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临床试验/EUCTR2018-002979-17-DE
EUCTR2018-002979-17-DE进行中(未招募)1 期

se of doxapram as a new antiarrhythmic drug for a specific therapy of atrial fibrillation - Doctos Trial (DOxapram Conversion TO Sinus rhythm study)

Ruprecht-Karls University Heidelberg Medical Faculty, University Hospital0 个研究点目标入组 40 人开始时间: 2018年11月7日最近更新:
适应症
相关药物

试验速览

阶段
1 期
状态
进行中(未招募)
发起方
入组人数
40

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

  • 1. Age 18 – 80 years,
  • 2. Patient meets in-house eligibility criteria for non-emergent, electrical or pharmacological cardioversion (absence of AF-inducing medical conditions such as e.g. valvular disease, sufficient anticoagulation, and/or exclusion of cardiac thrombus),
  • 3. Available previous ECG in sinus rhythm to allow for an assessment of QT time,
  • 4. Ability to understand and willingness to comply with study interventions, and
  • 5. Voluntarily signed informed consent after full explanation of the study to the patient.
  • 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 40
  • F.1.3 Elderly (>=65 years) yes
  • F.1.3.1 Number of subjects for this age range 40

排除标准

  • 1. Any participation in a clinical drug trial within 5 times the documented terminal half-life of the respective active drug or if half-life is unknown within the last four weeks before inclusion,
  • 2. Any physical disorder as judged by the investigator that could interfere with the patient’s safety during the clinical trial or with the study objectives,
  • 3. Inability to communicate well with the investigator due to language problems or poor mental development,
  • 4. Pregnancy or lactation,
  • 5. Intake of antiarrhythmic agents as co-medication (Vaughan Williams classification), except class II beta-blockers, within less than 5 half-lives of the respective drug as related to planned exposure:
  • class Ia: e.g. quinidine, ajmaline, procainamide, or disopyramide,
  • class Ib: e.g. lidocaine, phenytoin, mexiletine, or tocainide,
  • class Ic: e.g. encainide, flecainide, propafenone, or moricizine,
  • class III: e.g. amiodarone, sotalol, ibutilide, dofetilide, dronedarone, or vernakalant,
  • class IV: e.g. verapamil ordiltiazem,
  • class V: e.g. adenosine, digoxin, or digitoxin,
  • unclassified: ranolazine,
  • 6. Any adenosine like drugs (e.g. ticagrelor) within less than 5 half-lives of the respective drug,
  • 7. Any magnesium intake (> 500 mg) within 4 h of planned exposure, if magnesium has been applied within 24 h prior to planned exposure magnesium blood level must not higher than the upper limit of normal (+ 10%),
  • 8. Any theophylline intake within 3 d as related to planned exposure,
  • 9. Contraindication for doxapram use present such as
  • a) known intolerance to doxapram,
  • b) systolic blood pressure < 100 mmHg or > 170 mmHg,
  • c) diastolic blood pressure < 60 mmHg or > 100 mmHg,
  • d) Heart rate < 50 / min,
  • e) acute coronary syndrome,
  • f) decompensated heart failure or chronic heart failure (NYHA) class III or IV,
  • g) hyperthyreodism,
  • h) history of pheochromocytoma,
  • i) impaired breathing function (due to a history of e.g. accidental injury, pneumothorax, pulmonary embolism, neuromuscular impairment, lung fibrosis, asthma, or other impairment of breathing),
  • j) history of epilepsy or other convulsive disorders,
  • k) history of cerebral injury, cerebral edema, cerebral ischemia or cerebral bleeding,
  • 10. Any emergency situation which requires emergency treatment,
  • 11. Any immediate need of sympathomimetics, monoaminooxidase inhibitors, halothane, isoflurane, enflurane, theophylline,
  • 12. Hemoglobin < 10 g/dl,
  • 13. Known channelopathy, or
  • 14. Signs of long QT syndrome (male participants with QTc > 430 ms, female participants with QTc > 450ms) or short QT syndrome in an ECG in sinus rhythm recorded.
  • 15. Body weight > 140 kg

研究者

发起方
Ruprecht-Karls University Heidelberg Medical Faculty, University Hospital

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