Sphere-9 Catheter and Affera Ablation System for Ventricular Tachycardia
What You Need to Know Before You Apply
What is the purpose of this trial?
This trial explores a new treatment for individuals with a specific heart rhythm problem called monomorphic ventricular tachycardia (MMVT), which can occur after a heart attack. The treatment uses a special device, the Sphere-9 Catheter and Affera Ablation System, to target and correct the heart's rhythm. Ideal participants have experienced a heart attack, continue to have recurrent MMVT despite medication or other interventions, and have an implantable cardiac defibrillator (ICD).
As an unphased trial, this study provides patients the chance to contribute to groundbreaking research that could lead to innovative treatments for heart rhythm problems.
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, it mentions that participants should have recurrent ventricular tachycardia despite taking certain antiarrhythmic drugs, which suggests you may continue your current medications.
What prior data suggests that the Sphere-9 Catheter and Affera Ablation System is safe for ventricular tachycardia?
Previous studies have shown promising safety results for the Sphere-9 Catheter and Affera Ablation System. Research indicates that the Sphere-9 Catheter has a low rate of safety issues, with serious complications occurring in only 1.4% of cases, meaning serious problems were rare among patients. Another study found major complications in only 6% of patients, which is considered low for these treatments.
Additionally, 65.5% of patients did not experience ventricular tachycardia (a type of fast heart rhythm) again after using this system. This suggests that the treatment is not only safe but may also help prevent future heart rhythm problems.
These findings provide strong evidence that the Sphere-9 Catheter and Affera Ablation System are well-tolerated and have a favorable safety profile for patients with ventricular tachycardia.12345Why are researchers excited about this trial?
Researchers are excited about the Sphere-9 Catheter with the Affera Mapping and Ablation System because it offers a novel approach to treating ventricular tachycardia. Unlike traditional treatments that often rely on separate tools for mapping and ablation, this system integrates both functions into a single device, potentially simplifying the procedure and improving precision. Additionally, the Affera system's advanced mapping technology aims to identify abnormal heart tissue more accurately, which could lead to better outcomes and fewer complications for patients. This integration and precision set it apart from the standard catheter ablation techniques currently used.
What evidence suggests that the Sphere-9 Catheter and Affera Ablation System is effective for ventricular tachycardia?
Research has shown that the Sphere-9 Catheter and Affera Ablation System, which trial participants will receive, hold promise for treating ventricular tachycardia, a type of irregular heartbeat. One study found that 89% of patients could no longer have this abnormal heart rhythm triggered after the procedure. Another report indicated that 78% of patients remained free from irregular heartbeats three months after treatment. Additionally, 65.5% of patients did not experience a return of the condition within 12 months. These findings suggest the treatment effectively reduces episodes of ventricular tachycardia.12346
Who Is on the Research Team?
Pasquale Santangeli, MD
Principal Investigator
The Cleveland Clinic
Vivek Reddy, MD
Principal Investigator
Icahn School of Medicine at Mount Sinai
Are You a Good Fit for This Trial?
This trial is for adults aged 18–85 who have had a heart attack in the past, have an implanted defibrillator, and continue to experience certain types of dangerous fast heart rhythms (ventricular tachycardia) despite medication or device treatment. Participants must be able to follow all study procedures.Inclusion Criteria
Timeline for a Trial Participant
Screening
Participants are screened for eligibility to participate in the trial
Treatment
Participants are treated with the Sphere-9 Catheter and Affera Ablation System for ventricular tachycardia
Follow-up
Participants are monitored for safety and effectiveness after treatment
What Are the Treatments Tested in This Trial?
Interventions
- Sphere-9 Catheter with Affera Mapping and Ablation System
Trial Overview
The study is testing the safety and effectiveness of using the Sphere-9 Catheter with the Affera Mapping and Ablation System to treat recurring ventricular tachycardia. All participants will receive this treatment at multiple centers.
How Is the Trial Designed?
1
Treatment groups
Experimental Treatment
Ablation using the Sphere-9 Catheter with the Affera Mapping and Ablation System
Find a Clinic Near You
Who Is Running the Clinical Trial?
Medtronic Cardiac Ablation Solutions
Lead Sponsor
Citations
Mapping and ablation of ventricular tachycardia using dual ...
Post-ablation non-inducibility of VT was achieved in 89% of patients. Ventricular-arrhythmia-free survival at three months was 78%.
2.
medtronic.com
medtronic.com/en-us/e/healthcare-professionals/cardiac-ablation/sphere-9-vt-ablation-catheter-clinical-evidence.htmlSphere-9™ VT Ablation Catheter Clinical Evidence
The study is a prospective EFS designed to evaluate the safety and performance of the Affera™ ablation system using the Sphere‑9™ catheter for the treatment of ...
Study Details | NCT06703489 | Safety and Performance ...
Sphere-9 VT EFS is a prospective, multi-center, non-randomized, unblinded feasibility study. Adult subjects with recurrent, sustained, scar-related monomorphic ...
Safety and efficacy of a lattice-tip catheter for ventricular ...
Short-term efficacy seems promising with an absence of ventricular arrhythmia (VA) recurrence in 36/45 (80%) patients for de novo VA ablation and 55/81 (68%) ...
Medtronic announces key Affera™ clinical study ...
Results showed 65.5% of patients remaining free Catheter ablation for VT is an established treatment option; however, outcomes have remained ...
De novo ventricular tachycardia ablation with stacked ...
An initial case series of patients undergoing ventricular ablation with the dual-energy lattice-tip catheter (Sphere-9 Catheter, Affera Mapping and Ablation ...
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