Recruiting NA Non-valvular Atrial Fibrillation (NVAF): Paroxysmal, Persistent, Permanent

New treatment option for Non-valvular Atrial Fibrillation (NVAF): Paroxysmal, Persistent,...

Official title Left Atrial Appendage Closure in Patients With Non-valvular Atrial Fibrillation and End-stage Chronic KIDNEY Disease

ClinicalTrials.gov ID: NCT05204212

What this study is testing

What it's testing
In the proposed event driven trial, LAA closure devices will be compared in a 1:1 randomization to best medical care in AF patients at high risk of stroke and bleeding with ESKD. The trial will allow the use of the CE marked and clinically used LAA device Amplatzer Cardiac Plug and/or Amulet and all approved medical therapies in AF patients with ESKD including vitamin-K antagonists (VKA), NOACs as well as antiplatelet agents or no anticoagulation in excessive bleeding risk.

A plain-language read of the study's public ClinicalTrials.gov listing. The study team confirms the details.

Who can take part

Ages 18 and older

You may be able to join if

  • Age ≥ 18 years
  • Ability to give informed consent
  • Documented NVAF (paroxysmal, persistent, or permanent)
  • CHA2DS2VASc risk score ≥2
  • Chronic kidney disease KDOQI stage 5 (eGFR \<15 ml/min/1.73m2) with or without hemodialysis

You likely can't join if

  • Absolute contraindication to aspirin and/or clopidogrel
  • Comorbidities other than AF requiring chronic (N)OAC therapy e.g. mechanical heart valve prosthesis
  • Present LAA thrombus
  • Mobile aortic atheroma
  • Age ≤18 years
  • Patients presenting with pregnancy
See the full eligibility criteria
Who can join
  • Age ≥ 18 years
  • Ability to give informed consent
  • Documented NVAF (paroxysmal, persistent, or permanent)
  • CHA2DS2VASc risk score ≥2
  • Chronic kidney disease KDOQI stage 5 (eGFR \<15 ml/min/1.73m2) with or without hemodialysis
What rules you out
  • Absolute contraindication to aspirin and/or clopidogrel
  • Comorbidities other than AF requiring chronic (N)OAC therapy e.g. mechanical heart valve prosthesis
  • Present LAA thrombus
  • Mobile aortic atheroma
  • Age ≤18 years
  • Patients presenting with pregnancy
  • Patients without informed consent
  • Participation in another trial
  • Expected life expectancy \<2 years

The study team makes the final eligibility decision.

Where it's taking place

  • Lübeck, Schleswig-Holstein, Germany

Questions & answers

Do participants get paid in this trial?

This listing doesn't specify compensation. Many trials still reimburse travel or offer a stipend, so it's worth asking the study team when you connect.

Is it free to join, and do I need insurance?

Searching and applying through BridgeMD is free. In clinical trials the study-related treatment and visits are generally provided at no cost to you. You usually don't need insurance to take part - confirm specifics with the study team.

How long does this study last?

The listing doesn't state an exact length. The study team walks you through the schedule and number of visits before you decide to enroll.

Who can join this trial?

This study is enrolling all sexes, 18 years and older. The study team makes the final eligibility decision.

Where is this trial taking place?

Study sites include Lübeck, Schleswig-Holstein, Germany. Enter your location above to see the nearest site and check your eligibility.

Explore other conditions

BridgeMD is an information and trial-matching tool - not medical advice, and not the study sponsor. Details come from ClinicalTrials.gov; the study team decides eligibility.