NCT04371055Active, not recruiting
Intensive Rhythm Monitoring to Decrease Ischemic Stroke and Systemic Embolism - the Find-AF 2 Study
Intensive Heart Rhythm Monitoring to Decrease Ischemic Stroke and Systemic Embolism - the Find-AF 2 Study
Source: ClinicalTrials.gov · Last updated 28 Aug 2026
Brief summary (registry, in English)
Patients who have suffered a stroke are having an increased risk of having recurrent stroke in the future. This risk of stroke is increased by atrial fibrillation, which often "comes and goes" (called paroxysmal) and hence escapes routine diagnostics. The hypothesis of Find-AF 2 is that enhanced (evaluation in a ECG core lab), prolonged (at least 7 days of rhythm monitoring annually) and intensified (continuous rhythm monitoring in high risk patients) not only finds atrial fibrillation more often, but that changes in therapeutic management (e. g. start of anticoagulation after detection of atrial fibrillation) results in a decrease of cardioembolism (which can be either recurrent stroke or systemic embolism). To prove this hypothesis, patients will be randomised into two groups: the first group will receive the currently available standard care for patients with stroke. In the second group, cardiac rhythm monitoring adapted to the risk of the occurrence of atrial fibrillation is performed - either with a 7-day long-term ECG (at baseline, after 3 and 12 months and every 12 months thereafter) or with continuous monitoring using an implantable cardiac monitor. If atrial fibrillation is detected, this information will be given to the treating study physician. Any therapeutic decision is at the discretion of the treating physician, but should follow current guidelines.
- Status (registry)
- Active, not recruiting
- Study type
- Interventional
- Enrollment
- 5227 (actual)
- First submitted
- 24 Apr 2020
- Start date
- 7 Jul 2020
- Primary completion date
- 30 Jun 2027
- Lead sponsor
- University of Leipzig
- Diseases
- Stroke, Atrial fibrillation
- NCT number
- NCT04371055
What you commit to
- Study type: Interventional
- Participants enrolled: 5227
- From 7 Jul 2020 to the primary completion date, 30 Jun 2027
- 52 sites in 1 country
- Visits and tests: ask the trial team, the registry does not list them
Built from the registry fields of ClinicalTrials.gov. It describes the study, not your situation.
Who cannot take part
Copied verbatim from ClinicalTrials.gov and grouped by topic. Only the trial team decides who can take part.
Prior treatment
- Patient not willing to be treated with oral anticoagulants
Other illness
- Known history of atrial fibrillation/flutter or atrial fibrillation/flutter on admission ECG
- Intracerebral bleeding in medical history
- Carotid artery stenosis ipsilateral to the current ischemic stroke needing operation or intervention.
- History of carotid endarterectomy or percutaneous intervention of cerebral artery within the last 30 days.
- Life expectancy \<1 year for reasons other than stroke (e.g. metastatic cancer)
- psychological/mental or other inabilities to supply required information (e.g. fill out the questionnaire due to dementia, language difficulties,...) or participate in the required tests
Other
- Current indication or contraindication for oral anticoagulation at randomisation
- Patient scheduled for ECG-monitoring lasting \> 7 days (Holter-ECG, implanted loop recorder, etc.)
- Implanted pacemaker device or cardioverter/ defibrillator
- patients under legal supervision or guardianship
- participation in other randomised interventional trials
- suspected lack of compliance
Who the study is looking for
- Recent ischemic stroke (sudden focal neurologic deficit lasting \> 24h consistent with the territory of a major cerebral artery) and/or a corresponding lesion on brain imaging within the last 30 days
- Age ≥ 60 years
- Patient without or with only slight disability (modified Rankin Scale score ≤ 2) before onset of stroke-related symptoms.
- Written informed consent
Age in the registry: 60 years to - · Sex: All · Does not accept healthy volunteers
Sites (52)
Sites in registry order. Pick your city on the disease page to sort them by distance.
| Site | City | Country | Site status |
|---|---|---|---|
| Klinikum Altenburger Land Coordinator of this site? Confirm its status | Altenburg | Germany | Unknown status |
| Klinikum Aschaffenburg-Alzenau Coordinator of this site? Confirm its status | Aschaffenburg | Germany | Unknown status |
| Universitätsklinikum Augsburg Coordinator of this site? Confirm its status | Augsburg | Germany | Unknown status |
| RHÖN-KLINIKUM Campus Bad Neustadt Coordinator of this site? Confirm its status | Bad Neustadt an der Saale | Germany | Unknown status |
| Sozialstiftung Bamberg Klinikum am Bruderwald Coordinator of this site? Confirm its status | Bamberg | Germany | Unknown status |
| Vivantes, Humboldt-Klinikum Berlin Coordinator of this site? Confirm its status | Berlin | Germany | Unknown status |
| Vivantes Klinikum Neukölln Berlin Coordinator of this site? Confirm its status | Berlin | Germany | Unknown status |
| BG Klinikum, Unfall-KH Berlin gGmbH Coordinator of this site? Confirm its status | Berlin | Germany | Unknown status |
| Vivantes Klinikum Spandau Coordinator of this site? Confirm its status | Berlin-Spandau | Germany | Unknown status |
| Evangelisches Klinikum Bethel, Klinik für Neurologie Coordinator of this site? Confirm its status | Bielefeld | Germany | Unknown status |
| Universitätsklinikum Bonn Coordinator of this site? Confirm its status | Bonn | Germany | Unknown status |
| Klinikum Bremen-Mitte Coordinator of this site? Confirm its status | Bremen | Germany | Unknown status |
| Klinikum Coburg, Medizinische Klinik für Innere Medizin und Kardiologie Coordinator of this site? Confirm its status | Coburg | Germany | Unknown status |
| Klinikum Darmstadt Coordinator of this site? Confirm its status | Darmstadt | Germany | Unknown status |
| Städtisches Klinikum Dresden, Standort Friedrichstadt Coordinator of this site? Confirm its status | Dresden | Germany | Unknown status |
| Universitätsklinikum Carl Gustav Carus Coordinator of this site? Confirm its status | Dresden | Germany | Unknown status |
| Universitätsklinikum Erlangen Coordinator of this site? Confirm its status | Erlangen | Germany | Unknown status |
| University of Essen, Clinic for Neurology Coordinator of this site? Confirm its status | Essen | Germany | Unknown status |
| Klinikum Frankfurt Höchst Coordinator of this site? Confirm its status | Frankfurt | Germany | Unknown status |
| Universitätsklinikum Frankfurt Coordinator of this site? Confirm its status | Frankfurt | Germany | Unknown status |
| Klinikum Fulda Coordinator of this site? Confirm its status | Fulda | Germany | Unknown status |
| Universitätsklinikum Gießen und Marburg GmbH Coordinator of this site? Confirm its status | Giessen | Germany | Unknown status |
| University of Göttingen, Clinic for Neurology Coordinator of this site? Confirm its status | Göttingen | Germany | Unknown status |
| Bezirkskrankenhaus Günzburg Coordinator of this site? Confirm its status | Günzburg | Germany | Unknown status |
| Krankenhaus Martha-Maria Halle-Dolau Coordinator of this site? Confirm its status | Halle | Germany | Unknown status |
| Asklepios Klinik Wandsbek, Hamburg Coordinator of this site? Confirm its status | Hamburg | Germany | Unknown status |
| Albertinenkrankenhaus Hamburg Coordinator of this site? Confirm its status | Hamburg | Germany | Unknown status |
| Asklepios Klinik Altona Hamburg Coordinator of this site? Confirm its status | Hamburg | Germany | Unknown status |
| Universitätsklinikum Hamburg-Eppendorf Coordinator of this site? Confirm its status | Hamburg | Germany | Unknown status |
| Medizinische Hochschule Hannover Coordinator of this site? Confirm its status | Hanover | Germany | Unknown status |
| Universitätsklinikum Heidelberg Coordinator of this site? Confirm its status | Heidelberg | Germany | Unknown status |
| Klinikum Höxter Coordinator of this site? Confirm its status | Höxter | Germany | Unknown status |
| Klinikum Ibbenbüren Coordinator of this site? Confirm its status | Ibbenbueren | Germany | Unknown status |
| Klinikum St. Georg Leipzig Coordinator of this site? Confirm its status | Leipzig | Germany | Unknown status |
| University of Leipzig, Clinic for Neurology Coordinator of this site? Confirm its status | Leipzig | Germany | Unknown status |
| Städtisches Klinikum Lüneburg gemeinnützige GmbH Coordinator of this site? Confirm its status | Lüneburg | Germany | Unknown status |
| University of Mainz, Clinic for Neurology Coordinator of this site? Confirm its status | Mainz | Germany | Unknown status |
| Carl-von-Basedow Klinikum Merseburg Coordinator of this site? Confirm its status | Merseburg | Germany | Unknown status |
| Klinikum Minden Coordinator of this site? Confirm its status | Minden | Germany | Unknown status |
| Ökumenisches Hainich Klinikum Mühlhausen Coordinator of this site? Confirm its status | Mühlhausen | Germany | Unknown status |
| ISD München Coordinator of this site? Confirm its status | München | Germany | Unknown status |
| Universitätsklinikum Münster Coordinator of this site? Confirm its status | Münster | Germany | Unknown status |
| Klinikum Nürnberg Coordinator of this site? Confirm its status | Nuremberg | Germany | Unknown status |
| Klinikum Osnabrück GmbH Coordinator of this site? Confirm its status | Osnabrück | Germany | Unknown status |
| Klinikum Passau Coordinator of this site? Confirm its status | Passau | Germany | Unknown status |
| Nordwest-Krankenhaus Sanderbusch, Klinik für Neurologie Coordinator of this site? Confirm its status | Sande | Germany | Unknown status |
| Kreisklinikum Siegen Coordinator of this site? Confirm its status | Siegen | Germany | Unknown status |
| Kliniken Südostbayern AG, Klinikum Traunstein Coordinator of this site? Confirm its status | Traunstein | Germany | Unknown status |
| Universitätsklinikum Tübingen Coordinator of this site? Confirm its status | Tübingen | Germany | Unknown status |
| Universitätsklinikum Ulm Coordinator of this site? Confirm its status | Ulm | Germany | Unknown status |
| Helios Dr. Horst Schmidt Kliniken Wiesbaden Coordinator of this site? Confirm its status | Wiesbaden | Germany | Unknown status |
| Universitätsklinikum Würzburg Coordinator of this site? Confirm its status | Würzburg | Germany | Unknown status |
This page is information, not medical advice. Discuss any trial with your doctor.