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Amiodarone

Generic Name
Amiodarone
Brand Names
Nexterone, Pacerone
Drug Type
Small Molecule
Chemical Formula
C25H29I2NO3
CAS Number
1951-25-3
Unique Ingredient Identifier
N3RQ532IUT
Background

Amiodarone is a benzofuran derivative, anti-arrhythmic drug used commonly in a variety of settings. Most known for its approved indication in life-threatening ventricular arrhythmias, it is also used off-label in the outpatient and inpatient setting for atrial fibrillation. Because of its ability to cause serious toxicity and possibly death, amiodarone use should be reserved for its approved indications, according to prescribing information.

Indication

The FDA approved indications for amiodarone are recurrent ventricular fibrillation (VF) and recurrent hemodynamically unstable ventricular tachycardia (VT). The FDA emphasizes that this drug should only be given in these conditions when they are clinically documented and have not responded to normal therapeutic doses of other antiarrhythmic agents, or when other drugs are not tolerated by the patient.

Off-label indications include atrial fibrillation and supraventricular tachycardia.

Associated Conditions
Atrial Fibrillation, Supraventricular Tachycardia (SVT), Recurrent Ventricular fibrillation, Recurrent hemodynamically unstable Ventricular tachycardia
Associated Therapies
-

Evaluate the Pharmacokinetics and Safety of MK-4448 in Participants With Nonvalvular Atrial Fibrillation or Atrial Flutter

Phase 2
Completed
Conditions
Atrial Fibrillation
Atrial Flutter
Interventions
First Posted Date
2010-10-27
Last Posted Date
2023-08-07
Lead Sponsor
Portola Pharmaceuticals
Target Recruit Count
189
Registration Number
NCT01229254

n-3 Polyunsaturated Fatty Acids (PUFAs) in the Prevention of Atrial Fibrillation

Phase 3
Completed
Conditions
Atrial Fibrillation
Interventions
Drug: n-3 PUFAs
Drug: Placebo
Drug: RASS inhibitors and/or RAS blockers
Drug: Amiodarone
First Posted Date
2010-09-10
Last Posted Date
2012-01-20
Lead Sponsor
Azienda Socio Sanitaria Territoriale degli Spedali Civili di Brescia
Target Recruit Count
199
Registration Number
NCT01198275
Locations
🇮🇹

Arrhytmias and Heart failure Unit-Spedali Civili Hospital, Brescia, Italy

Effect of Amiodarone on the Procedure Outcome in Long-standing Persistent Atrial Fibrillation Undergoing Pulmonary Vein Antral Isolation

Phase 3
Completed
Conditions
Atrial Fibrillation
Interventions
First Posted Date
2010-08-02
Last Posted Date
2014-08-21
Lead Sponsor
Texas Cardiac Arrhythmia Research Foundation
Target Recruit Count
176
Registration Number
NCT01173809
Locations
🇺🇸

St.David's Medical Center, Austin, Texas, United States

Catheter Ablation Versus Amiodarone for Shock Prophylaxis in Defibrillator Patients With Ventricular Tachycardia

Phase 3
Terminated
Conditions
Tachycardia, Ventricular
Defibrillators, Implantable
Interventions
Procedure: Ablation
Drug: Amiodarone
First Posted Date
2010-04-01
Last Posted Date
2020-01-29
Lead Sponsor
Population Health Research Institute
Target Recruit Count
12
Registration Number
NCT01097330
Locations
🇺🇸

Texas Cardiac Arrhythmia Research Foundation, Austin, Texas, United States

🇨🇦

Southlake Regional Health Centre, Newmarket, Ontario, Canada

🇨🇦

Hamilton Health Sciences, Hamilton, Ontario, Canada

and more 8 locations

Dose Ranging Study of Celivarone With Amiodarone as Calibrator for the Prevention of Implantable Cardioverter Defibrillator (ICD) Interventions or Death

Phase 2
Completed
Conditions
Arrhythmia Prophylaxis
Ventricular Arrhythmia
Interventions
Drug: Celivarone
Drug: Amiodarone
Drug: Matching placebo
First Posted Date
2009-10-12
Last Posted Date
2016-05-30
Lead Sponsor
Sanofi
Target Recruit Count
486
Registration Number
NCT00993382
Locations
🇺🇸

Investigational Site Number 840045, Chicago, Illinois, United States

🇩🇪

Investigational Site Number 276005, Bad Neustadt, Germany

🇦🇺

Investigational Site Number 036003, Woolloongabba, Australia

and more 148 locations

Prophylaxis to Reduce Postoperative Atrial Fibrillation in Cardiac Surgery

Phase 3
Completed
Conditions
Atrial Fibrillation
Atrial Flutter
Interventions
First Posted Date
2009-08-06
Last Posted Date
2018-04-26
Lead Sponsor
MaineHealth
Target Recruit Count
304
Registration Number
NCT00953212
Locations
🇺🇸

Maine Medical Center, Portland, Maine, United States

In-hospital Cardiac Arrest - Dynamics and State Transitions

Completed
Conditions
Death, Sudden, Cardiac
Heart Arrest
First Posted Date
2009-06-15
Last Posted Date
2018-09-05
Lead Sponsor
St. Olavs Hospital
Target Recruit Count
285
Registration Number
NCT00920244
Locations
🇳🇴

St.Olavs Hospital, Department of Anesthesia, Trondheim, Norway

The Effect of Short Term Amiodarone Treatment After Catheter Ablation for Atrial Fibrillation

Not Applicable
Completed
Conditions
Atrial Fibrillation
Interventions
Procedure: Catheter ablation
Drug: Placebo
Drug: Amiodarone
First Posted Date
2009-01-22
Last Posted Date
2014-03-05
Lead Sponsor
Rigshospitalet, Denmark
Target Recruit Count
212
Registration Number
NCT00826826
Locations
🇩🇰

Rigshospitalet, Copenhagen, Denmark

🇩🇰

Gentofte University Hospital, Hellerup, Denmark

Ablation vs Amiodarone for Treatment of AFib in Patients With CHF and an ICD

Phase 4
Completed
Conditions
Heart Failure
Interventions
Procedure: Atrial Fibrillation ablation
Drug: Amiodarone
First Posted Date
2008-08-08
Last Posted Date
2019-04-10
Lead Sponsor
Texas Cardiac Arrhythmia Research Foundation
Target Recruit Count
203
Registration Number
NCT00729911
Locations
🇺🇸

Texas Cardiac Arrhythmia Research Foundation, Austin, Texas, United States

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