Clinical trial • Phase IV • Cardiology

AMIODARONE HYDROCHLORIDE for New-onset atrial fibrillation

Phase IV trial of AMIODARONE HYDROCHLORIDE for New-onset atrial fibrillation.

Overview

Trial Therapeutic Area
Cardiology
Trial Disease
New-onset atrial fibrillation
Trial Stage
Phase IV
Drug Modality
Small molecule

Key dates

Initial CTIS Submission Date
06-05-2025
First CTIS Authorization Date
06-06-2025

Trial design

Randomised, open-label, intravenous amiodarone (standard of care) versus enteral/oral amiodarone (cordan, tabletter). iv dosing described in inclusion: single dose 150-300 mg; enteral dose/schedule not specified.-controlled Phase IV trial across 1 site in Denmark.

Randomised
Yes
Open Label
Yes
Comparator
Intravenous amiodarone (standard of care) versus enteral/oral amiodarone (Cordan, tabletter). IV dosing described in inclusion: single dose 150-300 mg; enteral dose/schedule not specified.
Target Sample Size
50
Trial Duration For Participant
7

Eligibility

Recruits 50 Vulnerable population selected (critically ill, invasively mechanically ventilated patients). Subject information and informed consent forms include substitute/representative consent ('stedfortrædende samtykke') and information for relatives and patients..

Pregnancy Exclusion
Pregnancy
Vulnerable Population
Vulnerable population selected (critically ill, invasively mechanically ventilated patients). Subject information and informed consent forms include substitute/representative consent ('stedfortrædende samtykke') and information for relatives and patients.

Inclusion criteria

  • {"criterion_text":"- Adults (18 years of age or older)"}
  • {"criterion_text":"- Admitted to the intensive care unit"}
  • {"criterion_text":"- Treated with a single dose of intravenous amiodarone 150-300 mg for new-onset atrial fibrillation"}
  • {"criterion_text":"- Needing continuous treatment with amiodarone for new-onset atrial fibrillation"}
  • {"criterion_text":"- Invasively mechanically ventilated"}
  • {"criterion_text":"- Normal gastrointestinal function defined as uncomplicated enteral feeding with aspirate less than 300 mL per day"}

Exclusion criteria

  • {"criterion_text":"- Persistent or paroxysmal atrial fibrillation treated with amiodarone prior to hospitalisation"}
  • {"criterion_text":"- Treated with amiodarone during the current hospitalisation prior to intensive care unit admission"}
  • {"criterion_text":"- Pregnancy"}
  • {"criterion_text":"- Known allergy to amiodarone"}
  • {"criterion_text":"- Under coercive measures"}

Endpoints

Primary endpoints

  • {"endpoint_text":"- Pharmacokinetic of amiodarone","definition_or_measurement_approach":"Measuring concentrations of amiodarone and its active metabolite N-desethylamiodarone in blood, in bronchoalveolar lavage and in exhaled breath condensate."}

Secondary endpoints

  • {"endpoint_text":"- Pharmacodynamics of amiodarone","definition_or_measurement_approach":"Measured by conversion to sinus rhythm, oxygenation, proteomics in bronchoalveolar lavage, days alive without life-support (invasive mechanical ventilation, vasopressors, dialysis), inflammatory markers (C-reactive protein and leucocytes) and liver enzymes in blood, and ICU mortality within 10 days after initiating treatment."}

Other endpoints

  • {"endpoint_text":"- To examine if concentrations of amiodarone and N-desethylamiodarone in exhaled breath condensate are equal to concentrations in brochoalveolar lavage.","definition_or_measurement_approach":"Compare concentrations of amiodarone and N-desethylamiodarone measured in exhaled breath condensate with concentrations measured in bronchoalveolar lavage."}
  • {"endpoint_text":"- To examine if proteomics analyses in exhaled breath condensate are equal to proteomics in bronchoalveolar lavage.","definition_or_measurement_approach":"Compare proteomics profiles from exhaled breath condensate and bronchoalveolar lavage samples."}

Recruitment

Planned Sample Size
50
Recruitment Window Months
21
Consent Approach
Informed consent obtained using subject information and informed consent forms. Documents include forms for patients, relatives, and substitute/representative consent ('stedfortrædende samtykke'); materials appear to be provided in Danish (document titles in Danish). Consent provided by the participant or by a legal representative/next of kin per substitute-consent documents.

Geography

Total Number Of Sites
1
Total Number Of Participants
50

Denmark

Earliest CTIS Part Ii Submission Date
02-06-2025
Latest Decision Or Authorization Date
06-06-2025
Processing Time Days
4
Number Of Sites
1
Number Of Participants
50

Sites

Site Name
Aalborg University Hospital
Department Name
Anaesthesia and Intensive Care
Principal Investigator Name
Bodil Steen Rasmussen
Principal Investigator Email
bodil.steen.rasmussen@rn.dk
Contact Person Name
Bodil Steen Rasmussen
Contact Person Email
bodil.steen.rasmussen@rn.dk

Sponsor

Primary sponsor

Full Name
Aalborg University Hospital
Organisation Type
Hospital/Clinic/Other health care facility
Country Of Registered Address
Denmark

Third parties

  • {"country":"Denmark","full_name":"Aalborg University Hospital","duties_or_roles":"1","organisation_type":"Hospital/Clinic/Other health care facility"}

Investigational products

Investigational Product Name
Amiodarone Hydrochloride 50 mg/ml Concentrate for Solution for Injection/Infusion
Active Substance
AMIODARONE HYDROCHLORIDE
Modality
Small molecule
Routes Of Administration
INTRAVENOUS INFUSION
Route
INTRAVENOUS INFUSION
Authorisation Status
Marketing authorised (marketingAuthNumber: PL 01502/0122)
Starting Dose
150-300 mg (single intravenous dose, per inclusion criteria)
Maximum Dose
1200 mg
Investigational Product Name
Cordan, tabletter
Active Substance
AMIODARONE HYDROCHLORIDE
Modality
Small molecule
Routes Of Administration
ENTERAL FEEDING TUBE
Route
ENTERAL FEEDING TUBE
Authorisation Status
Marketing authorised (marketingAuthNumber: 34172)
Maximum Dose
1200 mg

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