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Flecainide

Generic Name
Flecainide
Brand Names
Tambocor
Drug Type
Small Molecule
Chemical Formula
C17H20F6N2O3
CAS Number
54143-55-4
Unique Ingredient Identifier
K94FTS1806
Background

Flecainide is a Class I anti-arrhythmic agent like encainide and propafenone. Flecainide’s development began in 1966 and was first synthesized in 1972 as an attempt to generate new anesthetics. It is used to prevent supraventricular and ventricular arrhythmias, as well as paroxysmal atrial fibrillation and flutter.

Flecainide was granted FDA approval on 31 October 1985.

Indication

In New Zealand and America, flecainide is indicated to prevent supraventricular arrhythmias and ventricular arrhythmias. In the United States, it is also indicated to prevent paroxysmal atrial fibrillation and flutter.

Associated Conditions
Atrial Fibrillation, Ventricular Tachycardia (VT), Severe Atrioventricular nodal reentrant tachycardia, Severe Paroxysmal atrial fibrillation, Severe Paroxysmal supraventricular tachycardia, Severe Supraventricular Tachycardias, Severe Sustained ventricular tachycardia, Severe ventricular arrhythmias

Flecainide in Idiopathic Premature Ventricular Contractions and Related Cardiomyopathy

Recruiting
Conditions
Premature Ventricular Beats
Premature Ventricular Complexes
Premature Ventricular Contraction (PVC)
Arrhythmia Ventricular
Ventricular Dysfunction, Left
Cardiomyopathies
Ventricular Dysfunction
Cardiomyopathies, Secondary
Interventions
First Posted Date
2025-04-29
Last Posted Date
2025-04-29
Lead Sponsor
University of Athens
Target Recruit Count
300
Registration Number
NCT06949748
Locations
🇬🇷

Cardiology Clinic, University Hospital of Patras, Patras, Achaia, Greece

🇬🇷

1st Cardiology Clinic, National and Kapodistrian University of Athens, Athens, Attika, Greece

🇬🇷

Cardilogy Clinic, University of Crete, Heraklion, Greece

and more 3 locations

N-of-1 in ATS and MEPPC

Phase 2
Not yet recruiting
Conditions
Multifocal Ectopic Purkinje-related Premature Contractions
Andersen Tawil Syndrome
Interventions
First Posted Date
2024-01-16
Last Posted Date
2025-01-29
Lead Sponsor
Academisch Medisch Centrum - Universiteit van Amsterdam (AMC-UvA)
Target Recruit Count
10
Registration Number
NCT06205550

Single Dose Flecainide for Early Sinus Rhythm Conversion of Perioperative Atrial Fibrillation After Noncardiac Surgery

Phase 4
Withdrawn
Conditions
Atrial Fibrillation
Surgery
Interventions
First Posted Date
2023-11-21
Last Posted Date
2024-08-29
Lead Sponsor
Population Health Research Institute
Registration Number
NCT06142604

Effect and Safety of Flecainide and Metoprolol Versus Metoprolol Alone to Suppress Ventricular Arrhythmias in Arrhythmic Mitral Valve Prolapse

Phase 3
Recruiting
Conditions
Ventricular Arrhythmias and Cardiac Arrest
Mitral Valve Prolapse
Interventions
First Posted Date
2022-11-30
Last Posted Date
2024-07-29
Lead Sponsor
Oslo University Hospital
Target Recruit Count
50
Registration Number
NCT05631730
Locations
🇳🇴

Oslo University Hospital Rikshospitalet, Oslo, Norway

Flecainide Versus Amiodarone in the Cardioversion of Paroxysmal Atrial Fibrillation at the Emergency Department, in Patients With Coronary Artery Disease Without Residual Ischemia

Phase 3
Recruiting
Conditions
Atrial Fibrillation Paroxysmal
Coronary Artery Disease Without Residual Ischemia
Interventions
First Posted Date
2022-09-22
Last Posted Date
2023-03-29
Lead Sponsor
Hippocration General Hospital
Target Recruit Count
200
Registration Number
NCT05549752
Locations
🇬🇷

Athens Heart Center Amarousion, Athens, Attiki, Greece

🇬🇷

Attikon General Hospital of Athens, Athens, Greece

🇬🇷

First Department of Cardiology, Hippocration General Hospital, National and Kapodistrian University of Athens, Athens, Greece, Athens, Greece

Assessment of Flecainide to Lower the Patent Foramen Ovale Closure Risk of Atrial Arrhythmia or Tachycardia

Phase 3
Active, not recruiting
Conditions
Patent Foramen Ovale
Atrial Arrhythmia
Cryptogenic Stroke
Interventions
First Posted Date
2022-01-28
Last Posted Date
2024-04-05
Lead Sponsor
Assistance Publique - Hôpitaux de Paris
Target Recruit Count
186
Registration Number
NCT05213104
Locations
🇫🇷

Hopital Pitié Salpetrière, Paris, IDF, France

Flecainide Acetate Inhalation Solution for Cardioversion of Recent-Onset, Symptomatic Atrial Fibrillation

Phase 3
Terminated
Conditions
Paroxysmal Atrial Fibrillation
Interventions
First Posted Date
2021-09-09
Last Posted Date
2023-10-30
Lead Sponsor
InCarda Therapeutics, Inc.
Target Recruit Count
54
Registration Number
NCT05039359
Locations
🇵🇱

Wojewodzki Szpital Zespolony im. L. Rydygiera w Toruniu, Toruń, Poland

🇺🇸

Bridgeport Hospital, Bridgeport, Connecticut, United States

🇺🇸

University of Cincinnati College of Medicine, Cincinnati, Ohio, United States

and more 37 locations

Beta Blockers Plus Intravenous Flecainide for Paroxysmal Atrial Fibrillation: a Real-world Chios Registry (BETAFLEC-CHIOS)

Completed
Conditions
Atrial Fibrillation
Arrhythmias, Cardiac
First Posted Date
2021-08-05
Last Posted Date
2021-08-11
Lead Sponsor
AHEPA University Hospital
Target Recruit Count
81
Registration Number
NCT04991896
Locations
🇬🇷

Skylitseio General Hospital, Chios, Greece

Shortening Duration of Antiarrhythmic Medication for SVT in Infants

Conditions
Supraventricular Tachycardia
First Posted Date
2021-04-08
Last Posted Date
2021-09-29
Lead Sponsor
Tampere University Hospital
Target Recruit Count
70
Registration Number
NCT04837261
Locations
🇫🇮

Hämeenlinna Central Hospital, Hämeenlinna, Kanta-Häme, Finland

🇫🇮

Sakunta Central Hospital, Pori, Satakunta, Finland

🇫🇮

Central Finland Central Hospital, Jyväskylä, Central Finland, Finland

and more 15 locations

Elimination of VPB With Ablation Versus Anti-arrhythmic Drug Treatment

Not Applicable
Completed
Conditions
Ventricular Premature Beats
Interventions
First Posted Date
2019-02-19
Last Posted Date
2023-06-28
Lead Sponsor
Maatschap Cardiologie Zwolle
Target Recruit Count
22
Registration Number
NCT03845010
Locations
🇳🇱

Isala hospital, Zwolle, Netherlands

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