CClinicalTrials.gg
Active, not recruitingNCT06203054Updated May 1, 2026

CLIP-IT Post-Market Study

An interventional study of Penditure™ Left Atrial Appendage (LAA) Exclusion System in Left Atrial Appendage Exclusion, sponsored by Medtronic Cardiac Surgery. Active, not recruiting at 15 sites in United States. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2026-05-01.

Sponsored by Medtronic Cardiac Surgery · Not applicable, Interventional, and Treatment

Phase
Not applicable
Study type
Interventional
Enrollment
198
Allocation
Not applicable
Ages
18 Years and older
Sex
All
01

Study summary

The purpose of this study is to collect post-market clinical evidence on performance and clinical outcomes of the Penditure™ Left Atrial Appendage (LAA) Exclusion System in subjects undergoing concomitant cardiac surgery.

Read the detailed description

Multi center, single-arm, nonrandomized, interventional, unblinded, post-market study. Up to 150 subjects will be enrolled and implanted with the Penditure™ Left Atrial Appendage (LAA) Exclusion Clip at up to 25 sites in the United States.

Subjects will be followed at 30 days, 3 months, 12-months and annually for 36-months.

02

Conditions studied

  • Left Atrial Appendage Exclusion
03

In context

Lead sponsor

Medtronic Cardiac Surgery is the lead sponsor of 11 studies on the registry; 3 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

Inclusion criteria

  • Patient is indicated to be treated with the Penditure™ left atrial appendage (LAA) Exclusion System
  • Greater than or equal to 18 years of age
  • The subject is willing and able to provide written informed consent and comply with study visit requirements

Exclusion criteria

Exclusion Criteria:

  • Prior left atrial appendage (LAA) isolation attempt(s)
  • Need for emergent cardiac surgery
  • Subject is contraindicated for multi-detector computed tomography (MDCT) and/or transesophageal echocardiogram (TEE)
  • Life expectancy of less than 12 months
  • History of cardiac surgery
  • Pericarditis
  • Presence of thrombus in the left atrium or left atrial appendage (LAA), prior to or during the procedure
  • Patients requiring a heart transplant, insertion of a ventricular assist device or total artificial heart, and/or ascending aortic aneurysm or dissection repair requiring circulatory arrest
  • Society of Thoracic Surgeons Predicted Risk of Mortality (STS-PROM) score greater than 4 or subject deemed to be high or extreme risk per surgeon assessment
  • Ejection fraction less than 30%
  • Chronic Kidney Disease Stage IV or V (estimated glomerular filtration rate (eGFR) \<30 ml/min)
  • New York Heart Association (NYHA) Class IV heart failure symptoms
  • Patient has a documented history of substance (drug or alcohol) abuse
  • Known allergy to device components (Nickel and/or Titanium)
  • In the opinion of the investigator, the subject is not a suitable candidate for LAA isolation due to risks outweighing potential benefits including, complexity of planned concomitant procedures, or other pre-existing medical conditions
  • Currently participating in an investigational drug or another device trial or study (excluding registries)
05

Study design

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

Study arms

  • Experimental
    Penditure™ Left Atrial Appendage (LAA) Exclusion System

    Penditure™ Left Atrial Appendage (LAA) Exclusion System

    Device: Penditure™ Left Atrial Appendage (LAA) Exclusion System

Interventions

  • DevicePenditure™ Left Atrial Appendage (LAA) Exclusion System

    Exclusion of the left atrial appendage using the Penditure™ Left Atrial Appendage (LAA) Exclusion System in subjects undergoing concomitant cardiac surgery.

06

What researchers measure

Primary outcomes

  1. Rate of successful exclusion of the left atrial appendage (LAA) from the heart

    The primary efficacy endpoint is the rate of successful exclusion of the left atrial appendage (LAA) from the heart defined as the absence of residual communication (≤ 3 mm residual contrast communication) between the left atrium (LA) and the left atrial appendage (LAA). For those successfully placed devices, exclusion will be confirmed at 3 months as demonstrated by multi-detector computed tomography (MDCT) scan.

    Time frame: 3 months post procedure

  2. Rate of device related adverse events

    The primary safety endpoint is the composite rate of device-related serious adverse cardiac events at 30-days post-procedure.

    Time frame: 30 days post procedure

Secondary outcomes

  1. Rate of successful placement of the Penditure™ left atrial appendage (LAA) Exclusion System

    The secondary efficacy endpoint is defined as the rate of successful placement of the Penditure™ LAA Exclusion System defined as \< 10 mm of residual stump proximal to the clip at the time of the procedure (measured by intraoperative TEE with doppler) without tissue damage requiring intervention.

    Time frame: At the time of procedure

  2. Rate of device related adverse events

    The secondary safety endpoint is defined as the composite device-related serious adverse cardiac event rate at 12-months and annually through 36 months.

    Time frame: At 1 year, 2 year, and 3 years post procedure

07

Study locations

15 sites
  • Emory Saint Joseph's Hospital
    Atlanta, Georgia 30342, United States
  • Northwestern Memorial Hospital
    Chicago, Illinois 60611, United States
  • Ascension St. Vincent Heart Center
    Carmel, Indiana 46290, United States
  • University of Michigan Health System
    Ann Arbor, Michigan 48109, United States
  • Corewell Health
    Grand Rapids, Michigan 49503, United States
  • Mayo Clinic Saint Marys Campus
    Rochester, Minnesota 55905, United States
  • Barnes Jewish Hospital
    St Louis, Missouri 63110, United States
  • Saint Joseph's Hospital Health Center
    Syracuse, New York 13203, United States
  • University Hospitals Cleveland Medical Center
    Cleveland, Ohio 44106, United States
  • ProMedica Toledo Hospital
    Toledo, Ohio 43606, United States
  • UPMC Pinnacle Harrisburg Campus
    Harrisburg, Pennsylvania 17101, United States
  • University of Pittsburgh Medical Center UPMC Presbyterian
    Pittsburgh, Pennsylvania 15213, United States
  • Lankenau Institute for Medical Research
    Wynnewood, Pennsylvania 19096, United States
  • Houston Methodist Hospital
    Houston, Texas 77030, United States
  • Swedish Medical Center Cherry Hill
    Seattle, Washington 98112, United States
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References and documents

Study documents

  • Study protocol · Jun 19, 2025
  • Statistical analysis plan · Jul 18, 2025

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

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Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on May 1, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT06203054
Lead sponsor
Medtronic Cardiac Surgery
Responsible party
Sponsor
First posted
Jan 12, 2024
Start date
Feb 26, 2024
Primary completion
Aug 26, 2025
Completion
Feb 2029 (estimated)
Last update
May 1, 2026

Oversight

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

Not currently enrolling

This study is active, not recruiting, as verified in Apr 2026. You cannot join it, but the record below documents what was studied.

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