Atrial FibrillationFAPSNCT02817815
Atrial Fibrillation and Characterization of Blood Platelet
A study testing Electrocardiogram (ECG), Blood sampling from the cephalic vein and Blood sampling from the femoral vein in people with Atrial Fibrillation, run by University Hospital, Bordeaux at 1 site in France.
Trial summary
Arterial thromboembolism constitutes a major risk of atrial fibrillation (AF) requiring antithrombotic therapy. Platelets and microparticles (MPs) are important for hemostasis and thrombosis, their role during AF is not well known. Read more about this study
- Who is it for?
- Ages 18 years and olderHealthy volunteers can take part
- Conditions the study is for
- Atrial Fibrillation
- What is being tested?
- Electrocardiogram (ECG), Blood sampling from the cephalic vein and Blood sampling from the femoral vein
- Type of treatment
- Medical device, Surgery or procedure
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 86 participants
- Where
- 1 siteFrance
- Study dates
- 2 Nov 2016to 26 Oct 2018
- 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
- Healthy volunteers accepted
- Adult, Older adult
Who may be able to join
- Age superior or equal to 18 years old, both genders.
- Patient affiliated or recipient of a social welfare regimen.
- Patient's write agreement for study participation after reading information note
- Group 1:
- Volunteers without heart disease.
- Volunteers who never had AF and not in AF the day of inclusion. Group 2
Show all 14Show fewer
- Patient suffering of paroxysmal atrial fibrillation since at least 6 month and addressed for primo ablation of atrial fibrillation.
- Patient in sinus rhythm the day of inclusion. Group 3
- Patient suffering of paroxysmal atrial fibrillation since at least 6 month and addressed for primo ablation of atrial fibrillation.
- Patient in atrial fibrillation the day of inclusion Group 4
- Patient suffering of persistent atrial fibrillation since at least 6 month and addressed for primo ablation of atrial fibrillation.
- Patient in sinus rhythm the day of inclusion. Group 5
- Patient suffering of persistent atrial fibrillation since at least 6 month and addressed for primo ablation of atrial fibrillation.
- Patient in atrial fibrillation the day of inclusion
Who cannot join
- Age <18 years.
- Active smoker (> 10 cigarettes/days)
- Pregnant woman or breastfeeding women or not receiving effective contraception.
- Volunteer participating in another interventional study requiring taking drug.
- Volunteer having taken antinflammatory, platelet anti-aggregant or calcium-channel blocker drugs within 8 days prior to inclusion
- Valvular heart diseases.
Show all 10Show fewer
- Chronic inflammatory diseases.
- Cardiovascular event or stroke within 3 month prior to inclusion
- Uncontrolled hypertension
- Chronic hepatic or renal diseases.
Trial locations and contacts
1 site in 1 country.
France1 site
Service d'Electrophysiologie et de stimulation cardiaque / LIRYC - Hôpital Cardiologique du Haut Lévêque
Pessac, 33604
About this study
Arterial thromboembolism constitutes a major risk of atrial fibrillation (AF) requiring antithrombotic therapy. Platelets and microparticles (MPs) are important for hemostasis and thrombosis, their role during AF is not well known. The principal objective of this study is to compare morphologic, functional and proteomics characteristics of blood platelet between AF patients and healthy volunteers.
Read the detailed description
AF is associated with decreased quality of life and an increased risk of thromboembolic events. AF is the leading cause of embolic stroke. Identification of factors that may influence blood coagulability in these patients could better identify therapeutic targets to optimize anticoagulation. Platelets play a major role in the coagulation process, their study may provide valuable information. Moreover microparticles from platelet activation are known to have pathophysiological effects including effects on thrombosis and inhibition of fibrinolysis. It has also been shown that the microparticles have a role in endothelial dysfunction and generation of inflammatory condition which are associated with atrial fibrillation.
Investigators propose in this project, a comparative study between AF patients and healthy volunteers. Complete characterization of platelet (morphology, platelet function, platelet proteome) and microparticles levels will be perform. Different site blood sampling (systemic or cardiac) will be done in patients during their ablation procedure. Patients will be followed during their hospitalisation.
- Conditions
- Atrial Fibrillation
- Being tested
- Electrocardiogram (ECG), Blood sampling from the cephalic vein, Blood sampling from the femoral vein, First blood sampling from left atrium, Atrial stimulation
- Keywords
- Atrial fibrillation, blood platelet
- Medical subject headings
- Atrial Fibrillation
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
Electrocardiogram (ECG)Device
Blood sampling from the cephalic veinBiological
Blood sampling from the femoral veinBiological
Blood sampling will be done during radiofrequency ablation of AF procedure, after the introduction of catheter
First blood sampling from left atriumBiological
Blood sampling will be done during radiofrequency ablation of AF procedure, after transeptal punction
Atrial stimulationProcedure or surgery
Patients will receive atrial stimulation with the catheter positioned in the coronary sinus to induce AF
Second blood sampling from left atriumBiological
After 20min of continuous AF, a blood sampling from left atrium will be done
| Study group | Role | What they receive |
|---|---|---|
| Group 1 | Active comparator | Volunteers Receives: Device: Electrocardiogram (ECG); Biological: Blood sampling from the cephalic vein |
| Group 2 | Experimental | Paroxysmal AF patients in sinus rhythm the day of inclusion Receives: Biological: Blood sampling from the femoral vein; Biological: First blood sampling from left atrium; Procedure: Atrial stimulation; Biological: Second blood sampling from left atrium |
| Group 3 | Experimental | Paroxysmal AF patients in atrial fibrillation the day of inclusion Receives: Biological: Blood sampling from the femoral vein; Biological: First blood sampling from left atrium |
| Group 4 | Experimental | Persistent AF patients in sinus rhythm the day of inclusion Receives: Biological: Blood sampling from the femoral vein; Biological: First blood sampling from left atrium; Procedure: Atrial stimulation; Biological: Second blood sampling from left atrium |
| Group 5 | Experimental | Persistent AF patients in atrial fibrillation the day of inclusion Receives: Biological: Blood sampling from the femoral vein; Biological: First blood sampling from left atrium |
What is being measured
The primary outcome is the main question the study is designed to answer.
Measure of maximal aggregation level (expressed in aggregation percentage) after ex vivo stimulation by Adenosine Di-Phosphate (ADP), arachidonic acid, ristocetin, collagen and Thrombin Receptor Activating Peptide (TRAP-6mers)
Aggregation percentage is measured by the method of light transmission aggregometry
Measured: Day 1
Measure of maximal disaggregation level (expressed in disaggregation percentage)
Disaggregation percentage is measured by the method of light transmission aggregometry
Measured: Day 1
Measure of platelet volume mean
Measured: Day 1
Assessment of the Platelet morphology (shape change)
Measured: Day 1
Assessment of the modification of the membrane receptor expression modification
Measured: Day 1
Identification of platelet proteins differentially expressed between groups
Measured: Day 1
Secondary outcomes (2)
Measure of Tissue Factor (TF) dependent microparticles level
Measured: Day 1
Measure of fibrinolytic microparticles level
Measured: Day 1
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted29 Jun 2016 (estimated)
- Study start2 Nov 2016
- Primary completion26 Oct 2018
- Study completion26 Oct 2018
Why it stopped: Departure and non-replacement of the person in charge of the biological examinations specific to research carried out within the LIRYC IHU.
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Other trials for Atrial FibrillationStudies of the same condition, open and under way.
- More trials run by University Hospital, BordeauxThe sponsor's other registered studies.
- 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
- Interventional
- Phase
- Phase N/A
- Primary purpose
- Basic science
- Allocation
- Non-randomised
- Intervention model
- Parallel groups
- Masking
- None (open label)
- Enrolment
- 86 participants (actual)
Sponsor and investigators
- Lead sponsor
- University Hospital, Bordeaux
- Sponsor type
- University, hospital or other
- Responsible party
- Sponsor
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT02817815
- Sponsor's protocol ID
- CHUBX 2015/21
- Acronym
- FAPS
- Status last verified
- Feb 2022
- First submitted
- 22 Jun 2016
- Last updated
- 28 Feb 2022
- Results posted
- No
- Data monitoring committee
- No
Study at a glance
From the registry record, last updated by the sponsor on 28 Feb 2022. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Atrial Fibrillation and Characterization of Blood Platelet
- ClinicalTrials.gov ID
- NCT02817815
- Acronym / sponsor ID
- FAPS / CHUBX 2015/21
- Conditions
- Atrial Fibrillation
- Keywords
- Atrial fibrillation, blood platelet
- Study type
- Interventional
- Recruitment status
- TerminatedReason stopped: Departure and non-replacement of the person in charge of the biological examinations specific to research carried out within the LIRYC IHU.
- Enrolment
- 86 participants (actual)
- Lead sponsor
- University Hospital, BordeauxUniversity, hospital or other
- Study start
- 2 Nov 2016 (actual)
- Primary completion
- 26 Oct 2018 (actual)
- Study completion
- 26 Oct 2018 (actual)
- First posted
- 29 Jun 2016 (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.
Arterial thromboembolism constitutes a major risk of atrial fibrillation (AF) requiring antithrombotic therapy. Platelets and microparticles (MPs) are important for hemostasis and thrombosis, their role during AF is not well known. The principal objective of this study is to compare morphologic, functional and proteomics characteristics of blood platelet between AF patients and healthy volunteers.
Detailed description
AF is associated with decreased quality of life and an increased risk of thromboembolic events. AF is the leading cause of embolic stroke. Identification of factors that may influence blood coagulability in these patients could better identify therapeutic targets to optimize anticoagulation. Platelets play a major role in the coagulation process, their study may provide valuable information. Moreover microparticles from platelet activation are known to have pathophysiological effects including effects on thrombosis and inhibition of fibrinolysis. It has also been shown that the microparticles have a role in endothelial dysfunction and generation of inflammatory condition which are associated with atrial fibrillation.
Investigators propose in this project, a comparative study between AF patients and healthy volunteers. Complete characterization of platelet (morphology, platelet function, platelet proteome) and microparticles levels will be perform. Different site blood sampling (systemic or cardiac) will be done in patients during their ablation procedure. Patients will be followed during their hospitalisation.
Study design
- Primary purpose
- Basic science
- Allocation
- Non-randomised
- Intervention model
- Parallel groups
- Masking
- None (open label)
- Number of arms
- 5
| Arm | Type | Receives |
|---|---|---|
| Group 1 | Active comparator | Device: Electrocardiogram (ECG), Biological: Blood sampling from the cephalic veinVolunteers |
| Group 2 | Experimental | Biological: Blood sampling from the femoral vein, Biological: First blood sampling from left atrium, Procedure: Atrial stimulation, Biological: Second blood sampling from left atriumParoxysmal AF patients in sinus rhythm the day of inclusion |
| Group 3 | Experimental | Biological: Blood sampling from the femoral vein, Biological: First blood sampling from left atriumParoxysmal AF patients in atrial fibrillation the day of inclusion |
| Group 4 | Experimental | Biological: Blood sampling from the femoral vein, Biological: First blood sampling from left atrium, Procedure: Atrial stimulation, Biological: Second blood sampling from left atriumPersistent AF patients in sinus rhythm the day of inclusion |
| Group 5 | Experimental | Biological: Blood sampling from the femoral vein, Biological: First blood sampling from left atriumPersistent AF patients in atrial fibrillation the day of inclusion |
Who may qualify
- Ages
- 18 years and older
- Sex
- All
- Healthy volunteers
- Accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (14 listed)
- Volunteers without heart disease.
- Volunteers who never had AF and not in AF the day of inclusion. Group 2
- Patient suffering of paroxysmal atrial fibrillation since at least 6 month and addressed for primo ablation of atrial fibrillation.
- Patient in sinus rhythm the day of inclusion. Group 3
- Patient suffering of paroxysmal atrial fibrillation since at least 6 month and addressed for primo ablation of atrial fibrillation.
Key exclusion criteria (10 listed)
- Age <18 years.
- Active smoker (> 10 cigarettes/days)
- Pregnant woman or breastfeeding women or not receiving effective contraception.
- Volunteer participating in another interventional study requiring taking drug.
- Volunteer having taken antinflammatory, platelet anti-aggregant or calcium-channel blocker drugs within 8 days prior to inclusion
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| Electrocardiogram (ECG) | Device | Group 1 |
| Blood sampling from the cephalic vein | Biological | Group 1 |
| Blood sampling from the femoral veinBlood sampling will be done during radiofrequency ablation of AF procedure, after the introduction of catheter | Biological | Group 2, Group 3, Group 4, Group 5 |
| First blood sampling from left atriumBlood sampling will be done during radiofrequency ablation of AF procedure, after transeptal punction | Biological | Group 2, Group 3, Group 4, Group 5 |
| Atrial stimulationPatients will receive atrial stimulation with the catheter positioned in the coronary sinus to induce AF | Procedure or surgery | Group 2, Group 4 |
| Second blood sampling from left atriumAfter 20min of continuous AF, a blood sampling from left atrium will be done | Biological | Group 2, Group 4 |
Primary outcome
Measure of maximal aggregation level (expressed in aggregation percentage) after ex vivo stimulation by Adenosine Di-Phosphate (ADP), arachidonic acid, ristocetin, collagen and Thrombin Receptor Activating Peptide (TRAP-6mers)
Time frame: Day 1
Aggregation percentage is measured by the method of light transmission aggregometry
Measure of maximal disaggregation level (expressed in disaggregation percentage)
Time frame: Day 1
Disaggregation percentage is measured by the method of light transmission aggregometry
Measure of platelet volume mean
Time frame: Day 1
Assessment of the Platelet morphology (shape change)
Time frame: Day 1
Assessment of the modification of the membrane receptor expression modification
Time frame: Day 1
Identification of platelet proteins differentially expressed between groups
Time frame: Day 1
2 secondary outcomes
Measure of Tissue Factor (TF) dependent microparticles level
Time frame: Day 1
Measure of fibrinolytic microparticles level
Time frame: Day 1
Results and safety
The study was stopped early (reason given: Departure and non-replacement of the person in charge of the biological examinations specific to research carried out within the LIRYC IHU.). Results are not available in the source record.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 28 Feb 2022.
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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.
The record lists no contact. Use the official record to reach the sponsor.
1 site in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A study testing Electrocardiogram (ECG), Blood sampling from the cephalic vein and Blood sampling from the femoral vein in people with Atrial Fibrillation, run by University Hospital, Bordeaux at 1 site in France.
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 14 inclusion and 10 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: stopped early, as of the sponsor's last update on 28 Feb 2022. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 1 site in France. 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 was stopped early (reason given: Departure and non-replacement of the person in charge of the biological examinations specific to research carried out within the LIRYC IHU.). Results are not available in the source record.
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?
Measure of maximal aggregation level (expressed in aggregation percentage) after ex vivo stimulation by Adenosine Di-Phosphate (ADP), arachidonic acid, ristocetin, collagen and Thrombin Receptor Activating Peptide (TRAP-6mers) (time frame: Day 1). The study lists 6 primary outcomes in all. 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 28 Feb 2022.