UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000019170
Receipt number R000022160
Scientific Title Enhanced Detection of Underlying, Covert ATrial fibrillation using 7-day Holter Electrocardiogram in patients with Embolic Stroke of Undetermined Source
Date of disclosure of the study information 2015/10/01
Last modified on 2020/04/20 11:43:40

* This page includes information on clinical trials registered in UMIN clinical trial registed system.
* We don't aim to advertise certain products or treatments


Basic information

Public title

Enhanced Detection of Underlying, Covert ATrial fibrillation using 7-day Holter Electrocardiogram in patients with Embolic Stroke of Undetermined Source

Acronym

EDUCATE-ESUS

Scientific Title

Enhanced Detection of Underlying, Covert ATrial fibrillation using 7-day Holter Electrocardiogram in patients with Embolic Stroke of Undetermined Source

Scientific Title:Acronym

EDUCATE-ESUS

Region

Japan


Condition

Condition

Embolic stroke of undetermined source

Classification by specialty

Medicine in general Cardiology Neurology
Geriatrics

Classification by malignancy

Others

Genomic information

NO


Objectives

Narrative objectives1

To determine the diagnostic yield of continuous 7-day Holter ECG for detecting covert paroxysmal atrial fibrillation in patients with recent embolic stroke or TIA of undetermined cause after completion of a standard clinical work-up (including an initial 24-hour Holter ECG.)

Basic objectives2

Efficacy

Basic objectives -Others


Trial characteristics_1

Confirmatory

Trial characteristics_2


Developmental phase



Assessment

Primary outcomes

Detection of any atrial fibrillation by 7-day Holter ECG

Key secondary outcomes

1. Antithrombotic therapy before and after 7-day Holter ECG
2. Any ischemic or hemorrhagic event for 1 year after index stroke
3. Any adverse event related to 7-day Holter ECG


Base

Study type

Observational


Study design

Basic design


Randomization


Randomization unit


Blinding


Control


Stratification


Dynamic allocation


Institution consideration


Blocking


Concealment



Intervention

No. of arms


Purpose of intervention


Type of intervention


Interventions/Control_1


Interventions/Control_2


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

20 years-old <=

Age-upper limit


Not applicable

Gender

Male and Female

Key inclusion criteria

1.Recent ESUS (within 3 months of onset) defined as:
A. Recent ischemic stroke (including transient ischemic attack with positive neuroimaging) visualized by brain imaging that is not lacunar
B. Absence of cervical carotid atherosclerotic stenosis > 50% or occlusion
C. No atrial fibrillation after 24-hour cardiac rhythm monitoring
D. No intra-cardiac thrombus on transthoracic echocardiography
E. No other major cardioembolic sources
F. No other specific cause of stroke (for example, arteritis, dissection, migraine/vasospasm, drug abuse)
2. 20 years of age or older
3. Signed written informed consent

Key exclusion criteria

1. Any previously documented atrial fibrillation
2. Untreated hyperthyroidism
3. Pacemaker or ICD device implanted or planned to implant
4. Estimated life expectancy < 12 months
5. Examination of seven-day Holter ECG not applicable within 3 months after stroke onset.
6. Patients considered inappropriate to participate in the study

Target sample size

200


Research contact person

Name of lead principal investigator

1st name Miyazaki
Middle name
Last name Yuichi

Organization

National Cerebral and Cardiovascular Center

Division name

Department of Cerebrovascular Disease

Zip code

564-8565

Address

5-7-1 Fujishirodai, Suita, Osaka, Japan

TEL

06-6833-5012

Email

ymiyazaki@ncvc.go.jp


Public contact

Name of contact person

1st name Miyazaki
Middle name
Last name Yuichi

Organization

National Cerebral and Cardiovascular Center

Division name

Department of Cerebrovascular Disease

Zip code

564-8565

Address

5-7-1 Fujishirodai, Suita, Osaka, Japan

TEL

06-6833-5012

Homepage URL


Email

ymiyazaki@ncvc.go.jp


Sponsor or person

Institute

National Cerebral and Cardiovascular Center

Institute

Department

Personal name



Funding Source

Organization

National Cerebral and Cardiovascular Center

Organization

Division

Category of Funding Organization

Other

Nationality of Funding Organization

Japan


Other related organizations

Co-sponsor


Name of secondary funder(s)



IRB Contact (For public release)

Organization

National Cerebral and Cardiovascular Center

Address

5-7-1 Fujishirodai, Suita, Osaka, Japan

Tel

06-6833-5012

Email

m.sio@ncvc.go.jp


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

国立循環器病研究センター 脳血管内科/脳神経内科(大阪府)、
東京慈恵会医科大学 神経内科(東京都)、
弘前脳卒中・リハビリテーションセンター 内科(青森県)、
杏林大学 脳卒中医学教室(東京都)
国立病院機構九州医療センター 脳血管・神経内科(福岡県)


Other administrative information

Date of disclosure of the study information

2015 Year 10 Month 01 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

Open public recruiting

Date of protocol fixation

2014 Year 08 Month 01 Day

Date of IRB


Anticipated trial start date

2014 Year 08 Month 01 Day

Last follow-up date


Date of closure to data entry


Date trial data considered complete


Date analysis concluded



Other

Other related information

Study design : Multi-center prospective observational study
Study subjects : Patients who were diagnosed with ESUS at the participating centers between August 2014 and March 2016.


Management information

Registered date

2015 Year 09 Month 30 Day

Last modified on

2020 Year 04 Month 20 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000022160


Research Plan
Registered date File name

Research case data specifications
Registered date File name

Research case data
Registered date File name