RATe Control in Atrial Fibrillation

NCT ID: NCT00313157

Last Updated: 2014-05-13

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE3

Total Enrollment

80 participants

Study Classification

INTERVENTIONAL

Study Start Date

2006-04-30

Study Completion Date

2010-09-30

Brief Summary

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The purpose of this study is to compare the effect of metoprolol, verapamil, diltiazem and carvedilol on ventricular rate, working capacity and quality of life in patients with chronic atrial fibrillation.

Detailed Description

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This is a randomised, single blinded, cross-over study comparing the efficacy of metoprolol 100 mg o.d., verapamil 240 mg o.d., diltiazem 360 mg o.d. and carvedilol 25 mg o.d. in reducing ventricular rate in atrial fibrillation. A total of 60 patients will be included, with a minimum of 20 women.Patients will receive each of the drug regimens in a random sequence. Each regimen will be administered for 3 weeks, ensuring that steady-state drug concentration will be attained and to provide an adequate washout of the previous treatment. Following each regimen, exercise ECG and Holter registration will be performed and patients will undergo laboratory evaluation and complete QoL-forms. They will then be started on the next randomly assigned treatment regimen, until the entire sequence of treatment schedules is completed.

Conditions

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Atrial Fibrillation

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

CROSSOVER

Primary Study Purpose

TREATMENT

Blinding Strategy

SINGLE

Investigators

Study Groups

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Metoprolol

Treatment with Metoprolol 100 mg x 1 for three weeks

Group Type ACTIVE_COMPARATOR

Metoprolol

Intervention Type DRUG

Diltiazem

Treatment with Diltiazem 360 mg x 1 for three weeks

Group Type ACTIVE_COMPARATOR

Diltiazem

Intervention Type DRUG

Verapamil

Treatment with Verapamil 240 mg x 1 for three weeks

Group Type ACTIVE_COMPARATOR

Verapamil

Intervention Type DRUG

Carvedilol

Treatment with Carvedilol 25 mg x 1 for three weeks

Group Type ACTIVE_COMPARATOR

Carvedilol

Intervention Type DRUG

Interventions

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Metoprolol

Intervention Type DRUG

Diltiazem

Intervention Type DRUG

Verapamil

Intervention Type DRUG

Carvedilol

Intervention Type DRUG

Other Intervention Names

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Selo-Zok Cardizem Isoptin Retard Kredex

Eligibility Criteria

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Inclusion Criteria

* Persistent or permanent atrial fibrillation with ventricular rate \> 80/min at rest and/or \> 100/min average at daytime.
* Male or female, age \> 18.

Exclusion Criteria

* Hypersensitivity or contraindication to metoprolol, verapamil, diltiazem or carvedilol.
* Coronary heart disease or heart failure
* Systolic blood pressure \< 100 mmHg
* AV-conduction disturbance
* Severe hepatic or renal dysfunction
* Thyrotoxicosis
* Ongoing treatment with Digitalis
* Pregnancy or lactation
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Asker & Baerum Hospital

OTHER

Sponsor Role lead

Responsible Party

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Sara Reinvik Ulimoe

MD

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Sara Reinvik Fagertun, MD

Role: PRINCIPAL_INVESTIGATOR

Asker and Baerum Hospital

Locations

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Vestre Viken Hospital Trust, Baerum Hospital

Rud, Akershus, Norway

Site Status

Countries

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Norway

References

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Horjen AW, Ulimoen SR, Enger S, Norseth J, Seljeflot I, Arnesen H, Tveit A. Troponin I levels in permanent atrial fibrillation-impact of rate control and exercise testing. BMC Cardiovasc Disord. 2016 May 4;16:79. doi: 10.1186/s12872-016-0255-x.

Reference Type DERIVED
PMID: 27142292 (View on PubMed)

Corino VD, Sandberg F, Platonov PG, Mainardi LT, Ulimoen SR, Enger S, Tveit A, Sornmo L. Non-invasive evaluation of the effect of metoprolol on the atrioventricular node during permanent atrial fibrillation. Europace. 2014 Nov;16 Suppl 4:iv129-iv134. doi: 10.1093/europace/euu246.

Reference Type DERIVED
PMID: 25362163 (View on PubMed)

Ulimoen SR, Enger S, Norseth J, Pripp AH, Abdelnoor M, Arnesen H, Gjesdal K, Tveit A. Improved rate control reduces cardiac troponin T levels in permanent atrial fibrillation. Clin Cardiol. 2014 Jul;37(7):422-7. doi: 10.1002/clc.22281. Epub 2014 Apr 3.

Reference Type DERIVED
PMID: 24700386 (View on PubMed)

Other Identifiers

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2005-004221-26

Identifier Type: -

Identifier Source: org_study_id

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