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Atrial FibrillationNCT04223310

Clinical Usefulness of Virtual Antiarrhythmic Drug Test in Patients With Recurred AF After Catheter Ablation(CUVIA-AF3)

A study testing Virtual AAD TEST group and Empirical AAD group in people with Atrial Fibrillation, run by Yonsei University at 1 site in South Korea.

Unknown status

Status not confirmed. The sponsor has not verified this record for over two years, so it may be out of date.

Official record
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Trial summary

Catheter ablation for atrial fibrillation (AF) is an effective rhythm control method that shows superior rhythm outcome than antiarrhythmic drug (AAD) treatment in drug-resistant AF. However, AF catheter ablation still has a substantial recurrence rate. Read more about this study

Who is it for?
Ages 20 to 80 years
Conditions the study is for
Atrial Fibrillation
What is being tested?
Virtual AAD TEST group and Empirical AAD group
Could I receive a placebo?
No, everyone receives an active treatment
How many people
300 participants
Where
1 siteSouth Korea
Study dates
13 Jun 2023to Dec 2024
Phase
Interventional
Are there results?
None posted in the registry

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 20 to 80 years
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • The patients with 20~80 years old those recurred AF after catheter ablation
  • Patients who are suitable for sinus rhythm conversion and maintenance using AAD medications
  • Patients who had no history of serious side effects due to AAD medications before the procedure

Who cannot join

  • Permanent AF Patients
  • AF associated with significant structural heart disease with severe anomaly or hemodynamic effects
  • Patients expected to have serious side effects when using AAD due to sinus node dysfunction
  • Severe liver or renal failure
  • Patients with past cardiac surgery history
  • Patients who are unable to oral medication or have electrolyte abnormalities
Show all 14Show fewer
  • Patients with active internal bleeding
  • Contraindications for anticoagulant therapy (administered anticoagulant drugs to prevent cerebral infarction) or AAD
  • Valvular AF (mitral stenosis> grade 2, mechanical valve, mitral valve repair)
  • Severe concomitant illness
  • Patients expected to live for less than one year
  • Patients with drug or alcoholism
  • Those who cannot read the agreement (literacy, foreigners, etc.)
  • Patients judged to be inappropriate for participation in clinical trials by other researchers' judgment

Trial locations and contacts

1 site in 1 country.

Hui-Nam Park contact

82-2-2228-8459

hnpak@yuhs.ac

South Korea1 site, 1 recruiting
  • Severance Cardiovascular Hospital, Yonsei University Health System

    Seoul, 120-752

    Hui-Nam Pak, M.D., Ph.D., 82-2-2228-8459, hnpak@yuhs.ac

    Recruiting

Other trials in South Korea

About this study

Catheter ablation for atrial fibrillation (AF) is an effective rhythm control method that shows superior rhythm outcome than antiarrhythmic drug (AAD) treatment in drug-resistant AF. However, AF catheter ablation still has a substantial recurrence rate.

The current AAD use guidelines for AF management focus on the safety of drug use. However, if the AAD efficacy evaluation system using computer modeling reflecting the individual anatomy, electrophysiology, and histological characteristics of patients is practical, it will help to select a more effective AAD type or dose.

Read more

The purpose of this study is to conduct a prospective randomized clinical study on the efficacy and safety of computer modeling for optimal AAD selection in patients with recurrent AF after catheter ablation. The investigator will evaluate the efficacy of AAD simulations by comparing virtual AAD effect guided therapy and empirical AAD use in patients with recurrent AF after AF catheterization.

The investigator will test the virtual AAD effects in the computer simulations integrated by cardiac images and 3D electrophysiological maps obtained during de novo AF ablation. The investigator will compare the effects of the most potent AAD selected by virtual AAD simulation with those of empirical AAD.

Read the detailed description
  1. Study design
  2. Prospective randomization (Virtual AAD TEST group vs. Empirical AAD group )
  3. Target number of subjects: 300 (150 per group)
  4. Rhythm FU : 2012 ACC/AHA/ESC guidelines (Holter monitoring at the baseline, 2 month, and thereafter every 6 months; ECG if the patient has any symptom)
  5. Anticoagulant therapy followed by 2014 ACC/AHA/ESC guidelines
  6. All complications in each group will be evaluated including the re-hospitalization rate, cardioversion frequency, major cardiovascular event, and mortality rate.
  7. Progress and rhythm/ECG follow-up
  8. To be performed in accordance with the 2012 ACC/AHA/HRS guidelines for AF management
  9. Follow-up at 2 weeks, 2 months, and thereafter every 6-month after medication.
  10. Rhythm control at 2 months, and thereafter every 6-month follow-up with Holter after medication
  11. If the patient complains of symptoms, ECG will be performed at any time, and rhythm follow-up will be carried out with a Holter or event recorder.
  12. Follow-up All the patients will be followed-up at 2 weeks, 2, 6 months, and thereafter every 6 months. If the patient shows any symptom within the clinical study period, patient will visit the outpatient clinic. ECG will be performed at every outpatient visits, and 24-hour Holter or event recording will be performed 2months and every 6 months for 2 years, and every year after 2 years (2012 Heart Rhythm Society/EHRA/European Cardiac Arrhythmia Society Expert Consensus Statement guidelines). If atrial fibrillation or atrial tachycardia lasting more than 30 seconds is observed in 12-lead ECG or Holter, it will be evaluated as recurrence. Recurrence within 3 months after the procedure will be classified as early recurrence, and that after 3 months will be classified as clinical recurrence.
Being tested
Virtual AAD TEST group, Empirical AAD group
Keywords
Recurred Atrial Fibrillation After AFCA, AF catheter ablation, Virtual antiarrhythmic drug test
Medical subject headings
Atrial Fibrillation

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • Virtual AAD TEST groupDrug

    1. Perform virtual AAD test using a voltage map acquired during de novo AF ablation procedure
    2. Preselect drug with optimal antiarrhythmic effects in the patient.
    3. Take an AAD selected by virtual AAD simulation in patients who recur AF after catheter resection
    4. Drug selection should be decided according to the guidelines.
    5. A follow-up of rhythm follow-up has to be conducted according to the above study design.
  • Empirical AAD groupDrug

    1. Perform virtual AAD test using a voltage map acquired during de novo AF ablation procedure
    2. Selection of AAD based on the experience of the attending physician, independent of the results of the virtual AAD test in patients who recur AF after catheter resection
    3. Drug selection should be decided according to the guidelines.
    4. A follow-up of rhythm follow-up has to be conducted according to the above study design.
Study groups in NCT04223310
Study groupRoleWhat they receive
Virtual AAD TEST groupExperimental1. Perform virtual AAD test using a voltage map acquired during de novo AF ablation procedure 2. Preselect drug with optimal antiarrhythmic effects in the patient. 3. Take an AAD selected by virtual AAD simulation in patients who recur AF after catheter resection 4. Drug selection should be decided according to the guidelines. 5. A follow-up of rhythm follow-up has to be conducted according to the above study design.
Receives: Drug: Virtual AAD TEST group
Empirical AAD groupActive comparator1. Perform virtual AAD test using a voltage map acquired during de novo AF ablation procedure 2. Selection of AAD based on the experience of the attending physician, independent of the results of the virtual AAD test in patients who recur AF after catheter resection 3. Drug selection should be decided according to the guidelines. 4. A follow-up of rhythm follow-up has to be conducted according to the above study design.
Receives: Drug: Empirical AAD group

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Efficacy evaluation: clinical recurrence rate

    Defined as atrial fibrillation or atrial tachycardia > 30 sec after medication within 2 year. Based on the 2012 ACC/AHA/HRS guidelines, 24-hour Holter ECG monitoring will be performed at 2 month and every 6 months, and ECG and monitoring with a Holter or an event recorder will be performed at any time if the patient complains of symptoms

    Measured: At 2 months after medication

  2. Efficacy evaluation: clinical recurrence rate

    Defined as atrial fibrillation or atrial tachycardia > 30 sec after medication within 2 year. Based on the 2012 ACC/AHA/HRS guidelines, 24-hour Holter ECG monitoring will be performed at 2 month and every 6 months, and ECG and monitoring with a Holter or an event recorder will be performed at any time if the patient complains of symptoms

    Measured: At 6months after medication

  3. Efficacy evaluation: clinical recurrence rate

    Defined as atrial fibrillation or atrial tachycardia > 30 sec after medication within 2 year. Based on the 2012 ACC/AHA/HRS guidelines, 24-hour Holter ECG monitoring will be performed at 2 month and every 6 months, and ECG and monitoring with a Holter or an event recorder will be performed at any time if the patient complains of symptoms

    Measured: At 12 months after medication

  4. Efficacy evaluation: clinical recurrence rate

    Defined as atrial fibrillation or atrial tachycardia > 30 sec after medication within 2 year. Based on the 2012 ACC/AHA/HRS guidelines, 24-hour Holter ECG monitoring will be performed at 2 month and every 6 months, and ECG and monitoring with a Holter or an event recorder will be performed at any time if the patient complains of symptoms

    Measured: At 18 months after medication

  5. Efficacy evaluation: clinical recurrence rate

    Defined as atrial fibrillation or atrial tachycardia > 30 sec after medication within 2 year. Based on the 2012 ACC/AHA/HRS guidelines, 24-hour Holter ECG monitoring will be performed at 2 month and every 6 months, and ECG and monitoring with a Holter or an event recorder will be performed at any time if the patient complains of symptoms

    Measured: At 24months after medication

  6. Safety evaluation: Major cardiovascular event rate after medication

    Death, Hospitalization, Systemic embolism related atrial fibrillation, Cerebrovascular disease, Stroke, Hemorrhage

    Measured: At 2 months after medication

  7. Safety evaluation: Major cardiovascular event rate after medication

    Death, Hospitalization, Systemic embolism related atrial fibrillation, Cerebrovascular disease, Stroke, Hemorrhage

    Measured: At 6 months after mediation

  8. Safety evaluation: Major cardiovascular event rate after medication

    Death, Hospitalization, Systemic embolism related atrial fibrillation, Cerebrovascular disease, Stroke, Hemorrhage

    Measured: At 12 months after mediacation

  9. Safety evaluation: Major cardiovascular event rate after medication

    Death, Hospitalization, Systemic embolism related atrial fibrillation, Cerebrovascular disease, Stroke, Hemorrhage

    Measured: At 18 months after mediacation

  10. Safety evaluation: Major cardiovascular event rate after medication

    Death, Hospitalization, Systemic embolism related atrial fibrillation, Cerebrovascular disease, Stroke, Hemorrhage

    Measured: At 24 months after mediacation

Secondary outcomes (25)
  1. Comparison of cardioversion frequency

    comparison of cardioversion fequency after medication (including re-hospitalization for complication by heart failure, embolism and hemorrhage)

    Measured: At 2 months after medication

  2. Comparison of cardioversion frequency

    comparison of cardioversion fequency after medication (including re-hospitalization for complication by heart failure, embolism and hemorrhage)

    Measured: At 6 months after medication

  3. Comparison of cardioversion frequency

    comparison of cardioversion fequency after medication (including re-hospitalization for complication by heart failure, embolism and hemorrhage)

    Measured: At 12 months after medication

  4. Comparison of cardioversion frequency

    comparison of cardioversion fequency after medication (including re-hospitalization for complication by heart failure, embolism and hemorrhage)

    Measured: At 18 months after medication

  5. Comparison of cardioversion frequency

    comparison of cardioversion fequency after medication (including re-hospitalization for complication by heart failure, embolism and hemorrhage)

    Measured: At 24 months after medication

  6. re-ablation(RFCA) fequency

    re-ablation(RFCA) fequency after medication.

    Measured: At 2 months after medication

  7. re-ablation(RFCA) fequency

    re-ablation(RFCA) fequency after medication.

    Measured: At 6 months after medication

  8. re-ablation(RFCA) fequency

    re-ablation(RFCA) fequency after medication.

    Measured: At 12 months after medication

  9. re-ablation(RFCA) fequency

    re-ablation(RFCA) fequency after medication.

    Measured: At 18 months after medication

  10. re-ablation(RFCA) fequency

    re-ablation(RFCA) fequency after medication.

    Measured: At 24months after medication

  11. Rate of re-hospitalization

    Rate of re-hospitalization after medication

    Measured: At 2 months after medication

  12. Rate of re-hospitalization

    Rate of re-hospitalization after medication

    Measured: At 6 months after medication

  13. Rate of re-hospitalization

    Rate of re-hospitalization after medication

    Measured: At 12 months after medication

  14. Rate of re-hospitalization

    Rate of re-hospitalization after medication

    Measured: At 18 months after medication

  15. Rate of re-hospitalization

    Rate of re-hospitalization after medication

    Measured: At 24 months after medication

  16. Frequency of drug complication

    Frequency of drug complication after medication

    Measured: At 2 months after medication

  17. Frequency of drug complication

    Frequency of drug complication after medication

    Measured: At 6 months after medication

  18. Frequency of drug complication

    Frequency of drug complication after medication

    Measured: At 12 months after medication

  19. Frequency of drug complication

    Frequency of drug complication after medication

    Measured: At 18 months after medication

  20. Frequency of drug complication

    Frequency of drug complication after medication

    Measured: At 24 months after medication

  21. Rate of discontinuation of medication

    Rate of discontinuation of medication due to complication

    Measured: At 2 months after medication

  22. Rate of discontinuation of medication

    Rate of discontinuation of medication due to complication

    Measured: At 6 months after medication

  23. Rate of discontinuation of medication

    Rate of discontinuation of medication due to complication

    Measured: At 12 months after medication

  24. Rate of discontinuation of medication

    Rate of discontinuation of medication due to complication

    Measured: At 18 months after medication

  25. Rate of discontinuation of medication

    Rate of discontinuation of medication due to complication

    Measured: At 24 months after medication

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted10 Jan 2020
  2. Study start13 Jun 2023
  3. Primary completionDec 2024 (estimated)
  4. Study completionDec 2024 (estimated)

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase N/A
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Masking
None (open label)
Enrolment
300 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT04223310
Sponsor's protocol ID
4-2019-1049
Status last verified
Oct 2023
First submitted
20 Dec 2019
Last updated
13 Oct 2023
Results posted
No
Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
Undecided

Questions about this trial

What is this clinical trial studying?

A study testing Virtual AAD TEST group and Empirical AAD group in people with Atrial Fibrillation, run by Yonsei University at 1 site in South Korea.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 3 inclusion and 14 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: status not confirmed, as of the sponsor's last update on 13 Oct 2023. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 1 site in South Korea. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

Are results available for this study?

Results are not available in the source record.

How can a doctor refer a patient or contact the research team?

Contact Hui-Nam Park (82-2-2228-8459, hnpak@yuhs.ac), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Efficacy evaluation: clinical recurrence rate (time frame: At 2 months after medication). The study lists 10 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 13 Oct 2023.

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