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NCT03624881

Evaluation of VISITAG SURPOINT™ Module With External Processing Unit (EPU)

Completed Phase 4 Results posted Last updated 3 July 2023
What this trial tests

Phase 4 trial testing Catheter ablation with EPU in Paroxysmal Atrial Fibrillation in 333 participants. Completed in 28 June 2021.

Timeline
4 September 2018
Primary endpoint
28 June 2021
28 June 2021

Quick facts

Lead sponsorBiosense Webster, Inc.
PhasePhase 4
StatusCompleted
Study typeINTERVENTIONAL
Allocationna
Designsingle group
Maskingnone
Primary purposetreatment
Enrollment333
Start date4 September 2018
Primary completion28 June 2021
Estimated completion28 June 2021
Sites41 locations across United States

Drugs / interventions tested

Conditions studied

Sponsor

Biosense Webster, Inc. — full company profile →

Who can join

18 and older, any sex, with Paroxysmal 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 Primary Adverse Events (PAEs) Primary · Up to 12 months

A PAE is a serious adverse event (SAEs), which occurred within the first week (7 days) following an atrial fibrillation (AF) ablation procedure with use of Tag Index. Pulmonary vein (PV) stenosis and atrio-esophageal fistula that occurred greater than one week (7 days) post-procedure were deemed Primary AEs. SAE is any AE that results in: death, persistent or significant disability/incapacity, requires inpatient hospitalization or prolongation of existing hospitalization, is life-threatening experience, is a congenital anomaly/birth defect and may jeopardize participant and/or may require medi

GroupValue95% CI
VISITAG SURPOINT Module STSF Catheter With EPU11
VISITAG SURPOINT Module ST Catheter With EPU3
Number of Participants Free From Atrial Tachyarrhythmias (Symptomatic and Asymptomatic) Primary · Up to 12 months

Number of participants free from symptomatic and asymptomatic atrial tachyarrhythmias (which includes atrial fibrillation \[AF\], atrial flutter \[AFL\], and atrial tachycardia \[AT\]) were reported.

GroupValue95% CI
VISITAG SURPOINT Module STSF Catheter With EPU173
VISITAG SURPOINT Module ST Catheter With EPU34
Percentage of Participants With Cumulative PAEs Secondary · Up to 12 months

A PAE is a serious adverse event, which occurs within the first week (7 days) following an AF ablation procedure with use of Tag Index. Pulmonary vein (PV) stenosis and atrio-esophageal fistula that occurs greater than one week (7 days) post-procedure were deemed Primary AEs. SAE is any AE that results in: death, persistent or significant disability/incapacity, requires inpatient hospitalization or prolongation of existing hospitalization, is life-threatening experience, is a congenital anomaly/birth defect and may jeopardize participant and/or may require medical or surgical intervention to p

GroupValue95% CI
VISITAG SURPOINT Module STSF Catheter With EPU4.3
VISITAG SURPOINT Module ST Catheter With EPU6.3
Number of Participants With Unanticipated Adverse Device Effects (UADEs) Secondary · Up to 12 months

Number of participants with UADEs was reported.

GroupValue95% CI
VISITAG SURPOINT Module STSF Catheter With EPU0
VISITAG SURPOINT Module ST Catheter With EPU0
Number of Participants With Serious Non-Primary AEs Secondary · Up to 12 months

Serious non-primary adverse events were defined as serious AEs (SAEs) that are not primary adverse events. SAE is any AE that results in: death, persistent or significant disability/incapacity, requires inpatient hospitalization or prolongation of existing hospitalization, is life-threatening experience, is a congenital anomaly/birth defect and may jeopardize participant and/or may require medical or surgical intervention to prevent one of the outcomes listed above.

GroupValue95% CI
VISITAG SURPOINT Module STSF Catheter With EPU42
VISITAG SURPOINT Module ST Catheter With EPU3
Number of Participants With Bleeding Complication by International Society on Thrombosis and Haemostasis (ISTH) Class and Timing of Onset Secondary · Within 7 Days (Early Onset), 8-30 Days (Peri-procedural) and >=31 Days (Late Onset) of Initial Ablation Procedure (Up to 12 Months)

Number of participants with bleeding complication by ISTH class and timing of onset were reported. The ISTH classification of major bleeding event is a hemoglobin drop of greater than or equal to (\>=) 2 grams per deciliter (g/dL), transfusion of \>= 2 units (U) packed red blood cells, symptomatic bleed in a critical area, or fatal bleed. Clinically relevant non-major (CRNM) events require prolong hospitalization or result in laboratory testing, imaging, compression, procedure, interruption of the study medication or a change in concomitant therapy. Minor bleeding events are overt bleeding eve

Major (0-7 Days)
GroupValue95% CI
VISITAG SURPOINT Module STSF Catheter With EPU0
VISITAG SURPOINT Module ST Catheter With EPU0
Major (8-30 Days)
GroupValue95% CI
VISITAG SURPOINT Module STSF Catheter With EPU0
VISITAG SURPOINT Module ST Catheter With EPU0
Major (>=31 Days)
GroupValue95% CI
VISITAG SURPOINT Module STSF Catheter With EPU0
VISITAG SURPOINT Module ST Catheter With EPU0
CRNM (0-7 Days)
GroupValue95% CI
VISITAG SURPOINT Module STSF Catheter With EPU4
VISITAG SURPOINT Module ST Catheter With EPU0
CRNM (8-30 Days)
GroupValue95% CI
VISITAG SURPOINT Module STSF Catheter With EPU0
VISITAG SURPOINT Module ST Catheter With EPU0
CRNM (>=31 Days)
GroupValue95% CI
VISITAG SURPOINT Module STSF Catheter With EPU3
VISITAG SURPOINT Module ST Catheter With EPU0
Minor (0-7 Days)
GroupValue95% CI
VISITAG SURPOINT Module STSF Catheter With EPU17
VISITAG SURPOINT Module ST Catheter With EPU1
Minor (8-30 Days)
GroupValue95% CI
VISITAG SURPOINT Module STSF Catheter With EPU2
VISITAG SURPOINT Module ST Catheter With EPU0
Percentage of Participants With Ipsilateral Pulmonary Vein Isolation (PVI) (Entrance Block) at the End of the Procedure Secondary · End of the Procedure (up to 12 months)

Percentage of participants with ipsilateral PVI (entrance block) at the end of the procedure were reported.

GroupValue95% CI
VISITAG SURPOINT Module STSF Catheter With EPU98.8
VISITAG SURPOINT Module ST Catheter With EPU100
Percentage of Participants With Ipsilateral PVI After First Encirclement Without Acute Reconnection Secondary · Up to 12 months

Percentage of participants with ipsilateral PVI after first encirclement without Acute reconnection was reported.

GroupValue95% CI
VISITAG SURPOINT Module STSF Catheter With EPU72.0
VISITAG SURPOINT Module ST Catheter With EPU85.7
Percentage of Targeted Veins With Touch-up (Ablation of Acute Reconnection) Among All Targeted Veins Secondary · Up to 12 months

Percentage of targeted veins with touch-up (ablation of acute reconnection) among all targeted veins was reported.

GroupValue95% CI
VISITAG SURPOINT Module STSF Catheter With EPU16.9
VISITAG SURPOINT Module ST Catheter With EPU7.1
Percentage of Targeted Veins With Touch-up at Anatomical Location of Acute PV Reconnection After First Encirclement Secondary · Up to 12 months

Percentage of targeted veins with touch-up at anatomical location of acute PV reconnection after first encirclement was reported. The location included anterior, superior, ridge, posterior, and inferior region of the left pulmonary veins (LPV) and right pulmonary veins (RPV).

LPV: Anterior
GroupValue95% CI
VISITAG SURPOINT Module STSF Catheter With EPU4.2
VISITAG SURPOINT Module ST Catheter With EPU2.4
LPV: Superior
GroupValue95% CI
VISITAG SURPOINT Module STSF Catheter With EPU3.5
VISITAG SURPOINT Module ST Catheter With EPU0.0
LPV: Ridge
GroupValue95% CI
VISITAG SURPOINT Module STSF Catheter With EPU3.9
VISITAG SURPOINT Module ST Catheter With EPU0.0
LPV: Posterior
GroupValue95% CI
VISITAG SURPOINT Module STSF Catheter With EPU7.5
VISITAG SURPOINT Module ST Catheter With EPU0.0
LPV: Inferior
GroupValue95% CI
VISITAG SURPOINT Module STSF Catheter With EPU1.3
VISITAG SURPOINT Module ST Catheter With EPU2.2
RPV: Anterior
GroupValue95% CI
VISITAG SURPOINT Module STSF Catheter With EPU11.6
VISITAG SURPOINT Module ST Catheter With EPU4.3
RPV: Superior
GroupValue95% CI
VISITAG SURPOINT Module STSF Catheter With EPU5.7
VISITAG SURPOINT Module ST Catheter With EPU12.5
RPV: Ridge
GroupValue95% CI
VISITAG SURPOINT Module STSF Catheter With EPU9.1
VISITAG SURPOINT Module ST Catheter With EPU0.0
Number of Participants Who Underwent Repeat Ablation Procedures Secondary · Up to 12 months

Number of participants who underwent repeat ablation procedures were reported.

GroupValue95% CI
VISITAG SURPOINT Module STSF Catheter With EPU14
VISITAG SURPOINT Module ST Catheter With EPU3
Percentage of Participants With PVs Re-isolation Among All of the Targeted PVs at Repeat Procedure Secondary · Up to 12 months

Percentage of participants with PVs re-isolation among all of the targeted PVs at repeat procedure was reported.

GroupValue95% CI
VISITAG SURPOINT Module STSF Catheter With EPU57.1
VISITAG SURPOINT Module ST Catheter With EPU100

Adverse events — posted to ClinicalTrials.gov

Time frame: Up to 12 months. Reporting threshold: 0%. Adverse-event reports describe events observed during the trial — not all are caused by the drug.

VISITAG SURPOINT Module STSF Catheter With EPU
Serious: 53/261 (20%)
Deaths: 2/261
VISITAG SURPOINT Module ST Catheter With EPU
Serious: 6/49 (12%)
Deaths: 0/49

Serious adverse events (64 terms)

ReactionSystemVISITAG SURPOINT Module ST…VISITAG SURPOINT Module ST…
PneumoniaInfections and infestations
Atrial flutterCardiac disorders
PericarditisCardiac disorders
OsteoarthritisMusculoskeletal and connective tissue disorders
Cardiac failureCardiac disorders
Atrial fibrillationCardiac disorders
BradycardiaCardiac disorders
PalpitationsCardiac disorders
Abdominal pain upperGastrointestinal disorders
Chest painGeneral disorders
SepsisInfections and infestations
Joint dislocationInjury, poisoning and procedural complications
ArthralgiaMusculoskeletal and connective tissue disorders
DyspnoeaRespiratory, thoracic and mediastinal disorders
HypotensionVascular disorders
Pleural effusionRespiratory, thoracic and mediastinal disorders
Cardiac Tamponade/PerforationCardiac disorders
Major Vascular Access Complication / BleedingVascular disorders
AnaemiaBlood and lymphatic system disorders
Angina pectorisCardiac disorders
Cardiac failure congestiveCardiac disorders
Coronary artery diseaseCardiac disorders
Intracardiac thrombusCardiac disorders
Mitral valve incompetenceCardiac disorders
Ventricular tachycardiaCardiac disorders
Other adverse events (178 terms — click to expand)

ReactionSystemVISITAG SURPOINT Module ST…VISITAG SURPOINT Module ST…
Chest painGeneral disorders
DyspnoeaRespiratory, thoracic and mediastinal disorders
HypertensionVascular disorders
Atrial flutterCardiac disorders
PalpitationsCardiac disorders
DizzinessNervous system disorders
HeadacheNervous system disorders
HaematomaVascular disorders
Supraventricular tachycardiaCardiac disorders
DiarrhoeaGastrointestinal disorders
Oedema peripheralGeneral disorders
Atrial fibrillationCardiac disorders
FatigueGeneral disorders
Urinary tract infectionInfections and infestations
ContusionInjury, poisoning and procedural complications
Atrial tachycardiaCardiac disorders
PericarditisCardiac disorders
Chest discomfortGeneral disorders
PneumoniaInfections and infestations
HypotensionVascular disorders
AnemiaBlood and lymphatic system disorders
Supraventricular extrasystolesCardiac disorders
Ventricular extrasystolesCardiac disorders
NauseaGastrointestinal disorders
PyrexiaGeneral disorders
Corona virus infectionInfections and infestations
ArthralgiaMusculoskeletal and connective tissue disorders
Musculoskeletal painMusculoskeletal and connective tissue disorders
OsteoarthritisMusculoskeletal and connective tissue disorders
Pain in extremityMusculoskeletal and connective tissue disorders
Urinary retentionRenal and urinary disorders
EcchymosisSkin and subcutaneous tissue disorders
Drug hypersensitivityImmune system disorders
BradycardiaCardiac disorders
Sinus tachycardiaCardiac disorders
TachycardiaCardiac disorders
Ventricular tachycardiaCardiac disorders
Visual impairmentEye disorders
Vitreous floatersEye disorders
Large intestine polypGastrointestinal disorders

Most-reported serious reactions: Pneumonia, Atrial flutter, Pericarditis, Osteoarthritis, Cardiac failure, Atrial fibrillation, Bradycardia, Palpitations.

Data from ClinicalTrials.gov NCT03624881 adverse events section.

Sponsor's own description

Prospective, non-randomized, post market clinical evaluation of the VISITAG SURPOINT™ Module with External Processing Unit (EPU) when used with STSF catheter and ST catheter compared to an historical control performance goal. A maximum of 330 subjects will be enrolled across up to 45 sites. Two hundred eighty (280) enrolled subjects will be treated using the STSF catheter with EPU and 50 subjects will be treated using the ST catheter with EPU. Prior to enrollment, a few sites will be selected to only enroll subjects who will be treated with the ST catheter and the remaining sites will only enroll subjects who will be treated with the STSF catheter. Bayesian adaptive design will be used to assess early success at up to two interims: one after all subjects have completed the 3- month follow-up assessment, and a second to occur after all subjects have completed the 6 months follow-up visit.

Publications & conference data

1 peer-reviewed publication reference this trial (live from Europe PMC):

  1. Composite Index Tagging for PVI in Paroxysmal AF: A Prospective, Multicenter Postapproval Study.
    Di Biase L, Monir G, Melby D, Tabereaux P, et al · · 2022 · cited 22× · PMID 36137711 · DOI 10.1016/j.jacep.2022.06.007

Verify or expand the search:

Other recruiting trials for Paroxysmal Atrial Fibrillation

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/NCT03624881.

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