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Phase 2 Study of Oral K201 for Prevention of AF Recurrence (ARCTIC-AF)

Primary Purpose

Atrial Fibrillation

Status
Terminated
Phase
Phase 2
Locations
Study Type
Interventional
Intervention
K201 Tablet
Placebo Tablet
Sponsored by
Sequel Pharmaceuticals, Inc
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional prevention trial for Atrial Fibrillation focused on measuring atrial fibrillation, AF

Eligibility Criteria

18 Years - undefined (Adult, Older Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria:

  • Symptomatic AF (sustained >3 days and <6 months) and clinically indicated for cardioversion;
  • Adequate anticoagulant therapy for cardioversion in accordance with standard practice as recommended by ACC/AHA/ESC guidelines or with local clinical practice;
  • Hemodynamically stable (90 mmHg < systolic blood pressure < 190 mmHg)at screening and on Day 1;

Exclusion Criteria:

  • Known prolonged QT syndrome or QTc interval of >0.500 sec at screening; familial long QT syndrome; previous Torsade de Pointes; ventricular fibrillation; or sustained ventricular tachycardia (VT);
  • QRS >0.130 sec;
  • Previous episodes of second- or third-degree atrioventricular block;
  • Unsuccessful DC cardioversion attempt within 3 months; prior ablation for AF;
  • Persistent bradycardia with ventricular rate below 50 beats/min, sick-sinus syndrome or pacemaker (including CRT, AICD);
  • Myocardial infarction (MI), cardiac surgery, angioplasty, unstable angina or acute coronary syndrome within 30 days prior to entry into the study;
  • NYHA Class III or Class IV heart failure (HF) at screening or admission, or hospitalized for HF in previous 6 months;
  • Known concurrent temporary secondary causes of AF;
  • Received a Class I or Class III antiarrhythmic agent (including sotalol) within 5 half-lives of randomization or amiodarone or dronedarone within 4 weeks;
  • Received treatment with other drugs known to prolong the QT interval within 5 half-lives.

Sites / Locations

    Arms of the Study

    Arm 1

    Arm 2

    Arm 3

    Arm 4

    Arm Type

    Placebo Comparator

    Experimental

    Experimental

    Experimental

    Arm Label

    Placebo

    Dose 1

    Dose 2

    Dose 3

    Arm Description

    Placebo

    K201

    K201

    K201

    Outcomes

    Primary Outcome Measures

    time to first documented recurrence of symptomatic AF
    time to first documented recurrence of symptomatic or asymptomatic AF
    proportion of subjects in sinus rhythm
    number of AF beats
    time in AF
    safety assessments: vital signs, laboratory assays, ECG parameters, physical exams, frequency of adverse events

    Secondary Outcome Measures

    Full Information

    First Posted
    February 10, 2010
    Last Updated
    May 13, 2011
    Sponsor
    Sequel Pharmaceuticals, Inc
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    1. Study Identification

    Unique Protocol Identification Number
    NCT01067833
    Brief Title
    Phase 2 Study of Oral K201 for Prevention of AF Recurrence
    Acronym
    ARCTIC-AF
    Official Title
    A Pilot Phase 2, Randomized, Double-Blind, Placebo-Controlled, Multi-Centered Safety, Tolerability and Preliminary EffiCacy Study of K201 Oral for the Prevention of ATrial FIbrillation (AF) Recurrence in Subjects Post-Conversion From AF
    Study Type
    Interventional

    2. Study Status

    Record Verification Date
    May 2011
    Overall Recruitment Status
    Terminated
    Study Start Date
    April 2010 (undefined)
    Primary Completion Date
    October 2011 (Anticipated)
    Study Completion Date
    December 2011 (Anticipated)

    3. Sponsor/Collaborators

    Name of the Sponsor
    Sequel Pharmaceuticals, Inc

    4. Oversight

    Data Monitoring Committee
    Yes

    5. Study Description

    Brief Summary
    To evaluate the safety, efficacy, and tolerability of 3 doses of K201 (oral) administered for up to 28 days in subjects with recent DC cardioversion to sinus rhythm from sustained symptomatic atrial fibrillation (AF duration >3 days and <6 months).

    6. Conditions and Keywords

    Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
    Atrial Fibrillation
    Keywords
    atrial fibrillation, AF

    7. Study Design

    Primary Purpose
    Prevention
    Study Phase
    Phase 2
    Interventional Study Model
    Parallel Assignment
    Masking
    ParticipantCare ProviderInvestigatorOutcomes Assessor
    Allocation
    Randomized
    Enrollment
    300 (Anticipated)

    8. Arms, Groups, and Interventions

    Arm Title
    Placebo
    Arm Type
    Placebo Comparator
    Arm Description
    Placebo
    Arm Title
    Dose 1
    Arm Type
    Experimental
    Arm Description
    K201
    Arm Title
    Dose 2
    Arm Type
    Experimental
    Arm Description
    K201
    Arm Title
    Dose 3
    Arm Type
    Experimental
    Arm Description
    K201
    Intervention Type
    Drug
    Intervention Name(s)
    K201 Tablet
    Intervention Description
    oral tablet, x28 days
    Intervention Type
    Drug
    Intervention Name(s)
    Placebo Tablet
    Intervention Description
    oral tablet, x28 days
    Primary Outcome Measure Information:
    Title
    time to first documented recurrence of symptomatic AF
    Time Frame
    28 days
    Title
    time to first documented recurrence of symptomatic or asymptomatic AF
    Time Frame
    28 days
    Title
    proportion of subjects in sinus rhythm
    Time Frame
    Day 28
    Title
    number of AF beats
    Time Frame
    10 days
    Title
    time in AF
    Time Frame
    10 days
    Title
    safety assessments: vital signs, laboratory assays, ECG parameters, physical exams, frequency of adverse events
    Time Frame
    42 days

    10. Eligibility

    Sex
    All
    Minimum Age & Unit of Time
    18 Years
    Accepts Healthy Volunteers
    No
    Eligibility Criteria
    Inclusion Criteria: Symptomatic AF (sustained >3 days and <6 months) and clinically indicated for cardioversion; Adequate anticoagulant therapy for cardioversion in accordance with standard practice as recommended by ACC/AHA/ESC guidelines or with local clinical practice; Hemodynamically stable (90 mmHg < systolic blood pressure < 190 mmHg)at screening and on Day 1; Exclusion Criteria: Known prolonged QT syndrome or QTc interval of >0.500 sec at screening; familial long QT syndrome; previous Torsade de Pointes; ventricular fibrillation; or sustained ventricular tachycardia (VT); QRS >0.130 sec; Previous episodes of second- or third-degree atrioventricular block; Unsuccessful DC cardioversion attempt within 3 months; prior ablation for AF; Persistent bradycardia with ventricular rate below 50 beats/min, sick-sinus syndrome or pacemaker (including CRT, AICD); Myocardial infarction (MI), cardiac surgery, angioplasty, unstable angina or acute coronary syndrome within 30 days prior to entry into the study; NYHA Class III or Class IV heart failure (HF) at screening or admission, or hospitalized for HF in previous 6 months; Known concurrent temporary secondary causes of AF; Received a Class I or Class III antiarrhythmic agent (including sotalol) within 5 half-lives of randomization or amiodarone or dronedarone within 4 weeks; Received treatment with other drugs known to prolong the QT interval within 5 half-lives.
    Overall Study Officials:
    First Name & Middle Initial & Last Name & Degree
    Paul Chamberlin, MD
    Organizational Affiliation
    Sequel Pharmaceuticals
    Official's Role
    Study Director

    12. IPD Sharing Statement

    Learn more about this trial

    Phase 2 Study of Oral K201 for Prevention of AF Recurrence

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