Evaluation of the WATCHMAN Left Atrial Appendage (LAA) Closure Device in Patients With Atrial Fibrillation Versus Long Term Warfarin Therapy

Last updated: July 25, 2018
Sponsor: Boston Scientific Corporation
Overall Status: Completed

Phase

3

Condition

Stroke

Chest Pain

Arrhythmia

Treatment

N/A

Clinical Study ID

NCT01182441
CT1004
  • Ages > 18
  • All Genders

Study Summary

This was a prospective, randomized, multicenter study to provide additional information on the safety and efficacy of the WATCHMAN LAA Closure Technology. The purpose of the PREVAIL study was to confirm the efficacy endpoint as demonstrated in the PROTECT AF pivotal study and to further demonstrate that the WATCHMAN LAA Closure Technology is safe and effective in subjects with non-valvular atrial fibrillation who require anticoagulation therapy for potential thrombus formation.

Eligibility Criteria

Inclusion

Key Inclusion Criteria:

  • Paroxysmal, persistent or permanent non-valvular AF

  • Eligible for long-term warfarin therapy

  • Eligible to come off warfarin therapy

  • Calculated CHADS2 score of 2 or greater. Also patients with a CHADS2 score of 1 may beincluded if any of the following apply:

  • Female age 75 or older

  • Baseline LVEF ≥ 30 and < 35%

  • Aged 65-74 and has diabetes or coronary artery disease

  • Aged 65 or greater and has congestive heart failure

Exclusion

Key Exclusion Criteria:

  • Contraindicated/allergic to aspirin

  • Indicated for clopidogrel therapy or has taken clopidogrel within 7 days prior toenrollment

  • History of atrial septal repair or has an ASD/PFO device

  • Implanted mechanical valve prosthesis

  • NYHA Class IV CHF

  • Resting heart rate > 110 bpm

  • Participated previously in the PROTECT AF or CAP Registry studies Key Echo Exclusion Criteria:

  • LVEF < 30%

  • Existing pericardial effusion > 2mm

  • High risk PFO

  • Significant mitral valve stenosis

  • Complex atheroma with mobile plaque of the descending aorta and/or aortic arch

  • Cardiac tumor

Study Design

Total Participants: 407
Study Start date:
November 01, 2010
Estimated Completion Date:
November 30, 2017

Connect with a study center

  • Mercy Gilbert Medical Center

    Gilbert, Arizona 85297
    United States

    Site Not Available

  • Arizona Heart Rhythm Research Center

    Scottsdale, Arizona 85251
    United States

    Site Not Available

  • Foundation for Cardiovascular Medicine

    La Jolla, California 92037
    United States

    Site Not Available

  • Scripps Green

    La Jolla, California 92037
    United States

    Site Not Available

  • Cedars-Sinai Medical Center

    Los Angeles, California 90048
    United States

    Site Not Available

  • Orange County Heart

    Orange, California 92868
    United States

    Site Not Available

  • Orange County Heart

    Orange County, California 92868
    United States

    Site Not Available

  • St. John's Hospital / Pacific Heart

    Santa Monica, California 90404
    United States

    Site Not Available

  • Zasa Clinical Research

    Atlantis, Florida 33462
    United States

    Site Not Available

  • Baptist Hospital of Miami

    Miami, Florida 33176
    United States

    Site Not Available

  • Florida Hospital

    Orlando, Florida 32803
    United States

    Site Not Available

  • Emory University

    Atlanta, Georgia 30308
    United States

    Site Not Available

  • North Shore University

    Evanston, Illinois 60201
    United States

    Site Not Available

  • Iowa Heart Center

    Des Moines, Iowa 50314
    United States

    Site Not Available

  • Central Baptist Hospital

    Lexington, Kentucky 40503
    United States

    Site Not Available

  • Massachusetts General Hospital

    Boston, Massachusetts 02114
    United States

    Site Not Available

  • Lahey Clinic

    Burlington, Massachusetts 01805
    United States

    Site Not Available

  • University of Michigan Medical Center

    Ann Arbor, Michigan 48109
    United States

    Site Not Available

  • William Beaumont

    Royal Oak, Michigan 48073
    United States

    Site Not Available

  • Abbott Northwestern Hospital

    Minneapolis, Minnesota 55407
    United States

    Site Not Available

  • Mayo Clinic

    Rochester, Minnesota 55902
    United States

    Site Not Available

  • Cardiology Associates of N. Mississippi

    Tupelo, Mississippi 38801
    United States

    Site Not Available

  • St. Luke's Hospital

    Kansas City, Missouri 64111
    United States

    Site Not Available

  • St. John's Mercy

    Saint Louis, Missouri 63141
    United States

    Site Not Available

  • St. John's Mercy

    St. Louis, Missouri 63141
    United States

    Site Not Available

  • Bryan LGH

    Lincoln, Nebraska 68506
    United States

    Site Not Available

  • Englewood Hospital and Medical Center

    Englewood, New Jersey 07631
    United States

    Site Not Available

  • Columbia University Medical Center

    New York, New York 10032
    United States

    Site Not Available

  • Mt. Sinai School of Medicine

    New York, New York 10029
    United States

    Site Not Available

  • New York University Medical Center

    New York, New York 10016
    United States

    Site Not Available

  • Carolinas Medical Center

    Charlotte, North Carolina 28203
    United States

    Site Not Available

  • Lindner Clinical Trial Center

    Cincinnati, Ohio 45219
    United States

    Site Not Available

  • Cleveland Clinic

    Cleveland, Ohio 44195
    United States

    Site Not Available

  • Hospital of the University of Pennsylvania

    Philadelphia, Pennsylvania 19104
    United States

    Site Not Available

  • Moffitt Heart & Vascular

    Wormleysburg, Pennsylvania 17043
    United States

    Site Not Available

  • St. Thomas Research Institute

    Nashville, Tennessee 37203
    United States

    Site Not Available

  • Texas Cardiac Arrhythmia

    Austin, Texas 78705
    United States

    Site Not Available

  • Baylor Research Institute

    Dallas, Texas 75226
    United States

    Site Not Available

  • Methodist Hospital

    Houston, Texas 77030
    United States

    Site Not Available

  • Intermountain Medical Center

    Salt Lake City, Utah 84107
    United States

    Site Not Available

  • Fletcher Allen

    Burlington, Vermont 05401
    United States

    Site Not Available

  • Virginia Cardiovascular Specialists

    Richmond, Virginia 23225
    United States

    Site Not Available

  • Swedish Medical Center

    Seattle, Washington 98104
    United States

    Site Not Available

  • St. Luke's Hospital

    Milwaukee, Wisconsin 53215
    United States

    Site Not Available

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