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
Pathologic Processes+3
+ Pathological Conditions, Signs and Symptoms
+ Arrhythmias, Cardiac
Treatment Study
Summary
Study start date: October 1, 2012
Actual date on which the first participant was enrolled.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.
Protocol
This section provides details of the study plan, including how the study is designed and what the study is measuring.398 patients to be enrolled
Total number of participants that the clinical trial aims to recruit.Treatment Study
Eligibility
Researchers look for people who fit a certain description, called eligibility criteria: person's general health condition or prior treatments.Any sex
Biological sex of participants that are eligible to enroll.Over 18 Years
Range of ages for which participants are eligible to join.Healthy volunteers not allowed
If individuals who are healthy and do not have the condition being studied can participate.Conditions
Pathology
Criteria
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
Study Plan
Find out more about all the medication administered in this study, their detailed description and what they involve.2 intervention groups are designated in this study
This study does not include a placebo group
Treatment Groups
Group I
ExperimentalGroup II
Active ComparatorStudy Objectives
Primary Objectives
Secondary Objectives
Study Centers
These are the hospitals, clinics, or research facilities where the trial is being conducted. You can find the location closest to you and its status.This study has 38 locations
University of Alabama at Birmingham
Birmingham, United StatesOpen University of Alabama at Birmingham in Google MapsHunstville Hospital
Huntsville, United StatesSequoia Hospital
Redwood City, United StatesUniversity of California, San Francisco
San Francisco, United States