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Non Valvular Atrial FibrillationLAmbre2NCT07455539

LAmbre™ II Left Atrial Appendage Occluder and Occluder Delivery System for Patients With Non-Valvular Atrial Fibrillation

A study testing LAmbre II Left Atrial Appendage Occluder in people with Non Valvular Atrial Fibrillation, run by Prince of Wales Hospital, Shatin, Hong Kong at 1 site in Hong Kong.

Active, not recruiting

Under way, not looking for participants. Everyone needed has enrolled. The study is still running.

Official record
Search all trials

Trial summary

Worldwide, atrial fibrillation (AF) is the most common cardiac arrhythmia in adults. The prevalence of AF gradually increases with age; its prevalence is 0.5% ~ 0.8% among 45 ~ 59 year-olds, 1.8% ~ 5.9% among 60 ~ 69 year-olds, and 6.7% ~17.9% among > 79 year-olds. Read more about this study

Who is it for?
Ages 18 years and older
Conditions the study is for
Non Valvular Atrial Fibrillation
What is being tested?
LAmbre II Left Atrial Appendage Occluder
Type of treatment
Medical device
Could I receive a placebo?
No, everyone receives an active treatment
How many people
10 participants
Where
1 siteHong Kong
Study dates
5 Mar 2026to 1 May 2028
Phase
Interventional
Are there results?
Not yet: the study is under way

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

  • The patient age ≥18 years;
  • The patient has documented paroxysmal, persistent, or permanent non-valvular atrial fibrillation;
  • The patient has a CHA2DS2-VASc score of ≥ 2 in men and CHA2DS2-VASc score of ≥ 3 in women;
  • The patient is recommended for oral anticoagulation therapy, but there is an appropriate rationale for seeking a non-pharmacologic alternative to oral anticoagulation;
  • The patient is deemed suitable for LAA closure by the site investigator and a clinician not a part of the procedural team in the shared decision-making process, and this determination has been documented in the patient's medical record;
  • The patient is willing and able to comply with the required medication post-procedure and follow-up evaluations;
  • The patient (or his or her legally authorized representative) has been informed of the nature of the study, agrees to its provisions, and has been provided written informed consent approved by the appropriate Institutional Review Board (IRB) or Ethics Committee (EC).

Who cannot join

  • 1. Pregnant or nursing patients and those who plan pregnancy during the study period. Female patients of childbearing potential must have a negative pregnancy test (per site standard test) within 7 days prior to the index procedure;
  • Patients with atrial fibrillation that is defined by a single occurrence, or that is transient or reversible (e.g., secondary to CABG, an interventional procedure, pneumonia, or hyperthyroidism);
  • Patients who require long-term anticoagulation for a condition other than atrial fibrillation;
  • Bleeding diathesis or coagulopathy;
  • Patients with rheumatic mitral valve disease, known severe mitral stenosis requiring surgical or percutaneous valve replacement, or existing mechanical valve prosthesis;
  • Active infection with bacteremia;
Show all 25Show fewer
  • Known hypersensitivity or contraindication to aspirin, clopidogrel, heparin, any device material or component (nickel titanium, PET, polypropylene), and/or contrast sensitivity;
  • Prior atrial septal defect (ASD) or patient foramen ovale (PFO) surgical repair or implantation of closure device;
  • Left atrial appendage is obliterated and surgical ligated;
  • Underwent any cardiac or non-cardiac interventional or surgical procedure within 30 days prior to the procedure or planned to have the interventional or surgical procedure within 60 days after implant procedure (e.g., cardioversion, ablation, percutaneous coronary intervention, cataract surgery, etc.);
  • Recent (within 90 days prior to procedure) stroke, transient ischemic attack, or myocardial infarction;
  • New York Heart Association Class IV;
  • Patients with severe renal failure (estimated glomerular filtration rate<30 ml/min/1.73m2);
  • Known asymptomatic carotid artery disease with>70% diameter stenosis OR symptomatic carotid disease (>50% diameter stenosis with ipsilateral stroke or TIA). Subjects with prior carotid endarterectomy or carotid stent placement may be enrolled, provided that known diameter stenosis is <50%;
  • Life expectancy is less than 1 year;
  • Current participation in another investigational drug or device study.
  • Echocardiographic Exclusion Criteria:
  • Left atrial appendage anatomy cannot accommodate the LAmbre II LAA Occluder per manufacturer IFU;
  • LVEF <30%;
  • Intracardiac thrombus or dense spontaneous echo contrast, as visualized by TEE prior to implant;
  • Presence of a high-risk patent foramen ovale (PFO), defined as an atrial septal aneurysm (excursion >15 mm or length >15 mm) or large shunt (early, within 3 beats and/or substantial passage of 20 bubbles);
  • Existing circumferential pericardial effusion >5 mm;
  • Moderate or severe mitral valve stenosis (mitral valve area <1.5 cm2);
  • Complex atheroma with mobile plaque of the descending aorta and/or aortic arch;
  • Presence of a cardiac tumor

Trial locations and contacts

1 site in 1 country.

Hong Kong1 site
  • The Chinese University of Hong Kong

    Shatin

Other trials in Hong Kong

About this study

Official title: A First-in-Man (FIM) Study of the LAmbre™ II Left Atrial Appendage Occluder and Occluder Delivery System for Patients With Non-Valvular Atrial Fibrillation

Worldwide, atrial fibrillation (AF) is the most common cardiac arrhythmia in adults. The prevalence of AF gradually increases with age; its prevalence is 0.5% ~ 0.8% among 45 ~ 59 year-olds, 1.8% ~ 5.9% among 60 ~ 69 year-olds, and 6.7% ~17.9% among > 79 year-olds. Thromboembolic complications are the leading cause of death and disability in patients with AF, with ischemic stroke being the most common complication. AF significantly increases the risk of stroke by 3- to 5-fold due to thrombosis caused by abnormal atrial beat. The overall risk of ischemic stroke in patients with AF is 20% ~ 30%, and strokes due to atrial fibrillation account for 20% of all strokes.

In the current 2023 ACC/AHA/ACCP/HRS Guideline, percutaneous LAAC has been classified as a Class 2a indication for stroke prevention in patients with AF, a moderate to high risk of stroke, and a contraindication to long-term oral anticoagulation due to a nonreversible cause. However, the implantation procedure does have adverse effects which include serious pericardial effusion, procedure-related ischemic stroke, and device embolization. Due to the anatomical diversity of the LAA, certain patients are not candidates for this device.

Read more

The LAmbre™ Left Atrial Appendage Closure System, manufactured by Lifetech Scientific (Shenzhen) Co.Ltd., is the first generation of LAmbre LAAO device which is CE-marked and is current approved in Hong Kong Hospital Authority for regular clinical use. It consists of a LAA Occluder and a Delivery System and is a percutaneous transcatheter device intended to prevent thrombus embolization from the left atrial appendage in patients who have nonvalvular atrial fibrillation.

This self-expanding LAA Occluder consists of an umbrella and a cover connected by a central waist. Although the first generation of LAmbre LAAO device is associated with high implantation success rate of 99.7% and a relatively low major procedure-related complication rate of 2.9%, to better match the challenging anatomy of the LAA and to further improve procedural safety, the first generation of LAmbre LAAO device has been upgraded.

The LAmbre™ II Left Atrial Appendage Occluder, designed to prevent thrombus embolization and reduce the risk of bleeding events in patients with non-valvular atrial fibrillation, is being evaluated in a prospective, single-center, single-arm First In Man (FIM) study. The study, conducted at the Prince of Wales Hospital, Chinese University of Hong Kong, aims to assess the preliminary safety and feasibility of the device and its Occluder Delivery System in 10 subjects who are at increased risk for stroke and systemic embolism, either due to their anticoagulation therapy eligibility or contraindications.

The enrollment period is expected to take approximately 6 months and subjects will have follow-up before discharge and at 30 days, 3M, 6M, 12M months post-operation. The total study duration is expected to be approximately 19 months.

Being tested
LAmbre II Left Atrial Appendage Occluder
Keywords
non valvular atrial fibrillation, Left Atrial Appendage, Left Atrial Appendage Occluder, Left Atrial Appendage Occlusion, Stroke prevention

What participants receive

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

  • LAmbre II Left Atrial Appendage OccluderDevice

    The LAmbre™ II Left Atrial Appendage Occluder, designed to prevent thrombus embolization and reduce the risk of bleeding events in patients with non-valvular atrial fibrillation

Study groups in NCT07455539
Study groupRoleWhat they receive
InterventionExperimentalNot described
Receives: Device: LAmbre II Left Atrial Appendage Occluder

What is being measured

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

  1. LAA closure success rate

    complete LAA closure or peri-device residual leak ≤3 mm measured by TEE at 3 months post-procedure

    Measured: 3 months post-procedure

  2. Procedural complication rate

    Rate of complication rate peri-procedure

    Measured: peri-procedure

Secondary outcomes (68)
  1. Rate of death

    Rate of death at discharge

    Measured: Perioperative

  2. Rate of stroke

    Rate of stroke at discharge

    Measured: Perioperative

  3. Rate of stroke

    Rate of stroke at 30 days post-OP

    Measured: At 30 days post-OP

  4. Rate of stroke

    Rate of stroke at 6 months post-OP

    Measured: At 6 months post-OP

  5. Rate of stroke

    Rate of stroke at 12 months post-OP

    Measured: At 12 months post-OP

  6. Rate of systemic embolism

    Rate of systemic embolism at discharge

    Measured: Perioperative

  7. Rate of systemic embolism

    Rate of systemic embolism at 30 days post-OP

    Measured: At 30 days post-OP

  8. Rate of systemic embolism

    Rate of systemic embolism at 3 months post-OP

    Measured: At 3 months post-OP

  9. Rate of systemic embolism

    Rate of systemic embolism at 6 months post-OP

    Measured: At 6 months post-OP

  10. Rate of systemic embolism

    Rate of systemic embolism at 12 months post-OP

    Measured: At 12 months post-OP

  11. Rate of pericardial effusion with tamponade

    Rate of pericardial effusion with tamponade at discharge

    Measured: Perioperative

  12. Rate of pericardial effusion with tamponade

    Rate of pericardial effusion with tamponade at 30 days post-OP

    Measured: At 30 days post-OP

  13. Rate of pericardial effusion with tamponade

    Rate of pericardial effusion with tamponade at 3 months post-OP

    Measured: At 3 months post-OP

  14. Rate of pericardial effusion with tamponade

    Rate of pericardial effusion with tamponade at 6 months post-OP

    Measured: At 6 months post-OP

  15. Rate of pericardial effusion with tamponade

    Rate of pericardial effusion with tamponade at 12 months post-OP

    Measured: At 12 months post-OP

  16. Rate of pericardial effusion requiring drainage

    Rate of pericardial effusion requiring drainage at discharge

    Measured: Perioperative

  17. Rate of pericardial effusion requiring drainage

    Rate of pericardial effusion requiring drainage at 30 days post-OP

    Measured: At 30 days post-OP

  18. Rate of pericardial effusion requiring drainage

    Rate of pericardial effusion requiring drainage at 3 months post-OP

    Measured: At 3 months post-OP

  19. Rate of pericardial effusion requiring drainage

    Rate of pericardial effusion requiring drainage at 6 months post-OP

    Measured: At 6 months post-OP

  20. Rate of pericardial effusion requiring drainage

    Rate of pericardial effusion requiring drainage at 12 months post-OP

    Measured: At 12 months post-OP

  21. Rate of device embolization

    Rate of device embolization at discharge

    Measured: Perioperative

  22. Rate of device embolization

    Rate of device embolization at discharge at 30 days post-OP

    Measured: At 30 days post-OP

  23. Rate of device embolization

    Rate of device embolization at 3 months post-OP

    Measured: At 3 months post-OP

  24. Rate of death

    Rate of death at 30 days

    Measured: At 30 days

  25. Rate of death

    Rate of death at 3 months post-OP

    Measured: At 3 months post-OP

  26. Rate of death

    Rate of death at 6 months post-OP

    Measured: At 6 months post-OP

  27. Rate of death

    Rate of death at 12 months post-OP

    Measured: At 12 months post-OP

  28. Rate of device embolization

    Rate of device embolization at 6 months post-OP

    Measured: At 6 months post-OP

  29. Rate of device embolization

    Rate of device embolization at 12 months post-OP

    Measured: At 12 months post-OP

  30. Rate of major bleeding (BARC defined 3 to 5)

    Rate of major bleeding (BARC defined 3 to 5) at discharge

    Measured: Perioperative

  31. Rate of major bleeding (BARC defined 3 to 5)

    Rate of major bleeding (BARC defined 3 to 5) at 30 days post-OP

    Measured: At 30 days post-OP

  32. Rate of major bleeding (BARC defined 3 to 5)

    Rate of major bleeding (BARC defined 3 to 5) at 3 months post-OP

    Measured: At 3 months post-OP

  33. Rate of major bleeding (BARC defined 3 to 5)

    Rate of major bleeding (BARC defined 3 to 5) at 6 months post-OP

    Measured: At 6 months post-OP

  34. Rate of major bleeding (BARC defined 3 to 5)

    Rate of major bleeding (BARC defined 3 to 5) at 12 months post-OP

    Measured: At 12 months post-OP

  35. Closure success assessed by TEE or cardiac computed tomography

    Closure success assessed by TEE or cardiac computed tomography at 30 days post-procedure

    Measured: At 30 days post-procedure

  36. Closure success assessed by TEE or cardiac computed tomography

    Closure success assessed by TEE or cardiac computed tomography at 6 months post-procedure

    Measured: At 6 months post-procedure

  37. Closure success assessed by TEE or cardiac computed tomography

    Closure success assessed by TEE or cardiac computed tomography at 12 months post-procedure

    Measured: At 12 months post-procedure

  38. Rate of minor bleeding (BARC type 2)

    Rate of minor bleeding (BARC type 2) at discharge

    Measured: At discharge, 30 days and 3, 6, 12 months post-procedure

  39. Rate of minor bleeding (BARC type 2)

    Rate of minor bleeding (BARC type 2) at 30 days post-procedure

    Measured: At 30 days post-procedure

  40. Rate of minor bleeding (BARC type 2)

    Rate of minor bleeding (BARC type 2) at 3 months post-procedure

    Measured: At 3 months post-procedure

  41. Rate of minor bleeding (BARC type 2)

    Rate of minor bleeding (BARC type 2) at 6 months post-procedure

    Measured: At 6 months post-procedure

  42. Rate of minor bleeding (BARC type 2)

    Rate of minor bleeding (BARC type 2) at 12 months post-procedure

    Measured: At 12 months post-procedure

  43. Rate of cardiovascular death

    Rate of cardiovascular death at discharge

    Measured: Perioperative

  44. Rate of cardiovascular death

    Rate of cardiovascular death at 30 days post-procedure.

    Measured: At 30 days post-procedure

  45. Rate of cardiovascular death

    Rate of cardiovascular death at 3 months post-procedure.

    Measured: At 3 months post-procedure

  46. Rate of cardiovascular death

    Rate of cardiovascular death at 6 months post-procedure.

    Measured: At 6 months post-procedure

  47. Rate of cardiovascular death

    Rate of cardiovascular death at 12 months post-procedure.

    Measured: At 12 months post-procedure

  48. Rate of ischemic stroke

    Rate of ischemic stroke at discharge

    Measured: Perioperative

  49. Rate of ischemic stroke

    Rate of ischemic stroke at 30 days post-procedure

    Measured: At 30 days post-procedure

  50. Rate of ischemic stroke

    Rate of ischemic stroke at 3 months post-procedure

    Measured: At 3 months post-procedure

  51. Rate of ischemic stroke

    Rate of ischemic stroke at 6 months post-procedure

    Measured: At 6 months post-procedure

  52. Rate of ischemic stroke

    Rate of ischemic stroke at 12 months post-procedure

    Measured: At 12 months post-procedure

  53. Rate of hemorrhagic stroke

    Rate of hemorrhagic stroke at discharge

    Measured: Perioperative

  54. Rate of hemorrhagic stroke

    Rate of hemorrhagic stroke at 30 days post-procedure

    Measured: At 30 days post-procedure

  55. Rate of hemorrhagic stroke

    Rate of hemorrhagic stroke at 3 months post-procedure

    Measured: At 3 months post-procedure

  56. Rate of hemorrhagic stroke

    Rate of hemorrhagic stroke at 6 months post-procedure

    Measured: At 6 months post-procedure

  57. Rate of hemorrhagic stroke

    Rate of hemorrhagic stroke at 12 months post-procedure

    Measured: At 12 months post-procedure

  58. Rate of systemic embolization

    Rate of systemic embolization at discharge

    Measured: Perioperative

  59. Rate of systemic embolization

    Rate of systemic embolization at 30 days post-procedure

    Measured: At 30 days post-procedure

  60. Rate of systemic embolization

    Rate of systemic embolization at 3 months post-procedure

    Measured: At 3 months post-procedure

  61. Rate of systemic embolization

    Rate of systemic embolization at 6 months post-procedure

    Measured: At 6 months post-procedure

  62. Rate of systemic embolization

    Rate of systemic embolization at 12 months post-procedure

    Measured: At 12 months post-procedure

  63. Procedural Technical success rate

    Procedural Technical success rate, defined as successful delivery and release of study device with acceptable device position and stability, and closure success;

    Measured: During procedure

  64. Procedural success rate

    Procedural success rate, defined as technical success without major peri-procedural complications

    Measured: Peri-procedure

  65. Rate of Device-related thrombosis

    Rate of Device-related thrombosis, defined as the detection of thrombus adherent to the left atrial side of the device by TEE or cardiac computed tomography at 30 days post-procedure

    Measured: At 30 days post-procedure

  66. Rate of Device-related thrombosis

    Rate of Device-related thrombosis, defined as the detection of thrombus adherent to the left atrial side of the device by TEE or cardiac computed tomography at 3 months post-procedure

    Measured: At 3 months post-procedure

  67. Rate of Device-related thrombosis

    Rate of Device-related thrombosis, defined as the detection of thrombus adherent to the left atrial side of the device by TEE or cardiac computed tomography at 6 months post-procedure

    Measured: At 6 months post-procedure

  68. Rate of Device-related thrombosis

    Rate of Device-related thrombosis, defined as the detection of thrombus adherent to the left atrial side of the device by TEE or cardiac computed tomography at 12 months post-procedure

    Measured: At 12 months post-procedure

Timeline

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

  1. First posted6 Mar 2026
  2. Study start5 Mar 2026
  3. Primary completion1 Nov 2027 (estimated)
  4. Study completion1 May 2028 (estimated)

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
10 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT07455539
Sponsor's protocol ID
2025.451
Acronym
LAmbre2
Status last verified
Sep 2026
First submitted
25 Feb 2026
Last updated
18 Sep 2026
Results posted
No
Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
No

Questions about this trial

What is this clinical trial studying?

A study testing LAmbre II Left Atrial Appendage Occluder in people with Non Valvular Atrial Fibrillation, run by Prince of Wales Hospital, Shatin, Hong Kong at 1 site in Hong Kong.

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 25 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: under way, not looking for participants, as of the sponsor's last update on 18 Sep 2026. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 1 site in Hong Kong. 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?

This study is still under way. Results are not available in the source record yet.

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?

LAA closure success rate (time frame: 3 months post-procedure). The study lists 2 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 18 Sep 2026.

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