E.1 Medical condition or disease under investigation |
E.1.1 | Medical condition(s) being investigated |
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MedDRA Classification |
E.1.2 Medical condition or disease under investigation |
E.1.2 | Version | 7.1 |
E.1.2 | Level | PT |
E.1.2 | Classification code | 10003658 |
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E.1.3 | Condition being studied is a rare disease | No |
E.2 Objective of the trial |
E.2.1 | Main objective of the trial |
To study the efficacy of iv AZD7009 in all treatment groups versus placebo, in conversion of AF.
The primary outcome variable for the evaluation of this objective is: -the proportion of patients that have converted from AF within 90 min from start of infusion. Conversion has occurred if SR (and/or AV junctional rhythm) is maintained for at least 2 min
A secondary outcome variable evaluating the primary objective is: -the time to conversion from AF from start of infusion up to 90 min
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E.2.2 | Secondary objectives of the trial |
A summary of the secondary objectives and variables of this study are: -To study the efficacy of AZD7009, versus placebo, in facilitating DC cardioversion from AF in patients -To study the efficacy of AZD7009, versus placebo in maintaining DC cardioverted patients in SR and the proportion of patients with immediate relapse of AF within 2 min after DC cardioversion (IRAF) -To study QT dynamics before and after conversion from AF -To study the importance of AF duration, demographic variables, atrial size, concomitant diseases and concurrent medication, with respect to success of conversion -To evaluate safety and tolerability of AZD7009 -To characterise the PK after iv administration of AZD7009
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E.2.3 | Trial contains a sub-study | Information not present in EudraCT |
E.3 | Principal inclusion criteria |
1.Provision of informed consent. 2.Clinical indication for cardioversion of AF. 3.Current episode of AF lasting between 48 h and 90 days at randomisation. In patients with documented persistent AF, ie, they have previously undergone cardioversion for persistent (not paroxysmal) AF, the current episode could be between 8 h and 90 days at randomisation. 4.Effective oral anticoagulation with International Normalized Ratio (INR) >2 for 3 consecutive weeks at randomisation (if there are more stringent country specific guidelines, these can be utilised), or a TEE without any finding of intracardial thrombus or signs of thrombogenecity. 5.Age from 18 up to 80 years. |
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E.4 | Principal exclusion criteria |
1.Cardioversion of AF/AFl within 4 weeks at randomisation, or unsuccessful cardioversion of current AF episode 2.Women of childbearing potential (only postmenopausal or surgically sterilised women may be included). 3.Ongoing type I (counter-clockwise or clockwise) AFl. 4.Myocardial infarction, unstable angina pectoris or other signs of myocardial ischaemia or cardiac surgery/percutaneous coronary intervention (PCI) in the last 6 weeks before day of randomisation or planned PCI/cardiac surgery. 5.Haemodynamically unstable condition as judged by the investigator. 6.NYHA class 3 or 4 congestive heartfailure. 7.Left ventricular ejection fraction <35 % (echocardiographic) or known moderately or severely depressed systolic function (qualitative echocardiographic measurement). 8.Clinically significant sinus and/or AV node dysfunction. 9.Bradycardia <50 beats per minutes (bpm) during AF, measured as the mean heart rate during 30 seconds. 10.Hypotension (systolic BP <90 mm Hg). 11.Any clinically significant valvular heart disease. 12.Known hypertrophic cardiomyopathy/significant left ventricular hypertrophy (free wall or septal thickness >13 mm). 13.QTc (Bazett) >450 ms (when measured during AF, the mean heart rate should preferably be 50-100 bpm. The QTcB should be calculated at AF as the mean of at least 5 consecutive RR intervals with consecutive QT intervals). 14.Any QRS duration >150 ms. 15.Bifascicular blocks: complete left bundle branch block (LBBB) or complete right bundle branch block (RBBB) in combination with left anterior hemiblock (LAH) or left posterior hemiblock (LPH). 16.History of Torsade de Pointes or any other polymorphic ventricular tachycardia. History of sustained monomorphic ventricular tachycardia. 17.History of unexplained syncope, long QT syndrome or Brugada syndrome. Family history of long QT syndrome or unexplained sudden death below the age of 45 years. 18.Pacemaker or implantable cardioverter-defibrillator. 19.Known preexcitation with (WPW syndrome) or without arrhythmias. 20.Concomitant medication with drug(s) prolonging the action potential duration 21.Serum potassium <3.8 mmol/L or >5.0 mmol/L or plasma potassium <3.6mmol/L or >5.0 mmol/L.. 22.Untreated hyperthyroidism/untreated hypothyroidism. 23.Haemoglobin <100 g/L. 24.Clinically important hepatic dysfunction (ASAT, ALAT >3xULN(Upper Limit of Normal)) and/or renal dysfunction (calculated creatinine clearance <30 mL/min).. 25.Any condition which in the opinion of the investigator would render the patient unsuitable for inclusion in the study. 26.Participation in another intervention trial during the last 30 days before enrolment, or previously enrolled or randomised in the present study. 27.Involvement in the planning and conduct of the study (applies to both AstraZeneca staff or staff at the investigational site).
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E.5 End points |
E.5.1 | Primary end point(s) | |
E.6 and E.7 Scope of the trial |
E.6 | Scope of the trial |
E.6.1 | Diagnosis | Information not present in EudraCT |
E.6.2 | Prophylaxis | Information not present in EudraCT |
E.6.3 | Therapy | Information not present in EudraCT |
E.6.4 | Safety | Yes |
E.6.5 | Efficacy | Yes |
E.6.6 | Pharmacokinetic | Information not present in EudraCT |
E.6.7 | Pharmacodynamic | Information not present in EudraCT |
E.6.8 | Bioequivalence | Information not present in EudraCT |
E.6.9 | Dose response | Information not present in EudraCT |
E.6.10 | Pharmacogenetic | Information not present in EudraCT |
E.6.11 | Pharmacogenomic | Information not present in EudraCT |
E.6.12 | Pharmacoeconomic | Information not present in EudraCT |
E.6.13 | Others | Information not present in EudraCT |
E.7 | Trial type and phase |
E.7.1 | Human pharmacology (Phase I) | Information not present in EudraCT |
E.7.1.1 | First administration to humans | Information not present in EudraCT |
E.7.1.2 | Bioequivalence study | Information not present in EudraCT |
E.7.1.3 | Other | Information not present in EudraCT |
E.7.1.3.1 | Other trial type description | |
E.7.2 | Therapeutic exploratory (Phase II) | Yes |
E.7.3 | Therapeutic confirmatory (Phase III) | Information not present in EudraCT |
E.7.4 | Therapeutic use (Phase IV) | Information not present in EudraCT |
E.8 Design of the trial |
E.8.1 | Controlled | Yes |
E.8.1.1 | Randomised | Yes |
E.8.1.2 | Open | Information not present in EudraCT |
E.8.1.3 | Single blind | Information not present in EudraCT |
E.8.1.4 | Double blind | Yes |
E.8.1.5 | Parallel group | Yes |
E.8.1.6 | Cross over | Information not present in EudraCT |
E.8.1.7 | Other | Information not present in EudraCT |
E.8.2 | Comparator of controlled trial |
E.8.2.1 | Other medicinal product(s) | Information not present in EudraCT |
E.8.2.2 | Placebo | Yes |
E.8.2.3 | Other | Information not present in EudraCT |
E.8.3 |
The trial involves single site in the Member State concerned
| Information not present in EudraCT |
E.8.4 | The trial involves multiple sites in the Member State concerned | Yes |
E.8.5 | The trial involves multiple Member States | Yes |
E.8.6 Trial involving sites outside the EEA |
E.8.6.1 | Trial being conducted both within and outside the EEA | No |
E.8.6.2 | Trial being conducted completely outside of the EEA | Information not present in EudraCT |
E.8.7 | Trial has a data monitoring committee | Information not present in EudraCT |
E.8.8 |
Definition of the end of the trial and justification where it is not the last
visit of the last subject undergoing the trial
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End of study is defined as date of database lock which is the time point after which no patient will be exposed to study-related activities |
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E.8.9 Initial estimate of the duration of the trial |
E.8.9.1 | In the Member State concerned years | |
E.8.9.1 | In the Member State concerned months | 12 |
E.8.9.1 | In the Member State concerned days | |
E.8.9.2 | In all countries concerned by the trial months | 12 |