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NCT01898221 · ClinicalTrials.gov registry record · Phase 3

Vein of Marshall Ethanol Infusion for Persistent Atrial Fibrillation

A Phase 3 study, sponsored by The Methodist Hospital Research Institute.

Completed
Registry status
Phase 3
Development phase
343
Enrollment target

NCT01898221: Completed Phase 3 study, sponsored by The Methodist Hospital Research Institute.

NCT01898221 is a Phase 3 study that has completed, run by The Methodist Hospital Research Institute. The registered enrollment target is 343 participants, below the 772-participant average among 15,282 other Phase 3 trials with a reported enrollment target (56% lower). According to ClinicalTrials.gov, the official US trial registry.

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The verdict

NCT01898221, a Phase 3 study, has completed, sponsored by The Methodist Hospital Research Institute.

COMPLETED
Registry status
Phase 3
Development phase
343 participants
Enrollment target

Study Summary

The broad, long-term objective of this project is to evaluate the therapeutic value of vein of Marshall (VOM) ethanol infusion when added to catheter ablation of atrial fibrillation (AF). AF is the most common sustained arrhythmia in adults, and it is a leading cause of stroke, disability and increased mortality. Catheter ablation - pulmonary vein (PV) antral isolation (PVAI)- can lead to cure, but is best suited for paroxysmal AF, in which ectopic beats arising from the pulmonary veins were shown to initiate AF. PVAI success is lower in persistent AF, in which the role of the cardiac autonomic system, particularly the intrinsic cardiac ganglia, is being increasingly recognized. Expanding the ablation lesions to include greater areas the left atrial (LA) anatomy marginally improves outcomes, but also leads to increases in procedural complexity and duration, need of repeat procedures, and complications such as atrial flutters, particularly perimitral flutter (PMF). The investigators have developed a technique to perform rapid ablation of atrial tissues in AF using ethanol infusion in the vein of Marshall (VOM), and have shown: 1) Effective, rapid and safe tissue ablation of LA tissue neighboring the LA ridge and left inferior PV; 2) Regional LA vagal denervation by reaching the intrinsic cardiac ganglia; and 3) Facilitation of cure of PMF by ablating most of the mitral isthmus. The investigators propose to evaluate outcomes differences yielded by VOM ethanol when added to conventional PVAI. The specific aims are: #1.To assesses the impact of VOM ethanol infusion in procedure success when added to de novo catheter ablation of persistent AF. The investigators will randomize patients with persistent AF undergoing a first AF ablation to standard PVAI vs. a combined VOM ethanol infusion plus PVAI (VOM-PV) #2. To assess the impact of VOM ethanol infusion added to repeat catheter ablation of recurrent AF after a failed ablation. Patients undergoing a repeat procedure for p

Primary Outcome

Primary Endpoints: The primary outcome is freedom from symptomatic post-procedural AF or flutter at 12 and 15 months from the procedure and less than 1 min/day of AF or flutter on 4-week EKG monitor.

Interventions

  • DRUG Ethanol
  • PROCEDURE Ablation

Trial Details

FieldValue
Enrollment Target 343 participants
Start Date 2013-10
Est. Completion 2019-12
Phase Phase 3

What the finished NCT01898221 record still lists

NCT01898221 is an interventional study that assigns participants to a tested intervention. The registered 343 participants enrollment target is mid-sized for trials with a published cap, below the 772-participant average among 15,282 other Phase 3 trials with a reported enrollment target (56% lower).

The record links to 0 conditions, and to 2 interventions - of which Ethanol is the first listed.

NCT01898221 does not publish any study locations in the registry export this page uses.

Frequently Asked Questions

What is clinical trial NCT01898221 about?

NCT01898221 is a clinical study titled "Vein of Marshall Ethanol Infusion for Persistent Atrial Fibrillation". The broad, long-term objective of this project is to evaluate the therapeutic value of vein of Marshall (VOM) ethanol infusion when added to catheter ablation of atrial fibrillation (AF). AF is the most common sustained arrhythmia in adults, and it is a leading cause of stroke, disability and increa...

What is the current status of trial NCT01898221?

This trial is currently completed. It is a Phase 3 study. The enrollment target is 343 participants. The study started on 2013-10. Estimated completion is 2019-12.

What interventions are being tested in trial NCT01898221?

The interventions under investigation include: Ethanol (DRUG), Ablation (PROCEDURE).

Who is sponsoring clinical trial NCT01898221?

This trial is sponsored by The Methodist Hospital Research Institute, which has 126 total clinical trials registered on ClinicalTrials.gov.

How this trial's enrollment target compares

Where NCT01898221's enrollment target sits among peer trials

343 1051st of 2000 higher than 948 of 2,000 other Phase 3 trials

participants (enrollment target), bucketed by value

Each bar is a band; taller bars hold more other Phase 3 trials. The dashed line + filled bar mark this entry. Hover or tap any bar for its full count and share, and where it sits relative to this entry.

Source ClinicalTrials.gov registry export · 2026-08-08

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Source: ClinicalTrials.gov NCT01898221, the US trial registry maintained by the National Library of Medicine. NCT01898221 (mid enrollment · none site footprint · completed) retrieved and formatted by PlainTrial, see methodology.