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NCT03775512: Q-FFICIENCY

Evaluation of QDOT MICRO™ Catheter for Pulmonary Vein Isolation in Subjects With Paroxysmal Atrial Fibrillation

Completed NA Results posted Last updated 16 March 2023
What this trial tests

NA trial testing RF Ablation with QDOT Micro in Paroxysmal Atrial Fibrillation in 283 participants. Completed in 17 February 2022.

Timeline
30 January 2019
Primary endpoint
17 February 2022
17 February 2022

Quick facts

Lead sponsorBiosense Webster, Inc.
PhaseNA
StatusCompleted
Study typeINTERVENTIONAL
Allocationnon randomized
Designsequential
Maskingnone
Primary purposetreatment
Enrollment283
Start date30 January 2019
Primary completion17 February 2022
Estimated completion17 February 2022
Sites22 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.

Percentage of Participants With Early Onset Primary Adverse Events (PAEs): Atrio-esophageal Fistula and Pulmonary Vein (PV) Stenosis Primary · Up to 90 days (post initial and repeated ablation procedure)

An adverse event (AE) is any untoward medical occurrence in a participant participating in a clinical study that does not necessarily have a causal relationship with the pharmaceutical/biological agent under study. A Primary AEs is an event which occurred within 90 days following initial and repeated ablation procedure using the QDOT MICRO. Primary AEs included: atrio-esophageal fistula and pulmonary vein stenosis.

GroupValue95% CI
Main Arm: QDOT Micro Catheter0
Variable Flow Arm: QDOT Micro Catheter0
Percentage of Participants With Early Onset PAEs: Death, Myocardial Infraction, Cardiac Tamponade/Perforation, Thromboembolism, Stroke/Cardiovascular Accident , TIA, PNP, Heart Block, Pulmonary Edema, Vagal Nerve Injury, Pericarditis, and MVAC/Bleeding Primary · Up to 7 days (post initial and repeated ablation procedure)

A Primary AEs is an event which occurred within the first week (7 days of the initial and repeated ablation procedure) which included death, myocardial infraction (MI), cardiac tamponade (CT)/perforation, thromboembolism, stroke/cardiovascular accident (CVA), transient ischemic attack (TIA), phrenic nerve paralysis (PNP), heart block, pulmonary edema, vagal nerve injury, pericarditis, and major vascular access complication/bleeding (MVAC).

GroupValue95% CI
Main Arm: QDOT Micro Catheter3.6
Variable Flow Arm: QDOT Micro Catheter2.4
Percentage of Participants With Freedom From Documented Atrial Fibrillation (AF), Atrial Tachycardia (AT), or Atrial Flutter (AFL) Episodes or Other Failure Modes Primary · Day 91 to Day 365

Percentage of participants with freedom from documented AF, AT, or AFL episodes or following failure modes: a) Acute procedural: Failure to confirm entrance block in all pulmonary veins post-procedure and use of a non-study catheter to treat left atrial ablation targets and Cavo-tricuspid isthmus; b) Repeat ablation: \>2 repeat ablation procedures with the study catheter during the 3-Month blanking period (Day 0-90) after the index ablation procedure, use of a non-study catheter to treat study arrhythmia ablation targets during the blanking period, and any repeat ablation procedure during the

GroupValue95% CI
Main Arm: QDOT Micro Catheter76.3
Variable Flow Arm: QDOT Micro Catheter67.5
Number of Participants With Unanticipated Adverse Device Effects (UADEs) Secondary · Up to 20 months

Number of participants with UADEs were reported.

GroupValue95% CI
Main Arm: QDOT Micro Catheter0
Variable Flow Arm: QDOT Micro Catheter0
Number of Participants With Serious Non-Primary Adverse Events (SAEs) Within 7 Days (Early Onset), 8-30 Days (Peri-procedural) and Greater Than or Equal to (>=) 31 Days (Late Onset) of Initial Ablation Procedure Secondary · Within 7 days (early onset), 8-30 days (peri-procedural) and >=31 days (late onset) of initial ablation procedure (up to 20 months)

Number of participants with serious non-primary AEs within 7 days (early onset), 8-30 days (peri-procedural) and \>=31 days (late onset) of initial ablation were reported.

0 - 7 Days
GroupValue95% CI
Main Arm: QDOT Micro Catheter8
Variable Flow Arm: QDOT Micro Catheter4
8 - 30 Days
GroupValue95% CI
Main Arm: QDOT Micro Catheter4
Variable Flow Arm: QDOT Micro Catheter3
>= 31 Days
GroupValue95% CI
Main Arm: QDOT Micro Catheter25
Variable Flow Arm: QDOT Micro Catheter12
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 20 months)

Number of participants with bleeding complication (ISTH definitions): a) major, b) clinically relevant non-major and c) minor bleeding 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 th

Major: 0 - 7 Days
GroupValue95% CI
Main Arm: QDOT Micro Catheter3
Variable Flow Arm: QDOT Micro Catheter0
Major: 8 - 30 Days
GroupValue95% CI
Main Arm: QDOT Micro Catheter0
Variable Flow Arm: QDOT Micro Catheter0
Major: >= 31 Days
GroupValue95% CI
Main Arm: QDOT Micro Catheter0
Variable Flow Arm: QDOT Micro Catheter0
CRNM: 0-7 Days
GroupValue95% CI
Main Arm: QDOT Micro Catheter3
Variable Flow Arm: QDOT Micro Catheter0
CRNM: 8-30 Days
GroupValue95% CI
Main Arm: QDOT Micro Catheter0
Variable Flow Arm: QDOT Micro Catheter0
CRNM: >= 31 Days
GroupValue95% CI
Main Arm: QDOT Micro Catheter2
Variable Flow Arm: QDOT Micro Catheter0
Minor: 0-7 Days
GroupValue95% CI
Main Arm: QDOT Micro Catheter5
Variable Flow Arm: QDOT Micro Catheter0
Minor: 8-30 Days
GroupValue95% CI
Main Arm: QDOT Micro Catheter1
Variable Flow Arm: QDOT Micro Catheter0
Percentage of Participants With Electrical Isolation of Pulmonary Veins (PVs) (Entrance Block) at the End of the Procedure Secondary · End of the Procedure (up to 20 months)

Percentage of participants with electrical isolation of PVs (entrance block) at the end of the procedure were reported

GroupValue95% CI
Main Arm: QDOT Micro Catheter100
Variable Flow Arm: QDOT Micro Catheter100
Percentage of Participants With Electrical Isolation of PV After First Encirclement With Acute Reconnection Secondary · Up to 20 months

Percentage of participants with electrical isolation of PV after first encirclement with acute reconnection were reported.

GroupValue95% CI
Main Arm: QDOT Micro Catheter42.7
Variable Flow Arm: QDOT Micro Catheter31.7
Percentage of Participants With Electrical Isolation of PV After First Encirclement Without Acute Reconnection Secondary · Up to 20 months

Percentage of participants with electrical isolation of PV after first encirclement without acute reconnection were reported.

GroupValue95% CI
Main Arm: QDOT Micro Catheter57.3
Variable Flow Arm: QDOT Micro Catheter68.3
Percentage of Participants With Pulmonary Veins (PV) Touch-up Secondary · Up to 20 months

Percentage of participants with PV touch-up were reported. PV touch-up was defined as additional ablations being performed after first encirclement for targeted veins with acute reconnection.

GroupValue95% CI
Main Arm: QDOT Micro Catheter42.7
Variable Flow Arm: QDOT Micro Catheter31.7
Percentage of Targeted Veins With Touch-up (Ablation of Acute Reconnection) Among All Targeted Veins Secondary · Up to 20 months

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

GroupValue95% CI
Main Arm: QDOT Micro Catheter27.4
Variable Flow Arm: QDOT Micro Catheter20.7
Percentage of Participants With Touch-up at Anatomical Location of Acute PV Reconnection After First Encirclement Secondary · Up to 20 months

Percentage of participants 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). The review of all ablation targets for the 1 participant with RPV ridge entered by site resulted in reclassification to RPV superior. This outcome measure was planned to be analyzed for specified arm (main arm) only.

LPV: Anterior
GroupValue95% CI
Main Arm: QDOT Micro Catheter31.1
LPV: Inferior
GroupValue95% CI
Main Arm: QDOT Micro Catheter28.9
LPV: Posterior
GroupValue95% CI
Main Arm: QDOT Micro Catheter53.3
LPV: Ridge
GroupValue95% CI
Main Arm: QDOT Micro Catheter42.2
LPV: Superior
GroupValue95% CI
Main Arm: QDOT Micro Catheter44.4
RPV: Anterior
GroupValue95% CI
Main Arm: QDOT Micro Catheter53.5
RPV: Inferior
GroupValue95% CI
Main Arm: QDOT Micro Catheter37.2
RPV: Posterior
GroupValue95% CI
Main Arm: QDOT Micro Catheter58.1

Adverse events — posted to ClinicalTrials.gov

Time frame: Up to 20 months. Reporting threshold: 0%. Adverse-event reports describe events observed during the trial — not all are caused by the drug.

Main Arm: QDOT Micro Catheter
Serious: 32/177 (18%)
Deaths: 1/177
Variable Flow Arm: QDOT Micro Catheter
Serious: 14/87 (16%)
Deaths: 1/87

Serious adverse events (47 terms)

ReactionSystemMain Arm: QDOT Micro Cathe…Variable Flow Arm: QDOT Mi…
Atrial fibrillationCardiac disorders
Atrial flutterCardiac disorders
Chest painGeneral disorders
HeadacheNervous system disorders
Atrial tachycardiaCardiac disorders
TachycardiaCardiac disorders
PneumoniaInfections and infestations
MigraineNervous system disorders
Cardiac failure congestiveCardiac disorders
Cardiac tamponadeCardiac disorders
PyrexiaGeneral disorders
Arteriovenous fistulaVascular disorders
Pleuritic painRespiratory, thoracic and mediastinal disorders
Sinus node dysfunctionCardiac disorders
Cardiac valve fibroelastomaNeoplasms benign, malignant and unspecified (incl cysts and polyps)
Pericardial effusionCardiac disorders
Pulmonary embolismRespiratory, thoracic and mediastinal disorders
Cardiac failureCardiac disorders
ThrombocytopeniaBlood and lymphatic system disorders
Angina unstableCardiac disorders
Atrioventricular blockCardiac disorders
Cardiac arrestCardiac disorders
Ventricular extrasystolesCardiac disorders
CystGeneral disorders
Prostate cancerNeoplasms benign, malignant and unspecified (incl cysts and polyps)
Other adverse events (62 terms — click to expand)

ReactionSystemMain Arm: QDOT Micro Cathe…Variable Flow Arm: QDOT Mi…
HypotensionVascular disorders
DyspneaRespiratory, thoracic and mediastinal disorders
HypertensionVascular disorders
Ventricular extrasystolesCardiac disorders
Pulmonary vein stenosisRespiratory, thoracic and mediastinal disorders
Supraventricular tachycardiaCardiac disorders
HeadacheNervous system disorders
Pericardial effusionCardiac disorders
Atrial flutterCardiac disorders
PericarditisCardiac disorders
Non-Cardiac Chest painGeneral disorders
HematomaVascular disorders
Atrial tachycardiaCardiac disorders
Supraventricular extrasystolesCardiac disorders
Ventricular tachycardiaCardiac disorders
Chronic obstructive pulmonary diseaseRespiratory, thoracic and mediastinal disorders
Major Vascular Access Complication / BleedingVascular disorders
HematuriaRenal and urinary disorders
Oropharyngeal painRespiratory, thoracic and mediastinal disorders
Cardiac Tamponade/PerforationCardiac disorders
Angina pectorisCardiac disorders
VomitingGastrointestinal disorders
Chest painGeneral disorders
Urinary tract infectionInfections and infestations
Incision site hemorrhageInjury, poisoning and procedural complications
Urinary tract injuryInjury, poisoning and procedural complications
Laboratory test abnormalInvestigations
Weight increasedInvestigations
Groin painMusculoskeletal and connective tissue disorders
Joint swellingMusculoskeletal and connective tissue disorders
Musculoskeletal chest painMusculoskeletal and connective tissue disorders
Neck PainMusculoskeletal and connective tissue disorders
HypoesthesiaNervous system disorders
MigraineNervous system disorders
PresyncopeNervous system disorders
ProstatitisReproductive system and breast disorders
Pleuritic painRespiratory, thoracic and mediastinal disorders
Fluid overloadMetabolism and nutrition disorders
Vaginal hemorrhageReproductive system and breast disorders
Coronary artery diseaseCardiac disorders

Most-reported serious reactions: Atrial fibrillation, Atrial flutter, Chest pain, Headache, Atrial tachycardia, Tachycardia, Pneumonia, Migraine.

Data from ClinicalTrials.gov NCT03775512 adverse events section.

Sponsor's own description

Prospective, non-randomized, pre-market clinical evaluation of the QDOT MICRO™ Catheter to demonstrate the safety and effectiveness when compared to an historical control performance goal.

Publications & conference data

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

  1. Very High-Power Short-Duration, Temperature-Controlled Radiofrequency Ablation in Paroxysmal Atrial Fibrillation: The Prospective Multicenter Q-FFICIENCY Trial.
    Osorio J, Hussein AA, Delaughter MC, Monir G, et al · · 2023 · cited 60× · PMID 36752484 · DOI 10.1016/j.jacep.2022.10.019
  2. High-power, Short-duration Radiofrequency Ablation for the Treatment of AF.
    Kotadia ID, Williams SE, O'Neill M. · · 2020 · cited 35× · PMID 32685157 · DOI 10.15420/aer.2019.09
  3. QDOT MICRO™ versus THERMOCOOL<sup>®</sup> SMARTTOUCH™ and THERMOCOOL SMARTTOUCH<sup>®</sup> Surround Flow in radiofrequency ablation of paroxysmal atrial fibrillation.
    Osorio J, Maccioni S, Sharma R, Patel L, et al · · 2023 · PMID 37584396 · DOI 10.57264/cer-2023-0005
  4. Rapid Point-by-Point Pulmonary Vein Isolation.
    Michaud GF, Narayan SM. · · 2019 · PMID 31320007 · DOI 10.1016/j.jacep.2019.05.007

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.

Verify against primary sources

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/NCT03775512.

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