NCT06335082

Brief Summary

The DISRUPT-AF Registry is an observational, prospective, multi-center, non-randomized, real-world registry designed to obtain clinical experience with the Farapulse Pulsed Field Ablation System for the treatment of atrial fibrillation (AF).

Trial Health

75
On Track

Trial Health Score

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

Enrollment
10,000

participants targeted

Target at P75+ for all trials

Timeline
9mo left

Started Apr 2024

Typical duration for all trials

Geographic Reach
1 country

25 active sites

Status
enrolling by invitation

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 Progress74%
Apr 2024Jan 2027

First Submitted

Initial submission to the registry

March 21, 2024

Completed
7 days until next milestone

First Posted

Study publicly available on registry

March 28, 2024

Completed
27 days until next milestone

Study Start

First participant enrolled

April 24, 2024

Completed
2.6 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

November 30, 2026

Expected
2 months until next milestone

Study Completion

Last participant's last visit for all outcomes

January 30, 2027

Last Updated

October 31, 2025

Status Verified

October 1, 2025

Enrollment Period

2.6 years

First QC Date

March 21, 2024

Last Update Submit

October 29, 2025

Conditions

Keywords

paroxysmal atrial fibrillationpersistent atrial fibrillationlong-standing persistent atrial fibrillationpulse field ablation

Outcome Measures

Primary Outcomes (2)

  • Long term effectiveness

    Freedom from atrial arrhythmia recurrence post 90-day blanking period

    12 months

  • Long-term safety

    Rate of long-term safety events defined as procedure or device related reportable events (complications) that occur greater than 30 days post ablation. Data for this endpoint will be evaluated from the pooled results of the SMO and FM study arms.

    12 months

Study Arms (3)

Acute Arm

Data will be collected at pre-ablation/baseline and at time of the ablation procedure. Sites should follow the subjects per their standard of care and at a minimum report any acute onset procedure or device-related complications through 30-days post procedure. Data collection will include procedural workflow, procedural outcomes, and acute onset procedure or device-related complications through 30 days.

Device: Pulsed Field Ablation

Symptomatic Monitoring Only Arm (SMO)

Data will be collected at pre-ablation/baseline, the ablation procedure, a 3-Month post-ablation office visit and 12-Months post-ablation (monitoring is triggered for symptomatic recurrences only). Data collection will include procedural workflow, procedural outcomes, acute, mid, and late onset procedure or device related complications, and symptomatic recurrence.

Device: Pulsed Field Ablation

Full Monitoring Arm (FM)

Data will be collected at pre-ablation/baseline, the ablation procedure, a 3-Month post-ablation office visit, interim continuous monitoring for asymptomatic arrhythmia recurrence at 6- and 12-Months post-ablation as well as monitoring as needed for symptomatic recurrences, and a 12-Month post-ablation office visit. Data collection will include procedural workflow, procedural outcomes, acute, mid, and late onset procedure or device related complications, symptomatic recurrence as well as asymptomatic recurrence.

Device: Pulsed Field Ablation

Interventions

Ablation using the Boston Scientific Farapulse Pulsed Field Ablation System for the treatment of atrial fibrillation (AF)

Acute ArmFull Monitoring Arm (FM)Symptomatic Monitoring Only Arm (SMO)

Eligibility Criteria

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

Patients presenting at participating sites for atrial fibrillation ablation that meet all inclusion criteria.

You may qualify if:

  • Patients who, in the opinion of the Investigator, are candidates for ablation for AF
  • Plans to undergo an ablation procedure using the Farapulse Pulsed Field Ablation System manufactured by Boston Scientific
  • De Novo ablation unless it is a repeat procedure for a subject whose index procedure is also included in the registry
  • years of age or older
  • Able and willing to participate in baseline and follow up evaluations for the full length of the registry

You may not qualify if:

  • Enrolled in an investigational drug or device trial, or any trial that dictates the treatment plan without prior approval from Sponsor
  • Prior left atrial ablation (catheter or surgical)
  • Currently receiving inotropic or mechanical support for Stage IV congestive heart failure, cardiogenic and/or septic shock.
  • In the opinion of the Investigator, any known contraindication to an ablation procedure or to any device or drug required for use during an ablation procedure as assessed by the Investigator

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (25)

Arrhythmia Institute at Grandview

Birmingham, Alabama, 35243, United States

Location

Arrhythmia Research Group

Jonesboro, Arkansas, 72401, United States

Location

Community Memorial Health Systems

Ventura, California, 93003, United States

Location

The Arrythmia Center of South Florida

Delray Beach, Florida, 33484, United States

Location

Ascension St. Vincent's

Jacksonville, Florida, 32204, United States

Location

HCA Florida Mercy Hospital

Miami, Florida, 33133, United States

Location

Sarasota Memorial Hospital

Sarasota, Florida, 34239, United States

Location

Endeavor Health (Northshore)

Glenview, Illinois, 60026, United States

Location

Ascension St Vincent -Indianapolis Ascension Healt

Indianapolis, Indiana, 46184, United States

Location

MercyOne Iowa Heart Center

West Des Moines, Iowa, 50026, United States

Location

Norton Heart & Vascular Institute

Louisville, Kentucky, 40205, United States

Location

Brigham and Women's Hospital

Boston, Massachusetts, 02115, United States

Location

Cardiovascular Associates of Delaware Valley

Haddon Heights, New Jersey, 08035, United States

Location

HCA Research Institute Mission Hospital

Asheville, North Carolina, 28801, United States

Location

The Christ Hospital - Heart & Vascular

Cincinnati, Ohio, 45219, United States

Location

The Christ Hospital

Cincinnati, Ohio, 45219, United States

Location

OhioHealth Research Institute

Columbus, Ohio, 43214, United States

Location

Allegheny General Hospital

Pittsburgh, Pennsylvania, 15212, United States

Location

WellSpan Health

York, Pennsylvania, 17402, United States

Location

HCA - Trident Medical Center

North Charleston, South Carolina, 29406, United States

Location

Ascension St. Thomas Nashville

Nashville, Tennessee, 37203, United States

Location

Ascension Texas Cardiovascular

Austin, Texas, 78705, United States

Location

Texas Cardiac Arrhythmia Research Foundation (St. Davids)

Austin, Texas, 78705, United States

Location

St. Mark's Hospital

Salt Lake City, Utah, 84124, United States

Location

HCA Research Institute - Chippenham Hospital

Richmond, Virginia, 23225, United States

Location

Related Publications (1)

  • Al-Ahmad A, Osorio J, Day J, Wasserlauf J, Nair D, Eckart R, Campbell D, Dukes J, Cuoco F, Costello J, Zagrodzky J, Kessler D, Morales G, Rajendra A, Oza S, Barakat A, Magnano A, Amin A, Silverstein J, Thosani A, Bezenek SM, Zei P, Dai C, Natale A, Horton R; DISRUPT AF Investigators. Patient and Procedural Factors Associated With Same-Day Discharge Following Pulsed Field Ablation for Atrial Fibrillation: Insights From the DISRUPT-AF Registry. J Cardiovasc Electrophysiol. 2026 Jan;37(1):149-156. doi: 10.1111/jce.70210. Epub 2025 Dec 2.

MeSH Terms

Conditions

Atrial Fibrillation

Condition Hierarchy (Ancestors)

Arrhythmias, CardiacHeart DiseasesCardiovascular DiseasesPathologic ProcessesPathological Conditions, Signs and Symptoms

Study Design

Study Type
observational
Observational Model
COHORT
Time Perspective
PROSPECTIVE
Target Duration
12 Months
Sponsor Type
OTHER
Responsible Party
SPONSOR

Study Record Dates

First Submitted

March 21, 2024

First Posted

March 28, 2024

Study Start

April 24, 2024

Primary Completion (Estimated)

November 30, 2026

Study Completion (Estimated)

January 30, 2027

Last Updated

October 31, 2025

Record last verified: 2025-10

Locations