Trial Outcomes & Findings for Individualized Studies of Triggers of Paroxysmal Atrial Fibrillation (NCT NCT03323099)

NCT ID: NCT03323099

Last Updated: 2023-11-08

Results Overview

Change in Atrial fibrillation quality of life will be measured by the Atrial Fibrillation Effect on QualiTy of Life survey (AFEQT). The primary outcome will be change in AFEQT score from baseline measurement to measurement at 10 weeks. Change in the AFEQT will compared between the N-of-1 arm and the data tracking arm. The Atrial Fibrillation Effect on QualiTy-of-life Questionnaire (AFEQT) evaluates symptoms, daily activities and treatment concerns patients have related to atrial fibrillation (AF or AFib). Patients score 0 (worst) to 100 (best).

Recruitment status

COMPLETED

Study phase

NA

Target enrollment

499 participants

Primary outcome timeframe

10 weeks

Results posted on

2023-11-08

Participant Flow

2,987 individuals screened between December 22, 2018 and March 29, 2020, 740 met eligibility criteria, 684 consented, 499 began randomization activities, and 446 completed activities required for implementation of randomization. 320 Participants completed all study activities. The first participant was enrolled March 20th, 2019.

Participant milestones

Participant milestones
Measure
N-of-1
Participants in the N-of-1 arm will use the Eureka mobile application and AliveCor device to tracking their AF episode frequency and severity and execute at least one N-of-1 trial with the goal of identifying and better controlling their AF triggers. N-of-1: Participants in the N-of-1 arm will use the Eureka mobile application and AliveCor device to tracking their AF episode frequency and severity and execute at least one N-of-1 trial with the goal of identifying and better controlling their AF triggers.
Data Tracking
Participants in the data tracking arm will use the Eureka app and AliveCor device to record daily AF frequency and severity and daily AliveCor readings for a period of 10 weeks. Data Tracking: Participants in the data tracking arm will use the Eureka app and AliveCor device to record daily AF frequency and severity and daily AliveCor readings for a period of 10 weeks.
Overall Study
STARTED
251
248
Overall Study
COMPLETED
136
184
Overall Study
NOT COMPLETED
115
64

Reasons for withdrawal

Reasons for withdrawal
Measure
N-of-1
Participants in the N-of-1 arm will use the Eureka mobile application and AliveCor device to tracking their AF episode frequency and severity and execute at least one N-of-1 trial with the goal of identifying and better controlling their AF triggers. N-of-1: Participants in the N-of-1 arm will use the Eureka mobile application and AliveCor device to tracking their AF episode frequency and severity and execute at least one N-of-1 trial with the goal of identifying and better controlling their AF triggers.
Data Tracking
Participants in the data tracking arm will use the Eureka app and AliveCor device to record daily AF frequency and severity and daily AliveCor readings for a period of 10 weeks. Data Tracking: Participants in the data tracking arm will use the Eureka app and AliveCor device to record daily AF frequency and severity and daily AliveCor readings for a period of 10 weeks.
Overall Study
Withdrawal by Subject
6
12
Overall Study
Did not complete AFEQT, or failed to start the study period
109
52

Baseline Characteristics

1 participant in the N-of-1 arm had a missing Baseline AFEQT score

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
N-of-1
n=251 Participants
Participants in the N-of-1 arm will use the Eureka mobile application and AliveCor device to tracking their AF episode frequency and severity and execute at least one N-of-1 trial with the goal of identifying and better controlling their AF triggers. N-of-1: Participants in the N-of-1 arm will use the Eureka mobile application and AliveCor device to tracking their AF episode frequency and severity and execute at least one N-of-1 trial with the goal of identifying and better controlling their AF triggers.
Data Tracking
n=248 Participants
Participants in the data tracking arm will use the Eureka app and AliveCor device to record daily AF frequency and severity and daily AliveCor readings for a period of 10 weeks. Data Tracking: Participants in the data tracking arm will use the Eureka app and AliveCor device to record daily AF frequency and severity and daily AliveCor readings for a period of 10 weeks.
Total
n=499 Participants
Total of all reporting groups
Age, Continuous
57.52 years
STANDARD_DEVIATION 14 • n=251 Participants
58.2 years
STANDARD_DEVIATION 14.04 • n=248 Participants
57.85 years
STANDARD_DEVIATION 14 • n=499 Participants
Sex: Female, Male
Female
102 Participants
n=251 Participants
108 Participants
n=248 Participants
210 Participants
n=499 Participants
Sex: Female, Male
Male
149 Participants
n=251 Participants
140 Participants
n=248 Participants
289 Participants
n=499 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
16 Participants
n=251 Participants
8 Participants
n=248 Participants
24 Participants
n=499 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
233 Participants
n=251 Participants
233 Participants
n=248 Participants
466 Participants
n=499 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
2 Participants
n=251 Participants
7 Participants
n=248 Participants
9 Participants
n=499 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=251 Participants
0 Participants
n=248 Participants
0 Participants
n=499 Participants
Race (NIH/OMB)
Asian
11 Participants
n=251 Participants
9 Participants
n=248 Participants
20 Participants
n=499 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
1 Participants
n=251 Participants
0 Participants
n=248 Participants
1 Participants
n=499 Participants
Race (NIH/OMB)
Black or African American
2 Participants
n=251 Participants
5 Participants
n=248 Participants
7 Participants
n=499 Participants
Race (NIH/OMB)
White
233 Participants
n=251 Participants
228 Participants
n=248 Participants
461 Participants
n=499 Participants
Race (NIH/OMB)
More than one race
3 Participants
n=251 Participants
2 Participants
n=248 Participants
5 Participants
n=499 Participants
Race (NIH/OMB)
Unknown or Not Reported
1 Participants
n=251 Participants
4 Participants
n=248 Participants
5 Participants
n=499 Participants
Atrial Fibrillation Effect on QualiTy-of-life (AFEQT) score
74 units on a scale
STANDARD_DEVIATION 19 • n=250 Participants • 1 participant in the N-of-1 arm had a missing Baseline AFEQT score
72 units on a scale
STANDARD_DEVIATION 19 • n=248 Participants • 1 participant in the N-of-1 arm had a missing Baseline AFEQT score
73 units on a scale
STANDARD_DEVIATION 19 • n=498 Participants • 1 participant in the N-of-1 arm had a missing Baseline AFEQT score

PRIMARY outcome

Timeframe: 10 weeks

Change in Atrial fibrillation quality of life will be measured by the Atrial Fibrillation Effect on QualiTy of Life survey (AFEQT). The primary outcome will be change in AFEQT score from baseline measurement to measurement at 10 weeks. Change in the AFEQT will compared between the N-of-1 arm and the data tracking arm. The Atrial Fibrillation Effect on QualiTy-of-life Questionnaire (AFEQT) evaluates symptoms, daily activities and treatment concerns patients have related to atrial fibrillation (AF or AFib). Patients score 0 (worst) to 100 (best).

Outcome measures

Outcome measures
Measure
N-of-1
n=135 Participants
Participants in the N-of-1 arm will use the Eureka mobile application and AliveCor device to tracking their AF episode frequency and severity and execute at least one N-of-1 trial with the goal of identifying and better controlling their AF triggers.
Data Tracking
n=184 Participants
Participants in the data tracking arm will use the Eureka app and AliveCor device to record daily AF frequency and severity and daily AliveCor readings for a period of 10 weeks.
Change in Atrial Fibrillation Effect on QualiTy of Life Survey (AFEQT)
1.7 units on a scale
Standard Deviation 13.0
0.5 units on a scale
Standard Deviation 14.1

Adverse Events

N-of-1

Serious events: 8 serious events
Other events: 0 other events
Deaths: 0 deaths

Data Tracking

Serious events: 16 serious events
Other events: 0 other events
Deaths: 0 deaths

Serious adverse events

Serious adverse events
Measure
N-of-1
n=251 participants at risk
Participants in the N-of-1 arm will use the Eureka mobile application and AliveCor device to tracking their AF episode frequency and severity and execute at least one N-of-1 trial with the goal of identifying and better controlling their AF triggers. N-of-1: Participants in the N-of-1 arm will use the Eureka mobile application and AliveCor device to tracking their AF episode frequency and severity and execute at least one N-of-1 trial with the goal of identifying and better controlling their AF triggers.
Data Tracking
n=248 participants at risk
Participants in the data tracking arm will use the Eureka app and AliveCor device to record daily AF frequency and severity and daily AliveCor readings for a period of 10 weeks. Data Tracking: Participants in the data tracking arm will use the Eureka app and AliveCor device to record daily AF frequency and severity and daily AliveCor readings for a period of 10 weeks.
Cardiac disorders
self report ER visit with AF
2.4%
6/251 • Data Collected in Primary Data collection period-- over first 10 weeks.
Adverse event information was collected via self report every month-- or twice during the primary data collection period
3.6%
9/248 • Data Collected in Primary Data collection period-- over first 10 weeks.
Adverse event information was collected via self report every month-- or twice during the primary data collection period
Cardiac disorders
self report hospital visit with AF
0.80%
2/251 • Data Collected in Primary Data collection period-- over first 10 weeks.
Adverse event information was collected via self report every month-- or twice during the primary data collection period
2.8%
7/248 • Data Collected in Primary Data collection period-- over first 10 weeks.
Adverse event information was collected via self report every month-- or twice during the primary data collection period

Other adverse events

Adverse event data not reported

Additional Information

Dr. Greg Marcus

University of California San Francisco

Phone: 4154763393

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place