ClinicalTrials.gg
RecruitingNCT07511166GreatPFAUpdated Nov 4, 2026

A Study of Varipulse Catheter in Participants With Paroxysmal Atrial Fibrillation Under Optimized Sedation

An observational study in Atrial Fibrillation, sponsored by Johnson & Johnson Medical (Shanghai) Ltd.. Recruiting at 1 site in China. Open to participants aged 18 Years to 80 Years. Per ClinicalTrials.gov, last updated 2026-11-04.

Sponsored by Johnson & Johnson Medical (Shanghai) Ltd. (part of Johnson & Johnson) · Observational

Updated Nov 4, 2026Now RecruitingFirst site in China+2 moreGo to Updates ↓
Study type
Observational
Model
Cohort
Time perspective
Prospective
Enrollment
300
Ages
18 Years to 80 Years
Sex
All
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Study summary

The main purpose of the study is to assess how well the standard ablation procedure (Varipulse Catheter) works over long term when used with different types of anesthesia in participants with symptomatic paroxysmal atrial fibrillation (PAF, irregular heartbeat that comes and goes on its own, causing noticeable symptoms like a racing heart, or shortness of breath).

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Conditions studied

  • Atrial Fibrillation

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03

In context

Atrial Fibrillation

4,009 studies on the registry are indexed under Atrial Fibrillation; 961 are open to participants now.

This study's planned enrollment of 300 is close to the median of 300 across 1,400 observational studies indexed under Atrial Fibrillation.

Browse Atrial Fibrillation studies →

Lead sponsor

Johnson & Johnson Medical (Shanghai) Ltd. is the lead sponsor of 4 studies on the registry; 3 are open to participants now.

Counted across the registry records on this site, refreshed daily.

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Who can participate

Ages eligible
18 Years to 80 Years
Sexes eligible
All
Accepts healthy volunteers
No
Sampling method
Non-probability sample

Study population

The study population will include participants diagnosed with drug-refractory symptomatic paroxysmal atrial fibrillation (PAF) or who are intolerable to class I and/or III antiarrhythmic drugs (AAD) based on medical records.

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

  • Diagnosed with I and/or III antiarrhythmic drugs (AAD)- symptomatic paroxysmal atrial fibrillation (PAF) or intolerable to class I and/or III AAD based on medical records
  • Age 18-80 years
  • Able and willing to comply with all pre-procedure, post-procedure, and follow-up testing and visit requirements
  • Signed patient form (ICF)

Exclusion criteria

Exclusion criteria:

  • Atrial fibrillation (AF) secondary to electrolyte imbalance, hyperthyroidism, or reversible or non-cardiac cause
  • Previous left atrium (LA) ablation or surgery
  • Left atrium diameter (LAD) greater than (>) 50 millimeters (mm) by transthoracic echocardiography (TTE)
  • (LVEF) less than (\<) 40 percent (%)
  • Known significant pulmonary vein (PV) anomaly that in the opinion of the investigator would preclude enrollment in this study
  • Current enrollment in an study evaluating another device or drug
  • Women who are pregnant (as evidenced by pregnancy test or oral confirmation if pre-menopausal), lactating, or who are of childbearing age and plan on becoming pregnant during the course of the clinical investigation
  • less than 12 months
  • Presenting for the devices used in the study, as indicated in the respective instructions for use (IFU)
  • Presenting contra-indications for catheter ablation at physicians' discretion, for example LA/Left atrial appendage (LAA) thrombus, systematic infection, situations preventing catheter access
  • Other conditions that, at discretion of the investigators, would preclude enrollment in this study
Terms in these criteria, in plain language(6)

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.

Relapsed and refractory

Relapsed: the illness came back after treatment had worked. Refractory: it did not respond to treatment, or stopped responding while still on it.

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.

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.

Investigational drug or device

A drug or device being studied in a clinical trial.

It may be new, or already approved and being studied for another use, dose or form. Criteria often leave out people who took part in another study of one within a recent period, commonly 30 days or five half-lives.

Life expectancy

The study doctor’s estimate of how long someone is likely to live. Criteria use it so that people can stay in the study long enough for it to answer its question.

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.

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Study design

Observational model
Cohort
Time perspective
Prospective
Enrollment
300 participants (estimated)
Patient registry
No

Groups and cohorts

  • General Anesthesia Group

    Participants undergoing ablation for treatment of symptomatic Paroxysmal Atrial Fibrillation (PAF) under general anesthesia will undergo pulsed field ablation (PFA) with Varipulse PFA catheter system including Varipulse catheter and Trupulse generator.

  • Non-General Anesthesia Group

    Participants undergoing ablation for treatment of symptomatic PAF under the non-general anesthesia, including participants with deep sedation and conscious sedation will undergo PFA with the Varipulse PFA catheter system including Varipulse catheter and Trupulse generator.

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What researchers measure

Primary outcomes

  1. Freedom From Documented (Symptomatic and Asymptomatic) Atrial Tachyarrhythmias Episode

    Participants reporting freedom from documented (asymptomatic and symptomatic) atrial tachyarrhythmias (atrial fibrillation \[AF\], atrial tachycardia \[AT\] or atrial flutter \[AFL\] of unknown origin) episode based on 24-hour Holter will be reported. Additionally, criteria for effectiveness failure included following: 1) Greater (\>) than 1 repeat ablations for AF, AT, and AFL of unknown origin in the blanking period or any repeat ablation or surgical treatment for AF, AT, and AFL of unknown origin; 2) Direct current or pharmacological cardioversion for AF, AT, and AFL of unknown origin and; 3) A Class I and/or Class III antiarrhythmic drugs (AAD) is prescribed for AF, AT, and AFL of unknown origin.

    Time frame: Day 91 to Day 365 post index procedure

Secondary outcomes

  1. Freedom From Documented (Symptomatic and Asymptomatic) AF, AT, and AFL

    Participants reporting freedom from documented (asymptomatic and symptomatic) atrial tachyarrhythmias (AF, AT or AFL of unknown origin) lasting \>= 30 seconds based on mobile electrocardiogram (ECG) during the effectiveness evaluation period will be reported.

    Time frame: Day 91 to Day 365 post index procedure

  2. Acute Procedural Success

    Acute procedural success, which is defined as confirmation of entrance block in all clinically relevant targeted pulmonary vein (PVs) after drugs challenge or pacing at the end of the index ablation procedure will be reported.

    Time frame: Intraoperative

  3. Acute Reconnection

    Participants with acute reconnection, which is identified by drugs challenge or pacing among all clinically relevant targeted PVs will be reported.

    Time frame: Intraoperative

  4. Repeat Ablation

    Participants undergoing repeat ablation within the 12 month follow up period, including timing (blanking period or after blanking) will be reported.

    Time frame: Up to 12 months post-index procedure

  5. PV Re-Connection

    Participants reporting PV re-connection during repeat ablation will be assessed and reported.

    Time frame: Up to 12 months post-index procedure

  6. Atrial Fibrillation Effect on Quality-of-Life (AFEQT) Questionnaire Score

    The AFEQT uses a questionnaire to evaluate symptoms, daily activities and treatment concerns participants have related to atrial fibrillation. An overall AFEQT score ranges from 0 to 100. A score of 0 corresponds to complete disability (or responding "extremely" difficult to all questions answered), while a score of 100 corresponds to no disability (or responding "not at all" limited, difficult or bothersome to all questions answered). A positive change in score corresponds to improvement in AF symptoms.

    Time frame: Baseline, up to 12 months post-index procedure

  7. Total Procedure Time

    Total procedure time will be reported.

    Time frame: Intraoperative

  8. Mapping Time

    Mapping time will be reported.

    Time frame: Intraoperative

  9. Pulsed Field Ablation (PFA) Application Time

    PFA application time will be reported.

    Time frame: Intraoperative

  10. Number of PFA Ablation

    Number of PFA ablation will be reported.

    Time frame: Intraoperative

  11. Total Fluoroscopy Time

    Total fluoroscopy time will be reported.

    Time frame: Intraoperative

  12. Study Catheter Dwell Time

    Dwell time is defined as time from first Varipulse catheter insertion in LA until removal from LA.

    Time frame: Intraoperative

  13. Ablation Settings Used

    The ablation parameters setting used for the procedure will be reported.

    Time frame: Intraoperative

  14. Participant Electrophysiology (EP) Lab Time

    Participant EP lab time is defined as the time taken for participant on table to leave table, including induction and awakening.

    Time frame: Intraoperative

  15. Richmond Agitation-Sedation Scale Score (RASS)

    RASS ranges from -5 (unarousable) to +4 (very agitated) , where 0 denotes a calm and alert patient.

    Time frame: Intraoperative

  16. Pain Visual Analogue Scale (VAS) Score

    VAS score will be measured for intraprocedural pain, discomfort and anxiety and post-procedural groin pain, throat pain and chest pain prior to hospital discharge using 100- point VAS, where 0 = no pain/anxiety/comfort, 100 = worst imaginable pain/anxiety/discomfort. Higher score means greater severity.

    Time frame: Prior to Discharge (up to Day 1 post-index procedure)

  17. Participant's Movements During Ablation

    Participant's significant movements causing map shifting or CARTO "learning new" warning, and coughs will be reported. Phrenic nerve stimulation not included.

    Time frame: Intraoperative

  18. Percentage of Participants who Switch from Non-General Anesthesia (GA) to GA

    Percentage of participants who need to switch from non-GA to GA will be reported.

    Time frame: Intraoperative

  19. Use of Paralytics and Anesthesia, and Related Drug Details

    Number of participants reporting the use of paralytics and anesthesia, and related drug details will be reported.

    Time frame: Intraoperative

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Study locations

1 of 1 sites recruiting
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References and documents

Individual participant data

Plan to share: Yes — The data sharing policy of Johnson \& Johnson MedTech is available at www.innovativemedicine.jnj.com/our-innovation/clinical-trials/transparency. As noted on this site, requests for access to the study data can be submitted through Yale Open Data Access (YODA) Project site at yoda.yale.edu.

Data sharing details ↗ · www.jnj.com

No publications or documents are linked to this record.

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Updates

2 registry updates since Sep 25, 2026
Status
Not yet recruiting→Recruiting
changed Nov 4, 2026
Sites
1 site added — first site in China
Show site
  • Zhongshan Hospital Fudan University · Shanghai, China
Nov 4, 2026
Start date
Sep 7, 2026→Oct 12, 2026
Sep 25, 2026
Show all 2 updates
  1. Nov 4, 2026
    Not yet recruiting→Recruiting
    1 site added — first site in China
    Show site
    • Zhongshan Hospital Fudan University · Shanghai, China
    + 3 other changes: identifiers, verification date and oversight details
  2. Sep 25, 2026
    Start date Sep 7, 2026→Oct 12, 2026
    + 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 ↗

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Registry details

Key details

Study ID
NCT07511166
Responsible party
Sponsor
First posted
Apr 6, 2026
Start date
Oct 12, 2026 (estimated)
Primary completion
Jul 28, 2028 (estimated)
Completion
Jul 28, 2028 (estimated)
Last update
Nov 4, 2026

Study contacts

YanTing Zhang
Contact
yzhan365@ITS.JNJ.com
13162835013 ext. +86
Johnson & Johnson Medical (Shanghai) Ltd. Clinical Trial
study director · Johnson & Johnson Medical (Shanghai) Ltd.

Oversight

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

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