UMIN-CTR Clinical Trial

Unique ID issued by UMIN C000000106
Receipt number R000000151
Scientific Title Investigation of the Optimal Treatment Strategy for Atrial Fibrillation in Japan -The J-RHYTHM (Japanese Rhythm Management Trial for Atrial Fibrillation) Study-
Date of disclosure of the study information 2005/09/08
Last modified on 2006/09/19 16:28:28

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Basic information

Public title

Investigation of the Optimal Treatment Strategy for Atrial Fibrillation in Japan -The J-RHYTHM (Japanese Rhythm Management Trial for Atrial Fibrillation) Study-

Acronym

J-RHYTHM Study

Scientific Title

Investigation of the Optimal Treatment Strategy for Atrial Fibrillation in Japan -The J-RHYTHM (Japanese Rhythm Management Trial for Atrial Fibrillation) Study-

Scientific Title:Acronym

J-RHYTHM Study

Region

Japan


Condition

Condition

Atrial Fibrillation

Classification by specialty

Cardiology

Classification by malignancy

Others

Genomic information

NO


Objectives

Narrative objectives1

The J-RHYTHM study will investigate and compare the usefulness of rhythm control therapy and rate control therapy in patients with paroxysmal and persistent AF with a composite primary end-point of total mortality,symptomatic cerebral infarction,systemic embolism,major bleeding,hospitalization for heart failure requiring intravenous administration of diuretics,or physical/psychological disablement requiring discontinuation of the assigned therapeutic strategy.The composite secondary end-point of this study is patient QOL scores and the efficacy and safety of drugs required in the AF treatment.

Basic objectives2

Safety,Efficacy

Basic objectives -Others


Trial characteristics_1


Trial characteristics_2


Developmental phase



Assessment

Primary outcomes

Primary end-point(composite end-point):total mortality,symptomatic cerebral infarction,systemic embolism,major bleeding,hospitalization for heart failure requiring intravenous administration of diuretics,or physical/psychological disablement requiring discontinuation of the assigned therapeutic strategy.

Key secondary outcomes

Secondary end-point:patient QOL scores and the efficacy and safety of drugs required in the AF treatment.


Base

Study type

Interventional


Study design

Basic design

Parallel

Randomization

Randomized

Randomization unit

Individual

Blinding

Open -no one is blinded

Control

Active

Stratification


Dynamic allocation


Institution consideration


Blocking


Concealment



Intervention

No. of arms

2

Purpose of intervention

Treatment

Type of intervention

Medicine

Interventions/Control_1

Rhythm Control Group:Antiarrhythmic drugs will be selected on the basis of

Interventions/Control_2

Heart Rate Control Group:The target heart rate is 60-80 beats/min at rest.Patients will receive digitalis,Ca antagonists(excluding bepridil),or b-blockers as required, selected on the basis of the patient's clinical.

Interventions/Control_3


Interventions/Control_4


Interventions/Control_5


Interventions/Control_6


Interventions/Control_7


Interventions/Control_8


Interventions/Control_9


Interventions/Control_10



Eligibility

Age-lower limit


Not applicable

Age-upper limit


Not applicable

Gender

Male and Female

Key inclusion criteria

Inclusion criteria:paroxysmal AF and persistent AF.
Paroxysmal AF is defined as AF in which spontaneous conversion to sinus rhythm is expected within less than 48 hours of onset. Persistent AF is defined as AF that persists for more than 48 hours and less than 1 year after onset.

Key exclusion criteria

Exclusion criteria are as follows.
1)Persistent AF lasting 1 year or longer,and permanent AF.
2)Initial episode of paroxysmal AF.
3)AF that has occurred within 1 month of the onset of myocardial infarction.
4)Transient AF associated with cardiac surgery.
5)Requirement of continuous treatment with b-blockers and Ca antagonists, excluding dihydropyridines, that affect the heart rate.
6)AF with a history of 2 or more electrical cardioversions.
7)Contraindication for anticoagulation therapy.
8)Pregnancy or possibility of pregnancy, and breast feeding.
9)Judgment by attending physician that patient participation would be inappropriate.

Target sample size

2600


Research contact person

Name of lead principal investigator

1st name
Middle name
Last name Satoshi Ogawa

Organization

Keio University School of Medicine

Division name

Department of internal Medicine

Zip code


Address

35 Shinanomachi,Shinjuku-ku,Tokyo

TEL


Email



Public contact

Name of contact person

1st name
Middle name
Last name

Organization

The Cardiovascular Institute

Division name

J-RHYTHM Clinical Trail Center

Zip code


Address


TEL


Homepage URL


Email

j-rhythm@cvi.or.jp


Sponsor or person

Institute

The J-RHYTHM Investigators

Institute

Department

Personal name



Funding Source

Organization

Japan Heart Foundation

Organization

Division

Category of Funding Organization

Non profit foundation

Nationality of Funding Organization



Other related organizations

Co-sponsor


Name of secondary funder(s)



IRB Contact (For public release)

Organization


Address


Tel


Email



Secondary IDs

Secondary IDs

NO

Study ID_1


Org. issuing International ID_1


Study ID_2


Org. issuing International ID_2


IND to MHLW



Institutions

Institutions



Other administrative information

Date of disclosure of the study information

2005 Year 09 Month 08 Day


Related information

URL releasing protocol


Publication of results

Unpublished


Result

URL related to results and publications


Number of participants that the trial has enrolled


Results


Results date posted


Results Delayed


Results Delay Reason


Date of the first journal publication of results


Baseline Characteristics


Participant flow


Adverse events


Outcome measures


Plan to share IPD


IPD sharing Plan description



Progress

Recruitment status

Completed

Date of protocol fixation

2002 Year 11 Month 02 Day

Date of IRB


Anticipated trial start date

2003 Year 01 Month 01 Day

Last follow-up date

2006 Year 03 Month 01 Day

Date of closure to data entry

2006 Year 03 Month 01 Day

Date trial data considered complete

2006 Year 08 Month 01 Day

Date analysis concluded

2006 Year 12 Month 01 Day


Other

Other related information



Management information

Registered date

2005 Year 09 Month 01 Day

Last modified on

2006 Year 09 Month 19 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000000151


Research Plan
Registered date File name

Research case data specifications
Registered date File name

Research case data
Registered date File name