Occlutech Septal Occluder (Figulla Flex II) Study
Primary Purpose
Secundum Atrial Septal Defects
Status
Completed
Phase
Not Applicable
Locations
Study Type
Interventional
Intervention
transcatheter closure of secundum atrial septal defects in patients
Sponsored by
About this trial
This is an interventional treatment trial for Secundum Atrial Septal Defects focused on measuring Occlutech, Transcatheter closure of secundum atrial septal defects, Figulla Flex II, Occ201201
Eligibility Criteria
Inclusion Criteria:
A patient will be eligible for study participation if he/she meets the following criteria:
- Able to fluently speak and understand the language in which the study is being conducted
- Has ostium secundum atrial septal defect
- Has a defect hole with a diameter of < 38 mm
- Has a left-to-right shunt with a Qp/Qs ratio of ≥ 1.5:1 or the presence of right ventricular volume overload determined by transthoracic echo (TTE) or clinical symptoms due to the atrial septal defect
- Has a distance of > 5 mm from the margins of the defect(s) to the coronary sinus, arterioventricular (AV) valves and right upper pulmonary vein as measured by echocardiography
- Agrees to participate in the study and comply with the follow-up schedule
- Is willing to freely give (or Legally Authorized Representative is willing to freely give) Informed Consent prior to treatment
- Willing to return for the post-treatment evaluation
Exclusion Criteria:
- Has multiple defects which can't adequately be covered by the device
Has associated congenital cardiac anomalies which require cardiac surgery
a. Has a known sensitivity to contrast media that cannot be controlled adequately with pre-medication.
- Patient is currently participating in another clinical device or drug trial that has not completed its primary endpoint or that will clinically confound the current study endpoints or does not permit subjects to participate in other studies. Typically, subjects that are involved in the long-term surveillance phase of a clinical study are eligible.
- Has ostium primum atrial septal defects
- Has sinus venosus atrial septal defects
- Has partial anomolous pulmonary venous drainage
- Has pulmonary vascular resistance above 7 Woods units or a right-toleft shunt at the atrial level with a peripheral arterial saturation less than 94%
- Has a recent myocardial infarction, unstable angina and decompensated congestive heart failure (CHF)
- Has right and/or left ventricular decompensation with ejection fraction of < 30%
- Has an active bacterial and/or viral infection
- Has any type of serious infection < 1 month prior to the procedure
- Has malignancy where life expectancy is < 2 years
- Has demonstrated intracardiac thrombi on echocardiography
- Weighs < 8 kg
- Has gastritis, gastric ulcer, duodenal ulcer, etc. and other contraindications to aspirin therapy unless other anti-platelet agents can be administered for 6 months
- Has an unstable condition or otherwise thought to be unreliable or incapable of complying with the requirements of the clinical investigational plan (CIP).
- Has any disorder that, in the opinion of the Investigator, might interfere with the conduct of the study.
Sites / Locations
Arms of the Study
Arm 1
Arm 2
Arm Type
Experimental
Active Comparator
Arm Label
Occlutech septal occluder ( Figulla Flex II)
Amplatzer Septal Occluder (ASO)
Arm Description
Occlutech septal occluder (Figulla Flex II)
St. Jude AGA septal occluder (Amplatzer ASO)
Outcomes
Primary Outcome Measures
Efficacy: the rate of a successful placement of the device
The primary efficacy endpoint was early efficacy success rate, which was defined as the rate of a successful placement of the device, and successful closure of the defects without major complication, surgical reintervention, device embolization or moderate or large residual shunt the day after procedure but no later than 36 hours after the procedure.
Efficacy:The secondary efficacy endpoint is the rate of closure success (residual shunt is smaller than or equal to 2 mm) within 6 months after the procedure, without the need for surgical repair.
The secondary efficacy endpoint is the rate of closure success (residual shunt is smaller than or equal to 2 mm) within 6 months after the procedure, without the need for surgical repair.
Efficacy:Other efficacy endpoint was the rate of complete closure (no residual shunt) at 6 months after the procedure.
Other efficacy endpoint was the rate of complete closure (no residual shunt) at 6 months after the procedure.
Secondary Outcome Measures
Safety: Major, minor complications rate, all SAEs
Major and complications rate
Full Information
NCT ID
NCT04488120
First Posted
July 20, 2020
Last Updated
July 24, 2020
Sponsor
Occlutech International AB
1. Study Identification
Unique Protocol Identification Number
NCT04488120
Brief Title
Occlutech Septal Occluder (Figulla Flex II) Study
Official Title
A Randomized, Controlled,Multi-Centre Trial of the Efficacy and Safety of the Occlutech Septal Occluder(Figulla Flex II) Compared to the AGA Septal Occluder(Amplatzer ASO) for Transcatheter Closure of Secundum ASD in Patients
Study Type
Interventional
2. Study Status
Record Verification Date
July 2020
Overall Recruitment Status
Completed
Study Start Date
May 21, 2012 (Actual)
Primary Completion Date
December 23, 2015 (Actual)
Study Completion Date
October 2017 (Actual)
3. Sponsor/Collaborators
Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Occlutech International AB
4. Oversight
Studies a U.S. FDA-regulated Drug Product
No
Studies a U.S. FDA-regulated Device Product
No
Product Manufactured in and Exported from the U.S.
No
Data Monitoring Committee
Yes
5. Study Description
Brief Summary
The objectives of the study are:
To determine the efficacy of the Figulla Flex II device compared with that of the Amplatzer ASO device for transcatheter closure of secundum atrial septal defects
To determine the safety of the Figulla Flex II device compared with that of the Amplatzer ASO device for transcatheter closure of secundum atrial septal defects
This is a randomized, controlled, multi-centre trial of the efficacy and safety of the Occlutech septal occluder (Figulla Flex II) compared to the AGA septal occluder (Amplatzer ASO) for transcatheter closure of secundum atrial septal defects in patients.
Detailed Description
Inclusion criteria A patient will be eligible for study participation if he/she meets the following criteria:
Able to fluently speak and understand the language in which the study is being conducted
Has ostium secundum atrial septal defect
Has a defect hole with a diameter of < 38 mm
Has a left-to-right shunt with a Qp/Qs ratio of . 1.5:1 or the presence of right ventricular volume overload determined by transthoracic echo (TTE) or clinical symptoms due to the atrial septal defect
Has a distance of > 5 mm from the margins of the defect(s) to the coronary sinus, arterioventricular (AV) valves and right upper pulmonary vein as measured by echocardiography
Agrees to participate in the study and comply with the follow-up schedule
Is willing to freely give (or Legally Authorized Representative is willing to freely give) Informed Consent prior to treatment
Willing to return for the post-treatment evaluation. Exclusion criteria
A patient will be excluded from the study if he/she meets the following criteria:
Has multiple defects which can�ft adequately be covered by the device
Has associated congenital cardiac anomalies which require cardiac surgery
a. Has a known sensitivity to contrast media that cannot be controlled adequately with pre-medication.
Patient is currently participating in another clinical device or drug trial that has not completed its primary endpoint or that will clinically confound the current study endpoints or does not permit subjects to participate in other studies. Typically, subjects that are involved in the long-term surveillance phase of a clinical study are eligible.
Has ostium primum atrial septal defects
Has sinus venosus atrial septal defects
Has partial anomolous pulmonary venous drainage
Has pulmonary vascular resistance above 7 Woods units or a right-toleft shunt at the atrial level with a peripheral arterial saturation less than 94%
Has a recent myocardial infarction, unstable angina and decompensated congestive heart failure (CHF)
Has right and/or left ventricular decompensation with ejection fraction of < 30%
Has an active bacterial and/or viral infection
Has any type of serious infection < 1 month prior to the procedure
Has malignancy where life expectancy is < 2 years
Has demonstrated intracardiac thrombi on echocardiography
Weighs < 8 kg
Has gastritis, gastric ulcer, duodenal ulcer, etc. and other contraindications to aspirin therapy unless other anti-platelet agents can be administered for 6 months
Has an unstable condition or otherwise thought to be unreliable or incapable of complying with the requirements of the clinical investigational plan (CIP).
Has any disorder that, in the opinion of the Investigator, might interfere with the conduct of the study.
6. Conditions and Keywords
Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Secundum Atrial Septal Defects
Keywords
Occlutech, Transcatheter closure of secundum atrial septal defects, Figulla Flex II, Occ201201
7. Study Design
Primary Purpose
Treatment
Study Phase
Not Applicable
Interventional Study Model
Parallel Assignment
Model Description
This is a randomized, controlled, multi-centre trial of the efficacy and safety of the Occlutech septal occluder (Figulla Flex II) compared to the AGA septal occluder (Amplatzer ASO) for transcatheter closure of secundum atrial septal defects in patients.
Masking
None (Open Label)
Allocation
Randomized
Enrollment
175 (Actual)
8. Arms, Groups, and Interventions
Arm Title
Occlutech septal occluder ( Figulla Flex II)
Arm Type
Experimental
Arm Description
Occlutech septal occluder (Figulla Flex II)
Arm Title
Amplatzer Septal Occluder (ASO)
Arm Type
Active Comparator
Arm Description
St. Jude AGA septal occluder (Amplatzer ASO)
Intervention Type
Device
Intervention Name(s)
transcatheter closure of secundum atrial septal defects in patients
Intervention Description
transcatheter closure of secundum atrial septal defects in patients
Primary Outcome Measure Information:
Title
Efficacy: the rate of a successful placement of the device
Description
The primary efficacy endpoint was early efficacy success rate, which was defined as the rate of a successful placement of the device, and successful closure of the defects without major complication, surgical reintervention, device embolization or moderate or large residual shunt the day after procedure but no later than 36 hours after the procedure.
Time Frame
the day after procedure but no later than 36 hours after the procedure.
Title
Efficacy:The secondary efficacy endpoint is the rate of closure success (residual shunt is smaller than or equal to 2 mm) within 6 months after the procedure, without the need for surgical repair.
Description
The secondary efficacy endpoint is the rate of closure success (residual shunt is smaller than or equal to 2 mm) within 6 months after the procedure, without the need for surgical repair.
Time Frame
within 6 months after the procedure
Title
Efficacy:Other efficacy endpoint was the rate of complete closure (no residual shunt) at 6 months after the procedure.
Description
Other efficacy endpoint was the rate of complete closure (no residual shunt) at 6 months after the procedure.
Time Frame
at 6 months after the procedure.
Secondary Outcome Measure Information:
Title
Safety: Major, minor complications rate, all SAEs
Description
Major and complications rate
Time Frame
6 and 12 months post procedure
10. Eligibility
Sex
All
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria:
A patient will be eligible for study participation if he/she meets the following criteria:
Able to fluently speak and understand the language in which the study is being conducted
Has ostium secundum atrial septal defect
Has a defect hole with a diameter of < 38 mm
Has a left-to-right shunt with a Qp/Qs ratio of ≥ 1.5:1 or the presence of right ventricular volume overload determined by transthoracic echo (TTE) or clinical symptoms due to the atrial septal defect
Has a distance of > 5 mm from the margins of the defect(s) to the coronary sinus, arterioventricular (AV) valves and right upper pulmonary vein as measured by echocardiography
Agrees to participate in the study and comply with the follow-up schedule
Is willing to freely give (or Legally Authorized Representative is willing to freely give) Informed Consent prior to treatment
Willing to return for the post-treatment evaluation
Exclusion Criteria:
Has multiple defects which can't adequately be covered by the device
Has associated congenital cardiac anomalies which require cardiac surgery
a. Has a known sensitivity to contrast media that cannot be controlled adequately with pre-medication.
Patient is currently participating in another clinical device or drug trial that has not completed its primary endpoint or that will clinically confound the current study endpoints or does not permit subjects to participate in other studies. Typically, subjects that are involved in the long-term surveillance phase of a clinical study are eligible.
Has ostium primum atrial septal defects
Has sinus venosus atrial septal defects
Has partial anomolous pulmonary venous drainage
Has pulmonary vascular resistance above 7 Woods units or a right-toleft shunt at the atrial level with a peripheral arterial saturation less than 94%
Has a recent myocardial infarction, unstable angina and decompensated congestive heart failure (CHF)
Has right and/or left ventricular decompensation with ejection fraction of < 30%
Has an active bacterial and/or viral infection
Has any type of serious infection < 1 month prior to the procedure
Has malignancy where life expectancy is < 2 years
Has demonstrated intracardiac thrombi on echocardiography
Weighs < 8 kg
Has gastritis, gastric ulcer, duodenal ulcer, etc. and other contraindications to aspirin therapy unless other anti-platelet agents can be administered for 6 months
Has an unstable condition or otherwise thought to be unreliable or incapable of complying with the requirements of the clinical investigational plan (CIP).
Has any disorder that, in the opinion of the Investigator, might interfere with the conduct of the study.
12. IPD Sharing Statement
Plan to Share IPD
Undecided
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Occlutech Septal Occluder (Figulla Flex II) Study
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