Evaluation of Safety and Performance of the Omega™ LAA (Left Atrial Appendage) Occluder and Omega™ Delivery System in Patients With Non-Valvular Atrial Fibrillation and High Bleeding Risk (Omega)
Prospective, Single-arm Study to Assess the Safety and Performance of the Omega™ Left Atrial Appendage (LAA) Occluder in Patients With Non-Valvular Atrial Fibrillation and High Bleeding Risk
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Detailed Description
Study Type
Study Type
Enrollment (Actual)
Enrollment
Phase
Phase
- Not Applicable
Contacts and Locations
Study Contact
Study Contact
- Name: Aidan Mulloy
- Phone Number: +353 86 2643 765
- Email: aidan@eclipse-med.com
Study Locations
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Aarhus, Denmark, DK-8200
- Aarhus University Hospital
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Blegdamsvej 9
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Copenhagen, Blegdamsvej 9, Denmark, 2100
- Rigshospitalet, Kardiologisk klinik B 2011
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Frankfurt
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Frankfurt, Frankfurt, Germany, 60389
- CardioVasculäres Centrum, Seckbacher Landstrasse 65
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Hindenburgdamm 30
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Berlin, Hindenburgdamm 30, Germany, 12203 Berlin
- Charité - University Medicine Berlin - Campus Benjamin Franklin
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Strümpellstraße 39
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Leipzig, Strümpellstraße 39, Germany, 04289
- Herzzentrum Leipzig
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Wilhelm-Epstein-Str. 4
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Frankfurt, Wilhelm-Epstein-Str. 4, Germany, 60431
- Cardioangiologisches Centrum Bethanien
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Dublin, Ireland, D07 WKW8
- Mater Private Network
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Via Álvaro Del Portillo, 200
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Rome, Via Álvaro Del Portillo, 200, Italy, 00128
- Università Campus Biomedico Roma
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Avda. Ramón Y Cajal 3
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Valladolid, Avda. Ramón Y Cajal 3, Spain, 47005
- Instituto de Ciencias del Corazón (ICICOR) . Hospital Clínico Universitario
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Calle Del Prof Martín Lagos
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Madrid, Calle Del Prof Martín Lagos, Spain, S/N, 28040
- Hospital Clinico San Carlos
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Junta de Castilla Y LeónPaseo de San Vicente
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Salamanca, Junta de Castilla Y LeónPaseo de San Vicente, Spain, 58-182, 37007
- Complejo Hospitalario de Salamanca
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Sant Antoni Maria Clare
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Barcelona, Sant Antoni Maria Clare, Spain, 08025
- Hospital de La Santa Creu i Sant Pau
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East Sussex
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Brighton, East Sussex, United Kingdom, BN2 1ES
- University Hospitals Sussex NHS Foundation Trust Clinical Research Facility
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Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Description
Inclusion Criteria:
- 18 years of age or older
- Documented paroxysmal, persistent, or permanent non-valvular atrial fibrillation (AF)
- At increased risk of stroke or systemic embolism defined as a CHA2DS2-VASc score > or = 2
- To have suitable anatomy for percutaneous Left Atrial Appendage occlusion procedure with a single Omega™ device
- Able and willing to comply with the required medication regimen post-device implant
- Able to understand and willing to provide written informed consent to participate in the study
Exclusion Criteria:
- Requires long-term oral anticoagulation therapy for any indication other than atrial fibrillation
- Contraindicated for or allergic to aspirin, clopidogrel, warfarin or novel oral anticoagulant (NOAC) use
- Has any contraindications for a percutaneous catheterization procedure (e.g. subject is too small to accommodate the transoesophageal echocardiogram (TEE/TOE) probe or required catheters, or subject has active infection or bleeding disorder)
- Women of childbearing potential who are, or plan to become, pregnant during the time of the study (method of assessment per physician discretion)
- Stroke or transient ischemic attack (TIA) within 6 weeks prior to implant procedure
- Myocardial infarction (MI) within 90 days prior to implant
- New York Heart Association Class IV Congestive Heart Failure
- Left ventricular ejection Fraction (LVEF) < or = 30%
- Left atrial appendage is obliterated or surgically ligated
- Actively enrolled or plans to enrol in a concurrent clinical study in which the active treatment arm may confound the results of this trial
- Active endocarditis or other infection producing bacteraemia
- Subject has a known malignancy or other illness where life expectancy is less than 2 years
- Impaired renal function with eGFR <30 ml/min/1.73 m2
Echocardiographic Exclusion Criteria:
- Intracardiac thrombus - including LAA - visualized by echocardiographic imaging
- Significant mitral valve stenosis (i.e. mitral valve area <1.5 cm2)
- Cardiac tumour
- LAA anatomy cannot accommodate an Omega™ device (as per IFU)
- Placement of the device would interfere with any intracardiac or intravascular structure.
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: N/A
- Interventional Model: Single Group Assignment
- Masking: None (Open Label)
Number of Arms
Arms and Interventions
Participant Group / ArmParticipant Group / Arm |
Intervention / TreatmentIntervention / Treatment |
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Experimental: One arm
Patients with Non-Valvular Atrial Fibrillation and High Bleeding Risk
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Left Atrial Appendage closure for patients with non-valvular atrial fibrillation (NVAF) and high bleeding risk by Omega™LAA Occluder using Omega™ Delivery System
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What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
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LAA (Left Atrial Appendage) closure
Time Frame: According to the local standards of care post-procedural, up to 3 months (First in-hospital follow-up visit which will take place after the procedure - depending on local treatment standards).
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The LAA closure is defined as complete seal or efficient seal with a peri-device leak ≤ 5 mm and assessed by Transthoracic or Transoesophageal Echo or cardiac computed tomography, with colour flow Doppler.
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According to the local standards of care post-procedural, up to 3 months (First in-hospital follow-up visit which will take place after the procedure - depending on local treatment standards).
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Device related complications
Time Frame: According to the local standards of care post-procedural, up to 3 months (First in-hospital follow-up visit which will take place around after the procedure - depending on local treatment standards).
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Serious adverse events (SAE)
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According to the local standards of care post-procedural, up to 3 months (First in-hospital follow-up visit which will take place around after the procedure - depending on local treatment standards).
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Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
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Procedure-related complications
Time Frame: Up to 7 days post-procedure
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All Serious Adverse Events
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Up to 7 days post-procedure
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Device-related complications
Time Frame: 24 months
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All Serious Adverse Events including device thrombus
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24 months
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Major bleeding
Time Frame: 24 months
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Major bleeding defined as ≥ BARC (Bleeding Academic Research Consortium) 3 bleed
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24 months
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Ischemic stroke
Time Frame: 24 months
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Confirmed by Neurologic assessment and appropriate CT (Computed Tomography)/MR (Magnetic Resonance) imaging
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24 months
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Systemic embolism
Time Frame: 24 months
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Confirmed by appropriate imaging
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24 months
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Pericardial effusion/tamponade
Time Frame: 24 months
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Confirmed by appropriate imaging
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24 months
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Technical success at implant
Time Frame: According to the local standards of care post-procedural, up to 3 months (First in-hospital follow-up visit which will take place around after the procedure - depending on local treatment standards).
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No device-related complications, occlusion of the left atrial appendage
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According to the local standards of care post-procedural, up to 3 months (First in-hospital follow-up visit which will take place around after the procedure - depending on local treatment standards).
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Procedural success
Time Frame: According to the local standards of care post-procedural, up to 3 months (First in-hospital follow-up visit which will take place around after the procedure - depending on local treatment standards).
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Technical success, no procedure-related complications except uncomplicated (minor) device embolization resolved by percutaneous retrieval during the procedure without surgical intervention or damage to surrounding cardiovascular structures
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According to the local standards of care post-procedural, up to 3 months (First in-hospital follow-up visit which will take place around after the procedure - depending on local treatment standards).
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Collaborators and Investigators
Sponsor
Sponsor
Collaborators
Collaborators
Investigators
Investigators
- Principal Investigator: Horst Sievert, profesor, Cardio Vasculares Centrum, Seckbacher Landstrasse 65, 60389 Frankfurt, Germany
Publications and helpful links
Helpful Links
- Percutaneous left atrial appendage occlusion: the Munich consensus document on definitions, endpoints and data collection requirements for clinical studies
- Impact of clinical and haemodynamic factors on coronary flow reserve and invasive coronary flow capacity in non-obstructed coronary arteries: a patient-level pooled analysis of the DEBATE and ILIAS studies
Study record dates
Study Major Dates
Study Start (Actual)
Study Start
Primary Completion (Actual)
Primary Completion
Study Completion (Estimated)
Study Completion
Study Registration Dates
First Submitted
First Submitted
First Submitted That Met QC Criteria
First Submitted That Met QC Criteria
First Posted (Actual)
First Posted
Study Record Updates
Last Update Posted (Estimated)
Last Update Posted
Last Update Submitted That Met QC Criteria
Last Update Submitted That Met QC Criteria
Last Verified
Last Verified
More Information
Terms related to this study
Keywords
Additional Relevant MeSH Terms
Other Study ID Numbers
Other Study ID Numbers
- Omega
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
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