UMIN-ICDS Clinical Trial

Unique ID issued by UMIN UMIN000061241
Receipt number R000069377
Scientific Title Comparison of a venous vascular closure device and purse-string suture after catheter ablation: a prospective randomized study
Date of disclosure of the study information 2026/04/13
Last modified on 2026/04/13 11:29:07

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Basic information

Public title

Comparison of a venous vascular closure device and purse-string suture after catheter ablation: a prospective randomized study

Acronym

Comparison of a venous vascular closure device and purse-string suture after catheter ablation: a prospective randomized study

Scientific Title

Comparison of a venous vascular closure device and purse-string suture after catheter ablation: a prospective randomized study

Scientific Title:Acronym

Comparison of a venous vascular closure device and purse-string suture after catheter ablation: a prospective randomized study

Region

Japan


Condition

Condition

atrial fibrillation

Classification by specialty

Cardiology

Classification by malignancy

Others

Genomic information

NO


Objectives

Narrative objectives1

To evaluate and compare the efficacy of the VASCADE MVP venous vascular closure device (Haemonetics) versus the purse-string suture technique in achieving safe early ambulation following catheter ablation for atrial fibrillation.

Basic objectives2

Safety,Efficacy

Basic objectives -Others


Trial characteristics_1


Trial characteristics_2


Developmental phase



Assessment

Primary outcomes

The achievement rate of a composite endpoint of successful early ambulation, defined as fulfilling all the following criteria:
Time to ambulation within 4 hours post-procedure.
Absence of clinically significant hematoma (>= 6 cm in diameter).
No requirement for additional hemostatic interventions (additional manual compression >= 10 minutes or other rescue procedures).

Key secondary outcomes

Time to ambulation and time to discharge eligibility.
Hemostasis time and incidence of re-bleeding.
Access-site complications, including minor hematoma (< 6 cm).
Patient satisfaction assessed by a questionnaire (regarding bed rest duration, pain, and discomfort).
Major access-related adverse events up to 30 days post-procedure (safety endpoint).


Base

Study type

Interventional


Study design

Basic design

Parallel

Randomization

Randomized

Randomization unit

Individual

Blinding

Open -no one is blinded

Control

Active

Stratification


Dynamic allocation


Institution consideration


Blocking


Concealment



Intervention

No. of arms

2

Purpose of intervention

Treatment

Type of intervention

Maneuver

Interventions/Control_1

Venous vascular closure device (VVCD) group: Hemostasis is performed using the VASCADE MVP system.

Interventions/Control_2

Control group: Hemostasis is performed using the purse-string suture technique.

Interventions/Control_3


Interventions/Control_4


Interventions/Control_5


Interventions/Control_6


Interventions/Control_7


Interventions/Control_8


Interventions/Control_9


Interventions/Control_10



Eligibility

Age-lower limit

18 years-old <=

Age-upper limit

90 years-old >

Gender

Male and Female

Key inclusion criteria

1. Patients scheduled for catheter ablation therapy for atrial fibrillation.
2. Patients aged >= 18 and < 90 years at the time of informed consent.
3. Patients whose general condition is stable at the time of consent, and who are judged by the principal investigator or co-investigators to be able to tolerate the study procedure and follow-up.
4. Patients capable of attending outpatient follow-up for 30 days post-procedure.
5. Patients who have provided written informed consent to participate in this study of their own free will.

Key exclusion criteria

1. Patients in whom catheter ablation for atrial fibrillation is deemed medically inappropriate (e.g., presence of left atrial thrombus, difficulty in continuing anticoagulant therapy).
2. Patients with severe renal impairment (eGFR < 30 mL/min/1.73m2) or renal failure requiring dialysis.
3. Patients with severe hepatic impairment (Child-Pugh class B or C).
4. Patients with a history of cerebrovascular disease (stroke or transient ischemic attack) within 3 months prior to consent.
5. Patients with a bleeding diathesis (e.g., congenital blood coagulation disorder) making it difficult to continue anticoagulant therapy.
6. Women who are pregnant, breastfeeding, or planning to become pregnant.
7. Patients with symptomatic lower limb ischemia ipsilateral to the access site.
8. Patients with extreme morbid obesity (BMI >= 45) or low body weight (BMI < 20).
9. Patients meeting any of the following criteria:
10. History of allergy to bovine-derived products.
11. Presence of permanent hemostatic devices such as metal clips or permanent sutures.
12. Presence of severe complications (e.g., active infection, malignant tumor) that are considered to significantly affect the safety or efficacy evaluation of this study.
13. Patients who have an educational or employment hierarchical relationship with the investigator or co-investigators, which may compromise their voluntary participation in the study.
14. Other patients deemed inappropriate for the study by the investigator or co-investigators.

Target sample size

200


Research contact person

Name of lead principal investigator

1st name Okubo
Middle name
Last name Yousaku

Organization

Hiroshima University Hospital

Division name

Department of Cardiovascular Medicine

Zip code

734-0037

Address

1-2-3 Kasumi, Minami-ku, Hiroshima City, Hiroshima

TEL

082-257-5540

Email

yokubo@hiroshima-u.ac.jp


Public contact

Name of contact person

1st name Maeda
Middle name
Last name Junji

Organization

Hiroshima University Hospital

Division name

Department of Cardiovascular Medicine

Zip code

734-0037

Address

1-2-3 Kasumi, Minami-ku, Hiroshima City, Hiroshima

TEL

082-257-5540

Homepage URL


Email

d232308@hiroshima-u.ac.jp


Sponsor or person

Institute

Hiroshima University

Institute

Department

Personal name



Funding Source

Organization

Hiroshima University

Organization

Division

Category of Funding Organization

Self funding

Nationality of Funding Organization



Other related organizations

Co-sponsor


Name of secondary funder(s)



IRB Contact (For public release)

Organization

Ethical Committee for Clinical Research of Hiroshima University

Address

Kasumi 1-2-3 Minami-Ku, Hiroshima

Tel

082-257-1947

Email

iryo-sinsa@office.hiroshima-u.ac.jp


Secondary IDs

Secondary IDs

NO

Study ID_1


Org. issuing International ID_1


Study ID_2


Org. issuing International ID_2


IND to MHLW



Institutions

Institutions



Other administrative information

Date of disclosure of the study information

2026 Year 04 Month 13 Day


Related information

URL releasing protocol


Publication of results

Unpublished


Result

URL related to results and publications


Number of participants that the trial has enrolled


Results


Results date posted


Results Delayed


Results Delay Reason


Date of the first journal publication of results


Baseline Characteristics


Participant flow


Adverse events


Outcome measures


Plan to share IPD


IPD sharing Plan description



Progress

Recruitment status

Open public recruiting

Date of protocol fixation

2026 Year 01 Month 05 Day

Date of IRB

2026 Year 03 Month 18 Day

Anticipated trial start date

2026 Year 04 Month 01 Day

Last follow-up date

2027 Year 03 Month 31 Day

Date of closure to data entry


Date trial data considered complete


Date analysis concluded



Other

Other related information



Management information

Registered date

2026 Year 04 Month 13 Day

Last modified on

2026 Year 04 Month 13 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/icdr_e/ctr_view.cgi?recptno=R000069377