EUCTR2009-016818-24-IT进行中（未招募）不适用
A Randomized, international, multi-center, open-label study to document optimal timing of initiation of dronedarone TreatmEnt after conversion with loading dose of aMIodarone in patients with perSistent Atrial Fibrillation requiring conversion of AF. - ARTEMIS AF Loading
适应症
相关药物
试验速览
- 阶段
- 不适用
- 状态
- 进行中（未招募）
- 入组人数
- 768
研究概览
简要总结
暂无简介。
研究设计
- 研究类型
- Interventional clinical trial of medicinal product
入排标准
- 性别
- All
入选标准
- •Inclusion criteria at screening: - Male or female adult aged 18 years or more; - Outpatient; - Patient with persistent AF for more than 72 hours (documented by an ECG taken within the last 72 hours) for whom cardioversion, anti-arrhythmic treatment and anticoagulation treatment are indicated in the opinion of the Investigator (Note:patient may already be on anticoagulation treatment); - Naive of amiodarone treatment in the last three months prior to screening; - QTcB < 500 ms on 12-lead ECG; - Patient with at least one cardiovascular risk factor (i.e. age > 70, hypertension, diabetes, prior cerebrovascular disease, left atrial diameter = 50 mm or left ventricular ejection fraction [LVEF] < 40%); - Signed written informed consent. Inclusion criteria to be checked at randomization: - Outpatient (only hospitalization of 48h for a planned cardio-version will be allowed); - Patient in sinus rhythm (Note: if cardioversion is performed on Day 1 prior to randomization, then the patient must be in sinus rhythm for at least one hour before randomization); - Patient under effective oral anticoagulation according to ACC/AHA/ESC 2006 guidelines; - QTcB < 500 ms and PR < 280 ms on 12-lead ECG, - Patient having received 28 days ? 2 days of amiodarone.
- •Are the trial subjects under 18? no
- •Number of subjects for this age range:
- •F.1.2 Adults (18-64 years) yes
- •F.1.2.1 Number of subjects for this age range
- •F.1.3 Elderly (>=65 years) yes
- •F.1.3.1 Number of subjects for this age range
排除标准
- •Exclusion criteria at screening: - Contraindication to oral anticoagulation, - Any documented AF episode motivating inclusion in the study after an acute condition known to cause AF (e.g. alcohol intake, thyrotoxicosis, acute infection, pericarditis, pulmonary embolism, cardiac surgery), - Patient with permanent AF in which cardioversion has failed, - Patient with paroxysmal AF in whom cardioversion is not indicated, - Bradycardia < 50 beats per minute (bpm) at rest on the 12-lead ECG, - Clinically overt congestive heart failure: o with New York Heart Association (NYHA) class III and IV heart failure, o or NYHA class II with a recent decompensation requiring hospitalization or referral to a specialized heart failure clinic, o as well any patient in unstable hemodynamic conditions. - Women of childbearing potential without adequate birth control (e.g. oral contraception or intra-uterine device [IUD]) or not menopaused, not sterile or not hysterectomized, - Pregnant women, - Breastfeeding women, - Previous (2 preceding months) or current participation in another clinical trial with an investigational drug or with an investigational device, - Clinically relevant hematologic, underlying hepatobiliary disease, gastrointestinal, pulmonary, endocrinologic, psychiatric, neurological or dermatological disease, - Severe hepatic impairment, - Severe renal impairment (creatinine clearance < 30 mL/min), - Serum potassium <3.5 millimol/liter (mmol/L) (in patients with hypokalemia, potassium deficiency must be corrected before randomization) or > 5.5 mmol/l, - Magnesemia < 0.8 mml/l (in patient with hypo-magnesemia, magnesium deficiency must be corrected before randomization), - Unstable angina pectoris (ischemic symptoms during the last 7 days) or recent myocardial infarction (MI) (< 6 weeks), - First degree family history of sudden cardiac death below age 50 years in the absence of coronary heart disease, - Second- or third- degree Atrio-Ventricular block or sick sinus syndrome (except when used in conjunction with a functioning pacemaker), - Ongoing potentially severe symptoms when in AF such as angina pectoris, transient ischemic attacks, stroke, syncope, as judged by the investigator, - Wolff-Parkinson-White Syndrome, - Previous ablation for atrial fibrillation or any planned ablation in the next following 2 months. Exclusion criteria to be checked at randomization - Bradycardia < 50 bpm on the 12-lead ECG before randomization, - Clinically overt congestive heart failure: o with New York Heart Association (NYHA) class III and IV heart failure, o or NYHA class II with a recent decompensation requiring hospitalization or referral to a specialized heart failure clinic, o as well any patients in unstable hemodynamic conditions. - Serum potassium <3.5 millimol/liter (mmol/L) (in patients with hypokalemia, potassium deficiency must have been corrected before randomization) or > 5.5 mmol/l, - Magnesemia < 0.8 mml/l (in patient with hypo-magnesemia, magnesium deficiency must have been corrected before randomization) - Women of childbearing potential without adequate birth control (e.g. oral contraception or intra-uterine device [IUD]) or not menopaused, not sterile or not hysterectomized
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