Reversal of Atrial Substrate to Prevent Atrial Fibrillation Cohort Study
NCT06249269 · Status: RECRUITING · Type: OBSERVATIONAL · Enrollment: 198
Last updated 2025-12-02
Summary
Atrial fibrillation (AF) is a major health problem, with a prevalence of 0.4-1% of the population. It results in high healthcare costs and significant morbidity, especially for patients with severe symptoms. The RASTA-AF randomized control trial (RCT) is designed to answer the following question: does vigorous treatment of AF with aggressive risk factor management plus catheter ablation reduce AF-related outcomes as compared to catheter ablation plus usual care in patients with symptomatic AF and risk factors that promote AF.
This study is a multicenter, prospective cohort study that will enrol patients who decline participation in the RASTA-AF RCT but agree to be followed in a registry. The objective of RASTA-Cohort is to determine whether patients who decline participation in the RASTA-AF RCT have different clinical characteristics and quality of life than patients who accept participation in the study, and whether they suffer from worse AF-related outcomes than patients in the RCT.
Conditions
- Atrial Fibrillation, Paroxysmal or Persistent
Sponsors & Collaborators
-
Nova Scotia Health Research Fund
collaborator UNKNOWN -
Ratika Parkash
lead OTHER
Principal Investigators
-
Ratika Parkash, MD, FRCPC · Nova Scotia Health
Eligibility
- Min Age
- 18 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2024-05-01
- Primary Completion
- 2026-12-31
- Completion
- 2027-03-31
Countries
- Canada
Study Locations
More Related Trials
-
First-time Ablation of Atrial Fibrillation Registry
NCT06381245 ·Status: RECRUITING
-
Markers of Oxidative Stress Present in Left Atrial Appendage Tissue in Patients With Atrial Fibrillation
NCT00243802 ·Status: TERMINATED
-
Atrial Substrate Modification With Aggressive Blood Pressure Lowering to Prevent AF
NCT00438113 ·Status: COMPLETED ·Phase: PHASE4
-
Ranolazine for the Prevention of Atrial Fibrillation After Electrical Cardioversion
NCT01349491 ·Status: TERMINATED ·Phase: PHASE3
-
Outcome of Different Ablation Strategies In Persistent and Long-Standing Persistent Atrial Fibrillation
NCT02533843 ·Status: COMPLETED ·Phase: PHASE3
-
RAFT - Pace &Ablate
NCT06299514 ·Status: RECRUITING ·Phase: NA
-
Role of Cardiac Biomarkers in Prediction of Outcome in Atrial Fibrillation Patients Undergoing Catheter Ablation
NCT02208102 ·Status: COMPLETED
-
STOP Persistent AF PAS
NCT05005949 ·Status: ACTIVE_NOT_RECRUITING
-
Role of Subsequent Atrial Tachycardia in Mechanisms of Persistent AF
NCT01896570 ·Status: COMPLETED
-
Secondary Prevention of Atrial Fibrilation
NCT03259893 ·Status: TERMINATED ·Phase: NA
-
Pulsed Field Ablation (PFA) vs Anti-Arrhythmic Drug (AAD) Therapy as a First Line Treatment for Persistent Atrial Fibrillation
NCT06096337 ·Status: ACTIVE_NOT_RECRUITING ·Phase: NA
-
Prospective Elimination Of Distal Coronary Sinus-Left Atrial Connections for Atrial Fibrillation Ablation Trial
NCT03646643 ·Status: COMPLETED ·Phase: NA
-
Efficacy of Different Ablation Strategies for Controlling Atrial Fibrillation
NCT00379301 ·Status: COMPLETED ·Phase: NA
-
Phase III Tolerance and Efficacy Study of RSD1235 in Patients With Atrial Fibrillation
NCT00468767 ·Status: COMPLETED ·Phase: PHASE3
-
Ablation Verses Anti-arrhythmic Therapy for Reducing All Hospital Episodes From Recurrent Atrial Fibrillation
NCT02459574 ·Status: COMPLETED ·Phase: NA
-
A New Approach to Target the Substrates of Persistent Atrial Fibrillation: The Sequential Substrate Ablation Approach
NCT02654353 ·Status: COMPLETED ·Phase: PHASE4
-
Randomized Ablation-based AF Rhythm-control Versus Rate-control in Patients With HF and High-burden AF Extend
NCT05118893 ·Status: COMPLETED
-
Response to RSD1235 Compared to Placebo in Subjects With Atrial Arrhythmia After Heart Surgery
NCT00125320 ·Status: COMPLETED ·Phase: PHASE3
-
STOP Persistent AF
NCT03012841 ·Status: COMPLETED ·Phase: NA
-
New Causes and Predictors for the Development of Atrial Fibrillation and Its Complications
NCT01863979 ·Status: COMPLETED
-
Individualized Studies of Triggers of Paroxysmal Atrial Fibrillation
NCT03323099 ·Status: COMPLETED ·Phase: NA
-
Atrial Fibrillation Registry 2017
NCT05023590 ·Status: UNKNOWN ·Phase: NA
-
Substrate Ablation and Remodelling in Non-paroxysmal Atrial Fibrillation (AF)
NCT01445925 ·Status: UNKNOWN ·Phase: NA
-
REView of ProcEdural FactoRs and Outcomes After Atrial Fibrillation Ablation With Active Esophageal COOLing: A Sub-Study of the REAL AF Registry
NCT06354777 ·Status: ACTIVE_NOT_RECRUITING
-
STOP AF First Post-Approval Study
NCT05227053 ·Status: RECRUITING