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Clinical Trials/NCT00540787
NCT00540787
Completed
Phase 4

A Randomized Comparison of the Efficacy of Antiarrhythmic Drug Therapy and Radiofrequency Catheter Ablation for the Maintenance of Sinus Rhythm In Patients With Paroxysmal Atrial Fibrillation

Biosense Webster, Inc.6 sites in 3 countries112 target enrollmentAugust 1, 2003

Overview

Phase
Phase 4
Intervention
Radiofrequency ablation, antiarrhythmic drugs
Conditions
Paroxysmal Atrial Fibrillation
Sponsor
Biosense Webster, Inc.
Enrollment
112
Locations
6
Primary Endpoint
Recurrence of Atrial Fibrillation
Status
Completed
Last Updated
last year

Overview

Brief Summary

The purpose of this study is to compare radiofrequency catheter ablation and antiarrhythmic drug treatment for the maintenance of sinus rhythm in paroxysmal atrial fibrillation patients.

Registry
clinicaltrials.gov
Start Date
August 1, 2003
End Date
June 1, 2006
Last Updated
last year
Study Type
Interventional
Study Design
Parallel
Sex
All

Investigators

Responsible Party
Sponsor

Eligibility Criteria

Inclusion Criteria

  • 18 years of age or older
  • Paroxysmal atrial fibrillation for at least 6 months with at least 2 symptomatic episodes (patient history) during the previous month
  • Atrial fibrillation (patient history or echocardiogram documented) resistant to at least one antiarrhythmic drug of Class I or III
  • Documentation of at least one episode of atrial fibrillation on 12-lead echocardiogram or Holter Monitor

Exclusion Criteria

  • Contraindications to more than 2 antiarrhythmic drugs of different classes, or to oral anticoagulants
  • History of any previous ablation for atrial fibrillation
  • Intracardiac thrombus
  • Atrial fibrillation due to reversible cause
  • Pregnancy
  • Contraindication to stopping oral anticoagulation (for example as a result of a mechanical cardiac valve)

Arms & Interventions

Drug Treatment

Intervention: Radiofrequency ablation, antiarrhythmic drugs

Drug Treatment

Intervention: Amiodarone, flecainide, propafenone, quinidine, dofetilide, sotalol, cibenzoline, beta blocking and calcium channel blocking agents and antiarrhythmic drugs

ThermoCool Radiofrequency Catheter

Radiofrequency catheter used.

Intervention: Radiofrequency ablation, antiarrhythmic drugs

ThermoCool Radiofrequency Catheter

Radiofrequency catheter used.

Intervention: ThermoCool Radiofrequency Catheter

Outcomes

Primary Outcomes

Recurrence of Atrial Fibrillation

Time Frame: One year

To compare the incidence of recurrence of Atrial Fibrillation in the two groups over a follow-up period of one year.

Secondary Outcomes

  • Efficacy of ablation and drug treatment(One year)

Study Sites (6)

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