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Ventricular TachycardiasPARTITANCT01547208

Does Timing of VT Ablation Affect Prognosis in Patients With an Implantable Cardioverter-defibrillator?

A study testing Immediate radiofrequency ablation of ventricular tachycardia and Radiofrequency ablation of ventricular tachycardia in people with Ventricular Tachycardias, run by IRCCS San Raffaele at 21 sites in 7 countries.

Unknown status

Status not confirmed. The sponsor has not verified this record for over two years, so it may be out of date.

Official record
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Trial summary

The purpose of this study is to assess whether the burden of untreated non-sustained ventricular tachycardias (VTs), or episodes treated with anti-tachycardia pacing, correlates with appropriate implantable cardiac defibrillator (ICD) shock therapies and to evaluate if the timing of radiofrequency VT ablation affects… Read more about this study

Who is it for?
Ages 18 years and older
Conditions the study is for
Ventricular Tachycardias
What is being tested?
Immediate radiofrequency ablation of ventricular tachycardia and Radiofrequency ablation of ventricular tachycardia
Type of treatment
Surgery or procedure
Could I receive a placebo?
No, everyone receives an active treatment
How many people
590 participants
Where
21 sitesin 7 countries
Study dates
Sep 2012to Sep 2022
Phase
Interventional
Are there results?
None posted in the registry

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 years and older
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Patients already implanted with ICD (single-/dual -chamber, with or without cardiac resynchronization therapy) for primary or secondary prevention of sudden cardiac death

Who cannot join

  • Phase A exclusion Criteria:
  • General contraindication to transcatheter ablation
  • Contraindication to antithrombotic therapy
  • Patients chronically treated with class I and III antiarrhythmic drugs
  • Phase B exclusion criteria:
  • Patients developing first occurrence of incessant VTs
  • Patients receiving a shock for first occurrence of clinically verified ventricular fibrillation
  • Patients with aetiology differing from ischemic heart disease for coronary artery disease and from non-ischemic dilatative cardiomyopathy

Trial locations and contacts

21 sites in 7 countries.

Andrea Radinovic contact

radinovic.andrea@hsr.it

Paolo Della Bella contact

dellabella.paolo@hsr.it

21 sites in 7 countries

Italy15 sites, 15 recruiting
  • Ospedale S. Donato

    Arezzo

    Pasquale Notarstefano

    Pasquale Notarstefano

    Recruiting
  • AO Policlinico di Bari

    Bari

    Giuseppe Grandinetti

    Giuseppe Grandinetti

    Not yet recruiting
  • Ospedale Brotzu

    Cagliari

    Gianfranco Tola

    Gianfranco Tola

    Recruiting
  • Osp. Fondazione Giovanni Paolo II

    Campobasso

    Matteo Santamaria

    Matteo Santamaria

    Recruiting
  • Ospedale Mater Domini

    Castellanza, Varese

    Massimo Tritto

    Massimo Tritto

    Recruiting
  • AO Pugliese Ciaccio

    Catanzaro

    Giampiero Maglia

    Giampiero Maglia

    Recruiting
  • Ospedale di Desio

    Desio, Milan

    Giuseppe Mantovani

    Giuseppe Mantovani

    Recruiting
  • Azienda Ospedaliera Sant'Antonio Abate

    Gallarate, Varese

    Daniela Orsida

    Daniela Orsida

    Recruiting
  • IRCCS San Raffaele

    Milan

    Andrea Radinovic, radinovic.andrea@hsr.it

    Paolo Della bella

    Recruiting
  • Ospedale di Mirano

    Mirano, Venice

    Franco Zoppo

    Franco Zoppo

    Not yet recruiting
  • Ospedale di Montebelluna

    Montebelluna, Treviso

    Diego Vaccari

    Diego Vaccari

    Recruiting
  • Fondazione G. Monasterio

    Pisa

    Marcello Piacenti

    Marcello Piacenti

    Recruiting
  • Policlinico Casilino

    Rome

    Alessio Borrelli

    Leonardo Calò

    Recruiting
  • Azienda Ospedaliera Valtellina e Valchiavenna

    Sondrio

    Maurizio Moizi

    Maurizio Moizi

    Recruiting
  • Ospedale Civile Maggiore

    Verona

    Giovanni Morani

    Giovanni Morani

    Recruiting

Other trials in Italy

Belgium1 site, 1 recruiting
  • Brussels Heart Center

    Brussels

    Gaetano Paparella

    Gaetano Paparella

    Not yet recruiting

Other trials in Belgium

Czechia1 site, 1 recruiting
  • IKEM Hospital

    Prague

    Josef Kautzner

    Josef Kautzner

    Not yet recruiting

Other trials in Czechia

France1 site, 1 recruiting
  • Hôpital cardiologique du Haut-Lévêque

    Bordeaux

    Pierre Jais

    Pierre Jais

    Recruiting

Other trials in France

Germany1 site, 1 recruiting
  • Herz und Gefass Klinik

    Bad Neustadt an der Saale

    Thomas Deneke

    Thomas Deneke

    Recruiting

Other trials in Germany

Portugal1 site, 1 recruiting
  • Centro Hospitalar Lisboa Norte, Hospital Universitário de Santa Maria

    Lisbon

    Luis Carpinteiro

    Luis Carpinteiro

    Recruiting

Other trials in Portugal

Switzerland1 site, 1 recruiting
  • Lausanne Hospital

    Lausanne

    Etienne P Pruvot

    Etienne Pruvot

    Recruiting

Other trials in Switzerland

About this study

The purpose of this study is to assess whether the burden of untreated non-sustained ventricular tachycardias (VTs), or episodes treated with anti-tachycardia pacing, correlates with appropriate implantable cardiac defibrillator (ICD) shock therapies and to evaluate if the timing of radiofrequency VT ablation affects the prognosis of ICD recipients.

Read the detailed description

Enrolled patients will remain in a first phase of the study until the first appropriate ICD shock will be delivered.

The objective of this first stage is to assess whether the burden of untreated non sustained VTs or episodes treated with anti-tachycardia pacing is predictive of appropriate ICD shocks.

The second phase of the study will start after the first appropriate ICD shock delivered for VT.

Patients will be then randomized to immediate VT ablation or to standard treatment, meaning waiting until next arrhythmic storm to perform a VT ablation procedure.

The objective of this phase is compare the rate of worsening heart failure hospitalizations and deaths from any cause between the two groups.

Being tested
Immediate radiofrequency ablation of ventricular tachycardia, Radiofrequency ablation of ventricular tachycardia
Keywords
ICD shocks, Ventricular tachycardias ablation, Timing of ablation, Electrical storm, Arrhythmic storm
Medical subject headings
Tachycardia, Ventricular

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • Immediate radiofrequency ablation of ventricular tachycardiaProcedure or surgery

    Radiofrequency ablation of ventricular tachycardia is performed immediately after an appropriate ICD shock

  • Radiofrequency ablation of ventricular tachycardiaProcedure or surgery

    Radiofrequency ablation of ventricular tachycardia will be performed after an arrhythmic storm occurs

Study groups in NCT01547208
Study groupRoleWhat they receive
Group AExperimentalPatients will be randomized to a VT ablation procedure immediately after an appropriate ICD shock
Receives: Procedure: Immediate radiofrequency ablation of ventricular tachycardia
Group BActive comparatorPatients will wait until an arrhythmic storm to undergo a VT ablation procedure
Receives: Procedure: Radiofrequency ablation of ventricular tachycardia

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Occurrence of the first appropriate ICD shock during phase A

    Measured: Event Driven

  2. Number of patients showing worsening heart failure hospitalizations or deaths from any cause during phase B

    Measured: Two Years

Secondary outcomes (3)
  1. Number of patients showing cardiac deaths during phase B

    Measured: Two Years

  2. Number of patients showing electrical storm (ES) recurrences during phase B

    Measured: Two Years

  3. Number of patients showing VT recurrences during phase B

    Measured: Two Years

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted7 Mar 2012 (estimated)
  2. Study startSep 2012
  3. Primary completionSep 2022 (estimated)
  4. Study completionSep 2022 (estimated)

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase N/A
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Masking
Single blind
Who is masked
Outcomes assessor
Enrolment
590 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT01547208
Sponsor's protocol ID
PARTITA
Acronym
PARTITA
Status last verified
Apr 2020
First submitted
28 Feb 2012
Last updated
14 Apr 2020
Results posted
No
Data monitoring committee
No

Publications

  • Reddy VY, Reynolds MR, Neuzil P, Richardson AW, Taborsky M, Jongnarangsin K, Kralovec S, Sediva L, Ruskin JN, Josephson ME. Prophylactic catheter ablation for the prevention of defibrillator therapy. N Engl J Med. 2007 Dec 27;357(26):2657-65. doi: 10.1056/NEJMoa065457.

    PubMed 18160685
  • Kuck KH, Schaumann A, Eckardt L, Willems S, Ventura R, Delacretaz E, Pitschner HF, Kautzner J, Schumacher B, Hansen PS; VTACH study group. Catheter ablation of stable ventricular tachycardia before defibrillator implantation in patients with coronary heart disease (VTACH): a multicentre randomised controlled trial. Lancet. 2010 Jan 2;375(9708):31-40. doi: 10.1016/S0140-6736(09)61755-4.

    PubMed 20109864
  • Sweeney MO, Sherfesee L, DeGroot PJ, Wathen MS, Wilkoff BL. Differences in effects of electrical therapy type for ventricular arrhythmias on mortality in implantable cardioverter-defibrillator patients. Heart Rhythm. 2010 Mar;7(3):353-60. doi: 10.1016/j.hrthm.2009.11.027. Epub 2009 Dec 2.

    PubMed 20185109
  • Poole JE, Johnson GW, Hellkamp AS, Anderson J, Callans DJ, Raitt MH, Reddy RK, Marchlinski FE, Yee R, Guarnieri T, Talajic M, Wilber DJ, Fishbein DP, Packer DL, Mark DB, Lee KL, Bardy GH. Prognostic importance of defibrillator shocks in patients with heart failure. N Engl J Med. 2008 Sep 4;359(10):1009-17. doi: 10.1056/NEJMoa071098.

    PubMed 18768944
  • Varma N, Epstein AE, Irimpen A, Schweikert R, Love C; TRUST Investigators. Efficacy and safety of automatic remote monitoring for implantable cardioverter-defibrillator follow-up: the Lumos-T Safely Reduces Routine Office Device Follow-up (TRUST) trial. Circulation. 2010 Jul 27;122(4):325-32. doi: 10.1161/CIRCULATIONAHA.110.937409. Epub 2010 Jul 12.

    PubMed 20625110
  • Varma N, Michalski J, Epstein AE, Schweikert R. Automatic remote monitoring of implantable cardioverter-defibrillator lead and generator performance: the Lumos-T Safely RedUceS RouTine Office Device Follow-Up (TRUST) trial. Circ Arrhythm Electrophysiol. 2010 Oct;3(5):428-36. doi: 10.1161/CIRCEP.110.951962. Epub 2010 Aug 17.

    PubMed 20716717
  • Gilliam FR, Hayes DL, Boehmer JP, Day J, Heidenreich PA, Seth M, Jones PW, Stein KM, Saxon LA. Real world evaluation of dual-zone ICD and CRT-D programming compared to single-zone programming: the ALTITUDE REDUCES study. J Cardiovasc Electrophysiol. 2011 Sep;22(9):1023-9. doi: 10.1111/j.1540-8167.2011.02086.x. Epub 2011 May 31.

    PubMed 21627705
  • Carbucicchio C, Santamaria M, Trevisi N, Maccabelli G, Giraldi F, Fassini G, Riva S, Moltrasio M, Cireddu M, Veglia F, Della Bella P. Catheter ablation for the treatment of electrical storm in patients with implantable cardioverter-defibrillators: short- and long-term outcomes in a prospective single-center study. Circulation. 2008 Jan 29;117(4):462-9. doi: 10.1161/CIRCULATIONAHA.106.686534. Epub 2008 Jan 2.

    PubMed 18172038
  • Della Bella P, Baratto F, Tsiachris D, Trevisi N, Vergara P, Bisceglia C, Petracca F, Carbucicchio C, Benussi S, Maisano F, Alfieri O, Pappalardo F, Zangrillo A, Maccabelli G. Management of ventricular tachycardia in the setting of a dedicated unit for the treatment of complex ventricular arrhythmias: long-term outcome after ablation. Circulation. 2013 Apr 2;127(13):1359-68. doi: 10.1161/CIRCULATIONAHA.112.000872. Epub 2013 Feb 25.

    PubMed 23439513
  • Vergara P, Trevisi N, Ricco A, Petracca F, Baratto F, Cireddu M, Bisceglia C, Maccabelli G, Della Bella P. Late potentials abolition as an additional technique for reduction of arrhythmia recurrence in scar related ventricular tachycardia ablation. J Cardiovasc Electrophysiol. 2012 Jun;23(6):621-7. doi: 10.1111/j.1540-8167.2011.02246.x. Epub 2012 Apr 4.

    PubMed 22486970
  • Della Bella P, Baratto F, Vergara P, Bertocchi P, Santamaria M, Notarstefano P, Calo L, Orsida D, Tomasi L, Piacenti M, Sangiorgio S, Pentimalli F, Pruvot E, De Sousa J, Sacher F, Tritto M, Rebellato L, Deneke T, Romano SA, Nesti M, Gargaro A, Giacopelli D, Peretto G, Radinovic A. Does Timing of Ventricular Tachycardia Ablation Affect Prognosis in Patients With an Implantable Cardioverter Defibrillator? Results From the Multicenter Randomized PARTITA Trial. Circulation. 2022 Jun 21;145(25):1829-1838. doi: 10.1161/CIRCULATIONAHA.122.059598. Epub 2022 Apr 3.

    PubMed 35369700
  • Kheiri B, Barbarawi M, Zayed Y, Hicks M, Osman M, Rashdan L, Kyi HH, Bachuwa G, Hassan M, Stecker EC, Nazer B, Bhatt DL. Antiarrhythmic Drugs or Catheter Ablation in the Management of Ventricular Tachyarrhythmias in Patients With Implantable Cardioverter-Defibrillators: A Systematic Review and Meta-Analysis of Randomized Controlled Trials. Circ Arrhythm Electrophysiol. 2019 Nov;12(11):e007600. doi: 10.1161/CIRCEP.119.007600. Epub 2019 Nov 8.

    PubMed 31698933

Questions about this trial

What is this clinical trial studying?

A study testing Immediate radiofrequency ablation of ventricular tachycardia and Radiofrequency ablation of ventricular tachycardia in people with Ventricular Tachycardias, run by IRCCS San Raffaele at 21 sites in 7 countries.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 1 inclusion and 8 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: status not confirmed, as of the sponsor's last update on 14 Apr 2020. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 21 sites in Italy, Belgium, Czechia, France, Germany and 2 more countries. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

Are results available for this study?

Results are not available in the source record.

How can a doctor refer a patient or contact the research team?

Contact Andrea Radinovic (radinovic.andrea@hsr.it), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Occurrence of the first appropriate ICD shock during phase A (time frame: Event Driven). The study lists 2 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT01547208, which also lists 12 linked publications.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 14 Apr 2020.

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