[Prøvning af enhed, der ikke er godkendt eller godkendt af U.S. FDA] (OMNY-AF)
The purpose of this study is to demonstrate the safety and 12-month effectiveness of the BWI OMNYPULSE™ pulsed field ablation (PFA) platform for pulmonary vein isolation (PVI) in the treatment of participants with symptomatic paroxysmal atrial fibrillation (PAF), an irregular heart rate that causes abnormal blood flow.
Studieoversigt
Status
Status
Betingelser
Betingelser
Intervention / Behandling
Intervention / Behandling
Undersøgelsestype
Undersøgelsestype
Tilmelding (Faktiske)
Tilmelding
Fase
Fase
- Ikke anvendelig
Kontakter og lokationer
Studiesteder
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-
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Adelaide, Australien, 5000
- Royal Adelaide Hospital
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Parkville, Australien, 03052
- Royal Melbourne Hospital
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-
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Arizona
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Phoenix, Arizona, Forenede Stater, 85018
- Phoenix Cardiovascular Research Group
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-
California
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Burlingame, California, Forenede Stater, 94010
- Mills Peninsula Health Services
-
Larkspur, California, Forenede Stater, 94939
- Cardiovascular Associates of Marin
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Newport Beach, California, Forenede Stater, 92663
- Hoag Memorial Hospital
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San Diego, California, Forenede Stater, 92123
- San Diego Cardiac Center
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Colorado
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Aurora, Colorado, Forenede Stater, 80045
- University of Colorado
-
-
Connecticut
-
Hartford, Connecticut, Forenede Stater, 06102
- Hartford Hospital
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-
Florida
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Jacksonville, Florida, Forenede Stater, 32204
- Ascension St. Vincent's
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Jacksonville, Florida, Forenede Stater, 32207
- Baptist Health Research Institute
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Miami, Florida, Forenede Stater, 33133
- HCA Florida Mercy Hospital
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Naples, Florida, Forenede Stater, 34102
- NCH Healthcare
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Orlando, Florida, Forenede Stater, 32803
- Advent Health Orlando
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Georgia
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Atlanta, Georgia, Forenede Stater, 30342
- Emory Saint Joseph's Hospital
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Atlanta, Georgia, Forenede Stater, 30309
- Piedmont Healthcare
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Atlanta, Georgia, Forenede Stater, 30342
- Northside Hospital
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Savannah, Georgia, Forenede Stater, 31404
- Memorial Health University Medical Center
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Illinois
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Glenview, Illinois, Forenede Stater, 60026
- NorthShore University Medical Center
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-
Maryland
-
Baltimore, Maryland, Forenede Stater, 21287
- Johns Hopkins
-
-
Massachusetts
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Boston, Massachusetts, Forenede Stater, 02114
- Massachusetts General
-
Boston, Massachusetts, Forenede Stater, 02115
- Brigham And Women's Hospital
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Michigan
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Royal Oak, Michigan, Forenede Stater, 48073
- Beaumont Health Systems
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Minnesota
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Minneapolis, Minnesota, Forenede Stater, 55414
- Minneapolis Heart Institute
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New Jersey
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Morristown, New Jersey, Forenede Stater, 07960
- Morristown Medical Center
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-
New Mexico
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Albuquerque, New Mexico, Forenede Stater, 87102
- New Mexico Heart Institute
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-
New York
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New York, New York, Forenede Stater, 10029
- Mount Sinai School of Medicine
-
New York, New York, Forenede Stater, 10075
- Lenox Hill Hospital
-
New York, New York, Forenede Stater, 10065
- New York Presbyterian - Weill Cornell Medical Ctr
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Roslyn, New York, Forenede Stater, 11576
- St Francis Hospital
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The Bronx, New York, Forenede Stater, 10467
- Montefiore Medical Center
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North Carolina
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Raleigh, North Carolina, Forenede Stater, 27610
- WakeMed Heart & Vascular
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Ohio
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Cleveland, Ohio, Forenede Stater, 44195
- Cleveland Clinic
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Pennsylvania
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Philadelphia, Pennsylvania, Forenede Stater, 19104
- University of Pennsylvania Health System
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York, Pennsylvania, Forenede Stater, 17403
- York Hospital
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Texas
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Austin, Texas, Forenede Stater, 78705
- Texas Cardiac Arrhythmia Research Foundation
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Houston, Texas, Forenede Stater, 77030
- Texas Heart Institute
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Utah
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Murray, Utah, Forenede Stater, 84107
- Intermountain Medical Center
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Virginia
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Falls Church, Virginia, Forenede Stater, 22042
- Inova Fairfax Medical Campus- Inova Heart and Vascular Institute
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Norfolk, Virginia, Forenede Stater, 23507
- Sentara Norfolk General Hospital
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Richmond, Virginia, Forenede Stater, 23298
- Virginia Commonwealth University
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Deltagelseskriterier
Berettigelseskriterier
Berettigelseskriterier
Aldre berettiget til at studere
Tager imod sunde frivillige
Køn, der er berettiget til at studere
Beskrivelse
Inclusion Criteria:
-
Diagnosed with symptomatic paroxysmal AF with:
- At least two symptomatic AF episodes within last six months from enrollment
- At least one electrocardiographically documented AF episode within twelve months prior to enrollment
-
Failed at least one Class I or Class III antiarrhythmic drug
-
Willing and capable to provide consent
-
Able and willing to comply with all pre-, post- and follow-up testing and requirements
Exclusion Criteria:
- Previously diagnosed with persistent AF (greater than [>] 7 days in duration)
- AF secondary to electrolyte imbalance, thyroid disease, or reversible or non-cardiac cause.
- Previous surgical or catheter ablation for AF
- Patients known to require ablation outside the PV ostia and outside the CTI region.
- Documented severe dilatation of the left atrium (LAD>50 mm) antero-posterior diameter on imaging within 6 months prior to enrollment
- Documented left atrium (LA) thrombus by imaging within 48 hours of the procedure
- Documented severely compromised left ventricular ejection fraction (LVEF <40%) by imaging within 6 months prior to enrollment
- Uncontrolled heart failure or New York Heart Association (NYHA) Class III or IV
- History of blood clotting, bleeding abnormalities or contraindication to anticoagulation (heparin, warfarin, or dabigatran)
- Documented thromboembolic event (including transient ischemic attack or TIA) within the past 6 months
- Previous Percutaneous Coronary Intervention (PCI)/ myocardial infarction [MI] within the past 2 months
- Coronary Artery Bypass Grafting (CABG) surgery within the past 6 months
- Valvular cardiac surgical/percutaneous procedure
- Unstable angina within 6 months
- Anticipated cardiac transplantation, cardiac surgery, or other major surgery within the next 12 months
- Significant pulmonary disease or any other disease or malfunction of the lungs or respiratory system that produces severe chronic symptoms
- Significant congenital anomaly or medical problem that in the opinion of the investigator would preclude enrollment in this study
- Prior diagnosis of pulmonary vein stenosis
- Pre-existing hemi diaphragmatic paralysis
- Acute illness, active systemic infection, or sepsis
- Presence of intracardiac thrombus, myxoma, tumor, interatrial baffle or patch or other abnormality that precludes catheter introduction or manipulation
- Severe mitral regurgitation
- Presence of an implanted pacemaker or Implantable Cardioverter-Defibrillator (ICD) or other implanted metal cardiac device (other than coronary stents) that may interfere with the PF energy field)
- Presence of a condition that precludes vascular access
- Current enrollment in an investigational study evaluating another device or drug
- Women who are pregnant (as evidenced by pregnancy test if pre-menopausal), lactating, or who are of child-bearing age and plan on becoming pregnant during the course of the clinical investigation
- Life expectancy less than 12 months
- Presenting contra-indications for the devices used in the study, as indicated in the respective Instructions for Use (IFU)
Studieplan
Hvordan er undersøgelsen tilrettelagt?
Design detaljer
- Primært formål: Behandling
- Tildeling: N/A
- Interventionel model: Enkelt gruppeopgave
- Maskning: Ingen (Åben etiket)
Antal våben
Våben og indgreb
Deltagergruppe / ArmDeltagergruppe / Arm |
Intervention / BehandlingIntervention / Behandling |
|---|---|
|
Eksperimentel: Pulsed Field (PF) Ablation System
Participants with PAF will undergo pulsed field ablation procedure with the OMNYPULSE™ catheter in combination with TRUPULSE™ generator for PVI and to deliver pulsed field (PF) energy for treatment of atrial fibrillation. Study participants will be followed for 12 months after the study index procedure. |
OMNYPULSE™ Catheter and TRUPULSE™ Generator will be used for PF ablation. |
Hvad måler undersøgelsen?
Primære resultatmål
Primære resultatmål
Resultatmål |
Foranstaltningsbeskrivelse |
Tidsramme |
|---|---|---|
|
Number of Participants with Primary Adverse Events (PAEs)
Tidsramme: 7 days post-procedure
|
Number of participants with PAEs (within 7 days following the ablation procedure unless otherwise indicated) will be reported. PAEs will include the following adverse events: esophageal perforating complications (atrio-esophageal fistula, esophago-pericardial fistula), phrenic nerve paralysis (permanent), cardiac tamponade/perforation, pulmonary vein stenosis (PVS), device or procedure related death, stroke/cerebrovascular accident (CVA), major vascular access complication/bleeding, thromboembolism, myocardial infarction, transient ischemic attack (TIA), pericarditis, heart block, pulmonary edema (respiratory insufficiency) and vagal nerve injury/gastroparesis. |
7 days post-procedure
|
|
Number of Participants Reporting Freedom from Documented (Symptomatic and Asymptomatic) Atrial Tachyarrhythmia (Atrial Fibrillation [AF], Atrial Tachycardia [AT] or Atrial Flutter [AFL] of Unknown Origin) Episodes
Tidsramme: Day 91 to Day 365 post-procedure
|
Number of participants reporting freedom from documented (symptomatic and asymptomatic) atrial tachyarrhythmia (AF, AT, or AFL of unknown origin) episodes of >= 30 seconds based on sponsor provided transtelephonic monitoring (TTM) or holter device or continuous on standard 12-lead electrocardiogram (ECG) data during the effectiveness evaluation period will be reported. |
Day 91 to Day 365 post-procedure
|
Sekundære resultatmål
Sekundære resultatmål
Resultatmål |
Foranstaltningsbeskrivelse |
Tidsramme |
|---|---|---|
|
Change from Baseline in Atrial Fibrillation Effect on Quality of Life (AFEQT) Total Score
Tidsramme: Baseline, Month 12
|
The AFEQT uses a questionnaire to evaluate symptoms, daily activities and treatment concerns participants have related to atrial fibrillation. An overall AFEQT score ranges from 0 to 100. A score of 0 corresponds to complete disability (or responding "extremely" difficult to all questions answered), while a score of 100 corresponds to no disability (or responding "not at all" limited, difficult or bothersome to all questions answered). A positive change in score corresponds to improvement in AF symptoms. |
Baseline, Month 12
|
Samarbejdspartnere og efterforskere
Sponsor
Sponsor
Efterforskere
Efterforskere
- Studieleder: Biosense Webster, Inc. Clinical Trial, Biosense Webster, Inc.
Datoer for undersøgelser
Studer store datoer
Studiestart (Faktiske)
Studiestart
Primær færdiggørelse (Anslået)
Primær færdiggørelse
Studieafslutning (Anslået)
Studieafslutning
Datoer for studieregistrering
Først indsendt
Først indsendt
Først indsendt, der opfyldte QC-kriterier
Først indsendt, der opfyldte QC-kriterier
Først opslået (Faktiske)
Først opslået
Opdateringer af undersøgelsesjournaler
Sidste opdatering sendt (Faktiske)
Sidste opdatering sendt
Sidste opdatering indsendt, der opfyldte kvalitetskontrolkriterier
Sidste opdatering indsendt, der opfyldte kvalitetskontrolkriterier
Sidst verificeret
Sidst verificeret
Mere information
Begreber relateret til denne undersøgelse
Yderligere relevante MeSH-vilkår
Andre undersøgelses-id-numre
Andre undersøgelses-id-numre
- BWI202303
- BWI202303 (Anden identifikator: Biosense Webster, Inc.)
Plan for individuelle deltagerdata (IPD)
Planlægger du at dele individuelle deltagerdata (IPD)?
IPD-planbeskrivelse
The data sharing policy of the Janssen Pharmaceutical Companies of Johnson and Johnson is available at www.janssen.com/clinical-trials/transparency. As noted on this site, requests for access to the study data can be submitted through Yale Open Data Access (YODA) project site at yoda.yale.edu
Lægemiddel- og udstyrsoplysninger, undersøgelsesdokumenter
Studerer et amerikansk FDA-reguleret lægemiddelprodukt
Studerer et amerikansk FDA-reguleret enhedsprodukt
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