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AcQBlate Force Confirmatory Study for Atrial Arrhythmias

Primary Purpose

Atrial Arrhythmias

Status
Withdrawn
Phase
Not Applicable
Locations
Czechia
Study Type
Interventional
Intervention
AcQBlate Force Sensing Ablation Catheter
Sponsored by
Acutus Medical
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Atrial Arrhythmias focused on measuring ablation, atrial arrhythmia

Eligibility Criteria

18 Years - 80 Years (Adult, Older Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria:

  • Male or female between the ages of 18 to 80 years at time of consent.
  • Clinically indicated and scheduled for a de novo or repeat catheter ablation of PAF or PerAF
  • Willing and able to provide written informed consent to to participate in the study and agree to comply with all follow-up visits and evaluations for the duration of the study.

Exclusion Criteria:

  • In the opinion of the investigator, any contraindication to the planned atrial ablation, including anticoagulation contraindications or sepsis
  • Continuous AF > 12-months (long-standing persistent AF)
  • Atrial arrhythmias secondary to electrolyte imbalance, thyroid disease, or any other reversible or non-cardiac cause.
  • An implanted pacemaker or Implantable Cardiac Defibrillator (ICD).
  • Structural heart disease or cardiac history as described below:
  • Left ventricular ejection fraction (LVEF) < 35% based on transthoracic echocardiogram (TTE) within the previous 180-days.
  • Left atrial size > 55 mm based on TTE within the previous 180-days.
  • Evidence of heart failure (NYHA Class III or IV).
  • Previous cardiac surgery, ventriculotomy, or atriotomy (excluding atriotomy for coronary artery bypass).
  • Previous cardiac valvular surgical or percutaneous procedure, or prosthetic valve.
  • Coronary artery bypass graft (CABG) or coronary angioplasty (PTCA) procedure within the last 90-days.
  • Unstable angina or ongoing myocardial ischemia.
  • Severe uncontrolled systemic hypertension (systolic pressure > 240 mm Hg, diastolic pressure > 140 mm Hg recorded within the last 30-days.
  • Moderate or severe tricuspid stenosis or regurgitation.
  • Moderate or severe mitral stenosis or regurgitation.
  • Interatrial baffle, closure device, patch, or patent foramen ovale (PFO) occluder.
  • Presence of a left atrial appendage occlusion device.
  • Previous PV stenting or evidence of PV stenosis
  • Body Mass Index (BMI) >40 kg/m2
  • History of blood clotting or bleeding disease.
  • Any prior history of documented cerebral infarct or systemic embolism (excluding post- operative deep vein thrombosis (DVT)).
  • Pregnant or lactating (current or anticipated during study follow up).
  • Current enrollment in any other study protocol where testing or results from the study may interfere with the procedure or outcome measurements for this study.
  • Any other condition that, in the judgment of the investigator, makes the patient a poor candidate for this procedure, the study or compliance with the protocol (includes vulnerable patient population, mental illness, addictive disease, terminal illness with a life expectancy of less than two years, extensive travel away from the research center)

Sites / Locations

  • Na Homolce Hospital

Arms of the Study

Arm 1

Arm Type

Experimental

Arm Label

Non-randomized

Arm Description

All subjects will be treated using the Acutus Medical's AcQBlate Force Sensing Ablation Catheter in combination with the Qubic Force Sensing Module (AcQBlate Force Sensing System) to treat their arrhythmia.

Outcomes

Primary Outcome Measures

Subjects that demonstrate electrical isolation of the intended ablation
The Primary Endpoint for Performance is an analysis of the proportion of subjects that demonstrate electrical isolation (block) of the intended ablation targets.
Proportion of subjects who are free from device/procedure related Major Adverse Events
The Primary Endpoint for Safety is an analysis of the proportion of subjects who are free from device/procedure related Major Adverse Events (MAEs) that occur following the ablation procedure through 30-days.

Secondary Outcome Measures

Subjects with freedom from an atrial arrhythmia
The Secondary Endpoint for Performance is documentation of subjects with freedom from an atrial arrhythmia at 30-days post index procedure.
Analysis of all identified SAEs, SADEs, and UADEs.
The Secondary Endpoint for Safety is a recording and analysis of all identified serious adverse events (SAEs), serious adverse device effects (SADEs), and unanticipated adverse device effects (UADEs) through 30-days post-procedure.

Full Information

First Posted
June 10, 2020
Last Updated
October 12, 2021
Sponsor
Acutus Medical
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1. Study Identification

Unique Protocol Identification Number
NCT04429464
Brief Title
AcQBlate Force Confirmatory Study for Atrial Arrhythmias
Official Title
AcQBlate Force Confirmatory Study for Atrial Arrhythmias (AcQBlate Force-PRA)
Study Type
Interventional

2. Study Status

Record Verification Date
October 2021
Overall Recruitment Status
Withdrawn
Why Stopped
Due to restrictions related to COVID the sponsor has decided not to move forward with this study
Study Start Date
October 1, 2020 (Anticipated)
Primary Completion Date
November 15, 2020 (Anticipated)
Study Completion Date
November 15, 2020 (Anticipated)

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
Device Product Not Approved or Cleared by U.S. FDA
Yes
Product Manufactured in and Exported from the U.S.
Yes
Data Monitoring Committee
No

5. Study Description

Brief Summary
AcQBlate Force Confirmatory Study for Atrial Arrhythmias (AcQBlate Force-PRA)
Detailed Description
Acutus Medical's AcQBlate Force Ablation Catheter when used in combination with the Qubic Force Sensing Module (AcQBlate Force System), is indicated for cardiac electrophysiological mapping, delivery of diagnostic pacing stimuli, and radiofrequency ablation of sustained or recurrent atrial arrhythmias.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Atrial Arrhythmias
Keywords
ablation, atrial arrhythmia

7. Study Design

Primary Purpose
Treatment
Study Phase
Not Applicable
Interventional Study Model
Single Group Assignment
Model Description
The patient population will consist of men and women between the ages of 18 - 80 years, presenting for a de novo or repeat left-sided atrial ablation for symptomatic paroxysmal atrial fibrillation (PAF) or persistent atrial fibrillation (PerAF).
Masking
None (Open Label)
Allocation
N/A
Enrollment
0 (Actual)

8. Arms, Groups, and Interventions

Arm Title
Non-randomized
Arm Type
Experimental
Arm Description
All subjects will be treated using the Acutus Medical's AcQBlate Force Sensing Ablation Catheter in combination with the Qubic Force Sensing Module (AcQBlate Force Sensing System) to treat their arrhythmia.
Intervention Type
Device
Intervention Name(s)
AcQBlate Force Sensing Ablation Catheter
Intervention Description
Confirmation that the AcQBlate Force System is safe and effective for the treatment of atrial arrhythmias
Primary Outcome Measure Information:
Title
Subjects that demonstrate electrical isolation of the intended ablation
Description
The Primary Endpoint for Performance is an analysis of the proportion of subjects that demonstrate electrical isolation (block) of the intended ablation targets.
Time Frame
At the end of their ablation procedure
Title
Proportion of subjects who are free from device/procedure related Major Adverse Events
Description
The Primary Endpoint for Safety is an analysis of the proportion of subjects who are free from device/procedure related Major Adverse Events (MAEs) that occur following the ablation procedure through 30-days.
Time Frame
Through 30-days post procedure
Secondary Outcome Measure Information:
Title
Subjects with freedom from an atrial arrhythmia
Description
The Secondary Endpoint for Performance is documentation of subjects with freedom from an atrial arrhythmia at 30-days post index procedure.
Time Frame
30-days post index procedure
Title
Analysis of all identified SAEs, SADEs, and UADEs.
Description
The Secondary Endpoint for Safety is a recording and analysis of all identified serious adverse events (SAEs), serious adverse device effects (SADEs), and unanticipated adverse device effects (UADEs) through 30-days post-procedure.
Time Frame
Through 30-days post procedure

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
80 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Male or female between the ages of 18 to 80 years at time of consent. Clinically indicated and scheduled for a de novo or repeat catheter ablation of PAF or PerAF Willing and able to provide written informed consent to to participate in the study and agree to comply with all follow-up visits and evaluations for the duration of the study. Exclusion Criteria: In the opinion of the investigator, any contraindication to the planned atrial ablation, including anticoagulation contraindications or sepsis Continuous AF > 12-months (long-standing persistent AF) Atrial arrhythmias secondary to electrolyte imbalance, thyroid disease, or any other reversible or non-cardiac cause. An implanted pacemaker or Implantable Cardiac Defibrillator (ICD). Structural heart disease or cardiac history as described below: Left ventricular ejection fraction (LVEF) < 35% based on transthoracic echocardiogram (TTE) within the previous 180-days. Left atrial size > 55 mm based on TTE within the previous 180-days. Evidence of heart failure (NYHA Class III or IV). Previous cardiac surgery, ventriculotomy, or atriotomy (excluding atriotomy for coronary artery bypass). Previous cardiac valvular surgical or percutaneous procedure, or prosthetic valve. Coronary artery bypass graft (CABG) or coronary angioplasty (PTCA) procedure within the last 90-days. Unstable angina or ongoing myocardial ischemia. Severe uncontrolled systemic hypertension (systolic pressure > 240 mm Hg, diastolic pressure > 140 mm Hg recorded within the last 30-days. Moderate or severe tricuspid stenosis or regurgitation. Moderate or severe mitral stenosis or regurgitation. Interatrial baffle, closure device, patch, or patent foramen ovale (PFO) occluder. Presence of a left atrial appendage occlusion device. Previous PV stenting or evidence of PV stenosis Body Mass Index (BMI) >40 kg/m2 History of blood clotting or bleeding disease. Any prior history of documented cerebral infarct or systemic embolism (excluding post- operative deep vein thrombosis (DVT)). Pregnant or lactating (current or anticipated during study follow up). Current enrollment in any other study protocol where testing or results from the study may interfere with the procedure or outcome measurements for this study. Any other condition that, in the judgment of the investigator, makes the patient a poor candidate for this procedure, the study or compliance with the protocol (includes vulnerable patient population, mental illness, addictive disease, terminal illness with a life expectancy of less than two years, extensive travel away from the research center)
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Petr Neuzil, MD
Organizational Affiliation
Na Homolce Hospital
Official's Role
Principal Investigator
Facility Information:
Facility Name
Na Homolce Hospital
City
Prague
ZIP/Postal Code
150 30
Country
Czechia

12. IPD Sharing Statement

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AcQBlate Force Confirmatory Study for Atrial Arrhythmias

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