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Trial · NCT07899918

Registered outcomes20

Each outcome the trial registered, primary first, in ClinicalTrials.gov's words.

ListOutcomeTime frameDescription
PrimaryBetween-group difference in atrial-arrhythmia burdenFrom the end of the 8-week blanking period through 12 months and before any crossover ablation
Between-group difference in atrial-arrhythmia burden, defined as the percentage of analyzable ILR time spent in atrial arrhythmia, measured during off-AAD intervals from the end of the 8-week blanking period through 12 months and before any crossover ablation, comparing PV re-isolation plus Marshall-plan strategy versus PV re-isolation alone.
SecondaryNumber of Participants with Freedom from Atrial Arrhythmia after 1 Ablation Procedure without Antiarrhythmic Drugs (AAD)From the end of the 8-week blanking period through 12 months and before any crossover ablation1\. Freedom from AF/AT/AFL ≥30 s at 12 months (after 8-week blanking period), centrally adjudicated
SecondaryArrhythmia burden during off-AAD follow-up time and before any crossover ablationFrom the end of the 8-week blanking period through 12 months and before any crossover ablationArrhythmia burden during off-AAD follow-up time and before any crossover ablation, with additional sensitivity analyses accounting for DC cardioversion and repeat ablation.
SecondaryArrhythmia burden between groups in patients on AADFrom the end of the 8-week blanking period through 12 months and before any crossover ablation
SecondaryBetween-group difference in atrial-arrhythmia burden, percent of analyzable time in AF/AT/AFL by ILR measured irrespective of the AAD useFrom the end of the blanking period (week 8) through 12 months, comparing PV re-isolation + Marshall-plan vs PV re-isolation only.
SecondaryDifferences in arrhythmia burden without blanking period.Through 12 months, comparing PV re-isolation + Marshall-plan vs PV re-isolation only.
SecondaryTotal procedure timeDuring the index procedure
SecondaryTotal fluoroscopy timeDuring the index procedure
SecondaryFreedom from DC cardioverted atrial arrhythmiaAt 6 and 12 months
SecondaryFreedom from atrial fibrillationAt 6 and 12 months
SecondaryNumber of DC-cardioverted atrial arrhythmiaFrom the end of the blanking period (week 8) through 12 months, comparing PV re-isolation + Marshall-plan vs PV re-isolation only.
SecondaryBurden analysis adjusted for the number of post-blanking DC cardioversionsFrom the end of the blanking period (week 8) through 12 months, comparing PV re-isolation + Marshall-plan vs PV re-isolation only.
SecondarySensitivity analysis excluding ILR time after any repeat ablation.Up to 12 months after the index procedure
SecondaryFreedom from any repeat ablation procedureThrough 12 months
SecondaryComposite adverse eventsFrom the index procedure through 12 months of follow-up
SecondaryThe primary safety endpoint would be any adverse event related to ablationFrom the index procedure through 12 months of follow-up
SecondaryDifferences in AF and atrial tachycardia burden between the two randomization groups (ILR) and possible predictors of this differenceFrom the index procedure through 12 months of follow-up
SecondaryLA size, morphology, and function from echocardiographic and CT imaging dataAt the index procedure
SecondaryHRQoL measured with ASTA12 months after ablation
SecondaryCorrelation between arrhythmia burden and HRQoL/symptomsAt 12 months after ablation

Source ClinicalTrials.govtrials-2026-11-12-0.5.0

Sources 3

  • ClinicalTrials.gov's posted results, through CTTI's AACTFreely available. Acknowledgement requested
  • ClinicalTrials.govNo license stated
  • NIH RePORTER's clinical studies and project filesPublic domain
Each source's terms
  • ClinicalTrials.gov's posted results, through CTTI's AACTClinicalTrials.gov data via Aggregate Analysis of ClinicalTrials.gov (AACT), CTTI. CTTI makes its materials freely available and requests acknowledgement. https://aact.ctti-clinicaltrials.org/documentation/299
  • ClinicalTrials.govnone stated
  • NIH RePORTER's clinical studies and project filesPublic domain (NIH RePORTER)

ClinicalTrials.gov's data carry an international copyright outside the United States: https://clinicaltrials.gov/about-site/terms-conditions.

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