UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000056532
Receipt number R000064602
Scientific Title The efficacy of heart failure medications in patients with heart failure with preserved ejection fraction after catheter ablation
Date of disclosure of the study information 2024/12/22
Last modified on 2024/12/21 17:56:52

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Basic information

Public title

The efficacy of heart failure medications in patients with heart failure with preserved ejection fraction after catheter ablation

Acronym

PROTECT-Atria

Scientific Title

The efficacy of heart failure medications in patients with heart failure with preserved ejection fraction after catheter ablation

Scientific Title:Acronym

PROTECT-Atria

Region

Japan


Condition

Condition

Heart failure with preserved ejection fraction

Classification by specialty

Cardiology

Classification by malignancy

Others

Genomic information

NO


Objectives

Narrative objectives1

The purpose of this study is to prospectively evaluate the superiority of the ARNI/SGLT2 group over the non-ARNI/SGLT2 group in the change in left atrial strain over time in post-catheter ablation patients with atrial fibrillation complicated by chronic heart failure, and the non-inferiority of the ARNI/SGLT2 group in the prognosis of chronic heart failure over the ARNI/SGLT2 group. The purpose of this study is to prospectively evaluate the non-inferiority of the ARNI/SGLT2 group to the non-ARNI/SGLT2 group in terms of prognosis of chronic heart failure.

Basic objectives2

Efficacy

Basic objectives -Others


Trial characteristics_1


Trial characteristics_2


Developmental phase



Assessment

Primary outcomes

(1) Change in left atrial strain (reservoir strain, conduit strain, contractile strain) at 6 months after enrollment
Composite endpoint consisting of all-cause mortality and heart failure hospitalization at 6 months after enrollment

Key secondary outcomes



Base

Study type

Interventional


Study design

Basic design

Parallel

Randomization

Randomized

Randomization unit

Individual

Blinding

Open -no one is blinded

Control

Active

Stratification


Dynamic allocation


Institution consideration


Blocking


Concealment



Intervention

No. of arms

2

Purpose of intervention

Treatment

Type of intervention

Medicine

Interventions/Control_1

Prescription of SacbitrilValsaltan and Dapagliflogin in addition to other heart failure treatment

Interventions/Control_2

No medication or heart failure medications other than sacubitril valsartan and dapagliflozin

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

Patients must be free of AF recurrence at 6 months after the last catheter ablation for paroxysmal or persistent AF and have chronic heart failure.

Key exclusion criteria

Patients with left ventricular ejection fraction < 50%, prior cardiac surgery, unstable heart failure, patients under 20 years of age or of childbearing potential, patients already taking sacubitril valsartan and dapagliflozin, and patients who are judged by the attending physician to be difficult to use heart failure drugs in this study Patients with hypotension with systolic blood pressure < 100 mmHg, renal dysfunction with eGFR < 30 mL/min/1.73 m2 or creatinine clearance < 30 mL/min, hyperkalemia with potassium level > 5.0 mEq/L, diabetes requiring insulin injection or oral hypoglycemic agents), and Other cases deemed inappropriate by the attending physician

Target sample size

140


Research contact person

Name of lead principal investigator

1st name Masaharu
Middle name
Last name Masuda

Organization

Kansai Rosai Hospital

Division name

Cardiovascular center

Zip code

6608511

Address

Inabaso3-1-69, Amagasaki, Hyogo, Japan

TEL

0664161221

Email

masuda101@gmail.com


Public contact

Name of contact person

1st name Masaharu
Middle name
Last name Masuda

Organization

Kansai Rosai Hospital

Division name

Cardiovascular center

Zip code

6620066

Address

3-1-69 Inabaso, Amagasaki, Japan

TEL

0664161221

Homepage URL


Email

masuda101@gmail.com


Sponsor or person

Institute

Kansai Rosai Hospital

Institute

Department

Personal name

Masaharu Masuda


Funding Source

Organization

None

Organization

Division

Category of Funding Organization

Other

Nationality of Funding Organization



Other related organizations

Co-sponsor


Name of secondary funder(s)



IRB Contact (For public release)

Organization

Ethics committee of Kansai Rosai Hospital

Address

Inabaso 3-1-69, Amagasaki

Tel

0664161221

Email

masuda101@gmail.com


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

2024 Year 12 Month 22 Day


Related information

URL releasing protocol


Publication of results

Unpublished


Result

URL related to results and publications


Number of participants that the trial has enrolled


Results


Results date posted


Results Delayed


Results Delay Reason


Date of the first journal publication of results


Baseline Characteristics


Participant flow


Adverse events


Outcome measures


Plan to share IPD


IPD sharing Plan description



Progress

Recruitment status

Preinitiation

Date of protocol fixation

2024 Year 01 Month 17 Day

Date of IRB

2024 Year 01 Month 23 Day

Anticipated trial start date

2024 Year 12 Month 22 Day

Last follow-up date

2026 Year 09 Month 01 Day

Date of closure to data entry


Date trial data considered complete


Date analysis concluded



Other

Other related information



Management information

Registered date

2024 Year 12 Month 21 Day

Last modified on

2024 Year 12 Month 21 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000064602