ClinicalTrials.gg
RecruitingNCT07324031ALARION EVUpdated Oct 9, 2026

Parasternal Extravascular ICD System Pivotal Clinical Investigation (ALARION EV) Study

An interventional study of Atala™ lead and EV-ICD Pulse Generator in Ventricular Arrythmia, Ventricular Fibrillation and Ventricular Tachycardia, sponsored by AtaCor Medical, Inc.. Recruiting at 35 sites in 2 countries. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2026-10-09.

Sponsored by AtaCor Medical, Inc. · Not applicable, Interventional, and Treatment

From the registry’s dates

  • Started Jul 2026; still recruiting 4 months later.
Updated Oct 9, 2026Site recruiting status changedGo to Updates ↓
Phase
Not applicable
Study type
Interventional
Enrollment
280
Allocation
Not applicable
Ages
18 Years and older
Sex
All
01

Study summary

The ALARION EV Study is a prospective, multi-center, single-arm, non-randomized study without concurrent or historical controls. The purpose of this pivotal study is to generate evidence of safety and effectiveness to apply for regulatory approvals for commercialization of the Parasternal EV-ICD System.

The objective of the study is to demonstrate safety and effectiveness of the Parasternal EV-ICD System through 6-months.

Read the detailed description

The primary safety endpoint is Freedom from Major Adverse Device Effects (MADEs) through 6 months. The primary effectiveness endpoint is Defibrillation Performance: Successful induced ventricular arrhythmia (IVA) test in the final system configuration.

Up to 40 Investigational Sites Worldwide will participate with up to 280 subjects enrolled in the study. At least 50% of subjects will be enrolled at sites in the United States.

Subjects meeting indications for ICD therapy who do not require permanent bradycardia pacing will be eligible for participation. Eligible Subjects will receive an Atala™ lead connected to an EV-ICD Pulse Generator positioned in a left pectoral or left lateral location. The Parasternal EV-ICD System will be tested to verify appropriate sensing and defibrillation.

Starting at 6 months, Subjects will be followed every 6 months until the study is closed. The study is expected to be ongoing for a minimum of 2.5 years from the date of first enrollment. Endpoints will be analyzed and summarized in a final study report after all active Subjects have completed the 6-month visit.

02

Conditions studied

  • Ventricular Arrythmia
  • Ventricular Fibrillation
  • Ventricular Tachycardia

Keywords

  • Ventricular Defibrillation
  • Extravascular
03

In context

Ventricular Fibrillation

186 studies on the registry are indexed under Ventricular Fibrillation; 37 are open to participants now.

This study's planned enrollment of 280 is above the median of 192 across 89 interventional studies indexed under Ventricular Fibrillation.

Browse Ventricular Fibrillation studies →

Lead sponsor

AtaCor Medical, Inc. is the lead sponsor of 11 studies on the registry; 1 is 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

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

  1. At least 18 years old
  2. Class I or IIa indication for implantation of an ICD according to the ACC/AHA/HRS Guidelines or ESC guidelines

Exclusion criteria

Exclusion Criteria:

  1. Patients who cannot read or write
  2. Expected survival \< 1 year
  3. Pregnant or nursing subjects and those who plan pregnancy during the clinical investigation follow-up period
  4. Participation in any concurrent clinical study without prior approval from the Sponsor
  5. Inability or unwillingness to provide to participate in the study
  6. Any known circumstances which may prevent the completion of protocol testing and data collection through the 6-month follow-up visit
  7. Circumstances that may prevent data collection or completion of specified follow-up visits
  8. Allergies to any device materials listed in the Instructions for Use (IFU)
  9. for temporary suspension of oral/systemic anticoagulation
  10. Known history of lung disease with \< 1.0 Liter

    Device Related:

  11. Implanted with or planned implantation of any device which delivers current in the body that may interfere with therapy delivery, including, but not limited to a pacemaker, LVAD or neurostimulator
  12. Implanted with a subcutaneous ICD lead, subcutaneous coils/arrays, epicardial patches or epicardial pace/sense leads
  13. Any known need for MRI prior to approval of MRI conditional labeling

    Anatomy Related:

  14. Known structural abnormalities of the heart that may increase risk of the Parasternal EV-ICD System procedure
  15. Known obstructed or restricted pathway into the mediastinum for the Atala™ lead
  16. Prior surgery with disruption of the lung, pericardium or connective tissue between the sternum and pericardium, including sternotomy of any type
  17. Known significant anatomic derangement of or within the thorax (e.g., pectus excavatum, significant scoliosis)
  18. History of thoracic radiation therapy or other medical treatments/conditions which may complicate the Parasternal EV-ICD System implant procedure
  19. Known adhesions in the thorax or history of medical treatments, surgeries or conditions that increase the potential for adhesions in the thorax
  20. Surgically corrected congenital heart disease (not including catheter-based procedures)

    Cardiac Related:

  21. Indication for permanent bradycardia pacing or cardiac resynchronization therapy
  22. Decompensated heart failure
  23. Currently on inotropic therapy
  24. Known history of pericardial disease, pericarditis or mediastinitis
  25. Risk factors associated with defibrillation testing:

    • Severe aortic stenosis
    • Current Intracardiac LA or LV thrombus
    • Severe proximal three-vessel or left main coronary artery disease without revascularization
    • Hemodynamic instability
    • Unstable angina
    • Recent stroke or (within the last 3 months)
    • Known inadequate external defibrillation
    • \< 20% (most recent assessment; must be within 180 days of consent)
    • LVEDD >70 mm (most recent assessment; must be within 180 days of consent)
Terms in these criteria, in plain language(5)

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.

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.

FEV1

From a breathing test (spirometry): how much air you can blow out in the first second. Often given as a percentage of what is expected for your age, height and sex.

TIA (transient ischaemic attack)

A “mini-stroke”: temporary stroke-like symptoms caused by reduced blood flow to part of the brain, spinal cord or eye, without signs of a new stroke on a scan.

Stroke symptoms need emergency care at once, even if they go away.

LVEF (left ventricular ejection fraction)

The share of blood the heart’s main pumping chamber (the left ventricle) pushes out with each beat, measured by an echocardiogram (heart ultrasound) or a MUGA scan. About 50–70% is normal.

05

Study design

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

Study arms

  • Experimental
    Parasternal EV-ICD System

    Subjects implanted with the Atala™ lead and EV-ICD pulse generator

    Device: Atala™ lead and EV-ICD Pulse Generator

Interventions

  • DeviceAtala™ lead and EV-ICD Pulse Generator

    Subjects will receive the Atala™ lead and EV-ICD pulse generator being evaluated in the study.

06

What researchers measure

Primary outcomes

  1. Freedom from MADEs

    Freedom from Major Adverse Device Effects (MADEs)

    Time frame: Through 6 months post-implant

  2. Successful IVA Test

    Successful induced ventricular arrhythmia (IVA) test in the final system configuration

    Time frame: At the time of procedure and up to 60 days post-implant

07

Study locations

17 of 35 sites recruiting
  • Honor Health
    Scottsdale, Arizona 85258, United States
    Not yet recruiting
    • Rahul Doshi, MD · Contact
    • Rahul Doshi, MD · Principal investigator
  • St. Bernards Heart and Vascular
    Jonesboro, Arkansas 72401, United States
    Recruiting
    • Devi Nair, MD · Contact
    • Devi Nair, MD · Principal investigator
  • UC San Diego Health
    La Jolla, California 92037, United States
    Not yet recruiting
    • Ulrika Birgersdotter-Green, MD · Contact
    • Ulrika Birgersdotter-Green, MD · Principal investigator
  • Providence Medical Foundation
    Orange, California 92868, United States
    Not yet recruiting
    • Thuy Le, MD · Contact
    • Thuy Le, MD · Principal investigator
  • Cedars-Sinai Medical Center
    Santa Monica, California 90404, United States
    Not yet recruiting
    • Shephal Doshi, MD · Contact
    • Shephal Doshi, MD · Principal investigator
  • MedStar Washington Hospital Center
    Washington D.C., District of Columbia 20010, United States
    Not yet recruiting
    • Cyrus Hadadi, MD · Contact
    • Cyrus Hadadi, MD · Principal investigator
  • Mount Sinai Medical Center of Florida
    Miami Beach, Florida 33140, United States
    Recruiting
    • Raul Weiss, MD · Contact
    • Raul Weiss, MD · Principal investigator
  • AdventHealth
    Orlando, Florida 32803, United States
    Not yet recruiting
    • Naushad Shaik, MD · Contact
    • Naushad Shaik, MD · Principal investigator
  • Emory University
    Atlanta, Georgia 30308, United States
    Recruiting
    • Mikhael El Chami, MD · Contact
    • Mikhael El Chami, MD · Principal investigator
  • Endeavor Health
    Glenview, Illinois 60026, United States
    Recruiting
    • Mark Metzl, MD · Contact
    • Mark Metzl, MD · Principal investigator
  • Baptist Health
    Lexington, Kentucky 40503, United States
    Recruiting
    • Johan Aasbo, DO · Contact
    • Johan Aasbo, DO · Principal investigator
  • John Hopkins Medical
    Baltimore, Maryland 21287, United States
    Recruiting
    • Edward Powers, MD · Contact
    • Edward Powers, MD · Principal investigator
  • Mayo Clinic
    Rochester, Minnesota 55902, United States
    Recruiting
    • Paul Friedman, MD · Contact
    • Paul Friedman, MD · Principal investigator
  • Cooper Health
    Voorhees Township, New Jersey 08043, United States
    Not yet recruiting
    • Andrea Russo, MD · Contact
    • Andrea Russo, MD · Principal investigator
  • Northwell Health
    Manhasset, New York 11030, United States
    Recruiting
    • Laurence Epstein, MD · Contact
    • Laurence Epstein, MD · Principal investigator
  • Advocate/Atrium Health - Sanger Heart and Vascular
    Charlotte, North Carolina 28204, United States
    Recruiting
    • Satish Misra, MD · Contact
    • Satish Misra, MD · Principal investigator
  • East Carolina Heart Institute at ECU
    Greenville, North Carolina 27834, United States
    Not yet recruiting
    • Rajesekhar Nekkanti, MD · Contact
    • Rajesekhar Nekkanti, MD · Principal investigator
  • North Carolina Heart and Vascular
    Raleigh, North Carolina 27607, United States
    Not yet recruiting
    • Sidharth Shah, MD · Contact
    • Sidharth Shah, MD · Principal investigator
  • Novant Health
    Winston-Salem, North Carolina 27103, United States
    Not yet recruiting
    • Michael Drucker, MD · Contact
    • Michael Drucker, MD · Principal investigator
  • Advocate/Atrium Health - Wake Forest Baptist
    Winston-Salem, North Carolina 27157, United States
    Recruiting
    • Satish Misra, MD · Contact
    • Satish Misra, MD · Principal investigator
  • The Carl & Edyth Lindner Center for Research and Education at The Christ Hospital
    Cincinnati, Ohio 45219, United States
    Recruiting
    • Daniel Pelchovitz, MD · Contact
    • Daniel Pelchovitz, MD · Principal investigator
  • University Hospitals of Cleveland
    Cleveland, Ohio 44106, United States
    Not yet recruiting
    • Judith Mackall, MD · Contact
    • Judith Mackall, MD · Principal investigator
  • OhioHealth Research Institute
    Columbus, Ohio 43228, United States
    Not yet recruiting
    • Anish Amin, MD · Contact
    • Anish Amin, MD · Principal investigator
  • Penn State Health Milton S. Hershey Medical Center
    Hershey, Pennsylvania 17033, United States
    Not yet recruiting
    • Soraya Samii, MD · Contact
    • Soraya Samii, MD · Principal investigator
  • University of Pennsylvania
    Philadelphia, Pennsylvania 19104, United States
    Not yet recruiting
    • Robert Schaller, MD · Contact
    • Robert Schaller, MD · Principal investigator
  • Medical University of South Carolina
    Charleston, South Carolina 29425, United States
    Not yet recruiting
    • Anne Kroman, DO · Contact
    • Anne Kroman, DO · Principal investigator
  • Texas Cardiac Arrhythmia Research
    Austin, Texas 78705, United States
    Recruiting
    • Amin Al-Ahmad, MD · Contact
    • Amin Al-Ahmad, MD · Principal investigator
  • Haga Hospital
    The Hague, AA 2545, Netherlands
    Recruiting
    • Shmaila Saleem-Talib, MD · Contact
    • Shmaila Saleem-Talib, MD · Principal investigator
  • Isala Hospital
    Zwolle, AB 8025, Netherlands
    Recruiting
    • Sébastien Krul, MD · Contact
    • Sébastien Krul, MD · Principal investigator
  • Amsterdam University Medical Center
    Amsterdam, AZ 1105, Netherlands
    Recruiting
    • Louise Olde Nordkamp, MD · Contact
    • Louise Olde Nordkamp, MD · Principal investigator
  • St. Antonius Hospital
    Nieuwegein, CM 3435, Netherlands
    Not yet recruiting
    • Vincent Van Dijk, MD · Contact
    • Vincent Van Dijk, MD · Principal investigator
  • Erasmus Medical Center
    Rotterdam, Gelderland 3015, Netherlands
    Recruiting
    • Sing Yap, MD · Contact
    • Sing Yap, MD · Principal investigator
  • Maastricht University Medical Center
    Maastricht, HX 6229, Netherlands
    Not yet recruiting
    • Twan van Stipdonk, MD · Contact
    • Twan van Stipdonk, MD · Principal investigator
  • Medical Spectrum Twente
    Enschede, KZ 7512, Netherlands
    Recruiting
    • Jurren van Opstal, MD · Contact
    • Jurren van Opstal, MD · Principal investigator
  • University Medical Center Groningen
    Groningen, RB 9700, Netherlands
    Not yet recruiting
    • Michiel Rienstra, MD · Contact
    • Michiel Rienstra, MD · Principal investigator
08

Timeline

1 registry update since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reachedSimilar studies: half by the dot; the band is the middle halfHalf of similar studies reached it by the dot; the band is the middle half, from a quarter to three quarters

Started Jul 2026 (actual). Primary completion is estimated for Aug 2027, 13 months after the start.

Of 28 interventional studies with no phase under Ventricular Fibrillation, half reached primary completion within 38 months of starting (the median), counting those still running; a quarter within 9 and three quarters within 53. This study's planned 13 months is below that.

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

Registered
Jan 5, 2026
First posted
Jan 7, 2026
StartActual
Jul 2, 2026
Primary completionEst.
Aug 31, 2027
CompletionEst.
Dec 31, 2028
Last update
Oct 9, 2026
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.
Sites
6 sites changed recruiting status (6 now recruiting)
Show 6 sites
  • Mount Sinai Medical Center of Florida · Miami Beach, United StatesNot yet recruiting→Recruiting
  • The Carl & Edyth Lindner Center for Research and Education at The Christ Hospital · Cincinnati, United StatesNot yet recruiting→Recruiting
  • Haga Hospital · The Hague, NetherlandsNot yet recruiting→Recruiting
  • Isala Hospital · Zwolle, NetherlandsNot yet recruiting→Recruiting
  • Erasmus Medical Center · Rotterdam, NetherlandsNot yet recruiting→Recruiting
  • Medical Spectrum Twente · Enschede, NetherlandsNot yet recruiting→Recruiting
Oct 9, 2026
Show all 1 update
  1. Oct 9, 2026
    6 sites changed recruiting status (6 now recruiting)
    Show 6 sites
    • Mount Sinai Medical Center of Florida · Miami Beach, United StatesNot yet recruiting→Recruiting
    • The Carl & Edyth Lindner Center for Research and Education at The Christ Hospital · Cincinnati, United StatesNot yet recruiting→Recruiting
    • Haga Hospital · The Hague, NetherlandsNot yet recruiting→Recruiting
    • Isala Hospital · Zwolle, NetherlandsNot yet recruiting→Recruiting
    • Erasmus Medical Center · Rotterdam, NetherlandsNot yet recruiting→Recruiting
    • Medical Spectrum Twente · Enschede, NetherlandsNot yet recruiting→Recruiting
    + 1 other change: verification date

From the registry record's own update history. This site started tracking changes on Sep 25, 2026; for anything earlier, see the record history on ClinicalTrials.gov ↗

09

Registry details

Key details

Study ID
NCT07324031
Lead sponsor
AtaCor Medical, Inc.
Responsible party
Sponsor
First posted
Jan 7, 2026
Start date
Jul 2, 2026
Primary completion
Aug 31, 2027 (estimated)
Completion
Dec 31, 2028 (estimated)
Last update
Oct 9, 2026

Study contacts

Sarah Hase, BS, CCRA
Contact
sarah@atacor.com
+1 949-545-9820

Oversight

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

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