ClinicalTrials.gg
Not yet recruitingNCT07788989SPECTRA-AFUpdated Nov 3, 2026

A Study to Predict Atrial Fibrillation (AF) Burden in Participants With PAF and PsAF Treated With the VARIPULSE™ PFA Catheter

An interventional study of VARIPULSE Catheter System (PVI) and VARIPULSE Catheter System (PVI and PWI) in Atrial Fibrillation, sponsored by Biosense Webster, Inc.. Not yet recruiting. Open to participants aged 18 Years to 80 Years. Per ClinicalTrials.gov, last updated 2026-11-03.

Sponsored by Biosense Webster, Inc. (part of Johnson & Johnson) · Not applicable, Interventional, and Treatment

Updated Nov 3, 2026No longer in United StatesStart date moved+2 moreGo to Updates ↓
Phase
Not applicable
Study type
Interventional
Enrollment
2,300
Allocation
Non-randomized
Ages
18 Years to 80 Years
Sex
All
01

Where this study stands

Counted across the records on this site · 2026-11-12

Among 71 studies in Atrial Fibrillation by Johnson & Johnson — 7 open to participants now, 12 under way, 1 of them phase 3. Atrial Fibrillation · Johnson & Johnson.

Planned enrollment
3rd of 58
2,300 · median 149
Started
2027
the only one that year
No phase
34 of 71
6 open now
Primary completion
2029-10
later than 10 of 11 live
Registered
70th of 71
by date

Among the 71 studies in Atrial Fibrillation by Johnson & Johnson, this one is the 3rd largest by planned enrollment of the 58 interventional ones that give a count, is the only one that started in 2027, is one of 34 with no phase, reaches primary completion later than 10 of the 11 other live ones, and was the 70th registered.

Atrial Fibrillation

4,009 studies on the registry are indexed under Atrial Fibrillation; 960 are open to participants now.

Browse Atrial Fibrillation studies →

Open to participants now

7 of the 71 studies in Atrial Fibrillation by Johnson & Johnson are open now, in 5 countries. Recruiting first, the newest first:

1 more — sign in →

By country, each count listing its studies:

All 7 open studies →

Who these studies take

Of the 611 Atrial Fibrillation studies recruiting now, 407 (67%) set no upper age limit and 43 (7%) stop at 75 or younger; 21 take children under 18; 43 take healthy volunteers.

This study: 18 Years to 80 Years · all sexes · no healthy volunteers.

The full table on the hub →

This tab as a report to print or save as PDF → With an account.

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Watch this landscapeDownload CSVNarrow it in search →With an account: a weekly mail of what changed among 71 studies in Atrial Fibrillation by Johnson & Johnson, or all of them as a file.
02

Study summary

The purpose of this study is to evaluate how safe VARIPULSE™ Catheter is and how well it works in the treatment of participants with symptomatic paroxysmal atrial fibrillation (PAF; irregular heartbeat where episodes start and stop on their own, usually within seven days) and symptomatic persistent atrial fibrillation (PsAF; irregular, rapid heartbeat that lasts more than 7 days and doesn't stop on its own).

03

Conditions studied

  • Atrial Fibrillation

Browse trials for

04

Who can participate

Ages eligible
18 Years to 80 Years
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

  • Participant has been diagnosed with either atrial fibrillation (AF) subtype (paroxysmal (AF episodes that start suddenly and typically last less than 7 days, often resolving in 24 hours) or persistent (AF lasting more than 7 days in duration and less than 365 days in duration, documented by )):

    1. A physician's note documenting diagnosis of symptomatic PAF/PsAF, as defined above AND
    2. PAF: At least one (1) AF episode electrocardiographically documented within 12 months prior to enrollment
    3. PsAF: Two (ECGs) showing continuous AF, with electrocardiogram taken at least 7 days apart (electrocardiograms cannot be more than (>) 365 days prior to enrollment) OR A 24-hour arrhythmia monitor documenting continuous AF within the last 365 days
  • Participant is aged 18-80 years at the time of
  • Participant is willing and capable of providing informed consent
  • Participant is able and willing to comply with all pre-, post-, and follow-up testing and requirements

Exclusion criteria

Exclusion Criteria:

  • Participant has continuous AF > 365 days (longstanding persistent AF)
  • Participant has AF secondary to electrolyte imbalance, thyroid disease, or reversible or non-cardiac cause (for example, untreated documented obstructive sleep apnea, acute alcohol toxicity, et cetera)
  • Participant has previous surgical or catheter ablation for AF
  • Participant is known to require ablation outside the left atrium (LA), superior vena cava (SVC), and cavotricuspid isthmus (CTI) region (for example, atrioventricular reentrant tachycardia, atrioventricular nodal reentry tachycardia, ventricular tachycardia and wolff-parkinson-white)
  • Participant has severe dilatation of the LA (LAD > 50 millimeter [mm]) of the antero-posterior diameter confirmed by imaging performed within 180 days prior to enrollment
  • Participant has LA thrombus confirmed by imaging within 48 hours prior to the procedure
  • Participant has severely compromised (LVEF \< 40 percent [%]) confirmed by imaging performed within 180 days prior to enrollment
  • Participant has uncontrolled heart failure or (NYHA) Class III or IV
  • Participant has a history of blood clotting, bleeding abnormalities or to anticoagulation (for example, heparin)
  • Participant has had a thromboembolic event (including [TIA]) within 180 prior to enrollment
  • Participant has had a percutaneous coronary intervention or acute myocardial infarction (MI) within 60 days prior to enrollment
  • Participant has had coronary artery bypass grafting (CABG) surgery within 180 days prior to enrollment
  • Participant has had valvular cardiac surgical/percutaneous procedure (for example, ventriculotomy, atriotomy, valve repair or replacement, and presence of a prosthetic valve)
  • Participant has had unstable angina within 6 months prior to enrollment
  • Participant has anticipated cardiac transplantation, cardiac surgery, or other major surgery within the next 365 days post-procedure
  • Participant has significant pulmonary disease (for example, restrictive pulmonary disease, constrictive or ) or any other disease or malfunction of the lungs or respiratory system that produces severe chronic symptoms
  • Participant has a significant congenital anomaly (for example, atrial septal defects [ASDs]) including repaired defects or medical problems that in the opinion of the Investigator would preclude enrollment in this study
  • Participant has an existing diagnosis of pulmonary vein stenosis (PVS)
  • Participant has a pre-existing hemi-diaphragmatic paralysis
  • Participant has an acute illness, active systemic infection, or sepsis
  • Participant has an intracardiac thrombus, myxoma, tumor, interatrial baffle or patch or other abnormality that precludes catheter introduction or manipulation
  • Participant has severe mitral regurgitation (Regurgitant volume greater than or equal to (>=) 60 milliliter per beat (mL/beat), regurgitant fraction >= 50%, and/or effective regurgitant orifice area >=0.40 centimeter square [cm\^2])
  • Participant has an implanted metal cardiac device, including MitraClip and left atrial appendage occlusion (LAAO) devices (for example, WATCHMAN, Amulet, et cetera.) (this exclusion does not include coronary stents, implanted pacemakers, implantable cardioverter-defibrillators (ICD), and an implantable loop recorders (ILR))
  • Participant has a condition that precludes vascular access (such as inferior vena cava (IVC) filter)
  • Participant is currently enrolled in another device or drug study
  • Participant is pregnant, lactating, or is of and plans on trying to become pregnant during the course of the clinical investigation
  • Participant has a less than 365 days
Terms in these criteria, in plain language(10)

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.

ECG (electrocardiogram)

A recording of the heart’s electrical activity, taken with stickers on the chest, arms and legs. It takes a few minutes and does not hurt.

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.

NYHA class (heart failure)

The New York Heart Association’s four classes of how much heart failure limits physical activity.

I
No limits: ordinary activity causes no undue tiredness or breathlessness.
II
Slight limits: comfortable at rest, ordinary activity causes symptoms.
III
Marked limits: comfortable at rest, less than ordinary activity causes symptoms.
IV
Symptoms even at rest; any activity makes them worse.

Studies set their own limit — many outside heart failure leave out class III–IV, while heart failure studies may ask for a particular class. Check the class this study names.

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.

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.

COPD

Chronic obstructive pulmonary disease: long-term lung disease that makes it hard to breathe out, including emphysema and chronic bronchitis.

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.

Childbearing potential

Able to become pregnant: from the first period until menopause, unless permanently unable to through surgery (removal of the womb, or of both ovaries or both fallopian tubes).

Criteria for people of childbearing potential usually ask for a negative pregnancy test and for contraception during the study and for a time after it.

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.

05

Study design

Phase
Not applicable
Primary purpose
Treatment
Allocation
Non-randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
2,300 participants (estimated)

Study arms

  • Experimental
    Paroxysmal Atrial Fibrillation (PAF)

    Participants with symptomatic paroxysmal atrial fibrillation (PAF) undergoing first-time catheter ablation will be enrolled; and will undergo pulmonary vein isolation (PVI) utilizing the VARIPULSE catheter as per the device Instructions for Use (IFU).

    Device: VARIPULSE Catheter System (PVI)

  • Experimental
    Persistent Atrial Fibrillation (PsAF)

    Participants with symptomatic persistent atrial fibrillation (PsAF) undergoing first-time catheter ablation will be enrolled; and will undergo pulmonary vein isolation (PVI) and posterior wall isolation (PWI) utilizing the VARIPULSE catheter as per the device IFU.

    Device: VARIPULSE Catheter System (PVI and PWI)

Interventions

  • DeviceVARIPULSE Catheter System (PVI)

    VARIPULSE™ Catheter System that is the VARIPULSE™ Catheter, TRUPULSE™ Generator, and a Sterile Interface Cable in conjunction with the CARTO™ 3 System with PFA Support for VARIPULSE™ Catheter Software Module with VARIPULSE™ Pro License will be used for ablation procedure.

  • DeviceVARIPULSE Catheter System (PVI and PWI)

    VARIPULSE™ Catheter System that is the VARIPULSE™ Catheter, TRUPULSE™ Generator, and a Sterile Interface Cable in conjunction with the CARTO™ 3 System with PFA Support for VARIPULSE™ Catheter Software Module with VARIPULSE™ Pro License will be used for ablation procedure.

06

What researchers measure

Primary outcomes

  1. Number of Participants with Early Onset Primary Adverse Events (PAEs)

    PAEs include early onset AEs such as: * Esophageal perforating complications * Phrenic nerve paralysis (PNP; permanent) * Cardiac tamponade/perforation * Pulmonary vein stenosis (PVS) * Death (device or procedure related) * Stroke/ cerebrovascular accident (CVA) * Major vascular access complication/bleeding * Thromboembolism * Myocardial Infarction (MI) * Transient ischemic attack (TIA) * Pericarditis * Pulmonary edema (respiratory insufficiency) * Heart block * Vagal nerve injury/ gastroparesis

    Time frame: Up to 7 days post-procedure

  2. Percentage of Participants With Residual Atrial Arrhythmia (AA) Burden Based on ILR Arrhythmia Monitoring

    Percentage of residual AA burden will be calculated as AA episodes over the monitoring time during the effectiveness evaluation period. Participants with residual AA burden less than or equal to (\<=) 0.1% and freedom from the following failure modes will be considered a success * Acute procedural failure * Repeat ablation failure * Surgical treatment for atrial fibrillation (AF)/atrial tachycardia (AT)/atrial flutter (AFL) after the index ablation procedure * Non-study catheter (NSC) failure * Antiarrhythmic Drug (AAD) failure or any direct current (DC) cardioversion (DCCV) procedure during the evaluation period.

    Time frame: Day 61 up to Day 365 post-procedure

Secondary outcomes

  1. Change in Quality of Life (QOL) As Assessed by the Atrial Fibrillation Effect on Quality-of-Life (AFEQT) 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 to 12 months post-procedure

  2. Freedom from Documented (Symptomatic and Asymptomatic) Atrial Tachyarrhythmia Episodes (12-Lead ECG or >=60 minutes on Implantable Loop Recorders [ILR])

    Number of participants reporting freedom from documented (symptomatic and asymptomatic) atrial tachyarrhythmia (AF, AT or AFL of unknown origin+) episodes based on electrocardiographic data (12-Lead ECG or \>=60 minutes on ILR arrhythmia monitoring) during the post-blanking period will be reported.

    Time frame: Day 61 up to Day 365 post-procedure

  3. Freedom from Documented (Symptomatic and Asymptomatic) Atrial Tachyarrhythmia Episodes (12-Lead ECG or >=30 seconds on ILR)

    Number of participants reporting freedom from documented (symptomatic and asymptomatic) atrial tachyarrhythmia (AF, AT or AFL of unknown origin+) episodes based on electrocardiographic data (12-Lead ECG or \>=30 seconds on ILR arrhythmia monitoring) during the post-blanking period.

    Time frame: Day 61 up to Day 365 post-procedure

  4. Number of Participants with Residual AA Burden <=0.1%

    Number of participants with residual AA burden \<=0.1% in the post-blanking period, without any additional failure modes will be reported.

    Time frame: Day 61 up to Day 365 post-procedure

  5. Percentage of Residual AA Burden

    Percentage of residual AA burden in the post-blanking period without any additional failure modes will be reported.

    Time frame: Day 61 up to Day 365 post-procedure

07

Study locations

No study locations are listed for this record.

08

References and documents

Individual participant data

Plan to share: Yes — The data sharing policy of Johnson \& Johnson MedTech is available at 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.

09

Timeline

1 registry update since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reachedDate before it movedWhere the date was before it movedSimilar 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

Start is estimated for Apr 2027; primary completion for Oct 2029, 30 months later.

Of 255 industry-sponsored interventional studies with no phase under Atrial Fibrillation, half reached primary completion within 22 months of starting (the median), counting those still running; a quarter within 12 and three quarters within 36. This study's planned 30 months is above that.

Counting every sponsor, half of 1,050 studies reached it within 33 months; a quarter within 18 and three quarters within 54.

Since we started tracking on Sep 25, 2026, the dates moved once, on Nov 3, 2026: start Oct 2026 → Apr 2027 and completion Oct 2029 → Mar 2030.

Earlier changes are on the record history on ClinicalTrials.gov ↗

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

Registered
Aug 24, 2026
First posted
Aug 27, 2026
StartEst.
Apr 14, 2027was Oct 2026
Primary completionEst.
Oct 31, 2029
CompletionEst.
Mar 29, 2030was Oct 2029
Last update
Nov 3, 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
1 site removed; no longer in United States
Show 1 removed
  • Ascension Texas Cardiovascular · Austin, United States
Nov 3, 2026
Start date
Oct 30, 2026→Apr 14, 2027
Nov 3, 2026
Study completion
Oct 31, 2029→Mar 29, 2030
Nov 3, 2026
Show all 1 update
  1. Nov 3, 2026
    1 site removed; no longer in United States
    Show 1 removed
    • Ascension Texas Cardiovascular · Austin, United States
    Start date Oct 30, 2026→Apr 14, 2027
    Study completion Oct 31, 2029→Mar 29, 2030
    + 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 ↗

10

Registry details

Key details

Study ID
NCT07788989
Responsible party
Sponsor
First posted
Aug 27, 2026
Start date
Apr 14, 2027 (estimated)
Primary completion
Oct 31, 2029 (estimated)
Completion
Mar 29, 2030 (estimated)
Last update
Nov 3, 2026

Study contacts

Andrew Oliver
Contact
aoliv119@its.jnj.com
+1 763 620 1083
Josiah Gillespie
Contact
jgille12@its.jnj.com
+1 405924077
Biosense Webster, Inc. Clinical Trial
study director · Biosense Webster, Inc.

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 not yet recruiting, as verified in Nov 2026. You cannot join it, but the record below documents what was studied.

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Discussion

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