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TerminatedNCT01845974APESUpdated Oct 3, 2024Results posted

Atrial Pressure Electrophysiology Pilot Study

An interventional study of ThermoCool® SF NAV Catheter and ThermoCool® catheter in Atrial Fibrillation, sponsored by Wake Forest University Health Sciences. Terminated at 1 site in United States. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2024-10-03.

Sponsored by Wake Forest University Health Sciences · Not applicable, Interventional, and Other

Why this study was terminated
Interim evaluation of data after internal safety report from sponsor.
Phase
Not applicable
Study type
Interventional
Enrollment
13
Allocation
Randomized
Ages
18 Years and older
Sex
All
01

Study summary

This study examined data elements of hemodynamic, electrophysiologic and electrolyte trends comparing 2 different types of catheters used during a procedure to treat medication resistant atrial fibrillation-radiofrequency catheter ablation. A high flow catheter delivers a high volume of saline during the procedure. The low flow catheter delivers a low volume of saline during the procedure. The patient will be consented and randomized to one of the 2 groups using a computer generated randomization chart. Those that are put in the low flow catheter group will be considered the experimental group. All data will be collected before and after the procedure and each patient will act as their own control within each group.

Read the detailed description

Final report

02

Conditions studied

  • Atrial Fibrillation

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Keywords

  • Radiofrequency Catheter Ablation
  • Atrial Fibrillation
03

In context

Atrial Fibrillation

3,869 studies on the registry are indexed under Atrial Fibrillation; 923 are open to participants now.

This study's enrollment of 13 is below the median of 144 across 2,380 interventional studies indexed under Atrial Fibrillation.

Browse Atrial Fibrillation studies →

Lead sponsor

Wake Forest University Health Sciences is the lead sponsor of 1,320 studies on the registry; 199 are open to participants now.

Of its 323 completed or terminated interventional studies of FDA-regulated products, 243 (75%) have results posted.

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

04

Who can participate

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

Inclusion criteria

  • Drug resistant paroxysmal AF
  • ≥ 18 years old

Exclusion criteria

Exclusion Criteria:

  • Left atrial thrombus on TEE
  • Patients unable to provide informed consent
05

Study design

Phase
Not applicable
Primary purpose
Other
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Single (Participant)
Enrollment
13 participants (actual)

Study arms

  • Experimental
    Low Flow Catheter

    The experimental group will receive the low flow catheter (ThermoCool® SF NAV Catheter) All data will be collected pre and post procedure therefore patients will act as their own control within each therapeutic group.

    Device: ThermoCool® SF NAV Catheter

  • Active comparator
    High Flow Catheter

    The control group will receive the higher flow catheter (ThermoCool® catheter). All data will be collected pre and post procedure therefore patients will act as their own control within each therapeutic group.

    Device: ThermoCool® catheter

Interventions

  • DeviceThermoCool® SF NAV Catheter

    The experimental group will receive the low flow catheter (ThermoCool® SF NAV Catheter) All data will be collected pre and post procedure therefore patients will act as their own control within each therapeutic group.

  • DeviceThermoCool® catheter

    The control group will receive the higher flow catheter (ThermoCool® catheter). All data will be collected pre and post procedure therefore patients will act as their own control within each therapeutic group.

06

What researchers measure

Primary outcomes

  1. Number of Participants With Hemodynamic, Electrolyte, and Electrophysiologic Derangements

    The objective of this pilot study is to investigate the use of a lower flow catheter (ThermoCool® SF NAV Catheter, Biosense Webster, Inc. Diamond Bar, CA, eluting 8-15ml/minute during RF lesion delivery) vs. a higher flow catheter (ThermoCool® catheter, same manufacturer, eluting 17-30 ml/minute), Outcomes are measured by number of Participants with Hemodynamic, Electrolyte, and Electrophysiologic Derangements, is reported. This was measured as participants requiring electrolyte replacement, if the BP dropped below 100 mm in CICU or if participants sustained atrial tachyarrhythmias

    Time frame: Observation period is up to the 24 hours post procedure

07

Results

Posted Feb 7, 2018
Limitations and caveats
early termination due to safety memo issued by sponsor

Participant flow

all patients scheduled for atrial fibrillation ablation referred to study coordinator. Non qualifying reasons include: Clot on TEE;Persistant AFib despite previous treatments;Combo treatment needed for both atrial fibrillation and flutter; Declined participation:Afib the morning of procedure;ICD;Rhythm other than Sinus Rhythm

Participant flow — Overall Study
MilestoneLow Flow CatheterHigh Flow Catheter
Started49
Completed39
Not completed10
Withdrew: Screen failure10

Outcome measures

PrimaryNumber of Participants With Hemodynamic, Electrolyte, and Electrophysiologic Derangements

The objective of this pilot study is to investigate the use of a lower flow catheter (ThermoCool® SF NAV Catheter, Biosense Webster, Inc. Diamond Bar, CA, eluting 8-15ml/minute during RF lesion delivery) vs. a higher flow catheter (ThermoCool® catheter, same manufacturer, eluting 17-30 ml/minute), Outcomes are measured by number of Participants with Hemodynamic, Electrolyte, and Electrophysiologic Derangements, is reported. This was measured as participants requiring electrolyte replacement, if the BP dropped below 100 mm in CICU or if participants sustained atrial tachyarrhythmias

Time frame:
Observation period is up to the 24 hours post procedure
Reported as:
Count of participants · Participants
Number of Participants With Hemodynamic, Electrolyte, and Electrophysiologic Derangements
ParticipantsLow Flow CatheterHigh Flow Catheter
Required electrolyte replacement26
patients withSystolic BP < 100 mm in CIC15
sustained atrial tachyarrhythmias01

Adverse events

Collected over 24 hours post procedure. Non-serious events are listed at a 0% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
Low Flow Catheter0/4 (0%)0/4 (0%)0/4 (0%)
High Flow Catheter0/9 (0%)0/9 (0%)0/9 (0%)

Baseline characteristics

Age, Continuous
Age, Continuous(years)Low Flow CatheterHigh Flow CatheterTotal
Mean61 ± 16.561.3 ± 961.23 ± 11.08
Sex: Female, Male
Sex: Female, Male(Participants)Low Flow CatheterHigh Flow CatheterTotal
Female235
Male268
Region of Enrollment
Region of Enrollment(Participants)Low Flow CatheterHigh Flow CatheterTotal
United States4913
Comorbidities
Comorbidities(Participants)Low Flow CatheterHigh Flow CatheterTotal
Hypertension257
Heart Failure202
Diabetes123
Obstructive sleep apnea314
Coronary artery disease224
Tobacco history
Tobacco history(Participants)Low Flow CatheterHigh Flow CatheterTotal
Count of participants055
Previous therapies
Previous therapies(Participants)Low Flow CatheterHigh Flow CatheterTotal
statin246
angiotensin 2 receptor blockers123
angiotensin converting enzymes033
beta blockers279
digoxin022
spiranolactone000
diuretic101
CHADsVasc 2 score= 2+
CHADsVasc 2 score= 2+(Participants)Low Flow CatheterHigh Flow CatheterTotal
Count of participants3912
prior cardiac surgery
prior cardiac surgery(Participants)Low Flow CatheterHigh Flow CatheterTotal
pacemaker011
coronary artery bypass grafting011
surgical maze000
right atrial flutter ablation022
prior catheter Radiofrequency ablation for Afib123

1 further baseline measures are reported on the registry.

08

Study locations

1 site
  • Advocate Lutheran General Hospital
    Park Ridge, Illinois 60068, United States
09

References and documents

Publications

  • Kiraly LN, Differding JA, Enomoto TM, Sawai RS, Muller PJ, Diggs B, Tieu BH, Englehart MS, Underwood S, Wiesberg TT, Schreiber MA. Resuscitation with normal saline (NS) vs. lactated ringers (LR) modulates hypercoagulability and leads to increased blood loss in an uncontrolled hemorrhagic shock swine model. J Trauma. 2006 Jul;61(1):57-64; discussion 64-5. doi: 10.1097/01.ta.0000220373.29743.69. PubMed 16832250 ↗
  • Antoniou A, Milonas D, Kanakakis J, Rokas S, Sideris DA. Contraction-excitation feedback in human atrial fibrillation. Clin Cardiol. 1997 May;20(5):473-6. doi: 10.1002/clc.4960200514. PubMed 9134280 ↗
  • Ninio DM, Saint DA. Passive pericardial constraint protects against stretch-induced vulnerability to atrial fibrillation in rabbits. Am J Physiol Heart Circ Physiol. 2006 Nov;291(5):H2547-9. doi: 10.1152/ajpheart.01248.2005. Epub 2006 Jun 23. PubMed 16798819 ↗
  • Satoh T, Zipes DP. Unequal atrial stretch in dogs increases dispersion of refractoriness conducive to developing atrial fibrillation. J Cardiovasc Electrophysiol. 1996 Sep;7(9):833-42. doi: 10.1111/j.1540-8167.1996.tb00596.x. PubMed 8884512 ↗
  • Gupta A, Lawrence AT, Krishnan K, Kavinsky CJ, Trohman RG. Current concepts in the mechanisms and management of drug-induced QT prolongation and torsade de pointes. Am Heart J. 2007 Jun;153(6):891-9. doi: 10.1016/j.ahj.2007.01.040. PubMed 17540188 ↗

Individual participant data

Plan to share: No

10

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Oct 3, 2024, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
11

Registry details

Key details

Study ID
NCT01845974
Lead sponsor
Wake Forest University Health Sciences
Collaborators
Biosense Webster, Inc.
Responsible party
Sponsor
First posted
May 3, 2013
Start date
May 2013
Primary completion
Dec 2016
Completion
Dec 2016
Results posted
Feb 7, 2018
Last update
Oct 3, 2024

Study contacts

Scott Miller, MD
principal investigator · Advocate Lutheran General Hospital

Oversight

Data monitoring committee
Yes
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is terminated, as verified in Jan 2018. You cannot join it, but the record below documents what was studied.

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