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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