跳至主要内容
临床试验/NCT00514735
NCT00514735已完成3 期

Tailored Treatment of Permanent Atrial Fibrillation - TTOP-AF

Medtronic Cardiac Rhythm and Heart Failure24 个研究点 分布在 2 个国家目标入组 210 人开始时间: 2007年5月最近更新:
适应症
干预措施
相关药物

试验速览

阶段
3 期
状态
已完成
发起方
入组人数
210
试验地点
24
主要终点
Chronic Effectiveness

研究概览

简要总结

The purpose of this trial is to evaluate the safety and efficacy of the Medtronic Cardiac Ablation System compared to medical therapy in the persistent and long-standing persistent atrial fibrillation population.

研究设计

研究类型
Interventional
分配方式
Randomized
干预模型
Parallel
主要目的
Treatment
盲法
None

入排标准

年龄范围
18 Years 至 70 Years(Adult, Older Adult)
性别
All
接受健康志愿者

入选标准

  • 未提供

排除标准

  • 未提供

研究组 & 干预措施

1

Experimental

Ablation Management

干预措施: Medtronic Cardiac Ablation System (Procedure)

2

Active Comparator

Medical Management

干预措施: Class I or III Antiarrhythmic Medications (Drug)

结局指标

主要结局

Chronic Effectiveness

时间窗: 6 months

The chronic efficacy endpoint was a treatment success/failure measure for each subject computed at 6 months. Treatment success included: 1. A 90% reduction in clinically significant atrial fibrillation from baseline to the 6 month time point based on a Holter recording. Clinically significant atrial fibrillation was defined as sustained atrial fibrillation lasting more than 10 minutes. 2. The subject was off all antiarrhythmic drugs at 6 months (Ablation Management arm only) 3. The Investigator judged all procedures to be acutely successful (Ablation Management arm only).

Acute Safety

时间窗: 7 days

The primary endpoint for acute safety was a success/failure variable calculated for each subject in Ablation Management at the 7 day post-procedure time point. Any subject with at least one adverse event adjudicated by the Data Safety Monitoring Board as both serious and either probably or definitely procedure and/or device-related occurring within 7 days of the ablation procedure was considered an acute safety failure, regardless of whether the event occurred following the index or retreatment ablation procedure.

Chronic Safety

时间窗: 6 months

The primary endpoint for chronic safety was a success/failure variable calculated for each subject at 6 months. Any subject that had at least one adverse event that met designated seriousness and relatedness criteria for the particular treatment group as adjudicated by the Data Safety Monitoring Board was considered a chronic safety failure. Adverse events in Ablation Management that were acute (≤7 days) were not included in the chronic safety primary endpoint. Given the disparity in the length of time at risk between treatment arms,the Chronic Safety endpoint was not statistically powered.

次要结局

  • Acute Efficacy(Procedure conclusion)
  • Improvement of Left Atrial Size at 6 Months Compared to Baseline.(6 months)
  • Improvement of Left Ventricular Ejection Fraction at 6 Months Compared to Baseline.(6 months)
  • Improvement in Atrial Fibrillation (AF) Symptom Severity Scores Over 6 Months Compared to Baseline.(6 months)
  • Improved Quality of Life Over 6 Months Compared to Baseline.(6 months)

研究者

发起方
Medtronic Cardiac Rhythm and Heart Failure
申办方类型
Industry
责任方
Sponsor

研究点 (24)

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