NCT01580124

Brief Summary

Study design: Randomized prospective comparison of pulmonary vein isolation alone versus a strategy aiming for atrial fibrillation termination by using a stepwise approach consisting of pulmonary vein isolation, biatrial defragmentation aiming for fractionated electrograms and linear ablation if required.

Trial Health

87
On Track

Trial Health Score

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

Enrollment
150

participants targeted

Target at P50-P75 for not_applicable atrial-fibrillation

Timeline
Completed

Started Nov 2010

Typical duration for not_applicable atrial-fibrillation

Geographic Reach
1 country

1 active site

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

Study Start

First participant enrolled

November 1, 2010

Completed
1.5 years until next milestone

First Submitted

Initial submission to the registry

April 16, 2012

Completed
2 days until next milestone

First Posted

Study publicly available on registry

April 18, 2012

Completed
1.8 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

February 1, 2014

Completed
1 year until next milestone

Study Completion

Last participant's last visit for all outcomes

February 1, 2015

Completed
Last Updated

May 1, 2019

Status Verified

April 1, 2019

Enrollment Period

3.3 years

First QC Date

April 16, 2012

Last Update Submit

April 28, 2019

Conditions

Outcome Measures

Primary Outcomes (1)

  • Recurrence of atrial arrhythmia during 12 months follow up

    12 months

Secondary Outcomes (1)

  • Number of periprocedural complications

    12 months

Study Arms (2)

PVI alone

ACTIVE COMPARATOR

Pulmonary vein isolation alone in persistent atrial fibrillation

Procedure: PVI alone

PVI + Defragmentation + linear lesions

ACTIVE COMPARATOR

AF ablation continuation aiming for AF termination

Procedure: PVI + Defragmentation + linear lesions

Interventions

PVI alonePROCEDURE

PVI alone Pulmonary vein isolation alone in persistent atrial fibrillation

PVI alone

PVI + Defragmentation + linear lesions AF ablation continuation aiming for AF termination

PVI + Defragmentation + linear lesions

Eligibility Criteria

Age18 Years - 80 Years
Sexall
Healthy VolunteersNo
Age GroupsAdult (18-64), Older Adult (65+)

You may qualify if:

  • Age \> 18
  • Persistent atrial fibrillation \> 7 days or previous cardioversion
  • Obtained written consent

You may not qualify if:

  • Age less than 18 years
  • Previous operative or interventional treatment of atrial fibrillation
  • Paroxysmal atrial fibrillation
  • Pregnancy
  • Contraindication for oral anticoagulation
  • Contraindication for heparin administration
  • Transient factors causing atrial fibrillation (e.g. Hyperthyroidism)
  • Drug and alcohol abuse
  • Severe underlying heart disease with left atrial enlargement \> 60 mm

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

University Hospital Eppendorf

Hamburg, 20251, Germany

Location

Related Publications (1)

  • Vogler J, Willems S, Sultan A, Schreiber D, Luker J, Servatius H, Schaffer B, Moser J, Hoffmann BA, Steven D. Pulmonary Vein Isolation Versus Defragmentation: The CHASE-AF Clinical Trial. J Am Coll Cardiol. 2015 Dec 22;66(24):2743-2752. doi: 10.1016/j.jacc.2015.09.088.

Related Links

MeSH Terms

Conditions

Atrial Fibrillation

Condition Hierarchy (Ancestors)

Arrhythmias, CardiacHeart DiseasesCardiovascular DiseasesPathologic ProcessesPathological Conditions, Signs and Symptoms

Study Officials

  • Stephan Willems, MD

    University Heart Center Hamburg

    PRINCIPAL INVESTIGATOR
  • Daniel Steven, MD

    University Heart Center Hamburg

    PRINCIPAL INVESTIGATOR

Study Design

Study Type
interventional
Phase
not applicable
Allocation
RANDOMIZED
Masking
NONE
Purpose
TREATMENT
Intervention Model
PARALLEL
Sponsor Type
OTHER
Responsible Party
SPONSOR

Study Record Dates

First Submitted

April 16, 2012

First Posted

April 18, 2012

Study Start

November 1, 2010

Primary Completion

February 1, 2014

Study Completion

February 1, 2015

Last Updated

May 1, 2019

Record last verified: 2019-04

Data Sharing

IPD Sharing
Will not share

Locations