Comparison of Recurrence of Atrial Fibrillation Post Cryoballon Ablation During the 90-day Blanking Period-with and Without Anti-arrhythmic Drug Therapy
Monitoring Safety and Recurrence of Paroxysmal Atrial Fibrillation After 1st Cryo-balloon Ablation with and Without Antiarrhythmic Drug Therapy During the 90-day Blanking Period - Examined with Adverse Event Monitoring and Cardiovascular Implantable Electronic Devices (CIEDs)
1 other identifier
interventional
50
1 country
1
Brief Summary
This study is being done to find out if patients taking Anti Arrhythmia Drugs (AADs) after cryoballoon ablation for atrial fibrillation, compared to patients who do not take Anti- Arrhythmic Drugs after an ablation affect Atrial Fibrillation from coming back. The study will also look at the side effects of the AADs.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at below P25 for not_applicable atrial-fibrillation
Started Jun 2017
Typical duration for not_applicable atrial-fibrillation
1 active site
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
First Submitted
Initial submission to the registry
August 31, 2016
CompletedFirst Posted
Study publicly available on registry
September 23, 2016
CompletedStudy Start
First participant enrolled
June 28, 2017
CompletedPrimary Completion
Last participant's last visit for primary outcome
December 31, 2020
CompletedStudy Completion
Last participant's last visit for all outcomes
December 31, 2020
CompletedOctober 31, 2024
October 1, 2024
3.5 years
August 31, 2016
October 29, 2024
Conditions
Keywords
Outcome Measures
Primary Outcomes (3)
Compare recurrence, recurrence rate, burden of atrial fibrillation post ablation between the two groups.
Rhythm status through implantable loop recorder (or pacemaker with functioning atrial lead) at 3 month, 6 month, 12 month compared between two treatment groups, including: A) AF burden (Average amount of time in AF per day) B) AF recurrence rate (Frequency of AF, occurrences per day) C) Time to AF recurrence
12 months
Symptom Assessments
Symptom assessments by clinical follow up and phone calls, including symptom severity score using the Severity of Atrial Fibrillation Scale between the two groups.
12 months
Adverse Events Assessments
Ongoing assessment of adverse events in both arms of the study, including AADs side effects in 90-day blanking period.
12 months
Secondary Outcomes (3)
The cost of AADs during the 90-day blanking period.
12 months
Assess the rate of hospitalizations, emergency room visits, and unscheduled cardiology visits for the treatment of AF between the two groups
12 months
The differential usage of anticoagulation therapy between two arms.
12 months
Study Arms (2)
Arm 1- No AAD post Ablation
ACTIVE COMPARATORSubjects will not resume their Anti Arrhythmic Drugs after cryoballoon-ablation for paroxysmal atrial fibrillation.
Arm 2-Resume AAD post Ablation
NO INTERVENTIONSubjects will resume their pre-ablation Anti Arrhythmic Drugs after cryoballoon-ablation for paroxysmal atrial fibrillation, during the 90 day blanking period following the ablation.
Interventions
Subjects will not resume their pre-ablation anti-arrhythmic medications during the 90 following cryo ablation for Atrial Fibrillation
Eligibility Criteria
You may qualify if:
- Drug refractory and recurrent Paroxysmal Atrial Fibrillation
- The subject meets medical criteria for cryoballoon ablation to treat Paroxysmal AF
- Age 18 to 80 years
- The subject has a Cardiovascular Implantable Electronic Device (CIED) that captures AF episodes, such as an implantable loop recorder, pacemaker, or implantable cardioverter defibrillator (ICD) with a properly functioning atrial lead.
You may not qualify if:
- Use of any Anti- Arrhythmic Drugs for ventricular arrhythmias
- Ejection Fraction (EF)\<45%
- Prior A. Fib. ablation
- Pregnant women
Contact the study team to confirm eligibility.
Sponsors & Collaborators
- Prisma Health-Midlandslead
- Medtroniccollaborator
Study Sites (1)
Palmetto Health
Columbia, South Carolina, 29203, United States
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Study Officials
- PRINCIPAL INVESTIGATOR
Sultan M Siddique, MD
Prisma Health-Midlands
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- RANDOMIZED
- Masking
- NONE
- Purpose
- OTHER
- Intervention Model
- PARALLEL
- Sponsor Type
- OTHER
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
August 31, 2016
First Posted
September 23, 2016
Study Start
June 28, 2017
Primary Completion
December 31, 2020
Study Completion
December 31, 2020
Last Updated
October 31, 2024
Record last verified: 2024-10
Data Sharing
- IPD Sharing
- Will not share