NCT06526546

Brief Summary

The (ADVENT LTO) is an observational, non-significant risk study to assess the progression of atrial fibrillation in subjects who received ablation treatment with either the FARAPULSE Pulsed Field Ablation System or thermal ablation in the ADVENT Trial.

Trial Health

87
On Track

Trial Health Score

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

Enrollment
364

participants targeted

Target at P75+ for all trials

Timeline
Completed

Started Oct 2024

Geographic Reach
1 country

25 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

July 25, 2024

Completed
5 days until next milestone

First Posted

Study publicly available on registry

July 30, 2024

Completed
3 months until next milestone

Study Start

First participant enrolled

October 31, 2024

Completed
1.1 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

December 8, 2025

Completed
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

December 8, 2025

Completed
Last Updated

March 2, 2026

Status Verified

February 1, 2026

Enrollment Period

1.1 years

First QC Date

July 25, 2024

Last Update Submit

February 26, 2026

Conditions

Keywords

Persistent Atrial FibrillationPulsed Field AblationCardiovascular Heart DiseasesAntiarrhythmic AnticoagulationCardiac monitorAtrial FibrillationAtrial FlutterAtrial Tachycardia

Outcome Measures

Primary Outcomes (1)

  • Chronic success in ADVENT Trial treated subjects compared between treatment groups.

    Occurrence of any of the following between the end of the Blanking Period (Day 90) in the ADVENT Trial through completion of follow-up in the ADVENT LTO study: Detectable AF, AFL+, or AT * ≥ 30 seconds in duration as adjudicated within the ADVENT Trial * Investigator assessed ≥ 30 seconds in duration from any approved clinical recording devices considered standard of care\* at the study center post-ADVENT Trial completion * ≥ 30 seconds in duration recorded on the Holter monitor collected during the ADVENT Trial and the 3-4 Year Holter Monitor. * ≥ 10-second of continuous AF, AFL or AT documented on any 12-lead ECG Any Cardioversion for AF, AFL, or AT Re-ablation for AF, AFL, or AT

    90 day-3 years

Eligibility Criteria

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

Study eligibility criteria are defined below. Subjects who became deceased after completion of the ADVENT Trial will remain eligible for chart review data upon consent of a legally authorized representative (LAR). Subjects unable to complete the 7-day Holter monitor may consent to participate in the chart review portion only.

You may qualify if:

  • Subjects who were enrolled, randomized and treated for paroxysmal atrial fibrillation, classified as Modified Intention-to-Treat subjects, and completed the 12-Month Follow-Up in the FARAPULSE ADVENT Trial (CIP CS0934; NCT04612244).
  • Subjects or legally authorized representatives who are willing and capable of providing informed consent.
  • Subjects who are willing to comply with the protocol requirements.

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (25)

Grandview Medical Center

Birmingham, Alabama, 35243, United States

Location

Banner University Medical Center Phoenix

Phoenix, Arizona, 85006, United States

Location

Mills Peninsula Health Services

Burlingame, California, 94010, United States

Location

Scripps Memorial Hospital

La Jolla, California, 92037, United States

Location

University of California, San Francisco

San Francisco, California, 94143-0628, United States

Location

Washington Hospital Center

Washington D.C., District of Columbia, 20010-2975, United States

Location

Emory University Hospital

Atlanta, Georgia, 30322, United States

Location

St. Lukes Idaho Cardiology Associates

Boise, Idaho, 83702, United States

Location

Johns Hopkins Hospital

Baltimore, Maryland, 21287, United States

Location

Massachusetts General Hospital (MGH)

Boston, Massachusetts, 02114, United States

Location

Beth Israel Deaconess Medical Center

Boston, Massachusetts, 02215, United States

Location

St. Luke's Hospital of Kansas City

Kansas City, Missouri, 64111, United States

Location

Nebraska Methodist Hospital

Omaha, Nebraska, 68114, United States

Location

Mount Sinai, Icahn School of Medicine

New York, New York, 10029, United States

Location

Northwell Health

New York, New York, 10075, United States

Location

Providence St. Vincent Medical Center

Portland, Oregon, 97225, United States

Location

Doylestown Hospital

Doylestown, Pennsylvania, 18901, United States

Location

Presbyterian University of Pennsylvania Medical Center

Philadelphia, Pennsylvania, 19104, United States

Location

Pinnacle Health at Harrisburg Hospital

Wormleysburg, Pennsylvania, 17043, United States

Location

Trident Medical Center

Charleston, South Carolina, 29406, United States

Location

Medical University of South Carolina

Charleston, South Carolina, 29425, United States

Location

St. Thomas Research Institute, LLC

Nashville, Tennessee, 37205, United States

Location

Vanderbilt University Medical Center

Nashville, Tennessee, 37232, United States

Location

Texas Cardiac Arrhythmia Research

Austin, Texas, 78705, United States

Location

Virginia Commonwealth University Health System

Richmond, Virginia, 23219, United States

Location

Related Publications (1)

  • Reddy VY, Gerstenfeld EP, Mountantonakis SE, Patel C, Ellenbogen KA, Harding JD, Gibson DN, Natale A, Waks JW, Calkins H, Gupta SK, Woods CE, Whang W, Daccarett M, Cuoco FA, Delurgio DB, Richards E, Martens MD, Sutton B, Mansour M; ADVENT-LTO Study Investigators. Pulsed field ablation versus conventional thermal ablation for paroxysmal atrial fibrillation: 4-year outcomes in the ADVENT-LTO study. Nat Med. 2026 Feb 6. doi: 10.1038/s41591-026-04246-4. Online ahead of print.

MeSH Terms

Conditions

Atrial FibrillationAtrial Flutter

Condition Hierarchy (Ancestors)

Arrhythmias, CardiacHeart DiseasesCardiovascular DiseasesPathologic ProcessesPathological Conditions, Signs and Symptoms

Study Officials

  • Vivek Reddy

    MOUNT SINAI HOSPITAL

    PRINCIPAL INVESTIGATOR

Study Design

Study Type
observational
Observational Model
COHORT
Time Perspective
PROSPECTIVE
Sponsor Type
INDUSTRY
Responsible Party
SPONSOR

Study Record Dates

First Submitted

July 25, 2024

First Posted

July 30, 2024

Study Start

October 31, 2024

Primary Completion

December 8, 2025

Study Completion

December 8, 2025

Last Updated

March 2, 2026

Record last verified: 2026-02

Locations