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NCT04497376Completed

Comparison Between Upgraded '2C3L' vs. PVI Approach for Catheter Ablation of Persistent Atrial Fibrillation

Prospective Randomized Comparison Between Upgraded '2C3L' vs. PVI Approach for Catheter Ablation of Persistent Atrial Fibrillation

Source: ClinicalTrials.gov · Last updated 19 Jul 2024

Brief summary (registry, in English)

Catheter ablation has emerged as an important treatment option for patients with symptomatic atrial fibrillation (AF). Pulmonary vein antral isolation (PVI) is now considered the cornerstone technique of AF ablation and has shown promise in treating paroxysmal atrial fibrillation (PAF). However, there is no unique strategy for ablation of persistent AF (PeAF), whether PVI alone is sufficient to prevent patients from recurrence remains controversial. The PROMPT-AF study is a prospective, multicenter, randomized trial involving a blinded assessment of outcomes, which is designed to compare arrhythmia-free survival between PVI and an ablation strategy termed upgraded '2C3L' for ablation of PeAF.

Status (registry)
Completed
Study type
Interventional
Enrollment
498 (actual)
First submitted
8 Jul 2020
Start date
27 Aug 2021
Primary completion date
18 Jul 2024
Lead sponsor
Beijing Anzhen Hospital
NCT number
NCT04497376

What you commit to

  • Study type: Interventional
  • Participants enrolled: 498
  • From 27 Aug 2021 to the primary completion date, 18 Jul 2024
  • 12 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

  • patients with triple (aspirin, clopidogrel and OAC) or dual (clopidogrel and OAC) antithrombotic therapy which predispose patients to higher risk of periprocedural bleeding. (e.g., Coronary percutaneous transluminal coronary angioplasty (PTCA)/stenting within the previous 90 days),
  • patients cannot be removed from antiarrhythmic drugs for reasons other than AF.

Other illness

  • patients with contraindication to right or left sided heart catheterization,
  • life expectancy less than 1 year (advanced malignant tumor, end stage renal disease, etc.),

Lab values

  • left ventricular ejection fraction (LVEF) \< 30%,

Other

  • patients with paroxysmal AF,
  • patients with AF secondary to an obvious reversible cause,
  • patients with left atrial diameter ≥ 60 mm in the parasternal long axis view,
  • patients with contraindication to anticoagulation,
  • pregnancy,

Who the study is looking for

  • Patients must meet all the following criteria to be included in the study:
  • age between 18 and 80,
  • patients undergoing a first-time ablation procedure for non-valvular AF,
  • patients with defined as a sustained episode more than 3 months
  • PeAF documented by ECG, Holter, loop recorder, telemetry, trans-telephonic monitor or implanted device within 90 days6 months of the ablation procedure,
  • patients experienced symptoms caused by AF and these symptoms include but are not limited to palpitations, presyncope, syncope, fatigue, and shortness of breath,
  • AF refractory to at least one AAD,
  • willingness, ability and commitment to provide informed consent and participate in follow-up evaluations.

Age in the registry: 18 years to 80 years · Sex: All · Does not accept healthy volunteers

Full criteria on ClinicalTrials.gov

Sites (12)

Sites in registry order. Pick your city on the disease page to sort them by distance.

SiteCityCountrySite status
Beijing Anzhen Hospital
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BeijingChinaUnknown status
Shengli Oilfield Central Hospital
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DongyingChinaUnknown status
Sun Yat-sen Memorial Hospital
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GuangzhouChinaUnknown status
Sir Run Run Shaw Hospital
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HangzhouChinaUnknown status
The First Affiliated Hospital of Harbin Medical University
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HarbinChinaUnknown status
Shandong Provincial Hospital
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JinanChinaUnknown status
The First Affiliated Hospital of Shandong First Medical University
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JinanChinaUnknown status
Jiangsu Provincial Hospital
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NanjingChinaUnknown status
Shanghai Renji Hospital
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ShanghaiChinaUnknown status
Taizhou Hospital of Zhejiang Province
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TaizhouChinaUnknown status
Wuhan Asia Heart Hospital
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WuhanChinaUnknown status
Fuwai Central China Cardiovascular Hospital
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ZhengzhouChinaUnknown status

This page is information, not medical advice. Discuss any trial with your doctor.