Evaluation of Fondaparinux in Patients With a Heart Rhythm Disturbance Who Undergo Restoration of Normal Heart Rhythm

NCT ID: NCT00911300

Last Updated: 2012-10-01

Study Results

Results available

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE2

Total Enrollment

349 participants

Study Classification

INTERVENTIONAL

Study Start Date

2009-08-31

Study Completion Date

2011-09-30

Brief Summary

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The purpose of this study is to test whether Fondaparinux is effective and safe to prevent thromboembolic events (like for example strokes) and bleeding events in patients who undergo a normalisation of their heart rhythm disturbance. Fondaparinux will be compared with Heparin and tablets containing Vitamin-K-Antagonists (Phenprocoumon, Fluindione, or Warfarin).

Detailed Description

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Conditions

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Fibrillation, Atrial

Keywords

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Cardioversion, Electric Pathological Conditions, Sings and Symptoms Cardiovascular Diseases Heart Diseases Atrial Fibrillation Arrhythmias, Cardiac Pathologic Processes Anticoagulants

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

PREVENTION

Blinding Strategy

NONE

Study Groups

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Arm 1: fondaparinux

Group Type ACTIVE_COMPARATOR

fondaparinux

Intervention Type DRUG

Comparison of different drugs

Arm 2: unfractionated heparin + Vitamin-K-Antagonist

Group Type ACTIVE_COMPARATOR

unfractionated heparin

Intervention Type DRUG

Comparison of different drugs

Vitamin-K-Antagonist

Intervention Type DRUG

Comparison of different drugs

Interventions

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fondaparinux

Comparison of different drugs

Intervention Type DRUG

unfractionated heparin

Comparison of different drugs

Intervention Type DRUG

Vitamin-K-Antagonist

Comparison of different drugs

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

* Male or female patients aged at least 18 years with atrial fibrillation (AF) meeting at least one of the following criteria (a, b, c): a. Acute clinical symptoms (like palpitations, chest pain, dyspnea, fatigue, lightheadedness, or syncope) for at least 48 hours and AF on baseline ECG b. Newly discovered AF persisting for \>=7 days c. Recurrent AF persisting for \>=7 days

Exclusion Criteria

* No documented sinus rhythm on ECG for more than 1 year
* Acute neurological deficits (TIA, stroke, intracranial bleeding), or known disease which may cause neurological deficits (e.g., multiple sclerosis, seizure disorder)
* Treatment with antithrombotic agents, including low-dose anticoagulation, for more than 48 hours prior to randomisation
* Treatment with oral NSAIDs or ASA at doses greater than 325 mg per day for more than 72 hours prior to randomisation
* Anticoagulant therapy required or likely to be required during the study period
* Treatment with ASA at a dose greater than 325 mg per day or oral NSAIDs (at any dose) required or likely to be required during the study period
* Treatment with two or more antiplatelet agents (e.g. clopidogrel and ASA) at any dose at the same time (i.e., within 24 hours)
* Known hypersensitivity to UFH, VKA, or Fondaparinux or one of these drugs' excipients
* Active, clinically significant bleeding or clinically significant bleeding within the past month
* Major surgery within the previous three months
* Uncontrolled arterial hypertension (persistent systolic blood pressure over 180 mm Hg or diastolic blood pressure over 110 mm Hg)
* Bacterial endocarditis
* Calculated creatinine clearance \< 30 mL/min
* Body weight \< 50 kg
* Planned surgery or intervention within the next 65 days
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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GlaxoSmithKline

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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GSK Clinical Trials

Role: STUDY_DIRECTOR

GlaxoSmithKline

Locations

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GSK Investigational Site

Albi, , France

Site Status

GSK Investigational Site

Antony, , France

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GSK Investigational Site

Brest, , France

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GSK Investigational Site

Créteil, , France

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GSK Investigational Site

Évecquemont, , France

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GSK Investigational Site

Montpellier, , France

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GSK Investigational Site

Paris, , France

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GSK Investigational Site

Paris, , France

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GSK Investigational Site

Pau, , France

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GSK Investigational Site

Pessac, , France

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GSK Investigational Site

Poitiers, , France

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GSK Investigational Site

Rennes, , France

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GSK Investigational Site

Toulouse, , France

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GSK Investigational Site

Toulouse, , France

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GSK Investigational Site

Freiburg im Breisgau, Baden-Wurttemberg, Germany

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GSK Investigational Site

Aschaffenburg, Bavaria, Germany

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GSK Investigational Site

Bad Tölz, Bavaria, Germany

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GSK Investigational Site

Simbach A. Inn, Bavaria, Germany

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GSK Investigational Site

Potsdam, Brandenburg, Germany

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Frankfurt am Main, Hesse, Germany

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Kassel, Hesse, Germany

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Kassel, Hesse, Germany

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GSK Investigational Site

Hagenow, Mecklenburg-Vorpommern, Germany

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GSK Investigational Site

Bielefeld, North Rhine-Westphalia, Germany

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GSK Investigational Site

Bonn, North Rhine-Westphalia, Germany

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GSK Investigational Site

Bonn, North Rhine-Westphalia, Germany

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GSK Investigational Site

Duisburg-Huckingen, North Rhine-Westphalia, Germany

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GSK Investigational Site

Unna, North Rhine-Westphalia, Germany

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GSK Investigational Site

Wesel, North Rhine-Westphalia, Germany

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GSK Investigational Site

Pirna, Saxony, Germany

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GSK Investigational Site

Magdeburg, Saxony-Anhalt, Germany

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GSK Investigational Site

Berlin, State of Berlin, Germany

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GSK Investigational Site

Berlin, State of Berlin, Germany

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GSK Investigational Site

Berlin, State of Berlin, Germany

Site Status

Countries

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France Germany

Other Identifiers

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111418

Identifier Type: -

Identifier Source: org_study_id