Early Atrial Fibrillation Ablation for Stroke Prevention in Patients With High Comorbidity Burden (EASThigh-AFNET 11)

Trial statusRecruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexAll
Age18+
SponsorAtrial Fibrillation Network

About this trial

EASThigh-AFNET 11 is an international, prospective, randomized, open, blinded endpoint assessment, multicenter trial (Treatment Strategy trial).

The objective of EASThigh-AFNET 11 is to investigate whether early atrial fibrillation ablation in patients with atrial fibrillation (AF) and a high comorbidity burden (CHA2DS2-VASc ≥4) reduces cardiovascular events (stroke, cardiovascular death, or heart failure events) compared to usual care.

Eligibility criteria

This trial does not accept healthy volunteers

Qualifiers

None

Disqualifiers

None

Trial design

Design model

Parallel

Treatments tested in this trial

  • Early atrial fibrillation ablation

    Other intervention

    Patients randomised to early atrial fibrillation ablation will undergo pulmonary vein isolation within 2 months after randomisation.

  • Usual Care

    Other intervention

    Usual care will consist of optimal AF therapy based on guideline recommendations and local protocols and usage.The choice of therapies and medications follows routine care in line with medical guidelines and local policies at the discretion of the treating physician and should be based on the individual medical status of each study patient.

Treatment groups

2,312 Participants
are divided into 2 treatment groups
Group A: Early atrial fibrillation ablationOther 1 intervention
Group B: Usual CareOther 1 intervention

Trial outcomes

Primary outcomes

1

Composite of cardiovascular complications related to AF

It is defined as time from randomisation to the first occurrence of a composite of cardiovascular death, stroke (either ischemic or hemorrhagic), or hospitalisation for worsening of heart failure.

Time frame
Throughout study completion, estimated at a mean of 4 years
2

The primary safety outcome is a composite of all-cause death and serious complications of AF therapy.

Serious Adverse Events (SAEs), including primary and secondary outcome parameters if based on clinical events, will be adjudicated by the independent Clinical Event Committee (CEC) according to standardised definitions given in the CEC charter.

Time frame
Throughout study completion, estimated at a mean of 4 years

Secondary outcomes

1

Number of nights spent in hospital

Time frame
Throughout study completion, estimated at a mean of 4 years
2

Time from randomisation to first occurrence of each of the individual components of the primary outcome

Time frame
Throughout study completion, estimated at a mean of 4 years
3

All-cause death

Time frame
Throughout study completion, estimated at a mean of 4 years
4

Serious adverse events related to AF therapy

Time frame
Throughout study completion, estimated at a mean of 4 years

Other outcomes

Locations

7

Map coordinates are unavailable for these locations. Locations are shown below instead.

Australia
Several sitesNot yet recruiting Multiple LocationsAustraliaAustralia
Canada
Several sitesRecruiting Multiple LocationsCanadaCanada
Germany
Several sitesRecruiting Multiple LocationsGermanyGermany
Netherlands
Several sitesRecruiting Multiple LocationsNetherlandsNetherlands

Sponsors and contacts

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