NCT02504567

Brief Summary

This protocol aims at assessing the efficacy of performing catheter ablation for atrial fibrillation (AF) with laser catheters versus performing it with radiofrequency (RF) catheters. In order to study laser catheter ablation efficacy, MRI analysis of the lesions 3 months after the procedure will be performed in both groups. MRI analysis will detect ablation gaps in the lesions encircling pulmonary veins. The primary endpoint will compare the number of gaps in the laser catheter and the RF group. The secondary endpoint of the study is recurrence of AF after 12 months. The target population of the study is patients with paroxysmal or persistent AF undergoing AF ablation.

Trial Health

87
On Track

Trial Health Score

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

Enrollment
64

participants targeted

Target at below P25 for phase_4 atrial-fibrillation

Timeline
Completed

Started Jul 2015

Geographic Reach
1 country

1 active site

Status
completed

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

Trial Relationships

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Study Timeline

Key milestones and dates

Study Start

First participant enrolled

July 1, 2015

Completed
14 days until next milestone

First Submitted

Initial submission to the registry

July 15, 2015

Completed
7 days until next milestone

First Posted

Study publicly available on registry

July 22, 2015

Completed
1.3 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

November 1, 2016

Completed
1.3 years until next milestone

Study Completion

Last participant's last visit for all outcomes

February 1, 2018

Completed
Last Updated

August 2, 2018

Status Verified

August 1, 2018

Enrollment Period

1.3 years

First QC Date

July 15, 2015

Last Update Submit

August 1, 2018

Conditions

Keywords

Catheter AblationRadiofrequencyLaserAtrial Fibrillation

Outcome Measures

Primary Outcomes (1)

  • Presence of large gaps in the delayed enhancement MRI (DE-MRI)

    The presence of MRI ablation gaps around the pulmonary veins evaluated with MRI images of the patient acquired three months after the ablation procedure. A large gap is described as a GAP that is larger or equal than 20% of the vein perimeter.

    3 months

Secondary Outcomes (1)

  • To determine the number of patients that present atrial fibrillation after the ablation procedure

    1 year

Study Arms (2)

Laser ablation

OTHER

Ablation with laser catheter

Device: Laser ablation

RF ablation

OTHER

Ablation with RF catheter

Device: RF ablation

Interventions

Pulmonary vein isolation using the laser ablation catheter

Laser ablation

Pulmonary vein isolation using the RF ablation catheter

RF ablation

Eligibility Criteria

Age18 Years - 99 Years
Sexall
Healthy VolunteersNo
Age GroupsAdult (18-64), Older Adult (65+)

You may qualify if:

  • Patients with clinical recurrent AF, refractary or intolerant to at least 1 antiarrhythmic drub who are scheduled to undergo ablation of pulmonary veins (PV)
  • Signed consent form.

You may not qualify if:

  • Being under 18 years old
  • Any contraindication for ablation procedure
  • Impossibility to acquire DE-MRI because of contraindication (e.g. severely impaired renal function) or patient unwillingness

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

Hospital Clínic de Barcelona

Barcelona, Catalonia, 08028, Spain

Location

MeSH Terms

Conditions

Atrial Fibrillation

Interventions

Laser Therapy

Condition Hierarchy (Ancestors)

Arrhythmias, CardiacHeart DiseasesCardiovascular DiseasesPathologic ProcessesPathological Conditions, Signs and Symptoms

Intervention Hierarchy (Ancestors)

TherapeuticsAblation TechniquesSurgical Procedures, Operative

Study Design

Study Type
interventional
Phase
phase 4
Allocation
NON RANDOMIZED
Masking
SINGLE
Who Masked
INVESTIGATOR
Purpose
TREATMENT
Intervention Model
PARALLEL
Sponsor Type
OTHER
Responsible Party
PRINCIPAL INVESTIGATOR
PI Title
MD Phd

Study Record Dates

First Submitted

July 15, 2015

First Posted

July 22, 2015

Study Start

July 1, 2015

Primary Completion

November 1, 2016

Study Completion

February 1, 2018

Last Updated

August 2, 2018

Record last verified: 2018-08

Locations