About this trial
The goal of this clinical trial is to find out if the Sphere-9 Catheter and Affera Integrated Mapping and Ablation System is safe and works to treat recurrent symptomatic paroxysmal atrial fibrillation (PAF) in adults who have not been helped by, cannot tolerate, or cannot take certain medicines for PAF.
The main questions it aims to answer are:
Is the Sphere-9 Catheter and Affera Integrated Mapping and Ablation System safe for treating PAF? Does the treatment help keep patients free from atrial fibrillation and other abnormal heart rhythms during the 12 months after the procedure?
Participants will:
Have their heart rhythm assessed before and after the ablation procedure. Have PAF treated using the Sphere-9 Catheter and Affera Integrated Mapping and Ablation System.
Have follow-up visits at 3, 6, and 12 months after the procedure.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
a physician's note indicating at least 2 symptomatic PAF episodes occurring within 6 months prior to enrollment; and
at least 1 electrocardiographically documented episode within 12 months prior to enrollment
Adults who are ≥18 and ≤80 years of age on the day of enrollment.
Willing and able to comply with all baseline and follow-up evaluations for the full length of the study.
Disqualifiers
Continuous AF lasting more than 7 days. This includes persistent atrial fibrillation (PsAF) (both early or long-standing) by diagnosis or continuous duration > 7 days
AF that required three (3) or more distinct cardioversions in the preceding 12 months.
LA anteroposterior > 5.0 cm (by MRI, CT, or TTE)
Any of the following procedures, implants, or conditions at baseline: prior left atrial catheter or surgical ablation, prior left atrial percutaneous interventions including left atrial appendage occlusion, and septal closure devices
Trial design
Single group
Treatments tested in this trial
Catheter ablation using Sphere-9™ Catheter and Affera™ Integrated Mapping and Ablation System
DevicePulsed field catheter ablation for pulmonary vain isolation.
Treatment groups
Trial outcomes
Primary outcomes
Primary safety endpoint: Freedom from Device- and/or Procedure-Related Serious Adverse Events Through 6 Months Post-Ablation
The proportion of participants who are free from device- and/or procedure-related serious adverse events through 6 months after the ablation procedure.
Primary effectiveness endpoint: Treatment Success at 12 Months Post-Ablation
The proportion of participants achieving treatment success (freedom from documented recurrence of AF, AT, or AFL based on electrocardiographic data) at 12 months after the ablation procedure and excluding a 90-day blanking period.
Secondary outcomes
Change in Atrial Fibrillation Effect on Quality-of-Life (AFEQT) questionnaires score from baseline through 12 months after the index ablation procedure
Change in AFEQT score from baseline to 12 months after the index ablation procedure. The AFEQT questionnaire assesses the impact of atrial fibrillation on a participant's quality of life. The overall score ranges from 0 to 100, with higher scores indicating better quality of life.
Change in EuroQol Five-Dimensional Questionnaire (EQ-5D-5L) composite score from baseline through 12 months after the index ablation procedure
Change in EQ-5D-5L composite score from baseline to 12 months after the index ablation procedure. The EQ-5D-5L Questionnaire is a standardized instrument for measuring health status. The Chinese EQ-5D-5L value set will be used to calculate the composite score. The composite score ranges from -0.391 to 1, with higher scores indicating better health status.
Sponsors and contacts
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This trial is not recruiting at the moment. You can still explore other options: