The Effect of Short Term Amiodarone Treatment After Catheter Ablation for Atrial Fibrillation (AMIO-CAT)

This study has been completed.
Sponsor:
Information provided by (Responsible Party):
Stine Darkner, Rigshospitalet, Denmark
ClinicalTrials.gov Identifier:
NCT00826826
First received: January 20, 2009
Last updated: March 4, 2014
Last verified: March 2014
  Purpose

The purpose of this study is to examine the overall effectiveness of short-time anti-arrhythmic drug treatment with amiodarone (to control heart rhythm) to prevent short-and long-term atrial fibrillation following an ablation procedure for atrial fibrillation.


Condition Intervention
Atrial Fibrillation
Procedure: Catheter ablation
Drug: Amiodarone
Drug: Placebo

Study Type: Interventional
Study Design: Allocation: Randomized
Endpoint Classification: Efficacy Study
Intervention Model: Parallel Assignment
Masking: Double Blind (Subject, Caregiver, Investigator, Outcomes Assessor)
Primary Purpose: Treatment
Official Title: The Effect of Short Term Amiodarone Treatment on Success Rate and Quality of Life After Catheter Ablation for Atrial Fibrillation

Resource links provided by NLM:


Further study details as provided by Rigshospitalet, Denmark:

Primary Outcome Measures:
  • Freedom from atrial fibrillation, atrial flutter or atrial tachycardia. [ Time Frame: 6 months from ablation procedure ] [ Designated as safety issue: No ]
    Patients who (based upon clinical decision) are re-ablated within the blanking period counts as having reached an end point.


Secondary Outcome Measures:
  • Quality of Life [ Time Frame: 6 months ] [ Designated as safety issue: No ]
  • Adverse outcome/intolerance of antiarrhythmic agent requiring cessation of drug [ Time Frame: 6 months ] [ Designated as safety issue: Yes ]
  • Structural and electrical changes (evaluated by echocardiography and digital ECG). [ Time Frame: 6 months ] [ Designated as safety issue: No ]
  • Atrial fibrillation burden evaluated by Holter monitoring [ Time Frame: 6 months ] [ Designated as safety issue: No ]
  • Asymptomatic atrial fibrillation, atrial flutter or atrial tachycardia documented with Holter. [ Time Frame: 6 months ] [ Designated as safety issue: No ]
  • Within blanking period of 3 months: Number AF-related hospitalisations, need for cardioversion or need for additional antiarrythmic drugs. [ Time Frame: 3 months ] [ Designated as safety issue: No ]
  • Symptom burden. [ Time Frame: 6 months ] [ Designated as safety issue: No ]

Enrollment: 212
Study Start Date: January 2009
Study Completion Date: January 2014
Primary Completion Date: January 2014 (Final data collection date for primary outcome measure)
Arms Assigned Interventions
Active Comparator: Amiodarone Procedure: Catheter ablation
(Pulmonary vein isolation)
Drug: Amiodarone
From the day of the catheter ablation procedure and 8 weeks forward.
Placebo Comparator: Placebo Procedure: Catheter ablation
(Pulmonary vein isolation)
Drug: Placebo
From the day of the catheter ablation procedure and 8 weeks forward.

Detailed Description:

Atrial fibrillation (AF) is the most common cardiac arrhythmia, and it is associated with increased mortality and morbidity due to increased risk of stroke, poor quality of life and risk of developing heart failure.

Today, catheter ablation has become a standard procedure in the treatment of symptomatic atrial fibrillation, but so far there is no official recommendations regarding the use of antiarrythmic drugs after the procedure. Nevertheless, it is common standard practice to prescribe antiarrhythmic drugs for the first 2-3 months after the intervention to prevent early recurrences. To our knowledge, the effect of antiarrythmic drugs following ablation for atrial fibrillation has only been evaluated in a few recent studies. None of these have evaluated the long term effect of short term antiarrythmic drug treatment. In addition, none of the trials have been conducted placebo-controlled.

In this study patients with paroxysmal or persistent atrial fibrillation will be considered for randomisation. Following the ablation procedure, patients will be randomized to receive either amiodarone or placebo for a period of 8 weeks. Clinical visits including a physical exam, 12 lead ECG recording and blood samples, will be scheduled during the follow-up time. Furthermore patients will be evaluated with Quality of Life questionaires and Holter monitoring.

The primary endpoint of the study is freedom from atrial fibrillation, atrial flutter or atrial tachycardia at 6 months follow-up.

  Eligibility

Ages Eligible for Study:   18 Years and older
Genders Eligible for Study:   Both
Accepts Healthy Volunteers:   No
Criteria

Inclusion Criteria:

  • Patients with symptomatic paroxysmal or persistent atrial fibrillation undergoing catheter ablation for atrial fibrillation. (persistent episodes may last no more than 12 months)

Exclusion Criteria:

  • Contraindication or intolerance to amiodarone.
  • Prolonged amiodarone treatment within 3 months before the planned ablation procedure.
  • Previous participation in this study.
  • Other cardiac arrythmias (patients with co-existing atrial flutter can be included).
  • Antiarrhythmic treatment for indication other than atrial fibrillation (or atrial flutter).
  • Heart failure (NYHA class III or IV or left ventricular ejection fraction < 35%).
  • Significant heart valve disease.
  • Significant lung disease, thyroid dysfunction or liver disease.
  • Inability or unwillingness to be treated with anticoagulation before and during the study.
  • Females with birth giving potential
  • Failure to give informed concent.
  Contacts and Locations
Choosing to participate in a study is an important personal decision. Talk with your doctor and family members or friends about deciding to join a study. To learn more about this study, you or your doctor may contact the study research staff using the Contacts provided below. For general information, see Learn About Clinical Studies.

Please refer to this study by its ClinicalTrials.gov identifier: NCT00826826

Locations
Denmark
Rigshospitalet
Copenhagen, Denmark, 2100
Gentofte University Hospital
Hellerup, Denmark, 2900
Sponsors and Collaborators
Rigshospitalet, Denmark
Investigators
Principal Investigator: Stine Darkner, MD Rigshospitalet, Denmark
Study Director: Jesper H Svendsen, MD, DMSc Rigshospitalet, Denmark
  More Information

No publications provided

Responsible Party: Stine Darkner, MD, Rigshospitalet, Denmark
ClinicalTrials.gov Identifier: NCT00826826     History of Changes
Other Study ID Numbers: H-A-2008-085, H-A-2008-085, 2612-3819, 2008-004500-32
Study First Received: January 20, 2009
Last Updated: March 4, 2014
Health Authority: Denmark: Danish Medicines Agency
Denmark: The Regional Committee on Biomedical Research Ethics
Denmark: Danish Dataprotection Agency

Keywords provided by Rigshospitalet, Denmark:
Atrial fibrillation
Amiodarone
Arrhythmias, Cardiac
Catheter ablation

Additional relevant MeSH terms:
Atrial Fibrillation
Arrhythmias, Cardiac
Cardiovascular Diseases
Heart Diseases
Pathologic Processes
Amiodarone
Anti-Arrhythmia Agents
Cardiovascular Agents
Enzyme Inhibitors
Molecular Mechanisms of Pharmacological Action
Pharmacologic Actions
Therapeutic Uses
Vasodilator Agents

ClinicalTrials.gov processed this record on October 20, 2014