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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. · Observational

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

Keywords

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

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

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 informed consent 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 (NYHA)
  • Allergy or contraindication 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
04

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

05

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

06

Study locations

5 of 5 sites recruiting
  • Qilu Hospital of Shandong University
    Jinan, Shandong 250000, China
    • Zhong Jingquan, Doctor · Contact · 18560086597@163.com · 18560086597
    • Zhong Jingquan, Doctor · Principal investigator
    Recruiting
  • Shanghai Songjiang District Central Hospital
    Shanghai, Shanghai 200000, China
    • Zhao Wenbiao, Doctor · Contact · 18918288026
    • Zhao Wenbiao, Doctor · Principal investigator
    Recruiting
  • Sichuan Mianyang 404 Hospital
    Mianyang, Sichuan 621000, China
    • Zhang Dayong, Doctor · Contact · 504082447@qq.com · 13890135264
    • Zhang Dayong, Doctor · Principal investigator
    Recruiting
  • The first Affiliated Hospital of WMU
    Wenzhou, Zhejiang 325600, China
    • Huang Weijian, Doctor · Contact · weijianhuang69@126.com · 13806691086
    • Huang Weijian, Doctor · Principal investigator
    Recruiting
  • The Second Affiliated Hospital and Yuying Children's Hospital of WMU
    Wenzhou, Zhejiang 325600, China
    • Li Yuechun, Doctor · Contact · liyuechun1980@sina.com · 13616776960
    • Li Yuechun, Doctor · Principal investigator
    Recruiting
07

References and documents

Individual participant data

Plan to share: Undecided

No publications or documents are linked to this record.

08

Registry details

Key details

Study ID
NCT04559243
Lead sponsor
Lifetech Scientific (Shenzhen) Co., Ltd.
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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