UMIN-ICDS Clinical Trial

Unique ID issued by UMIN UMIN000059696
Receipt number R000068281
Scientific Title Efficacy of ablation for combining focal activation and stable high-frequent activity using continuous wavelet transform analysis in persistent Atrial Fibrillation
Date of disclosure of the study information 2025/11/11
Last modified on 2025/11/08 13:16:45

* This page includes information on clinical trials registered in UMIN clinical trial registed system.
* We don't aim to advertise certain products or treatments


Basic information

Public title

Efficacy of ablation for combining focal activation and stable high-frequent activity using continuous wavelet transform analysis in persistent Atrial Fibrillation

Acronym

Efficacy of ablation for combining focal activation and stable high-frequent activity using continuous wavelet transform analysis in persistent Atrial Fibrillation

Scientific Title

Efficacy of ablation for combining focal activation and stable high-frequent activity using continuous wavelet transform analysis in persistent Atrial Fibrillation

Scientific Title:Acronym

Efficacy of ablation for combining focal activation and stable high-frequent activity using continuous wavelet transform analysis in persistent Atrial Fibrillation

Region

Japan


Condition

Condition

Atrial Fibrillation

Classification by specialty

Cardiology

Classification by malignancy

Others

Genomic information

NO


Objectives

Narrative objectives1

In patients with persistent atrial fibrillation undergoing catheter ablation, this study aims to determine whether identifying and ablating atrial fibrillation substrates based on focal trigger activity and frequency analysis can improve clinical outcomes. Patients will be randomly assigned to either an ablation (energy delivery) group or a non-ablation group to compare the efficacy and safety of the two strategies.

Basic objectives2

Safety,Efficacy

Basic objectives -Others


Trial characteristics_1


Trial characteristics_2


Developmental phase



Assessment

Primary outcomes

The primary endpoint is the absence of atrial fibrillation without the use of antiarrhythmic drugs for one year after the procedure.

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

Maneuver

Interventions/Control_1

ablation for combining focal activation and stable high-frequent activity using continuous wavelet transform analysis

Interventions/Control_2

no ablation for combining focal activation and stable high-frequent activity using continuous wavelet transform analysis

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

90 years-old >=

Gender

Male and Female

Key inclusion criteria

(1) Patients diagnosed with non-valvular persistent atrial fibrillation who are able to attend regular outpatient visits.
(2) Patients aged 20 years or older at the time of obtaining consent (regardless of sex).
(3) Patients who have provided written informed consent.

Key exclusion criteria

(1) Patients with a confirmed diagnosis of mitral stenosis.
(2) Patients with prosthetic heart valves (mechanical or bioprosthetic).
(3) Patients who have experienced a cardiovascular event (stroke, myocardial infarction, non-infarction cardiac intervention, or heart failure requiring hospitalization) or bleeding requiring hospitalization within one month prior to enrollment.
(4) Patients diagnosed with a life expectancy of less than one year due to any disease.
(5) Patients with left atrial thrombus.
(6) Patients with a left atrial diameter greater than 55 mm.
(7) Patients with a history of catheter ablation.
(8) Patients unable to continue anticoagulant therapy.
(9) Pregnant patients.
(10) Patients with thyroid dysfunction requiring treatment.
(11) Patients with active malignancy.
(12) Patients deemed unsuitable for participation in the study by the attending physician.

Target sample size

147


Research contact person

Name of lead principal investigator

1st name Koji
Middle name
Last name Kumagai

Organization

Tohoku Medical and Pharmaceutical University

Division name

Department of Cardiovascular Medicine

Zip code

983-8536

Address

1-15-1, Fukumuro, Miyaginoku Sendai, Miyagi, Japan

TEL

022-259-1221

Email

kkumagai4917@yahoo.co.jp


Public contact

Name of contact person

1st name Koji
Middle name
Last name Kumagai

Organization

Tohoku Medical and Pharmaceutical University

Division name

Department of Cardiovascular Medicine

Zip code

983-8536

Address

1-15-1, Fukumuro, Miyaginoku Sendai, Miyagi, Japan

TEL

022-259-1221

Homepage URL


Email

kkumagai4917@yahoo.co.jp


Sponsor or person

Institute

Tohoku Medical and Pharmaceutical University

Institute

Department

Personal name



Funding Source

Organization

Tohoku Medical and Pharmaceutical University

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

Institutional Review Board of Tohoku Medical and Pharmaceutical University Hospital

Address

1-12-1, Fukumuro, Miyaginoku Sendai, Miyagi, Japan

Tel

022-259-1221

Email

research@hosp.tohoku-mpu.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

2025 Year 11 Month 11 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

Open public recruiting

Date of protocol fixation

2025 Year 03 Month 31 Day

Date of IRB

2025 Year 03 Month 31 Day

Anticipated trial start date

2025 Year 03 Month 31 Day

Last follow-up date

2027 Year 12 Month 31 Day

Date of closure to data entry


Date trial data considered complete


Date analysis concluded



Other

Other related information



Management information

Registered date

2025 Year 11 Month 08 Day

Last modified on

2025 Year 11 Month 08 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/icdr_e/ctr_view.cgi?recptno=R000068281