The FARAPULSE ADVENT PIVOTAL Trial PFA System vs SOC Ablation for Paroxysmal Atrial Fibrillation (ADVENT)
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ClinicalTrials.gov Identifier: NCT04612244 |
Recruitment Status :
Active, not recruiting
First Posted : November 2, 2020
Last Update Posted : June 2, 2023
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Condition or disease | Intervention/treatment | Phase |
---|---|---|
Paroxysmal Atrial Fibrillation | Device: FARAPULSE Pulsed Field Ablation System Device: RadioFrequency and Cryoballoon Ablation | Not Applicable |
Study Type : | Interventional (Clinical Trial) |
Estimated Enrollment : | 900 participants |
Allocation: | Randomized |
Intervention Model: | Parallel Assignment |
Masking: | Single (Participant) |
Primary Purpose: | Treatment |
Official Title: | A Prospective Randomized Pivotal Trial of the FARAPULSE Pulsed Field Ablation System Compared With Standard of Care Ablation in Patients With Paroxysmal Atrial Fibrillation |
Actual Study Start Date : | March 1, 2021 |
Estimated Primary Completion Date : | June 2023 |
Estimated Study Completion Date : | June 2023 |

Arm | Intervention/treatment |
---|---|
Experimental: FARAPULSE Pulsed Field Ablation System |
Device: FARAPULSE Pulsed Field Ablation System
Ablation using the FARAPULSE Pulsed Field Ablation System |
Active Comparator: Force Sensing Radiofrequency Ablation and Cryoballoon Ablation |
Device: RadioFrequency and Cryoballoon Ablation
Contact Force Enabled RF and Cryoballoon ablation catheters indicated for Paroxysmal Atrial Fibrillation |
- Composite Safety Endpoint;Proportion of Intent to Treat Subjects with one or more of the specified device or procedure related SAEs [ Time Frame: 7 days and 12 Months ]Proportion of Intent to Treat subjects with one or more of the specified device or procedure related SAEs
- Treatment success [ Time Frame: 12 Months ]Acute procedural success and Chronic success
- PV Diameter change [ Time Frame: 3 months ]Change in pulmonary vein diameter
- Treatment Superiority [ Time Frame: 12 Months ]Treatment Success tested for superiority between the Pulsed Field and Thermal Groups.

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Ages Eligible for Study: | 18 Years to 75 Years (Adult, Older Adult) |
Sexes Eligible for Study: | All |
Accepts Healthy Volunteers: | No |
Key inclusion criteria: Patients are required to meet all the following inclusion criteria to participate in this study:
- Age 18-75
- Paroxysmal atrial fibrillation
- Anti-arrhythmic drug failed for efficacy or intolerance
Key exclusion criteria: Patients will be excluded from participating in this study if they meet any one of the following exclusion criteria:
- Atrial diameter greater than 5.5 cm
- Prior atrial ablation or surgery
- Left ventricular ejection fraction < 40%
- Implantable cardiac devices
- Heart surgery or stroke within 6 months of enrollment
- Renal impairment
- Body mass index greater than 40

To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.
Please refer to this study by its ClinicalTrials.gov identifier (NCT number): NCT04612244

Principal Investigator: | Vivek Reddy, MD | Mt. Sinai |
Responsible Party: | Farapulse, Inc. |
ClinicalTrials.gov Identifier: | NCT04612244 |
Other Study ID Numbers: |
CS0934 |
First Posted: | November 2, 2020 Key Record Dates |
Last Update Posted: | June 2, 2023 |
Last Verified: | May 2023 |
Individual Participant Data (IPD) Sharing Statement: | |
Plan to Share IPD: | No |
Studies a U.S. FDA-regulated Drug Product: | No |
Studies a U.S. FDA-regulated Device Product: | Yes |
Device Product Not Approved or Cleared by U.S. FDA: | Yes |
Atrial Fibrillation Arrhythmias, Cardiac Heart Diseases Cardiovascular Diseases Pathologic Processes |