NCT02799043

Brief Summary

A prospective, multicenter, randomized study to assess the safety and effectiveness of FIRM-guided procedures in conventional "redo" RF ablation procedures for the treatment of persistent and paroxysmal atrial fibrillation.

Trial Health

90
On Track

Trial Health Score

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

Enrollment
269

participants targeted

Target at P75+ for not_applicable

Timeline
Completed

Started Jun 2016

Longer than P75 for not_applicable

Geographic Reach
4 countries

24 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

Study Start

First participant enrolled

June 1, 2016

Completed
1 day until next milestone

First Submitted

Initial submission to the registry

June 2, 2016

Completed
12 days until next milestone

First Posted

Study publicly available on registry

June 14, 2016

Completed
4 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

July 1, 2020

Completed
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

July 1, 2020

Completed
4.2 years until next milestone

Results Posted

Study results publicly available

September 19, 2024

Completed
Last Updated

September 19, 2024

Status Verified

September 1, 2024

Enrollment Period

4.1 years

First QC Date

June 2, 2016

Results QC Date

April 8, 2024

Last Update Submit

September 5, 2024

Conditions

Keywords

FIRMap, Rotor, FIRM-guided procedure

Outcome Measures

Primary Outcomes (3)

  • Freedom From Atrial Fibrillation Atrial Fibrillation (AF), Atrial Tachycardia (AT), or Atrial Flutter (AFL) Recurrence at 12 Months Post Procedure.

    Single procedure freedom from recurrence from 3-12 months post procedure

    12 months post procedure

  • Freedom From Serious Adverse Events Related to the Procedure

    Freedom from any procedure-related serious adverse event from 0-10 days post procedure

    10-day post procedure

  • Freedom From Serious Adverse Events Related to the Procedure

    Freedom from any procedure-related serious adverse event from 0-12 months post procedure

    12-month post procedure

Study Arms (2)

Standard PVI

ACTIVE COMPARATOR

Standard catheter ablation including pulmonary vein isolation (PVI) procedure.

Procedure: Standard PVI

FIRM-guided Procedure and PVI

EXPERIMENTAL

FIRM-guided procedure followed by PVI.

Procedure: FIRM-Guided Procedure and PVI

Interventions

Standard PVIPROCEDURE

Standard PVI procedure without FIRMap.

Also known as: Pulmonary vein isolation, Ablation, Arrhythmia, Atrial fibrillation Mapping
Standard PVI
Also known as: Pulmonary vein isolation, Atrial fibrillation Mapping, FIRMap
FIRM-guided Procedure and PVI

Eligibility Criteria

Age18 Years - 80 Years
Sexall
Healthy VolunteersNo
Age GroupsAdult (18-64), Older Adult (65+)

You may qualify if:

  • Experiencing at least one (1) documented episode of spontaneous persistent or paroxysmal atrial fibrillation during the last 3 months by rhythm strip/ECG.
  • One (1) previous AF ablation (PVI-only - any technology) after Jan-01-2013, but NOT within the last 3 months.
  • Left atrial diameter \< 6.0 cm via transthoracic echo or transesophageal echo; or \<6.5 cm via CT or MRI with 6 months prior to the procedure.
  • Sustained spontaneous or induced AF (\>5 min uninterrupted).

You may not qualify if:

  • Presence of structural heart disease with clinical significance
  • NYHA Class IV
  • Ejection fraction \< 35%
  • Previous AF ablation within the last 3 months
  • ASD closure device, LAA closure device, prosthetic mitral or tricuspid valve, or permanent pacemaker.
  • History of myocardial infarction (MI) within the past three (3) months
  • Atrial clot/thrombus noted within 72 hours of the procedure

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (24)

Arizona Heart Rhythm Research Cente

Phoenix, Arizona, 85016, United States

Location

Ventura Cardiology Consultants

Ventura, California, 93003, United States

Location

Broward Health

Fort Lauderdale, Florida, 33316, United States

Location

St. Vincent's HealthCare

Jacksonville, Florida, 32216, United States

Location

Loyola University

Chicago, Illinois, 60153, United States

Location

Northwestern University - Bluhm Cardiovascular Institute

Chicago, Illinois, 60611, United States

Location

Johns Hopkins Hospital

Baltimore, Maryland, 21287, United States

Location

Englewood Hospital and Medical Center

Englewood, New Jersey, 07631, United States

Location

Ohio State University

Columbus, Ohio, 43210, United States

Location

University of Pennsylvania Health System

Philadelphia, Pennsylvania, 19104, United States

Location

University of Pittsburgh Medical Center

Pittsburgh, Pennsylvania, 15213, United States

Location

Virginia Heart

Falls Church, Virginia, 22042, United States

Location

University Hospital of Antwerp

Antwerp, Flanders, Belgium

Location

Klinikum Coburg

Coburg, Bavaria, Germany

Location

Furth Medical Clinic for Heart and Lung Diseases

Fürth, Bavaria, Germany

Location

The Dr. Müller Kliniken

Munich, Bavaria, Germany

Location

Kardiologische Gemeinschaftspraxis am Park Sanssouci

Potsdam, Brandenburg, Germany

Location

Kardiocentrum Frankfurt

Frankfurt, Main, Germany

Location

Leipzig Heart Institute GmbH

Leipzig, Saxony, Germany

Location

Luebeck University Heart Center

Lübeck, Schleswig-Holstein, Germany

Location

Ruhr University Bochum - Heart and Diabetes Center North Rhine-Westphalia

Bad Oeynhausen, Germany

Location

UKB (Unfallkrankenhaus Berlin)

Berlin, Germany

Location

Praxisklinik Herz und Gefäße Dresden

Dresden, Germany

Location

Medical Center Rotterdam (Erasmus MC)

Rotterdam, South Holland, Netherlands

Location

MeSH Terms

Conditions

Atrial Fibrillation

Condition Hierarchy (Ancestors)

Arrhythmias, CardiacHeart DiseasesCardiovascular DiseasesPathologic ProcessesPathological Conditions, Signs and Symptoms

Results Point of Contact

Title
Anne Sarver, PhD
Organization
Abbott

Study Officials

  • Vivek Reddy, MD

    MOUNT SINAI HOSPITAL

    PRINCIPAL INVESTIGATOR
  • Stefan G. Spitzer, MD

    Praxisklinik Herz und Gefäße Dresden, Germany

    PRINCIPAL INVESTIGATOR

Publication Agreements

PI is Sponsor Employee
No
Restriction Type
OTHER
Restrictive Agreement
Yes

Study Design

Study Type
interventional
Phase
not applicable
Allocation
RANDOMIZED
Masking
NONE
Purpose
DIAGNOSTIC
Intervention Model
PARALLEL
Sponsor Type
INDUSTRY
Responsible Party
SPONSOR

Study Record Dates

First Submitted

June 2, 2016

First Posted

June 14, 2016

Study Start

June 1, 2016

Primary Completion

July 1, 2020

Study Completion

July 1, 2020

Last Updated

September 19, 2024

Results First Posted

September 19, 2024

Record last verified: 2024-09

Data Sharing

IPD Sharing
Will not share

Locations