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Paroxysmal Atrial FibrillationSHINENCT03437733

Multi-electrode Radiofrequency Balloon Catheter Use for the Isolation of the Pulmonary Veins.

A study testing Radiofrequency Ablation in people with Paroxysmal Atrial Fibrillation, run by Biosense Webster, Inc. at 5 sites in 3 countries.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
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Trial summary

This clinical investigation is a prospective, multicenter, single arm clinical evaluation utilizing the multi-electrode radiofrequency balloon catheter and the multi-electrode circular diagnostic catheter. Read more about this study

Who is it for?
Ages 18 to 75 years
Conditions the study is for
Paroxysmal Atrial Fibrillation
What is being tested?
Radiofrequency Ablation
Type of treatment
Medical device
Could I receive a placebo?
No, everyone receives an active treatment
How many people
98 participants
Where
5 sitesin 3 countries
Study dates
28 Feb 2018to 17 Oct 2019
Phase
Interventional
Are there results?
Yes, posted in the registrySummary in the doctors' view

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 to 75 years
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Diagnosed with Symptomatic Paroxysmal AF.
  • Selected for atrial fibrillation (AF) ablation procedure for pulmonary vein isolation.
  • Able and willing to comply with uninterrupted per-protocol anticoagulation requirements
  • Age 18-75 years.
  • Able and willing to comply with all pre-, post- and follow-up testing and requirements.
  • Signed Patient Informed Consent Form.

Who cannot join

  • AF secondary to electrolyte imbalance, thyroid disease, or reversible or non-cardiac cause.
  • Previous surgical or catheter ablation for AF.
  • Anticipated to receive ablation outside the PV ostia and Cavo-triscuspid-isthmus (CTI) region
  • Previously diagnosed with persistent, longstanding AF and/or continuous AF > 7 days, or > 48 hrs terminated by cardioversion.
  • Any percutaneous coronary intervention (PCI) within the past 2 months.
  • Valve repair or replacement and presence of a prosthetic valve.
Show all 38Show fewer
  • Any carotid stenting or endarterectomy.
  • Coronary artery bypass grafting (CABG), cardiac surgery (e.g. ventriculotomy, atriotomy), or valvular cardiac surgical or percutaneous procedure within the past 6 months.
  • Documented left atrium (LA) thrombus on baseline/pre-procedure imaging.
  • LA antero posterior diameter > 50 mm
  • Any PV with a diameter ≥ 26 mm
  • Left Ventricular Ejection Fraction (LVEF) < 40%.
  • Contraindication to anticoagulation (e.g. heparin).
  • History of blood clotting or bleeding abnormalities.
  • Myocardial infarction within the past 2 months.
  • Documented thromboembolic event [including transient ischemic attack(TIA)] within the past 12 months.
  • Rheumatic Heart Disease.
  • Uncontrolled heart failure or New York Heart Association (NYHA) function class III or IV.
  • Awaiting cardiac transplantation or other cardiac surgery within the next 12 months.
  • Unstable angina.
  • Acute illness or active systemic infection or sepsis.
  • Diagnosed atrial myxoma or interatrial baffle or patch.
  • Presence of implanted pacemaker or implantable cardioverter defibrillator (ICD).
  • Significant pulmonary disease, (e.g. restrictive pulmonary disease, constrictive or chronic obstructive pulmonary disease) or any other disease or malfunction of the lungs or respiratory system that produces chronic symptoms.
  • Significant congenital anomaly or medical problem that, in the opinion of the investigator, would preclude enrollment in this study.
  • Women who are pregnant (as evidenced by pregnancy test if pre-menopausal), lactating, or who are of child bearing age and plan on becoming pregnant during the course of the clinical investigation.
  • Enrollment in an investigational study evaluating another device, biologic, or drug.
  • Has known pulmonary vein stenosis.
  • Presence of intramural thrombus, tumor or other abnormality that precludes vascular access, or manipulation of the catheter.
  • Presence of an Inferior Vena Cava (IVC) filter
  • Presence of a condition that precludes vascular access.
  • Life expectancy or other disease processes likely to limit survival to less than 12 months.
  • Presenting contra-indication for the devices (e.g. transthoracic echocardiography (TTE), CT, etc.) used in the study, as indicated in the respective instructions for use.
  • Categorized as a vulnerable population and requires special treatment with respect to safeguards of well-being
  • Additional exclusion criteria for Neurological Assessment Evaluable (NAE) subjects:
  • Contraindication to use of contrast agents for MRI such as advanced renal disease, etc. (at PI discretion)
  • Presence of iron-containing metal fragments in the body
  • Unresolved pre-existing neurological deficit.

Trial locations and contacts

5 sites in 3 countries.

5 sites in 3 countries

Italy2 sites
  • Ospedale "F. Miulli"

    Bari

  • Centro Cardiologico Monzino

    Milan

Other trials in Italy

United Kingdom2 sites
  • Liverpool Heart and Chest Hospital

    Liverpool

  • Bart's Health NHS Trust

    London

Other trials in United Kingdom

Czechia1 site
  • Na Homolce Hospital

    Prague

Other trials in Czechia

About this study

This clinical investigation is a prospective, multicenter, single arm clinical evaluation utilizing the multi-electrode radiofrequency balloon catheter and the multi-electrode circular diagnostic catheter.

Read the detailed description

The objective of this clinical investigation is to assess the safety and acute effectiveness of the multi-electrode radiofrequency balloon catheter and multi-electrode circular diagnostic catheter when used for the isolation of the pulmonary veins in the treatment of Paroxysmal Atrial Fibrillation (PAF).

Being tested
Radiofrequency Ablation
Keywords
Radiofrequency Ablation, Paroxysmal Atrial Fibrillation
Medical subject headings
Atrial Fibrillation

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • Radiofrequency AblationDevice

    RF ablation using multi-electrode radiofrequency balloon catheter and multi-electrode circular diagnostic catheter

Study groups in NCT03437733
Study groupRoleWhat they receive
InterventionExperimentalAblation with Multi-electrode Radiofrequency (RF) Balloon Catheter
Receives: Device: Radiofrequency Ablation

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Number of Participants With Early Onset Primary Adverse Events (PAEs): Death, Atrio-esophageal Fistula and Pulmonary Vein Stenosis

    A Primary AEs is an event which occurred within 90 days following initial ablation procedure. Primary AEs included: Death, atrio-esophageal fistula, and pulmonary vein stenosis.

    Measured: Up to 90 days (post initial mapping and ablation procedure)

  2. Number of Participants With Early Onset PAEs: Myocardial Infraction, Cardiac Tamponade/Perforation, Thromboembolism, Stroke/Cerebrovascular Accident, Transient Ischemic Attack, Phrenic Nerve Paralysis, and Major Vascular Access Complication/Bleeding

    A Primary AEs is an event which occurred within the first week (7 days of the initial mapping and ablation procedure) which included myocardial infraction (MI), cardiac tamponade (CT)/perforation, thromboembolism, stroke/cerebrovascular accident (CVA), Transient ischemic attack (TIA), phrenic nerve paralysis (PNP), and major vascular access complication (MVAC)/bleeding following initial ablation procedure.

    Measured: Up to 7 days (post initial mapping and ablation procedure)

  3. Percentage of Participants With Acute Procedural Success

    Acute procedural success is defined as confirmation of entrance block in treated pulmonary veins (PV) after adenosine and/or isoproterenol challenge (with or without the use of a focal catheter).

    Measured: Day 1

Secondary outcomes (14)
  1. Number of Participants With Individual PAE From Primary Composite

    A Primary AEs is an event which occurred within the first week (7 days of the initial mapping and ablation procedure) which included death, atrio-esophageal fistula (AE fistula) and pulmonary vein stenosis (PVST); and up to 90 days post procedure which included myocardial infraction (MI), cardiac tamponade (CT)/perforation, thromboembolism, stroke/cerebrovascular accident (CVA), Transient ischemic attack (TIA), phrenic nerve paralysis (PNP), and major vascular access complication (MVAC)/bleeding following initial ablation procedure.

    Measured: Up to 7 days for MI, CT/perforation, thromboembolism, stroke/CVA, TIA, PNP and MVAC (initial mapping and ablation procedure) and up to 90 days for death, AE fistula, and PVST (post procedure)

  2. Number of Participants With Serious Adverse Device Effects (SADEs)

    An adverse device effect is an adverse event related to the to the device and or the procedure of the investigational medical device. SADE is an adverse device effect that has resulted in any of the consequences characteristic of an SAE.

    Measured: Up to 405 Days

  3. Number of Participants With Serious Non-primary Adverse Events Within 7 Days (Early Onset), 8-30 Days (Peri-procedural) and Greater Than or Equal to (>=) 31 Days (Late Onset) of Initial Ablation Procedure

    Serious non-primary adverse event was defined as SAE that are not primary adverse events. Primary AEs included: Death, atrio-esophageal fistula, and pulmonary vein stenosis.

    Measured: Within 7 Days (Early Onset), 8-30 Days (Peri-procedural) and >=31 Days (Late Onset) of Initial Ablation Procedure (Up to 405 Days)

  4. Number of Participants With Non-serious Adverse Events

    An AE is any untoward medical occurrence in participants whether or not related to the investigational medical device.

    Measured: Up to 405 Days

  5. Number of Participants With Pre-and Post-ablation Asymptomatic and Symptomatic Cerebral Emboli

    Number of participants with pre-and post-ablation asymptomatic and symptomatic cerebral emboli was reported.

    Measured: Pre-procedure, at Discharge, 1 Month and at unscheduled visit (Up to 405 Days)

  6. Number of Participants With Symptomatic and Asymptomatic Cerebral Emboli

    Number of participants with symptomatic and asymptomatic cerebral emboli was reported

    Measured: Up to 405 Days

  7. Number of Participants With New or Worsening Neurologic Deficits

    Number of participants with new or worsening neurologic deficits was reported.

    Measured: Pre-procedure, discharge, 1 Month, 3 Month and 6 Month

  8. Number of Participants With NIHSS Scores

    The National Institutes of Health Stroke Scale, or NIH Stroke Scale (NIHSS) is a tool used to objectively quantify the impairment caused by a stroke. The NIHSS is composed of 11 items, each of which scores a specific ability between 0 and 4. For each item, a score of 0 typically indicates normal function in that specific ability, while a higher score is indicative of some level of impairment. The individual scores from each item are summed to calculate a patient's total NIHSS score. The patient's total NIHSS score ranges from 0 (minimum) - 42 (maximum). Score 0 (no stroke symptoms); 1 - 4 (Minor stroke); 5-15 (Moderate stroke); 16-20 (Moderate to severe stroke); and 21-42 (Severe stroke).

    Measured: Pre-procedure and at discharge (Up to 405 Days)

  9. Number of Participants With MoCA Scores

    Montreal Cognitive Assessment (MoCA) is used for detecting cognitive impairment, the scores range from 0 to 30. A score of 26 or higher is considered normal, patients with mild cognitive impairment (MCI) were scored an average of 22 and patients with significant cognitive impairment (SCI) were scored an average of 16.

    Measured: Up to 405 Days

  10. Number of Participants With Hospitalization for Cardiovascular Events

    Hospitalization was defined as prolonged stay greater than or equal to (>=) 2 nights post index procedure or in-patient stay not concurrent with index procedure >= 1 calendar day. Hospitalization included cardiovascular events due to any cause post index procedure, regardless of protocol-defined serious/non-serious adverse events (AEs) or not. Hence this data was not contributed in serious Adverse events until met the AE definition.

    Measured: Within 7 Days (Early Onset), 8-30 Days (Peri-procedural) and >=31 Days (Late Onset) of Initial Ablation Procedure (Up to 405 Days)

  11. Percentage of Participants With PVI Touch-up by Balloon and/or Focal Catheter Among All Targeted Veins and by Participants

    Percentage of participants with PVI touch-up by balloon and/or focal catheter among all targeted veins and by participants was reported. Most of the participants were ablated by Balloon catheter only while one participant was ablated with both Balloon and Focal catheters.

    Measured: Up to 405 Days

  12. Percentage of Participants With Use of Focal Catheter Ablation for Non-PV Triggers

    Percentage of participants with use of focal catheter ablation for non-PV triggers was reported.

    Measured: Up to 405 Days

  13. Percentage of Participants With Freedom From Documented Atrial Fibrillation (AF), Atrial Tachycardia (AT), or Atypical (Left Side) Atrial Flutter (AFL) Episodes or Documented Symptomatic AF/AT/AFL

    Percentage of participants with six-month arrythmia recurrence [defined as freedom from documented symptomatic or asymptomatic atrial fibrillation (AF), atrial tachycardia (AT), or atypical (left side) atrial flutter (AFL) episodes (episodes >30 seconds on arrhythmia monitoring device from Day 91 to 180 post the index procedure)] was reported.

    Measured: Up to 6 Months

  14. Percentage of Participants With Freedom From Documented, AF, AT, or Atypical (Left Side) AFL Episodes or Documented Symptomatic AF/AT/AFL

    Twelve-month Arrythmia recurrence is defined as a documented symptomatic or asymptomatic episode >30 seconds on an arrhythmia monitoring device between day 91 to 365 post the index procedure.

    Measured: Up to 12 Months

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted19 Feb 2018
  2. Study start28 Feb 2018
  3. Primary completion1 Feb 2019
  4. Study completion17 Oct 2019

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase N/A
Primary purpose
Treatment
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrolment
98 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT03437733
Sponsor's protocol ID
BWI_2017_01
Acronym
SHINE
Status last verified
Jun 2025
First submitted
13 Feb 2018
Last updated
29 Jun 2025
Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
Yes

Publications

  • Schilling R, Dhillon GS, Tondo C, Riva S, Grimaldi M, Quadrini F, Neuzil P, Chierchia GB, de Asmundis C, Abdelaal A, Vanderlinden L, Tan T, Ding WY, Gupta D, Reddy VY. Safety, effectiveness, and quality of life following pulmonary vein isolation with a multi-electrode radiofrequency balloon catheter in paroxysmal atrial fibrillation: 1-year outcomes from SHINE. Europace. 2021 Jun 7;23(6):851-860. doi: 10.1093/europace/euaa382.

    PubMed 33450010

Questions about this trial

What is this clinical trial studying?

A study testing Radiofrequency Ablation in people with Paroxysmal Atrial Fibrillation, run by Biosense Webster, Inc. at 5 sites in 3 countries.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 6 inclusion and 38 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: finished, as of the sponsor's last update on 29 Jun 2025. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 5 sites in Italy, United Kingdom, Czechia. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

Are results available for this study?

Yes. Results are posted in the registry (first posted 10 Feb 2020). A summary is in the For doctors view, and the full results are on ClinicalTrials.gov.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Number of Participants With Early Onset Primary Adverse Events (PAEs): Death, Atrio-esophageal Fistula and Pulmonary Vein Stenosis (time frame: Up to 90 days (post initial mapping and ablation procedure)). The study lists 3 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT03437733, which also lists 1 linked publication.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 29 Jun 2025.

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