zentralklinik Bad Berka

Bad Berka, Germany

Location

Segeberger Kliniken Gmbh

Bad Segeberg, 23795, Germany

Location

Segeberger Kliniken GmbH

Bad Segeberg, Germany

Location

Charité - Universitätsmedizin Berlin (CBF)

Berlin, 12203, Germany

Location

St. Marien Hospital Bonn

Bonn, 53115, Germany

Location

Herzzentrum Dresden

Dresden, Germany

Location

Cardioangiologisches Centrum Bethanien

Frankfurt, 60431, Germany

Location

Klinikum Frankfurt Höchst

Frankfurt, 65929, Germany

Location

Harzklinikum Dorothea Christiane Erxleben GmbH

Quedlinburg, Germany

Location

Rems-Murr-Klinikum Winnenden

Winnenden, 71364, Germany

Location

Mater Hospital

Dublin, Ireland

Location

The Chaim Sheba Medical Center

Tel Litwinsky, 52621, Israel

Location

Nuovo Ospedale Civile Sant'Agostino Estense

Baggiovara, Modena, 41126, Italy

Location

Ospedale dell'Angelo and Ospedale SS Giovanni e Paolo Venezia

Mestre, Veneto, 30174, Italy

Location

Università degli Studi di Padova

Padua, Veneto, 35128, Italy

Location

Azienda Ospedaliera S. Anna e S. Sebastiano

Caserta, 81100, Italy

Location

Ospedale del Cuoro Fondazione C. N. R. Regione Toscana G. Monasterio

Massa, Italy

Location

Cardiac Arrhythmia Research Center, Centro Cardiologico Monzino, Unveristiy of Milan

Milan, Italy

Location

San Raffaele Hospital

Milan, Italy

Location

Ospedale Luigi Sacco

Milan, 20157, Italy

Location

Amsterdam Academic Medical Centre

Veenendaal, Netherlands

Location

Ulleval Universitetssykehus

Oslo, 0407, Norway

Location

Slaskie Centrum Chorob Serca

Warsaw, 01-785, Poland

Location

The Cardinal Stefan Wyszynski Institute of Cardiology

Warsaw, 04-628, Poland

Location

Hospital Universitario Virgen Macarena

Seville, Andalusia, 41007, Spain

Location

Hospital Universitario Son Espases

Palma de Mallorca, Balearic Island, 07120, Spain

Location

Hospital Universitario de Salamanca

Salamanca, Castille and León, 37007, Spain

Location

Hospital de la Santa Creu I Sant Pau

Barcelona, Catalonia, 08025, Spain

Location

Hospital Universitario Infanta Cristina

Badajoz, Extremadura, 6080, Spain

Location

Hospital Clinic I Provincial de Barcelona

Barcelona, 8028, Spain

Location

Karolinska University Hospital Huddinge

Stockholm, 17176, Sweden

Location

Liverpool Heart and Chest Hospital

Liverpool, Northwest England, United Kingdom

Location

The Royal Sussex Country Hospital

Brighton, South East England, United Kingdom

Location

St Thomas Hospital

London, SE1 7EH, United Kingdom

Location

Related Publications (4)

  • De Caterina AR, Nielsen-Kudsk JE, Schmidt B, Mazzone P, Fischer S, Lund J, Montorfano M, Gage R, Lam SCC, Berti S. Gender difference in left atrial appendage occlusion outcomes: Results from the Amplatzer Amulet Observational Study. Int J Cardiol Heart Vasc. 2021 Jul 26;35:100848. doi: 10.1016/j.ijcha.2021.100848. eCollection 2021 Aug.

  • Piayda K, Hellhammer K, Nielsen-Kudsk JE, Schmidt B, Mazzone P, Berti S, Fischer S, Lund J, Montorfano M, Della Bella P, Gage R, Zeus T. Clinical outcomes of patients undergoing percutaneous left atrial appendage occlusion in general anaesthesia or conscious sedation: data from the prospective global Amplatzer Amulet Occluder Observational Study. BMJ Open. 2021 Mar 24;11(3):e040455. doi: 10.1136/bmjopen-2020-040455.

  • Aminian A, De Backer O, Nielsen-Kudsk JE, Mazzone P, Berti S, Fischer S, Lund J, Montorfano M, Lam SCC, Freixa X, Gage R, Diener HC, Schmidt B. Incidence and clinical impact of major bleeding following left atrial appendage occlusion: insights from the Amplatzer Amulet Observational Post-Market Study. EuroIntervention. 2021 Oct 20;17(9):774-782. doi: 10.4244/EIJ-D-20-01309.

  • Tarantini G, D'Amico G, Schmidt B, Mazzone P, Berti S, Fischer S, Lund J, Montorfano M, Della Bella P, Lam SCC, Cruz-Gonzalez I, Gage R, Zhao H, Omran H, Odenstedt J, Nielsen-Kudsk JE. The Impact of CHA2DS2-VASc and HAS-BLED Scores on Clinical Outcomes in the Amplatzer Amulet Study. JACC Cardiovasc Interv. 2020 Sep 28;13(18):2099-2108. doi: 10.1016/j.jcin.2020.06.003.

MeSH Terms

Conditions

Atrial FibrillationThromboembolismStroke

Condition Hierarchy (Ancestors)

Arrhythmias, CardiacHeart DiseasesCardiovascular DiseasesPathologic ProcessesPathological Conditions, Signs and SymptomsEmbolism and ThrombosisVascular DiseasesCerebrovascular DisordersBrain DiseasesCentral Nervous System DiseasesNervous System Diseases

Results Point of Contact

Title
Ryan Gage, Senior Scientist
Organization
Abbott

Study Officials

  • David Hildick-Smith, MD

    Brighton and Sussex University Hospitals

    PRINCIPAL INVESTIGATOR
  • Claudio Tondo, MD PhD

    University of Milan

    PRINCIPAL INVESTIGATOR

Publication Agreements

PI is Sponsor Employee
No
Restrictive Agreement
No

Study Design

Study Type
observational
Observational Model
OTHER
Time Perspective
PROSPECTIVE
Target Duration
2 Years
Sponsor Type
INDUSTRY
Responsible Party
SPONSOR

Study Record Dates

First Submitted

April 27, 2015

First Posted

May 18, 2015

Study Start

June 1, 2015

Primary Completion

October 23, 2018

Study Completion

October 23, 2018

Last Updated

December 30, 2019

Results First Posted

December 30, 2019

Record last verified: 2019-12

Locations