Early Treatment of Atrial Fibrillation for Stroke Prevention Trial in Acute STROKE

Trial statusRecruiting
Trial phasePhase 3
Trial typeInterventional
Biological sexAll
Age18+
SponsorUniversitätsklinikum Hamburg-Eppendorf

About this trial

This study will determine whether early, comprehensive, rhythm control therapy prevents adverse cardiovascular outcome in patients with acute ischemic stroke and atrial fibrillation compared to usual care.

Eligibility criteria

Qualifiers

Acute ischemic stroke in the previous four weeks, diagnosed by imaging (CT or MRI) or clinical diagnosis

Possibility to start the trial treatment within 4 weeks after stroke, and as soon as clinically justifiable

AF first detected ≤1 year prior to randomization

Informed consent

Disqualifiers

End-stage cancer or life-expectancy < 12 months due to other advanced co-morbid illness

Prior AF ablation or surgical therapy of AF

Patients not suitable for rhythm control of AF due to cardiac conditions

Trial design

Treatments tested in this trial

  • Medical or interventional therapy for rhythm control in atrial fibrillation (antiarrhythmic drugs, ablation, electric cardio version)
  • Usual care for atrial fibrillation

Treatment groups

1,746 Participants
are divided into 2 treatment groups

Sponsors and collaborators

Universitätsklinikum Hamburg-Eppendorf

Lead sponsor

University Heart & Vascular Center Hamburg, Department of Cardiology

Collaborator

Department of Neurology, Royal Melbourne Hospital

Collaborator

Melbourne Heart Centre, Royal Melbourne Hospital

Collaborator

Hotchkiss Brain Institute, University of Calgary

Collaborator

Department of Neurology and Neurosurgery, Brain Center, University Medical Center Utrecht

Collaborator

UMC Utrecht

Collaborator

Edinburgh Clinical Trials Unit, Cerebrovascular Research Group, Centre for Clinical Brain Sciences, University of Edinburgh

Collaborator

Department of Cardiovascular Sciences, University of Leicester British Heart Foundation Cardiovascular Research Centre

Collaborator

CTC-NORTH

Collaborator

Stroke Alliance for Europe (SAFE)

Collaborator

Kompetenznetz Vorhofflimmern e.V. (AFNET)

Collaborator