CClinicalTrials.gg
CompletedNCT00251706Updated May 5, 2006

Amiodarone to Prevent Post-Operative Arrhythmias

A Phase 3 interventional study of amiodarone in Atrial Fibrillation, sponsored by University of Calgary. Completed at 1 site in Canada. Open to participants aged 0 Years and older. Per ClinicalTrials.gov, last updated 2006-05-05.

Sponsored by University of Calgary · Phase 3, Interventional, and Prevention

Phase
Phase 3
Study type
Interventional
Enrollment
600
Allocation
Randomized
Ages
0 Years and older
Sex
All
01

Study summary

Rapid heart rhythms originating from the upper heart chambers (atrial tachyarrhythmias) are very common after open-heart surgery. The hypothesis of the PAPABEAR study is that a brief (13 day) peri-operative course of oral amiodarone therapy would be effective and safe for the prevention of these post-operative atrial tachyarrhythmias.

Read the detailed description

Six hundred and one patients who were about to undergo non-emergent open-heart surgery were randomized to receive oral amiodarone (10 mg/kg/day) or its matching placebo from six days before surgery through 6 days after surgery. The major outcome tracked was the incidence of more than 5 minutes of an atrial tachyarrhythmia that prompted therapy by the sixth post-operative day. Safety was assessed by the incidence of dosage reduction of blinded therapy, non-fatal post-operative complications, and in-hospital mortality. The randomization scheme was stratified to permit separate analysis of patients less than versus more than or equal to 65 years of age, patients having coronary artery bypass surgery alone versus those having valve surgery with or without concomitant bypass surgery, and patients also receiving versus not also receiving concomitant therapy with a beta-blocker medication.

02

Conditions studied

  • Atrial Fibrillation

Browse trials for

Keywords

  • atrial fibrillation
  • atrial flutter
  • amiodarone
  • post-operative
  • coronary artery bypass surgery
  • valve replacement or repair
03

In context

Atrial Fibrillation

3,870 studies on the registry are indexed under Atrial Fibrillation; 924 are open to participants now.

This study's enrollment of 600 is above the median of 144 across 2,380 interventional studies indexed under Atrial Fibrillation.

Browse Atrial Fibrillation studies →

Lead sponsor

University of Calgary is the lead sponsor of 686 studies on the registry; 189 are open to participants now.

Of its 10 completed or terminated interventional studies of FDA-regulated products, 2 (20%) have results posted.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
0 Years and older
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

  • non-emergent coronary artery bypass surgery or valve replacement or repair
  • informed consent

Exclusion criteria

Exclusion Criteria:

  • any heart rhythm other than sinus
  • myocardial infarction within two weeks
  • Class IV congestive Heart Failure
  • requirement for antiarrhythmic drug therapy
  • history of sustained atrial tachyarrhythmias
  • treatment with amiodarone within 3 months
  • sinus bradycardia (less than 50 bpm) while awake
  • advanced conduction system disease
  • prolonged QT interval
  • clinical hypo- or hyperthyroidism
  • women of child bearing potential
05

Study design

Phase
Phase 3
Primary purpose
Prevention
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Double
Enrollment
600 participants

Interventions

  • Drugamiodarone
06

What researchers measure

Primary outcomes

  1. more than 5 minutes of post-operative atrial tachyarrhythmia

  2. ventricular response rate of atrial tachyarrhythmias

  3. burden of post-operate atrial tachyarrhythmias

  4. length of hospital stay

Secondary outcomes

  1. withdrawal of full-dose blinded therapy

  2. non-fatal post-operative complications

  3. hospital mortality

07

Study locations

1 site
  • Libin Cardiovascular Institute / University of Calgary
    Calgary, Alberta T2N 2T9, Canada
08

References and documents

Publications

  • Mitchell LB, Exner DV, Wyse DG, Connolly CJ, Prystai GD, Bayes AJ, Kidd WT, Kieser T, Burgess JJ, Ferland A, MacAdams CL, Maitland A. Prophylactic Oral Amiodarone for the Prevention of Arrhythmias that Begin Early After Revascularization, Valve Replacement, or Repair: PAPABEAR: a randomized controlled trial. JAMA. 2005 Dec 28;294(24):3093-100. doi: 10.1001/jama.294.24.3093. PubMed 16380589 ↗
09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on May 5, 2006, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT00251706
Lead sponsor
University of Calgary
Collaborators
Heart and Stroke Foundation of Canada, Wyeth is now a wholly owned subsidiary of Pfizer
First posted
Nov 10, 2005
Start date
Feb 1999
Completion
Sep 2004
Last update
May 5, 2006

Study contacts

L. Brent Mitchell, MD
principal investigator · University of Calgary
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is completed, as verified in Nov 2005. You cannot join it, but the record below documents what was studied.

Follow this study

Get an email when the registry record changes — status, dates, results — or when someone posts here.

Sign in to follow

Discussion

Questions and observations about this study, from anyone following it. Not medical advice, and not a channel to the study team — their contact details are on the registry record.

Sign in to join the discussion. Reading takes no account; posting does. You choose a display name, and a pseudonym is the default.

Nothing here yet. If you are running this trial, taking part in it, or weighing whether to, this is the place to say so.

Start the discussion