Safety Study on Stopping Anticoagulation Medication in Patients With a History of Atrial Fibrillation

NCT ID: NCT01650298

Last Updated: 2020-08-13

Study Results

Results available

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Basic Information

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Recruitment Status

TERMINATED

Clinical Phase

NA

Total Enrollment

64 participants

Study Classification

INTERVENTIONAL

Study Start Date

2013-01-31

Study Completion Date

2017-08-31

Brief Summary

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The purpose of this study is to determine whether it is safe to stop anticoagulation medication in patients with a history of atrial fibrillation (AF) based on information from a pacemaker or implantable cardioverter defibrillator (ICD).

Detailed Description

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Conditions

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Atrial Fibrillation

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

BASIC_SCIENCE

Blinding Strategy

NONE

Study Groups

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Control

Remote transmissions were scheduled per each institution's device monitoring protocol. Anticoagulation was initiated/discontinued based on standard of care/guidelines as prescribed by doctor

Group Type NO_INTERVENTION

No interventions assigned to this group

Tailored Anticoagulation (TAC)

Anticoagulation was initiated or discontinued based on atrial tachycardia / atrial fibrillation (AT/AF) burden as assessed through frequent remote transmissions via Merlin.net.

Patients sent in biweekly remote transmissions, automatic alert-triggered transmissions for AT/AF burden above a set threshold, and unscheduled patient-activated transmissions as needed

Group Type EXPERIMENTAL

Drug (Direct thrombin or Factor Xa inhibitor)

Intervention Type OTHER

Patient will stop or restart drug per cardiac device information (AT/AF diagnostics for prespecified AT/AF episode duration per day and total burden).

Interventions

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Drug (Direct thrombin or Factor Xa inhibitor)

Patient will stop or restart drug per cardiac device information (AT/AF diagnostics for prespecified AT/AF episode duration per day and total burden).

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

* Patient has a St Jude Medial device that is compatible with Merlin.net (remote monitoring)
* Patient has history of atrial fibrillation (non-continuous)
* Patient must be taking a a blood thinner medication other than warfarin or aspirin for atrial fibrillation
* Patient is willing to complete a questionnaire

Exclusion Criteria

* Patient is in atrial fibrillation all of the time
* Patient has a history of stroke or blood clot
* Patient is on warfarin or coumadin
* Patient cannot be taken off of his blood thinner medication due to another medical condition
* Patient is not capable of sending a remote device transmission to doctor once a week
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Abbott Medical Devices

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Peter Zimetbaum, MD

Role: PRINCIPAL_INVESTIGATOR

Beth Israel Deaconess Medical Center

Locations

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Jeffrey Goodman, MD

Los Angeles, California, United States

Site Status

Northwestern Memorial Hospital

Chicago, Illinois, United States

Site Status

Massachusetts General Hospital

Boston, Massachusetts, United States

Site Status

Beth Israel Deaconess Medical Center

Boston, Massachusetts, United States

Site Status

Sparrow Research Institute

Lansing, Michigan, United States

Site Status

Hackensack University Medical Center

Hackensack, New Jersey, United States

Site Status

Samaritan Heart and Vascular Institute

Corvallis, Oregon, United States

Site Status

Jefferson Heart Institute

Philadelphia, Pennsylvania, United States

Site Status

Allegheny Singer Research Institute

Pittsburgh, Pennsylvania, United States

Site Status

STAR Clinical Trials, LLC / Cardiology Clinic of San Antonio

San Antonio, Texas, United States

Site Status

Countries

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United States

Other Identifiers

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60039204/C

Identifier Type: -

Identifier Source: org_study_id

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