Clinical trial • Cardiology

AMIODARONE HYDROCHLORIDE for Atrial fibrillation

Clinical trial of AMIODARONE HYDROCHLORIDE for Atrial fibrillation.

Overview

Trial Therapeutic Area
Cardiology
Trial Disease
Atrial fibrillation
Drug Modality
Small molecule

Key dates

Initial CTIS Submission Date
20-06-2024
First CTIS Authorization Date
30-08-2024

Trial design

Randomised, open-label, two arms described as 'long pattern' and 'short pattern' corresponding to a one-month amiodarone impregnation regimen (long pattern) versus a 5-day amiodarone regimen (short pattern). specific per-arm doses or schedules are not stated in the record.-controlled trial in Spain.

Randomised
Yes
Open Label
Yes
Comparator
Two arms described as 'Long pattern' and 'Short pattern' corresponding to a one-month amiodarone impregnation regimen (Long pattern) versus a 5-day amiodarone regimen (Short pattern). Specific per-arm doses or schedules are not stated in the record.
Target Sample Size
130

Eligibility

Recruits 130 Vulnerable populations not selected. Participants must be ≥18 years old and able to sign informed consent. No procedures for assent or consent for minors or other vulnerable groups are described..

Pregnancy Exclusion
Women of childbearing potential unwilling to use contraceptive measures
Vulnerable Population
Vulnerable populations not selected. Participants must be ≥18 years old and able to sign informed consent. No procedures for assent or consent for minors or other vulnerable groups are described.

Inclusion criteria

  • {"criterion_text":"- INCLUSION CRITERIA: 1.Patients ≥18 years old.\n- 2.Persistent atrial fibrillation (≥ 7 days duration).\n- 3.Referred for elective electrical cardioversion.\n- 4.\tSigning of the informed consent"}

Exclusion criteria

  • {"criterion_text":"- EXCLUSION CRITERIA: 1.\tNeed of urgent electrical cardioversion\n- 2.Mean Heart rate <50 bpm\n- 3.Planned ablation < 1 month after ECV.\n- 4.Treatment with anti-arrhythmic drugs (IC, III) the last 7 days previous to inclusion (in the case of amiodarone on the 30 days previous to inclusion)\n- 5.Atrial fibrillation post-cardiac surgery\n- 6.New York Heart Association (NYHA) Class IV heart failure\n- 7.Left ventricular ejection fraction (LVEF) ≤30%\n- 8.History of thyroid disease (hyperthyroidism or hypothyroidism)\n- 9.Known hepatobiliary disease (acute hepatitis, cirrhosis...) or ALT/AST > 3 x upper limit of normal (ULN)\n- 10.Allergy, intolerance, or known hypersensitivity to study medication\n- 11.Women of childbearing potential unwilling to use contraceptive measures\n- 12.Participation in another clinical trial involving investigational drugs\n- 13.Life expectancy less than 12 months\n- 14.Rheumatic mitral stenosis of any degree or severe mitral or aortic valve dysfunction."}

Endpoints

Primary endpoints

  • {"endpoint_text":"- Efficacy of amiodarone in reversion to sinus rhythm before electrical cardioversion in persistent atrial fibrillation.","definition_or_measurement_approach":""}

Secondary endpoints

  • {"endpoint_text":"- 1) time from initiation of amiodarone to reversion to sinus rhythm; 2) maintenance of sinus rhythm during the month after electrical cardioversion.","definition_or_measurement_approach":"Secondary objectives state: (1) identify days from initiation of pre-ECV amiodarone to reversion to SR using a mobile device paired to the mobile phone; (2) maintenance of sinus rhythm measured during the month after electrical cardioversion."}

Recruitment

Planned Sample Size
130
Recruitment Window Months
19
Consent Approach
Participants (≥18 years) must sign informed consent. A subject information and informed consent form document is listed for publication. Inclusion criteria require 'Signing of the informed consent'. Spanish translations of trial text are present; no assent procedures for minors are described.

Geography

Total Number Of Sites
3
Total Number Of Participants
130

Spain

Earliest CTIS Part Ii Submission Date
11-07-2024
Latest Decision Or Authorization Date
30-08-2024
Processing Time Days
50
Number Of Sites
3
Number Of Participants
130

Sites

Site Name
Hospital De La Santa Creu I Sant Pau
Department Name
Cardiologia
Contact Person Name
Jose Maria Guerra
Contact Person Email
jguerra@santpau.cat
Site Name
Hospital Germans Trias I Pujol
Department Name
Cardiologia
Contact Person Name
Roger Villuendas Sabaté
Contact Person Email
rogervilluendas@hotmail.com
Site Name
Complexo Hospitalario Universitario De Santiago
Department Name
Cardiologia
Contact Person Name
Moises Rodriguez Mañero
Contact Person Email
moirmanero@gmail.com

Sponsor

Primary sponsor

Full Name
Institut D Investigacio Sanitaria Pere Virgili
Organisation Type
Hospital/Clinic/Other health care facility
Country Of Registered Address
Spain

Third parties

  • {"country":"","full_name":"Societat Catalana de Cardiologia","duties_or_roles":"Source of monetary support","organisation_type":""}
  • {"country":"","full_name":"Sociedad Española de Cardiología","duties_or_roles":"Source of monetary support","organisation_type":""}

Investigational products

Investigational Product Name
Trangorex 200 mg comprimidos
Active Substance
AMIODARONE HYDROCHLORIDE
Modality
Small molecule
Routes Of Administration
ORAL
Route
ORAL
Authorisation Status
Authorised
Maximum Dose
800 mg (max daily dose amount)

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