Safety and Performance of a Pulsed Field Device for Global Mapping and Ablation of the Left Atrium for the Treatment of Atrial Fibrillation (PULSE-EU)
Primary Purpose
Atrial Fibrillation
Status
Recruiting
Phase
Not Applicable
Locations
Czechia
Study Type
Interventional
Intervention
Globe Mapping and Ablation System (Globe System)
Sponsored by
About this trial
This is an interventional other trial for Atrial Fibrillation focused on measuring Globe Mapping and Ablation System, Atrial Fibrillation, Pulsed Field Ablation
Eligibility Criteria
Inclusion Criteria:
- Subjects planned for an AF catheter ablation procedure, with a documented history of AF. Diagnosis must be confirmed within 12 months before enrollment.
- Subjects between 18 and 75 years of age, inclusive
Exclusion Criteria:
- Patients who have contraindications to open heart surgery
- Patients from an Intensive Care Unit
- Patients with active systemic infection (sepsis)
- Patients requiring concomitant right atrial ablation (as determined before the procedure)
- Patients who have had previous ablation in the left atrium
- Patients who are post-heart transplant or who are awaiting cardiac transplantation or other cardiac surgery
- Patients with cardiac implants that may interfere with device delivery or positioning (e.g. atrial septal defect closure device, left atrial appendage occluder)
- Patients with mitral valve prolapse or other heart valve abnormalities excepting mild to moderate mitral regurgitation
- Patients with New York Heart Association Class III or IV heart failure
- History of a documented thromboembolic event, including stroke or transient ischemic attack (TIA)
- Bleeding disorder history
- Patients with a known sensitivity to anesthesia or neuromuscular block agent
- Currently undergoing long-term treatment with steroids, not including intermittent use of inhaled steroids for respiratory disease
- Myocardial infarction within the last three months
- Atrioventricular (AV) block II° or III°
- Atrial flutter
- Left ventricular ejection fraction (LVEF) of less than 35%
- Unstable angina
Sites / Locations
- Nemocnice Na HomolceRecruiting
Arms of the Study
Arm 1
Arm Type
Experimental
Arm Label
Globe Mapping and Ablation System
Arm Description
Outcomes
Primary Outcome Measures
Rate of subjects presenting with primary safety events which are device- or procedure-related
Secondary Outcome Measures
Full Information
1. Study Identification
Unique Protocol Identification Number
NCT05164107
Brief Title
Safety and Performance of a Pulsed Field Device for Global Mapping and Ablation of the Left Atrium for the Treatment of Atrial Fibrillation
Acronym
PULSE-EU
Official Title
PULSE-EU - A Prospective, Non-Randomized Clinical Pilot Study to Assess Safety and Performance of a Pulsed Field Device for Global Mapping and Ablation of the Left Atrium for the Treatment of Atrial Fibrillation
Study Type
Interventional
2. Study Status
Record Verification Date
February 2023
Overall Recruitment Status
Recruiting
Study Start Date
December 8, 2021 (Actual)
Primary Completion Date
December 2023 (Anticipated)
Study Completion Date
December 2023 (Anticipated)
3. Sponsor/Collaborators
Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Kardium Inc.
4. Oversight
Studies a U.S. FDA-regulated Drug Product
No
Studies a U.S. FDA-regulated Device Product
No
5. Study Description
Brief Summary
The purpose of this study is to provide clinical data pertaining to the safety and performance of the Globe Mapping and Ablation System using Pulsed Field Ablation (PFA) for treating subjects with atrial fibrillation (AF).
6. Conditions and Keywords
Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Atrial Fibrillation
Keywords
Globe Mapping and Ablation System, Atrial Fibrillation, Pulsed Field Ablation
7. Study Design
Primary Purpose
Other
Study Phase
Not Applicable
Interventional Study Model
Single Group Assignment
Masking
None (Open Label)
Allocation
N/A
Enrollment
110 (Anticipated)
8. Arms, Groups, and Interventions
Arm Title
Globe Mapping and Ablation System
Arm Type
Experimental
Intervention Type
Device
Intervention Name(s)
Globe Mapping and Ablation System (Globe System)
Intervention Description
During the procedure, the Globe Catheter will be delivered via standard femoral vein access and transseptal puncture. Anatomical and electrophysiological mapping of the left atrium (LA) will be followed by PFA to achieve pulmonary vein isolation (PVI). Additional PFA or radiofrequency (RF) ablation lesions may be created as deemed appropriate by the Investigator. Intracardiac electrogram mapping with the Globe System will be used to confirm PVI.
Primary Outcome Measure Information:
Title
Rate of subjects presenting with primary safety events which are device- or procedure-related
Time Frame
up to 3-month visit
10. Eligibility
Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
75 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria:
Subjects planned for an AF catheter ablation procedure, with a documented history of AF. Diagnosis must be confirmed within 12 months before enrollment.
Subjects between 18 and 75 years of age, inclusive
Exclusion Criteria:
Patients who have contraindications to open heart surgery
Patients from an Intensive Care Unit
Patients with active systemic infection (sepsis)
Patients requiring concomitant right atrial ablation (as determined before the procedure)
Patients who have had previous ablation in the left atrium
Patients who are post-heart transplant or who are awaiting cardiac transplantation or other cardiac surgery
Patients with cardiac implants that may interfere with device delivery or positioning (e.g. atrial septal defect closure device, left atrial appendage occluder)
Patients with mitral valve prolapse or other heart valve abnormalities excepting mild to moderate mitral regurgitation
Patients with New York Heart Association Class III or IV heart failure
History of a documented thromboembolic event, including stroke or transient ischemic attack (TIA)
Bleeding disorder history
Patients with a known sensitivity to anesthesia or neuromuscular block agent
Currently undergoing long-term treatment with steroids, not including intermittent use of inhaled steroids for respiratory disease
Myocardial infarction within the last three months
Atrioventricular (AV) block II° or III°
Atrial flutter
Left ventricular ejection fraction (LVEF) of less than 35%
Unstable angina
Central Contact Person:
First Name & Middle Initial & Last Name or Official Title & Degree
Clinical Affairs
Phone
+1 (604) 248 8891
Email
Clinical.Affairs@kardium.com
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Nemocnice Na Homolce
Organizational Affiliation
Roentgenova 37/2, 150 30 Praha 5 - Motol, Czech Republic
Official's Role
Principal Investigator
Facility Information:
Facility Name
Nemocnice Na Homolce
City
Praha
ZIP/Postal Code
150 30
Country
Czechia
Individual Site Status
Recruiting
12. IPD Sharing Statement
Learn more about this trial
Safety and Performance of a Pulsed Field Device for Global Mapping and Ablation of the Left Atrium for the Treatment of Atrial Fibrillation
We'll reach out to this number within 24 hrs