ClinicalTrials.gg
RecruitingNCT04559243Updated Dec 19, 2022

Left Atrial Appendage Closure as Secondary Prevention of Atrial Fibrillation-related Embolic Events

An observational study in Non-valvular Atrial Fibrillation and Embolic Stroke, sponsored by Lifetech Scientific (Shenzhen) Co., Ltd.. Recruiting at 5 sites in China. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2022-12-19.

Sponsored by Lifetech Scientific (Shenzhen) Co., Ltd. (part of LifeTech Scientific Corporation) · Observational

From the registry’s dates

  • Primary completion was expected by Nov 2025, 1 year ago, but the record still lists the study as recruiting.
  • Started Nov 2020; still recruiting 6 years later.
Study type
Observational
Model
Ecologic or community
Time perspective
Prospective
Enrollment
579
Ages
18 Years and older
Sex
All
01

Study summary

This clinical study is a prospective, multi-center, non-interventional study designed to investigate the safety and effectiveness of percutaneous LAA appendage closure by using LAmbre™ Left Atrial Appendage Occluder System. 579 patients with valvular AF complicated with previous AF-related embolic events (including ischemic stroke, TIA and systemic embolism) were enrolled at about 20 study sites nationwide. The baseline data, operation process and relevant follow-up information of subjects were recorded at 7 months after operation or before discharge and at 1, 3, 6, 12 and 24 months after operation.

Read the detailed description

Study Population Patients with non-valvular atrial fibrillation and previous AF-related embolic events Purpose To assess the feasibility and safety of percutaneous LAA closure as secondary prevention for patients with non-valvular atrial fibrillation (NVAF) and previous atrial fibrillation (AF) related embolic events (including ischemic stroke, transient ischemic attack (TIA), and systemic embolism).

02

Conditions studied

  • Non-valvular Atrial Fibrillation
  • Embolic Stroke

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Keywords

  • AF-related embolic events
  • non-valvular atrial fibrillation
  • Left Atrial Appendage Closure
03

In context

Embolic Stroke

40 studies on the registry are indexed under Embolic Stroke; 11 are open to participants now.

This study's planned enrollment of 579 is above the median of 364 across 27 observational studies indexed under Embolic Stroke.

Browse Embolic Stroke studies →

Lead sponsor

Lifetech Scientific (Shenzhen) Co., Ltd. is the lead sponsor of 44 studies on the registry; 17 are open to participants now.

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
Sampling method
Non-probability sample

Study population

Patients with non-valvular atrial fibrillation and previous AF-related embolic events

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • Age ≥ 18 years, male or female;
  • Patients who are able to understand the purpose of the study, voluntarily participate in and sign the form (ICF), and are willing to complete the follow-up as required by the protocol;
  • Indications for left atrial appendage closure;
  • Patients with non-valvular AF complicated with previous AF related embolic event and meeting one of the following conditions;

    1. HAS-BLED bleeding risk score ≥ 3 points;
    2. Not suitable for long-term oral anticoagulant therapy;
    3. Poor compliance with oral anticoagulants;
    4. CHA2DS2-VASc score ≧ 2 points;

Exclusion criteria

Exclusion Criteria:

  • Valvular AF (after moderate to severe mitral stenosis or mechanical valve replacement)
  • Initial AF, reversible AF with clear cause
  • Presence of adherent thrombus in the left atrium or left ventricular aneurysm thrombus
  • ST elevation myocardial infarction, ≤ 3 months
  • Grade-IV of Cardiac Function ()
  • Allergy or to metal nitinol, aspirin, clopidogrel, heparin, and other anticoagulants
  • Pregnant or with plan of pregnancy during the study
  • Participation in another drug or medical device clinical trial or study that has not been completed
  • Experience new stroke or TI within 30 days or major bleeding events within 14 days
  • Contraindication to LAA closure or deemed unsuitable for study participation by the investigator
  • Had a definite thromboembolic event
Terms in these criteria, in plain language(3)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

Informed consent

Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.

You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.

NYHA class (heart failure)

The New York Heart Association’s four classes of how much heart failure limits physical activity.

I
No limits: ordinary activity causes no undue tiredness or breathlessness.
II
Slight limits: comfortable at rest, ordinary activity causes symptoms.
III
Marked limits: comfortable at rest, less than ordinary activity causes symptoms.
IV
Symptoms even at rest; any activity makes them worse.

Studies set their own limit — many outside heart failure leave out class III–IV, while heart failure studies may ask for a particular class. Check the class this study names.

Contraindication

A reason a treatment, test or procedure should not be given to a particular person, such as an allergy, another illness or a medicine they take.

05

Study design

Observational model
Ecologic or community
Time perspective
Prospective
Enrollment
579 participants (estimated)
Patient registry
No

Interventions

  • Diagnostic testTransthoracic Echocardiography

    After the surgey, the tests data will be collected during 8 visits when the subjects go back to the hospital.

    Also known as: Transesophageal Echocardiography

06

What researchers measure

Primary outcomes

  1. Incidence of new ischemic stroke, systemic embolism, and cardiac death 12 months after operation

    Ischemic stroke, systemic embolism, and cardiac death events

    Time frame: 12 months

  2. Incidence of major bleeding events (intracranial or gastrointestinal, or any bleeding requiring transfusion of ≥ 2 units of red blood cells) at 12 months after operation

    Bleeding events

    Time frame: 12 months

Secondary outcomes

  1. Surgical success rate

    Surgical success

    Time frame: 24 months

  2. Success rate of LAA closure at 3 months after operation

    Successful LAA closure was defined as a residual shunt ≤ 3 mm by TEE or ICE after implantation of the LAA occluder.

    Time frame: 3 months

  3. The composite endpoint of new ischemic stroke, systemic embolism and cardiac death at 7 months after operation or before discharge and at 1, 3, 6 and 24 months after operation

    Ischemic stroke, systemic embolism, and cardiac death events

    Time frame: 24 months

  4. (4)Perioperative (7 days after operation or before discharge) surgery-related complications

    7 days after operation or pre-discharge procedure-related complications include but are not limited to stroke (ischemic and hemorrhagic stroke), systemic embolism, allergic reaction, gas embolism, pericardial effusion/cardiac tamponade requiring intervention, occluder detachment, occluder thrombosis (DRT), minor bleeding events (including but not limited to puncture site hematoma, non-major bleeding events), infection, arrhythmia, damage to blood vessels or organs on the implantation path and adjacent organs

    Time frame: 7 days

  5. Procedure-related complications during follow-up

    Follow-up at 1, 3, 6, 12 and 24 months after operation for procedure-related complications, including all-cause death, stroke (ischemic and hemorrhagic stroke), cardiac perforation, pericardial effusion/cardiac tamponade requiring intervention, major bleeding events (intracranial or gastrointestinal, or any bleeding requiring transfusion of ≥ 2 units of red blood cells), occluder thrombosis (DRT), infection, systemic embolism, allergic reaction, arrhythmia, and other serious cardiovascular events requiring intervention or surgical treatment

    Time frame: 24 months

  6. Occluder defects during operation and in the 3rd month after operation

    Including but not limited: Occluder displacement, Occluder detachment, Occluder breakage, Occluder damage, etc

    Time frame: 3 months

  7. Incidence rate of severe adverse events within 24 months after operation

    including but not limited to all-cause death, events requiring hospitalization or prolongation of hospitalization, severe endocarditis requiring surgery, pericarditis, cardiac perforation, valvular injury, vascular or gas embolism events, occluder detachment/displacement, occluder fracture, occluder thrombosis (DRT), stroke events

    Time frame: 24 months

07

Study locations

5 of 5 sites recruiting
  • Qilu Hospital of Shandong University
    Jinan, Shandong 250000, China
    Recruiting
    • Zhong Jingquan, Doctor · Contact18560086597@163.com · 18560086597
    • Zhong Jingquan, Doctor · Principal investigator
  • Shanghai Songjiang District Central Hospital
    Shanghai, Shanghai 200000, China
    Recruiting
    • Zhao Wenbiao, Doctor · Contact18918288026
    • Zhao Wenbiao, Doctor · Principal investigator
  • Sichuan Mianyang 404 Hospital
    Mianyang, Sichuan 621000, China
    Recruiting
    • Zhang Dayong, Doctor · Contact504082447@qq.com · 13890135264
    • Zhang Dayong, Doctor · Principal investigator
  • The first Affiliated Hospital of WMU
    Wenzhou, Zhejiang 325600, China
    Recruiting
    • Huang Weijian, Doctor · Contactweijianhuang69@126.com · 13806691086
    • Huang Weijian, Doctor · Principal investigator
  • The Second Affiliated Hospital and Yuying Children's Hospital of WMU
    Wenzhou, Zhejiang 325600, China
    Recruiting
    • Li Yuechun, Doctor · Contactliyuechun1980@sina.com · 13616776960
    • Li Yuechun, Doctor · Principal investigator
08

References and documents

Individual participant data

Plan to share: Undecided

No publications or documents are linked to this record.

09

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reached

Started Nov 2020 (actual). Primary completion is estimated for Nov 2025, 60 months after the start.

How these figures are worked out, and which studies are left out of them.

Registered
Sep 14, 2020
First posted
Sep 22, 2020
StartActual
Nov 12, 2020
Primary completionEst.
Nov 2025
CompletionEst.
Nov 2027
Last update
Dec 19, 2022
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on Dec 19, 2022, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT04559243
Responsible party
Sponsor
First posted
Sep 22, 2020
Start date
Nov 12, 2020
Primary completion
Nov 2025 (estimated)
Completion
Nov 2027 (estimated)
Last update
Dec 19, 2022

Study contacts

Chenyang Jiang, Doctor
Contact
panshangming@lifetechmed.com
8613857190051
Chenyang Jiang, Doctor
principal investigator · Sir Run Run Shaw Hospital
Jinhua Zhang, Doctor
principal investigator · Sir Run Run Shaw Hospital

Oversight

FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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