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NCT03733392

Advisor HD Grid Observational Study

Completed Results posted Last updated 16 April 2024
What this trial tests

trial testing Advisor HD Grid Mapping Catheter, Sensor Enabled in Persistent Atrial Fibrillation in 379 participants. Completed in 27 May 2021.

Timeline
11 January 2019
Primary endpoint
27 May 2021
27 May 2021

Quick facts

Lead sponsorAbbott Medical Devices
StatusCompleted
Study typeOBSERVATIONAL
Enrollment379
Start date11 January 2019
Primary completion27 May 2021
Estimated completion27 May 2021
Sites25 locations across France, Denmark, Italy, Netherlands, South Africa, Austria, Germany, Canada

Drugs / interventions tested

Conditions studied

Sponsor

Abbott Medical Devices — full company profile →

Who can join

18 and older, any sex, with Persistent Atrial Fibrillation or Ventricular Tachycardia. 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.

Rate of Subjects With Acute Success Primary · Immediate post procedure

The rate of acute success is defined as the percent of subjects who received HD Grid mapping and RF energy delivery according to label resulting in acute termination of clinical arrhythmia, defined by termination to sinus rhythm (SR) (or AT if being treated for PersAF) or non-inducibility of clinical arrhythmia after ablation (cardioversion allowed prior to inducibility attempt).

GroupValue95% CI
PersAF Subjects287
VT Subjects14
Rate of Subjects With Long-term Success Primary · PersAF (12 months), VT (6-months)

For PersAF, the rate of long-term success rate is defined as the percent of subjects who receive HD Grid mapping and RF energy delivery according to label and have had freedom from all atrial arrhythmias (AF/AFL/AT) greater than 30 seconds (as documented by 48-hr Holter at 12-month follow-up) and a new or increased dose in class I/III antiarrhythmic drug (AAD). For VT, the percent of subjects who receive HD Grid mapping and RF energy delivery according to label and have had freedom from recurrence of sustained monomorphic VT and a new or increase dose in class I/III AAD at 6-month follow-up. T

Freedom from arrhythmia recurrence and new or increased dose of class I/III AAD
GroupValue95% CI
PersAF Subjects168
VT Subjects14
Freedom from arrhythmia recurrence on or off class I/III AAD
GroupValue95% CI
PersAF Subjects173
VT Subjects14
Overall Procedure Time Secondary · During procedure

Overall procedure time is defined as time from initial catheter insertion to final catheter removal.

GroupValue95% CI
PersAF Subjects134.3± 51.3
VT Subjects174.1± 54.2
AFL Subjects171.4± 60.3
Radiofrequency (RF) Time Secondary · During Procedure

Defined as duration of time RF energy is delivered

GroupValue95% CI
PersAF Subjects32.0± 23.2
VT Subjects35.1± 30.5
AFL Subjects37.6± 36.8
Fluoroscopy Time Secondary · During Procedure

Defined as total time subject is exposed to fluoroscopy

GroupValue95% CI
PersAF Subjects14.5± 11.3
VT Subjects31.3± 17.4
AFL Subjects13.7± 10.6
Mapping Time Associated With Mapping Arrhythmia Secondary · During Procedure

Defined as the total mapping time for the creation of each map (including any new or retrospective map created with Manual, AutoMap, and TurboMap mapping)

GroupValue95% CI
Persistent AF12.8± 8.8
Atrial Flutter13.6± 11.8
Ventricular Tachycardia20.6± 15.3
Other7.3± 5.6
Number of Mapping Points Collected Secondary · During Procedure

Defined as total number of mapping points collected for the creation of each map.

GroupValue95% CI
Persistent AF10150.8± 8390.4
Atrial Flutter10533.1± 11282.8
Ventricular Tachycardia16496.2± 17207.5
Other3902.5± 4125.0
Number of Used Mapping Points Per Minute Secondary · During Procedure

Defined as the total number of mapping points used divided by the relative mapping time

GroupValue95% CI
Persistent AF203.2± 172.0
Atrial Flutter170.8± 157.5
Ventricular Tachycardia81.9± 50.7
Other180.1± 199.9
Substrate Characteristics Identified Secondary · During Procedure

For each type of arrhythmogenic substrate this will be defined as the frequency of substrate type identified in cases that attempted to identify the specific substrate.

Low Voltage
GroupValue95% CI
PersAF Subjects263
VT Subjects19
AFL Subjects42
Fibrosis/Scar
GroupValue95% CI
PersAF Subjects117
VT Subjects17
AFL Subjects34
Focal Impulses
GroupValue95% CI
PersAF Subjects8
VT Subjects0
AFL Subjects4
Rotors
GroupValue95% CI
PersAF Subjects4
VT Subjects0
AFL Subjects1
Complex Fractionated Electrograms (CFE)
GroupValue95% CI
PersAF Subjects52
VT Subjects2
AFL Subjects9
Other
GroupValue95% CI
PersAF Subjects48
VT Subjects4
AFL Subjects8
Map Type Used to Define Ablation Strategy Secondary · During Procedure

Defined by both the type of map used to define ablation strategy and the frequency each ablation strategy/target was used by physicians.

Peak-to-Peak
GroupValue95% CI
Persistent AF322
Atrial Flutter9
Ventricular Tachycardia24
Other12
Local Activation Time (LAT)
GroupValue95% CI
Persistent AF47
Atrial Flutter42
Ventricular Tachycardia13
Other19
CFE Mean
GroupValue95% CI
Persistent AF32
Atrial Flutter0
Ventricular Tachycardia1
Other0
Fractionation
GroupValue95% CI
Persistent AF9
Atrial Flutter1
Ventricular Tachycardia0
Other0
Peak-Negative
GroupValue95% CI
Persistent AF3
Atrial Flutter0
Ventricular Tachycardia0
Other0
Role of HD Wave Solution Configuration Relative to Standard Configuration in Ablation Strategy Decision. Secondary · During Procedure

Assessed by physician survey comparing maps generated with HD Wave electrode configuration to along-the-spline (standard) electrode configurations.

HD Wave Solution compared to standard configuration
GroupValue95% CI
Persistent AF187
Atrial Flutter24
Ventricular Tachycardia28
Other10
Differences Identified - Overall
GroupValue95% CI
Persistent AF117
Atrial Flutter12
Ventricular Tachycardia16
Other5
Type of Differences - Location of Low Voltage
GroupValue95% CI
Persistent AF69
Atrial Flutter8
Ventricular Tachycardia5
Other1
Type of Differences - Surface Area of Low Voltage
GroupValue95% CI
Persistent AF70
Atrial Flutter8
Ventricular Tachycardia15
Other0
Type of Differences - Activation time/sequence
GroupValue95% CI
Persistent AF4
Atrial Flutter3
Ventricular Tachycardia0
Other4
Type of Differences - Fractionation
GroupValue95% CI
Persistent AF33
Atrial Flutter1
Ventricular Tachycardia1
Other0
Type of Differences - Presence of additional diagnostic signals
GroupValue95% CI
Persistent AF1
Atrial Flutter0
Ventricular Tachycardia0
Other0
Type of Differences - Other
GroupValue95% CI
Persistent AF3
Atrial Flutter0
Ventricular Tachycardia1
Other0
Maneuverability of HD Grid Catheter Secondary · During Procedure

Defined as the ability to maneuver the HD Grid to each specified anatomic location if attempted, the ability to contact cardiac tissue, and the incidence of induced ectopic beats during maneuvering.

Attempted to make contact with cardiac wall
GroupValue95% CI
PersAF Subjects333
VT Subjects20
Sufficient contact all of the time (100%)
GroupValue95% CI
PersAF Subjects67
VT Subjects0
Sufficient contact most of the time (91-99%)
GroupValue95% CI
PersAF Subjects233
VT Subjects5
Sufficient contact some of the time (52-90%)
GroupValue95% CI
PersAF Subjects33
VT Subjects15
Sufficient contact occasionally (11-50%)
GroupValue95% CI
PersAF Subjects0
VT Subjects0
Sufficient contact rarely (0-10%)
GroupValue95% CI
PersAF Subjects0
VT Subjects0
Difficult reaching a specific area of the heart with HD Grid
GroupValue95% CI
PersAF Subjects70
VT Subjects7
Difficulty reaching Left Atrium
GroupValue95% CI
PersAF Subjects66
VT Subjects0

Adverse events — posted to ClinicalTrials.gov

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

PersAF Subjects
Serious: 39/334 (12%)
Deaths: 1/334
VT Subjects
Serious: 11/38 (29%)
Deaths: 0/38

Serious adverse events (30 terms)

ReactionSystemPersAF SubjectsVT Subjects
ARRHYTHMIA NEWCardiac disorders
ARRHYTHMIA PRE-EXISTINGCardiac disorders
CARDIAC PERFORATION OR TAMPONADECardiac disorders
VASCULAR ACCESS COMPLICATIONSVascular disorders
VASCULAR BLEEDING/LOCAL HEMATOMAS/ECCHYMOSISVascular disorders
PERICARDIAL EFFUSIONCardiac disorders
TRANSIENT ISCHEMIC ATTACK (TIA)General disorders
CEREBROVASCULAR ACCIDENT/ STROKENervous system disorders
INCOMPLETE AV, SINUS NODE, OR OTHER HEART BLOCKCardiac disorders
PULMONARY EDEMARespiratory, thoracic and mediastinal disorders
INFECTIONInfections and infestations
PULMONARY EMBOLISMRespiratory, thoracic and mediastinal disorders
RESPIRATORY COMPROMISE/DECOMPENSATIONRespiratory, thoracic and mediastinal disorders
THROMBOSIS/THROMBUSBlood and lymphatic system disorders
BLEEDING/ANEMIAInjury, poisoning and procedural complications
CARDIAC ARRESTCardiac disorders
CHEST PAIN/ANGINA (CARDIAC)Cardiac disorders
CORONARY ARTERY THROMBOSIS/OCCLUSIONCardiac disorders
EMBOLIC EVENTVascular disorders
HEART FAILURECardiac disorders
HYPERTENSIONVascular disorders
HYPOXIARespiratory, thoracic and mediastinal disorders
MYOCARDIAL INFARCTIONCardiac disorders
PAIN (NON-CARDIAC)General disorders
PALPITATIONCardiac disorders
Other adverse events (9 terms — click to expand)

ReactionSystemPersAF SubjectsVT Subjects
HYPOTENSIONVascular disorders
ARTERIOVENOUS FISTULAVascular disorders
BLURRED VISIONEye disorders
SHORT TERM LAPSES IN MEMORYNervous system disorders
PAIN (NON-CARDIAC)General disorders
PERICARDIAL EFFUSIONCardiac disorders
SKIN BURNS/DERMATITIS/ERYTHEMASkin and subcutaneous tissue disorders
VASCULAR ACCESS COMPLICATIONSVascular disorders
PAIN (NON-CARDIAC)Respiratory, thoracic and mediastinal disorders

Most-reported serious reactions: ARRHYTHMIA NEW, ARRHYTHMIA PRE-EXISTING, CARDIAC PERFORATION OR TAMPONADE, VASCULAR ACCESS COMPLICATIONS, VASCULAR BLEEDING/LOCAL HEMATOMAS/ECCHYMOSIS, PERICARDIAL EFFUSION, TRANSIENT ISCHEMIC ATTACK (TIA), CEREBROVASCULAR ACCIDENT/ STROKE.

Data from ClinicalTrials.gov NCT03733392 adverse events section.

Sponsor's own description

The aim of this study is to quantify and characterize the outcomes of radiofrequency (RF) ablation after, and the utility of electroanatomical mapping with the Advisor™ HD Grid Mapping Catheter, Sensor Enabled™ (hereafter called "HD Grid") and EnSite Precision™ Cardiac Mapping System (SV 2.2 or higher, hereafter called "EnSite Precision") with HD Wave Solution™ voltage mapping (hereafter called "HD Wave Solution") in subjects with persistent atrial fibrillation (PersAF) or ventricular tachycardia (VT) in real-world clinical settings.

Publications & conference data

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

  1. Characterization of high-density mapping in catheter ablation for persistent atrial fibrillation: results from the Advisor™ HD Grid Mapping Catheter Observational study.
    Fiedler L, Roca I, Lorgat F, Lacotte J, et al · · 2023 · cited 5× · PMID 36481832 · DOI 10.1007/s10840-022-01442-3

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Other recruiting trials for Persistent Atrial Fibrillation

Currently open trials in the same condition.

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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/NCT03733392.

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