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Atrial FibrillationCAINCT02770989

Vimecon CAI Trial for the Interventional Treatment of Paroxysmal Atrial Fibrillation (AF)

A study testing Vimecon Laser CAI percutaneous cardiac ablation in people with Atrial Fibrillation, run by Vimecon GmbH at 3 sites in 3 countries.

Terminated

Stopped early. The study ended before it was planned to and will not resume.

Official record
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Trial summary

This study is a prospective, non-randomized, single arm, multicenter, CE marking trial for patients with paroxysmal atrial fibrillation to undergo an ablation of the cardiac tissue near the PV. Read more about this study

Who is it for?
Ages 18 to 75 years, women only
Conditions the study is for
Atrial Fibrillation
What is being tested?
Vimecon Laser CAI percutaneous cardiac ablation
Type of treatment
Surgery or procedure
Could I receive a placebo?
No, everyone receives an active treatment
How many people
1 participants
Where
3 sitesin 3 countries
Study dates
Mar 2016to Sep 2018
Phase
Interventional
Are there results?
None posted in the registry

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 to 75 years
  • Women only
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Aged 18 to 75 years.
  • Patients with intention to be treated for paroxysmal atrial fibrillation. AND unresponsive to ≥1 antiarrhythmic drug (class I or III) AND at least 2 episodes in the last 12 months, 1 of them documented.
  • Patient should be on an anticoagulation therapy according to the international guidelines (per ACC/AHA//ESC Practice Guidelines)
  • Left atrial (LA) size < 50 mm
  • Symptomatic AF (EHRA-Score ≥ 2)
  • Accessibility of femoral vein and pulmonary veins
  • All patients willing to comply with the study protocol for at least 12 months

Who cannot join

  • 1. Inability to give written informed consent
  • NYHA Class III and IV
  • Hyperthyroidism
  • Reversible causes of the AF like Pericarditis, Electrolytic imbalance
  • Left Atrial Thrombus formation
  • Structural heart disease disturbing accessibility for AF ablation.
Show all 24Show fewer
  • Valvular AF, permanent and long-standing persistent AF, currently present Atrial Flutter
  • Any valvular dysfunction more than II°
  • Systemic infections or endocarditis.
  • Impaired left ventricular function with an ejection fraction of less than 35%
  • Kidney dysfunction >Class III with a GFR of less than 35 mL per minute
  • TIA or stroke within the last 6 months
  • Pregnant and breastfeeding Women
  • Previous relevant cardiac surgery (e.g. ASD, PFO, Maze, AICD, pacemaker, congenital heart disorders or valve replacement).
  • Previous ablation of the pulmonary vein.
  • Known or suspected atrial myoma
  • Subject has co-morbid conditions that place the subject at an unacceptable risk (e.g., severe chronic obstructive pulmonary disease, hepatic failure, cerebral degenerative diseases, immunosuppressive abnormalities, hypercoagulable state, nervous system disease and hematological abnormalities.)
  • Contraindicated for the protocol defined anticoagulation plan (per ACC/AHA//ESC Practice Guidelines)
  • Patients with known allergic reactions to the local anesthetic, sedatives, x-ray dye, heparin, protamine, components of the catheter (platinum, iridium, stainless steel) or other agents administered during the procedure.
  • AV-Block IIº and IIIº
  • Contraindication for femoral vein and pulmonary veins access (e.g.: femoral Stent graft, excessive calcification, previous surgical interventions in or adjacent to the femoral veins that impede femoral access)
  • Contraindications for the transseptal approach (e.g.: previous inter-atrial septal patch or surgical interventions in or adjacent to the intro atrial septum)
  • MI in the last 3 months.
  • Enrolled in another clinical trial with a non-CE marked device which has not yet reached its primary endpoint

Trial locations and contacts

3 sites in 3 countries.

3 sites in 3 countries

Belgium1 site
  • ZNA Middelheim

    Antwerp

Other trials in Belgium

Czechia1 site
  • Na Homolce Hospital

    Prague

Other trials in Czechia

Germany1 site
  • "Herz- und Diabeteszentrum NRW Klinik für Kardiologie"

    Bad Oeynhausen

Other trials in Germany

About this study

Official title: A Clinical Trial for the Assessment of the Safety and Performance of the Vimecon Laser Cardiac Ablation Instrument (CAI) for the Interventional Treatment of Paroxysmal Atrial Fibrillation (AF)

This study is a prospective, non-randomized, single arm, multicenter, CE marking trial for patients with paroxysmal atrial fibrillation to undergo an ablation of the cardiac tissue near the PV.

Read the detailed description

The objective of this clinical investigation is to confirm the safety and performance of the Vimecon® Laser Cardiac Ablation Instrument when creating scar tissue within the cardiac wall for the treatment of atrial fibrillation.

Up to 66 patients with paroxysmal atrial fibrillation refractory to at least one antiarrhythmic medications (Class I or III) are enrolled. with an expected 10% dropout; 59 per protocol patients are required.

The study duration will be 18 month with a 6 month enrollment period and 12 month follow-up. Interim follow-up visits are at post procedure, 1 Month, 3 Months, 6 Months and 12 Months.

The baseline and follow up tests are standard of care. Additional optional tests are an esophageal endoscopy for determination of potential fistula formation and a cerebral MRI for micro embolism post treatment.

Being tested
Vimecon Laser CAI percutaneous cardiac ablation
Keywords
Cardiac Ablation, Safety, Performance, Laser
Medical subject headings
Atrial Fibrillation

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • Vimecon Laser CAI percutaneous cardiac ablationProcedure or surgery

    The Vimecon Laser CAI catheter is entered through the femoral vein to access the pulmonary vein (PV) area in the heart in order to ablate the cardiac wall near the PV to create scar tissue and to isolate the PV in order to treat atrial fibrillation.

Study groups in NCT02770989
Study groupRoleWhat they receive
Vimecon Laser CAI Cardiac AblationExperimentalAblation of the cardiac tissue by the use of the Vimecon Laser CAI (Cardiac Ablation Instrument).
Receives: Procedure: Vimecon Laser CAI percutaneous cardiac ablation

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Safety assessment, free of any Major Adverse Events's or safety events within the first three (3) months after the treatment..

    Safety:

    • Evaluating the proportion of subjects free from experiencing Serious Adverse Events related to the catheter ablation procedure (Major Adverse Events's or safety events) within the first three (3) months after the treatment.

    Major adverse events (MAE, Safety events) associated with the catheter ablation procedure include:

    • Cardiac tamponade
    • Thromboembolic events including pulmonary embolism and stroke
    • Complete heart block
    • Acute myocardial infarction
    • Phrenic nerve palsy
    • Atrio-esophageal fistula
    • Vascular complications
    • Death

    Measured: < month-3

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted12 May 2016 (estimated)
  2. Study startMar 2016
  3. Primary completionSep 2018
  4. Study completionSep 2018

Why it stopped: Design change

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase N/A
Primary purpose
Treatment
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrolment
1 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT02770989
Sponsor's protocol ID
VMC-001
Acronym
CAI
Status last verified
Oct 2018
First submitted
10 Dec 2015
Last updated
13 Dec 2018
Results posted
No
Data monitoring committee
No
Individual data sharing
No

Questions about this trial

What is this clinical trial studying?

A study testing Vimecon Laser CAI percutaneous cardiac ablation in people with Atrial Fibrillation, run by Vimecon GmbH at 3 sites in 3 countries.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 7 inclusion and 24 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: stopped early, as of the sponsor's last update on 13 Dec 2018. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 3 sites in Belgium, Czechia, Germany. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

Are results available for this study?

The study was stopped early (reason given: Design change). Results are not available in the source record.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Safety assessment, free of any Major Adverse Events's or safety events within the first three (3) months after the treatment.. (time frame: < month-3). It is what the study was designed to measure, not a finding.

Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 13 Dec 2018; AzTrials last refreshed its copy on 8 Nov 2026.

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