Novel Approaches for Minimizing Drug-Induced QT Interval Lengthening
Long QT Syndrome, Abnormalities, Drug-Induced
About this trial
This is an interventional treatment trial for Long QT Syndrome
Eligibility Criteria
Inclusion Criteria:
Postmenopausal Women:
- Age 50-85 years old
- Postmenopausal (have not has a menstrual period for 12 months or longer)
Exclusion Criteria:
Postmenopausal women:
- Subject reported history of breast, uterine and ovarian cervical cancer
- Subject reported history of hysterectomy and/or ovariectomy
- Subject reported taking any hormone replacement therapy (prescription, nonprescription or herbal supplement)
- Weight < 60 kg at time of screening visit
- Weight >135 kg at time of screening visit
- Serum K+ <3.6 mEq/L at time of any ibutilide dosing visit
- Serum Mg2+ <1.8 mg/dL at time of screening visit
- Hematocrit <26%
- AST or ALT > 3x the upper limit of normal (determined by testing lab ranges) at the time of screening visit
- Baseline Bazett's-corrected QTc >450 ms (during any visit prior to ibutilide dosing)
- Baseline QRS > 120 ms (at time of baseline visit)
- Diagnosis of heart failure due to reduced or preserved ejection fraction
- Subject reported family history of long QT syndrome, TdP, or sudden cardiac death not associated with acute myocardial infarction
- Self-reported personal history of long QT syndrome, sudden cardiac death not associated with acute myocardial infarction
- Subject reported history any prolonged arrhythmia for which treatment was required
- Subject reported history of a myocardial infarction
- Subject reported history of coronary artery disease
- Sustained arrythmia found at baseline screening prior to any study visit including atrial fibrillation, atrial flutter, junctional rhythm, heart block (any)
- Permanently paced ventricular rhythm
- Current reported use of any QT prolonging medication. Investigator will check the current QT drugs list at www.crediblemeds.org during screening.
- Current reported use of any moderate or strong inhibitors of cytochrome P450 (CYP) 3A4, 3A5, or 3A7
- Current reported use of any inducers of cytochrome P-450 (CYP) 3A4, 3A5 or 3A7
Inclusion Criteria:
Older Men:
• Age 65 years old to 90 years old
Exclusion Criteria:
- Older men:
- Subject reported diagnosis of benign prostatic hyperplasia
- Subject reported history of breast or prostate cancer
- Weight < 60 kg at time of screening visit
- Weight >135 kg at time of screening visit
- Serum K+ <3.6 mEq/L at time of any ibutilide dosing visit
- Serum Mg2+ <1.8 mg/dL at time of screening visit
- Hematocrit <26%
- AST or ALT > 3x the upper limit of normal (determined by testing lab ranges) at the time of screening visit
- Baseline Bazett's-corrected QTc >450 ms (during any visit prior to ibutilide dosing)
- Baseline QRS > 120 ms (at time of baseline visit)
- Diagnosis of heart failure due to reduced or preserved ejection fraction
- Subject reported family history of long QT syndrome, TdP, or sudden cardiac death not associated with acute myocardial infarction
- Self-reported personal history of long QT syndrome, arrhythmias (including atrial fibrillation) or sudden cardiac death not associated with acute myocardial infarction
- Sustained arrythmia found at baseline screening prior to any study visit including atrial fibrillation, atrial flutter, junctional rhythm, heart block (any)
- Permanently paced ventricular rhythm
- Current reported use of any QT prolonging medication (Investigator will check current list of QT prolonging medications listed at www.crediblemeds.org at the time of screening for the most up to date list.
- Current reported use of any moderate or strong inhibitors of cytochrome P450 (CYP) 3A
- Current reported use of any inducers of cytochrome P-450 (CYP) 3A4, 3A5 or 3A7
Sites / Locations
- Indiana Clinical Research CenterRecruiting
- Indiana UniversityRecruiting
- Purdue University
Arms of the Study
Arm 1
Arm 2
Arm 3
Arm 4
Experimental
Placebo Comparator
Experimental
Placebo Comparator
Postmenopausal women: Progesterone
Postmenopausal women: Placebo
Men 65 years of age or older: Testosterone
Men 65 years of age or older: Placebo
Subjects will receive treatment with oral progesterone 400 mg once daily (two x 200 mg capsules) every evening for 7 days
Subjects will receive oral placebo, two capsules once daily every evening for 7 days
Subjects will receive treatment with transdermal testosterone 1% (100 mg) every morning for 3 days
Subjects will receive treatment with transdermal placebo every morning for 3 days