E.1 Medical condition or disease under investigation |
E.1.1 | Medical condition(s) being investigated |
|
MedDRA Classification |
E.1.2 Medical condition or disease under investigation |
E.1.2 | Version | 12.1 |
E.1.2 | Level | LLT |
E.1.2 | Classification code | 10003658 |
E.1.2 | Term | Atrial fibrillation |
|
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 |
Demonstrate the efficacy of Dronedarone in preventing major cardiovascular events (stroke, systemic arterial embolism, myocardial infarction or cardiovascular death) or unplanned cardiovascular hospitalization or death from any cause in patients with permanent Atrial Fibrillation (AF) and additional risk factors |
|
E.2.2 | Secondary objectives of the trial |
Demonstrate the efficacy of dronedarone in preventing cardiovascular death |
|
E.2.3 | Trial contains a sub-study | Yes |
E.2.3.1 | Full title, date and version of each sub-study and their related objectives |
There are 4 sub-studies: 1) Evaluation of whether physician access to a WEB-based nomogram for INR control improves the time in therapeutic range Date : 30 April 2010 - Version : 1 2) Evaluation of the effect of dronedarone in patients with systolic dysfunction in the PALLAS Study Date : 30 April 2010 - Version : 1 3) Measurement of quality of life in the PALLAS study Date : 30 April 2010 - Version : 1 4) PALLAS Genomic and Biomarker Sub-Study Date : 30 April 2010 - Version : 1 |
|
E.3 | Principal inclusion criteria |
Permanent AF defined by the presence of all of the following criteria: - Availability of one 12-lead ECG not more than 14 days prior to randomization showing that the patient is in AF or atrial flutter - Availability of documentation (including either rhythm strips or medical report of the rhythm) showing that the patient was in AF or atrial flutter at least 6 months prior to randomization - No evidence of sinus rhythm in the period between these two documentations of AF - Patient and physician decision to allow AF to continue without further efforts to restore sinus rhythm Patients aged 65 years or older with at least one of the following risk criteria: - Coronary artery disease - Prior stroke or Transient Ischemic Attack (TIA) - Symptomatic heart failure - Left ventricular ejection fraction less or equal to 0.40 - Peripheral arterial occlusive disease - Aged 75 years or older with both hypertension and diabetes mellitus |
|
E.4 | Principal exclusion criteria |
- Paroxysmal AF - Persistent AF without a decision to allow AF to continue without further efforts to restore sinus rhythm - Heart failure of New-York Heart Association (NYHA) class IV or recent unstable NYHA class III |
|
E.5 End points |
E.5.1 | Primary end point(s) |
• Composite endpoint of first stroke, systemic arterial embolism, myocardial infarction or cardiovascular death • Composite endpoint of first unplanned cardiovascular hospitalization or death from any cause |
|
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 | Yes |
E.6.4 | Safety | Yes |
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 | Yes |
E.6.12 | Pharmacoeconomic | Yes |
E.6.13 | Others | Information not present in EudraCT |
E.7 | Trial type and phase |
E.7.1 | Human pharmacology (Phase I) | No |
E.7.1.1 | First administration to humans | No |
E.7.1.2 | Bioequivalence study | No |
E.7.1.3 | Other | Yes |
E.7.1.3.1 | Other trial type description | |
E.7.2 | Therapeutic exploratory (Phase II) | No |
E.7.3 | Therapeutic confirmatory (Phase III) | Yes |
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 | Yes |
E.8.1.6 | Cross over | No |
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
| No |
E.8.4 | The trial involves multiple sites in the Member State concerned | Yes |
E.8.4.1 | Number of sites anticipated in Member State concerned | 11 |
E.8.5 | The trial involves multiple Member States | Yes |
E.8.5.1 | Number of sites anticipated in the EEA | 251 |
E.8.6 Trial involving sites outside the EEA |
E.8.6.1 | Trial being conducted both within and outside the EEA | Yes |
E.8.6.2 | Trial being conducted completely outside of the EEA | Information not present in EudraCT |
E.8.6.3 | If E.8.6.1 or E.8.6.2 are Yes, specify the regions in which trial sites are planned |
|
E.8.7 | Trial has a data monitoring committee | Yes |
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
| |
E.8.9 Initial estimate of the duration of the trial |
E.8.9.1 | In the Member State concerned years | 3 |
E.8.9.1 | In the Member State concerned months | 1 |
E.8.9.1 | In the Member State concerned days | 0 |
E.8.9.2 | In all countries concerned by the trial years | 3 |
E.8.9.2 | In all countries concerned by the trial months | 1 |
E.8.9.2 | In all countries concerned by the trial days | 0 |