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Trial details imported from ClinicalTrials.gov
For full trial details, please see the original record at
https://clinicaltrials.gov/study/NCT00166257
Registration number
NCT00166257
Ethics application status
Date submitted
9/09/2005
Date registered
14/09/2005
Date last updated
27/05/2009
Titles & IDs
Public title
PC-Trial: Patent Foramen Ovale and Cryptogenic Embolism
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Scientific title
Randomized Clinical Trial Comparing the Efficacy of Percutaneous Closure of Patent Foramen Ovale (PFO) With Medical Treatment in Patients With Cryptogenic Embolism
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Secondary ID [1]
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ICN98008
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Universal Trial Number (UTN)
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Trial acronym
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Embolism, Paradoxical
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Heart Septal Defects, Atrial
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Condition category
Condition code
Cardiovascular
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Diseases of the vasculature and circulation including the lymphatic system
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Blood
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Clotting disorders
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Cardiovascular
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Other cardiovascular diseases
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
Treatment: Devices - Percutaneous closure of patent foramen ovale
Treatment: Drugs - Medical antitrhombotic treatment
Active comparator: Medical antitrhombotic treatment -
Experimental: Device Implant - Percutaneous closure of patent foramen ovale
Treatment: Devices: Percutaneous closure of patent foramen ovale
Percutaneous implantation of an AMPLATZER® PFO Occluder
Treatment: Drugs: Medical antitrhombotic treatment
Investigator's choice: Anticoagulation to INR 2.0 - 3.0 OR Aspirin 100-325 mg/d OR Clopidogrel 75-150 mg/d
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Intervention code [1]
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Treatment: Devices
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Intervention code [2]
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Treatment: Drugs
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Comparator / control treatment
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Control group
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Outcomes
Primary outcome [1]
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Time to death (Fatal stroke, cardiovascular, non-CV),
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Assessment method [1]
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Timepoint [1]
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continuosly
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Primary outcome [2]
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non-fatal cerebrovascular event,
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Assessment method [2]
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Timepoint [2]
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continuosly
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Primary outcome [3]
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peripheral embolism
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Assessment method [3]
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Timepoint [3]
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continuosly
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Secondary outcome [1]
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New arrhythmias,
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Assessment method [1]
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Timepoint [1]
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continuosly
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Secondary outcome [2]
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myocardial infarction
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Assessment method [2]
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Timepoint [2]
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continuosly
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Secondary outcome [3]
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rehospitalization related to PFO or its treatment
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Assessment method [3]
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Timepoint [3]
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continuosly
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Secondary outcome [4]
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device problems
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Assessment method [4]
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Timepoint [4]
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continuosly
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Secondary outcome [5]
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bleeding complications
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Assessment method [5]
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Timepoint [5]
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continuosly
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Eligibility
Key inclusion criteria
* Age below 60 years
* Ischemic stroke or peripheral thromboembolism, radiologically verified
* Absence of an identifiable cause of embolism
* Echocardiographically verified patent foramen ovale
* Sufficient recovery from index event to allow independent daily activities
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Minimum age
18
Years
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Maximum age
60
Years
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Sex
Both males and females
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Can healthy volunteers participate?
No
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Key exclusion criteria
* Any identifiable cause for thromboembolic event other than PFO
* Cardiac diseases: mural thrombus, dilated cardiomyopathy, prosthetic heart valve or mitral stenosis, endocarditis, atrial fibrillation
* Vascular system: significant atherosclerosis or dissection of the aorta, collagen vascular disease, arteritis, vasculitis
* Pre-existing neurologic disorders or intracranial disease, e.g., multiple sclerosis, arteriovenous malformations, previous hemorrhage
* Contraindications for antithrombotic or anticoagulant therapy
* Patients already on chronic anticoagulant therapy for another disease
* Previous surgical or percutaneous PFO-closure
* Drug or alcohol abuse
* Pregnancy
* Septicemia or severe infectious disease
* Severe CNS disease
* No informed consent
* Foreseen difficulties with study compliance, especially the long-term follow-up
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Study design
Purpose of the study
Prevention
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Allocation to intervention
Randomised controlled trial
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
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Masking / blinding
Open (masking not used)
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Who is / are masked / blinded?
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Intervention assignment
Parallel
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Other design features
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Phase
Phase 4
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Type of endpoint/s
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Statistical methods / analysis
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Recruitment
Recruitment status
UNKNOWN
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Data analysis
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Reason for early stopping/withdrawal
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Other reasons
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Date of first participant enrolment
Anticipated
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Actual
1/02/2000
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Date of last participant enrolment
Anticipated
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Actual
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Date of last data collection
Anticipated
1/05/2011
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Actual
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Sample size
Target
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Accrual to date
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Final
414
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Recruitment in Australia
Recruitment state(s)
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Recruitment hospital [1]
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Monash Medical Centre - Melbourne
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Recruitment hospital [2]
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Sir Charles Gairdner Hospital - Nedlands
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Recruitment hospital [3]
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Alfred Hospital - Prahan
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Recruitment postcode(s) [1]
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- Melbourne
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Recruitment postcode(s) [2]
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- Nedlands
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Recruitment postcode(s) [3]
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- Prahan
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Recruitment outside Australia
Country [1]
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Austria
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State/province [1]
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Vienna
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Country [2]
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Belgium
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State/province [2]
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Brugge
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Country [3]
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Switzerland
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State/province [3]
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Bern
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Funding & Sponsors
Primary sponsor type
Other
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Name
Foundation for Cardiovascular Research, Zurich
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Address
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Country
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Other collaborator category [1]
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Commercial sector/industry
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Name [1]
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Abbott Medical Devices
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Address [1]
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Country [1]
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Ethics approval
Ethics application status
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Summary
Brief summary
The purpose of this study is to compare two treatments strategies to prevent further attacks in patients who have suffered an stroke or occlusion of a major artery with no obvious reason other than a persistent small opening between the upper heart chambers
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Trial website
https://clinicaltrials.gov/study/NCT00166257
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Trial related presentations / publications
Meier B, Kalesan B, Mattle HP, Khattab AA, Hildick-Smith D, Dudek D, Andersen G, Ibrahim R, Schuler G, Walton AS, Wahl A, Windecker S, Juni P; PC Trial Investigators. Percutaneous closure of patent foramen ovale in cryptogenic embolism. N Engl J Med. 2013 Mar 21;368(12):1083-91. doi: 10.1056/NEJMoa1211716. Khattab AA, Windecker S, Juni P, Hildick-Smith D, Dudek D, Andersen HR, Ibrahim R, Schuler G, Walton AS, Wahl A, Mattle HP, Meier B. Randomized clinical trial comparing percutaneous closure of patent foramen ovale (PFO) using the Amplatzer PFO Occluder with medical treatment in patients with cryptogenic embolism (PC-Trial): rationale and design. Trials. 2011 Feb 28;12:56. doi: 10.1186/1745-6215-12-56.
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Public notes
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Contacts
Principal investigator
Name
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Bernhard Meier, MD
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Address
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Dept. Cardiology, University Hospital Insel, Berne, Switzerland
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Country
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Phone
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Fax
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Email
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Contact person for public queries
Name
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Address
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Country
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Phone
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Fax
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Email
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Contact person for scientific queries
No information has been provided regarding IPD availability
What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
No documents have been uploaded by study researchers.
Results not provided in
https://clinicaltrials.gov/study/NCT00166257
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