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FIND CAN Trial: "CF-172" (FIND CAN)

Primary Purpose

Persistent Atrial Fibrillation

Status
Completed
Phase
Not Applicable
Locations
Canada
Study Type
Interventional
Intervention
Ablation procedure
Sponsored by
Biosense Webster, Inc.
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Persistent Atrial Fibrillation

Eligibility Criteria

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

Inclusion Criteria:

Subjects must meet the following inclusion criteria:

  1. Age > 18 years.
  2. Patients who have signed the Patient Informed Consent Form (ICF)
  3. Scheduled to undergo a clinically-indicated catheter ablation procedure for treatment of persistent atrial fibrillation (defined as continuous atrial fibrillation that is sustained beyond seven consecutive days).

    3.1. Drug-refractory atrial fibrillation. (failed 1 or more class I or III antiarrhythmic drugs) and demonstrating Persistent AF (requiring drugs or electrical shock to terminate)

  4. Able and willing to comply with all pre-, post-, and follow-up testing and requirements (e.g. patients not confined by a court ruling)

Exclusion Criteria:

Subject who meet any of the following exclusion criteria are not eligible for enrollment.

  1. Paroxysmal Atrial Fibrillation
  2. Continuous AF > 12 months (1 Year) (Longstanding Persistent AF) 2.1. Subjects previously diagnosed as Long Standing Persistent (LSP) but have demonstrated the ability to maintain Normal Sinus Rhythm for >30 days after cardioversion and have not been in AF greater than 1 year at the time of the procedure remain eligible for inclusion.
  3. Previous ablation procedure for AF (previous ablation for the treatment of Flutter is acceptable)
  4. Patients with a left atrial size >55 mm (echocardiography, parasternal long axis view).
  5. Inability to restore sinus rhythm for 30 seconds or longer in the opinion of the investigator.
  6. Significant congenital anomaly or medical problem that in the opinion of the investigator would preclude enrollment in this study.
  7. Atrial arrhythmia patients with structural atrial disease such as a prior history of atriotomy from prior atrial surgery, presence of an atrial septal defect, and/or presence of an atrial septal closure patch.
  8. History of or current blood clotting or bleeding abnormalities, contraindication to systemic anticoagulation (i.e., heparin, warfarin, dabigatran, or a direct thrombin inhibitor), significant pulmonary disease, unstable angina, uncontrolled heart failure, acute illness or systemic infection, or any other disease or malfunction that would preclude treatment in the opinion of the investigator.
  9. Enrollment in a study evaluating another device or drug.
  10. A complex arrhythmia secondary to electrolyte imbalance, thyroid disease, or reversible or non-cardiac cause.
  11. Patients with a prosthetic mitral valve or any mechanical valve
  12. Any cardiac surgery within the past 60 days (2 months) (includes PCI) (bypass within the past year)
  13. Subjects that have ever undergone valvular cardiac surgical procedure (ie, ventriculotomy, atriotomy, and valve repair or replacement and presence of a prosthetic valve)
  14. Prior ICD or pacemaker implanted
  15. Presence of intramural thrombus, tumor or other abnormality that precludes catheter introduction or manipulation.
  16. Presence of a condition that precludes vascular access.
  17. Subject has a contra-indication to any of the devices used in the study per the IFU
  18. Women of child bearing potential who are pregnant, lactating, or planning to become pregnant during the course of the trial.

Sites / Locations

  • Southlake Regional Health Center

Arms of the Study

Arm 1

Arm Type

Experimental

Arm Label

Ablation procedure

Arm Description

Outcomes

Primary Outcome Measures

Evaluate mapping characteristics
Explore characteristics of ablation targets identified by the CARTOFINDER 4D LAT Algorithm
Evaluate acute safety of freedom from procedure-related primary adverse events
Evaluate acute safety of freedom from procedure-related primary adverse events occurring within 7 days of ablation procedure

Secondary Outcome Measures

Evaluate atrial fibrillation (AF) termination
Evaluate the AF termination to Normal Sinus Rhythm (NSR) or an Atrial Tachycardia (AT) after CARTOFINDER™ Guided Ablation (CFGA) of identified ablation target and after PVI

Full Information

First Posted
December 22, 2016
Last Updated
February 6, 2018
Sponsor
Biosense Webster, Inc.
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1. Study Identification

Unique Protocol Identification Number
NCT03033641
Brief Title
FIND CAN Trial: "CF-172"
Acronym
FIND CAN
Official Title
Feasibility of the CARTOFINDER™ 4D LAT Algorithm to Identify Ablation Target in Subjects With Atrial Fibrillation (FIND CAN Trial: "CF-172")
Study Type
Interventional

2. Study Status

Record Verification Date
February 2018
Overall Recruitment Status
Completed
Study Start Date
December 5, 2016 (Actual)
Primary Completion Date
May 4, 2017 (Actual)
Study Completion Date
August 30, 2017 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Biosense Webster, Inc.

4. Oversight

Studies a U.S. FDA-regulated Drug Product
No
Studies a U.S. FDA-regulated Device Product
No
Data Monitoring Committee
No

5. Study Description

Brief Summary
The purpose of this feasibility study is to further explore characteristics of ablation targets identified by CARTOFINDER 4D LAT Algorithm in subjects with persistent atrial fibrillation and to assess the acute outcome of CARTOFINDER Guided Ablation in terms of the termination of atrial fibrillation to either Normal Sinus Rhythm or Atrial Tachycardia.

6. Conditions and Keywords

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

7. Study Design

Primary Purpose
Treatment
Study Phase
Not Applicable
Interventional Study Model
Single Group Assignment
Masking
None (Open Label)
Allocation
N/A
Enrollment
25 (Anticipated)

8. Arms, Groups, and Interventions

Arm Title
Ablation procedure
Arm Type
Experimental
Intervention Type
Device
Intervention Name(s)
Ablation procedure
Other Intervention Name(s)
CARTOFINDER™ Workstation, CARTO® 3 EP Navigation System, with CARTOFINDER™ 4D LAT Algorithm installed (CARTOFINDER™ Module)
Intervention Description
All enrolled subjects who have ablation targets identified will undergo CARTOFINDER guided ablation (CFGA) followed by PVI. Subjects will be followed per the protocol schedule. Subjects who have no ablation target identified on the baseline CARTOFINDER map will undergo ablation per the institution's standard of care and be followed for 7 days for safety monitoring, then exit from the study.
Primary Outcome Measure Information:
Title
Evaluate mapping characteristics
Description
Explore characteristics of ablation targets identified by the CARTOFINDER 4D LAT Algorithm
Time Frame
Intraoperative
Title
Evaluate acute safety of freedom from procedure-related primary adverse events
Description
Evaluate acute safety of freedom from procedure-related primary adverse events occurring within 7 days of ablation procedure
Time Frame
Within 7 days
Secondary Outcome Measure Information:
Title
Evaluate atrial fibrillation (AF) termination
Description
Evaluate the AF termination to Normal Sinus Rhythm (NSR) or an Atrial Tachycardia (AT) after CARTOFINDER™ Guided Ablation (CFGA) of identified ablation target and after PVI
Time Frame
Perioperative

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Subjects must meet the following inclusion criteria: Age > 18 years. Patients who have signed the Patient Informed Consent Form (ICF) Scheduled to undergo a clinically-indicated catheter ablation procedure for treatment of persistent atrial fibrillation (defined as continuous atrial fibrillation that is sustained beyond seven consecutive days). 3.1. Drug-refractory atrial fibrillation. (failed 1 or more class I or III antiarrhythmic drugs) and demonstrating Persistent AF (requiring drugs or electrical shock to terminate) Able and willing to comply with all pre-, post-, and follow-up testing and requirements (e.g. patients not confined by a court ruling) Exclusion Criteria: Subject who meet any of the following exclusion criteria are not eligible for enrollment. Paroxysmal Atrial Fibrillation Continuous AF > 12 months (1 Year) (Longstanding Persistent AF) 2.1. Subjects previously diagnosed as Long Standing Persistent (LSP) but have demonstrated the ability to maintain Normal Sinus Rhythm for >30 days after cardioversion and have not been in AF greater than 1 year at the time of the procedure remain eligible for inclusion. Previous ablation procedure for AF (previous ablation for the treatment of Flutter is acceptable) Patients with a left atrial size >55 mm (echocardiography, parasternal long axis view). Inability to restore sinus rhythm for 30 seconds or longer in the opinion of the investigator. Significant congenital anomaly or medical problem that in the opinion of the investigator would preclude enrollment in this study. Atrial arrhythmia patients with structural atrial disease such as a prior history of atriotomy from prior atrial surgery, presence of an atrial septal defect, and/or presence of an atrial septal closure patch. History of or current blood clotting or bleeding abnormalities, contraindication to systemic anticoagulation (i.e., heparin, warfarin, dabigatran, or a direct thrombin inhibitor), significant pulmonary disease, unstable angina, uncontrolled heart failure, acute illness or systemic infection, or any other disease or malfunction that would preclude treatment in the opinion of the investigator. Enrollment in a study evaluating another device or drug. A complex arrhythmia secondary to electrolyte imbalance, thyroid disease, or reversible or non-cardiac cause. Patients with a prosthetic mitral valve or any mechanical valve Any cardiac surgery within the past 60 days (2 months) (includes PCI) (bypass within the past year) Subjects that have ever undergone valvular cardiac surgical procedure (ie, ventriculotomy, atriotomy, and valve repair or replacement and presence of a prosthetic valve) Prior ICD or pacemaker implanted Presence of intramural thrombus, tumor or other abnormality that precludes catheter introduction or manipulation. Presence of a condition that precludes vascular access. Subject has a contra-indication to any of the devices used in the study per the IFU Women of child bearing potential who are pregnant, lactating, or planning to become pregnant during the course of the trial.
Facility Information:
Facility Name
Southlake Regional Health Center
City
Newmarket
State/Province
Ontario
ZIP/Postal Code
L3Y 2P9
Country
Canada

12. IPD Sharing Statement

Plan to Share IPD
No

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FIND CAN Trial: "CF-172"

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