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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
Occlutech International AB
About
Eligibility
Locations
Arms
Outcomes
Full info

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

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

Inclusion Criteria:

A patient will be eligible for study participation if he/she meets the following criteria:

  1. Able to fluently speak and understand the language in which the study is being conducted
  2. Has ostium secundum atrial septal defect
  3. Has a defect hole with a diameter of < 38 mm
  4. 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
  5. 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
  6. Agrees to participate in the study and comply with the follow-up schedule
  7. Is willing to freely give (or Legally Authorized Representative is willing to freely give) Informed Consent prior to treatment
  8. Willing to return for the post-treatment evaluation

Exclusion Criteria:

  1. Has multiple defects which can't adequately be covered by the device
  2. 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.

  3. 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.
  4. Has ostium primum atrial septal defects
  5. Has sinus venosus atrial septal defects
  6. Has partial anomolous pulmonary venous drainage
  7. 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%
  8. Has a recent myocardial infarction, unstable angina and decompensated congestive heart failure (CHF)
  9. Has right and/or left ventricular decompensation with ejection fraction of < 30%
  10. Has an active bacterial and/or viral infection
  11. Has any type of serious infection < 1 month prior to the procedure
  12. Has malignancy where life expectancy is < 2 years
  13. Has demonstrated intracardiac thrombi on echocardiography
  14. Weighs < 8 kg
  15. Has gastritis, gastric ulcer, duodenal ulcer, etc. and other contraindications to aspirin therapy unless other anti-platelet agents can be administered for 6 months
  16. Has an unstable condition or otherwise thought to be unreliable or incapable of complying with the requirements of the clinical investigational plan (CIP).
  17. 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

    First Posted
    July 20, 2020
    Last Updated
    July 24, 2020
    Sponsor
    Occlutech International AB
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    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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