NCT00911508

Brief Summary

The (Catheter Ablation Versus Anti-arrhythmic Drug Therapy for Atrial Fibrillation Trial) CABANA Trial has the overall goal of establishing the appropriate roles for medical and ablative intervention for atrial fibrillation (AF). The CABANA Trial is designed to test the hypothesis that the treatment strategy of left atrial catheter ablation for the purpose of eliminating atrial fibrillation (AF) will be superior to current state-of-the-art therapy with either rate control or rhythm control drugs for decreasing the incidence of the composite endpoint of total mortality, disabling stroke, serious bleeding, or cardiac arrest in patients with untreated or incompletely treated AF.

Trial Health

98
On Track

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Strong global presence with extensive site network
Enrollment
2,204

participants targeted

Target at P75+ for not_applicable atrial-fibrillation

Timeline
Completed

Started Nov 2009

Longer than P75 for not_applicable atrial-fibrillation

Geographic Reach
10 countries

118 active sites

Status
completed

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

Click on a node to explore related trials.

Study Timeline

Key milestones and dates

First Submitted

Initial submission to the registry

May 28, 2009

Completed
5 days until next milestone

First Posted

Study publicly available on registry

June 2, 2009

Completed
5 months until next milestone

Study Start

First participant enrolled

November 13, 2009

Completed
8.1 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

December 31, 2017

Completed
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

December 31, 2017

Completed
1.7 years until next milestone

Results Posted

Study results publicly available

August 26, 2019

Completed
Last Updated

April 21, 2021

Status Verified

April 1, 2021

Enrollment Period

8.1 years

First QC Date

May 28, 2009

Results QC Date

December 26, 2018

Last Update Submit

April 19, 2021

Conditions

Keywords

Atrial FibrillationLeft Atrial AblationPulmonary Vein IsolationCatheter AblationAntiarrhythmic Drug Therapy

Outcome Measures

Primary Outcomes (1)

  • Number of Participants With Composite of Total Mortality, Disabling Stroke, Serious Bleeding, or Cardiac Arrest in Patients Warranting Therapy for AF.

    All events for each component of the primary endpoint were reviewed and adjudicated in a blinded fashion by an independent clinical events committee using prospectively determined event definitions. Death was defined as all-cause mortality, disabling stroke (including intracranial bleeding) as an irreversible physical limitation defined by a Rankin Stroke Scale ≥2, and serious bleeding as bleeding accompanied by hemodynamic compromise that required surgical intervention or a transfusion of ≥3 units of blood.

    From date of enrollment until time-to-first event over a median follow-up of 48.5 months.

Secondary Outcomes (13)

  • Number of Participants With All-cause Mortality

    From date of enrollment until date of death over a median follow-up of 48.5 months.

  • Number of Participants With Mortality or Cardiovascular (CV) Hospitalization

    From date of enrollment until time-to-first event of death or CV hospitalization over a median follow-up of 48.5 months.

  • Number of Participants With Mortality, Disabling Stroke, or CV Hospitalization (for Heart Failure or Acute Ischemic Events)

    From date of enrollment until time-to-first event of death, stroke, or CV hospitalization (for heart failure or acute ischemic event) over a median follow-up of 48.5 months.

  • Number of Participants With Cardiovascular Death

    From date of enrollment until date of a cardiovascular death over a median follow-up of 48.5 months.

  • Number of Participants With Cardiovascular Death or Disabling Stroke

    From date of enrollment until time-to-first event of a cardiovascular death or disabling stroke over a median follow-up of 48.5 months.

  • +8 more secondary outcomes

Study Arms (2)

Left Atrial Ablation

ACTIVE COMPARATOR

Pulmonary vein isolation using a circumferential ablative approach in the left atrium. Ablation may be performed using circular mapping catheter-guided ablation, antral isolation using a circular guided approach, or wide area circumferential ablation.

Device: Left atrial ablation

Rate or Rhythm Control Therapy

ACTIVE COMPARATOR

Current state-of-the-art drug therapy for atrial fibrillation (rate control or rhythm control). Treating physicians will be encouraged to follow the American College of Cardiology / American Heart Association / European Society of Cardiology Atrial Fibrillation Guidelines with regard to drug therapy for atrial fibrillation. The specific choice of rate control versus rhythm control drug therapy and the specific drugs to be used will ultimately be left to the discretion of the treating physician.

Drug: Rate or Rhythm Control Therapy

Interventions

St. Jude: Livewire TC™ , Therapy™ Dual / Thermocouple, Safire,Therapy Cool Path Biosense Webster: NAVI-STAR, NAVI-STAR/NAVI-STAR DS, Celsius Braided/Long Tip, NAVI-STAR™ and Celsius™ ThermoCool, NAVI-STAR® RMT, Celsius® RMT, ThermoCool® SF Medtronic CryoCath LP: Freezor®/Freezor MAX®, Artic Front®, Cardiac Ablation System Bard: Stinger Boston Scientific: Blazer II RF/XP, Blazer RPM, Chilli II Cooled, SteeroCath

Left Atrial Ablation

Rate control: Metoprolol 50-100mg, Atenolol 50-100mg, Propranolol 40-80mg, Acebutolol 200-300mg, Carvedilol 6.25-25mg, Diltiazem 180-240mg, Verapamil 180-240mg, Digoxin 0.125-0.25mg Rhythm control: Propafenone 450-625mg, Flecainide 200-300mg, Sotalol 240-320mg, Dofetilide 500-1000mcg, Amiodarone 200-400mg, Quinidine 600-900mg, Dronedarone 800mg

Rate or Rhythm Control Therapy

Eligibility Criteria

Age18 Years - 90 Years
Sexall
Healthy VolunteersNo
Age GroupsAdult (18-64), Older Adult (65+)

You may qualify if:

  • Over the preceding 6 months have:
  • ≥2 paroxysmal (electrocardiographic documentation of at least 1) atrial fibrillation (AF) episodes lasting ≥1 hour in duration: (that terminate spontaneously within 7 days or cardioversion is performed within 48h of AF onset): or
  • electrocardiographic documentation of 1 persistent AF episode: (sustained for ≥7 days or cardioversion is performed more than 48h after AF onset): or
  • electrocardiographic documentation of 1 longstanding persistent AF episode: (continuous AF of duration \>1 year).
  • Warrant active therapy (within the past 3 months) beyond simple ongoing observation
  • Be eligible for catheter ablation and ≥2 sequential rhythm control and/or ≥2 rate control drugs.
  • Be ≥65 yrs of age, or \<65 yrs with one or more of the following risk factors for stroke: Hypertension (treated and/or defined as a blood pressure \>140/90 mmHg) \[90\], Diabetes (treated and/or defined as a fasting glucose ≥126 mg/dl) \[91\], Congestive heart failure (including systolic or diastolic heart failure), Prior stroke, transient ischemic attack or systemic emboli, Atherosclerotic vascular disease (previous myocardial infarction (MI), peripheral arterial disease or aortic plaque), left atrial (LA) size \>5.0 cm (or volume index ≥40 cc/m2), or ejection fraction (EF) ≤35.
  • Have the capacity to understand and sign an informed consent form.
  • Be ≥18 years of age.
  • NOTE- Subjects \<65 yrs of age whose only risk factor is hypertension must have a second risk factor or left ventricular (LV) hypertrophy to qualify.Patients receiving new drug therapy initiated within the previous 3 months may continue that therapy if randomized to the drug therapy arm. Patients may have documented atrial flutter in addition to atrial fibrillation and remain eligible for enrollment.

You may not qualify if:

  • Lone AF in the absence of risk factors for stroke in patients \<65 years of age
  • Patients who in the opinion of the managing clinician should not yet receive any therapy for AF
  • Patients who have failed \>2 membrane active anti-arrhythmic drugs at a therapeutic dose due to inefficacy or side effects (Table 5.2.2)
  • An efficacy failure of full dose amiodarone treatment \>8 weeks duration at any time
  • Reversible causes of AF including thyroid disorders, acute alcohol intoxication, recent major surgical procedures, or trauma
  • Recent cardiac events including MI, percutaneous intervention (PCI), or valve or bypass surgery in the preceding 3 months
  • Hypertrophic obstructive cardiomyopathy (outflow track)
  • Class IV angina or Class IV congestive heart failure (CHF) (including past or planned heart transplantation)
  • Other arrhythmias mandating anti-arrhythmic drug therapy (i.e. ventricular tachycardia (VT), ventricular fibrillation (VF))
  • Heritable arrhythmias or increased risk for torsade de pointes with class I or III drugs
  • Prior LA catheter ablation with the intention of treating AF
  • Prior surgical interventions for AF such as the MAZE procedure
  • Prior AV nodal ablation
  • Patients with other arrhythmias requiring ablative therapy
  • Contraindication to appropriate anti-coagulation therapy
  • +5 more criteria

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (118)

Arkansas Cardiology, PA

Little Rock, Arkansas, 72205, United States

Location

Good Samaritan Hospital

Los Angeles, California, 90017, United States

Location

University of California Los Angeles

Los Angeles, California, 90095, United States

Location

University of California Davis Medical Center

Sacramento, California, 95817, United States

Location

University of California at San Francisco Medical Center

San Francisco, California, 94143, United States

Location

Stanford University Medical Center

Stanford, California, 94305, United States

Location

The Medical Center of Aurora

Aurora, Colorado, 80012, United States

Location

Penrose Saint Francis Health Services

Colorado Springs, Colorado, 80907, United States

Location

Hartford Hospital

Hartford, Connecticut, 06115, United States

Location

George Washington University Medical Faculty Associates

Washington D.C., District of Columbia, 20037, United States

Location

University of Miami Hospital

Miami, Florida, 60612, United States

Location

Florida Hospital

Orlando, Florida, 32803, United States

Location

Northside Hospital and Heart Institute

St. Petersburg, Florida, 33709, United States

Location

Tallahassee Memorial Hospital

Tallahassee, Florida, 32308, United States

Location

Florida Heart Rhythm-University of South Florida College of Medicine

Tampa, Florida, 33606, United States

Location

Georgia Regents University

Augusta, Georgia, 30912, United States

Location

Georgia Arrhythmia Consultants & Research Institute

Macon, Georgia, 31201, United States

Location

Alexian Brothers Medical Center

Barrington, Illinois, 60010, United States

Location

Rush University Medical Center

Chicago, Illinois, 60612, United States

Location

NorthShore University Health System

Evanston, Illinois, 60201, United States

Location

Loyola University Medical Center

Maywood, Illinois, 60153, United States

Location

Mercy Medical Center-Iowa Heart Center

West Des Moines, Iowa, 50226, United States

Location

Johns Hopkins Hospital

Baltimore, Maryland, 21287, United States

Location

Massachusetts General Hospital

Boston, Massachusetts, 02114, United States

Location

Brigham and Womens Hospital

Boston, Massachusetts, 02115, United States

Location

Henry Ford Hospital

Detroit, Michigan, 48202, United States

Location

Saint Joseph Mercy Hospital

Ypsilanti, Michigan, 48197, United States

Location

Minneapolis V.A. Medical Center

Minneapolis, Minnesota, 55417, United States

Location

Mayo Clinic Rochester

Rochester, Minnesota, 55905, United States

Location

Park Nicollet Methodist Hospital

Saint Louis Park, Minnesota, 55426, United States

Location

Jackson Heart Clinic

Jackson, Mississippi, 39216, United States

Location

Saint John's Mercy Heart Health Center

St Louis, Missouri, 63131, United States

Location

Saint Louis Heart and Vascular

St Louis, Missouri, 63136, United States

Location

Cooper University Hospital

Camden, New Jersey, 08103, United States

Location

Hackensack University Medical Center

Hackensack, New Jersey, 07601, United States

Location

Robert Wood Johnson University Hospital

New Brunswick, New Jersey, 08901, United States

Location

Albany Associates in Cardiology

Albany, New York, 12205, United States

Location

New York University Langone Medical Center

New York, New York, 10016, United States

Location

Columbia University Medical Center

New York, New York, 10032, United States

Location

Stony Brook University Hospital and Medical Center

Stony Brook, New York, 11794-8167, United States

Location

Montefiore Medical Center

The Bronx, New York, 10467, United States

Location

University of North Carolina at Chapel Hill

Chapel Hill, North Carolina, 27599, United States

Location

The Sanger Clinic, PA

Charlotte, North Carolina, 28203, United States

Location

Duke University Medical Center

Durham, North Carolina, 27705, United States

Location

Wake Forest University Health Sciences

Winston-Salem, North Carolina, 27157, United States

Location

University of Cincinnati Medical Center

Cincinnati, Ohio, 45267, United States

Location

Cleveland Clinic Foundation

Cleveland, Ohio, 44193, United States

Location

Ohio State University Medical Center

Columbus, Ohio, 43210, United States

Location

Oklahoma Heart Institute

Tulsa, Oklahoma, 74104, United States

Location

Oregon Health and Science University

Portland, Oregon, 97201, United States

Location

Providence Saint Vincent Medical Center

Portland, Oregon, 97225, United States

Location

Geisinger Wyoming Valley Medical Center

Danville, Pennsylvania, 17822-2160, United States

Location

Penn State University Cardiovascular Center

Hershey, Pennsylvania, 17033, United States

Location

Drexel University College of Medicine

Philadelphia, Pennsylvania, 19102, United States

Location

University of Pennsylvania Health System

Philadelphia, Pennsylvania, 19104, United States

Location

V.A. Pittsburgh Healthcare System

Pittsburgh, Pennsylvania, 15240, United States

Location

Lankenau Hospital

Wynnewood, Pennsylvania, 19096, United States

Location

Greenville Hospital System University Medical Center

Greenville, South Carolina, 29605, United States

Location

Memorial Health Care System

Chattanooga, Tennessee, 37404, United States

Location

Vanderbilt University Medical Center

Nashville, Tennessee, 37232, United States

Location

Texas Cardiac Arrhythmia

Austin, Texas, 78705, United States

Location

Baylor Heart and Vascular Hospital

Dallas, Texas, 75226, United States

Location

Baylor All Saints Medical Center

Fort Worth, Texas, 76104, United States

Location

University of Texas Health Science Center

Houston, Texas, 77030, United States

Location

The Heart Hospital Baylor Plano

Plano, Texas, 75093, United States

Location

South Texas Cardiovascular Consultants

San Antonio, Texas, 78299, United States

Location

Scott and White Memorial Hospital

Temple, Texas, 76508, United States

Location

Intermountain Medical Center-LDS Hospital

Salt Lake City, Utah, 84143, United States

Location

University of Virginia Health System

Charlottesville, Virginia, 22908, United States

Location

Virginia Hospital Center - Arlington

Falls Church, Virginia, 22042, United States

Location

Sentara Norfolk General Hospital

Norfolk, Virginia, 23507, United States

Location

Virginia Commonwealth University Medical Center

Richmond, Virginia, 23219, United States

Location

Swedish Medical Center - Providence Campus

Seattle, Washington, 98122, United States

Location

University of Washington Medical Center

Seattle, Washington, 98195, United States

Location

Cardiac Study Center

Tacoma, Washington, 98405, United States

Location

Waukesha Memorial Hospital

Waukesha, Wisconsin, 53188, United States

Location

Royal Adelaide Hospital

Adelaide, South Australia, 5000, Australia

Location

Royal Melbourne Hospital

Parkville, Victoria, 3050, Australia

Location

University of Calgary

Calgary, Alberta, T2N 2T9, Canada

Location

Hamilton Health Sciences

Hamilton, Ontario, L8L 2X2, Canada

Location

University of Western Ontario - London Health Sciences Centre

London, Ontario, N6A 5A5, Canada

Location

Southlake Regional Health Centre

Newmarket, Ontario, L3Y 8C3, Canada

Location

Guangdong Provincial People's Hospital

Guangzhou, Guangdong, 510080, China

Location

First Affiliated Hospital of Nanjing Medical University

Nanjing, Jiangsu, 210029, China

Location

First Affiliated Hospital of Dalian Medical University

Dalian, Liaoning, 116011, China

Location

Beijing Anzhen Hospital

Beijing, 100029, China

Location

Fuwai Hospital

Beijing, 100037, China

Location

Na Homolce Hospital

Prague, Prague, 150 30, Czechia

Location

Saint Anne's University Hospital, ICRC

Brno, 65691, Czechia

Location

Charles University

Prague, 12808, Czechia

Location

Clinic of Cardiology IKEM Medical Institute

Prague, 14021, Czechia

Location

University Hospital of Mannheim

Mannheim, Baden-Wurttemberg, 68167, Germany

Location

Klinikum Coburg

Coburg, Bavaria, 96450, Germany

Location

Universitares Herrzentrum Hamburg

Hamburg, Freie-Hansestadt Hamburg, 20246, Germany

Location

Herz-und Diabeteszentrum NRW

Bad Oeynhausen, North Rhine-Westphalia, D-32545, Germany

Location

Technische Universitat Dresden

Dresden, Saxony, D-01307, Germany

Location

Kerckhoff Klinik

Bad Nauheim, D-61231, Germany

Location

Praxisklinik Herz and GefaBe

Dresden, 01324, Germany

Location

CCB - Cardioaniologisches Centrum Bethanien

Frankfurt, 60431, Germany

Location

Georg-August-University

Göttingen, 37075, Germany

Location

Asklepios Klinik St. Georg

Hamburg, 20099, Germany

Location

Asklepios Klinik Barmbek

Hamburg, 22291, Germany

Location

Saint Vincentius-Kliniken

Karlsruhe, 76137, Germany

Location

Herzzentrum Leipzig

Leipzig, 04289, Germany

Location

Universitat Rostock

Rostock, D-18057, Germany

Location

Policlinico San Donato Center of Clinical Arrhythmia and Electrophysiology

San Donato Milanese, Lombardy, 20097, Italy

Location

Policlinico Multimedical Cardiology and Arrhythmia Centre

Milan, 20099, Italy

Location

Ospedale di Circolo e Fondazione Macchi

Varese, 21100, Italy

Location

Research Institute of Circulation of Pathology

Novosibirsk, Novosibirsk Oblast, 630055, Russia

Location

Clinical Hospital # 83 under the Federal Medical and Biological Agency

Moscow, 115682, Russia

Location

Bakoulev Scientific Center for Cardiovascular Surgery

Moscow, 121552, Russia

Location

Scientific Research Institute of Cardiology of Ministry of Health of Russian Foundation

Tomsk, 634012, Russia

Location

Korea University Anam Hospital

Seoul, South Korea

Location

Yonsei University Severance Hospital

Seoul, South Korea

Location

Golden Jubilee Hospital

Glasgow, G81 4HX, United Kingdom

Location

Saint Bartholomew's Hospital

London, EC1A 7BE, United Kingdom

Location

Saint George's Hospital Medical School

London, SW17 0QT, United Kingdom

Location

Saint Mary's Hospital

London, W2 1NY, United Kingdom

Location

Related Publications (19)

  • Zhao M, Chen Y, Li M, Jiang C, Wang Z, Liu H, He L, Sang C, Du X, Dong J, Packer DL, Ma C, Lip GYH. Impact of diagnosis to ablation time on clinical outcomes in patients with atrial fibrillation: post hoc analysis of the CABANA trial. BMC Med. 2026 Jan 12. doi: 10.1186/s12916-026-04615-3. Online ahead of print.

  • Wu Q, Wang L, Li Y, Liang Z, Li Q, Liu X, Yin Y, Liu Y, Hu Z, Gao H, Zhang T, Wang Y. Prognostic impact of mitral regurgitation in elderly patients with atrial fibrillation: results from the CABANA trial. Open Heart. 2025 Nov 27;12(2):e003478. doi: 10.1136/openhrt-2025-003478.

  • Chen Y, Soler-Espejo E, Zhao M, Li W, Liu H, Gue Y, McDowell G, Packer DL, Lip GYH. Association between comorbidity burden and outcomes of catheter ablation vs. medical therapy for atrial fibrillation: insights from the CABANA trial. Europace. 2025 Dec 1;27(12):euaf292. doi: 10.1093/europace/euaf292.

  • Wang Z, Wu Y, Jiang C, He L, Zhou N, Sang C, Dong J, Ma C. Catheter Ablation vs Drug Therapy in Patients With Atrial Fibrillation and Nonmodifiable Recurrence Risk Factors: A Secondary Analysis of the CABANA Randomized Clinical Trial. JAMA Netw Open. 2025 Aug 1;8(8):e2528124. doi: 10.1001/jamanetworkopen.2025.28124.

  • Zhang J, Wang L, Li Y, Li Q, Liu X, Weng S, Yin Y, Liang Z, Zhang T, Wang Y. Atrial fibrillation phenotypes identified through cluster analysis in the CABANA study. Int J Cardiol. 2025 Nov 1;438:133606. doi: 10.1016/j.ijcard.2025.133606. Epub 2025 Jul 9.

  • Martens P, Augusto SN Jr, Erzeel J, Pison L, Mullens W, Tang WHW. Effects of Atrial Fibrillation Ablation for Heart Failure With Preserved Ejection Fraction: Insights From CABANA. JACC Heart Fail. 2025 May;13(5):785-794. doi: 10.1016/j.jchf.2025.01.029. Epub 2025 Apr 16.

  • Bunch TJ, Poole JE, Silverstein AP, Lee KL, Al-Khalidi HR, Hindricks G, Romanov A, Pokushalov E, Bahnson TD, Daniels MR, Piccini JP, Mark DB, Packer DL; CABANA Investigators. Prognostic Impact of Sinus Rhythm in Atrial Fibrillation Patients: Separating Rhythm Outcomes From Randomized Strategy Findings From the CABANA Trial. Circ Arrhythm Electrophysiol. 2024 May;17(5):e012697. doi: 10.1161/CIRCEP.123.012697. Epub 2024 Apr 17.

  • Cappato R, Mark DB, Silverstein AP, Noseworthy PA, Bonitta G, Poole JE, Piccini JP, Bahnson TD, Daniels MR, Al-Khalidi HR, Lee KL, Packer DL; CABANA Investigators. Regional differences in outcomes with ablation versus drug therapy for atrial fibrillation: Results from the CABANA trial. Am Heart J. 2024 Apr;270:103-116. doi: 10.1016/j.ahj.2024.01.009. Epub 2024 Feb 1.

  • Zeitler EP, Li Y, Silverstein AP, Russo AM, Poole JE, Daniels MR, Al-Khalidi HR, Lee KL, Bahnson TD, Anstrom KJ, Packer DL, Mark DB; CABANA Investigators. Effects of Ablation Versus Drug Therapy on Quality of Life by Sex in Atrial Fibrillation: Results From the CABANA Trial. J Am Heart Assoc. 2023 Feb 7;12(3):e027871. doi: 10.1161/JAHA.122.027871. Epub 2023 Jan 23.

  • Monahan KH, Bunch TJ, Mark DB, Poole JE, Bahnson TD, Al-Khalidi HR, Silverstein AP, Daniels MR, Lee KL, Packer DL; CABANA Investigators. Influence of atrial fibrillation type on outcomes of ablation vs. drug therapy: results from CABANA. Europace. 2022 Oct 13;24(9):1430-1440. doi: 10.1093/europace/euac055.

  • Bahnson TD, Giczewska A, Mark DB, Russo AM, Monahan KH, Al-Khalidi HR, Silverstein AP, Poole JE, Lee KL, Packer DL; CABANA Investigators. Association Between Age and Outcomes of Catheter Ablation Versus Medical Therapy for Atrial Fibrillation: Results From the CABANA Trial. Circulation. 2022 Mar 15;145(11):796-804. doi: 10.1161/CIRCULATIONAHA.121.055297. Epub 2021 Dec 22.

  • Thomas KL, Al-Khalidi HR, Silverstein AP, Monahan KH, Bahnson TD, Poole JE, Mark DB, Packer DL; CABANA Investigators. Ablation Versus Drug Therapy for Atrial Fibrillation in Racial and Ethnic Minorities. J Am Coll Cardiol. 2021 Jul 13;78(2):126-138. doi: 10.1016/j.jacc.2021.04.092.

  • Rettmann ME, Holmes DR 3rd, Monahan KH, Breen JF, Bahnson TD, Mark DB, Poole JE, Ellis AM, Silverstein AP, Al-Khalidi HR, Lee KL, Robb RA, Packer DL; CABANA Imaging Investigators. Treatment-Related Changes in Left Atrial Structure in Atrial Fibrillation: Findings From the CABANA Imaging Substudy. Circ Arrhythm Electrophysiol. 2021 May;14(5):e008540. doi: 10.1161/CIRCEP.120.008540. Epub 2021 Apr 13.

  • Packer DL, Piccini JP, Monahan KH, Al-Khalidi HR, Silverstein AP, Noseworthy PA, Poole JE, Bahnson TD, Lee KL, Mark DB; CABANA Investigators. Ablation Versus Drug Therapy for Atrial Fibrillation in Heart Failure: Results From the CABANA Trial. Circulation. 2021 Apr 6;143(14):1377-1390. doi: 10.1161/CIRCULATIONAHA.120.050991. Epub 2021 Feb 8.

  • Russo AM, Zeitler EP, Giczewska A, Silverstein AP, Al-Khalidi HR, Cha YM, Monahan KH, Bahnson TD, Mark DB, Packer DL, Poole JE; CABANA Investigators. Association Between Sex and Treatment Outcomes of Atrial Fibrillation Ablation Versus Drug Therapy: Results From the CABANA Trial. Circulation. 2021 Feb 16;143(7):661-672. doi: 10.1161/CIRCULATIONAHA.120.051558. Epub 2021 Jan 27.

  • Poole JE, Bahnson TD, Monahan KH, Johnson G, Rostami H, Silverstein AP, Al-Khalidi HR, Rosenberg Y, Mark DB, Lee KL, Packer DL; CABANA Investigators and ECG Rhythm Core Lab. Recurrence of Atrial Fibrillation After Catheter Ablation or Antiarrhythmic Drug Therapy in the CABANA Trial. J Am Coll Cardiol. 2020 Jun 30;75(25):3105-3118. doi: 10.1016/j.jacc.2020.04.065.

  • Packer DL, Mark DB, Robb RA, Monahan KH, Bahnson TD, Poole JE, Noseworthy PA, Rosenberg YD, Jeffries N, Mitchell LB, Flaker GC, Pokushalov E, Romanov A, Bunch TJ, Noelker G, Ardashev A, Revishvili A, Wilber DJ, Cappato R, Kuck KH, Hindricks G, Davies DW, Kowey PR, Naccarelli GV, Reiffel JA, Piccini JP, Silverstein AP, Al-Khalidi HR, Lee KL; CABANA Investigators. Effect of Catheter Ablation vs Antiarrhythmic Drug Therapy on Mortality, Stroke, Bleeding, and Cardiac Arrest Among Patients With Atrial Fibrillation: The CABANA Randomized Clinical Trial. JAMA. 2019 Apr 2;321(13):1261-1274. doi: 10.1001/jama.2019.0693.

  • Mark DB, Anstrom KJ, Sheng S, Piccini JP, Baloch KN, Monahan KH, Daniels MR, Bahnson TD, Poole JE, Rosenberg Y, Lee KL, Packer DL; CABANA Investigators. Effect of Catheter Ablation vs Medical Therapy on Quality of Life Among Patients With Atrial Fibrillation: The CABANA Randomized Clinical Trial. JAMA. 2019 Apr 2;321(13):1275-1285. doi: 10.1001/jama.2019.0692.

  • Packer DL, Mark DB, Robb RA, Monahan KH, Bahnson TD, Moretz K, Poole JE, Mascette A, Rosenberg Y, Jeffries N, Al-Khalidi HR, Lee KL; CABANA Investigators. Catheter Ablation versus Antiarrhythmic Drug Therapy for Atrial Fibrillation (CABANA) Trial: Study Rationale and Design. Am Heart J. 2018 May;199:192-199. doi: 10.1016/j.ahj.2018.02.015. Epub 2018 Mar 7.

Related Links

MeSH Terms

Conditions

Atrial FibrillationArrhythmias, Cardiac

Condition Hierarchy (Ancestors)

Heart DiseasesCardiovascular DiseasesPathologic ProcessesPathological Conditions, Signs and Symptoms

Results Point of Contact

Title
Dr. Douglas L. Packer
Organization
Mayo Clinic

Study Officials

  • Douglas L. Packer, M.D.

    Mayo Clinic

    PRINCIPAL INVESTIGATOR
  • Kerry L. Lee, Ph.D.

    Duke Clinical Research Institute

    PRINCIPAL INVESTIGATOR
  • Daniel B. Mark, M.D., MPH

    Duke Clinical Research Institute

    PRINCIPAL INVESTIGATOR
  • Rich A. Robb, Ph.D. Phy

    Mayo Clinic

    PRINCIPAL INVESTIGATOR
  • Yves D. Rosenberg, M.D., MPH

    National Heart, Lung, and Blood Institute (NHLBI)

    STUDY CHAIR

Publication Agreements

PI is Sponsor Employee
No
Restriction Type
OTHER
Restrictive Agreement
Yes

Study Design

Study Type
interventional
Phase
not applicable
Allocation
RANDOMIZED
Masking
NONE
Purpose
TREATMENT
Intervention Model
PARALLEL
Sponsor Type
OTHER
Responsible Party
PRINCIPAL INVESTIGATOR
PI Title
MD

Study Record Dates

First Submitted

May 28, 2009

First Posted

June 2, 2009

Study Start

November 13, 2009

Primary Completion

December 31, 2017

Study Completion

December 31, 2017

Last Updated

April 21, 2021

Results First Posted

August 26, 2019

Record last verified: 2021-04

Locations