Evaluating the safety and effectiveness of a new ablation system for heart rhythm issues
Prospective, Multi-site Safety and Effectiveness Post-Approval Study of FARAPULSE Pulsed Field Ablation in Paroxysmal Atrial Fibrillation
This study is testing a new heart procedure to see if it can safely help people with recurring atrial fibrillation feel better when medications aren't working.
Quick facts
| Study type | Observational |
|---|---|
| Enrollment | 220 (estimated) |
| Ages | 18 Years and up |
| Sex | All |
| Sponsor | Boston Scientific Corporation Industry-sponsored |
| Locations | 34 sites (Mobile, Alabama and 33 other locations) |
| Trial ID | NCT06431815 on ClinicalTrials.gov |
What this trial studies
The ADVENT Post Approval Study is a global, multicenter, observational study aimed at assessing the long-term safety and effectiveness of the FARAPULSE Pulsed Field Ablation System for pulmonary vein isolation in patients with paroxysmal atrial fibrillation. This study includes patients who have recurrent symptoms despite medication and are indicated for this specific treatment. Participants will be monitored over time to gather data on the outcomes associated with this ablation technique.
Who should consider this trial
Good fit: Ideal candidates are individuals with drug-refractory, recurrent, symptomatic paroxysmal atrial fibrillation who are indicated for treatment with the FARAPULSE Pulsed Field Ablation System.
Not a fit: Patients who are not experiencing recurrent symptoms or those who are not indicated for ablation treatment may not benefit from this study.
Why it matters
Potential benefit: If successful, this study could provide a safer and more effective treatment option for patients suffering from paroxysmal atrial fibrillation.
How similar studies have performed: Other studies have shown promise with similar ablation techniques, indicating potential for success in this approach.
Eligibility criteria
Show full inclusion / exclusion criteria
Inclusion Criteria: * Subjects with drug-refractory, recurrent, symptomatic paroxysmal atrial fibrillation (PAF) who are indicated for a treatment with the FARAPULSE Pulsed Field Ablation (PFA) System\*; (Subjects refractory, or intolerant or contraindicated to at least one class I or III antiarrhythmic medication or contraindicated to any class I or III medications.) * Subjects who are willing and capable of providing informed consent; * Subjects who are willing and capable of participating in all testing and follow-up associated with this clinical study at an approved clinical investigational site; * Subjects who are of legal age to give informed consent specific to the national law. * For the LUX-Dx Sub-Study: Subjects with an existing LUX-Dx Insertable Cardiac Monitor (ICM), inserted ≥ 180 days prior to enrollment, or having a LUX-Dx ICM inserted per the investigator's standard of care, up to 7 days after the ablation procedure. Subjects with or having a LUX-Dx ICM inserted per standard of care, up to 7 days after the ablation procedure. Exclusion Criteria: * Subjects with any known contraindication to an AF ablation or anticoagulation, including those listed in the Instructions For Use (IFU); * Subjects with any prior left atrium (LA) ablation; * Subjects who may need an ablation in the left atrium besides PVI, such as for left-sided atrioventricular reentrant tachycardia (AVRT), left-sided atrial tachycardia (AT) or atypical left-sided atrial flutter (AFL); * Women of childbearing potential who are or plan to become pregnant during the time of the study (assessment per investigator's discretion); * Life expectancy of \< 1 year, per investigator's medical judgement.
Where this trial is running
Mobile, Alabama and 33 other locations
- Mobile Infirmary Medical Center — Mobile, Alabama, United States (Recruiting)
- Scottsdale Healthcare - Shea — Scottsdale, Arizona, United States (Recruiting)
- Alta Bates Summit Medical Center — Oakland, California, United States (Recruiting)
- Washington Hospital Center — Washington, District of Columbia, United States (Recruiting)
- Florida Heart Rhythm Specialists, PLLC — Fort Lauderdale, Florida, United States (Recruiting)
- Baptist Medical Center — Jacksonville, Florida, United States (Recruiting)
- Mount Sinai Medical Center — Miami Beach, Florida, United States (Recruiting)
- Tallahassee Memorial Hospital — Tallahassee, Florida, United States (Recruiting)
- AdventHealth Tampa — Tampa, Florida, United States (Recruiting)
- Memorial Health University Medical Center — Savannah, Georgia, United States (Recruiting)
- Ochsner Clinic Foundation — New Orleans, Louisiana, United States (Not_yet_recruiting)
- Beth Israel Deaconess Medical Center — Boston, Massachusetts, United States (Recruiting)
- University of Mississippi Medical Center — Jackson, Mississippi, United States (Recruiting)
- Montefiore Medical Center — Bronx, New York, United States (Not_yet_recruiting)
- New York Hospital Queens — Flushing, New York, United States (Not_yet_recruiting)
- Columbia University Medical Center — New York, New York, United States (Recruiting)
- Northwell Health — New York, New York, United States (Recruiting)
- East Carolina University Medical Center — Greenville, North Carolina, United States (Not_yet_recruiting)
- Hillcrest Medical Center — Tulsa, Oklahoma, United States (Not_yet_recruiting)
- Pinnacle Health at Harrisburg Hospital — Harrisburg, Pennsylvania, United States (Recruiting)
- Medical University of South Carolina — Charleston, South Carolina, United States (Recruiting)
- Prisma Health Richland Hospital — Columbia, South Carolina, United States (Recruiting)
- Vanderbilt University Medical Center — Nashville, Tennessee, United States (Not_yet_recruiting)
- University of Texas Medical Branch — Galveston, Texas, United States (Recruiting)
- University of Texas Houston Health Science Center — Houston, Texas, United States (Not_yet_recruiting)
- Orion Medical — Houston, Texas, United States (Recruiting)
- Sentara Norfolk General Hospital — Norfolk, Virginia, United States (Recruiting)
- University of Washington Medical Center — Seattle, Washington, United States (Not_yet_recruiting)
- Sos Cardio Servicoshospitalares Ltda — Florianópolis, Santa Catarina, Brazil (Not_yet_recruiting)
- Instituto do Coração do HCFMUSP — São Paulo, Sao Paulo, Brazil (Not_yet_recruiting)
- Southlake Regional General Hospital — Newmarket, Ontario, Canada (Not_yet_recruiting)
- Institut de Cardiologie de Montreal-Hospital — Montréal, Quebec, Canada (Not_yet_recruiting)
- Institut universitaire de Cardiologie et de Pneumologie de Quebec — Québec, Quebec, Canada (Recruiting)
- Hospital Regional de Concepcion — Concepción, Biobio, Chile (Not_yet_recruiting)
Study contacts
- Principal investigator: Stavros E Mountantonakis, MD, MBA — Northwell Health, Lenox Hill Hospital
- Study coordinator: Sharon Mensah
- Email: sharon.mensah@bsci.com
- Phone: 1-612-403-7653
How to participate
- Review the eligibility criteria above with your treating physician.
- Visit the official trial page on ClinicalTrials.gov for the most current contact information and recruitment status.
- Contact the listed study coordinator or principal investigator to request pre-screening. Pre-screening is free and never obligates you to enroll.