Status:

RECRUITING

BoxX-NoAF Clinical Trial

Lead Sponsor:

AtriCure, Inc.

Conditions:

Post Operative Atrial Fibrillation

Atrial Fibrillation, Postoperative

Eligibility:

All Genders

65+ years

Phase:

NA

Brief Summary

Post Operative Atrial Fibrillation (POAF) is the most common complication of cardiac surgery. POAF incidence can exceed 50% depending on the patient baseline characteristics and surgery type. Patients...

Eligibility Criteria

Inclusion

  • Planned and clinically indicated for cardiac surgical procedure requiring cardiac bypass and opening of the pericardium
  • Age ≥ 65 years and CHA2DS2-VASc ≥ 3

Exclusion

  • Documented history of atrial fibrillation or atrial flutter anytime prior to the cardiac surgery
  • Prior procedure involving opening the pericardium or entering the pericardial space
  • Patients undergoing off-pump surgery
  • Prior LAA occlusion, exclusion, or removal (surgical or percutaneous)
  • Presence of a permanent pacemaker
  • Infiltrative cardiomyopathies (i.e. amyloidosis)
  • Planned cardiac surgical procedure using non-sternotomy approaches
  • Patients whose planned procedure is a heart transplant or implantation of any long-term ventricular assist devices
  • Presence of ventricular arrhythmia
  • Active endocarditis
  • NYHA Class IV heart failure symptoms
  • Preoperative need for an intra-aortic ballon pump or intravenous inotropes
  • Active systemic infection at the time of cardiac surgery requiring antibiotics
  • Known allergy to Nitinol or nickel sensitivity
  • Known medical condition with expected survival of less than 1 year
  • Other comorbidities that in the Investigator's opinion make the subject unsuitable candidate to complete the protocol required intervention or visits
  • Current enrollment in an investigation or trial or an investigational devices or investigational drug that would interfere with this trial
  • Mental impairment or other psychiatric conditions which may not allow the patient to understand the nature, significance, and scope of the trial.
  • Pregnancy
  • Known severe symptomatic carotid disease

Key Trial Info

Start Date :

October 24 2025

Trial Type :

INTERVENTIONAL

Allocation :

ESTIMATED

End Date :

November 1 2031

Estimated Enrollment :

960 Patients enrolled

Trial Details

Trial ID

NCT06989775

Start Date

October 24 2025

End Date

November 1 2031

Last Update

January 7 2026

Active Locations (8)

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Page 1 of 2 (8 locations)

1

St. Bernards Medical Center

Jonesboro, Arkansas, United States, 72401

2

Morton Plant Hospital - BayCare Health System, Inc.

Clearwater, Florida, United States, 33759

3

St. Joseph's Hospital - BayCare Health System, Inc.

Clearwater, Florida, United States, 33759

4

Orlando Health, Inc.

Orlando, Florida, United States, 32806