A Study Comparing Vernakalant Therapy to Amiodarone Therapy in Acute Management of Recent Onset Atrial Fibrillation (AF) (MK-6621-055)
Primary Purpose
Atrial Fibrillation
Status
Withdrawn
Phase
Phase 4
Locations
Study Type
Interventional
Intervention
Vernakalant
Amiodarone
Sponsored by
About this trial
This is an interventional treatment trial for Atrial Fibrillation
Eligibility Criteria
Inclusion Criteria:
- Symptomatic AF (duration of current episode is ≤7 days), which is hemodynamically stable, and participant has no other condition at the time of screening that may result in acute hospitalization
- If female and of reproductive potential, the patient agrees to remain abstinent or use 2 acceptable methods of birth control from time of screening until 30-day follow-up.
- Weigh at least 45 kg
- Receiving adequate anticoagulant therapy
Exclusion Criteria:
- Hypersensitivity to the vernakalant or amiodarone or to citric acid, sodium chloride, sodium hydroxide, or iodine
- Severe aortic stenosis
- Systolic blood pressure <100 mmHg
- New York Heart Association (NYHA) Class III or IV heart failure
- Severe bradycardia, sinus node dysfunction, or second and third degree heart block in the absence of a pacemaker
- Use of IV rhythm control anti-arrhythmics (Class I and III) within 4 hours of study drug administration
- Acute coronary syndrome (including myocardial infarction) within previous 30 days
- History of thyroid dysfunction
- Severe acute respiratory failure or cardiovascular collapse
- Participating in another drug study or has received an investigational drug within 30 days prior to enrollment
- Pregnant or breast-feeding, or expecting to conceive from time of screening until 30-day follow-up
Sites / Locations
Arms of the Study
Arm 1
Arm 2
Arm Type
Experimental
Active Comparator
Arm Label
Vernakalant
Amiodarone
Arm Description
Outcomes
Primary Outcome Measures
Number of participants discharged from the emergency room (ER) to home, home-equivalent, or long-term care facility (LTCF) within 12 hours from randomization
Secondary Outcome Measures
Number of participants admitted to hospital directly from the ER after randomization
Full Information
1. Study Identification
Unique Protocol Identification Number
NCT01627106
Brief Title
A Study Comparing Vernakalant Therapy to Amiodarone Therapy in Acute Management of Recent Onset Atrial Fibrillation (AF) (MK-6621-055)
Official Title
A Multicentered, Randomized, Open-Label, Pragmatic Use Study Comparing Vernakalant Therapy to Amiodarone Therapy in Acute Management of Recent Onset Atrial Fibrillation
Study Type
Interventional
2. Study Status
Record Verification Date
August 2013
Overall Recruitment Status
Withdrawn
Study Start Date
September 2012 (undefined)
Primary Completion Date
February 2016 (Anticipated)
Study Completion Date
March 2016 (Anticipated)
3. Sponsor/Collaborators
Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Advanz Pharma
4. Oversight
Data Monitoring Committee
Yes
5. Study Description
Brief Summary
This study will compare vernakalant therapy to amiodarone therapy in the acute management of recent onset atrial fibrillation.
6. Conditions and Keywords
Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Atrial Fibrillation
7. Study Design
Primary Purpose
Treatment
Study Phase
Phase 4
Interventional Study Model
Parallel Assignment
Masking
None (Open Label)
Allocation
Randomized
Enrollment
0 (Actual)
8. Arms, Groups, and Interventions
Arm Title
Vernakalant
Arm Type
Experimental
Arm Title
Amiodarone
Arm Type
Active Comparator
Intervention Type
Drug
Intervention Name(s)
Vernakalant
Other Intervention Name(s)
Brinavess
Intervention Description
Initial intravenous (IV) dose of 3 mg/kg (up to a maximum of 339 mg) over 10 minutes, followed by a 15 minute observation period and, if conversion to sinus rhythm does not occur within 15 minutes of the initial infusion, a second 10 minute infusion of vernakalant at a dose of 2 mg/kg (up to a maximum of 226 mg) will be administered.
Intervention Type
Drug
Intervention Name(s)
Amiodarone
Other Intervention Name(s)
Pacerone, Cordarone
Intervention Description
Administered IV as per product label
Primary Outcome Measure Information:
Title
Number of participants discharged from the emergency room (ER) to home, home-equivalent, or long-term care facility (LTCF) within 12 hours from randomization
Time Frame
Up to 12 hours from randomization
Secondary Outcome Measure Information:
Title
Number of participants admitted to hospital directly from the ER after randomization
Time Frame
Day 1 (time of ramdomization)
10. Eligibility
Sex
All
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria:
Symptomatic AF (duration of current episode is ≤7 days), which is hemodynamically stable, and participant has no other condition at the time of screening that may result in acute hospitalization
If female and of reproductive potential, the patient agrees to remain abstinent or use 2 acceptable methods of birth control from time of screening until 30-day follow-up.
Weigh at least 45 kg
Receiving adequate anticoagulant therapy
Exclusion Criteria:
Hypersensitivity to the vernakalant or amiodarone or to citric acid, sodium chloride, sodium hydroxide, or iodine
Severe aortic stenosis
Systolic blood pressure <100 mmHg
New York Heart Association (NYHA) Class III or IV heart failure
Severe bradycardia, sinus node dysfunction, or second and third degree heart block in the absence of a pacemaker
Use of IV rhythm control anti-arrhythmics (Class I and III) within 4 hours of study drug administration
Acute coronary syndrome (including myocardial infarction) within previous 30 days
History of thyroid dysfunction
Severe acute respiratory failure or cardiovascular collapse
Participating in another drug study or has received an investigational drug within 30 days prior to enrollment
Pregnant or breast-feeding, or expecting to conceive from time of screening until 30-day follow-up
12. IPD Sharing Statement
Learn more about this trial
A Study Comparing Vernakalant Therapy to Amiodarone Therapy in Acute Management of Recent Onset Atrial Fibrillation (AF) (MK-6621-055)
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