UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000031865
Receipt number R000036268
Scientific Title Effects of adrenomedullin in catheter ablation of persistent atrial fibrillation
Date of disclosure of the study information 2022/01/01
Last modified on 2022/03/28 11:47:54

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Basic information

Public title

Effects of adrenomedullin in catheter ablation of persistent atrial fibrillation

Acronym

AM ablation

Scientific Title

Effects of adrenomedullin in catheter ablation of persistent atrial fibrillation

Scientific Title:Acronym

AM ablation

Region

Japan


Condition

Condition

persistent atrial fibrillation

Classification by specialty

Cardiology

Classification by malignancy

Others

Genomic information

NO


Objectives

Narrative objectives1

Clarify the efficacy of adrenomedullin administration for preventing inflammation and atrial arrhythmia including atrial fibrillation immediately after catheter ablation.

Basic objectives2

Efficacy

Basic objectives -Others


Trial characteristics_1

Exploratory

Trial characteristics_2


Developmental phase

Not applicable


Assessment

Primary outcomes

Cumulative time of atrial arrhythmia during 3 days after catheter ablation

Key secondary outcomes



Base

Study type

Interventional


Study design

Basic design

Parallel

Randomization

Randomized

Randomization unit

Individual

Blinding

Open -no one is blinded

Control

No treatment

Stratification


Dynamic allocation


Institution consideration


Blocking


Concealment

Central registration


Intervention

No. of arms

2

Purpose of intervention

Treatment

Type of intervention

Medicine

Interventions/Control_1

adrenomedullin administration (10 ng/kg/min, 8 hours per day, 5 days)

Interventions/Control_2

control (no intervention)

Interventions/Control_3


Interventions/Control_4


Interventions/Control_5


Interventions/Control_6


Interventions/Control_7


Interventions/Control_8


Interventions/Control_9


Interventions/Control_10



Eligibility

Age-lower limit

20 years-old <=

Age-upper limit


Not applicable

Gender

Male and Female

Key inclusion criteria

1. persistent atrial fibrillation over 6 months
2. consent to catheter ablation
3. consent to this study with consent forms

Key exclusion criteria

1. paroxysmal atrial fibrillation
2. valvular disease
3. heart diseases (heart failure, myocardial infarction, angina)
4. hyperthyroidism
5. left atrial with a diameter over 50 mm
6. evident infection or inflammatory disease
7. history of participation to study using adrenomedullin
8. untreated proliferative diabetic retinopathy
9. history of cardiovascular accident within 3 months
10. serious complications (renal insufficiency, liver damage, uncontrolled diabetes, uncontrolled hypertension)
11. malignancy or history of therapy for malignancy
12. pregnancy, lactating
13. other reason depend on the decision of investigator

Target sample size

16


Research contact person

Name of lead principal investigator

1st name Kazuo
Middle name
Last name Kitamura

Organization

University of Miyazaki, Faculty of Medicine

Division name

Division of Circulatory and body fluid regulation, Department of Internal Medicine

Zip code

889-1692

Address

Kihara 5200, Kiyotake, Miyazaki, Japan

TEL

0985-85-0872

Email

kazuokit@med.miyazaki-u.ac.jp


Public contact

Name of contact person

1st name Toshihiro
Middle name
Last name Kita

Organization

University of Miyazaki, Faculty of Medicine

Division name

Division of Circulatory and body fluid regulation, Department of Internal Medicine

Zip code

889-1692

Address

Kihara 5200, Kiyotake, Miyazaki, Japan

TEL

0985-85-0872

Homepage URL


Email

toshihiro_kita@med.miyazaki-u.ac.jp


Sponsor or person

Institute

University of Miyazaki

Institute

Department

Personal name



Funding Source

Organization

University of Miyazaki

Organization

Division

Category of Funding Organization

Self funding

Nationality of Funding Organization



Other related organizations

Co-sponsor


Name of secondary funder(s)



IRB Contact (For public release)

Organization

ethical committees of the University of Miyazaki

Address

Kihara 5200, Kiyotake, Miyazaki, Japan

Tel

0985-85-9403

Email

rinken@med.miyazaki-u.ac.jp


Secondary IDs

Secondary IDs

NO

Study ID_1


Org. issuing International ID_1


Study ID_2


Org. issuing International ID_2


IND to MHLW



Institutions

Institutions



Other administrative information

Date of disclosure of the study information

2022 Year 01 Month 01 Day


Related information

URL releasing protocol

None

Publication of results

Unpublished


Result

URL related to results and publications

None

Number of participants that the trial has enrolled

7

Results

We enrolled 3 patients of adrenomedullin group and 4 patients of control group. Any statistically significant differences were not observed between adrenomedullin group and control group. We continued this study as Specified Clinical Research.

Results date posted

2022 Year 03 Month 28 Day

Results Delayed


Results Delay Reason


Date of the first journal publication of results


Baseline Characteristics

Patients with persistent atrial fibrillation that lasts for more than 6 months and who intend to receive catheter ablation in Miyazaki University Hospital

Participant flow

Patient who was matching selection criteria was allocated to adrenomedullin (AM) group or control group by online allocation system (open study). AM group were received 8 hours of continuous intravenous administration of AM for 5 days from the day before CA. Control group were received CA only. Atrial arrhythmia was monitored for 14 days after CA.

Adverse events

Adverse events that were caused by vasodilative effects of AM like hypotension and headache were concerned, but any events were not reported in this study.

Outcome measures

Primary endpoint; integrating time of atrial arrhythmia during 3 days after CA.
Secondary endpoint; 1. incidence of atrial arrhythmia during 3 days after CA, 2. incidence of atrial arrhythmia from 4 days after CA to 14 days, 3. changes of inflammation makers

Plan to share IPD

No

IPD sharing Plan description



Progress

Recruitment status

Terminated

Date of protocol fixation

2018 Year 03 Month 05 Day

Date of IRB

2018 Year 03 Month 30 Day

Anticipated trial start date

2018 Year 03 Month 30 Day

Last follow-up date

2020 Year 06 Month 11 Day

Date of closure to data entry


Date trial data considered complete


Date analysis concluded



Other

Other related information



Management information

Registered date

2018 Year 03 Month 23 Day

Last modified on

2022 Year 03 Month 28 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000036268