400 Participants NeededMy employer runs this trial

Sphere-9 Catheter Ablation for Atrial Fibrillation

(Conquer-AF Trial)

Recruiting at 30 trial locations
RS
Overseen ByRyan S Radtke, Bachelors of Science- Biology
Age: 18+
Sex: Any
Trial Phase: Academic
Sponsor: Medtronic Cardiac Ablation Solutions
Must be taking: Anticoagulants
No Placebo GroupAll trial participants will receive the active study treatment (no placebo)

What You Need to Know Before You Apply

What is the purpose of this trial?

This trial tests a redo procedure for individuals with atrial fibrillation (AF), a condition characterized by an irregular heartbeat. The Sphere-9 Catheter and Affera Ablation System aim to improve AF symptom management after a previous ablation was insufficient. Participants must have experienced a return of AF symptoms following a single prior ablation procedure. The study will monitor participants for a year to evaluate the treatment's effectiveness. As an unphased trial, it provides participants the chance to contribute to the advancement of AF treatment options.

Do I need to stop my current medications for the trial?

The trial does not specify if you need to stop taking your current medications. However, you must be on oral anticoagulation therapy for at least 3 weeks before the ablation procedure.

What prior data suggests that the Sphere-9 Catheter Ablation is safe for atrial fibrillation patients?

Research has shown that the Sphere-9 Catheter, used to remove tissue in atrial fibrillation (AF), is generally safe. Studies found that only 1.4% of patients experienced significant issues, indicating that problems were rare. Another study reported an even lower rate of 0.6%, with no serious complications such as harmful connections between the esophagus and heart or sudden narrowing of heart blood vessels.

These findings suggest that the Sphere-9 Catheter is well-tolerated, with low rates of side effects, which is encouraging for those considering participation in clinical trials with this treatment.12345

Why are researchers excited about this trial?

The Sphere-9 Catheter Ablation is unique because it combines both mapping and ablation functions in a single device, which could streamline the procedure for atrial fibrillation (AF). Traditional treatments like radiofrequency or cryoablation require separate catheters for mapping and ablation, making the process more complex and time-consuming. Researchers are excited because the Sphere-9 Catheter may improve precision and efficiency, potentially leading to better patient outcomes and reduced procedure times. This integrated approach could represent a significant advancement in the treatment of AF, offering a more effective and patient-friendly option.

What evidence suggests that the Sphere-9 Catheter Ablation is effective for atrial fibrillation?

Research has shown that the Sphere-9 Catheter Ablation effectively treats atrial fibrillation (AF), a type of irregular heartbeat. One study reported that 74% of patients did not experience a significant return of AF within a year after the procedure. Another study found that 78.3% of patients with occasional AF and 77.9% with ongoing AF remained free from irregular heartbeats after one year. Specifically, 155 patients treated with this system did not experience irregular heartbeats again within 12 months. The Sphere-9 Catheter Ablation combines different energy types to target abnormal heart tissue, proving safe and effective for treating ongoing AF.13678

Who Is on the Research Team?

KT

Khaldoun Tarakji, MD

Principal Investigator

Medtronic

Are You a Good Fit for This Trial?

This trial is for adults (18+) who have had one previous ablation for paroxysmal or persistent atrial fibrillation within the last 3 years and are experiencing symptoms again. Participants must be able to follow study requirements and not have certain heart, lung, kidney issues, severe obesity, recent strokes or clots, or other major health problems.

Inclusion Criteria

I had one AF ablation for paroxysmal or persistent AF in the past 3 years.
I am 18 years old or older.
Willing and able to comply with all study requirements and provide informed consent
See 1 more

Exclusion Criteria

I have moderate to severe narrowing of my heart valves.
I have been diagnosed with an atrial myxoma.
My atrial fibrillation is not caused by a reversible condition.
See 38 more

Timeline for a Trial Participant

Screening

Participants are screened for eligibility to participate in the trial

2-4 weeks

Treatment

Participants undergo a redo atrial fibrillation ablation using the Sphere-9 Catheter and the Affera Ablation System

1 day
1 visit (in-person)

Follow-up

Participants are monitored for safety and effectiveness after treatment with follow-up visits at 7 days, 3 months, 6 months, and 12 months post-procedure

12 months
4 visits (in-person)

Open-label extension (optional)

Participants may opt into continuation of treatment long-term

Long-term

What Are the Treatments Tested in This Trial?

Interventions

  • Sphere-9 Catheter Ablation

Trial Overview

The study tests a redo ablation procedure using the Sphere-9 Catheter and Affera Ablation System in people with recurring atrial fibrillation after an earlier ablation. All participants receive this treatment and are followed for up to 12 months at multiple centers worldwide.

How Is the Trial Designed?

1

Treatment groups

Experimental Treatment

Group I: Single Arm: Redo AF Ablation with Sphere-9 CatheterExperimental Treatment1 Intervention

Find a Clinic Near You

Who Is Running the Clinical Trial?

Medtronic Cardiac Ablation Solutions

Lead Sponsor

Trials
29
Recruited
16,000+

Citations

One-year outcomes of a conformable single-shot pulsed ...

Among a subset of patients who had continuous ILR monitoring, the effectiveness rate was high; even among the patients who had AA recurrence, ...

SPHERE Per-AF clinical summary

SPHERE Per-AF trial design and study population. Randomized, controlled clinical trial comparing Sphere-9 catheter with the Affera mapping and ablation ...

Dual-energy lattice-tip ablation system for persistent atrial ...

These results demonstrate non-inferior safety and effectiveness of the dual-energy catheter for the treatment of persistent AF.

4.

pubmed.ncbi.nlm.nih.gov

pubmed.ncbi.nlm.nih.gov/41655663/

Impact of linear ablation in persistent atrial fibrillation using ...

Objective: This study aimed to examine (1) the performance of a novel dual-energy (pulsed field/radiofrequency) lattice-tip mapping and ablation ...

Medtronic announces key Affera™ clinical study ...

HRS late-breaking data: Interim results highlight six-month outcomes for patients treated with the Sphere-9 catheter for sustained monomorphic ...

Medtronic Affera™ Mapping and Ablation System ...

The Sphere-9 Catheter demonstrated a positive safety profile with an excellent primary safety endpoint rate of 1.4% (1.0% for the control arm).

Sphere‐9 Catheter and Affera Ablation System - P240013

Of the patients treated with the Sphere-9 Catheter and Affera Ablation System, 155 did not experience arrhythmia again (recur) within 12 months ...

A Focal Ablation Catheter Toggling Between ...

After 348 ± 652 days of follow-up, the 1-year Kaplan-Meier estimates for freedom from atrial arrhythmias were 78.3% ± 5.0% and 77.9% ± 4.1% for paroxysmal and ...