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CompletedNCT00318565Updated Mar 5, 2012Results posted

Catheter Evaluation for Endocardial Ablation in Patients With Typical Atrial Flutter

A Phase 4 interventional study of RF energy delivery for treatment of Typical Atrial flutter in Atrial Flutter, sponsored by Biosense Webster, Inc.. Completed at 23 sites in United States. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2012-03-05.

Sponsored by Biosense Webster, Inc. · Phase 4, Interventional, and Treatment

Phase
Phase 4
Study type
Interventional
Enrollment
291
Allocation
Non-randomized
Ages
18 Years and older
Sex
All
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Study summary

The primary objective is to provide additional corroborative safety and efficacy data for the Navistar Thermocool catheter for the treatment of subjects with typical atrial flutter (AFL).

Read the detailed description

This study is a prospective, non-randomized, single-arm, multi-center condition of approval evaluation. The device is currently FDA approved for commercial distribution. Subjects with symptomatic typical atrial flutter will be considered for the condition of approval study. This study will be conducted at up to 30 centers in a minimum of 221 evaluable subjects.

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Conditions studied

  • Atrial Flutter

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Keywords

  • Heart Disease
  • Atrial Flutter
  • Typical Atrial Flutter
03

In context

Atrial Flutter

213 studies on the registry are indexed under Atrial Flutter; 50 are open to participants now.

This study's enrollment of 291 is above the median of 134 across 145 interventional studies indexed under Atrial Flutter.

Browse Atrial Flutter studies →

Lead sponsor

Biosense Webster, Inc. is the lead sponsor of 65 studies on the registry; 10 are open to participants now.

Of its 26 completed or terminated interventional studies of FDA-regulated products, 24 (92%) have results posted.

Counted across the registry records on this site, refreshed daily.

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Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

  • Two symptomatic episodes of typical atrial flutter (or chronic atrial flutter) during the one-year period prior to enrollment. This may include typical AFL occurring while receiving anti-arrhythmic drug (AAD) therapy for non-AFL tachyarrhythmia, including atrial fibrillation.
  • At least one episode of typical (clockwise or counterclockwise) atrial flutter documented by 12 lead electrocardiogram (ECG), Holter monitor, transtelephonic event monitor, telemetry strip, or implanted device within 6 months prior to enrollment.
  • 18 years of age or older
  • Informed consent

Exclusion criteria

Exclusion Criteria:

  • Intracardiac thrombus
  • Uncontrolled heart failure, or New York Heart Association (NYHA) class III or IV heart failure
  • Women who are pregnant
  • Cardiac surgery (ventriculotomy or atriotomy) within the past two months
  • Intra-atrial thrombus, tumor, or other abnormality that precludes catheter introduction and placement
  • Unstable angina or acute myocardial infarction within 3 months
  • Awaiting cardiac transplantation
  • Heart disease in which corrective surgery is anticipated within 6 months
  • Presence of condition that precludes appropriate vascular access
  • Enrolled in any investigational device exemption (IDE) investigating study for a device or drug
  • High risk for non-compliance with the protocol (e.g., inaccessible for follow-up by the investigator or patient's physician)
  • Radio frequency (RF) ablation for typical atrial flutter within the past 2 months
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Study design

Phase
Phase 4
Primary purpose
Treatment
Allocation
Non-randomized
Intervention model
Single group
Masking
None (open label)
Enrollment
291 participants (actual)

Study arms

  • Experimental
    Navistar ThermoCool Catheter

    Device: RF energy delivery for treatment of Typical Atrial flutter

Interventions

  • DeviceRF energy delivery for treatment of Typical Atrial flutter

    Navistar ThermoCool catheter

    Also known as: Therapeutic Catheters

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What researchers measure

Primary outcomes

  1. Percentage of Subjects With Complete Bidirectional Conduction Block.

    Acute success is defined as the confirmation of complete bidirectional conduction block across the subeustachian (cavo-tricuspid) isthmus. The percentage of subjects with confirmed conduction block will serve as the outcome measure.

    Time frame: During the procedure

  2. Percentage of Subjects Experiencing Cardiovascular Specific Adverse Events (CSAE) Within Seven (7) Days of the Ablation Procedure.

    The cardiovascular specific adverse event (CSAE) rate is the primary safety enpoint for the study. A CSAE is an event which occurs within the first week (7 days) following use of the device and is one of the following cardiac specific adverse events: cardiac perforation, pericardial effusion, pulmonary embolus, complete heart block, stroke, acute myocardial infarction, and death.

    Time frame: 7 Days

07

Results

Posted Mar 2, 2010

Participant flow

First subject enrollment on June 7, 2006 Last subject enrolled August 14, 2007. Enrollment rate was 20.5 subjects per month across 21 hospitals

Participant flow — Overall Study
MilestoneAblation Group
Started291
Completed267
Not completed24
Withdrew: Excluded per protocol24

Outcome measures

PrimaryPercentage of Subjects With Complete Bidirectional Conduction Block.

Acute success is defined as the confirmation of complete bidirectional conduction block across the subeustachian (cavo-tricuspid) isthmus. The percentage of subjects with confirmed conduction block will serve as the outcome measure.

Time frame:
During the procedure
Reported as:
Mean · percentage of participants
Percentage of Subjects With Complete Bidirectional Conduction Block.
percentage of participantsAblation Group
Percentage of Subjects With Complete Bidirectional Conduction Block.93.3 (90.1 to 100)
Statistical analysis
  • Ablation Group · Exact binomial distribution · p = .05 · Binomial distribution: 93.3
PrimaryPercentage of Subjects Experiencing Cardiovascular Specific Adverse Events (CSAE) Within Seven (7) Days of the Ablation Procedure.

The cardiovascular specific adverse event (CSAE) rate is the primary safety enpoint for the study. A CSAE is an event which occurs within the first week (7 days) following use of the device and is one of the following cardiac specific adverse events: cardiac perforation, pericardial effusion, pulmonary embolus, complete heart block, stroke, acute myocardial infarction, and death.

Time frame:
7 Days
Reported as:
Mean · percentage of participants
Percentage of Subjects Experiencing Cardiovascular Specific Adverse Events (CSAE) Within Seven (7) Days of the Ablation Procedure.
percentage of participantsAblation Group
Percentage of Subjects Experiencing Cardiovascular Specific Adverse Events (CSAE) Within Seven (7) Days of the Ablation Procedure.1.5 (0 to 3.4)
Statistical analysis
  • Ablation Group · Exact Binomial Distribution · p = .05 · Binomial distribution: 1.5

Adverse events

Non-serious events are listed at a 0% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
Ablation Group—4/267 (1.5%)73/267 (27.3%)
Most frequent serious events
Most frequent serious events
EventAblation Group
Complete Heart BlockCardiac disorders2/267
Pulmonary EmbolusRespiratory, thoracic and mediastinal disorders1/267
Acute myocardial infarctionCardiac disorders1/267
Most frequent other events
Most frequent other events
EventAblation Group
Adverse Events Greater than 7 Days- Unrelated to Device or ProcedureGeneral disorders28/267
Adverse Events within 7 Days- Unrelated to Device or ProcedureGeneral disorders24/267
Adverse Events within 7 Days- Procedure RelatedGeneral disorders18/267
Adverse Events within 7 Days- Possibly Procedure RelatedGeneral disorders12/267
Adverse Events Greater than 7 Days- Procedure RelatedGeneral disorders2/267
Adverse Events within 7 Days- Device RelatedGeneral disorders1/267
Adverse Events within 7 Days- Possibly Device RelatedGeneral disorders0/267
Adverse Events Greater than 7 Days- Device RelatedGeneral disorders0/267
Adverse Events Greater than 7 Days- Possibly Device RelatedGeneral disorders0/267
Adverse Events Greater than 7 Days- Possibly Procedure RelatedGeneral disorders0/267

Baseline characteristics

Age, Categorical
Age, Categorical(Participants)Ablation Group
<=18 years0
Between 18 and 65 years136
>=65 years155
Age Continuous
Age Continuous(years)Ablation Group
Mean65.2 ± 12.1
Sex: Female, Male
Sex: Female, Male(Participants)Ablation Group
Female48
Male243
Region of Enrollment
Region of Enrollment(participants)Ablation Group
United States291
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Study locations

23 sites
  • University of Alabama, Birmingham
    Birmingham, Alabama 35294, United States
  • Arizona Arrhythmia Consultants
    Scottsdale, Arizona 85251, United States
  • Good Samaritan Hospital
    Los Angeles, California 90017, United States
  • Pacific Heart Institute
    Santa Monica, California 90404, United States
  • University of Florida
    Gainsville, Florida 32611, United States
  • Memorial Regional Hospital
    Hollywood, Florida 33031, United States
  • Florida Hospital
    Orlando, Florida 32803, United States
  • University of Chicago
    Chicago, Illinois 60637, United States
  • The Care Group LLC, St. Vincent Hospital and Health Care Center, Inc.
    Indianapolis, Indiana 46060, United States
  • Central Baptist Hospital
    Lexington, Kentucky 40503, United States
  • Maine Medical Center
    Portland, Maine 04102, United States
  • University of Maryland
    Baltimore, Maryland 21201, United States
  • Massachusetts General Hospital
    Boston, Massachusetts 02114, United States
  • St. John Hospital and Medical Center
    Detroit, Michigan 48236, United States
  • Park Nicollet Institute
    Minneapolis, Minnesota 55416, United States
  • Duke University Medical Center
    Durham, North Carolina 27710, United States
  • University of Oklahoma, Health Sciences Center
    Oklahoma City, Oklahoma 73104, United States
  • University of Pennsylvania
    Philadelphia, Pennsylvania 19104, United States
  • Medical University of South Carolina
    Charleston, South Carolina 29425, United States
  • Texas Heart Institute
    Houston, Texas 77030, United States
  • University of Vermont, College of Medicine
    Burlington, Vermont 05401, United States
  • INOVA Research Center
    Falls Church, Virginia 22042, United States
  • Virginia Commonwealth University
    Richmond, Virginia 23219, United States
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Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Mar 5, 2012, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT00318565
Lead sponsor
Biosense Webster, Inc.
Responsible party
Sponsor
First posted
Apr 27, 2006
Start date
Jan 2006
Primary completion
Sep 2007
Completion
Feb 2008
Results posted
Mar 2, 2010
Last update
Mar 5, 2012

Study contacts

Warren Jackman, M.D.
principal investigator · University of Oklahoma

Oversight

Data monitoring committee
No
View the source record on ClinicalTrials.gov ↗

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