ElderlyASSERT-IIINCT02401854
Prevalence of Sub-Clinical Atrial Fibrillation in Elderly Patients With Hypertension, Detected Using an External Loop Recorder
An observational study of Elderly and Hypertension, run by Population Health Research Institute at 4 sites in Canada.
Trial summary
The ASSERT-III study aims to determine the incidence of sub-clinical (silent) atrial fibrillation (AF) among elderly patients with hypertension and at least one other risk factor for AF. This will be accomplished by monitoring with a wireless external loop monitor for 30 to 60 days. Read more about this study
- Who is it for?
- Ages 80 years and older
- Conditions the study is for
- Elderly, Hypertension, Risk Factors for Atrial Fibrillation
- How many people
- 129 participants
- Where
- 4 sitesCanada
- Study dates
- Jan 2014to Mar 2015
- How long will I take part?
- 60 Days
- Phase
- Observational
- 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 80 years and older
- All sexes
- No healthy volunteers
- Older adult
Study population: elderly patients attending primary care clinic or ambulatory resident of a chronic care facility, with hypertension and at least one addional risk factor for developing AF.
Who may be able to join
- Patients will be eligible for inclusion if they meet all of the following:
- Age ≥ 80 years
- History of hypertension OR a blood pressure of ≥ 140/90 mmHg
- Attending a primary care clinic, OR ambulatory resident of a chronic care facility
- At least one of the following additional risk factors for developing AF:
- Diabetes
Show all 13Show fewer
- Body mass index ≥ 30
- History of smoking
- Documented Obstructive sleep apnea
- Cardiovascular disease
- Heart Failure
- Left ventricular hypertrophy (on ECG or echocardiography)
- Provide written informed consent
Who cannot join
- ECG documented history of AF or atrial flutter, with an episode duration ≥ 6 minutes
- Existing implanted pacemaker or defibrillator
- Patients considered by the investigator to be unsuitable for study follow-up because the patient:
- is unreliable concerning the requirements for follow-up during the study and/or compliance with the use of the external loop recorder
- has a life expectancy less that the expected study duration due to concomitant disease
- has a condition which in the opinion of the investigator, would not allow current chronic treatment with anticoagultion -
Trial locations and contacts
4 sites in 1 country.
Canada4 sites
AVIVA Medical Diagnostics and Specialist Clinic Inc.
Burlington, Ontario, L7R 1E2
Hamilton Medical Research Group
Hamilton, Ontario, L8M 1K7
Family Practice - Drs. Cameron, Crombie & Croft
Hamilton, Ontario
OakMed Family Health Team
Oakville, Ontario, L6H 7S8
About this study
Official title: Prevalence of Sub-Clinical Atrial Fibrillation in Elderly Patients With Hypertension, Detected Using an External Loop Recorder Using Automatic Algorithms for AF Detection: A Pilot Study (ASSERT-III)
The ASSERT-III study aims to determine the incidence of sub-clinical (silent) atrial fibrillation (AF) among elderly patients with hypertension and at least one other risk factor for AF. This will be accomplished by monitoring with a wireless external loop monitor for 30 to 60 days.
- Conditions
- Elderly, Hypertension, Risk Factors for Atrial Fibrillation
- Keywords
- atrial fibrillation, hypertension, risk factors, primary care, elderly
- Medical subject headings
- Hypertension, Atrial Fibrillation
What is being measured
The primary outcome is the main question the study is designed to answer.
Occurance of atrial fibrillation episode
Detection rate of sub-clinical atrial fibrillation episodes, at least 6 minutes in duration
Measured: within 30 - 60 days of follow-up
Secondary outcomes (3)
Tolerability and feasibility of long term monitoring in elderly patients
The tolerability of long-term monitoring in elderly patients and the ability of these patients to manually transmit data to the cardiac analyses centre.
Measured: 30 - 60 days of follow-up
Proportion of patients eligible to receive anticoagulation
Measured: 30 - 60 days of follow-up
AF Burden
An estimate of the burden of atrial arrhythmias (from device logs) in patients with AF.
Measured: 30 - 60 days of follow-up
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted30 Mar 2015 (estimated)
- Study startJan 2014
- Primary completionMar 2015
- Study completionMar 2015
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Other trials for ElderlyStudies of the same condition, open and under way.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Observational
- Observational model
- Cohort
- Time perspective
- Prospective
- Enrolment
- 129 participants (actual)
- Target duration
- 60 Days
Sponsor and investigators
- Lead sponsor
- Population Health Research Institute
- Sponsor type
- University, hospital or other
- Collaborators
- Pfizer, M-Health Solutions, Bristol-Myers Squibb
- Responsible party
- Principal investigator, Jeff Healey, Population Health Research Institute
- Investigators
- Jeff Healey, M.D., Principal investigator, Population Health Research InstituteStuart Connolly, M.D., Principal investigator, Population Health Research Institute
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT02401854
- Sponsor's protocol ID
- ASSERT-III
- Acronym
- ASSERT-III
- Status last verified
- Apr 2015
- First submitted
- 3 Nov 2014
- Last updated
- 4 Jun 2025
- Results posted
- No
- Data monitoring committee
- No
Study at a glance
From the registry record, last updated by the sponsor on 4 Jun 2025. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Prevalence of Sub-Clinical Atrial Fibrillation in Elderly Patients With Hypertension, Detected Using an External Loop Recorder Using Automatic Algorithms for AF Detection: A Pilot Study (ASSERT-III)
- ClinicalTrials.gov ID
- NCT02401854
- Acronym / sponsor ID
- ASSERT-III / ASSERT-III
- Conditions
- Elderly, Hypertension, Risk Factors for Atrial Fibrillation
- Keywords
- atrial fibrillation, hypertension, risk factors, primary care, elderly
- Study type
- Observational
- Recruitment status
- Completed
- Enrolment
- 129 participants (actual)
- Lead sponsor
- Population Health Research InstituteUniversity, hospital or other
- Collaborators
- Pfizer, M-Health Solutions, Bristol-Myers Squibb
- Study start
- Jan 2014
- Primary completion
- Mar 2015 (actual)
- Study completion
- Mar 2015 (actual)
- First posted
- 30 Mar 2015 (estimated)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
The ASSERT-III study aims to determine the incidence of sub-clinical (silent) atrial fibrillation (AF) among elderly patients with hypertension and at least one other risk factor for AF. This will be accomplished by monitoring with a wireless external loop monitor for 30 to 60 days.
Study design
- Observational model
- Cohort
- Time perspective
- Prospective
- Target follow-up
- 60 Days
Who may qualify
- Ages
- 80 years and older
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Older adult
- Study population
- elderly patients attending primary care clinic or ambulatory resident of a chronic care facility, with hypertension and at least one addional risk factor for developing AF.
Key inclusion criteria (13 listed)
- Age ≥ 80 years
- History of hypertension OR a blood pressure of ≥ 140/90 mmHg
- Attending a primary care clinic, OR ambulatory resident of a chronic care facility
- At least one of the following additional risk factors for developing AF:
- Provide written informed consent
Key exclusion criteria (6 listed)
- ECG documented history of AF or atrial flutter, with an episode duration ≥ 6 minutes
- Existing implanted pacemaker or defibrillator
- Patients considered by the investigator to be unsuitable for study follow-up because the patient:
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Primary outcome
Occurance of atrial fibrillation episode
Time frame: within 30 - 60 days of follow-up
Detection rate of sub-clinical atrial fibrillation episodes, at least 6 minutes in duration
3 secondary outcomes
Tolerability and feasibility of long term monitoring in elderly patients
Time frame: 30 - 60 days of follow-up
Proportion of patients eligible to receive anticoagulation
Time frame: 30 - 60 days of follow-up
AF Burden
Time frame: 30 - 60 days of follow-up
Results and safety
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 4 Jun 2025.
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
Jeff Healey, M.D. principal investigator
Population Health Research Institute
Stuart Connolly, M.D. principal investigator
Population Health Research Institute
4 sites in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
An observational study of Elderly and Hypertension, run by Population Health Research Institute at 4 sites in Canada.
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 13 inclusion and 6 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: finished, as of the sponsor's last update on 4 Jun 2025. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 4 sites in Canada. 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?
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
How can a doctor refer a patient or contact the research team?
The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Occurance of atrial fibrillation episode (time frame: within 30 - 60 days of follow-up). It is what the study was designed to measure, not a finding.
Where can I read the original study information?
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 4 Jun 2025.