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CompletedNCT05809596HEAL-LAAUpdated Nov 4, 2025Results posted

HEAL-LAA Clinical Trial

An interventional study of WATCHMAN FLX Pro LAAC Device in Atrial Fibrillation, Bleeding and Stroke, sponsored by Boston Scientific Corporation. Completed at 45 sites in United States. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2025-11-04.

Sponsored by Boston Scientific Corporation · Not applicable, Interventional, and Treatment

Phase
Not applicable
Study type
Interventional
Enrollment
949
Allocation
Not applicable
Ages
18 Years and older
Sex
All
01

Study summary

The primary objective of this study is to collect real-world data on WATCHMAN FLX™ Pro Left Atrial Appendage Closure (LAAC) Device in patients with non-valvular atrial fibrillation.

02

Conditions studied

  • Atrial Fibrillation
  • Bleeding
  • Stroke
03

In context

Atrial Fibrillation

3,870 studies on the registry are indexed under Atrial Fibrillation; 924 are open to participants now.

This study's enrollment of 949 is above the median of 144 across 2,380 interventional studies indexed under Atrial Fibrillation.

Browse Atrial Fibrillation studies →

Lead sponsor

Boston Scientific Corporation is the lead sponsor of 517 studies on the registry; 38 are open to participants now.

Of its 64 completed or terminated interventional studies of FDA-regulated products, 56 (88%) 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

  • Subject is of legal age to participate in the study.
  • Subject has documented non-valvular atrial fibrillation (i.e., atrial fibrillation in the absence of moderate or greater mitral stenosis or a mechanical heart valve).
  • Subject is clinically indicated for and is treated or attempted to be treated with a WATCHMAN FLX™ Pro device.
  • Subject or legal representative is able to understand and willing to provide written informed consent to participate in the study.
  • Subject is able and willing to return for required follow-up visits and examinations.

Exclusion criteria

Exclusion Criteria:

  • Subject has a documented life expectancy of less than 6 months.
  • Subject is currently enrolled in another investigational study, except if the subject is participating in a mandatory governmental registry, or a purely observational registry with no associated treatment.
  • Intracardiac thrombus is present.
  • An atrial septal defect repair or closure device or a patent foramen ovale repair or closure device is present.
  • The LAA anatomy will not accommodate a Closure Device.
  • The patient has known hypersensitivity to any portion of the device material or the individual components such that the use of the WATCHMAN FLX™ Pro Device is contraindicated.
  • Any of the customary contraindications for other percutaneous catheterization procedure (e.g., patient size too small to accommodate transesophageal echocardiography (TEE) probe or required catheters) or conditions (e.g., active infection, bleeding disorder) are present.
  • There are contraindications to the use of anticoagulation therapy, aspirin, or P2Y12 inhibitor.
  • Subject is of childbearing potential and is, or plans to become, pregnant during the time of the study (method of assessment per study physician's discretion).
05

Study design

Phase
Not applicable
Primary purpose
Treatment
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrollment
949 participants (actual)

Study arms

  • Other
    Device Group

    WATCHMAN FLX Pro LAAC Device Implantation

    Device: WATCHMAN FLX Pro LAAC Device

Interventions

  • DeviceWATCHMAN FLX Pro LAAC Device

    Treatment with a WATCHMAN FLX Pro Left Atrial Appendage Closure Device

    Also known as: Left Atrial Appendage Closure

06

What researchers measure

Primary outcomes

  1. Primary Efficacy Endpoint: The Rate of Device Leak >5 mm at 45-day Post-Implant TEE for the Primary Analysis Subjects

    Incomplete seal with peri-device gap \> 5mm in the primary analysis subset implanted patients with 45-day TEE imaging (as assessed by the core lab).

    Time frame: 45 days

  2. Primary Safety Endpoint: Composite Rate of All-cause Mortality, All Stroke, Systemic Embolism, and Major Bleeding for the Primary Analysis Subjects

    Composite CEC-adjudicated all-cause mortality, all stroke, systemic embolism, and major bleeding in the Intention to Treat (ITT) population at 6 months.

    Time frame: 6 months

07

Results

Posted Oct 15, 2025

Participant flow

Participant flow — Overall Study
MilestonePrimary Analysis Subset
Started500
45-day follow-up494
6-month follow-up474
Completed474
Not completed26
Withdrew: Death16
Withdrew: Withdrawal by subject4
Withdrew: Physician decision1
Withdrew: Missed visit2
Withdrew: Other3

Outcome measures

PrimaryPrimary Efficacy Endpoint: The Rate of Device Leak >5 mm at 45-day Post-Implant TEE for the Primary Analysis Subjects

Incomplete seal with peri-device gap \> 5mm in the primary analysis subset implanted patients with 45-day TEE imaging (as assessed by the core lab).

Time frame:
45 days
Reported as:
Count of participants · Participants
Primary Efficacy Endpoint: The Rate of Device Leak >5 mm at 45-day Post-Implant TEE for the Primary Analysis Subjects
ParticipantsPrimary Analysis Subset
Primary Efficacy Endpoint: The Rate of Device Leak >5 mm at 45-day Post-Implant TEE for the Primary Analysis Subjects0
PrimaryPrimary Safety Endpoint: Composite Rate of All-cause Mortality, All Stroke, Systemic Embolism, and Major Bleeding for the Primary Analysis Subjects

Composite CEC-adjudicated all-cause mortality, all stroke, systemic embolism, and major bleeding in the Intention to Treat (ITT) population at 6 months.

Time frame:
6 months
Reported as:
Count of participants · Participants
Primary Safety Endpoint: Composite Rate of All-cause Mortality, All Stroke, Systemic Embolism, and Major Bleeding for the Primary Analysis Subjects
ParticipantsPrimary Analysis Subset
Primary Safety Endpoint: Composite Rate of All-cause Mortality, All Stroke, Systemic Embolism, and Major Bleeding for the Primary Analysis Subjects54

Adverse events

Collected over Study events are reported from enrollment through Day 180, with the exception of All-Cause Mortality which includes mortalities reported from enrollment through 6-month follow-up visit completion, or end of the 6-month visit window (210 days) when the visit was missed.. Non-serious events are listed at a 0% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
Primary Analysis Subset16/500 (3.2%)141/500 (28.2%)70/500 (14%)
Most frequent serious events
Showing 10 of 128
Most frequent serious events
EventPrimary Analysis Subset
Atrial fibrillationCardiac disorders13/500
Gastrointestinal haemorrhageGastrointestinal disorders12/500
Cardiac failure acuteCardiac disorders11/500
Cardiac failure congestiveCardiac disorders9/500
Acute respiratory failureRespiratory, thoracic and mediastinal disorders7/500
Acute kidney injuryRenal and urinary disorders6/500
PneumoniaInfections and infestations5/500
Urinary tract infectionInfections and infestations5/500
FallInjury, poisoning and procedural complications5/500
Cerebrovascular accidentNervous system disorders5/500
Most frequent other events
Showing 10 of 35
Most frequent other events
EventPrimary Analysis Subset
EpistaxisRespiratory, thoracic and mediastinal disorders10/500
ContusionInjury, poisoning and procedural complications7/500
HaematomaVascular disorders5/500
Gastrointestinal haemorrhageGastrointestinal disorders4/500
Pericardial effusionCardiac disorders3/500
Catheter site haemorrhageGeneral disorders3/500
Device related thrombosisGeneral disorders3/500
FallInjury, poisoning and procedural complications3/500
HaematuriaRenal and urinary disorders3/500
Gingival bleedingGastrointestinal disorders2/500

Baseline characteristics

Age, Customized
Age, Customized(Participants)Primary Analysis Subset
<75 years188
≥ 75 years312
Sex: Female, Male
Sex: Female, Male(Participants)Primary Analysis Subset
Female194
Male306
Ethnicity (NIH/OMB)
Ethnicity (NIH/OMB)(Participants)Primary Analysis Subset
Hispanic or Latino13
Not Hispanic or Latino471
Unknown or Not Reported16
Race (NIH/OMB)
Race (NIH/OMB)(Participants)Primary Analysis Subset
American Indian or Alaska Native1
Asian4
Native Hawaiian or Other Pacific Islander2
Black or African American20
White441
More than one race0
Unknown or Not Reported3
Region of Enrollment
Region of Enrollment(participants)Primary Analysis Subset
United States500
08

Study locations

45 sites
  • University of Alabama Medical Center
    Birmingham, Alabama 35233, United States
  • Grandview Medical Center/ Affinity Cardiovascular Specialists
    Birmingham, Alabama 35243, United States
  • Phoenix Cardiovascular Research Group
    Phoenix, Arizona 85018, United States
  • Tucson Medical Center
    Tucson, Arizona 85712, United States
  • Arrhythmia Research Group
    Jonesboro, Arkansas 72401, United States
  • Scripps Memorial Hospital
    La Jolla, California 92307, United States
  • Good Samaritan Hospital
    Los Angeles, California 90017, United States
  • Eisenhower Medical Center
    Rancho Mirage, California 92270, United States
  • Santa Barbara Cottage Hospital
    Santa Barbara, California 93105, United States
  • Los Robles Hospital & Medical Center
    Thousand Oaks, California 91360, United States
  • UC Health Memorial Hospital Central
    Colorado Springs, Colorado 80909, United States
  • Cardiology Associates of Fairfield County, P.C.
    Norwalk, Connecticut 06851, United States
  • Medstar Washington Hospital Center
    Washington D.C., District of Columbia 20010, United States
  • Manatee Memorial Hospital
    Bradenton, Florida 34205, United States
  • Sarasota Memorial Hospital
    Sarasota, Florida 34239, United States
  • Emory University
    Atlanta, Georgia 30342, United States
  • Memorial Health University Medical Center
    Savannah, Georgia 31404, United States
  • Straub Medical Center
    Honolulu, Hawaii 96813, United States
  • Advocate Christ Medical Center
    Oak Lawn, Illinois 60453, United States
  • Community Heart and Vascular Hospital
    Indianapolis, Indiana 46250, United States
  • University of Kansas Health System
    Kansas City, Kansas 66160, United States
  • Brigham and Women's Hospital
    Boston, Massachusetts 02115, United States
  • Corewell Health
    Grand Rapids, Michigan 49525, United States
  • Mayo Clinic
    Rochester, Minnesota 55905, United States
  • Saint Luke's Health System
    Kansas City, Missouri 64111, United States
  • Nebraska Methodist Hospital
    Omaha, Nebraska 68114, United States
  • Virtua Health
    Marlton, New Jersey 08053, United States
  • Kaleida Health - Gates Vascular Institute
    Buffalo, New York 14203, United States
  • Rochester General Hospital
    Rochester, New York 14621, United States
  • Montefiore Medical Center
    The Bronx, New York 10467, United States
  • Novant Health Heart & Vascular Institute
    Charlotte, North Carolina 28204, United States
  • Sanger Heart and Vascular Institute-Carolinas Medical Center
    Charlotte, North Carolina 28204, United States
  • Cleveland Clinic
    Cleveland, Ohio 44195, United States
  • UPMC Pinnacle Health at Harrisburg Hospital
    Mechanicsburg, Pennsylvania 17050, United States
  • WellSpan York Hospital
    York, Pennsylvania 17403, United States
  • Erlanger Health, Inc.,
    Chattanooga, Tennessee 37403, United States
  • Baptist Memorial Hospital-Memphis / Stern Cardiovascular Foundation
    Germantown, Tennessee 38138, United States
  • Ascension Saint Thomas
    Nashville, Tennessee 37203, United States
  • Centennial Medical Center
    Nashville, Tennessee 37203, United States
  • Texas Cardiac Arrhythmia Research
    Austin, Texas 78705, United States
  • Memorial Hermann Memorial City Medical Center
    Houston, Texas 77094, United States
  • Methodist Hospital
    San Antonio, Texas 78229, United States
  • Christus Trinity Mother Frances
    Tyler, Texas 75701, United States
  • St. Mark's Hospital
    Salt Lake City, Utah 84124, United States
  • Inova Fairfax Hospital
    Falls Church, Virginia 22042, United States
09

References and documents

Study documents

  • Study protocol · May 5, 2023
  • Statistical analysis plan · Sep 21, 2023

Documents are hosted by the registry — open the source record to download them.

Individual participant data

Plan to share: Yes — The data and study protocol for this clinical trial may be made available to other researchers in accordance with the Boston Scientific Data Sharing Policy ( https://www.bostonscientific.com/en-US/data-sharing-requests.html).

Supporting information: Study protocol, Sap

10

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Nov 4, 2025, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
11

Registry details

Key details

Study ID
NCT05809596
Lead sponsor
Boston Scientific Corporation
Responsible party
Sponsor
First posted
Apr 12, 2023
Start date
Oct 3, 2023
Primary completion
Jul 15, 2024
Completion
Sep 18, 2025
Results posted
Oct 15, 2025
Last update
Nov 4, 2025

Study contacts

Mohamed Kanj, MD
principal investigator · The Cleveland Clinic
Oluseun Alli, MD
principal investigator · Novant Health Heart & Vascular Institute

Oversight

Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
Yes
View the source record on ClinicalTrials.gov ↗

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This study is completed, as verified in Oct 2025. You cannot join it, but the record below documents what was studied.

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