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CompletedNCT00192972Updated Dec 22, 2005

A Randomized Trial of the Ostial Versus the Extra-Ostial Ablation Strategy for Atrial Fibrillation

An interventional study of Catheter ablation (pulmonary vein isolation) in Atrial Fibrillation and Arrhythmia, sponsored by Rigshospitalet, Denmark. Completed at 1 site in Denmark. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2005-12-22.

Sponsored by Rigshospitalet, Denmark · Not applicable, Interventional, and Educational/counseling/training

Phase
Not applicable
Study type
Interventional
Enrollment
100
Allocation
Randomized
Ages
18 Years and older
Sex
All
01

Study summary

Both segmental, ostial and circumferential, extra-ostial pulmonary vein (PV) isolation have been proven effective in the treatment of atrial fibrillation.

In this study patients with symptomatic paroxystic or persistent AF were randomised to one of the above mentioned ablation methods. The primary endpoints were recurrent AF and recurrence of left atrium-PV conduction.

Read the detailed description

Both segmental, ostial and circumferential, extra-ostial pulmonary vein (PV) isolation have been proven effective in the treatment of atrial fibrillation.

In this study with symptomativ paroxystic or persistent AF were randomised to one of the above mentioned ablation methods. Each patient was allowed a maximum of two ablation procedures. Holter monitoring for 14-days periods will be performed at 3 months after ablation. The patiens are seen at out-patient visits at 1, 3, 6, 9, and 12 months after the ablation procedure.

Primary endpoints were recurrent AF and recurrence of left atrium-PV conduction.

Secondary endpoints were:

  • safety
  • resumption of LA-PV conduction
  • alterations in neurohormones
  • socio-economics aspects(cost effectiveness)
  • changes in inflammatory markers
  • quality of life
  • alterations in signal averaged P wawe signals
  • evaluation of the predictive value of these variables to predict recurrence of AF
02

Conditions studied

  • Atrial Fibrillation
  • Arrhythmia

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Keywords

  • Catheter ablation
  • Atrial fibrillation
03

In context

Atrial Fibrillation

3,870 studies on the registry are indexed under Atrial Fibrillation; 924 are open to participants now.

This study's enrollment of 100 is below the median of 144 across 2,380 interventional studies indexed under Atrial Fibrillation.

Browse Atrial Fibrillation studies →

Lead sponsor

Rigshospitalet, Denmark is the lead sponsor of 1,017 studies on the registry; 183 are open to participants now.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

  • symptomatic paroxysmal or persistent AF for more than 6 months, with at least 3 episodes in 3 months and with insufficient effect of at least 2 pharmacological regimens

Exclusion criteria

Exclusion Criteria:

  • congenital heart disease
  • age under 18 years
  • significant valve disease
  • left atrial size > 55 mm
  • prior ablation for AF
  • Severe heart failure (LVEF \< 20 % and/or NYHA class IV)
05

Study design

Phase
Not applicable
Primary purpose
Educational/counseling/training
Allocation
Randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
100 participants

Interventions

  • ProcedureCatheter ablation (pulmonary vein isolation)
06

What researchers measure

Primary outcomes

  1. overall efficacy (= freedom from symptomatic, ECG documented AF or organized LA tachycardia (with a duration of > 10 min) without receiving antiarrhythmic medication)

Secondary outcomes

  1. - safety

  2. - resumption of LA-PV conduction

  3. - neurohormones

  4. - socio-economics (cost effectiveness)

  5. - inflammatory markers

  6. - quality of life

  7. - signal averaged P wave signals-

07

Study locations

1 site
  • Righospitalet, Copenhagen University Hospital
    Copenhagen, DK-2199, Denmark
08

References and documents

Publications

  • Oral H, Chugh A, Lemola K, Cheung P, Hall B, Good E, Han J, Tamirisa K, Bogun F, Pelosi F Jr, Morady F. Noninducibility of atrial fibrillation as an end point of left atrial circumferential ablation for paroxysmal atrial fibrillation: a randomized study. Circulation. 2004 Nov 2;110(18):2797-801. doi: 10.1161/01.CIR.0000146786.87037.26. Epub 2004 Oct 25. PubMed 15505091 ↗
09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Dec 22, 2005, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
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Registry details

Key details

Study ID
NCT00192972
Lead sponsor
Rigshospitalet, Denmark
Collaborators
Medtronic, Biosense Webster, Inc., Abbott Medical Devices, Guidant Corporation
First posted
Sep 19, 2005
Start date
Nov 2002
Completion
Jun 2005
Last update
Dec 22, 2005

Study contacts

Brian Nilsson, MD
principal investigator · Rigshospitalet, Denmark
Xu Chen, MD
principal investigator · Righospitalet, Copenhagen, Denmark
Steen M Pehrson, MD
principal investigator · Righospitalet, Copenhagen, Denmark
Lars Køber, MD
principal investigator · Righospitalet, Copenhagen, Denmark
Jørgen Hilden, MD
principal investigator · Department of biostatistics, University of Copenhagen
Jesper H Svendsen, MD
principal investigator · Righospitalet, Copenhagen, Denmark
View the source record on ClinicalTrials.gov ↗

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This study is completed, as verified in Nov 2003. You cannot join it, but the record below documents what was studied.

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