Inhaled Hydrogen Therapy's Effect on Early Recurrences of Atrial Fibrillation Post-ablation. (H2-FA)
Inhaled Hydrogen Therapy's Effect on Early Recurrences of Atrial Fibrillation Post-ablation. Phase II, Multicenter, Randomized, Controlled, Open-label Clinical Trial
The goal of this clinical trial is to testing the perioperative inhaled hydrogen (H2) administration's effects during atrial fibrillation ablations (AF) to reduce both early and late recurrences associated with this procedure.
Researchers will compare H2 inhalation to the standard of care to see if we observe a reduction in AF recurrence after ablation but also a reduction in rehospitalizations or emergency visits for cardioversion, and consequently an improvement in quality of life.
Participants will:
- have an AF ablation associated to an hydrogen therapy or standard of care
- complete quality of life questionnaires
- record ECG on KardiaMobile©
- Keep a diary of their symptoms
- have a blood test
- have 2 follow-up visits (after 3 and 12 months) and 2 phone calls (after 6 and 9 months)
Descripción general del estudio
Estado
Estado
Condiciones
Condiciones
Intervención / Tratamiento
Intervención / Tratamiento
Tipo de estudio
Tipo de estudio
Inscripción (Estimado)
Inscripción
Fase
Fase
- Fase 2
Contactos y Ubicaciones
Estudio Contacto
Estudio Contacto
- Nombre: Alexandra BIETTE
- Número de teléfono: 0456589886
- Correo electrónico: ABiette@chu-grenoble.fr
Copia de seguridad de contactos de estudio
- Nombre: Isabelle BOUDRY
- Número de teléfono: 04 76 76 66 45
- Correo electrónico: IBoudry@chu-grenoble.fr
Ubicaciones de estudio
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Isère
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Grenoble, Isère, Francia, 38000
- Chu Grenoble Alpes
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Investigador principal:
- Pascal DEFAYE, Pr
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Contacto:
- Pr Pascal DEFAYE
- Número de teléfono: 0476766823
- Correo electrónico: PDefaye@chu-grenoble.fr
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Contacto:
- Sarah LIMON
- Número de teléfono: 0476766823
- Correo electrónico: Slimon@chu-grenoble.fr
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Sub-Investigador:
- Sandrine VENIER, Dr
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Sub-Investigador:
- Peggy JACON, Dr
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Sub-Investigador:
- Adrien CARABELLI, Dr
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Rhone
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Bron, Rhone, Francia, 69500
- Hopital Louis Pradel
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Contacto:
- Pr Philippe CHEVALIER
- Número de teléfono: 0472357565
- Correo electrónico: philippe.chevalier@chu-lyon.fr
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Contacto:
- Carine AKNINE
- Número de teléfono: 0427857747
- Correo electrónico: carine.aknine@chu-lyon.fr
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Investigador principal:
- Philippe CHEVALIER, Pr
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Sub-Investigador:
- Kevin GARDEY, Dr
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Criterios de participación
Criterio de elegibilidad
Criterio de elegibilidad
Edades elegibles para estudiar
Acepta Voluntarios Saludables
Géneros elegibles para el estudio
Descripción
Inclusion Criteria:
- Be over 18 years old
- Present with paroxysmal or persistent Atrial Fibrilation (AF) of less than 6 months with symptoms
- Be a candidate for a first-time AF ablation (cryoablation and electroporation)
- Understand and agree to comply with the study procedures
- Patient must have a smartphone
- Be enrolled in a social security scheme, or have equivalent rights
- Have signed the study consent form
Exclusion Criteria:
- Being over 80 years old
- Having a left atrial diameter ≥ 50mm on transthoracic echocardiography
- Radiofrequency ablation
- Having a history of AF ablation
- Patient on long-term anti-inflammatory treatment
- Patient with gas administration equipment (CPAP, NIV…)
- Woman of childbearing potential*
- Non-cooperative patient
- In the exclusion period for another study
- Persons covered by Articles L1121-5 to L1121-8 of the Public Health Code and Articles 31 to 35 of Regulation 536/2014 (corresponding to all protected persons: pregnant women, women in labor, breastfeeding mothers, persons deprived of liberty by judicial or administrative decision, persons receiving psychiatric care under Articles L. 3212-1 and L. 3213-1 who are not covered by the provisions of Article L. 1121-8, persons admitted to a healthcare or social facility for purposes other than research, minors, persons subject to legal protection measures or unable to give their consent).
- Staff with a hierarchical relationship with the principal investigator
Plan de estudios
¿Cómo está diseñado el estudio?
Detalles de diseño
- Propósito principal: Prevención
- Asignación: Aleatorizado
- Modelo Intervencionista: Asignación paralela
- Enmascaramiento: Ninguno (etiqueta abierta)
Número de brazos
Armas e Intervenciones
Grupo de participantes/brazoGrupo de participantes/brazo |
Intervención / TratamientoIntervención / Tratamiento |
|---|---|
|
Sin intervención: Standard of care
patients treated with usual care (Standard of Care) |
|
|
Experimental: H2
patient treated with inhaled hydrogen therapy during the perioperative period |
Patients treated with inhaled hydrogen therapy in the perioperative period (initiation of inhaled hydrogen therapy from hospital admission until discharge, except in the operating room) (dosage : H2/N2 3.6%/96.4%, 1 L/min 24 hours a day)
Otros nombres:
|
¿Qué mide el estudio?
Medidas de resultado primarias
Medidas de resultado primarias
Medida de resultado |
Medida Descripción |
Periodo de tiempo |
|---|---|---|
|
Effectiveness of inhaled hydrogen therapy on early recurrences of atrial fibrillation post-ablation and on the improvement of quality of life at 3 months
Periodo de tiempo: From baseline (before ablation) to 3 months after ablation
|
Composite binary endpoint, reported as the number of participants meeting both criteria: (1) no early recurrence during the blanking period (first 3 months after ablation), where recurrence is defined as any episode of atrial fibrillation, atrial flutter or atrial tachycardia lasting at least 30 seconds; AND (2) improvement in quality of life, defined as an improvement in quality of life, defined as an increase of at least 5 points in the AFEQT overall score (range 0-100; higher scores indicate better quality of life) between baseline and 3 months. |
From baseline (before ablation) to 3 months after ablation
|
Medidas de resultado secundarias
Medidas de resultado secundarias
Medida de resultado |
Medida Descripción |
Periodo de tiempo |
|---|---|---|
|
Number of hospitalizations or electrical cardioversions or pharmacological cardioversions during the blanking period (3 months)
Periodo de tiempo: From ablation to 3 months after ablation
|
Total number of hospitalizations or electrical cardioversions or pharmacological cardioversions occurring during the blanking period, i.e. the first 3 months after ablation. The three event types are summed into a single count per participant. |
From ablation to 3 months after ablation
|
|
Incidence of Late Atrial Fibrillation, Atrial Flutter or Atrial Tachycardia Recurrence Between 3 and 12 Months After Ablation
Periodo de tiempo: From 3 months to 12 months after ablation
|
Number of participants with late recurrence, defined as any episode of atrial fibrillation, atrial flutter or atrial tachycardia lasting at least 30 seconds on Holter or Kardia recording, or recorded on a 12-lead electrocardiogram, occurring more than 3 months and up to 12 months after ablation. |
From 3 months to 12 months after ablation
|
|
Change in White Blood Cell Count (WBC) from before ablation to 24 and 48 hours after ablation
Periodo de tiempo: 24 hours before ablation, 24 hours after ablation, and 48 hours after ablation
|
Change in blood white blood cell (WBC) count, measured in 10^9 cells/L, between 24 hours before ablation and 24 hours and 48 hours after ablation. |
24 hours before ablation, 24 hours after ablation, and 48 hours after ablation
|
|
Change in High-Sensitivity C-Reactive Protein (CRP) from before ablation to 24 and 48 hours after Ablation
Periodo de tiempo: 24 hours before ablation, 24 hours after ablation, and 48 hours after ablation
|
Change in blood high-sensitivity C-reactive protein (hs-CRP) concentration, measured in mg/L, between 24 hours before ablation and 24 hours and 48 hours after ablation. |
24 hours before ablation, 24 hours after ablation, and 48 hours after ablation
|
|
Change in Interleukin-6 from before ablation to 24 and 48 hours after Ablation
Periodo de tiempo: 24 hours before ablation, 24 hours after ablation, and 48 hours after ablation
|
Change in blood interleukin-6 (IL-6) concentration, measured in pg/mL, between 24 hours before ablation and 24 hours and 48 hours after ablation. |
24 hours before ablation, 24 hours after ablation, and 48 hours after ablation
|
|
Incidence of Adverse Events Graded by NCI-CTCAE Version 5.0 (Safety and Tolerability)
Periodo de tiempo: From the start of inhaled hydrogen therapy to 12 months after ablation
|
Number of participants with adverse events, described and graded using the National Cancer Institute Common Terminology Criteria for Adverse Events (NCI-CTCAE) version 5.0. Grades range from 1 (mild) to 5 (death related to adverse event); higher grades indicate more severe events. |
From the start of inhaled hydrogen therapy to 12 months after ablation
|
|
Evaluate the acceptability of hydrogen therapy treatment by healthcare providers
Periodo de tiempo: Day 2 after ablation
|
Custom hetero-questionnaire on the acceptability of hydrogen therapy treatment by healthcare providers |
Day 2 after ablation
|
Colaboradores e Investigadores
Patrocinador
Patrocinador
Colaboradores
Colaboradores
Investigadores
Investigadores
- Investigador principal: Pascal DEFAYE, Pr, CHU Grenoble Alpes
Fechas de registro del estudio
Fechas importantes del estudio
Inicio del estudio (Estimado)
Inicio del estudio
Finalización primaria (Estimado)
Finalización primaria
Finalización del estudio (Estimado)
Finalización del estudio
Fechas de registro del estudio
Enviado por primera vez
Enviado por primera vez
Primero enviado que cumplió con los criterios de control de calidad
Primero enviado que cumplió con los criterios de control de calidad
Publicado por primera vez (Actual)
Publicado por primera vez
Actualizaciones de registros de estudio
Última actualización publicada (Actual)
Última actualización publicada
Última actualización enviada que cumplió con los criterios de control de calidad
Última actualización enviada que cumplió con los criterios de control de calidad
Última verificación
Última verificación
Más información
Términos relacionados con este estudio
Palabras clave
Otros números de identificación del estudio
Otros números de identificación del estudio
- 38RC22.0404
- 2024-520131-33-00 (Ctis)
Información sobre medicamentos y dispositivos, documentos del estudio
Estudia un producto farmacéutico regulado por la FDA de EE. UU.
Estudia un producto de dispositivo regulado por la FDA de EE. UU.
producto fabricado y exportado desde los EE. UU.
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