E.1 Medical condition or disease under investigation |
E.1.1 | Medical condition(s) being investigated |
Patients with an implantable cardioverter defibrillator (ICD-unit) for treatment for cardiac ventricular arrhythmias and for prevention of sudden cardiac death |
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MedDRA Classification |
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 investigate the immediate effect of intravenous infusion of n-3 polyunsaturated fatty acids on the induction of sustained ventricular tackycardia during electrophysiological testing in patients with implantable cardioverter defibrillators. |
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E.2.2 | Secondary objectives of the trial |
To investigate the immediate effect of intravenous infusion of n-3 polyunsaturated fatty acids on risk markers for sudden cardiac death (in 12-lead ECG and Holter recordings).
To investigate the effect of intravenous infusion of n-3 polyunsaturated fatty acids på the concentration of n-3 free fatty acids in plasma and on the concentration of n-3 polyunsaturated fatty acids in plasma phospholipids and platelet membrane phospholipids. |
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E.2.3 | Trial contains a sub-study | No |
E.3 | Principal inclusion criteria |
Patients with an implantable cardioverter defibrillator (ICD) implanted at least 3 months prior to inclusion.
Sustained ventricular tackycardia was inducible during the primary electrophysiological testing prior to implantation of the ICD.
History of successfull treatment of a ventricular tackycardia episode with anti-tackycardia pacing (ATP) either the primary electrophysiological testing or at a later time point |
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E.4 | Principal exclusion criteria |
Allergy to fish or egg protein. Blood pressure > 160/90 (with or without treatment). Myocardial infarction or coronary revascularisation within the previous 6 months. HbA1c >10 %. Plasma-creatinine > 200 microM Plasma-alanineaminotransferase > 150 U/L INR > 3.5 Plasma-potassium > 3.5 mM Fasting triglycerides > 3 mM Ongoing infection Other serious illlness Inability to informed consent |
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E.5 End points |
E.5.1 | Primary end point(s) |
Comparision of the fractions of patients in whom sustained ventricular tackycardia can be induced after intravenous n-3 polyunsaturated fatty acids and after placebo. If ventricular tackycardia can be induced after both treatments, a comparision of how many extrasystoles that are necessary to induce ventricular tackycardia. |
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E.6 and E.7 Scope of the trial |
E.6 | Scope of the trial |
E.6.1 | Diagnosis | No |
E.6.2 | Prophylaxis | No |
E.6.3 | Therapy | No |
E.6.4 | Safety | No |
E.6.5 | Efficacy | Yes |
E.6.6 | Pharmacokinetic | No |
E.6.7 | Pharmacodynamic | No |
E.6.8 | Bioequivalence | No |
E.6.9 | Dose response | No |
E.6.10 | Pharmacogenetic | No |
E.6.11 | Pharmacogenomic | No |
E.6.12 | Pharmacoeconomic | No |
E.6.13 | Others | No |
E.7 | Trial type and phase |
E.7.1 | Human pharmacology (Phase I) | No |
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) | No |
E.7.4 | Therapeutic use (Phase IV) | No |
E.8 Design of the trial |
E.8.1 | Controlled | Yes |
E.8.1.1 | Randomised | Yes |
E.8.1.2 | Open | No |
E.8.1.3 | Single blind | No |
E.8.1.4 | Double blind | Yes |
E.8.1.5 | Parallel group | No |
E.8.1.6 | Cross over | Yes |
E.8.1.7 | Other | No |
E.8.2 | Comparator of controlled trial |
E.8.2.1 | Other medicinal product(s) | No |
E.8.2.2 | Placebo | Yes |
E.8.2.3 | Other | No |
E.8.3 |
The trial involves single site in the Member State concerned
| Yes |
E.8.4 | The trial involves multiple sites in the Member State concerned | No |
E.8.5 | The trial involves multiple Member States | No |
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 | No |
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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The last visit of the last subject |
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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 | |