NCT04726943

Brief Summary

Although the clinical impact of residual left atrial appendage (LAA) leaks still requires confirmation, its patency resulting from incomplete LAA closure may promote blood stagnation and thrombus formation, and increase the risk of thromboembolic events. The main purpose of this trial is to evaluate the safety and efficacy of percutaneous leak closure with radiofrequency energy applications.

Trial Health

43
At Risk

Trial Health Score

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

Trial has exceeded expected completion date
Enrollment
100

participants targeted

Target at P50-P75 for not_applicable

Timeline
Completed

Started Feb 2021

Typical duration for not_applicable

Geographic Reach
1 country

2 active sites

Status
unknown

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

January 19, 2021

Completed
8 days until next milestone

First Posted

Study publicly available on registry

January 27, 2021

Completed
5 days until next milestone

Study Start

First participant enrolled

February 1, 2021

Completed
1 year until next milestone

Primary Completion

Last participant's last visit for primary outcome

February 1, 2022

Completed
11 months until next milestone

Study Completion

Last participant's last visit for all outcomes

December 31, 2022

Completed
Last Updated

February 11, 2021

Status Verified

February 1, 2021

Enrollment Period

1 year

First QC Date

January 19, 2021

Last Update Submit

February 8, 2021

Conditions

Keywords

strokeatrial fibrillationleft atrial appendagepreventionleakradiofrequency

Outcome Measures

Primary Outcomes (1)

  • Procedural Success

    Complete LAA occlusion or presence of a mild/minimal peri-device leak on FU TEE

    1-3 months

Secondary Outcomes (1)

  • Peri-Procedural Success

    Peri-Procedural

Study Arms (1)

RF Energy

EXPERIMENTAL

RF delivery targeting the atrial side of a significant residual leak in patients with acute and chronic evidence of incomplete percutaneous LAA occlusion

Procedure: Radiofrequency Energy Applications

Interventions

RF energy applications to the atrial edge of a leak resulting from incomplete LAA occlusion

RF Energy

Eligibility Criteria

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

You may qualify if:

  • Age\> 18 years.
  • Presence of a significant LAA leak acutely or at follow-up.
  • Written informed consent obtained from subject or subject's legal representative and ability for subject to comply with the requirements of the study

You may not qualify if:

  • Life expectancy \< 2 years.
  • pregnant, breastfeeding, or unwilling to practice birth control during participation in the study
  • presence of a condition or abnormality that in the opinion of the Investigator would compromise the safety of the patient or the quality of the data

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (2)

Kansas City Heart Rhythm Institute

Overland Park, Kansas, 66615, United States

Location

St. David's Medical Center

Austin, Texas, 78723, United States

Location

Related Publications (1)

  • Della Rocca DG, Murtaza G, Di Biase L, Akella K, Krishnan SC, Magnocavallo M, Mohanty S, Gianni C, Trivedi C, Lavalle C, Forleo GB, Natale VN, Tarantino N, Romero J, Gopinathannair R, Patel PJ, Bassiouny M, Del Prete A, Al-Ahmad A, Burkhardt JD, Gallinghouse GJ, Sanchez JE, Doshi SK, Horton RP, Lakkireddy D, Natale A. Radiofrequency Energy Applications Targeting Significant Residual Leaks After Watchman Implantation: A Prospective, Multicenter Experience. JACC Clin Electrophysiol. 2021 Dec;7(12):1573-1584. doi: 10.1016/j.jacep.2021.06.002. Epub 2021 Jul 27.

MeSH Terms

Conditions

Ischemic StrokeAtrial FibrillationStroke

Condition Hierarchy (Ancestors)

Cerebrovascular DisordersBrain DiseasesCentral Nervous System DiseasesNervous System DiseasesVascular DiseasesCardiovascular DiseasesArrhythmias, CardiacHeart DiseasesPathologic ProcessesPathological Conditions, Signs and Symptoms

Central Study Contacts

Andrea Natale, MD

CONTACT

Domenico G Della Rocca, MD

CONTACT

Study Design

Study Type
interventional
Phase
not applicable
Allocation
NA
Masking
NONE
Purpose
TREATMENT
Intervention Model
SINGLE GROUP
Sponsor Type
OTHER
Responsible Party
PRINCIPAL INVESTIGATOR
PI Title
Executive Medical Director

Study Record Dates

First Submitted

January 19, 2021

First Posted

January 27, 2021

Study Start

February 1, 2021

Primary Completion

February 1, 2022

Study Completion

December 31, 2022

Last Updated

February 11, 2021

Record last verified: 2021-02

Locations