Status:

NOT_YET_RECRUITING

Atrial Fibrillation: In Search for the Optimal Target for Rate Control

Lead Sponsor:

The University of Hong Kong

Conditions:

Atrial Fibrillation (Permanent)

Atrial Fibrillation (AF)

Eligibility:

All Genders

18+ years

Phase:

PHASE4

Brief Summary

A rate control strategy is commonly adopted in the management of patients with Atrial Fibrillation (AF). Controversies remain as regards to what constitutes the optimal target of rate control. Curren...

Eligibility Criteria

Inclusion

  • Age of 18 years or above
  • History of persistent or permanent AF (valvular or non-valvular). Persistent AF refers to sustained AF beyond 7 days. Permanent AF is defined as uninterrupted AF with duration of \>1 year with nil plan of restoration of sinus rhythm
  • A 12-leads electrocardiogram (ECG) at baseline with documented heart rate \>/= 80 bpm
  • Acceptance of rate control as the main management strategy, taking into consideration of recent clinical evidence, patient conditions and preference, as decided by clinical assessment prior to randomization
  • Provision of informed consent

Exclusion

  • Patients aged under 18 years
  • Patients who were pregnant
  • Those who were not in persistent or permanent AF
  • Baseline heart rate \<80bpm on ECG
  • Pre-existing high grade atrioventricular block, or medically unfit for heart rate reduction as assessed by attending clinician prior to randomization
  • Hemodynamic instability, including those who require electrical cardioversion
  • Known hypersensitivity to ivabradine or medication components
  • Patients who do not accept rate control as mainstay of treatment strategy

Key Trial Info

Start Date :

October 1 2025

Trial Type :

INTERVENTIONAL

Allocation :

ESTIMATED

End Date :

October 1 2027

Estimated Enrollment :

200 Patients enrolled

Trial Details

Trial ID

NCT07135258

Start Date

October 1 2025

End Date

October 1 2027

Last Update

August 22 2025

Active Locations (1)

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Page 1 of 1 (1 locations)

1

Queen Mary Hospital

Hong Kong, Hong Kong