- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT05836987
The Rhythm Evaluation for AntiCoagulaTion With Continuous Monitoring of Atrial Fibrillation (REACT-AF)
REACT-AF: Rhythm Evaluation for AntiCoagulaTion With Continuous Monitoring of Atrial Fibrillation
Study Overview
Status
Conditions
Intervention / Treatment
Detailed Description
REACT-AF is a prospective, unblinded, randomized (1:1 allocation), multi-center, investigational clinical trial of men and women aged 22-85 with a documented history of symptomatic or asymptomatic paroxysmal or persistent (AF) and a moderate risk of stroke measured by CHA2DS2-VASc score 1-4 for men, 2-4 for women (which stands for Congestive heart failure, Hypertension, Age ≥75 (doubled), Diabetes, Stroke (doubled), Vascular disease, age 65 to 74 and sex category (female)). Participants randomized to the experimental arm (on demand DOAC) will take the participants DOAC for 30 consecutive days following a qualifying AF episode (i.e., greater than1 hour) detected by the AFSW. Participants randomized to the standard of care (control) arm will remain on previously prescribed continuous DOAC throughout the study.
A total of 5350 participants will be enrolled across up to 100 study sites targeting two-thirds academic and one-third private practices, with academic practices also enrolling from affiliated community sites. The investigators anticipate evaluating 7643 consented individuals with external monitoring to ensure that a low AF burden population will be randomized. Up to 200 participants may be enrolled at any one site, and participation will last up to 60 months.
Study Type
Enrollment (Estimated)
Phase
- Phase 3
Contacts and Locations
Study Contact
- Name: Shea Smith
- Phone Number: 650-724-6211
- Email: sgluhm@stanford.edu
Study Locations
-
-
Arizona
-
Phoenix, Arizona, United States, 85006
- Recruiting
- Banner University
-
Principal Investigator:
- Roderick Tung, MD
-
Contact:
- Raeven Maxwell
- Email: raeven.maxwell@bannerhealth.com
-
Contact:
- Herisse Sabulao
- Email: herisse.sabulao@bannerhealth.com
-
-
California
-
Los Angeles, California, United States, 90033
- Recruiting
- University of Southern California - Keck School of Medicine
-
Principal Investigator:
- Junaid Zaman, MD
-
Contact:
- Stephanie Chao
- Phone Number: (323) 442-0750
- Email: Stephanie.Chao@med.usc.edu
-
Contact:
- Rohit Varma
- Email: RohitVarma.Penmetsa@med.usc.edu
-
Los Angeles, California, United States, 90095
- Recruiting
- University of California Los Angeles (UCLA Health)
-
Contact:
- Monserrath Campos
- Email: monserrathcampos@mednet.ucla.edu
-
Principal Investigator:
- David Cho, MD
-
Sacramento, California, United States, 95817
- Recruiting
- UC Davis Health
-
Principal Investigator:
- Uma Srivatsa
-
Contact:
- Edward Lingayo
- Email: lingayo@health.ucdavis.edu
-
San Diego, California, United States, 92103
- Recruiting
- Scripps Health
-
Principal Investigator:
- Evan Muse
-
Contact:
- Janet Lawrence
- Email: Lawrence.Janet@scrippshealth.org
-
San Francisco, California, United States, 94115
- Not yet recruiting
- Kaiser Permanente
-
Contact:
- Quyen Chau
- Email: Quyen.X.Chau@kp.org
-
Contact:
- Annie Lei
- Email: Annie.X.Lei@kp.org
-
Principal Investigator:
- Robert Hayward, MD
-
Stanford, California, United States, 94305
- Recruiting
- Stanford University
-
Principal Investigator:
- Alexander Perino
-
Contact:
- Anna Schonhorn
- Email: aschon@stanford.edu
-
-
Colorado
-
Aurora, Colorado, United States, 80045
- Recruiting
- University of Colorado
-
Contact:
- Megan Collett
- Phone Number: 970-624-1581
- Email: megan.collett@uchealth.org
-
Principal Investigator:
- Amar Trivedi
-
Littleton, Colorado, United States, 80120
- Recruiting
- South Denver Cardiology Associates, P.C.
-
Principal Investigator:
- Srikanth Sundaram
-
Contact:
- Kathrin Siegel
- Phone Number: 303-703-2162
- Email: ksiegel@southdenver.com
-
-
District of Columbia
-
Washington D.C., District of Columbia, United States, 20032
- Recruiting
- St. Elizabeth's Medical Center
-
Contact:
- Rina Vaquerano
- Phone Number: 617-789-2023
- Email: rina.vaquerano@steward.org
-
Principal Investigator:
- John Wylie
-
Washington D.C., District of Columbia, United States, 20037
- Withdrawn
- Medical Faculty Associates George Washington University
-
-
Florida
-
Clearwater, Florida, United States, 33759
- Recruiting
- BayCare Health Systems
-
Contact:
- Karen Herring
- Phone Number: 280209 813-875-9000
- Email: karen.herring@baycare.org
-
Principal Investigator:
- Shalin Shah
-
Gainesville, Florida, United States, 32611
- Recruiting
- University of Florida
-
Principal Investigator:
- Mohammed Ruzieh, MD
-
Contact:
- Walter Erikson
- Email: erikson.walter@medicine.ufl.edu
-
Contact:
- Vanessa Scheuble
- Email: vanessa.scheuble@medicine.ufl.edu
-
Jacksonville, Florida, United States, 32224
- Recruiting
- Mayo Clinic
-
Principal Investigator:
- Andrew Tseng, MD
-
Contact:
- Pamela Wong
- Phone Number: 904-953-8551
- Email: WongLucio.Pamela@mayo.edu
-
Miami, Florida, United States, 33136
- Recruiting
- University of Miami - Leonard S. Miller SOM
-
Contact:
- Carmen Maria Baez-Garcia
- Phone Number: 305-243-3845
- Email: cbaezgarcia@med.miami.edu
-
Principal Investigator:
- Alex Velasquez, MD
-
Sarasota, Florida, United States, 34236
- Recruiting
- Sarasota Memorial Health Care System
-
Contact:
- Colleen Lindner
- Email: Colleen-Lindner@smh.com
-
Contact:
- Jennifer Jordan
- Email: Jennifer-Jordan@smh.com
-
Principal Investigator:
- Dilip Mathew, MD
-
Stuart, Florida, United States, 34994
- Withdrawn
- Cleveland Clinic Florida
-
Winter Haven, Florida, United States, 33881
- Recruiting
- Baycare Health Systems Clearwater
-
Contact:
- Amanda Steadham
- Phone Number: 201409 863-293-1121
- Email: Amanda.Steadham@baycare.org
-
Contact:
- Lynda Argenzio
- Phone Number: 201410 863-293-1121
- Email: lynda.argenzio@baycare.org
-
Principal Investigator:
- Rodrigo Bolanos, MD
-
-
Georgia
-
Atlanta, Georgia, United States, 30332
- Recruiting
- Emory University
-
Contact:
- Thomas Preiser
- Email: tpreise@emory.edu
-
Contact:
- Jovita Brevard
- Phone Number: jovita.johnson@emory.edu
-
Principal Investigator:
- Michael Lloyd
-
Warner Robins, Georgia, United States, 31093
- Recruiting
- Georgia Arrhythmia Consultants and Research Institute
-
Principal Investigator:
- Feliz Sogade, MD
-
Contact:
- Heather Maschenik
- Email: hmaschenik@gacri.com
-
-
Illinois
-
Chicago, Illinois, United States, 60612
- Recruiting
- Rush University Medical Center
-
Contact:
- Nusrat Jahan
- Phone Number: 312-942-1630
- Email: nusrat_jahan@rush.edu
-
Principal Investigator:
- Annabelle Volgman, MD
-
Contact:
- Christine Radochonski
- Email: Christine_Radochonski@rush.edu
-
Chicago, Illinois, United States, 60637
- Recruiting
- University of Chicago
-
Contact:
- Shahram Sarrafi
- Email: ssarrafi1@uchicagomedicine.org
-
Principal Investigator:
- Cevher Ozcan, MD
-
Contact:
- Kie Ng
- Email: kie@bsd.uchicago.edu
-
Chicago, Illinois, United States, 60611
- Recruiting
- Northwestern University
-
Principal Investigator:
- Bradley Knight
-
Contact:
- CTU Regulatory Team
- Email: cturegulatoryteam@nm.org
-
Chicago, Illinois, United States, 60660
- Recruiting
- Loyola University Chicago
-
Contact:
- Nancy Schoenecker
- Phone Number: 708-216-2646
- Email: nschoenecker@luc.edu
-
Contact:
- Jean Del Priore
- Phone Number: (708) 216-2644
- Email: jdelpri@luc.edu
-
Principal Investigator:
- Peter Santucci, MD
-
Chicago, Illinois, United States, 60607
- Recruiting
- University of Illinois Chicago
-
Principal Investigator:
- David Sanders
-
Contact:
- Muriel Chen
- Email: yining@uic.edu
-
Elk Grove Village, Illinois, United States, 60007
- Recruiting
- Alexian Brothers Health System
-
Principal Investigator:
- Taral Patel, MD
-
Contact:
- Michelle Garcia
- Email: michelle.garcia5@ascension.org
-
Contact:
- Jeanine Pilat
- Email: jeanine.pilat@ascension.org
-
Evanston, Illinois, United States, 60201
- Recruiting
- Northshore University Healthsystem
-
Contact:
- Marisa Durante
- Phone Number: 847-570-2125
- Email: mdurante@northshore.org
-
Principal Investigator:
- Jeremiah Wasserlauf, MD
-
Naperville, Illinois, United States, 60540
- Recruiting
- Midwest Cardiovascular Institute
-
Contact:
- Josilyn Klimek
- Email: Josilyn.klimek@cardio.com
-
Principal Investigator:
- Moeen Saleem
-
-
Indiana
-
Indianapolis, Indiana, United States, 46260
- Recruiting
- Ascension St. Vincent
-
Contact:
- Regina Margiotti
- Phone Number: 317-583-6151
- Email: regina.margiotti@ascension.org
-
Contact:
- Ann Renick
- Phone Number: (317) 338-6152
- Email: anne.renick@ascension.org
-
Principal Investigator:
- Eric Prystowsky
-
-
Iowa
-
Iowa City, Iowa, United States, 52242
- Recruiting
- University of Iowa Hospitals and Clinics
-
Contact:
- Trisha Elliott
- Phone Number: 319-384-1628
- Email: trisha-elliott@uiowa.edu
-
Principal Investigator:
- Peter Farjo
-
-
Maine
-
Scarborough, Maine, United States, 04074
- Recruiting
- Maine Medical Partners MaineHealth Cardiology
-
Principal Investigator:
- Jordan Leyton-Mange, MD
-
Contact:
- Hilary Curtis
- Phone Number: 207-303-1571
- Email: hilary.curtis@mainehealth.org
-
Contact:
- Brenda Galsgow
- Phone Number: (207) 303-1304
- Email: brenda.glasgow@mainehealth.org
-
-
Maryland
-
Baltimore, Maryland, United States, 21218
- Recruiting
- Johns Hopkins Univeristy
-
Contact:
- Michele Martucci
- Phone Number: 410-502-0517
- Email: mmill148@jhmi.edu
-
Principal Investigator:
- Hugh Calkins
-
Contact:
- Natalie Horstman
- Email: nhorstm3@jhu.edu
-
-
Massachusetts
-
Boston, Massachusetts, United States, 02115
- Recruiting
- Brigham and Women's Hospital
-
Principal Investigator:
- Paul Zei, MD
-
Contact:
- Daniela Hincapie Tabres
- Email: dhincapietabares@bwh.harvard.edu
-
Contact:
- Obadah Aloum
- Email: OALOUM@BWH.HARVARD.EDU
-
Boston, Massachusetts, United States, 02215
- Recruiting
- Beth Israel Deaconess Medical Center
-
Contact:
- Jenifer M Kaufman
- Phone Number: 617-632-8956
- Email: jmkaufma@bidmc.harvard.edu
-
Contact:
- Patricia Tyler
- Phone Number: (617) 632-7727
- Email: ptyler@bidmc.harvard.edu
-
Principal Investigator:
- Peter Zimetbaum, MD
-
Boston, Massachusetts, United States, 02118
- Recruiting
- Boston Medical Center
-
Contact:
- Laura Gavrilles
- Phone Number: 617-638-8718
- Email: laura.gavrilles@bmc.org
-
Principal Investigator:
- Robert Helm
-
Boston, Massachusetts, United States, 02111
- Recruiting
- Tufts Medical Center
-
Principal Investigator:
- Christopher Madias, MD
-
Contact:
- Juan Carlos Collado Falcon
- Email: Juan.Carlos.Collado.Falcon@tuftsmedicine.org
-
Contact:
- Abena Adwetewa-Badu
- Email: Abena.Adwetewa-Badu@tuftsmedicine.org
-
Boston, Massachusetts, United States, 02114
- Not yet recruiting
- Mass General Hospital
-
Contact:
- Kristen Steinmetz
- Phone Number: 781-424-7184
- Email: ksteinmetz@mgh.harvard.edu
-
Principal Investigator:
- Eugene Chung
-
Boston, Massachusetts, United States, 02135
- Recruiting
- BMC - Brighton
-
Contact:
- Rina Vaquerano
- Phone Number: 617-789-2023
- Email: rina.vaquerano@steward.org
-
Principal Investigator:
- Alena Goldman, MD
-
Burlington, Massachusetts, United States, 01805
- Recruiting
- Lahey Hospital & Medical Center
-
Contact:
- Jean Byrne
- Phone Number: 781-744-1901
- Email: jean.byrne@lahey.org
-
Principal Investigator:
- Matthew Reynolds
-
Worcester, Massachusetts, United States, 01655
- Active, not recruiting
- UMass Chan Medical School
-
-
Michigan
-
Detroit, Michigan, United States, 48202
- Recruiting
- Henry Ford Health
-
Contact:
- Briita Wanhala
- Phone Number: 313-916-9575
- Email: bwanhal1@hfhs.org
-
Contact:
- Danielle Delmotte
- Phone Number: (313) 916-9575
- Email: ddelmot2@hfhs.org
-
Principal Investigator:
- Marc Lahiri
-
Grand Rapids, Michigan, United States, 49503
- Recruiting
- Corewell Health (Former Spectrum Health)
-
Contact:
- Lisa Van Loo
- Phone Number: 616-391-3327
- Email: lisa.vanloo@spectrumhealth.org
-
Contact:
- Jose Gavina
- Email: jose.gavina@corewellhealth.org
-
Principal Investigator:
- Sanjay Dandamudi
-
Grand Rapids, Michigan, United States, 49503
- Recruiting
- Trinity Health Grand Rapids/Mercy Health
-
Principal Investigator:
- Muhammad Farooq, MD
-
Contact:
- Nicolina Evola
- Email: Nicolina.evola@trinity-health.org
-
Contact:
- Melissa Brown-Culbertson
- Phone Number: 616-685-6326
- Email: melissa.brown-culbertson@trinity-health.org
-
Royal Oak, Michigan, United States, 48073
- Recruiting
- William Beaumont Hospital
-
Principal Investigator:
- Nishaki Mehta
-
Contact:
- Lisa Carney
- Phone Number: 248-898-5589
- Email: lisa.carney2@corewellhealth.org
-
Ypsilanti, Michigan, United States, 48197
- Recruiting
- Trinity Health Michigan Heart - Ann Arbor
-
Contact:
- Autumn Howe
- Email: ahowe@michiganheart.com
-
Principal Investigator:
- Mohammad-Ali Jazayeri
-
-
Minnesota
-
Duluth, Minnesota, United States, 55812
- Active, not recruiting
- Essentia Health The Duluth Clinic
-
Minneapolis, Minnesota, United States, 55455
- Recruiting
- University of Minnesota
-
Contact:
- Julie Dicken
- Phone Number: 612-408-4316
- Email: dicke022@umn.edu
-
Contact:
- Maddy Chopp
- Phone Number: (612) 626-7041
- Email: Chopp015@umn.edu
-
Principal Investigator:
- Lin Yee Chen, MD
-
Minneapolis, Minnesota, United States, 55415
- Recruiting
- Hennepin Healthcare Research Institute
-
Principal Investigator:
- Gautam Shroff, MD
-
Contact:
- Sahil Thummar
- Email: sthummar@bermancenter.org
-
Minneapolis, Minnesota, United States, 55407
- Recruiting
- Minneapolis Heart Institute Foundation
-
Principal Investigator:
- John Zakaib
-
Contact:
- Andrew Garner
- Phone Number: 612-863-3818
- Email: andrew.garner@allina.com
-
Contact:
- Julianne Feola
- Phone Number: 612-683-6066
- Email: julianne.feola@allina.com
-
-
Missouri
-
Kansas City, Missouri, United States, 64108
- Withdrawn
- University Health Truman Medical Center
-
St Louis, Missouri, United States, 63110
- Recruiting
- Washington University School of Medicine
-
Principal Investigator:
- Thomas Maddox, MD
-
Contact:
- Sharon Heuerman
- Email: sheuerman@wustl.edu
-
Contact:
- Kyle Smith
- Email: kyle.smith1@wustl.edu
-
-
New Jersey
-
Flemington, New Jersey, United States, 08822
- Recruiting
- Advanced Heart and Vascular Institute of Hunterdon
-
Principal Investigator:
- Andrey Espinoza, MD
-
Contact:
- Alexis Bellafiore
- Phone Number: 908-291-3405
- Email: abellafiore@ahvi-nj.com
-
Contact:
- Jessica Senatore
- Email: jsenatore@ahvi-nj.com
-
Hackensack, New Jersey, United States, 07601
- Recruiting
- Hackensack Meridian Health
-
Contact:
- Patricia Arakelian
- Phone Number: 551-996-5722
- Email: Patricia.Arakelian@hmhn.org
-
Principal Investigator:
- Tanya Glotzer
-
Contact:
- Jennifer Baxter
- Phone Number: (551)996-3775
-
Piscataway, New Jersey, United States, 08854
- Recruiting
- Rutgers, The State University of New Jersey
-
Principal Investigator:
- Partho Sengupta
-
Contact:
- Glaucia Dos Santos-Vaccaro
- Phone Number: 732-235-6117
- Email: gd301@rwjms.rutgers.edu
-
Ridgewood, New Jersey, United States, 07450
- Recruiting
- The Valley Hospital, Inc.
-
Principal Investigator:
- Suneet Mittal
-
Contact:
- RoseMarie Hroncich
- Phone Number: 201-447-8453
- Email: rhronci@valleyhealth.com
-
-
New Mexico
-
Albuquerque, New Mexico, United States, 87102
- Recruiting
- University of New Mexico Health Sciences Center
-
Principal Investigator:
- Abinash Achrekar, MD
-
Contact:
- Elvia Padilla
- Email: EPadillaMendez@salud.unm.edu
-
Contact:
- Noela Garcia-Soberanez
- Email: NGarciaSoberanez@salud.unm.edu
-
Albuquerque, New Mexico, United States, 87106
- Active, not recruiting
- Presbyterian Healthcare Services
-
-
New York
-
Buffalo, New York, United States, 14214
- Recruiting
- University at Buffalo
-
Contact:
- Courtney Bishop
- Phone Number: 716-888-4859
- Email: cabishop@buffalo.edu
-
Principal Investigator:
- Anne Curtis, MD
-
Contact:
- Cassandra Davern
- Phone Number: (716)881-8299
- Email: cadavern@buffalo.edu
-
New York, New York, United States, 10016
- Recruiting
- NYU Langone Health
-
Principal Investigator:
- Joseph Germano, MD
-
Contact:
- Mollie Machado
- Phone Number: 516-663-8638
- Email: mollie.machado@nyulangone.org
-
New York, New York, United States, 10032
- Recruiting
- Columbia University Medical Center
-
Principal Investigator:
- Angelo Biviano
-
Contact:
- Raghd Ahmed
- Phone Number: 347-400-9812
- Email: ria2120@cumc.columbia.edu
-
New York, New York, United States, 10065
- Recruiting
- Weill Medical College of Cornell University
-
Contact:
- Dolores Reynolds
- Phone Number: 212-746-4617
- Email: dtr2001@med.cornell.edu
-
Principal Investigator:
- Jim Cheung, MD
-
Contact:
- Penn Collins
- Phone Number: gpc4001@med.cornell.edu
-
Queens, New York, United States, 11355
- Recruiting
- NewYork Presbyterian - Queens
-
Contact:
- Jackson Ng
- Phone Number: 718-607-2944
- Email: jan9044@nyp.org
-
Principal Investigator:
- Joon Hyuk Kim
-
Staten Island, New York, United States, 10305
- Recruiting
- Staten Island University Hospital-Northwell Health
-
Contact:
- Alexandra Pantea
- Phone Number: 718-226-6438
- Email: apantea@northwell.edu
-
Principal Investigator:
- Rina Shah, MD
-
Stony Brook, New York, United States, 11794
- Recruiting
- Stony Brook University
-
Contact:
- Melanie Rooney
- Phone Number: 631-444-6967
- Email: melanie.rooney@stonybrookmedicine.edu
-
Contact:
- Michelle Xikis
- Email: Michele.xikis@stonybrookmedicine.edu
-
Principal Investigator:
- Eric Rashba, MD
-
Valhalla, New York, United States, 10595
- Recruiting
- Westchester Medical Center
-
Principal Investigator:
- Jason Jacobson
-
Contact:
- Erida Castro-Rivas
- Email: Erida.Castro@wmchealth.org
-
Contact:
- Allyson Pulsoni
- Email: allyson.pulsoni@wmchealth.org
-
White Plains, New York, United States, 10601
- Recruiting
- White Plains Hospital
-
Contact:
- Aileen Ferrick
- Phone Number: 914-849-2690
- Email: aferrick@wphospital.org
-
Principal Investigator:
- James Peacock
-
Contact:
- Uloma Ijomah
- Phone Number: (914) 849-2690
- Email: uijomah@wphospital.org
-
-
North Carolina
-
Chapel Hill, North Carolina, United States, 27599
- Recruiting
- University of North Carolina
-
Contact:
- Meghan Allen
- Email: meghme@med.unc.edu
-
Principal Investigator:
- Anil Gehi, MD
-
Contact:
- Elias Wen
- Phone Number: (919)843-8644
- Email: elias_wen@med.unc.edu
-
Winston-Salem, North Carolina, United States, 27157
- Recruiting
- Wake Forest Baptist Health
-
Principal Investigator:
- Prashant Bhave
-
Contact:
- Keishia Rodriguez
- Email: kyrodrig@wakehealth.edu
-
Contact:
- Mohammed Mostafa
- Email: mmostafa@wakehealth.edu
-
-
Ohio
-
Cincinnati, Ohio, United States, 45267
- Recruiting
- University of Cincinnati College of Medicine
-
Principal Investigator:
- Richard Becker
-
Contact:
- Elias Shamieh
- Phone Number: 513-558-4721
- Email: shamiees@ucmail.uc.edu
-
Cincinnati, Ohio, United States, 45219
- Recruiting
- The Lindner Center for Research and Education at The Christ Hospital
-
Contact:
- Anne Voorhorst
- Phone Number: 513-585-1777
- Email: anne.voorhorst@thechristhospital.com
-
Contact:
- Rebecca Harper
- Phone Number: (513) 585-1777
- Email: RebeccaM.Harper@thechristhospital.com
-
Principal Investigator:
- Daniel Pelchovitz, MD
-
Columbus, Ohio, United States, 43210
- Recruiting
- Ohio State University Medical Center
-
Principal Investigator:
- Salvatore Savona, MD
-
Contact:
- Adrianne Miller
- Phone Number: 614-688-8252
- Email: adrianne.miller3@osumc.edu
-
Contact:
- Kalyn Ferguson
- Phone Number: (614)292-5462
- Email: kalyn.ferguson@osumc.edu
-
Columbus, Ohio, United States, 43214
- Recruiting
- OhioHealth Research Institute
-
Contact:
- Reem Bekheet
- Phone Number: 937-218-3542
- Email: reem.bekheet@ohiohealth.com
-
Principal Investigator:
- Eugene Fu, MD
-
Wooster, Ohio, United States, 44691
- Recruiting
- Wooster Community Hospital
-
Contact:
- Erica Stahl
- Phone Number: 330-263-8359
- Email: estahl@wchosp.org
-
Principal Investigator:
- Cyril Ofori, MD
-
-
Oklahoma
-
Oklahoma City, Oklahoma, United States, 73104
- Recruiting
- University of Oklahoma Health Sciences Center
-
Principal Investigator:
- Stavros Stavrakis, MD
-
Contact:
- Aurora Vera
- Email: aurora-vera@ouhsc.edu
-
Contact:
- Kylie Ricci
- Email: kylie-ricci@ouhsc.edu
-
-
Pennsylvania
-
Paoli, Pennsylvania, United States, 19301
- Not yet recruiting
- Cardiology Consultants of Philadelphia
-
Contact:
- Hope Bernhardy
- Phone Number: 267-479-5325
- Email: hopeb@ccpdocs.com
-
Principal Investigator:
- Colin Movsowitz, MD
-
Philadelphia, Pennsylvania, United States, 19144
- Recruiting
- Thomas Jefferson University
-
Principal Investigator:
- Daniel Frisch, MD
-
Contact:
- Ashley Borgella
- Phone Number: 267-226-8085
- Email: ashley.borgella@jefferson.edu
-
Pittsburgh, Pennsylvania, United States, 15212
- Recruiting
- Allegheny Singer Research Institute
-
Contact:
- Caitlin Phalunas
- Phone Number: 412-359-3747
- Email: caitlin.phalunas@ahn.org
-
Principal Investigator:
- Amit Thosani
-
Contact:
- Elizabeth Belden
- Phone Number: (412)359-3512
- Email: elizabeth.belden@ahn.org
-
Wyomissing, Pennsylvania, United States, 19610
- Recruiting
- Penn State Health Medical Group Berks Cardiology
-
Contact:
- Emese Futchko
- Phone Number: 610-685-8500
- Email: efutchko@pennstatehealth.psu.edu
-
Contact:
- Michelle Feltenberger
- Phone Number: (610) 685-8500
- Email: mfeltenberger@pennstatehealth.psu.edu
-
Principal Investigator:
- Ronald Polinsky, MD
-
-
Rhode Island
-
Providence, Rhode Island, United States, 02903
- Recruiting
- Rhode Island Hospital
-
Principal Investigator:
- Estelle Torbey, MD
-
Contact:
- Kelly Franchetti
- Phone Number: 401-444-9828
- Email: kfranchetti@brownhealth.org
-
-
South Carolina
-
Charleston, South Carolina, United States, 29425
- Recruiting
- Medical University of South Carolina
-
Principal Investigator:
- Rachel Kaplan
-
Contact:
- Krista Szymanski
- Phone Number: 843-876-6846
- Email: szymankr@musc.edu
-
Columbia, South Carolina, United States, 29204
- Recruiting
- MUSC Health Heart and Vascular
-
Contact:
- Jacqueline Sheriod-Scott
- Phone Number: 803-254-3278
- Email: sheriods@musc.edu
-
Principal Investigator:
- Venkateshwar Gottipaty, MD
-
-
Texas
-
Austin, Texas, United States, 78705
- Recruiting
- Texas Cardiac Arrhythmia Research Foundation
-
Contact:
- Deb Cardinal
- Phone Number: 512-431-4868
- Email: dscardinal@austinheartbeat.com
-
Principal Investigator:
- Amin Al Ahmad
-
Dallas, Texas, United States, 75390
- Recruiting
- University of Texas Southwestern Medical Center
-
Contact:
- Vukile Mlambo
- Phone Number: 214-648-3112
- Email: vukile.mlambo@utsouthwestern.edu
-
Principal Investigator:
- Mark Link, MD
-
Houston, Texas, United States, 77030
- Recruiting
- Baylor College of Medicine
-
Principal Investigator:
- Mihail Chelu, MD
-
Contact:
- Stephen Harold
- Phone Number: 713-798-7227
- Email: harold@bcm.edu
-
Houston, Texas, United States, 77030
- Recruiting
- Houston Methodist Hospital
-
Principal Investigator:
- Miguel Valderrabano, MD
-
Contact:
- Chinwe Ngumezi
- Phone Number: 346-238-0290
- Email: ccngumezi@houstonmethodist.org
-
Houston, Texas, United States, 77030
- Recruiting
- University of Texas Health Science Center at Houston
-
Contact:
- Mary Pierce
- Email: mary.h.pierce@uth.tmc.edu
-
Contact:
- Vickie Ramirez
- Email: vickie.m.ramirez@uth.tmc.edu
-
Principal Investigator:
- Siddharth Mukerji, MD
-
-
Utah
-
Salt Lake City, Utah, United States, 84112
- Recruiting
- University of Utah
-
Contact:
- Andy Rivera
- Phone Number: 801-213-4099
- Email: andy.rivera@hsc.utah.edu
-
Principal Investigator:
- Marc Engels, MD
-
-
Virginia
-
Charlottesville, Virginia, United States, 22903
- Recruiting
- University of Virginia
-
Principal Investigator:
- Rohit Malhotra
-
Contact:
- Cathy Roy
- Phone Number: 434-825-5677
- Email: cjp6t@virginia.edu
-
Richmond, Virginia, United States, 23284
- Recruiting
- Virginia Commonwealth University
-
Principal Investigator:
- Kenneth Ellenbogen
-
Contact:
- Anya Baranova
- Email: Anna.Baranova2@vcuhealth.org
-
Richmond, Virginia, United States, 23229
- Recruiting
- James River Cardiology
-
Contact:
- Janet Barrett
- Phone Number: 305-705-4111
- Email: Janet.Barrett@alignedcardio.com
-
Principal Investigator:
- Shaival Kapadia, MD
-
-
Washington
-
Tacoma, Washington, United States, 98405
- Recruiting
- St. Joseph Medical Center Tacoma
-
Contact:
- Boyoung Moore
- Email: boyoung.moore@vmfh.org
-
Principal Investigator:
- Nasir Shariff
-
-
Wisconsin
-
Madison, Wisconsin, United States, 53706
- Recruiting
- University of Wisconsin
-
Contact:
- Karen Olson
- Email: kjolson@medicine.wisc.edu
-
Principal Investigator:
- Jennifer Wright, MD
-
Contact:
- Emma Rolf
- Phone Number: (608)262-6950
- Email: erolf@medicine.wisc.edu
-
Milwaukee, Wisconsin, United States, 53226
- Recruiting
- Medical College of Wisconsin Froedtert Hospital
-
Contact:
- Debbi Hoff
- Email: dhoff@mcw.edu
-
Principal Investigator:
- Jason Rubenstein
-
-
Participation Criteria
Eligibility Criteria
Ages Eligible for Study
- Adult
- Older Adult
Accepts Healthy Volunteers
Description
Inclusion Criteria:
- 22-85 years of age.
- English speaking participants. Spanish-only speakers may be included in the future at select sites appropriately translated.
- History of non-permanent atrial fibrillation.
- CHA2DS2-VASC score of 1-4 for men and 2-4 for women without prior stroke or Transient Ischemic Attack (TIA), The CHA2DS2-VASc score is a point-based system used to stratify the risk of stroke in Atrial Fibrillation (AF) patients. The acronym CHA2DS2-VASc stands for congestive heart failure, hypertension, age ≥75 (doubled), diabetes, stroke (doubled), vascular disease, age 65 to 74 and sex category (female). Congestive heart failure defined as: The presence of signs and symptoms of either right (elevated central venous pressure, hepatomegaly, dependent edema) or left ventricular failure (exertional dyspnea, cough, fatigue, orthopnea, paroxysmal nocturnal dyspnea, cardiac enlargement, rales, gallop rhythm, pulmonary venous congestion) or both, confirmed by non-invasive or invasive measurements demonstrating objective evidence of cardiac dysfunction and/or ejection fraction < 40%.
- The participant is on a DOAC at the time of screening and willing to stay on DOAC for duration of study.
Willing and able to comply with the protocol, including:
- Possession of a smart watch-compatible smart phone (iPhone that supports the latest shipping iOS) with a cellular service plan
- Be willing to wear the smart watch for the suggested minimum of 14 hours a day
- Expected to be within cellular service range at least 80% of the time
- Willing and able to discontinue DOAC
- The participant is willing and able to provide informed consent.
Exclusion Criteria:
- Valvular or permanent atrial fibrillation.
- Current treatment with warfarin and unwilling or unable to take a DOAC.
- The participant is a woman who is pregnant or nursing.
- The participant is being treated with chronic aspirin, another anti-platelet agent, or chronic NSAIDS outside of current medical guidelines (e.g., primary stroke prevention in patients with atrial fibrillation, primary prevention of cardiovascular events, pain relief, fever, gout) and is unwilling or unable to discontinue use for the study duration.
- Existing cardiac rhythm device or indication for a permanent pacemaker, Implantable Cardioverter-Defibrillator (ICD) or Cardiac Resynchronization Therapy (CRT) device or planned insertable cardiac monitor. Insertable cardiac monitors are permitted unless they are being used to guide anticoagulation treatment.
- Known or suspected symptomatic or asymptomatic atrial fibrillation lasting ≥ 1 hour/month over the last 3 months.
- Any documented single AF episode lasting ≥ 1 hour on standard of care or study-provided external cardiac monitor of > 6 days duration performed within 45 days prior to randomization. Shorter monitoring durations may be acceptable for inclusion at the discretion of the site PI based on the totality of monitoring data and approval of the study PI.
- Ablation for AF within the last 2 months.
- Prior or anticipated left atrial appendage occlusion or ligation.
- Mechanical prosthetic valve(s) or severe valve disease.
- Hypertrophic cardiomyopathy.
- Participant needs DOAC for reasons other than preventing stroke or arterial embolism resulting from AF (i.e., preventing Deep Vein Thrombosis (DVT) or PE) or needs permanent OAC (i.e., congenital heart defects, prosthetic heart valve).
- Participants deemed high risk for non-cardioembolic stroke (i.e., significant carotid artery disease defined as stenosis > 75%) based on the investigator's discretion.
- The participant is enrolled, has participated within the last 30 days, or is planning to participate in a concurrent drug and/or device study during the course of this clinical trial. Co-enrollment in concurrent trials is only allowed with documented pre-approval from the study manager; there is no concern that co-enrollment could confound the results of this trial.
- The participant has a tattoo, birthmark, or surgical scar over the dorsal wrist area on the ipsilateral side that the AFSW may be worn.
- The participant has a tremor on their ipsilateral side that the AFSW may be worn.
- Any concomitant condition that, in the investigator's opinion, would not allow safe participation in the study (e.g., drug addiction, alcohol abuse).
- Known hypersensitivity or contraindication to direct oral anticoagulants.
- Documented prior stroke (ischemic or hemorrhagic) or transient ischemic attack.
- Reversible causes of AF (e.g., cardiac surgery, pulmonary embolism, untreated hyperthyroidism). AF ablation does not constitute reversible AF.
- > 5% burden of premature atrial or ventricular depolarizations on pre-enrollment cardiac monitoring.
- History of atrial flutter that has not been treated with ablation (participants in atrial flutter and have been ablated are eligible for enrollment).
- Stage 4 or 5 chronic kidney disease.
Conditions associated with an increased risk of bleeding:
- Major surgery in the previous month
- Planned surgery or intervention in the next three months that would require cessation of anticoagulation > 2 weeks.
- History of intracranial, intraocular, spinal, retroperitoneal, or atraumatic intra- articular bleeding
- Gastrointestinal hemorrhage within the past year unless the cause has been permanently eliminated (e.g., by surgery)
- Symptomatic or endoscopically documented gastroduodenal ulcer disease in the previous 30 days
- Hemorrhagic disorder or bleeding diathesis
- Need for anticoagulant treatment for disorders other than AF
- Uncontrolled hypertension (Systolic Blood Pressure >180 mmHg and/or Diastolic Blood Pressure >100 mmHg)
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Prevention
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: Single
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
|---|---|
|
Experimental: AFSW Guided DOAC
All participants randomized to the experimental arm will be provided with an AFSW that will be linked to the participants Apple watch and the secure REACT-AF app within the Eureka cloud.
The AFSW will intermittently and passively assess for rhythm irregularities consistent with AF and notify the wearer and coordinating center if a threshold AF event has occurred.
|
The AFSW will intermittently and passively assess for rhythm irregularities consistent with AF and notify the wearer and coordinating center if a threshold AF event has occurred.
Other Names:
|
|
Active Comparator: Continuous DOAC therapy
All participants randomized to the control arm will remain on previously prescribed FDA-approved DOAC regimen as indicated by current practice standards.
These participants will continuously take DOAC through the course of the study as prescribed by the participants primary physician unless otherwise contraindicated.
Participants in the control arm will also use the REACT-AF mobile app within the Eureka platform via Apple watch for study follow-up activities, but the participants will not receive an AFSW and any personally owned Apple Watch will not be loaded with the customized REACT-AF detection algorithm nor participant notification apps.
|
DOACs will be prescribed to patients according to the treating healthcare provider(s) according to labeling instructions.
Other Names:
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
To assess whether AFSW-guided, time-delimited DOAC therapy is non-inferior to continuous DOAC therapy for a composite endpoint that includes: (1) Ischemic stroke; (2) Systemic embolism; (3) All-cause mortality.
Time Frame: At 60 months
|
The primary objective (efficacy objective) of the REACT-AF trial is to assess whether AFSW-guided, time-delimited DOAC therapy is non-inferior to continuous DOAC therapy for a composite endpoint that includes: (1) Ischemic stroke; (2) Systemic embolism; and (3) All-cause mortality. Stroke is defined as an acute episode of focal or global neurological dysfunction caused by brain, spinal cord, or retinal vascular injury as a result of hemorrhage or infarction; and classified as ischemic, hemorrhagic, or cause unknown based on CT or Magnetic Resonance (MR) scanning or autopsy. Systemic embolism is defined as an acute vascular occlusion of the extremities or any organ and must be documented by angiography, surgery, scintigraphy, or autopsy and require hospitalization. All-cause mortality will be defined as the underlying disease or injury that initiates the train of events resulting in death. |
At 60 months
|
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
To assess whether AFSW-guided, time-delimited DOAC therapy significantly reduces major bleeding events compared to continuous DOAC therapy.
Time Frame: At 60 months
|
Oral anticoagulation carries a risk of major bleeding, including life-threatening hemorrhage, the intervention is expected to reduce the safety endpoint, major bleeding, by > 35%, and the study is powered for the superiority of the safety endpoint. Major bleeding will be defined as requiring hospitalization and by ≥1 of the following International Society on Thrombosis and Haemostasis (ISTH) criteria: (1) Bleeding associated with a reduction in hemoglobin level of at least 2.0 g/dL; (2) Bleeding leading to transfusion of at least two units of blood or packed cells; or (3) Symptomatic bleeding in a critical area or organ such as intraocular, intracranial, intraspinal or intramuscular with compartment syndrome, retroperitoneal bleeding, intra-articular bleeding, or pericardial bleeding. |
At 60 months
|
Collaborators and Investigators
Sponsor
Investigators
- Principal Investigator: Rod Passman, Northwestern University
- Principal Investigator: Dan Hanley, Johns Hopkins University
Study record dates
Study Major Dates
Study Start (Actual)
Primary Completion (Estimated)
Study Completion (Estimated)
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (Actual)
Study Record Updates
Last Update Posted (Actual)
Last Update Submitted That Met QC Criteria
Last Verified
More Information
Terms related to this study
Keywords
Additional Relevant MeSH Terms
Other Study ID Numbers
- IRB00354588
- 1U24HL165066-01 (U.S. NIH Grant/Contract)
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
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