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Atrial FibrillationNCT03122028

Clinical Investigation of the LAmbre Left Atrial Appendage Closure System

A study testing LAA closure system in people with Atrial Fibrillation, run by Lifetech Scientific (Shenzhen) Co., Ltd..

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
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Trial summary

The aim of the study LA-EU-01 was to examine the safety and the feasibility of the LAmbreTM Left Atrial Appendage Closure System in patients with non-valvular paroxymal, persistent or permanent atrial fibrillation, by using imaging approaches, i.e. combined trans-esophageal and transthoracic echocardiography. Read more about this study

Who is it for?
Ages 18 years and older
Conditions the study is for
Atrial Fibrillation
What is being tested?
LAA closure system
Type of treatment
Medical device
Could I receive a placebo?
No, everyone receives an active treatment
How many people
61 participants
Where
No sites listed yet
Study dates
5 Nov 2013to 9 Nov 2016
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 years and older
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Age ≥18 years
  • Patients scheduled for interventional closure of the left atrial appendage (LAA) due to a high thromboembolic risk and cannot be treated with anticoagulation.
  • Chronic atrial fibrillation ≥3 months; paroxysmal, persistent or permanent nonvalvular Atrial Fibrilation (AF)
  • CHA2DS2 -VASC score 2 or higher
  • Eligible for clopidogrel and aspirin
  • Able to understand the requirements of the study and willing to follow study instructions, provide written informed consent, and agree to comply with all study requirements, including the required study follow-up visits

Who cannot join

  • Presence of rheumatic, degenerative or congenital valvular heart diseases
  • Presence of rheumatic, degenerative or congenital valvular heart diseases
  • The diameter of left atrium ≥65 mm
  • LAA Ostium < 12mm or > 30 mm
  • Prior surgical removal of Left atrium
  • Prior heart transplant
Show all 30Show fewer
  • Symptomatic patients with carotid artery disease (such as carotid stenosis ≥ 50%)
  • Recent or acute myocardial infarction (MI) or unstable angina (recent is defined as within 3 months of implant date)
  • Decompensated heart failure (NYHA grade III-IV)
  • Patients have an electrophysiological ablation procedure planned within 30 days of potential the LAmbreTM Left Atrial Appendage Closure System implant date
  • Patients have a planned electrophysiologic 30 days post implantation of the LAmbreTM Left Atrial Appendage Closure System
  • Patients have a planned cardioversion 30 days post implantation of the LAmbreTM Left Atrial Appendage Closure System
  • Patients with a history of heart valve replacement operation with an mechanical prosthesis
  • History of stroke or Transient Ischemic Attack (TIA) within 30 days
  • Have thrombocytopenia (platelet ≤ 100.000 platelets per microliter (mcL))
  • Heart rate in rest > 110 beats per minute (BPM)
  • A single episode of transient atrial fibrillation
  • Pericardial effusion > 5mm pre-procedural
  • Presence of active sepsis or endocarditis
  • Cardiac tumors or other malignancy with estimated life expectancy less than 2 years
  • Patients who are pregnant, breastfeeding, or desires to become pregnant during the course of the study
  • Participation in the other investigational trials in which the primary endpoint is not met yet
  • Subject dependency of the Sponsor, of the institution in which the trail is conducted, or of the investigator
  • Investigator expectation that the patient will not be able to complete the trial according to the requirements
  • A known allergy to nitinol Esophageal ultrasonic exclusion criteria
  • LVEF ≤ 30 %
  • Presence of thrombus in the left atrial appendage (LAA)
  • Patent Foramen Ovale (PFO) with history of paradoxical embolism
  • Mitral valve stenosis (Mitral valve area ≤ 2 cm2)
  • Presence of complex aortic plaque (≥4mm) in ascending aorta

About this study

Official title: A Prospective, Non-Randomized, Multi-Center, Open-Label, Non-Comparative, Interventional Clinical Investigation of the LAmbre Left Atrial Appendage Closure System

The aim of the study LA-EU-01 was to examine the safety and the feasibility of the LAmbreTM Left Atrial Appendage Closure System in patients with non-valvular paroxymal, persistent or permanent atrial fibrillation, by using imaging approaches, i.e. combined trans-esophageal and transthoracic echocardiography.

The conducted LA-EU-01 study was a prospective, non-randomized, multi-center, open-label, non-comparative, interventional clinical investigation with the participation of two clinical centers in Germany and the inclusion of 61 subjects.

Read more

Participating subjects were patients with non-valvular paroxymal, persistent or permanent atrial fibrillation with long-term sustainability and scheduled for interventional closure of the left atrial appendage who could not be treated with anticoagulation.

After the procedure of implantation of the LAmbreTM Left Atrial Appendage Closure System, patients underwent a first follow up assessment prior to hospital discharge then at 30 days, 6 and 12 months.

Being tested
LAA closure system
Keywords
LAmbre
Medical subject headings
Atrial Fibrillation

What participants receive

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

  • LAA closure systemDevice

    Patients with non-valvular paroxymal, persistent or permanent atrial fibrillation with long-term sustainability and cannot be treated with anticoagulation and scheduled for interventional left atrial appendage closure.

Study groups in NCT03122028
Study groupRoleWhat they receive
LAmbre closure systemExperimentalNot described
Receives: Device: LAA closure system

What is being measured

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

  1. Serious adverse events

    Absence of device or procedure related serious adverse events at 6 months after device implantation

    Measured: 6 months

  2. Stable device placement

    Stable device placement in left atrial appendage as assessed by transesophageal echocardiogram (TEE) at 6 months after device implant

    Measured: 6 months

  3. Residual jet flow

    Successful sealing around the device at the LAA orifice (residual jet flow of < 5 mm) as measured by transesophageal echocardiogram (TEE) at 6 months after device implant

    Measured: 6 months

Timeline

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

  1. First posted20 Apr 2017
  2. Study start5 Nov 2013
  3. Primary completion9 Mar 2016
  4. Study completion9 Nov 2016

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
61 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT03122028
Sponsor's protocol ID
LA-EU-01
Status last verified
Apr 2017
First submitted
17 Apr 2017
Last updated
21 Apr 2017
Results posted
No
FDA-regulated drug
No
FDA-regulated device
No

Questions about this trial

What is this clinical trial studying?

A study testing LAA closure system in people with Atrial Fibrillation, run by Lifetech Scientific (Shenzhen) Co., Ltd..

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 6 inclusion and 30 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: finished, as of the sponsor's last update on 21 Apr 2017. Status can change between updates, so confirm with the study contact before making plans.

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 is completed, but results are not available in the source record. That does not mean the treatment did or did not work.

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?

Serious adverse events (time frame: 6 months). The study lists 3 primary outcomes in all. 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 21 Apr 2017.

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