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AcQMap Objectively Visualize the Etiology of Recurrent AF Following a Failed AF Ablation (RECOVER AF)

Primary Purpose

Recurrent Atrial Fibrillation

Status
Completed
Phase
Not Applicable
Locations
International
Study Type
Interventional
Intervention
AcQMap Imaging and Mapping System
Sponsored by
Acutus Medical
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional diagnostic trial for Recurrent Atrial Fibrillation focused on measuring Atrial Fibrillation

Eligibility Criteria

18 Years - undefined (Adult, Older Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria:

  • Male or female eighteen (18) years of age or older
  • Currently scheduled for a repeat endocardial ablation of AF where the index atrial fibrillation ablation procedure was completed ≤ twenty-four (24) months prior to enrollment and the subject has demonstrated at least one episode of post-ablation non-self-terminating AF

Exclusion Criteria:

  • No more than two (2) previous left-atrial ablations
  • Structural heart disease or implanted cardiac devices
  • History of blood clotting or bleeding disease
  • Pregnant or lactating (current or anticipated during study follow up)
  • Evidence of left atrial thrombus

Sites / Locations

  • UZ Brussel Centrum voor Hart-en Vaatziekten
  • Southlake Regional Health Center
  • Na Homolce Hospital
  • Klinikum Coburg
  • Klinikum Coburg
  • Herzzentrum der Universität zu Köln
  • Universitätsklinikum Hamburg-Eppendorf
  • St. Antonius Hospital
  • Erasmus MC
  • Papworth Hospital NHS
  • Royal Brompton Hospital
  • James Cook University Hospital
  • Freeman Hospital
  • John Radcliffe Hospital
  • Sheffield Teaching Hospital Northern

Arms of the Study

Arm 1

Arm Type

Experimental

Arm Label

AcQMap Imaging and Mapping

Arm Description

Use of the AcQMap Imaging and Mapping System as a diagnostic modality in an ablation retreatment procedure for recurrent atrial fibrillation following a failed AF ablation.

Outcomes

Primary Outcome Measures

Number of Participants With Confirmation of Electrical Isolation of All Pulmonary Veins and Elimination/Modification of All Non-PV Targets
At the procedure conclusion, confirmation of electrical isolation of all pulmonary veins and elimination/modification of all non-PV targets as identified by the AcQMap System

Secondary Outcome Measures

Number of Subjects Who Are Atrial Fibrillation Free at 6 Months Post Procedure
Recording of all subjects who are atrial fibrillation free from events lasting > 30 seconds at 6-months as measured by a 48-hour continuous ECG
Procedure Performance: Total Procedure Time Defined as First Venous Access to Last Cardiac Catheter Out
Documentation of procedure data including total time
Procedure Performance: Total Fluoroscopy Time
Documentation of procedure data including fluoroscopy time
Procedure Performance: Ablation Times for PVI
Documentation of procedure data including ablation times for PVI
Procedure Performance: Ablation Times for Non-PV Targets
Documentation of procedure data including ablation times for non-PV targets
Number of Subjects Who Are Atrial Fibrillation Free at 12 Months Post Procedure
Recording of all subjects who are atrial fibrillation free from events lasting > 30 seconds at 12-months as measured by a 48-hour continuous ECG

Full Information

First Posted
December 1, 2017
Last Updated
July 22, 2022
Sponsor
Acutus Medical
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1. Study Identification

Unique Protocol Identification Number
NCT03368781
Brief Title
AcQMap Objectively Visualize the Etiology of Recurrent AF Following a Failed AF Ablation
Acronym
RECOVER AF
Official Title
Utilizing Novel Dipole Density Capabilities to Objectively Visualize the Etiology of Recurrent Atrial Fibrillation Following a Failed AF Ablation (RECOVER AF)
Study Type
Interventional

2. Study Status

Record Verification Date
July 2022
Overall Recruitment Status
Completed
Study Start Date
April 12, 2018 (Actual)
Primary Completion Date
October 29, 2020 (Actual)
Study Completion Date
October 29, 2020 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Acutus Medical

4. Oversight

Studies a U.S. FDA-regulated Drug Product
No
Studies a U.S. FDA-regulated Device Product
Yes
Product Manufactured in and Exported from the U.S.
Yes
Data Monitoring Committee
No

5. Study Description

Brief Summary
A prospective, single-arm, multi-center, multi-national, non-randomized, post-market study designed to provide clinical data regarding the use of the AcQMap High Resolution Imaging and Mapping System during an atrial fibrillation retreatment ablation procedure. (CLP-AF-004 [EU]) A prospective, single-arm, multi-center, non-randomized, pre-market study designed to provide clinical data regarding the use of the AcQMap High Resolution Imaging and Mapping System during an atrial fibrillation retreatment ablation procedure. (CLP-AF-005 [Canada])
Detailed Description
A prospective, single-arm, multi-center, multi-national, non-randomized, post-market study designed to provide clinical data regarding the use of the AcQMap High Resolution Imaging and Mapping System during an atrial fibrillation retreatment ablation procedure. The patient population includes men and women, eighteen (18) years of age or older. The treatment plan must include evaluation and ablation (as indicated) of pulmonary vein reconnections plus AcQMap guided non-PV substrate ablation. Subject assessments will occur at screening, procedure, hospital discharge, 3-, 6-, and 12-months. (CLP-AF-004 [EU]) A prospective, single-arm, multi-center, multi-national, non-randomized, pre-market study designed to provide clinical data regarding the use of the AcQMap High Resolution Imaging and Mapping System during an atrial fibrillation retreatment ablation procedure. The patient population includes men and women, eighteen (18) years of age or older. The treatment plan must include evaluation and ablation (as indicated) of pulmonary vein reconnections plus AcQMap guided non-PV substrate ablation. Subject assessments will occur at screening, procedure, hospital discharge, 3-, 6-, and 12-months. (CLP-AF-005 [Canada])

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Recurrent Atrial Fibrillation
Keywords
Atrial Fibrillation

7. Study Design

Primary Purpose
Diagnostic
Study Phase
Not Applicable
Interventional Study Model
Single Group Assignment
Model Description
None randomized, single-arm, open label.
Masking
None (Open Label)
Allocation
N/A
Enrollment
128 (Actual)

8. Arms, Groups, and Interventions

Arm Title
AcQMap Imaging and Mapping
Arm Type
Experimental
Arm Description
Use of the AcQMap Imaging and Mapping System as a diagnostic modality in an ablation retreatment procedure for recurrent atrial fibrillation following a failed AF ablation.
Intervention Type
Device
Intervention Name(s)
AcQMap Imaging and Mapping System
Other Intervention Name(s)
AcQMap
Intervention Description
3D Cardiac Imaging and Mapping during ablation procedures
Primary Outcome Measure Information:
Title
Number of Participants With Confirmation of Electrical Isolation of All Pulmonary Veins and Elimination/Modification of All Non-PV Targets
Description
At the procedure conclusion, confirmation of electrical isolation of all pulmonary veins and elimination/modification of all non-PV targets as identified by the AcQMap System
Time Frame
12 hours
Secondary Outcome Measure Information:
Title
Number of Subjects Who Are Atrial Fibrillation Free at 6 Months Post Procedure
Description
Recording of all subjects who are atrial fibrillation free from events lasting > 30 seconds at 6-months as measured by a 48-hour continuous ECG
Time Frame
6 months
Title
Procedure Performance: Total Procedure Time Defined as First Venous Access to Last Cardiac Catheter Out
Description
Documentation of procedure data including total time
Time Frame
4 hours
Title
Procedure Performance: Total Fluoroscopy Time
Description
Documentation of procedure data including fluoroscopy time
Time Frame
4 hours
Title
Procedure Performance: Ablation Times for PVI
Description
Documentation of procedure data including ablation times for PVI
Time Frame
2 hours
Title
Procedure Performance: Ablation Times for Non-PV Targets
Description
Documentation of procedure data including ablation times for non-PV targets
Time Frame
2 hours
Title
Number of Subjects Who Are Atrial Fibrillation Free at 12 Months Post Procedure
Description
Recording of all subjects who are atrial fibrillation free from events lasting > 30 seconds at 12-months as measured by a 48-hour continuous ECG
Time Frame
12 months

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Male or female eighteen (18) years of age or older Currently scheduled for a repeat endocardial ablation of AF where the index atrial fibrillation ablation procedure was completed ≤ twenty-four (24) months prior to enrollment and the subject has demonstrated at least one episode of post-ablation non-self-terminating AF Exclusion Criteria: No more than two (2) previous left-atrial ablations Structural heart disease or implanted cardiac devices History of blood clotting or bleeding disease Pregnant or lactating (current or anticipated during study follow up) Evidence of left atrial thrombus
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Andrew Grace, MD
Organizational Affiliation
Papworth Hospital NHS
Official's Role
Principal Investigator
Facility Information:
Facility Name
UZ Brussel Centrum voor Hart-en Vaatziekten
City
Belsele
State/Province
Jette
ZIP/Postal Code
1090
Country
Belgium
Facility Name
Southlake Regional Health Center
City
Newmarket
State/Province
Ontario
ZIP/Postal Code
L3Y 2P9
Country
Canada
Facility Name
Na Homolce Hospital
City
Prague
ZIP/Postal Code
150 30
Country
Czechia
Facility Name
Klinikum Coburg
City
Coburg
ZIP/Postal Code
96450
Country
Germany
Facility Name
Klinikum Coburg
City
Coburg
Country
Germany
Facility Name
Herzzentrum der Universität zu Köln
City
Cologne
ZIP/Postal Code
D-50937
Country
Germany
Facility Name
Universitätsklinikum Hamburg-Eppendorf
City
Hamburg
ZIP/Postal Code
D - 20246
Country
Germany
Facility Name
St. Antonius Hospital
City
Nieuwegein
ZIP/Postal Code
3435 CM
Country
Netherlands
Facility Name
Erasmus MC
City
Rotterdam
ZIP/Postal Code
3015 CE
Country
Netherlands
Facility Name
Papworth Hospital NHS
City
Cambridge
ZIP/Postal Code
CB38RE
Country
United Kingdom
Facility Name
Royal Brompton Hospital
City
London
ZIP/Postal Code
Sw3 6NP
Country
United Kingdom
Facility Name
James Cook University Hospital
City
Middlesbrough
ZIP/Postal Code
TS4 3BW
Country
United Kingdom
Facility Name
Freeman Hospital
City
Newcastle
ZIP/Postal Code
NE7 7DN
Country
United Kingdom
Facility Name
John Radcliffe Hospital
City
Oxford
ZIP/Postal Code
OX3 9DU
Country
United Kingdom
Facility Name
Sheffield Teaching Hospital Northern
City
Sheffield
Country
United Kingdom

12. IPD Sharing Statement

Plan to Share IPD
No

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AcQMap Objectively Visualize the Etiology of Recurrent AF Following a Failed AF Ablation

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