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The FARAPULSE ADVENT PIVOTAL Trial (ADVENT)

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ClinicalTrials.gov Identifier: NCT04612244
Recruitment Status : Recruiting
First Posted : November 2, 2020
Last Update Posted : April 29, 2021
Sponsor:
Information provided by (Responsible Party):
Farapulse, Inc.

Brief Summary:
This is a prospective, adaptive, multi-center, randomized safety and effectiveness pivotal study comparing the FARAPULSE Pulsed Field Ablation System with standard of care ablation with force-sensing RF catheters and cryoballoon catheters indicated for the treatment of PAF.

Condition or disease Intervention/treatment Phase
Paroxysmal Atrial Fibrillation Device: FARAPULSE Pulsed Field Ablation System Device: RadioFrequency and Cryoballoon Ablation Not Applicable

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Study Type : Interventional  (Clinical Trial)
Estimated Enrollment : 900 participants
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Single (Participant)
Primary Purpose: Treatment
Official Title: A Prospective Randomized Pivotal Trial of the FARAPULSE Pulsed Field Ablation System Compared With Standard of Care Ablation in Patients With Paroxysmal Atrial Fibrillation
Actual Study Start Date : March 1, 2021
Estimated Primary Completion Date : June 2023
Estimated Study Completion Date : June 2023

Resource links provided by the National Library of Medicine


Arm Intervention/treatment
Experimental: FARAPULSE Pulsed Field Ablation System Device: FARAPULSE Pulsed Field Ablation System
Ablation using the FARAPULSE Pulsed Field Ablation System

Active Comparator: Force Sensing Radiofrequency Ablation and Cryoballoon Ablation Device: RadioFrequency and Cryoballoon Ablation
Contact Force Enabled RF and Cryoballoon ablation catheters indicated for Paroxysmal Atrial Fibrillation




Primary Outcome Measures :
  1. Composite Safety Endpoint;Proportion of Intent to Treat Subjects with one or more of the specified device or procedure related SAEs [ Time Frame: 7 days and 12 Months ]
    Proportion of Intent to Treat subjects with one or more of the specified device or procedure related SAEs

  2. Treatment success [ Time Frame: 12 Months ]
    Acute procedural success and Chronic success


Secondary Outcome Measures :
  1. PV Diameter change [ Time Frame: 3 months ]
    Change in pulmonary vein diameter

  2. Treatment Superiority [ Time Frame: 12 Months ]
    Treatment Success tested for superiority between the Pulsed Field and Thermal Groups.



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Ages Eligible for Study:   18 Years to 75 Years   (Adult, Older Adult)
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   No
Criteria

Key inclusion criteria: Patients are required to meet all the following inclusion criteria to participate in this study:

  • Age 18-75
  • Paroxysmal atrial fibrillation
  • Anti-arrhythmic drug failed for efficacy or intolerance

Key exclusion criteria: Patients will be excluded from participating in this study if they meet any one of the following exclusion criteria:

  • Atrial diameter greater than 5.5 cm
  • Prior atrial ablation or surgery
  • Left ventricular ejection fraction < 40%
  • Implantable cardiac devices
  • Heart surgery or stroke within 6 months of enrollment
  • Renal impairment
  • Body mass index greater than 40

Information from the National Library of Medicine

To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.

Please refer to this study by its ClinicalTrials.gov identifier (NCT number): NCT04612244


Contacts
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Contact: Kit Schneider 650-422-3633 kschneider@farapulse.com

Locations
Show Show 34 study locations
Sponsors and Collaborators
Farapulse, Inc.
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Responsible Party: Farapulse, Inc.
ClinicalTrials.gov Identifier: NCT04612244    
Other Study ID Numbers: CS0934
First Posted: November 2, 2020    Key Record Dates
Last Update Posted: April 29, 2021
Last Verified: February 2021
Individual Participant Data (IPD) Sharing Statement:
Plan to Share IPD: No

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Studies a U.S. FDA-regulated Drug Product: No
Studies a U.S. FDA-regulated Device Product: Yes
Device Product Not Approved or Cleared by U.S. FDA: Yes
Additional relevant MeSH terms:
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Atrial Fibrillation
Arrhythmias, Cardiac
Heart Diseases
Cardiovascular Diseases
Pathologic Processes