ZERO-AFClinical Evaluation of the Blazer Open-Irrigated Ablation Catheter for the Treatment of Paroxysmal Atrial Fibrillation
Blazer Open-Irrigated Ablation Catheter (Boston Scientific)
+ FDA Approved Open-Irrigated Ablation Catheter
Procesos Patológicos+3
+ Condiciones Patológicas, Signos y Síntomas
+ Arritmias Cardíacas
Estudio de Tratamiento
Resumen
Fecha de inicio: 1 de octubre de 2012
Fecha en la que se inscribió al primer participante.The ZERO-AF trial is a prospective, multicenter, single blind, 1:1 randomized study. The trial is designed to demonstrate that the safety and effectiveness of the Blazer® Open-Irrigated Ablation Catheter are non-inferior to the safety and effectiveness of the control catheters, for the treatment drug refractory, recurrent, symptomatic, paroxysmal atrial fibrillation. The control catheters are open-irrigated radiofrequency ablation catheters that are approved in the United States for the treatment of drug refractory recurrent symptomatic paroxysmal atrial fibrillation, when used with compatible three-dimensional electroanatomic mapping systems.
Protocolo
Esta sección proporciona detalles del plan del estudio, incluyendo cómo está diseñado y qué se está evaluando.Se reclutarán 398 pacientes
Número total de participantes que el ensayo clínico espera reclutar.Estudio de Tratamiento
Elegibilidad
Los investigadores buscan pacientes que cumplan ciertos criterios, conocidos como criterios de elegibilidad: estado general de salud o tratamientos previos.Cualquier sexo
Sexo biológico de los participantes elegibles para inscribirse.A partir de 18 años
Rango de edades de los participantes que pueden unirse al estudio.Voluntarios sanos no permitidos
Indica si personas sanas, sin la condición que se estudia, pueden participar.Condiciones
Patología
Criterios
Inclusion Criteria: History of recurrent symptomatic PAF with ≥2 episodes reported within the 365 days prior to enrollment o PAF is AF episodes that last ≥30 seconds in duration and terminate within 7 days. At least 1 episode of PAF documented by Holter monitor, rhythm strip, trans-telephonic monitor (TTM), or 12-lead ECG in the 365 days prior to enrollment Refractory to at least one Beta Blocker, Calcium Channel Blocker, Class I OR Class III anti-arrhythmic drug (AAD) Age 18 or above, or of legal age to give informed consent specific to state and national law Competent and willing to provide written informed consent to participate in the study and agree to comply with follow-up visits and evaluation Exclusion Criteria: Have any of the following heart conditions within 90 days prior to enrollment: New York Heart Association (NYHA) Class III or IV Left ventricular ejection fraction (LVEF) <35% Left atrial (LA) diameter >5.5 cm Unstable angina or ongoing myocardial ischemia Transmural myocardial infarction (MI) Congenital structural heart disease that increases the risk of ablation or precludes catheter placement Undergone any left atrial catheter or surgical ablation Have had a coronary intervention, cardiac surgery, or other cardiac ablation within 90 days prior to enrollment Had >1 AF episode lasting greater than 7 days, with no episodes having lasted greater than 30 days, within the past year Subjects regularly prescribed amiodarone therapy during the 120 days prior to enrollment Contraindication to anticoagulation therapy Creatinine >2.5mg/dl or creatinine clearance <30mL/min within 90 days (3 months) prior to enrollment Prosthetic mitral or tricuspid heart valves Confirmed cardiac thrombus within 30 days (1 month) prior to enrollment Implanted pacemaker, ICD, or CRT leads within 180 days (6 months) prior to enrollment History of CVA, TIA or PE within 180 days (6 months) prior to enrollment Left atrial appendage closure device Any other significant uncontrolled or unstable medical condition (e.g. sepsis, acute metabolic illness, end stage COPD) Enrolled in any concurrent clinical trial without documented pre-approval from BSC Women who are pregnant or plan to become pregnant within the course of their participation in the investigation Life expectancy ≤ 2 years (730 days) per physician opinion
Plan de Estudio
Conoce todos los tratamientos administrados en este estudio, su descripción detallada y en qué consisten.2 grupos de intervención están designados en este estudio
0% de probabilidad de ser asignado al grupo placebo
Grupos de Tratamiento
Grupo I
ExperimentalGrupo II
Comparador ActivoObjetivos del Estudio
Objetivos Primarios
Objetivos Secundarios
Centros del Estudio
Estos son los hospitales, clínicas o centros de investigación donde se lleva a cabo el estudio. Puedes encontrar la ubicación más cercana a ti y su estado de reclutamiento.Este estudio tiene 38 ubicaciones
University of Alabama at Birmingham
Birmingham, United StatesAbrir University of Alabama at Birmingham en Google MapsHunstville Hospital
Huntsville, United StatesSequoia Hospital
Redwood City, United StatesUniversity of California, San Francisco
San Francisco, United States