Abbott Medical - VERITAS Study

Last updated: November 25, 2024
Sponsor: Abbott Medical Devices
Overall Status: Active - Recruiting

Phase

N/A

Condition

Chest Pain

Cardiac Disease

Dysrhythmia

Treatment

Amulet™ 2 Left Atrial Appendage (LAA) Occluder

Clinical Study ID

NCT06707688
ABT-CIP-10523
G240218
  • Ages > 18
  • All Genders

Study Summary

The primary objective of this study is to evaluate the safety and effectiveness of Abbott's Amulet™ 2 Left Atrial Appendage (LAA) occluder device (Amulet 2 device) in patients who have non-valvular atrial fibrillation and who are at increased risk for stroke and systemic embolism and have appropriate rationale to seek a non-pharmacologic alternative to oral anticoagulation.

Eligibility Criteria

Inclusion

Inclusion Criteria:

  1. Paroxysmal, persistent, permanent or long-term/longstanding persistent non-valvularAF and has not been diagnosed with rheumatic mitral valve disease

  2. CHA2DS2-VASc score of ≥2 for males or ≥3 for females

  3. Has an appropriate rationale to seek a non-pharmacologic alternative to oralanticoagulation

  4. Subject is eligible to stop anticoagulation if the LAA is sealed based on theimplanting physician's opinion

  5. Subject is able to comply with the protocol defined pharmacologic regimen followingAmulet 2 device implant (as described in Section 6.5)

  6. Subject is able to understand and willing to provide written informed consent toparticipate in the clinical investigation

  7. Subject is able and willing to return for required follow-up visits and protocolrequired clinical investigation activities

  8. 18 years of age or older, or the age of legal consent

Exclusion

Exclusion Criteria:

  1. Required to take P2Y12 platelet inhibitor beyond 6 months when Amulet 2 LAA Occluderimplant procedure would occur

  2. Is considered at high risk for general anesthesia in the opinion of the Investigatoror based on past adverse reaction(s) requiring medical intervention or whichresulted in prolongation of hospital stay

  3. Atrial septal defect or patent foramen ovale repair or occluder

  4. Implanted with a mechanical valve prosthesis

  5. Subject anatomy will not accommodate or is contraindicated for transesophagealechocardiography probe use (e.g., presence of esophageal varices, esophagealstricture, or history of esophageal cancer), or subject has experienced adverseevents related to transesophageal echocardiography acquisition or has refusedtransesophageal echocardiography acquisition in the past

  6. Underwent any cardiac or non-cardiac intervention or surgery within 30 days prior towhen Amulet 2 device implant procedure would occur (any intervention or surgery thatutilized anesthesia, anesthetic, or sedation)

  7. Underwent catheter ablation for AF or atrial flutter within 60 days prior to whenAmulet 2 device implant procedure would occur

  8. Inpatient hospitalization due to clinical event or other sequelae within the past 7days (i.e., not related to planned clinical study procedure or assessments)

  9. Subject is planning any cardiac or non-cardiac intervention or surgery within 60days after when Amulet 2 device implant procedure would occur (any intervention orsurgery that utilized anesthesia, anesthetic, or sedation), except for study relatedactivities

  10. Inferior vena cava filter present

  11. Left ventricular ejection fraction ≤30% (per most recent assessment)

  12. Experienced stroke or transient ischemic attack within 90 days prior to when Amulet 2 device implant procedure would occur

  13. Experienced myocardial infarction (with or without intervention) within 90 daysprior to when Amulet 2 device implant procedure would occur

  14. New York Heart Association (NYHA) Class IV Congestive Heart Failure

  15. Known symptomatic carotid disease (defined as > 50% lumen diameter narrowing on CTA,MRA, or TCD with symptoms of ipsilateral transient or visual TIA evidenced byamaurosis fugax, ipsilateral hemispheric TIAs or ipsilateral stroke); if subject hasa history of carotid stent or endarterectomy the subject is eligible if there is < 50% lumen diameter narrowing

  16. Underwent prior attempted endocardial, epicardial, or surgical LAA closure orocclusion, defined as deployment of a device or surgical procedure whethersuccessful or unsuccessful

  17. Reversible cause of AF (i.e., secondary to thyroid disorders, acute alcoholintoxication, trauma, recent major surgical procedures)

  18. History of idiopathic or recurrent venous thromboembolism within the past 5 years

  19. Thrombocytopenia (defined as < 50,000 platelets per microliter (<50 x 109/L) oranemia (defined as hemoglobin < 10 g/dL) requiring transfusions

  20. Known hypersensitivity to any portion of the device material or individualcomponents of the Amulet 2 device (e.g., nickel allergy)

  21. Actively enrolled in, or plans to enroll in, a concurrent clinical investigation inwhich the active treatment arm may confound the results of the VERITAS Study. Eachinstance must be brought to the attention of the Sponsor to determine eligibility.

  22. Is pregnant or breastfeeding, or pregnancy is planned during the course of theinvestigation

  23. Active endocarditis or other infection producing bacteremia

  24. Transient case of AF (i.e., never previously detected, provoked/induced by surgicalor catheter manipulations, etc.)

  25. Severe renal failure (estimated glomerular filtration rate <30 ml/min/1.73m2) or onchronic dialysis

  26. Life expectancy is less than 2 years in the opinion of the Investigator

  27. Presence of other anatomic or comorbid conditions, or other medical, social, orpsychological conditions that, in the Investigator's opinion, could limit thesubject's ability to participate in the clinical investigation or to comply withfollow up requirements, or impact the scientific soundness of the clinicalinvestigation results.

Anatomical Exclusion Criteria:

  1. Intracardiac thrombus

  2. Existing circumferential pericardial effusion >2 mm

  3. Mitral valve stenosis, defined as a mitral valve area of <1.5 cm2

  4. Inter-atrial communication (PFO/ASD with right to left shunt, if TEE performed) withan atrial septal aneurysm (excursion >15 mm or length ≥15 mm; excursion defined asmaximal protrusion of the atrial septal aneurysm beyond the plane of the atrialseptum) or large shunt (i.e., during Valsalva maneuver ≥20 bubbles of right-to-leftshunt within 3 cardiac cycles after contrast media enters the right atrium, if TEEperformed)

  5. Complex atheroma of the descending aorta and/or aortic arch, defined as plaque >4 mmin thickness, plaque ulceration, and/or mobile lesions

  6. Cardiac tumor

  7. LAA anatomy that cannot accommodate the Amulet 2 device, as per manufacturer's IFU (i.e., the LAA size must be within the sizing chart of the Amulet 2 device)

  8. Placement of the device would damage or interfere with the function of anyintracardiac or intravascular structure

Study Design

Total Participants: 475
Treatment Group(s): 1
Primary Treatment: Amulet™ 2 Left Atrial Appendage (LAA) Occluder
Phase:
Study Start date:
November 11, 2024
Estimated Completion Date:
July 31, 2028

Connect with a study center

  • Cliniques Universitaires Saint Luc

    Brussels,
    Belgium

    Site Not Available

  • Hôpital Civil Marie Curie

    Lodelinsart,
    Belgium

    Site Not Available

  • Vancouver General Hospital (U of BC)

    Vancouver, British Columbia
    Canada

    Site Not Available

  • Institut de Cardiologie de Montreal (Montreal Heart Inst.)

    Montreal, Quebec
    Canada

    Site Not Available

  • Skejby University Hospital

    Arhus,
    Denmark

    Site Not Available

  • Rigshospitalet

    Copenhagen,
    Denmark

    Site Not Available

  • CHU Gabriel Montpied

    Clermont-Ferrand, Auvergn
    France

    Site Not Available

  • Institute Cardio. Paris-Sud - Institut Jacques Cartier

    Massy,
    France

    Site Not Available

  • Cardioangiologisches Centrum am Bethanien Krankenhaus

    Frankfurt, Hesse
    Germany

    Site Not Available

  • Deutsches Herzzentrum der Charité

    Berlin,
    Germany

    Site Not Available

  • Eduardus Hospital

    Köln,
    Germany

    Site Not Available

  • Universitätsklinikum Schleswig-Holstein - Campus Lübeck

    Lübeck,
    Germany

    Site Not Available

  • Heinrich-Braun-Klinikum gemeinnützige gGmbH Standort Zwickau

    Zwickau,
    Germany

    Site Not Available

  • Ospedale San Raffaele

    Milano,
    Italy

    Site Not Available

  • Slaskie Centrum Chorob Serca

    Zabrze,
    Poland

    Site Not Available

  • Hospital Clínic de Barcelona

    Barcelona,
    Spain

    Site Not Available

  • Hospital Universitari de Bellvitge

    L'Hospitalet De Llobregat,
    Spain

    Site Not Available

  • Hospital Clinico San Carlos

    Madrid,
    Spain

    Site Not Available

  • Hospital Universitario de Salamanca

    Salamanca,
    Spain

    Site Not Available

  • Center Inselspital Bern

    Bern,
    Switzerland

    Site Not Available

  • Arizona Arrhythmia Research Group

    Phoenix, Arizona 85016
    United States

    Site Not Available

  • Arrhythmia Research Group

    Jonesboro, Arkansas 72401
    United States

    Active - Recruiting

  • Baptist Medical Center

    Jacksonville, Florida 32207
    United States

    Site Not Available

  • AdventHealth Orlando

    Orlando, Florida 32803
    United States

    Site Not Available

  • Northside Hospital

    Atlanta, Georgia 30342
    United States

    Site Not Available

  • Kansas City Cardiac Arrhythmia Research Foundation

    Overland Park, Kansas 66211
    United States

    Site Not Available

  • Providence Hospital

    Southfield, Michigan 48075
    United States

    Site Not Available

  • Mayo Clinic

    Rochester, Minnesota 55905
    United States

    Site Not Available

  • CHI Health Creighton University Medical Center-Bergan Mercy

    Omaha, Nebraska 68124
    United States

    Site Not Available

  • Mount Sinai

    New York, New York 10019
    United States

    Site Not Available

  • New York University Hospital

    New York, New York 10016
    United States

    Site Not Available

  • Roper Hospital

    Charleston, South Carolina 29401
    United States

    Site Not Available

  • Trident Medical Center

    Charleston, South Carolina 29406
    United States

    Site Not Available

  • Vanderbilt Heart & Vascular Institute

    Nashville, Tennessee 37232
    United States

    Site Not Available

  • Texas Cardiac Arrhythmia

    Austin, Texas 78705
    United States

    Site Not Available

  • Baylor All Saints Medical Center at Fort Worth

    Fort Worth, Texas 76104
    United States

    Site Not Available

  • Vital Heart and Vein

    Humble, Texas 77338
    United States

    Site Not Available

  • The Heart Hospital Baylor Plano

    Plano, Texas 75093
    United States

    Site Not Available

  • Heart Rhythm Associates

    Shenandoah, Texas 77380
    United States

    Site Not Available

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