Atrial fibrillation and congestive heart failure (AF-CHF) study

ISRCTN ISRCTN84858671
DOI https://doi.org/10.1186/ISRCTN84858671
ClinicalTrials.gov number NCT00597077
Secondary identifying numbers MCT-41552
Submission date
26/09/2005
Registration date
26/09/2005
Last edited
14/07/2014
Recruitment status
No longer recruiting
Overall study status
Completed
Condition category
Circulatory System
Prospectively registered
Protocol
Statistical analysis plan
Results
Individual participant data

Plain English summary of protocol

Not provided at time of registration

Contact information

Dr Denis Roy
Scientific

Montreal Heart Institute
5000 Belanger Street East
Montreal
H1T 1C8
Canada

Phone +1 514 376 3330 ext. 3652
Email d_roy@icm-mhi.com

Study information

Study designRandomised controlled trial
Primary study designInterventional
Secondary study designRandomised controlled trial
Study setting(s)Hospital
Study typeTreatment
Scientific titleRestoring and maintaining sinus rhythm versus rate control treatment strategy to reduce cardiovascular mortality in patients with atrial fibrillation and congestive heart failure: a randomised controlled trial
Study acronymAF-CHF
Study objectivesRestoring and maintaining sinus rhythm reduces cardiovascular mortality (instead of 'improves survival') compared to a rate control treatment strategy in patients with AF and CHF.
Ethics approval(s)Comité d'éthique de la recherche et du développement des nouvelles technologies, Institut de Cardiologie de Montréal, 05/04/2001
Health condition(s) or problem(s) studiedAtrial fibrillation, congestive heart failure
Intervention1. Restoring and maintaining sinus rhythm compared to a rate control treatment strategy
2. Resting electrocardiogram (ECG) and a 6-minute walk test
3. Electrical cardioversion
4. Pacemaker implantation

Trial details received: 12 Sept 2005
Intervention typeOther
Primary outcome measureCardiovascular death during follow-up which will end for all patients on 30/06/2007
Secondary outcome measures1. Total mortality
2. Stroke
3. Hospitalisation
4. Quality of life
5. Cost of therapy
6. Composite endpoint of cardiovascular death and stroke
Overall study start date01/10/2000
Completion date30/09/2007

Eligibility

Participant type(s)Patient
Age groupAdult
SexBoth
Target number of participants1375
Key inclusion criteria1. Symptomatic CHF (New York Heart Association [NYHA] class II - IV) at some time during the 6 months before randomisation (instead of '3 months')
2. Aged greater than or equal to 50 years old, either sex
3. Left ventricular ejection fraction less than or equal to 35%
4. History of significant atrial fibrillation
5. Patients must be eligible for long term treatment with either treatment strategy of AF
6. AF is known to be present and uninterrupted for greater than 12 months prior to randomisation
Key exclusion criteria1. Reverse cause of AF such as acute pericarditis, pulmonary embolism, hyperthyroidism, alcohol intoxication
2. Unstable (pulmonary oedema, hypoperfusion) decompensated CHF
3. Antiarrhythmic drugs other than calcium channel blockers, beta-blockers or digoxin required for other arrhythmias or indications
4. Atrial fibrillation occurring and not persisting beyond 10 days after surgery or myocardial infarction
5. Second or third degree AV block, sinus pause greater than 3 seconds, resting heart rate less than 50 bpm without a permanent pacemaker
6. History of drug-induced or congenital long QT syndrome
7. Reversible causes of CHF such as severe aortic or mitral stenosis and tachycardia-induced cardiomyopathy
8. Prior AV nodal ablation or maze surgery
9. Probable cardiac transplantation in the next 6 months
10. Chronic renal failure requiring dialysis
11. Women of childbearing potential and not on a reliable method of birth control
Date of first enrolment01/10/2000
Date of final enrolment30/09/2007

Locations

Countries of recruitment

  • Canada
  • Israel
  • United States of America

Study participating centre

Montreal Heart Institute
Montreal
H1T 1C8
Canada

Sponsor information

Montreal Heart Institute (Canada)
Research organisation

5000 est, rue Bélanger
Montréal
H1T 1C8
Canada

Website http://www.icm-mhi.org
ROR logo "ROR" https://ror.org/03vs03g62

Funders

Funder type

Research organisation

Canadian Institutes of Health Research (CIHR) (Canada) - http://www.cihr-irsc.gc.ca (ref: MCT-41552)

No information available

Results and Publications

Intention to publish date
Individual participant data (IPD) Intention to shareNo
IPD sharing plan summaryNot provided at time of registration
Publication and dissemination planNot provided at time of registration
IPD sharing plan

Study outputs

Output type Details Date created Date added Peer reviewed? Patient-facing?
Protocol article protocol 01/10/2002 Yes No
Results article results 19/06/2008 Yes No
Results article results 01/02/2014 Yes No