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Double blind placebo controlled dose ranging study of the efficacy and safety of SSR149744C 300 or 600 mg for the conversion of atrial fibrillation/flutter - CORYFEE

Conditions
Atrial fibrillation/flutter
MedDRA version: 7.1Level: LLTClassification code 10003658
Registration Number
EUCTR2005-000823-40-PT
Lead Sponsor
Sanofi-Synthelabo-Recherche
Brief Summary

Not available

Detailed Description

Not available

Recruitment & Eligibility

Status
ot Recruiting
Sex
All
Target Recruitment
141
Inclusion Criteria

- AF/AFL for >72 hours and documented by 2 12-lead ECG recorded prior to randomization, separated by at least 72 hours and both showing AF/AFL
- Indication for cardioversion of the current AF/AFL episode as judged by the investigator
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

Exclusion Criteria

-Women of childbearing potential without adequat birthcontrol, pregnant women and breastfeeding women.
-Contraindication to oral anti-coagulant

Criteria related to a cardiac condition or a disease resistance :
-Permanent cardiac pacemaker or ICD
-Unstable angina pectoris or recent myocardial infarction
-Acute condition known to cause AF/AFL
-History of torsades de pointes
-Congenital long QT syndrome
-QT-interval > 500 msec on the last 12-lead ECG before randomization
-Family history of sudden cardiac death below age 50 years in the absence of coronary heart disease
-Wolff-Parkinson-White syndrome
-History of high degree atrio-ventricular block
-PR-interval ³ 0.28 sec
-Significant sinus node disease
-Bradycardia < 50 bpm on the last 12-lead ECG before randomization
-Clinically overt congestive heart failure with NYHA class III or IV at the time of randomization,
-Left ventricular ejection fraction less than 35% on the screening 2D-echocardiogram
-Ongoing potentially dangerous symptoms when in AF/AFL such as angina pectoris, transient ischemic attacks, stroke, syncope as judged by the investigator
-Patients known to have permanent AF/AFL
-Patients in whom 3 (on different days) consecutive electrical cardioversions were unsuccessful in re-establishing sinus rhythm.

Other exclusion criteria : related to clinically relevant laboratory abnormalities and related to some concommitant medications.

Study & Design

Study Type
Interventional clinical trial of medicinal product
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
Main Objective: To assess versus placebo the efficacy of SSR149744C for the conversion of atrial fibrillation/flutter to sinus rhythm at the time of the planned electrical cardioversion.;Secondary Objective: -To assess versus placebo the efficacy of SSR149744C for the control of ventricular rate in patients not converted at the time of the planned electrical cardioversion.<br>-To assess versus placebo the tolerability of the different dose regimens of SSR149744C in the selected population.<br>-To document SSR149744C plasma levels during the study.<br>;Primary end point(s): Rate of conversion to sinus rhythm documented by ECG at the time of planned electrical cardioversion on D3 i.e. after 48 hours following the first study drug administration.
Secondary Outcome Measures
NameTimeMethod
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