- ICH GCP
- Rejestr badań klinicznych w USA
- Badanie kliniczne NCT06455098
[Próba urządzenia niezatwierdzonego lub dopuszczonego przez amerykańską 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.
Przegląd badań
Status
Warunki
Interwencja / Leczenie
Typ studiów
Zapisy (Rzeczywisty)
Faza
- Nie dotyczy
Kontakty i lokalizacje
Lokalizacje studiów
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Adelaide, Australia, 5000
- Royal Adelaide Hospital
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Parkville, Australia, 03052
- Royal Melbourne Hospital
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Arizona
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Phoenix, Arizona, Stany Zjednoczone, 85018
- Phoenix Cardiovascular Research Group
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California
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Burlingame, California, Stany Zjednoczone, 94010
- Mills Peninsula Health Services
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Larkspur, California, Stany Zjednoczone, 94939
- Cardiovascular Associates of Marin
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Newport Beach, California, Stany Zjednoczone, 92663
- Hoag Memorial Hospital
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San Diego, California, Stany Zjednoczone, 92123
- San Diego Cardiac Center
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Colorado
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Aurora, Colorado, Stany Zjednoczone, 80045
- University of Colorado
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Connecticut
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Hartford, Connecticut, Stany Zjednoczone, 06102
- Hartford Hospital
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Florida
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Jacksonville, Florida, Stany Zjednoczone, 32204
- Ascension St. Vincent's
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Jacksonville, Florida, Stany Zjednoczone, 32207
- Baptist Health Research Institute
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Miami, Florida, Stany Zjednoczone, 33133
- HCA Florida Mercy Hospital
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Naples, Florida, Stany Zjednoczone, 34102
- NCH Healthcare
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Orlando, Florida, Stany Zjednoczone, 32803
- Advent Health Orlando
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Georgia
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Atlanta, Georgia, Stany Zjednoczone, 30342
- Emory Saint Joseph's Hospital
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Atlanta, Georgia, Stany Zjednoczone, 30309
- Piedmont Healthcare
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Atlanta, Georgia, Stany Zjednoczone, 30342
- Northside Hospital
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Savannah, Georgia, Stany Zjednoczone, 31404
- Memorial Health University Medical Center
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Illinois
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Glenview, Illinois, Stany Zjednoczone, 60026
- NorthShore University Medical Center
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Maryland
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Baltimore, Maryland, Stany Zjednoczone, 21287
- Johns Hopkins
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Massachusetts
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Boston, Massachusetts, Stany Zjednoczone, 02114
- Massachusetts General
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Boston, Massachusetts, Stany Zjednoczone, 02115
- Brigham And Women's Hospital
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Michigan
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Royal Oak, Michigan, Stany Zjednoczone, 48073
- Beaumont Health Systems
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Minnesota
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Minneapolis, Minnesota, Stany Zjednoczone, 55414
- Minneapolis Heart Institute
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New Jersey
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Morristown, New Jersey, Stany Zjednoczone, 07960
- Morristown Medical Center
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New Mexico
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Albuquerque, New Mexico, Stany Zjednoczone, 87102
- New Mexico Heart Institute
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New York
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New York, New York, Stany Zjednoczone, 10029
- Mount Sinai School of Medicine
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New York, New York, Stany Zjednoczone, 10075
- Lenox Hill Hospital
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New York, New York, Stany Zjednoczone, 10065
- New York Presbyterian - Weill Cornell Medical Ctr
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Roslyn, New York, Stany Zjednoczone, 11576
- St Francis Hospital
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The Bronx, New York, Stany Zjednoczone, 10467
- Montefiore Medical Center
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North Carolina
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Raleigh, North Carolina, Stany Zjednoczone, 27610
- WakeMed Heart & Vascular
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Ohio
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Cleveland, Ohio, Stany Zjednoczone, 44195
- Cleveland Clinic
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Pennsylvania
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Philadelphia, Pennsylvania, Stany Zjednoczone, 19104
- University of Pennsylvania Health System
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York, Pennsylvania, Stany Zjednoczone, 17403
- York Hospital
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Texas
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Austin, Texas, Stany Zjednoczone, 78705
- Texas Cardiac Arrhythmia Research Foundation
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Houston, Texas, Stany Zjednoczone, 77030
- Texas Heart Institute
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Utah
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Murray, Utah, Stany Zjednoczone, 84107
- Intermountain Medical Center
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Virginia
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Falls Church, Virginia, Stany Zjednoczone, 22042
- Inova Fairfax Medical Campus- Inova Heart and Vascular Institute
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Norfolk, Virginia, Stany Zjednoczone, 23507
- Sentara Norfolk General Hospital
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Richmond, Virginia, Stany Zjednoczone, 23298
- Virginia Commonwealth University
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Kryteria uczestnictwa
Kryteria kwalifikacji
Wiek uprawniający do nauki
Akceptuje zdrowych ochotników
Płeć kwalifikująca się do nauki
Opis
Inclusion Criteria:
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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
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Failed at least one Class I or Class III antiarrhythmic drug
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Willing and capable to provide consent
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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)
Plan studiów
Jak projektuje się badanie?
Szczegóły projektu
- Główny cel: Leczenie
- Przydział: Nie dotyczy
- Model interwencyjny: Zadanie dla jednej grupy
- Maskowanie: Brak (otwarta etykieta)
Broń i interwencje
Grupa uczestników / Arm |
Interwencja / Leczenie |
|---|---|
|
Eksperymentalny: 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. |
Co mierzy badanie?
Podstawowe miary wyniku
Miara wyniku |
Opis środka |
Ramy czasowe |
|---|---|---|
|
Number of Participants with Primary Adverse Events (PAEs)
Ramy czasowe: 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
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|
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
Ramy czasowe: 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
|
Miary wyników drugorzędnych
Miara wyniku |
Opis środka |
Ramy czasowe |
|---|---|---|
|
Change from Baseline in Atrial Fibrillation Effect on Quality of Life (AFEQT) Total Score
Ramy czasowe: 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
|
Współpracownicy i badacze
Sponsor
Śledczy
- Dyrektor Studium: Biosense Webster, Inc. Clinical Trial, Biosense Webster, Inc.
Daty zapisu na studia
Główne daty studiów
Rozpoczęcie studiów (Rzeczywisty)
Zakończenie podstawowe (Szacowany)
Ukończenie studiów (Szacowany)
Daty rejestracji na studia
Pierwszy przesłany
Pierwszy przesłany, który spełnia kryteria kontroli jakości
Pierwszy wysłany (Rzeczywisty)
Aktualizacje rekordów badań
Ostatnia wysłana aktualizacja (Rzeczywisty)
Ostatnia przesłana aktualizacja, która spełniała kryteria kontroli jakości
Ostatnia weryfikacja
Więcej informacji
Terminy związane z tym badaniem
Dodatkowe istotne warunki MeSH
Inne numery identyfikacyjne badania
- BWI202303
- BWI202303 (Inny identyfikator: Biosense Webster, Inc.)
Plan dla danych uczestnika indywidualnego (IPD)
Planujesz udostępniać dane poszczególnych uczestników (IPD)?
Opis planu IPD
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
Informacje o lekach i urządzeniach, dokumenty badawcze
Bada produkt leczniczy regulowany przez amerykańską FDA
Bada produkt urządzenia regulowany przez amerykańską FDA
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