Phase III Tolerance and Efficacy Study of RSD1235 in Patients With Atrial Fibrillation

NCT ID: NCT00468767

Last Updated: 2008-04-02

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

356 participants

Study Classification

INTERVENTIONAL

Study Start Date

2003-08-31

Study Completion Date

2004-11-30

Brief Summary

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This study is being conducted to demonstrate the effectiveness of RSD1235 in the conversion of atrial fibrillation to sinus rhythm.

Detailed Description

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There are approximately 2 million reported prevalent cases of atrial fibrillation (AF) and atrial flutter in the United States (Heart Disease \& Stroke Statistics - 2003 Update, AHA). These arrhythmias may be occasional or sustained. While not directly fatal, these arrhythmias cause discomfort and can lead to stroke or congestive heart failure.

This Phase III trial is Cardiome's first pivotal study with RSD1235. The study seeks to confirm the findings of the Phase II proof-of-concept through demonstration of RSD1235's abilities to convert AF to sinus rhythm. The patient population will include recent onset AF (AF duration of 3 hours to 7 days) and patients with longer AF duration.

This is a double-blind, placebo-controlled, randomized study in patients with AF; stratification will be based on duration of AF. Treatment will be considered successful if there is a treatment-induced conversion of atrial arrhythmia to sinus rhythm for a minimum of 1-minute by Hour 1.5 (Time 0 = start of first infusion). All patients will be evaluated for safety.

Conditions

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Atrial Fibrillation

Keywords

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Atrial fibrillation RSD1235 Atrial fibrillation of 3 hours to 7 days duration. Atrial fibrillation of 3 hours to 45 days duration.

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

TRIPLE

Participants Investigators Outcome Assessors

Study Groups

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1

Atrial fibrillation (AF) duration of 3 hours to 7 days.

Group Type EXPERIMENTAL

Vernakalant Injection 20 mg/mL

Intervention Type DRUG

2

AF duration of \>7 days to \<45 days

Group Type EXPERIMENTAL

Vernakalant Injection 20 mg/mL

Intervention Type DRUG

Interventions

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Vernakalant Injection 20 mg/mL

Intervention Type DRUG

Other Intervention Names

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RSD1235; Vernakalant; Vernakalant Injection; Vernakalant (iv)

Eligibility Criteria

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Inclusion Criteria

* 18 years of age or older;
* Have an atrial arrhythmia with symptoms that has been sustained for greater than 3 hours and up to 45 days.
* Have adequate anticoagulant therapy.

Exclusion Criteria

* Have a QRS \> 0.14 seconds unless patient has pacemaker or uncorrected QT \> 0.440 seconds as measured on a 12-lead ECG.
* Have serious diseases/illnesses that could interfere with the conduct or validity of the study or compromise patient safety.
* Have received intravenous Class I or Class III antiarrhythmic drugs or intravenous amiodarone within 24 hours prior to dosing.
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Astellas Pharma US, Inc.

INDUSTRY

Sponsor Role collaborator

Advanz Pharma

INDUSTRY

Sponsor Role lead

Responsible Party

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Cardiome Pharma Corp.

Principal Investigators

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Sheila Grant, MBA

Role: STUDY_DIRECTOR

Advanz Pharma

Locations

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University of California

Los Angeles, California, United States

Site Status

Regional Cardiology Associates

Sacramento, California, United States

Site Status

Florida Heart Institute

Orlando, Florida, United States

Site Status

James Haley VA Hospital

Tampa, Florida, United States

Site Status

Cardiac Arrhythmia Service, Massachusetts General Hospital

Boston, Massachusetts, United States

Site Status

Thoracic and Cardiovascular Institute

Lansing, Michigan, United States

Site Status

Oregon Health & Science University

Portland, Oregon, United States

Site Status

Main Line Health Heart Center

Wynnewood, Pennsylvania, United States

Site Status

Medical College of Virginia

Richmond, Virginia, United States

Site Status

McGuire VA Medical Center

Richmond, Virginia, United States

Site Status

Marshfield Clinic

Marshfield, Wisconsin, United States

Site Status

Heart Health Institute, Rockyview General Hospital

Calgary, Alberta, Canada

Site Status

University of Calgary

Calgary, Alberta, Canada

Site Status

University of Alberta Hospital

Edmonton, Alberta, Canada

Site Status

Cardiac Arrhythmia Trials

Victoria, British Columbia, Canada

Site Status

Hamilton Health Sciences, Hamilton General Hospital

Hamilton, Ontario, Canada

Site Status

Ottawa Hospitals (Civic & General)

Ottawa, Ontario, Canada

Site Status

Sunnybrook Health Sciences Centre, Emergency Medicine Research Program

Toronto, Ontario, Canada

Site Status

Institut de Cardiologie de Montreal

Montreal, Quebec, Canada

Site Status

Hopital Notre-Dame du CHUM

Montreal, Quebec, Canada

Site Status

CHUM-Hotel-Dieu de Montreal

Montreal, Quebec, Canada

Site Status

Institute de Cardiologie de Quebec, Hopital Laval

Ste Foy, Quebec, Canada

Site Status

Centre Hospitalier LeGardeur

Terrebonne, Quebec, Canada

Site Status

Aalborg University

Aalborg, , Denmark

Site Status

Århus Amtssygehus, Med. kardiologisk

Aarhus, , Denmark

Site Status

Amager Hospital, Med. Center

Copenhagen, , Denmark

Site Status

H:S Bispebjerg Hospital

Copenhagen, , Denmark

Site Status

Helsingor Sygehus, Kardiovaskulært

Elsinore, , Denmark

Site Status

Centralsygehuset Esbjerg Varde

Esbjerg, , Denmark

Site Status

Fredericia Sygehus

Fredericia, , Denmark

Site Status

Frederikssund Sygehus

Frederikssund, , Denmark

Site Status

Glostrup Amtssygehus

Glostrup Municipality, , Denmark

Site Status

Haderslev Sygehus, Kardiologisk Laboratorium

Haderslev, , Denmark

Site Status

Gentofte Amtssygehus

Hellerup, , Denmark

Site Status

Herlev Amtssygehus, Kardiologisk

Herlev, , Denmark

Site Status

Hillerod Sygehus, Medicinsk

Hillerød, , Denmark

Site Status

Sygehus Vendsyssel Hjorring

Hjørring, , Denmark

Site Status

Holstebro centralsygehus

Holstebro, , Denmark

Site Status

Horsens Sygehus

Horsens, , Denmark

Site Status

Hvidovre Hospital, Kardiologisk

Hvidovre, , Denmark

Site Status

Kolding Sygehus, Kardiologisk ambulatorium

Kolding, , Denmark

Site Status

Roskilde Amts Sygehus Køge

Køge, , Denmark

Site Status

Sygehus Fyn Svendborg

Svendborg, , Denmark

Site Status

Universitetssjukhuset MAS

Malmo, , Sweden

Site Status

Universitetssjukhuset, Molndal

Mölndal, , Sweden

Site Status

Universityetssjukhuset, Orebro

Örebro, , Sweden

Site Status

Danderyds sjukhus

Stockholm, , Sweden

Site Status

Akademiska Sjukhuset, Uppsala

Uppsala, , Sweden

Site Status

Centrallasarettet, Vasteras

Västerås, , Sweden

Site Status

Countries

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United States Canada Denmark Sweden

References

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Stiell IG, Dickinson G, Butterfield NN, Clement CM, Perry JJ, Vaillancourt C, Calder LA. Vernakalant hydrochloride: A novel atrial-selective agent for the cardioversion of recent-onset atrial fibrillation in the emergency department. Acad Emerg Med. 2010 Nov;17(11):1175-82. doi: 10.1111/j.1553-2712.2010.00915.x.

Reference Type DERIVED
PMID: 21175515 (View on PubMed)

Roy D, Pratt CM, Torp-Pedersen C, Wyse DG, Toft E, Juul-Moller S, Nielsen T, Rasmussen SL, Stiell IG, Coutu B, Ip JH, Pritchett EL, Camm AJ; Atrial Arrhythmia Conversion Trial Investigators. Vernakalant hydrochloride for rapid conversion of atrial fibrillation: a phase 3, randomized, placebo-controlled trial. Circulation. 2008 Mar 25;117(12):1518-25. doi: 10.1161/CIRCULATIONAHA.107.723866. Epub 2008 Mar 10.

Reference Type DERIVED
PMID: 18332267 (View on PubMed)

Other Identifiers

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1235-0703

Identifier Type: -

Identifier Source: org_study_id