- ICH GCP
- Rejestr badań klinicznych w USA
- Badanie kliniczne NCT07928622
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)
Przegląd badań
Status
Warunki
Interwencja / Leczenie
Typ studiów
Zapisy (Szacowany)
Faza
- Faza 2
Kontakty i lokalizacje
Kontakt w sprawie studiów
- Nazwa: Alexandra BIETTE
- Numer telefonu: 0456589886
- E-mail: ABiette@chu-grenoble.fr
Kopia zapasowa kontaktu do badania
- Nazwa: Isabelle BOUDRY
- Numer telefonu: 04 76 76 66 45
- E-mail: IBoudry@chu-grenoble.fr
Lokalizacje studiów
-
-
Isère
-
Grenoble, Isère, Francja, 38000
- Chu Grenoble Alpes
-
Główny śledczy:
- Pascal DEFAYE, Pr
-
Kontakt:
- Pr Pascal DEFAYE
- Numer telefonu: 0476766823
- E-mail: PDefaye@chu-grenoble.fr
-
Kontakt:
- Sarah LIMON
- Numer telefonu: 0476766823
- E-mail: Slimon@chu-grenoble.fr
-
Pod-śledczy:
- Sandrine VENIER, Dr
-
Pod-śledczy:
- Peggy JACON, Dr
-
Pod-śledczy:
- Adrien CARABELLI, Dr
-
-
Rhone
-
Bron, Rhone, Francja, 69500
- Hopital Louis Pradel
-
Kontakt:
- Pr Philippe CHEVALIER
- Numer telefonu: 0472357565
- E-mail: philippe.chevalier@chu-lyon.fr
-
Kontakt:
- Carine AKNINE
- Numer telefonu: 0427857747
- E-mail: carine.aknine@chu-lyon.fr
-
Główny śledczy:
- Philippe CHEVALIER, Pr
-
Pod-śledczy:
- Kevin GARDEY, Dr
-
-
Kryteria uczestnictwa
Kryteria kwalifikacji
Wiek uprawniający do nauki
Akceptuje zdrowych ochotników
Płeć kwalifikująca się do nauki
Opis
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 studiów
Jak projektuje się badanie?
Szczegóły projektu
- Główny cel: Zapobieganie
- Przydział: Randomizowane
- Model interwencyjny: Przydział równoległy
- Maskowanie: Brak (otwarta etykieta)
Broń i interwencje
Grupa uczestników / Arm |
Interwencja / Leczenie |
|---|---|
|
Brak interwencji: Standard of care
patients treated with usual care (Standard of Care) |
|
|
Eksperymentalny: 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)
Inne nazwy:
|
Co mierzy badanie?
Podstawowe miary wyniku
Miara wyniku |
Opis środka |
Ramy czasowe |
|---|---|---|
|
Effectiveness of inhaled hydrogen therapy on early recurrences of atrial fibrillation post-ablation and on the improvement of quality of life at 3 months
Ramy czasowe: 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
|
Miary wyników drugorzędnych
Miara wyniku |
Opis środka |
Ramy czasowe |
|---|---|---|
|
Number of hospitalizations or electrical cardioversions or pharmacological cardioversions during the blanking period (3 months)
Ramy czasowe: 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
Ramy czasowe: 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
Ramy czasowe: 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
Ramy czasowe: 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
Ramy czasowe: 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)
Ramy czasowe: 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
Ramy czasowe: Day 2 after ablation
|
Custom hetero-questionnaire on the acceptability of hydrogen therapy treatment by healthcare providers |
Day 2 after ablation
|
Współpracownicy i badacze
Sponsor
Współpracownicy
Śledczy
- Główny śledczy: Pascal DEFAYE, Pr, CHU Grenoble Alpes
Daty zapisu na studia
Główne daty studiów
Rozpoczęcie studiów (Szacowany)
Zakończenie podstawowe (Szacowany)
Ukończenie studiów (Szacowany)
Daty rejestracji na studia
Pierwszy przesłany
Pierwszy przesłany, który spełnia kryteria kontroli jakości
Pierwszy wysłany (Rzeczywisty)
Aktualizacje rekordów badań
Ostatnia wysłana aktualizacja (Rzeczywisty)
Ostatnia przesłana aktualizacja, która spełniała kryteria kontroli jakości
Ostatnia weryfikacja
Więcej informacji
Terminy związane z tym badaniem
Słowa kluczowe
Inne numery identyfikacyjne badania
- 38RC22.0404
- 2024-520131-33-00 (Ctis)
Informacje o lekach i urządzeniach, dokumenty badawcze
Bada produkt leczniczy regulowany przez amerykańską FDA
Bada produkt urządzenia regulowany przez amerykańską FDA
produkt wyprodukowany i wyeksportowany z USA
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