New heart device aims to cut stroke risk without Long-Term blood thinners
NCT ID NCT05147792
First seen Jun 27, 2026 · Last updated Aug 20, 2026 · Updated 6 times
Summary
This study tests a new device called CLAAS that is placed in the heart to prevent strokes in people with atrial fibrillation (an irregular heartbeat). About 1600 participants will be randomly assigned to get either the new device or one of two already-approved devices. The goal is to see if the new device is as safe and effective at preventing strokes and blood clots, while reducing the need for long-term blood thinner medication.
This is an AI summary of the original study and may miss details. Read our disclaimer.
Study facts
What this study's own registry entry says, in plain language.
- Phase
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Not a phased trial
Phase numbers describe drug development. The registry uses this when they do not apply, as it does for trials of devices, procedures or behaviour changes, and for observational studies.
- Participants
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About 1,600 people
The number the study aims to enrol. It can still change while the study runs.
- Started
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May 2022
- Expected to finish
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Dec 2031
An estimate. End dates often move.
- Lead sponsor
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A company
The lead sponsor is a pharmaceutical, biotech, or medical-device company.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
- Ages
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18 years and older
- Sex
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Anyone
- Healthy volunteers
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Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: 1. Male or non-pregnant female aged ≥18 years 2. Documented non-valvular AF (paroxysmal, persistent, or permanent) 3. High risk of stroke or systemic embolism, defined as CHA2DS2-VASc score of ≥ 3 4. Has an appropriate rationale to seek a non-pharmacologic alternative to long-term oral anticoagulation 5. Deemed by the site investigator to be suitable for short term oral anticoagulation therapy but deemed less favorable for long-term oral anticoagulation therapy. 6. Deemed appropriate for LAA closure by the site investigator and a clinician not a part of the procedural team using a shared decision-making process in accordance with standard of care 7. Able to comply with the protocol-specified medication regimen and follow-up evaluations 8. The subject (or legally authorized representative, where allowed) has been informed of the nature of the study, agrees to its provisions, and has provided written informed consent approved by the appropriate institutional review board (IRB)/Regional Ethics Board (REB)/Ethics Committee (EC). Exclusion Criteria: 1. Pregnant or nursing patients and those who plan pregnancy in the period up to one year following the index procedure. Female patients of childbearing potential must have a negative pregnancy test (per site standard test) within 7 days prior to index procedure. 2. Anatomic conditions that would prevent performance of an LAA occlusion procedure (e.g., atrial septal defect (ASD) requiring closure, high-risk patent foramen ovale (PFO) requiring closure, a highly mobile inter-atrial septal aneurysm precluding a safe TSP, presence of a PFO/ASD closure device, history of surgical ASD repair or history of surgical LAAO closure) 3. Atrial fibrillation that is defined by a single occurrence or that is transient or reversible (e.g., secondary thyroid disorders, acute alcohol intoxication, trauma, recent major surgical procedures) 4. A medical condition (other than atrial fibrillation) that mandates long-term oral anticoagulation (e.g., history of unprovoked deep vein thrombosis or pulmonary embolism, or prosthetic mechanical heart valve) 5. History of bleeding diathesis or coagulopathy, or patients in whom antiplatelet and/or anticoagulant therapy is contraindicated 6. Documented active systemic infection 7. Symptomatic carotid artery disease (defined as \>50% stenosis with symptoms of ipsilateral transient or visual TIA evidenced by amaurosis fugax, ipsilateral hemispheric TIAs or ipsilateral stroke); if subject has a history of carotid stent or endarterectomy the subject is eligible if there is \<50% stenosis noted at the site of prior treatment 8. Recent (within 30 days of index procedure) or planned (within 60 days post-procedure) cardiac or major non-cardiac interventional or surgical procedure 9. Recent (within 30 days of index procedure) stroke or transient ischemic attack 10. Recent (within 30 days of index procedure) myocardial infarction 11. Vascular access precluding delivery of implant with catheter-based system 12. Severe heart failure (New York Heart Association Class IV) 13. Prior cardiac transplant, history of mitral valve replacement or transcatheter mitral valve intervention, or any prosthetic mechanical valve implant 14. Renal insufficiency, defined as estimated glomerular filtration rate (eGFR) \<30 mL/min/1.73 m2 (by the Modification of Diet in Renal Disease equation) 15. Platelet count \<75,000 cells/mm3 or \>700,000 cells/mm3, or white blood cell count \<3,000 cells/mm3 16. Known allergy, hypersensitivity or contraindication to aspirin, heparin, or that would preclude any P2Y12 inhibitor therapy, or to device materials (e.g., nickel, titanium), or the subject has contrast sensitivity that cannot be adequately pre-medicated 17. Actively enrolled or plans to enroll in a concurrent clinical study in which the active treatment arm may confound the results of this trial 18. Unable to undergo general anesthesia 19. Known other medical illness or known history of substance abuse that may cause non-compliance with the protocol or protocol-specified medication regimen, confound the data interpretation, or is associated with a life expectancy of less than 5 years 20. A condition which precludes adequate transesophageal echocardiographic assessment Echo exclusion criteria: 1. Left atrial appendage anatomy which cannot accommodate a commercially available control device or the CLAAS Implant per manufacturer IFU (e.g., the anatomy and sizing must be appropriate for both the investigational (CLAAS) and a commercially available device in order to be enrolled in the trial) 2. Intracardiac thrombus or dense spontaneous echo contrast consistent with thrombus, as visualized by TEE 3. Left ventricular ejection fraction (LVEF) \<30% 4. Moderate or large pericardial effusion \>10 mm or symptomatic pericardial effusion, signs or symptoms of acute or chronic pericarditis, or evidence of tamponade physiology 5. Atrial septal defect that warrants closure 6. High risk patent foramen ovale (PFO), defined as an atrial septal aneurysm (excursion \>15 mm or length \> 15 mm) or large shunt (early \[within 3 beats\] and/or substantial passage of bubbles, e.g., \>20) 7. Moderate or severe mitral valve stenosis (mitral valve area \<1.5 cm2) 8. Complex atheroma with mobile plaque of the descending aorta and/or aortic arch 9. Evidence of cardiac tumor
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Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
How to take part
Only the study team decides who joins. These are the ways to reach them.
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The places running it
93 sites in 6 countries. The list below names each one and where it is.
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The official record
The full official record for this study. This one lists no contact details, but it is the first place any would appear.
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A doctor treating you
A doctor who knows your case can contact a study site on your behalf, and can tell you whether this study is worth pursuing at all.
Contacts and locations
Locations
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AKFA Medline
Olmazor, Tashkent, 100211, Uzbekistan
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Abrazo Arizona Heart Hospital
Phoenix, Arizona, 85016, United States
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AdventHealth Orlando
Orlando, Florida, 32803, United States
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AdventHealth Tampa
Tampa, Florida, 33613, United States
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Albany Medical Center / Capital Cardiology Associates
Albany, New York, 12208, United States
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Arizona Heart Arrhythmia Associates
Phoenix, Arizona, 85018, United States
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Ascension St. Vincent - Carmel, IN
Indianapolis, Indiana, 46260, United States
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Ascension St. Vincent's Jacksonville
Jacksonville, Florida, 32204, United States
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Asklepios Klinik-Altona
Hamburg, 22763, Germany
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Banner University Medical Center Phoenix
Phoenix, Arizona, 85006, United States
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Baptist Health Care - Pensacola
Pensacola, Florida, 32503, United States
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Baptist Hospital of Miami
Miami, Florida, 33176, United States
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Baylor Scott & White Research Institute
Plano, Texas, 75093, United States
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Baystate Medical Center
Springfield, Massachusetts, 01199, United States
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Bellin Health
Green Bay, Wisconsin, 54301, United States
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CHI Health / CommonSpirit Research Institute
Omaha, Nebraska, 68124, United States
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CHRISTUS Health
Tyler, Texas, 75701, United States
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CHU La Timone, Marseille
Marseille, 13005, France
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CHU de Bordeaux
Bordeaux, 33604, France
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CHU de Toulouse
Toulouse, 31059, France
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Cardiovasculäres Centrum Frankfurt
Frankfurt, 60389, Germany
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Carilion Clinic
Roanoke, Virginia, 24014, United States
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Catholic Medical Center
Manchester, New Hampshire, 03102, United States
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CentraCare Heart and Vascular Center
Saint Cloud, Minnesota, 56303, United States
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Chapidze Heart Disease Center
Tbilisi, Georgia
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Chippenham Hospital
Richmond, Virginia, 23225, United States
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Clinique Pasteur, Toulouse
Toulouse, 31076, France
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Community Memorial Hospital Ventura
Ventura, California, 93003, United States
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Cooper University - Heart House
Haddon Heights, New Jersey, 08104, United States
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Corewell Health
Grand Rapids, Michigan, 49503, United States
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Deborah Heart and Lung
Browns Mills, New Jersey, 08015, United States
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Elisabeth Krankenhaus
Essen, 45138, Germany
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Emory University
Atlanta, Georgia, 30342, United States
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Erlanger Health System
Chattanooga, Tennessee, 37403, United States
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Grandview Medical Center
Birmingham, Alabama, 35243, United States
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HCA Grand Strand
Myrtle Beach, South Carolina, 29572, United States
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Hackensack University Medical Center
Hackensack, New Jersey, 07601, United States
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Hartford Health Care St. Vincent's Medical Center
Bridgeport, Connecticut, 06606, United States
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Henry Ford Providence Southfield Hospital
Southfield, Michigan, 48075, United States
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Henry Ford St. John Hospital
Detroit, Michigan, 48236, United States
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HonorHealth
Scottsdale, Arizona, 85258, United States
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Houston Methodist
Houston, Texas, 77030, United States
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Huntington Hospital
Pasadena, California, 91105, United States
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Institut Cardiovasculaire Paris Sud
Massy, 91300, France
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Israeli-Georgian Medical Research Clinic Helsicore
Tbilisi, Georgia
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Johns Hopkins University
Baltimore, Maryland, 21287, United States
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Kansas City Cardiac Arrhythmia Research, LLC
Overland, Missouri, 66211, United States
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Lahey Hospital & Medical Centeer
Burlington, Massachusetts, 01805, United States
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Lankenau Heart Institute
Wynnewood, Pennsylvania, 19096, United States
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Largo Medical Center
Largo, Florida, 33770, United States
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Lexington Medical Center
West Columbia, South Carolina, 29169, United States
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Lifespan Health System
Providence, Rhode Island, 02903, United States
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Loma Linda University Health
Loma Linda, California, 92354, United States
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M Health Fairview St. John's Hospital
Maplewood, Minnesota, 55109, United States
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MedStar Washington Hospital Center
Washington D.C., District of Columbia, 20010, United States
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Medstar Union Memorial Hospital
Baltimore, Maryland, 21218, United States
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Memorial Hermann Memorial City Medical Center
Houston, Texas, 77094, United States
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Midwest Cardiovascular Institute
Naperville, Illinois, 60540, United States
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Mission Hospital
Asheville, North Carolina, 28801, United States
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Mount Sinai Hospital
New York, New York, 10029, United States
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Nemocnice Na Homolce
Prague, 150 00, Czechia
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New Mexico Heart Institute
Albuquerque, New Mexico, 87102, United States
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North Mississippi Medical Center
Tupelo, Mississippi, 38801, United States
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Northside Hospital, Inc
Atlanta, Georgia, 30342, United States
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Ohio Health Research Institute
Columbus, Ohio, 43214, United States
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Pacific Heart Institute
Santa Monica, California, 90405, United States
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Piedmont Health Institute
Atlanta, Georgia, 30309, United States
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Pima Heart & Vascular
Tucson, Arizona, 85719, United States
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Prisma Health
Columbia, South Carolina, 29203, United States
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ProMedica Toledo Hospital
Toledo, Ohio, 43606, United States
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Republican Specialized Center for Surgery named after V. Vakhidov
Chilanzar, Tashkent, 100115, Uzbekistan
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Saint Luke's Hospital of Kansas City
Kansas City, Missouri, 64111, United States
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Sarasota Memorial Health Care System
Sarasota, Florida, 34239, United States
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Sentara Norfolk
Norfolk, Virginia, 23507, United States
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South Denver Cardiology Associates
Littleton, Colorado, 80120, United States
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St. Bernard's Medical Center
Jonesboro, Arkansas, 72401, United States
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Tbilisi Heart Center
Tbilisi, Georgia
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Tbilisi Heart and Vascular Clinic
Tbilisi, Georgia
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Tennova Healthcare - Turkey Creek Medical Center
Knoxville, Tennessee, 37934, United States
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Terrebone - Cardiovascular Institute of the South
Houma, Louisiana, 70360, United States
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TriHealth
Cincinnati, Ohio, 45242, United States
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Trident Medical Center
North Charleston, South Carolina, 29406, United States
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UPMC Harrisburg
Mechanicsburg, Pennsylvania, 17050, United States
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USF - Tampa General Hospital
Tampa, Florida, 33620, United States
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University of Buffalo / Kaleida Health
Buffalo, New York, 14203, United States
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University of Iowa
Iowa City, Iowa, 52242, United States
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University of Kansas Medical Center
Kansas City, Kansas, 66160, United States
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University of Nebraska Medical Center
Omaha, Nebraska, 68198, United States
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Vanderbilt University Medical Center
Nashville, Tennessee, 37232, United States
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Virginia Commonwealth University
Richmond, Virginia, 23219, United States
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Virginia Mason Medical Center
Seattle, Washington, 98101, United States
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WellStar Kennestone Hospital
Marietta, Georgia, 30062, United States
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West Virginia University
Morgantown, West Virginia, 26506, United States
More trials for these conditions
Other studies related to the condition(s) this trial covers.
- Can a checklist and heart monitor stop repeat strokes?
- Heart hole or stroke trigger? global registry tracks who gets closure and what happens next
- Two ways to quiet a racing heart: trial pits hybrid ablation against standard catheter treatment
- Stroke's hidden heart rhythm clue under investigation
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