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Melanotan-I

Afamelanotide, MT-I, [Nle4-D-Phe7]-α-MSH, Scenesse, CUV-1647

Quick Stats
Studies 225
Trials 100
Completed NA INTERVENTIONAL NCT04612244

The FARAPULSE ADVENT PIVOTAL Trial PFA System vs SOC Ablation for Paroxysmal Atrial Fibrillation

View on ClinicalTrials.gov Updated Dec 15, 2025

Brief Summary

This is a prospective, adaptive, multi-center, randomized safety and effectiveness pivotal study comparing the FARAPULSE Pulsed Field Ablation System with standard of care ablation with force-sensing RF catheters and cryoballoon catheters indicated for the treatment of PAF.

Interventions

Name: FARAPULSE Pulsed Field Ablation System
Type: DEVICE
Description: Ablation using the FARAPULSE Pulsed Field Ablation System
Name: RadioFrequency and Cryoballoon Ablation
Type: DEVICE
Description: Contact Force Enabled RF and Cryoballoon ablation catheters indicated for Paroxysmal Atrial Fibrillation

Primary Outcomes

Measure: Composite Safety Endpoint;Proportion of MITT Subjects With One or More of the Specified Device or Procedure Related SAEs
TimeFrame: 7 days and 12 Months
Description: Proportion of Intent to Treat subjects with one or more of the specified device or procedure related SAEs
Measure: Primary Effectiveness Endpoint
TimeFrame: 12-Months
Description: Treatment Success: The primary effectiveness endpoint is Treatment Success in MITT Subjects, defined as: 1. Acute Procedural Success AND 2. Chronic Success, defined as freedom from: 1. At the Index / Rescheduled Index Procedure: Use of a non-randomized treatment modality for PVI 2. After the Blanking Period: i. Occurrence of any Detectable AF, AFL or AT (excluding CTI-dependent flutter confirmed by EP study) ii. Any cardioversion for AF, AFL or AT (excluding for CTI-dependent flutter) iii. Use of any Type I or Type III antiarrhythmic medication for the treatment of AF, AFL or AT c. At any time: i. Re-ablation for AF, AFL or AT (other than for CTI-dependent flutter) ii. Use of amiodarone, except intra-procedurally to control an arrhythmia Endpoint status will be assessed through the Month 12 Assessment (Day 360 ± 30).

Trial Information

NCT ID

NCT04612244

Status

Completed

Study Type

INTERVENTIONAL

Phases

NA

Sponsor

Boston Scientific Corporation

Last Updated

December 15, 2025

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