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NCT00116428: Afib IDE

NAVISTAR® THERMOCOOL® Catheter for the Radiofrequency Ablation of Symptomatic Paroxysmal Atrial Fibrillation

Completed Phase 3 Results posted Last updated 24 October 2017
What this trial tests

Phase 3 trial testing NAVISTAR® THERMOCOOL® Catheter in Heart Diseases in 167 participants. Completed in 1 March 2011.

Timeline
1 October 2004
Primary endpoint
1 October 2007
1 March 2011

Quick facts

Lead sponsorBiosense Webster, Inc.
PhasePhase 3
StatusCompleted
Study typeINTERVENTIONAL
Allocationrandomized
Designparallel
Maskingnone
Primary purposetreatment
Enrollment167
Start date1 October 2004
Primary completion1 October 2007
Estimated completion1 March 2011
Sites17 locations across Italy, Canada, United States, Brazil, Czechia

Drugs / interventions tested

Conditions studied

Sponsor

Biosense Webster, Inc. — full company profile →

Who can join

18 and older, any sex, with Heart Diseases or Arrhythmia. Patients with the condition only — healthy volunteers not accepted.

Results — posted to ClinicalTrials.gov

Per-arm endpoint measurements with 95% confidence intervals where reported. Source: trial results section.

The Percentage of Chronic Success of the NAVISTAR THERMOCOOL Catheter for the Treatment of Symptomatic Paroxysmal Atrial Fibrillation (PAF) Primary · The evaluation time frame for the THERMOCOOL catheter subjects is 91-361 days (12 months) post procedure; for Antiarrhythmic Drug Therapy subjects the time frame is 15-285 days (9 months) post procedure.

Chronic success was defined as freedom of documented symptomatic Atrial Fibrillation episodes based on electrocardiographic data and no changes in antiarrhythmic drugs (AAD) regimen during comparable evaluation periods for the THERMOCOOL and AAD (Control) groups through 12 and 9 months of follow-up, respectively.

GroupValue95% CI
NAVISTAR® THERMOCOOL® Catheter66
Antiarrhythmic Drug16
The Percentage of Subjects Who Experienced Incidences of Early Onset (Within 7 Days of Ablation Procedure) Serious Catheter-related Adverse Events Primary · Within 7 Days of Ablation Procedure

Catheter-related adverse events include death, myocardial infarction, pulmonary vein stenosis,diaphragmatic paralysis, atrio-esophageal fistula,transient ischemic attack,stroke,cerebrovascular accident, thromboembolism, pericarditis, cardiac tamponade,pericardial effusion,pneumothorax,atrial perforation,vascular access complications,pulmonary edema,hospitalization (initial and prolonged), and heart block.

GroupValue95% CI
NAVISTAR® THERMOCOOL® Catheter10.1
Antiarrhythmic Drug0.0
The Percentage of Subjects Who Achieved Acute Success. Secondary · 90 days post study procedure

Acute success was defined as confirmation of entrance block in all targeted pulmonary veins. The study protocol considered subjects that had more than 2 AF ablation procedures within the 90 day blanking period immediately following their index study procedure or subjects that had additional ablation procedures greater than 80 days following their original study ablation procedure as acute failures.

GroupValue95% CI
NAVISTAR® THERMOCOOL® Catheter100
Antiarrhythmic Drug94
Percentage of Subjects Who Experienced Atrial Fibrillation Recurrence During the Two-year Follow up. Secondary · During the two years of post procedure

At the 2 year follow-up visit, Atrial Fibrillation recurrence was assessed by subject interview without documentation.

GroupValue95% CI
NAVISTAR® THERMOCOOL® Catheter29.3
Antiarrhythmic Drug Subjects Undergoing Ablation28.6
Antiarrhythmic Drug53.3
Percentage of Subjects Responded to Each of the Four Health Status Categories. Secondary · During the two years of post procedure

At the 2 year follow-up visit, Atrial Fibrillation recurrence was assessed by subject interview without documentation.

Two-Year Health Status: Improved
GroupValue95% CI
NAVISTAR® THERMOCOOL® Catheter65.2
Antiarrhythmic Drug Subjects Undergoing Ablation60.0
Antiarrhythmic Drug53.3
Two-Year Health Status: Unchanged
GroupValue95% CI
NAVISTAR® THERMOCOOL® Catheter29.3
Antiarrhythmic Drug Subjects Undergoing Ablation37.1
Antiarrhythmic Drug33.3
Two-Year Health Status: Worsened
GroupValue95% CI
NAVISTAR® THERMOCOOL® Catheter5.4
Antiarrhythmic Drug Subjects Undergoing Ablation2.9
Antiarrhythmic Drug6.7
Two-Year Health Status: Missing
GroupValue95% CI
NAVISTAR® THERMOCOOL® Catheter0.0
Antiarrhythmic Drug Subjects Undergoing Ablation0.0
Antiarrhythmic Drug6.7

Adverse events — posted to ClinicalTrials.gov

Reporting threshold: 1%. Adverse-event reports describe events observed during the trial — not all are caused by the drug.

NAVISTAR® THERMOCOOL® Catheter
Serious: 25/139 (18%)
Deaths:
Antiarrhythmic Drug
Serious: 0/25 (0%)
Deaths:

Serious adverse events (12 terms)

ReactionSystemNAVISTAR® THERMOCOOL® Cath…Antiarrhythmic Drug
HospitalizationInvestigations
Vascular Access ComplicationVascular disorders
DeathGeneral disorders
Neoplasm/Kidney NoduleRenal and urinary disorders
Emergency Department VisitCardiac disorders
PericarditisCardiac disorders
Pericardial EffusionInjury, poisoning and procedural complications
Pulmonary EdemaRespiratory, thoracic and mediastinal disorders
Tearing of atrial septumSurgical and medical procedures
Urinary Tract InfectionRenal and urinary disorders
Hemoptysis/Right Kidney StoneRenal and urinary disorders
HematuriaRenal and urinary disorders
Other adverse events (9 terms — click to expand)

ReactionSystemNAVISTAR® THERMOCOOL® Cath…Antiarrhythmic Drug
Back painGeneral disorders
HematuriaRenal and urinary disorders
Neurologic Side EffectsNervous system disorders
Hematoma/Bleeding/groin painBlood and lymphatic system disorders
Shortness of BreathRespiratory, thoracic and mediastinal disorders
Chest PainGeneral disorders
HematomaBlood and lymphatic system disorders
Nausea, Vomiting/RigorsGastrointestinal disorders
Pericardial EffusionInjury, poisoning and procedural complications

Most-reported serious reactions: Hospitalization, Vascular Access Complication, Death, Neoplasm/Kidney Nodule, Emergency Department Visit, Pericarditis, Pericardial Effusion, Pulmonary Edema.

Data from ClinicalTrials.gov NCT00116428 adverse events section.

Sponsor's own description

This trial compares the safety and effectiveness of catheter ablation for PAF with antiarrhythmic drug therapy. The investigational catheter being studied is the NAVISTAR® THERMOCOOL® irrigated-tip catheter. At the time of this study, the NAVISTAR® THERMOCOOL® catheter was FDA-approved for commercial distribution in the U.S. for treating patients with Type I atrial flutter and drug refractory monomorphic ventricular tachycardia post myocardial infarction. The catheter was approved for use in Europe for endocardial ablation for treating cardiac arrhythmias.

Publications & conference data

4 peer-reviewed publications reference this trial (live from Europe PMC):

  1. Comparison of antiarrhythmic drug therapy and radiofrequency catheter ablation in patients with paroxysmal atrial fibrillation: a randomized controlled trial.
    Wilber DJ, Pappone C, Neuzil P, De Paola A, et al · · 2010 · cited 870× · PMID 20103757 · DOI 10.1001/jama.2009.2029
  2. Improvements in symptoms and quality of life in patients with paroxysmal atrial fibrillation treated with radiofrequency catheter ablation versus antiarrhythmic drugs.
    Reynolds MR, Walczak J, White SA, Cohen DJ, et al · · 2010 · cited 99× · PMID 20940250 · DOI 10.1161/circoutcomes.110.957563
  3. Antiarrhythmic drug therapy and catheter ablation in patients with paroxysmal or persistent atrial fibrillation: a systematic review and meta-analysis.
    Chander S, Kumari R, Luhana S, Shiwlani S, et al · · 2024 · cited 5× · PMID 38918704 · DOI 10.1186/s12872-024-03983-z
  4. Adaptive Bayesian Clinical Trials: The Past, Present, and Future of Clinical Research.
    Berry DA. · · 2025 · cited 2× · PMID 40806890 · DOI 10.3390/jcm14155267

Verify or expand the search:

Other recruiting trials for Heart Diseases

Currently open trials in the same condition.

Other Biosense Webster, Inc. trials

Trials by the same sponsor.

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Data sources for this page

Drug Landscape aggregates and links these public records for informational use only. Always verify against the primary source before clinical or regulatory decisions. Canonical URL: https://druglandscape.com/trial/NCT00116428.

Primary sources · FDA · ClinicalTrials.gov · EMA · SEC EDGAR · ChEMBL · Wikidata · full sourcing