Status:

COMPLETED

Kansai Plus Atrial Fibrillation Trial

Lead Sponsor:

Kyoto University, Graduate School of Medicine

Conditions:

Atrial Fibrillation

Eligibility:

All Genders

21-79 years

Phase:

PHASE4

Brief Summary

This is a 2x2 factorial randomized controlled trial (KPAF Trial), evaluating two different pharmacological approaches to improve long-term outcome of catheter ablation for atrial fibrillation (AF). Th...

Detailed Description

Atrial fibrillation (AF) is a common tachyarrhythmia causing disabling symptoms and stroke. Although catheter ablation has been developed as curative therapy for AF, it is still associated with consid...

Eligibility Criteria

Inclusion

  • Patients undergoing first catheter ablation including PV isolation for paroxysmal or persistent atrial fibrillation
  • Patients who are 21-79 years old
  • Able to be followed for one year in an out-patient clinic
  • Willing to sign the consent form for participation

Exclusion

  • Contraindication or intolerance to adenosine triphosphate or Vaughan Williams class I or III antiarrhythmic drugs, including severe bronchial asthma, severe vasospastic angina, and substantial bradycardia including sinus node dysfunction with prolonged pauses on termination of atrial fibrillation
  • Age =\< 20 years or =\> 80 years
  • Renal insufficiency (serum creatinine \>=2.0mg/dl or hemodialysis)
  • NYHA class IV heart failure
  • Left ventricular ejection fraction \< 40%
  • Left atrial diameter \> 55mm
  • Very long-lasting (\>=5years) persistent atrial fibrillation
  • Ineligible for optimal anticoagulant therapy
  • History of myocardial infarction within the past 6 months
  • Prior or planned open heart surgery
  • Severe valve heart disease
  • Unable to be followed in an out-patient clinic for one year
  • Unwilling to sign the consent form for participation
  • When the attending physician are unwilling to enroll the patient in the study
  • When the attending physician consider inappropriate to enroll the patient in the study
  • Those with severe procedural complications (EAST-AF trial only)

Key Trial Info

Start Date :

November 1 2011

Trial Type :

INTERVENTIONAL

Allocation :

ACTUAL

End Date :

July 1 2017

Estimated Enrollment :

2113 Patients enrolled

Trial Details

Trial ID

NCT01477983

Start Date

November 1 2011

End Date

July 1 2017

Last Update

August 18 2017

Active Locations (1)

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1

Division of Cardiology, Kyoto University Hospital

Kyoto, Japan, 606-8507