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Strategy of Early Detection and Active Management of Supraventricular Arrhythmia With Telecardiology (SETAM)
This study is currently recruiting participants.
Verified July 2011 by Biotronik France

First Received on April 21, 2010.   Last Updated on July 19, 2011   History of Changes
Sponsor: Biotronik France
Collaborator: Biotronik SE & Co. KG
Information provided by: Biotronik France
ClinicalTrials.gov Identifier: NCT01108692
  Purpose

This study investigates if the early detection and treatment of supraventricular arrhythmia (SVA) may help to prevent the progression of the arrhythmia and improve the clinical outcome.

The primary endpoint investigates the delay to implement treatment in two groups of patients :

  • Active group: Patients followed by telecardiology.
  • Control group: Patients followed in the conventional manner.

It is assumed that the delay to implement treatment will be higher in the Control group.


Condition Intervention
Atrial Fibrillation
Atrial Flutter
Atrial Tachycardia
Other: Telecardiology

Study Type: Interventional
Study Design: Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Single Blind (Subject)
Primary Purpose: Prevention
Official Title: Investigation on Early Detection and Active Management of Supra-ventricular Arrhythmia With Telecardiology

Resource links provided by NLM:


Further study details as provided by Biotronik France:

Primary Outcome Measures:
  • Delay to implement antithrombotic and/or antiarrhythmic drugs for the supraventricular arrhythmia. [ Time Frame: 12-month ] [ Designated as safety issue: No ]
    Delay from enrollment until the next in-office follow-up during which the supraventricular arrhythmia is managed for the first-time.


Secondary Outcome Measures:
  • Serious adverse events related to supraventricular arrhythmia. [ Time Frame: 12-month ] [ Designated as safety issue: Yes ]
    Including : Stroke, systemic embolic event, death, bleeding, and hospitalization for cardiac insufficiency

  • Atrial burden at the end of the study [ Time Frame: 12-month ] [ Designated as safety issue: Yes ]
  • Atrial burden related to time [ Time Frame: 12-month ] [ Designated as safety issue: Yes ]
    In order to check if atrial burden is time-dependent.

  • Supraventricular arrhythmia prevalence [ Time Frame: 12-month ] [ Designated as safety issue: No ]
    Proportion of patients with supraventricular arrhythmia at the end of the 12-month follow-up.

  • Number of patients with managed supraventricular arrhythmia [ Time Frame: 12-month ] [ Designated as safety issue: Yes ]
    Number of patients with supraventricular arrhythmia and for whom the physician implemented an overall management strategy (antithrombotic and/or antiarrhythmic drugs).

  • Supraventricular arrhythmia symptoms score (via a questionnaire) [ Time Frame: at each follow-up visit ] [ Designated as safety issue: Yes ]
    Questionnaire submitted to the patient at enrollment and at each follow-up visit.

  • Quality of Life (via the EQ-5D Questionnaire) [ Time Frame: at each follow-up visit ] [ Designated as safety issue: Yes ]
    The general health perception of the patients will be asked for, via the standardized EuroQOL EQ-5D questionnaire. This questionnaire provides a descriptive profile covering five dimensions (mobility, selfcare, usual activities, pain/discomfort, and anxiety/depression) as well as a self-rating score of the patient's own assessment of its heath status.


Estimated Enrollment: 600
Study Start Date: July 2010
Estimated Study Completion Date: September 2012
Estimated Primary Completion Date: September 2012 (Final data collection date for primary outcome measure)
Arms Assigned Interventions
Experimental: Active
Patients will be followed by telecardiology.
Other: Telecardiology

Telecardiology will be switched on for both groups. For the Active group, all data will be transmitted to the physician. For the Control group, data will not be used for patients surveillance, only events regarding implant (Elective Replacement Indication) or events regarding data transmission missing will be generated and sent to the physician.

A retrospective analysis will be performed at the end of the study to compare the results in the two groups.

Other Names:
  • Home-Monitoring
  • Remote monitoring
Active Comparator: Control
Patients will be followed in the conventional manner. They will be equipped with telecardiology but data will not be used for patient surveillance.
Other: Telecardiology

Telecardiology will be switched on for both groups. For the Active group, all data will be transmitted to the physician. For the Control group, data will not be used for patients surveillance, only events regarding implant (Elective Replacement Indication) or events regarding data transmission missing will be generated and sent to the physician.

A retrospective analysis will be performed at the end of the study to compare the results in the two groups.

Other Names:
  • Home-Monitoring
  • Remote monitoring

Detailed Description:

Atrial fibrillation is the most commonly encountered sustained cardiac arrhythmia in medical practice and it is often associated with atrial flutter. In patients with the new pacemaker generation EVIA, the home-monitoring technology provides specific and clinical relevant notifications for detection of atrial arrhythmias. Combined with holters memories, this can help to optimize the treatment of supraventricular arrhythmia (SVA) such as atrial fibrillation or flutter.

This study will compare in the two groups the delay to implement for the first time a treatment for the supraventricular arrhythmia (antiarrhythmic drugs and/or an antithrombotic treatment).

  Eligibility

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

Inclusion Criteria:

  • Dual chamber pacemaker with activated Telecardiology
  • CHAD2DS2-VASc score ≥ 2
  • Sinusal rhythm at enrollment
  • Patient willing and able to comply with the protocol
  • Patient has provided informed consent
  • Men and women > 18 years-old
  • Patients geographically stable

Exclusion Criteria:

  • Anticoagulation therapy
  • Dual anti-platelet therapy
  • Class I or class III anti-arrhythmic drugs
  • Contraindication to antithrombotic therapy
  • Participation in another clinical study
  • Have a life expectancy < 6 months
  Contacts and Locations
Please refer to this study by its ClinicalTrials.gov identifier: NCT01108692

Contacts
Contact: Amandine WOUTERS, ENG +33 (1) 46 75 96 60 amandine.wouters@biotronik.fr
Contact: Nicolas CANOT, ENG +33 (1) 46 75 96 60 nicolas.canot@biotronik.fr

Locations
France
CH Général d'Abbeville Recruiting
Abbeville, France
Principal Investigator: Nouredine EL HAJJAJI, MD            
CH du Pays d'Aix Recruiting
Aix En Provence, France
Principal Investigator: Claude BARNAY, MD            
CH de la région d'Annecy Recruiting
Annecy, France
Principal Investigator: Antoine DOMPNIER, MD            
CH d'Argentueil Recruiting
Argenteuil, France
Contact: Dr GOUDGJIL            
Principal Investigator: Mohand Dr GOUDGIL            
CH d'ARRAS Recruiting
Arras, France
Contact: Etienne BEAREZ, MD            
Principal Investigator: Etienne BEAREZ, MD            
CH d'AURILLAC Recruiting
Aurillac, France
Contact: Manuel FONT, Dr            
Principal Investigator: Manuel MD FONT            
CH d'AUXERRE Recruiting
Auxerre, France
Principal Investigator: François-Xavier SOTO, MD            
CH d'AVIGNON Recruiting
Avignon, France
Contact: CHEGGOUR, Dr            
Principal Investigator: Saida CHEGGOUR, Dr            
Centre Hospitalier Jacques Coeur Recruiting
Bourges, France, 18016
Contact: Isabelle HEURTEBISE, MD     +33 2 48 48 49 16     isabelle.labioche@ch-bourges.fr    
Principal Investigator: Isabelle HEURTEBISE, MD            
Hôpital Sainte Camille Recruiting
Bry Sur Marne, France
Principal Investigator: Aimé BONNY, MD            
CH de Cannes Recruiting
Cannes, France
Contact: Thierry TIBI, MD            
Principal Investigator: Thierry TIBI, MD            
CH de Castres Recruiting
Castres, France
Principal Investigator: Pascal CHAVERNAC, MD            
CH William Morey Recruiting
Chalon Sur Saone, France
Contact: Pascal SAGNOL, MD            
Principal Investigator: Pascal SAGNOL, MD            
Les Hôpitaux de Chartres Recruiting
Chartres, France
Principal Investigator: Hervé GORKA, MD            
CH de CHATEAUROUX Recruiting
Chateauroux, France
Contact: POITRINEAU, Dr            
Principal Investigator: POITRINEAU, Dr            
CH Public du Cotentin Recruiting
Cherbourg, France
Contact: Didier BINET, MD            
Principal Investigator: Didier BINET, MD            
HIA Percy Recruiting
Clamart, France
Contact: HENO, Pr            
Principal Investigator: Philippe HENO, Pr            
Sub-Investigator: Jules LOUEMBE, Dr            
Hôpital Schweitzer Recruiting
Colmar, France
Contact: BELLMONT, Dr            
Principal Investigator: Sandrine BELLMONT, Dr            
CHG Louis Pasteur Recruiting
Colmar, France
Contact: AHRES, Dr            
Principal Investigator: Said AHRES, Dr            
CH DINAN Recruiting
Dinan, France
Contact: BAZIN, Dr            
Principal Investigator: Patrick BAZIN, Dr            
CH de DOUARNENEZ Recruiting
Douarnenez, France
Contact: Jean-Philippe EL KAIM, MD            
Principal Investigator: Jean-Philippe EL KAIM, MD            
CHI Eure-Seine Recruiting
Evreux, France
Contact: Nacera RABAH, MD            
Principal Investigator: Nacera RABAH, MD            
CH de Firminy Recruiting
Firminy, France
Principal Investigator: Loucif ABDELLAOUI            
CH d'HAGUENAU Recruiting
Haguenau, France
Principal Investigator: Sébastien BUFFLER, MD            
Centre Hospitalier Départemental Les Oudairies Recruiting
La-roche-sur-yon, France, 85925
Contact: Claude GULLY, MD     +33 2 51 44 61 61     claude.gully@chd-vendee.fr    
Principal Investigator: Claude GULLY, MD            
CH de LAVAL Recruiting
Laval, France
Contact: BIENVENU, Dr            
Principal Investigator: BIENVENU, Dr            
CH du Mans Recruiting
Le Mans, France
Principal Investigator: Samuel BROUDIN, MD            
CH Bretagne Sud Recruiting
Lorient, France
Contact: Pierre KHATTAR, MD            
Principal Investigator: Pierre KHATTAR, MD            
CHR Notre Dame de bon secours Recruiting
Metz, France
Contact: Michel BOURSIER, MD            
Principal Investigator: Michel BOURSIER, MD            
CH de MONTAUBAN Recruiting
Montauban, France
Contact: SOMODY, Dr            
Principal Investigator: Elisabeth SOMODY, Dr            
CH de MONTBELIARD Recruiting
Montbeliard, France
Contact: FOUCHE, Dr            
Principal Investigator: Renaud FOUCHE, Dr            
Intercommunal General Hospital LE RAINCY- MONTFERMEIL Recruiting
Montfermeil, France, 93370
Contact: Walid AMARA, MD     +33 1 41 70 80 00     wamara@ch-montfermeil.fr    
Principal Investigator: Walid AMARA, MD            
CH de Narbonne Recruiting
Narbonne, France
Principal Investigator: Frédéric GEORGER, MD            
CHR d'ORLEANS Recruiting
Orléans, France
Principal Investigator: Olivier BIZEAU, MD            
CH de Roubaix Recruiting
Roubaix, France
Principal Investigator: Hélène CORDOVA, MD            
CHI du Val d'Ariège Recruiting
Saint Jean de Verges, France
Principal Investigator: Gilles BRIERRE, MD            
CH de SAINT BRIEUC Recruiting
Saint-brieuc, France
Contact: BEAUVERGER, Dr            
Principal Investigator: BEAUVERGER, Dr            
CH de SAINT-MALO Recruiting
Saint-malo, France
Contact: DEUTSCH, Dr            
Principal Investigator: Philippe DEUTSCH, Dr            
CH de Saintonge Recruiting
Saintes, France
Principal Investigator: Nicolas LEJEUNE, MD            
CH de TOULON Recruiting
Toulon, France
Contact: LAKHAL, Dr            
Principal Investigator: Essia LAKHAL, Dr            
Sub-Investigator: Isabelle LECARDONNEL, Dr            
CH de TROYES Recruiting
Troyes, France
Contact: MAILLIER, Dr            
Principal Investigator: Bruno MAILLIER, Dr            
CH de Valenciennes Recruiting
Valenciennes, France
Principal Investigator: André PHILIAS, MD            
CH Bretagne Atlantique Recruiting
Vannes, France
Contact: Christian MONTAGNIER, MD            
Principal Investigator: Christian MONTAGNIER, MD            
CHI de Villeneuve Recruiting
Villeneuve Saint Georges, France
Contact: Olivier GARTENLAUB, MD            
Principal Investigator: Olivier GARTENLAUB, MD            
Sponsors and Collaborators
Biotronik France
Biotronik SE & Co. KG
Investigators
Principal Investigator: Walid AMARA, MD Intercommunal General Hospital in Montfermeil (93370 MONTFERMEIL- FRANCE)
  More Information

No publications provided

Responsible Party: Nicolas Canot/Clinical Research Director, Biotronik France
ClinicalTrials.gov Identifier: NCT01108692     History of Changes
Other Study ID Numbers: HS053
Study First Received: April 21, 2010
Last Updated: July 19, 2011
Health Authority: France: Afssaps - French Health Products Safety Agency
France: Institutional Ethical Committee

Keywords provided by Biotronik France:
atrial fibrillation
supraventricular arrhythmia
antithrombotic treatment
antiarrhythmic drugs
medical reaction time
telecardiology
early detection
holters memories
Pacemaker
Telecardiology

Additional relevant MeSH terms:
Arrhythmias, Cardiac
Atrial Fibrillation
Atrial Flutter
Tachycardia
Heart Diseases
Cardiovascular Diseases
Pathologic Processes
Anti-Arrhythmia Agents
Cardiovascular Agents
Therapeutic Uses
Pharmacologic Actions

ClinicalTrials.gov processed this record on May 23, 2012