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NCT03368781: RECOVER AF

AcQMap Objectively Visualize the Etiology of Recurrent AF Following a Failed AF Ablation

Completed NA Results posted Last updated 27 July 2022
What this trial tests

NA trial testing AcQMap Imaging and Mapping System in Recurrent Atrial Fibrillation in 128 participants. Completed in 29 October 2020.

Timeline
12 April 2018
Primary endpoint
29 October 2020
29 October 2020

Quick facts

Lead sponsorAcutus Medical
PhaseNA
StatusCompleted
Study typeINTERVENTIONAL
Allocationna
Designsingle group
Maskingnone
Primary purposediagnostic
Enrollment128
Start date12 April 2018
Primary completion29 October 2020
Estimated completion29 October 2020
Sites15 locations across Netherlands, Belgium, United Kingdom, Germany, Canada, Czechia

Drugs / interventions tested

Conditions studied

Sponsor

Acutus Medical

Who can join

18 and older, any sex, with Recurrent Atrial Fibrillation. 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.

Number of Participants With Confirmation of Electrical Isolation of All Pulmonary Veins and Elimination/Modification of All Non-PV Targets Primary · 12 hours

At the procedure conclusion, confirmation of electrical isolation of all pulmonary veins and elimination/modification of all non-PV targets as identified by the AcQMap System

GroupValue95% CI
AcQMap Imaging and Mapping99
Number of Subjects Who Are Atrial Fibrillation Free at 6 Months Post Procedure Secondary · 6 months

Recording of all subjects who are atrial fibrillation free from events lasting \> 30 seconds at 6-months as measured by a 48-hour continuous ECG

GroupValue95% CI
AcQMap Arm85
Procedure Performance: Total Procedure Time Defined as First Venous Access to Last Cardiac Catheter Out Secondary · 4 hours

Documentation of procedure data including total time

GroupValue95% CI
Subjects Completing the AcQMap Procedure3.3± 0.8
Procedure Performance: Total Fluoroscopy Time Secondary · 4 hours

Documentation of procedure data including fluoroscopy time

GroupValue95% CI
Subjects Completing the AcQMap Procedure25.6± 12.5
Procedure Performance: Ablation Times for PVI Secondary · 2 hours

Documentation of procedure data including ablation times for PVI

GroupValue95% CI
Subject Who Completed the AcQMap Procedure Receiving Pulmonary Vein Ablations8.5± 6.8
Procedure Performance: Ablation Times for Non-PV Targets Secondary · 2 hours

Documentation of procedure data including ablation times for non-PV targets

GroupValue95% CI
Subjects Completing the AcQMap Procedure and Receiving Ablations for Non-PV Triggers26.2± 19.3
Number of Subjects Who Are Atrial Fibrillation Free at 12 Months Post Procedure Secondary · 12 months

Recording of all subjects who are atrial fibrillation free from events lasting \> 30 seconds at 12-months as measured by a 48-hour continuous ECG

GroupValue95% CI
AcQMap Arm78

Adverse events — posted to ClinicalTrials.gov

Time frame: 24-hours post procedure. Reporting threshold: 0%. Adverse-event reports describe events observed during the trial — not all are caused by the drug.

AcQMap Imaging and Mapping
Serious: 10/128 (8%)
Deaths: 0/128

Serious adverse events (11 terms)

ReactionSystemAcQMap Imaging and Mapping
TamponadeCardiac disorders
Urine infectionRenal and urinary disorders
GallstoneHepatobiliary disorders
Arteriovenous fistulaVascular disorders
Atrial groin bleedingInjury, poisoning and procedural complications
PericarditisCardiac disorders
Pericardial effusionCardiac disorders
ST-Elevation V1-V3Cardiac disorders
FeverGeneral disorders
AneurysmVascular disorders
Recurrence of atrial fibrillationCardiac disorders
Other adverse events (10 terms — click to expand)

ReactionSystemAcQMap Imaging and Mapping
groin hematomaVascular disorders
Right groin bleedVascular disorders
HaematurieRenal and urinary disorders
Groin painMusculoskeletal and connective tissue disorders
PericarditisCardiac disorders
HaemoptysisRespiratory, thoracic and mediastinal disorders
nauseaGastrointestinal disorders
FeverGeneral disorders
Skin BurnSkin and subcutaneous tissue disorders
Suspicion neurological event post procedureNervous system disorders

Most-reported serious reactions: Tamponade, Urine infection, Gallstone, Arteriovenous fistula, Atrial groin bleeding, Pericarditis, Pericardial effusion, ST-Elevation V1-V3.

Data from ClinicalTrials.gov NCT03368781 adverse events section.

Sponsor's own description

A prospective, single-arm, multi-center, multi-national, non-randomized, post-market study designed to provide clinical data regarding the use of the AcQMap High Resolution Imaging and Mapping System during an atrial fibrillation retreatment ablation procedure. (CLP-AF-004 \[EU\]) A prospective, single-arm, multi-center, non-randomized, pre-market study designed to provide clinical data regarding the use of the AcQMap High Resolution Imaging and Mapping System during an atrial fibrillation retreatment ablation procedure. (CLP-AF-005 \[Canada\])

Publications & conference data

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

  1. Treatment of pathophysiologic propagation outside of the pulmonary veins in retreatment of atrial fibrillation patients: RECOVER AF study.
    Betts TR, Good WW, Melki L, Metzner A, et al · · 2023 · cited 15× · PMID 37072340 · DOI 10.1093/europace/euad097
  2. Impact of Adenosine on Wavefront Propagation in Persistent Atrial Fibrillation: Insights From Global Noncontact Charge Density Mapping of the Left Atrium.
    Pope MTB, Kuklik P, Briosa E Gala A, Leo M, et al · · 2022 · cited 9× · PMID 35621197 · DOI 10.1161/jaha.121.021166
  3. Characterization of persistent atrial fibrillation with non-contact charge density mapping and relationship to voltage.
    Lee JMS, Nelson TA, Clayton RH, Kelland NF. · · 2022 · cited 5× · PMID 35222753 · DOI 10.1002/joa3.12661
  4. Global Substrate Mapping and Targeted Ablation with Novel Gold-tip Catheter in <i>De Novo</i> Persistent AF.
    Pope MT, Betts TR. · · 2022 · cited 1× · PMID 35755327 · DOI 10.15420/aer.2021.64
  5. Charge density mapping demonstrates superiority in catheter ablation of post-surgical atrial tachycardias.
    Gagyi RB, Minciuna IA, Bories W, Szili-Torok T. · · 2024 · PMID 39469129 · DOI 10.3389/fcvm.2024.1453273

Verify or expand the search:

Other recruiting trials for Recurrent Atrial Fibrillation

Currently open trials in the same condition.

Other Acutus Medical trials

Trials by the same sponsor.

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Data sources for this page

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