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The study was stopped solely based on lower than expected enrollment rate.
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VICTORY AF is an IDE, prospective global, multi-center, single arm, controlled, unblinded, investigational clinical study. The purpose of this clinical study is to evaluate the risk of procedure and/or device related strokes in subjects with persistent or long-standing persistent atrial fibrillation (AF) undergoing ablation with the Phased RF System.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Ablation | Experimental | Phased RF ablation |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Medtronic Phased RF Ablation System | Device | Phased RF ablation |
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| Measure | Description | Time Frame |
|---|---|---|
| Number of Participants With Procedure and/or Device Related Stroke | A stroke with with a symptom onset date within 30 days of an ablation procedure where at least one Phased RF ablation catheter was deployed into the left atrium considered related to the procedure and/or the investigational device by the independent clinical events committee | 30 days |
| Measure | Description | Time Frame |
|---|---|---|
| 6-month Post-procedure Effectiveness | For a participant, the 6-month effectiveness defined as meeting all of the following criteria: (1) acute procedural success, (2) greater than 90% reduction in atrial fibrillation/atrial flutter episodes lasting longer than 10 minutes as measured by 48-hour ambulatory ECG, (3) No amiodarone use for 90 days and no class I or class III antiarrhythmic drugs for at least 60 days prior to 6-month ambulatory ECG, and (4) free from direct current cardioversion for at least 60 days prior to the 6-month ambulatory ECG |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| John Hummel, MD | Ohio State University | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Phoenix Cardiovascular - Banner | Phoenix | Arizona | 85018 | United States | ||
| Hoag Hospital |
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The first subject was enrolled on 05 November 2013 and the first Phased RF procedure occurred on 17 December 2013. Enrollment into the VICTORY AF study was closed on 26 June 2016 prior to reaching the target sample size due to slower than expected enrollment rate.
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| ID | Title | Description |
|---|---|---|
| FG000 | Ablation | Phased RF ablation Medtronic Phased RF Ablation System: Phased RF ablation |
| Title | Milestones | Reasons Not Completed | |||||
|---|---|---|---|---|---|---|---|
| Enrollment |
|
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| Type | Includes Protocol | Includes SAP | Includes ICF | Document Label | Document Date | Document Uploaded Date | Document File Name |
|---|---|---|---|---|---|---|---|
| Prot | Yes | No | No | Study Protocol | Nov 21, 2014 | Feb 7, 2018 |
Treatment with Phased RF Ablation System
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| 6 months |
| Number of Participants With Acute Procedural Success | Acute procedural success defined as: (1) Only Phased RF ablation catheters used in the left atrium, (2) all targeted pulmonary veins isolated, (3) all complex fractionated atrial electrograms and high frequency intracardiac electrogram amplitudes were mapped and ablated, and (4) sinus rhythm was restored at the end of the ablation procedure (with or without cardioversion) | 30 minutes |
| Number of Participants With Pulmonary Vein Stenosis | Greater than 70 percent reduction in the luminal diameter in any one or more of the pulmonary veins following a Phased RF ablation procedure | 3 months |
| Newport Beach |
| California |
| 92663 |
| United States |
| Medical Center of the Rockies | Fort Collins | Colorado | 80528 | United States |
| Mayo Clinic | Jacksonville | Florida | 32224 | United States |
| St. Vincent's Ambulatory Care | Jacksonville | Florida | United States |
| Tallahassee Research Institute | Tallahassee | Florida | 32308 | United States |
| Piedmont Heart Institute | Atlanta | Georgia | 30309 | United States |
| Emory University | Atlanta | Georgia | 30342 | United States |
| Northeast Georgia Heart Center | Gainesville | Georgia | 30501 | United States |
| Northwestern University | Chicago | Illinois | 60611 | United States |
| Iowa Heart Center | Des Moines | Iowa | 50266 | United States |
| University of Iowa | Iowa City | Iowa | 52242 | United States |
| Baptist Health Lexington | Lexington | Kentucky | 40503 | United States |
| University of Michigan | Ann Arbor | Michigan | United States |
| Spectrum Health Hospitals | Grand Rapids | Michigan | 49525 | United States |
| DLP Marquette Physicians Practice | Marquette | Michigan | 49855 | United States |
| William Beaumont Hospital | Royal Oak | Michigan | 48073 | United States |
| HealthEast St Joseph's Hospital | Saint Paul | Minnesota | 55102 | United States |
| Jersey Shore University Medical Center | Neptune City | New Jersey | 07753 | United States |
| Asheville Cardiology | Asheville | North Carolina | 28803 | United States |
| Cleveland Clinic | Cleveland | Ohio | 44195 | United States |
| The Ohio State University | Columbus | Ohio | 43210 | United States |
| Doylestown Cardiology - VIAA | Doylestown | Pennsylvania | United States |
| Hospital of the University of Pennsylvania | Philadelphia | Pennsylvania | 19104 | United States |
| Geisinger Wyoming Valley Medical Center | Wilkes-Barre | Pennsylvania | 17822 | United States |
| Baylor Research Institute - Dallas | Dallas | Texas | 75226 | United States |
| St. Luke's Episcopal Hospital | Houston | Texas | 77030 | United States |
| Baylor Research Institute - Plano | Plano | Texas | 75093 | United States |
| University of Virginia Medical Center | Charlottesville | Virginia | 22908 | United States |
| Inova Fairfax Hospital | Falls Church | Virginia | 22042 | United States |
| Swedish Medical Center - Cherry Hill | Seattle | Washington | 98122 | United States |
| Southlake Regional Health Centre | Newmarket | Ontario | L3Y 2P9 | Canada |
| McGill University Health Centre | Montreal | Quebec | H3G 1A4 | Canada |
| Hopital du Sacre Coeur de Montreal | Montreal | Quebec | Canada |
| Debreceni Egyetem | Debrecen | Hungary |
| Catharina Ziekenhuis | Eindhoven | Netherlands |
| St. Antonius Ziekenhuis | Nieuwegein | Netherlands |
| Basildon and Thurrock University Hospitals | Basildon | United Kingdom |
| Blackpool, Fylde and Wyre Hospitals | Blackpool | United Kingdom |
| Newcastle Upon Tyne Hospitals | Newcastle upon Tyne | United Kingdom |
| COMPLETED |
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| NOT COMPLETED |
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| Phased RF Study Procedure and Follow-up |
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The baseline analysis population is the number of subjects that had an ablation attempt with the Phased RF system.
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| ID | Title | Description |
|---|---|---|
| BG000 | Ablation | Phased RF ablation Medtronic Phased RF Ablation System: Phased RF ablation |
| Units | Counts |
|---|---|
| Participants |
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| Title | Description | Population Description | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Denominator Units Selected | Denominators | Classes | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Age, Continuous | Mean | Standard Deviation | years |
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| Sex: Female, Male | Count of Participants | Participants |
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| Race (NIH/OMB) | Count of Participants | Participants |
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| Region of Enrollment | Number | participants |
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| Atrial fibrillation type | Count of Participants | Participants |
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| Type | Title | Description | Population Description | Reporting Status | Anticipated Posting Date | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Time Frame | Units Analyzed | Denominator Units Selected | Arm/Group Information | Denominators | Classes | Analyses | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Primary | Number of Participants With Procedure and/or Device Related Stroke | A stroke with with a symptom onset date within 30 days of an ablation procedure where at least one Phased RF ablation catheter was deployed into the left atrium considered related to the procedure and/or the investigational device by the independent clinical events committee | All subjects with a Phased RF ablation procedure who did not have a non-investigational catheter placed in the left atrium | Posted | Count of Participants | Participants | 30 days |
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| Secondary | 6-month Post-procedure Effectiveness | For a participant, the 6-month effectiveness defined as meeting all of the following criteria: (1) acute procedural success, (2) greater than 90% reduction in atrial fibrillation/atrial flutter episodes lasting longer than 10 minutes as measured by 48-hour ambulatory ECG, (3) No amiodarone use for 90 days and no class I or class III antiarrhythmic drugs for at least 60 days prior to 6-month ambulatory ECG, and (4) free from direct current cardioversion for at least 60 days prior to the 6-month ambulatory ECG | Of the 129 subjects with an index Phased RF ablation procedure, 114 were evaluable for the 6-month efficacy objective. There were 15 subjects that were not included in the 6-month efficacy objective; 13 due to study exit prior to the 6-month visit and 2 due to no 6-month ambulatory ECG | Posted | Count of Participants | Participants | 6 months |
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| Secondary | Number of Participants With Acute Procedural Success | Acute procedural success defined as: (1) Only Phased RF ablation catheters used in the left atrium, (2) all targeted pulmonary veins isolated, (3) all complex fractionated atrial electrograms and high frequency intracardiac electrogram amplitudes were mapped and ablated, and (4) sinus rhythm was restored at the end of the ablation procedure (with or without cardioversion) | All subjects who underwent a Phased RF study procedure | Posted | Count of Participants | Participants | 30 minutes |
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| Secondary | Number of Participants With Pulmonary Vein Stenosis | Greater than 70 percent reduction in the luminal diameter in any one or more of the pulmonary veins following a Phased RF ablation procedure | Number of subjects selected for participation in the pulmonary vein assessment cohort with baseline and 3-month evaluable magnetic resonance imaging scans of the pulmonary veins | Posted | Count of Participants | Participants | 3 months |
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All adverse events were collected between subject consent and study completion (6-months post Phased RF study ablation procedure) or study exit
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| ID | Title | Description | Deaths (Affected) | Deaths (At Risk) | Serious Events (Affected) | Serious Events (At Risk) | Other Events (Affected) | Other Events (At Risk) |
|---|---|---|---|---|---|---|---|---|
| EG000 | Ablation | Phased RF ablation Medtronic Phased RF Ablation System: Phased RF ablation | 0 | 129 | 28 | 129 | 38 | 129 |
| Term | Organ System | Source Vocabulary | Assessment Type | Notes | Statistical Information |
|---|---|---|---|---|---|
| Atrial fibrillation | Cardiac disorders | MedDRA 18.1 | Non-systematic Assessment |
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| Atrial flutter | Cardiac disorders | MedDRA 18.1 | Non-systematic Assessment |
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| Bradycardia | Cardiac disorders | MedDRA 18.1 | Non-systematic Assessment |
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| Cardiac failure congestive | Cardiac disorders | MedDRA 18.1 | Non-systematic Assessment |
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| Chronotropic incompetence | Cardiac disorders | MedDRA 18.1 | Non-systematic Assessment |
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| Coronary artery stenosis | Cardiac disorders | MedDRA 18.1 | Non-systematic Assessment |
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| Pericardial effusion | Cardiac disorders | MedDRA 18.1 | Non-systematic Assessment |
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| Pericarditis | Cardiac disorders | MedDRA 18.1 | Non-systematic Assessment |
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| Non-cardiac chest pain | General disorders | MedDRA 18.1 | Non-systematic Assessment |
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| Tracheobronchitis | Infections and infestations | MedDRA 18.1 | Non-systematic Assessment |
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| Urosepsis | Infections and infestations | MedDRA 18.1 | Non-systematic Assessment |
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| Incision site haemorrhage | Injury, poisoning and procedural complications | MedDRA 18.1 | Non-systematic Assessment |
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| Tendon injury | Injury, poisoning and procedural complications | MedDRA 18.1 | Non-systematic Assessment |
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| Vascular pseudoaneurysm | Injury, poisoning and procedural complications | MedDRA 18.1 | Non-systematic Assessment |
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| Blood creatinine increased | Investigations | MedDRA 18.1 | Non-systematic Assessment |
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| Musculoskeletal pain | Musculoskeletal and connective tissue disorders | MedDRA 18.1 | Non-systematic Assessment |
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| Cerebrovascular accident | Nervous system disorders | MedDRA 18.1 | Non-systematic Assessment |
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| Acute kidney injury | Renal and urinary disorders | MedDRA 18.1 | Non-systematic Assessment |
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| Asthma | Respiratory, thoracic and mediastinal disorders | MedDRA 18.1 | Non-systematic Assessment |
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| Epistaxis | Respiratory, thoracic and mediastinal disorders | MedDRA 18.1 | Non-systematic Assessment |
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| Pleuritic pain | Respiratory, thoracic and mediastinal disorders | MedDRA 18.1 | Non-systematic Assessment |
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| Pulmonary oedema | Respiratory, thoracic and mediastinal disorders | MedDRA 18.1 | Non-systematic Assessment |
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| Respiratory failure | Respiratory, thoracic and mediastinal disorders | MedDRA 18.1 | Non-systematic Assessment |
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| Haematoma | Vascular disorders | MedDRA 18.1 | Non-systematic Assessment |
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| Hypotension | Vascular disorders | MedDRA 18.1 | Non-systematic Assessment |
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| Term | Organ System | Source Vocabulary | Assessment Type | Notes | Statistical Information |
|---|---|---|---|---|---|
| Visual impairment | Eye disorders | MedDRA 18.1 | Non-systematic Assessment |
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| Chest discomfort | General disorders | MedDRA 18.1 | Non-systematic Assessment |
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| Chest pain | General disorders | MedDRA 18.1 | Non-systematic Assessment |
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| Oedema peripheral | General disorders | MedDRA 18.1 | Non-systematic Assessment |
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| Influenza | Infections and infestations | MedDRA 18.1 | Non-systematic Assessment |
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| Incision site haemorrhage | Injury, poisoning and procedural complications | MedDRA 18.1 | Non-systematic Assessment |
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| Dizziness | Nervous system disorders | MedDRA 18.1 | Non-systematic Assessment |
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| Headache | Nervous system disorders | MedDRA 18.1 | Non-systematic Assessment |
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| Haematuria | Renal and urinary disorders | MedDRA 18.1 | Non-systematic Assessment |
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The study stopped enrolling prematurely due to slow enrollment. Since the achieved sample size is 57% smaller than the planned sample size of 300 evaluable subjects, the study objectives could not be properly evaluated.
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| Title | Organization | Phone | Extension | |
|---|---|---|---|---|
| Bob Hokanson, Clinical Research Manager | Medtronic AF Solutions | 763.526.2811 | robert.hokanson@medtronic.com |
| Prot_000.pdf |
| SAP | No | Yes | No | Statistical Analysis Plan | Jul 18, 2013 | Feb 7, 2018 | SAP_001.pdf |
| ID | Term |
|---|---|
| D001281 | Atrial Fibrillation |
| ID | Term |
|---|---|
| D001145 | Arrhythmias, Cardiac |
| D006331 | Heart Diseases |
| D002318 | Cardiovascular Diseases |
| D010335 | Pathologic Processes |
| D013568 | Pathological Conditions, Signs and Symptoms |
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| Protocol Violation |
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| Other reasons |
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| Native Hawaiian or Other Pacific Islander |
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| Black or African American |
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| White |
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| More than one race |
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| Unknown or Not Reported |
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| Hungary |
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| United States |
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| United Kingdom |
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