960 Participants Needed

Ablation and LAA Exclusion Systems for Atrial Fibrillation

BT
Overseen ByBoxX-NoAF Trial Inbox
Age: 65+
Sex: Any
Trial Phase: Academic
Sponsor: AtriCure, Inc.
No Placebo GroupAll trial participants will receive the active study treatment (no placebo)

Trial Summary

What is the purpose of this trial?

Post Operative Atrial Fibrillation (POAF) is the most common complication of cardiac surgery. POAF incidence can exceed 50% depending on the patient baseline characteristics and surgery type. Patients with POAF tend to have worse acute and long-term clinical outcomes. BoxX-NoAF is a randomized trial to evaluate if prophylactic ablation and exclusion of the Left Atrial Appendage at the time of other routine cardiac surgery can reduce the incidence of post operative AF and clinical AF during long term follow up in patients who have not yet developed AF but are at risk.

Eligibility Criteria

The BoxX-NoAF trial is for patients at risk of developing Atrial Fibrillation (AF) who haven't yet had it but are undergoing routine cardiac surgery. It aims to see if adding two procedures can prevent post-operative AF and reduce long-term AF incidence.

Inclusion Criteria

I am scheduled for heart surgery that involves bypass and opening the outer layer of my heart.
I am 65 or older with a high stroke risk score.

Exclusion Criteria

I have had a procedure to close or remove my left atrial appendage.
I have severe heart failure symptoms.
I have had atrial fibrillation or flutter before heart surgery.
See 17 more

Timeline

Screening

Participants are screened for eligibility to participate in the trial

2-4 weeks

Treatment

Participants undergo index cardiac surgery with or without ablation and Left Atrial Appendage Exclusion

Immediate (during surgery)

Post-operative Monitoring

Participants are monitored for the occurrence of post operative atrial fibrillation and other safety endpoints

30 days

Follow-up

Participants are monitored for the occurrence of clinical atrial fibrillation

3 years

Treatment Details

Interventions

  • Isolator® Synergy™ EnCompass® Ablation System and AtriClip® LAA Exclusion System
Trial Overview This study tests whether the Isolator® Synergy™ EnCompass® Ablation System and AtriClip® LAA Exclusion System can lower the chances of getting AF after other heart surgeries. Patients are randomly chosen to receive these additional treatments or not.
Participant Groups
2Treatment groups
Experimental Treatment
Active Control
Group I: TreatmentExperimental Treatment1 Intervention
Index cardiac surgery + Ablation + Left Atrial Appendage Exclusion with AtriClip
Group II: ControlActive Control1 Intervention
Index cardiac surgery only

Find a Clinic Near You

Who Is Running the Clinical Trial?

AtriCure, Inc.

Lead Sponsor

Trials
43
Recruited
22,800+
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