Strategy of Early Detection and Active Management of Supraventricular Arrhythmia With Telecardiology (SETAM)

NCT ID: NCT01108692

Last Updated: 2013-12-06

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

COMPLETED

Clinical Phase

NA

Total Enrollment

602 participants

Study Classification

INTERVENTIONAL

Study Start Date

2010-07-31

Study Completion Date

2013-11-30

Brief Summary

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This study investigates if the early detection and treatment of supraventricular arrhythmia (SVA) may help to prevent the progression of the arrhythmia and improve the clinical outcome.

The primary endpoint investigates the delay to implement treatment in two groups of patients :

* Active group: Patients followed by telecardiology.
* Control group: Patients followed in the conventional manner.

It is assumed that the delay to implement treatment will be higher in the Control group.

Detailed Description

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Atrial fibrillation is the most commonly encountered sustained cardiac arrhythmia in medical practice and it is often associated with atrial flutter. In patients with the new pacemaker generation EVIA, the home-monitoring technology provides specific and clinical relevant notifications for detection of atrial arrhythmias. Combined with holters memories, this can help to optimize the treatment of supraventricular arrhythmia (SVA) such as atrial fibrillation or flutter.

This study will compare in the two groups the delay to implement for the first time a treatment for the supraventricular arrhythmia (antiarrhythmic drugs and/or an antithrombotic treatment).

Conditions

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Atrial Fibrillation Atrial Flutter Atrial Tachycardia

Keywords

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atrial fibrillation supraventricular arrhythmia antithrombotic treatment antiarrhythmic drugs medical reaction time telecardiology early detection holters memories Pacemaker

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

PREVENTION

Blinding Strategy

SINGLE

Participants

Study Groups

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Active

Patients will be followed by telecardiology.

Group Type EXPERIMENTAL

Telecardiology

Intervention Type OTHER

Telecardiology will be switched on for both groups. For the Active group, all data will be transmitted to the physician. For the Control group, data will not be used for patients surveillance, only events regarding implant (Elective Replacement Indication) or events regarding data transmission missing will be generated and sent to the physician.

A retrospective analysis will be performed at the end of the study to compare the results in the two groups.

Control

Patients will be followed in the conventional manner. They will be equipped with telecardiology but data will not be used for patient surveillance.

Group Type ACTIVE_COMPARATOR

Telecardiology

Intervention Type OTHER

Telecardiology will be switched on for both groups. For the Active group, all data will be transmitted to the physician. For the Control group, data will not be used for patients surveillance, only events regarding implant (Elective Replacement Indication) or events regarding data transmission missing will be generated and sent to the physician.

A retrospective analysis will be performed at the end of the study to compare the results in the two groups.

Interventions

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Telecardiology

Telecardiology will be switched on for both groups. For the Active group, all data will be transmitted to the physician. For the Control group, data will not be used for patients surveillance, only events regarding implant (Elective Replacement Indication) or events regarding data transmission missing will be generated and sent to the physician.

A retrospective analysis will be performed at the end of the study to compare the results in the two groups.

Intervention Type OTHER

Other Intervention Names

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Home-Monitoring Remote monitoring

Eligibility Criteria

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Inclusion Criteria

* Dual chamber pacemaker with activated Telecardiology
* CHAD2DS2-VASc score ≥ 2
* Sinusal rhythm at enrollment
* Patient willing and able to comply with the protocol
* Patient has provided informed consent
* Men and women \> 18 years-old
* Patients geographically stable

Exclusion Criteria

* Anticoagulation therapy
* Dual anti-platelet therapy
* Class I or class III anti-arrhythmic drugs
* Contraindication to antithrombotic therapy
* Participation in another clinical study
* Have a life expectancy \< 6 months
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Biotronik SE & Co. KG

INDUSTRY

Sponsor Role collaborator

Biotronik France

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Walid AMARA, MD

Role: PRINCIPAL_INVESTIGATOR

Intercommunal General Hospital in Montfermeil (93370 MONTFERMEIL- FRANCE)

Locations

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CH Général d'Abbeville

Abbeville, , France

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CH du Pays d'Aix

Aix-en-Provence, , France

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CH de la région d'Annecy

Annecy, , France

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CH d'Argentueil

Argenteuil, , France

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CH d'ARRAS

Arras, , France

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CH d'AURILLAC

Aurillac, , France

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CH d'AUXERRE

Auxerre, , France

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CH d'AVIGNON

Avignon, , France

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CH de Béziers

Béziers, , France

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CH de Blois

Blois, , France

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Centre Hospitalier Jacques Coeur

Bourges, , France

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Hôpital Sainte Camille

Bry-sur-Marne, , France

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CH de Cannes

Cannes, , France

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CH de Castres

Castres, , France

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CH William Morey

Chalon-sur-Saône, , France

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Les Hôpitaux de Chartres

Chartres, , France

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CH de CHATEAUROUX

Châteauroux, , France

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CH Public du Cotentin

Cherbourg, , France

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HIA Percy

Clamart, , France

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CHG Louis Pasteur

Colmar, , France

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Hôpital Schweitzer

Colmar, , France

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CH DINAN

Dinan, , France

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CH de DOLE

Dole, , France

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CH de DOUARNENEZ

Douarnenez, , France

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CHI Eure-Seine

Évreux, , France

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CH de Firminy

Firminy, , France

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CH d'HAGUENAU

Haguenau, , France

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CH de Jonzac

Jonzac, , France

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Centre Hospitalier Départemental Les Oudairies

La Roche-sur-Yon, , France

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CH Saint Louis

La Rochelle, , France

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CH de Lagny

Lagny-sur-Marne, , France

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CH de LAVAL

Laval, , France

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CH A.Mignot

Le Chesnay, , France

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CH du Mans

Le Mans, , France

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CH de Lens

Lens, , France

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Groupe Hospitalier de l'Institut catholique de Lille

Lomme, , France

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CH de Longjumeau

Longjumeau, , France

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CH Bretagne Sud

Lorient, , France

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CHR Notre Dame de bon secours

Metz, , France

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CH de MONTAUBAN

Montauban, , France

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CH de MONTBELIARD

Montbéliard, , France

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CH Jean Bouveri

Montceau-les-Mines, , France

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Intercommunal General Hospital LE RAINCY- MONTFERMEIL

Montfermeil, , France

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CHR d'ORLEANS

Orléans, , France

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CH François Mitterand

Pau, , France

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CH de Roubaix

Roubaix, , France

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CH de SAINT BRIEUC

Saint-Brieuc, , France

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CHI du Val d'Ariège

Saint-Jean-de-Verges, , France

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CH de Saintonge

Saintes, , France

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CH de SAINT-MALO

St-Malo, , France

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CH Metz-Thionville Bel Air

Thionville, , France

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CH de TOULON

Toulon, , France

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CH de TROYES

Troyes, , France

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CH de Valence

Valence, , France

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CH de Valenciennes

Valenciennes, , France

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CH Bretagne Atlantique

Vannes, , France

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CHI de Villeneuve

Villeneuve-Saint-Georges, , France

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Countries

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France

Other Identifiers

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HS053

Identifier Type: -

Identifier Source: org_study_id