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NCT02879448: Amulet IDE

AMPLATZER™ Amulet™ LAA Occluder Trial

Completed NA Results posted Last updated 26 February 2025
What this trial tests

NA trial testing Amulet Left Atrial Appendage Occluder in Stroke in 1,878 participants. Completed in 24 May 2024.

Timeline
24 August 2016
Primary endpoint
7 December 2020
24 May 2024

Quick facts

Lead sponsorAbbott Medical Devices
PhaseNA
StatusCompleted
Study typeINTERVENTIONAL
Allocationrandomized
Designparallel
Maskingnone
Primary purposeprevention
Enrollment1,878
Start date24 August 2016
Primary completion7 December 2020
Estimated completion24 May 2024
Sites115 locations across Denmark, Italy, Netherlands, Germany, Canada, Switzerland, Australia, Portugal

Drugs / interventions tested

Conditions studied

Sponsor

Abbott Medical Devices — full company profile →

Who can join

18 and older, any sex, with Stroke. 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.

Primary Safety Endpoint: Composite Endpoint Rate of Procedure-related Complications, or All-cause Death or Major Bleeding (Defined as Type 3 or Greater Based on the Bleeding Academic Research Consortium (BARC) Definition) (Non-inferiority Analysis) Primary · At 12-months

Procedure related complications are adverse events adjudicated by the Clinical Events Committee (CEC), as procedure related and requiring either invasive surgical or percutaneous intervention. All-cause deaths (cardiovascular or non-cardiovascular) were assessed. Major Bleeding * Type 3a: * Any transfusion with overt bleeding * Overt bleeding+Hb drop of ≥ 3 to \< 5 g/dL (provided Hb drop is related to bleed) * Type 3b: * Overt bleeding+Hb drop ≥ 5 g/dL (provided Hb drop is related to bleed) * Cardiac tamponade * Bleeding requiring surgical intervention for (Watchman) * Bleedin

GroupValue95% CI
Amulet14.5
WATCHMAN (Control)14.7
Primary Effectiveness Endpoint: Composite Rate of Ischemic Stroke or Systemic Embolism (Non-inferiority Analysis) Primary · At 18-months

Ischemic Stroke: An acute symptomatic episode of focal cerebral, spinal, or retinal dysfunction caused by an infarction of central nervous system tissue. Systemic Embolism: Acute vascular insufficiency or occlusion of the extremities or any non-central nervous system (non-CNS) organ associated with clinical, imaging, surgical/autopsy evidence of arterial occlusion in the absence of other likely mechanism (e.g. trauma, atherosclerosis, or instrumentation). When there is presence of prior peripheral artery disease, angiographic or surgical or autopsy evidence is required to show abrupt arterial

GroupValue95% CI
Amulet2.8
WATCHMAN (Control)2.8
Mechanism of Action Primary Endpoint: Rate of Device Closure, by the Echocardiography Core Lab (Non-inferiority Analysis) Primary · At 45-days

Device closure (defined as residual jet around the device ≤ 5 mm) at the 45-day visit documented by transesophageal echocardiogram (TEE/TOE) defined by Doppler flow was assessed.

GroupValue95% CI
Amulet98.9
WATCHMAN (Control)96.8
Composite Rate of All Stroke, Systemic Embolism, or Cardiovascular/Unexplained Death (Non-inferiority Analysis) Secondary · At 18-months

Stroke: An acute episode of focal or global neurological dysfunction caused by the brain, spinal cord, or retinal vascular injury as a result of hemorrhage or infarction. Systemic Embolism: Acute vascular insufficiency/occlusion of the extremities/any non-CNS organ associated with clinical, imaging, surgical/autopsy evidence of arterial occlusion in the absence of other likely mechanism (trauma/atherosclerosis/instrumentation). When there is presence of prior peripheral artery disease, angiographic/surgical/autopsy evidence is required to show abrupt arterial occlusion. Cardiovascular/unexpl

GroupValue95% CI
Amulet5.6
WATCHMAN (Control)7.7
Rate of Major Bleeding (Superiority Analysis) Secondary · At 18-months

Major bleeding rate defined as Type 3 or greater based on the Bleeding Academic Research Consortium (BARC) definition was assessed * Type 3a: * Any transfusion with overt bleeding * Overt bleeding+Hb drop of ≥ 3 to \< 5 g/dL (provided Hb drop is related to bleed) * Type 3b: * Overt bleeding+Hb drop ≥ 5 g/dL (provided Hb drop is related to bleed) * Cardiac tamponade * Bleeding requiring surgical intervention for (Watchman) * Bleeding requiring intravenous vasoactive drugs * Type 3c: * Intracranial hemorrhage including subdural hemorrhages * Subcategories confirmed by autopsy

GroupValue95% CI
Amulet11.6
WATCHMAN (Control)12.3
Superiority Test of Primary Safety Endpoint: Composite Endpoint Rate of Procedure-related Complications, or All-cause Death or Major Bleeding (Defined as Type 3 or Greater Based on the Bleeding Academic Research Consortium (BARC) Definition) Secondary · At 12-months

Procedure related complications are adverse events adjudicated by the Clinical Events Committee (CEC), as procedure related and requiring either invasive surgical or percutaneous intervention. All-cause deaths (cardiovascular or non-cardiovascular) were assessed. Major Bleeding * Type 3a: * Any transfusion with overt bleeding * Overt bleeding+Hb drop of ≥ 3 to \< 5 g/dL (provided Hb drop is related to bleed) * Type 3b: * Overt bleeding+Hb drop ≥ 5 g/dL (provided Hb drop is related to bleed) * Cardiac tamponade * Bleeding requiring surgical intervention for (Watchman) * Bleedin

GroupValue95% CI
Amulet14.5
WATCHMAN (Control)14.7
Superiority Test of Primary Effectiveness Endpoint: Composite Rate of Ischemic Stroke or Systemic Embolism Secondary · At 18-months

Ischemic Stroke: An acute symptomatic episode of focal cerebral, spinal, or retinal dysfunction caused by an infarction of central nervous system tissue. Systemic Embolism: Acute vascular insufficiency or occlusion of the extremities or any non-central nervous system (non-CNS) organ associated with clinical, imaging, surgical/autopsy evidence of arterial occlusion in the absence of other likely mechanism (e.g. trauma, atherosclerosis, or instrumentation). When there is presence of prior peripheral artery disease, angiographic or surgical or autopsy evidence is required to show abrupt arterial

GroupValue95% CI
Amulet2.8
WATCHMAN (Control)2.8
Superiority Test of Primary Mechanism of Action Endpoint: Rate of Device Closure, by the Echocardiography Core Lab Secondary · At 45-days

Device closure (defined as residual jet around the device ≤ 5 mm) at the 45-day visit documented by transesophageal echocardiogram (TEE/TOE) defined by Doppler flow was assessed.

GroupValue95% CI
Amulet98.9
WATCHMAN (Control)96.8
Composite Rate of Ischemic Stroke and Systemic Embolism Secondary · 5 Years

Ischemic Stroke is defined as an acute symptomatic episode of focal cerebral, spinal, or retinal dysfunction caused by an infarction of central nervous system tissue and Systemic Embolism is define as Acute vascular insufficiency or occlusion of the extremities or any non-CNS organ associated with clinical, imaging, surgical/autopsy evidence of arterial occlusion in the absence of other likely mechanism (e.g. trauma, atherosclerosis, or instrumentation). When there is presence of prior peripheral artery disease, angiographic or surgical or autopsy evidence is required to show abrupt arterial o

GroupValue95% CI
Amulet7.4
WATCHMAN (Control)7.1
Composite Rate of Stroke, Systemic Embolism, or CV/Unexplained Death Secondary · 5 Years

Stroke: An acute episode of focal or global neurological dysfunction caused by the brain, spinal cord, or retinal vascular injury as a result of hemorrhage or infarction. Systemic Embolism: Acute vascular insufficiency/occlusion of the extremities/any non-CNS organ associated with clinical, imaging, surgical/autopsy evidence of arterial occlusion in the absence of other likely mechanism (trauma/atherosclerosis/instrumentation). When there is presence of prior peripheral artery disease, angiographic/surgical/autopsy evidence is required to show abrupt arterial occlusion. Cardiovascular/unexpl

GroupValue95% CI
Amulet20.3
WATCHMAN (Control)20.7
Rate of Major Bleeding Secondary · 5 Years

Major bleeding: Type 3a: Any transfusion with overt bleeding. Overt bleeding plus a hemoglobin drop of ≥ 3 to \< 5 g/dL. Type 3b: Overt bleeding plus hemoglobin drop ≥ 5 g/dL. Cardiac tamponade. Bleeding requiring surgical intervention for Watchman (excluding dental/nasal/skin/ hemorrhoid). Bleeding requiring intravenous vasoactive drugs. Type 3c:Intracranial hemorrhage including subdural hemorrhages (does not include microbleeds or hemorrhagic transformation, does include intraspinal). Subcategories confirmed by autopsy or imaging or lumbar puncture. Intraocular bleed compromising vision.

GroupValue95% CI
Amulet20.1
WATCHMAN (Control)20.0

Adverse events — posted to ClinicalTrials.gov

Time frame: 5 years. Reporting threshold: 0%. Adverse-event reports describe events observed during the trial — not all are caused by the drug.

Amulet
Serious: 542/934 (58%)
Deaths: 251/934
WATCHMAN (Control)
Serious: 535/944 (57%)
Deaths: 263/944

Serious adverse events (218 terms)

ReactionSystemAmuletWATCHMAN (Control)
Congestive Heart FailureCardiac disorders
Gastrointestinal BleedingGastrointestinal disorders
Ischemic StrokeNervous system disorders
Cardiac ArrestCardiac disorders
AnemiasBlood and lymphatic system disorders
TraumaInjury, poisoning and procedural complications
CancerNeoplasms benign, malignant and unspecified (incl cysts and polyps)
Respiratory FailureRespiratory, thoracic and mediastinal disorders
Anterior Myocardial InfarctionCardiac disorders
OtherGeneral disorders
PneumoniaInfections and infestations
EncephalopathyNervous system disorders
SepsisInfections and infestations
Chest PainCardiac disorders
Pulmonary EmbolismRespiratory, thoracic and mediastinal disorders
Transient Ischemic Attack (TIA)Nervous system disorders
Pericardial TamponadeCardiac disorders
Pericardial EffusionCardiac disorders
Multiple Organ FailureGeneral disorders
HematuriaRenal and urinary disorders
SyncopeVascular disorders
BleedingVascular disorders
Coronary Artery DiseaseCardiac disorders
FallInjury, poisoning and procedural complications
EpistaxisVascular disorders
Other adverse events (132 terms — click to expand)

ReactionSystemAmuletWATCHMAN (Control)
EpistaxisVascular disorders
Gastrointestinal BleedingGastrointestinal disorders
Bruise/Purpura SimplexSkin and subcutaneous tissue disorders
HematuriaRenal and urinary disorders
Pericardial EffusionCardiac disorders
VASC HematomaInjury, poisoning and procedural complications
BleedingVascular disorders
AnemiasBlood and lymphatic system disorders
Cardiac ThrombusCardiac disorders
VASC BleedingInjury, poisoning and procedural complications
SpellsNervous system disorders
LacerationsInjury, poisoning and procedural complications
FallInjury, poisoning and procedural complications
TraumaInjury, poisoning and procedural complications
Urinary Tract InfectionsRenal and urinary disorders
Transient Ischemic Attack (TIA)Nervous system disorders
Chest PainCardiac disorders
HematomaVascular disorders
Atrial FibrillationCardiac disorders
CellulitisInfections and infestations
Congestive Heart FailureCardiac disorders
Device Malposition or MalfunctionProduct Issues
HypotensionVascular disorders
Deep Vein/Venous ThrombosisVascular disorders
DyspneaCardiac disorders
EncephalopathyNervous system disorders
OtherGeneral disorders
Pleural EffusionRespiratory, thoracic and mediastinal disorders
Skin BruiseSkin and subcutaneous tissue disorders
Acute Kidney InjuryRenal and urinary disorders
ConfusionNervous system disorders
HemoptysisVascular disorders
Patent Foramen Ovale (PFO)Cardiac disorders
Peripheral Venous ThrombusVascular disorders
Thrombus on DeviceProduct Issues
Urinary RetentionRenal and urinary disorders
VASC BruiseInjury, poisoning and procedural complications
WeaknessGeneral disorders
Abnormal Lab ValueInvestigations
BacteremiaInfections and infestations

Most-reported serious reactions: Congestive Heart Failure, Gastrointestinal Bleeding, Ischemic Stroke, Cardiac Arrest, Anemias, Trauma, Cancer, Respiratory Failure.

Data from ClinicalTrials.gov NCT02879448 adverse events section.

Sponsor's own description

The Amulet™ device will be evaluated for safety and efficacy by demonstrating its performance is non-inferior to the commercially available WATCHMAN® left atrial appendage closure device in patients with non-valvular atrial fibrillation. Patients who are eligible for the trial will be randomized to receive either the Amulet device or the WATCHMAN device and will be followed for 5 years after device implant.

Publications & conference data

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

  1. The NCDR Left Atrial Appendage Occlusion Registry.
    Freeman JV, Varosy P, Price MJ, Slotwiner D, et al · · 2020 · cited 292× · PMID 32238316 · DOI 10.1016/j.jacc.2019.12.040
  2. Amplatzer Amulet Left Atrial Appendage Occluder Versus Watchman Device for Stroke Prophylaxis (Amulet IDE): A Randomized, Controlled Trial.
    Lakkireddy D, Thaler D, Ellis CR, Swarup V, et al · · 2021 · cited 283× · PMID 34459659 · DOI 10.1161/circulationaha.121.057063
  3. Stroke and thromboembolism prevention in atrial fibrillation.
    Jame S, Barnes G. · · 2020 · cited 95× · PMID 31533990 · DOI 10.1136/heartjnl-2019-314898
  4. Peridevice Leak After Transcatheter Left Atrial Appendage Occlusion: An Analysis of the Amulet IDE Trial.
    Price MJ, Ellis CR, Nielsen-Kudsk JE, Thaler D, et al · · 2022 · cited 53× · PMID 36357016 · DOI 10.1016/j.jcin.2022.09.001
  5. Cardiovascular Therapies Targeting Left Atrial Appendage.
    Turagam MK, Velagapudi P, Kar S, Holmes D, et al · · 2018 · cited 42× · PMID 29954658 · DOI 10.1016/j.jacc.2018.05.048
  6. Incidence, Predictors, and Clinical Outcomes of Device-Related Thrombus in the Amulet IDE Trial.
    Schmidt B, Nielsen-Kudsk JE, Ellis CR, Thaler D, et al · · 2023 · cited 32× · PMID 36697204 · DOI 10.1016/j.jacep.2022.07.014
  7. Short-Term Antiplatelet Versus Anticoagulant Therapy After Left Atrial Appendage Occlusion: A Systematic Review and Meta-Analysis.
    Osman M, Busu T, Osman K, Khan SU, et al · · 2020 · cited 25× · PMID 32439033 · DOI 10.1016/j.jacep.2019.11.009
  8. 3-Year Outcomes From the Amplatzer Amulet Left Atrial Appendage Occluder Randomized Controlled Trial (Amulet IDE).
    Lakkireddy D, Thaler D, Ellis CR, Swarup V, et al · · 2023 · cited 23× · PMID 37587599 · DOI 10.1016/j.jcin.2023.06.022

Verify or expand the search:

Other recruiting trials for Stroke

Currently open trials in the same condition.

Other Abbott Medical Devices trials

Trials by the same sponsor.

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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/NCT02879448.

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