Arrhythmia Restart Prevention and RatE STabilization in Atrial Fibrillation

NCT ID: NCT00224341

Last Updated: 2006-10-18

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

UNKNOWN

Clinical Phase

PHASE4

Total Enrollment

360 participants

Study Classification

INTERVENTIONAL

Study Start Date

2003-11-30

Study Completion Date

2006-11-30

Brief Summary

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The objective of this trial is to show the therapeutic efficacy of the preventive pacing therapies of the Selection 9000 and Vitatron T70 DR pacemakers, dedicated to handle atrial fibrillation (AF). Two new algorithms (post-AF response and ventricular rate stabilization \[VRS\]) will be assessed in a combined pathway, compared to a control group. The efficacy of the overall available therapies to prevent AF and its symptoms will then be assessed also.

Detailed Description

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Due to anti-arrhythmic pharmacological drugs failure to suppress atrial fibrillation (AF), interest towards preventive pacing treatments is increasing. The importance of this option in the panoply of the preventive tools is fully justified, only by considering the insufficiency, the complexity, or the poor reproducibility of the other non-pharmaceutical approaches.

Preventive pacing therapies rely on their potential effect on different onset modalities emphasized by previous studies, and more generally by stabilizing atrial tissue when potential triggers are appearing.

On top of that, cardiac stimulator can deliver these therapies when identifying these triggers but also can offer incomparable diagnostic tools, in terms of sensitivity, specificity and continuity in the monitoring.

Four preventive pacing therapies have already been evaluated, the objective of this study is to show the clinical benefit brought by the new features of the Selection 9000 / Vitatron T70 DR.

Conditions

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Sick Sinus Syndrome Brady-Tachy Syndrome

Keywords

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Pacemaker Atrial Fibrillation Prevention pacing Algorithms Sick sinus syndrome + Atrial Fibrillation

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

FACTORIAL

Primary Study Purpose

PREVENTION

Blinding Strategy

SINGLE

Interventions

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Pacemaker Vitatron Selection 9000

Intervention Type DEVICE

Pacemaker Vitatron T70

Intervention Type DEVICE

Eligibility Criteria

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Inclusion Criteria

* Patient with documented atrial fibrillation: at least one episode of paroxysmal AF documented 6 months prior to inclusion, lasting more than one minute
* Patient with a brady-tachy syndrome or a sick sinus syndrome, with a permanent pacing indication
* Atrial lead with a tip-to-ring interval equal to or less than 12 mm
* Patient who agrees with and has signed the informed consent

Exclusion Criteria

* Permanent AF
* AF related to a reversible cause
* One electrical cardioversion 6 months prior to inclusion
* Unstable angina
* Myocardial infarction (MI) less than 3 months
* Planned cardiac surgery or performed in the last 3 months
* Congestive heart failure, New York Heart Association (NYHA) class IV
* Life expectancy less than 18 months
* Patient participating in other studies
* Patient not able to follow the FU calendar
* Less than 18 years of age
* Pregnancy
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Vitatron France

INDUSTRY

Sponsor Role lead

Principal Investigators

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Patrick Attuel, MD

Role: PRINCIPAL_INVESTIGATOR

CNOM

Locations

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CHG

Abbeville, , France

Site Status RECRUITING

Hopital Privé

Antony, , France

Site Status RECRUITING

CH

Auxerre, , France

Site Status RECRUITING

CH

Avignon, , France

Site Status RECRUITING

Clinique de Bordeaux Cauderan

Bordeaux, , France

Site Status RECRUITING

CHU

Caen, , France

Site Status RECRUITING

CH

Castres, , France

Site Status RECRUITING

HIA Percy

Clamart, , France

Site Status RECRUITING

CH

Colmar, , France

Site Status COMPLETED

CH René Pleven

Dinan, , France

Site Status RECRUITING

CH

Dole, , France

Site Status RECRUITING

CH

Dunkirk, , France

Site Status RECRUITING

CH

Évreux, , France

Site Status RECRUITING

CH

Grenoble, , France

Site Status RECRUITING

CMC Parly II

Le Chesnay, , France

Site Status RECRUITING

CH

Le Havre, , France

Site Status RECRUITING

CH

Limoges, , France

Site Status RECRUITING

CH Saint Philibert

Lomme, , France

Site Status RECRUITING

Clinique de la Casamance

Marseille, , France

Site Status RECRUITING

Clinique Bouchard

Marseille, , France

Site Status RECRUITING

CHU La Timone

Marseille, , France

Site Status RECRUITING

CH

Martigues, , France

Site Status RECRUITING

CH

Metz, , France

Site Status RECRUITING

CHU

Montpellier, , France

Site Status RECRUITING

CH

Mulhouse, , France

Site Status RECRUITING

Clinique Ambroise Paré

Neuilly-sur-Seine, , France

Site Status RECRUITING

Hopital Cardiologique du Haut Leveque

Pessac, , France

Site Status RECRUITING

Hopital Privé Claude Galien

Quincy-sous-Sénart, , France

Site Status RECRUITING

Polyclinique Saint Laurent

Rennes, , France

Site Status RECRUITING

CHU

Rennes, , France

Site Status RECRUITING

CHU

Rouen, , France

Site Status RECRUITING

CHU

Saint-Etienne, , France

Site Status RECRUITING

Institut Arnalt Tzanck

Saint-Laurent-du-Var, , France

Site Status RECRUITING

CMCO

Schiltigheim, , France

Site Status RECRUITING

CH

Thionville, , France

Site Status RECRUITING

CH Toulon

Toulon, , France

Site Status RECRUITING

CH

Valenciennes, , France

Site Status RECRUITING

Countries

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France

Central Contacts

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Christèle Pelade, Engineer

Role: CONTACT

Phone: 01 53 98 83 00

Email: [email protected]

Bérangère Leroy, Engineer

Role: CONTACT

Phone: 01 53 98 83 00

Email: [email protected]

Facility Contacts

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Jean-Ernst Poulard, MD

Role: primary

Didier Gedin, MD

Role: primary

François-Xavier Soto, MD

Role: primary

Jean-Paul Faugier, MD

Role: primary

Laurent Gencel, MD

Role: primary

Patrice Scanu, MD

Role: primary

Pascal Chavernac, MD

Role: primary

Christian Plotton, MD

Role: primary

Patrick Bazin, MD

Role: primary

Hugues Zimmermann, MD

Role: primary

Jean-Charles Aisenfarb, MD

Role: primary

Bouchaib Deriouich, MD

Role: primary

Pascal Defaye, MD

Role: primary

Patrick Attuel, MD

Role: primary

Isabelle Cheradame, MD

Role: primary

Christophe D'Ivernois, MD

Role: primary

Pierre Graux, MD

Role: primary

Jacques Faure, MD

Role: primary

Maxime Guenoun, MD

Role: primary

Jean-Claude Deharo, Pr

Role: primary

André Ebagosti, MD

Role: primary

Michel Boursier, MD

Role: primary

Jean-Marc Davy, Pr

Role: primary

Jacques Levy, MD

Role: primary

Olivier Thomas, MD

Role: primary

Jacques Clementy, Pr

Role: primary

Dominique Bleinc, MD

Role: primary

Jean-Michel Baisset, MD

Role: primary

Philippe Mabo, Pr

Role: primary

Frédéric Anselme, MD

Role: primary

Antoine Da Costa, MD

Role: primary

Claude Mariottini, MD

Role: primary

François Philippot, MD

Role: primary

Jean-Yves Thisse, MD

Role: primary

Isabelle Canavy, MD

Role: primary

Benaissa Agraou, MD

Role: primary

References

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Reference Type BACKGROUND
PMID: 12687819 (View on PubMed)

Camm AJ on behalf of the AFTherapy Study Group. The Atrial Fibrillation Therapy Study. Présentation orale au cours du Congrès de l'ESC à Stockholm, Septembre 2001.

Reference Type BACKGROUND

Fuster V, Ryden LE, Asinger RW, Cannom DS, Crijns HJ, Frye RL, Halperin JL, Kay GN, Klein WW, Levy S, McNamara RL, Prystowsky EN, Wann LS, Wyse DG; American College of Cardiology; American Heart Association; European Society of Cardiology; North American Society of Pacing and Electrophysiology. ACC/AHA/ESC guidelines for the management of patients with atrial fibrillation. A report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines and the European Society of Cardiology Committee for Practice Guidelines and Policy Conferences (Committee to develop guidelines for the management of patients with atrial fibrillation) developed in collaboration with the North American Society of Pacing and Electrophysiology. Eur Heart J. 2001 Oct;22(20):1852-923. doi: 10.1053/euhj.2001.2983. No abstract available.

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Haissaguerre M, Jais P, Shah DC, Takahashi A, Hocini M, Quiniou G, Garrigue S, Le Mouroux A, Le Metayer P, Clementy J. Spontaneous initiation of atrial fibrillation by ectopic beats originating in the pulmonary veins. N Engl J Med. 1998 Sep 3;339(10):659-66. doi: 10.1056/NEJM199809033391003.

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Defaye P, Dournaux F, Mouton E. Prevalence of supraventricular arrhythmias from the automated analysis of data stored in the DDD pacemakers of 617 patients: the AIDA study. The AIDA Multicenter Study Group. Automatic Interpretation for Diagnosis Assistance. Pacing Clin Electrophysiol. 1998 Jan;21(1 Pt 2):250-5. doi: 10.1111/j.1540-8159.1998.tb01098.x.

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Andersen HR, Nielsen JC, Thomsen PE, Thuesen L, Mortensen PT, Vesterlund T, Pedersen AK. Long-term follow-up of patients from a randomised trial of atrial versus ventricular pacing for sick-sinus syndrome. Lancet. 1997 Oct 25;350(9086):1210-6. doi: 10.1016/S0140-6736(97)03425-9.

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Connolly SJ, Kerr CR, Gent M, Roberts RS, Yusuf S, Gillis AM, Sami MH, Talajic M, Tang AS, Klein GJ, Lau C, Newman DM. Effects of physiologic pacing versus ventricular pacing on the risk of stroke and death due to cardiovascular causes. Canadian Trial of Physiologic Pacing Investigators. N Engl J Med. 2000 May 11;342(19):1385-91. doi: 10.1056/NEJM200005113421902.

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Gillis AM, Connolly SJ, Lacombe P, Philippon F, Dubuc M, Kerr CR, Yee R, Rose MS, Newman D, Kavanagh KM, Gardner MJ, Kus T, Wyse DG. Randomized crossover comparison of DDDR versus VDD pacing after atrioventricular junction ablation for prevention of atrial fibrillation. The atrial pacing peri-ablation for paroxysmal atrial fibrillation (PA (3)) study investigators. Circulation. 2000 Aug 15;102(7):736-41. doi: 10.1161/01.cir.102.7.736.

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Edvardson N. Efficacy of preventive pacing therapies in Paroxysmal Atrial Fibrillation - IV International meeting - Atrial Fibrillation 2001 : 161-164.

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Hoffmann E, Janko S, Steinbeck G and al. Onset scenarios of paroxysmal atrial fibrillation using new diagnostic pacemaker functions. Pacing Clin Electrophysiol. 2000 ; 23(4) : 656 (abstract).

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Hoffmann E, Janko S, Steinbeck G and al. Analysis of Onset Mechanisms of Paroxysmal Atrial Fibrillation through a Pacemaker with Continuous Monitoring Capabilities. Pacing Clin Electrophysiol. 2000 ; 23(4) : 656 (poster).

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Capucci A, Gropppi F, Ruiter J on behalf of the AFTherapy Study Group. Re-initiation of atrial Fibrillation Investigated Through pacemaker Focussed Diagnostics. Europace 2000 - Supplement 1.

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Tse HF, Lau CP, Ayers GM. Atrial pacing for suppression of early reinitiation of atrial fibrillation after successful internal cardioversion. Eur Heart J. 2000 Jul;21(14):1167-76. doi: 10.1053/euhj.1999.1991.

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Lee JK, Yee R, Braney M, Stoop G, Begemann M, Dunne C, Klein GJ, Krahn AD, Van Hemel NM. Acute testing of the rate-smoothed pacing algorithm for ventricular rate stabilization. Pacing Clin Electrophysiol. 1999 Apr;22(4 Pt 1):554-61. doi: 10.1111/j.1540-8159.1999.tb00496.x.

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Other Identifiers

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ARREST-AF

Identifier Type: -

Identifier Source: org_study_id