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TerminatedNCT00383799Updated Apr 6, 2016

Iv Amiodarone Versus Iv Procainamide to Treat Haemodynamically Well Tolerated Ventricular Tachycardia

A Phase 4 interventional study of iv Amiodarone and iv Procainamide in Ventricular Tachycardia and Wide QRS Tachycardia, sponsored by Hospital General Universitario Gregorio Marañon. Terminated at 29 sites in Spain. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2016-04-06.

Sponsored by Hospital General Universitario Gregorio Marañon · Phase 4, Interventional, and Treatment

Why this study was terminated
Steering Committee decision after inclusion of 74 patients after 6 years and very slow inclusion rate
Phase
Phase 4
Study type
Interventional
Enrollment
302
Allocation
Randomized
Ages
18 Years and older
Sex
All
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Study summary

The purpose of this study is to determine whether intravenous amiodarone has less cardiac significant adverse events compared to intravenous procainamide in the acute treatment of haemodynamically well tolerated wide QRS tachycardia, the majority of them of probably ventricular origen.

Read the detailed description

Multicenter, prospective and randomized study in phase IV. A total of 302 patients will be included in the study within 40-50 institutions in Spain. Patients with regular and monomorphic tachycardia ≥ 120 bpm, QRS ≥ 120 ms and haemodynamically well tolerated will be randomized to receive iv amiodarone (single dosage: 5 mg/kg in 20 minutes) vs iv procainamide (single dosage: 10 mg/kg in 20 minutes). The study period will be 40 minutes from infusion initiation. Study variables include the presence of clinically cardiac significant adverse events: hypotension, syncope, heart failure, symptomatic sinus bradycardia, AV block, proarrhythmia and tachycardia acceleration (\<20 lpm)and death. Total observation period will be 24 hours after the end of the infusion.

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Conditions studied

  • Ventricular Tachycardia
  • Wide QRS Tachycardia

Keywords

  • Ventricular tachycardia
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In context

Tachycardia

623 studies on the registry are indexed under Tachycardia; 81 are open to participants now.

This study's enrollment of 302 is above the median of 64 across 379 interventional studies indexed under Tachycardia.

Browse Tachycardia studies →

Lead sponsor

Hospital General Universitario Gregorio Marañon is the lead sponsor of 59 studies on the registry; 6 are open to participants now.

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

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Who can participate

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

Inclusion criteria

  • Patients with stable tachycardia ≥120 lpm, QRS ≥120 ms and haemodynamically well tolerated defined as: 1)Systolic blood pressure ≥90 mmHg, 2) absence of dyspnea at rest, 3)absence of peripheric hypoperfusion signs and 4)no severe angina.
  • Age > 18 years
  • Written inform consent obtained

Exclusion criteria

Exclusion Criteria:

  • Treatment with iv amiodarone or iv procainamide during the previous 24 hours
  • QRS tachycardia \<120 ms
  • Patients with QRS ≥120 ms tachycardia with haemodynamic compromise that requires urgent cardioversion for termination
  • Irregular tachycardia
  • Tachycardia that is considered as supraventricular due to physician criteria (adenosine and/or vagal manoeuvres response)
  • Patient that do not want to cooperate
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Study design

Phase
Phase 4
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Single group
Masking
None (open label)
Enrollment
302 participants (actual)

Study arms

  • Active comparator
    Group 1

    IV procainamide (single dose: 10 mg/kg over 20 min)

    Drug: iv Procainamide

  • Active comparator
    Group 2

    IV Amiodarone (single dose: 5 mg/kg over 20 min)

    Drug: iv Amiodarone

Interventions

  • Drugiv Amiodarone
  • Drugiv Procainamide
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What researchers measure

Primary outcomes

  1. To compare clinically significant cardiac adverse events occurring within 40 minutes from treatment initiation

    Time frame: 40 minutes

Secondary outcomes

  1. To compare efficacy of both therapies in relation to episode termination

    Time frame: 40 minuutes

  2. To compare the rate of total adverse events, cardiac and non cardiac, occurring during an observation period of 24 hours after treatment was applied

    Time frame: 24 hours

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Study locations

29 sites
  • Hospital El Escorial
    El Escorial, Madrid, Spain
  • Hospital Universitario de Getafe
    Getafe, Madrid, Spain
  • Hospital Santa María del Rosell
    Cartagena, Murcia, Spain
  • Fundación Hospitalaria de Cieza
    Cieza, Murcia, Spain
  • Hospital Los Arcos
    San Javier, Murcia, Spain
  • Hospital General
    Alicante, Spain
  • Hospital Clinic
    Barcelona, Spain
  • Hospital Vall d'Hebron
    Barcelona, Spain
  • Hospital de Basurto
    Bilbao, Spain
  • Hospital San Cecilio
    Granada, Spain
  • Hospital Virgen de las Nieves
    Granada, Spain
  • Hospital General Universitario Gregorio Marañón
    Madrid, 28007, Spain
  • Hospital 12 de Octubre
    Madrid, Spain
  • Hospital Clínico San Carlos
    Madrid, Spain
  • Hospital de La Princesa
    Madrid, Spain
  • Hospital de Móstoles
    Madrid, Spain
  • Hospital General Universitario La Paz
    Madrid, Spain
  • Hospital Puerta de Hierro
    Madrid, Spain
  • Hospital Carlos Haya
    Malaga, Spain
  • Hospital Virgen de la Arrixaca
    Murcia, Spain
  • Hospital Clínico Virgen de la Victoria
    Málaga, Spain
  • Hospital de Son Dureta
    Palma de Mallorca, Spain
  • Hospital de Son Llatzer
    Palma de Mallorca, Spain
  • Hospital de Donostia
    San Sebastián, Spain
  • Hospital de Valme
    Sevilla, Spain
  • Hospital Universitario Virgen del Rocío
    Sevilla, Spain
  • Hospital Virgen de la Salud
    Toledo, Spain
  • Hopital Clínico Universitario
    Valencia, Spain
  • Hospital Río Hortega
    Valladolid, Spain
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References and documents

Publications

  • Guidelines 2000 for Cardiopulmonary Resuscitation and Emergency Cardiovascular Care. Part 6: advanced cardiovascular life support: section 5: pharmacology I: agents for arrhythmias. The American Heart Association in collaboration with the International Liaison Committee on Resuscitation. Circulation. 2000 Aug 22;102(8 Suppl):I112-28. No abstract available. PubMed 10966669 ↗
  • ECC Committee, Subcommittees and Task Forces of the American Heart Association. 2005 American Heart Association Guidelines for Cardiopulmonary Resuscitation and Emergency Cardiovascular Care. Circulation. 2005 Dec 13;112(24 Suppl):IV1-203. doi: 10.1161/CIRCULATIONAHA.105.166550. Epub 2005 Nov 28. No abstract available. PubMed 16314375 ↗
  • Zipes DP, Camm AJ, Borggrefe M, Buxton AE, Chaitman B, Fromer M, Gregoratos G, Klein G, Moss AJ, Myerburg RJ, Priori SG, Quinones MA, Roden DM, Silka MJ, Tracy C, Smith SC Jr, Jacobs AK, Adams CD, Antman EM, Anderson JL, Hunt SA, Halperin JL, Nishimura R, Ornato JP, Page RL, Riegel B, Blanc JJ, Budaj A, Dean V, Deckers JW, Despres C, Dickstein K, Lekakis J, McGregor K, Metra M, Morais J, Osterspey A, Tamargo JL, Zamorano JL; American College of Cardiology/American Heart Association Task Force; European Society of Cardiology Committee for Practice Guidelines; European Heart Rhythm Association; Heart Rhythm Society. ACC/AHA/ESC 2006 Guidelines for Management of Patients With Ventricular Arrhythmias and the Prevention of Sudden Cardiac Death: a report of the American College of Cardiology/American Heart Association Task Force and the European Society of Cardiology Committee for Practice Guidelines (writing committee to develop Guidelines for Management of Patients With Ventricular Arrhythmias and the Prevention of Sudden Cardiac Death): developed in collaboration with the European Heart Rhythm Association and the Heart Rhythm Society. Circulation. 2006 Sep 5;114(10):e385-484. doi: 10.1161/CIRCULATIONAHA.106.178233. Epub 2006 Aug 25. No abstract available. PubMed 16935995 ↗
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Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Apr 6, 2016, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
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Registry details

Key details

Study ID
NCT00383799
Lead sponsor
Hospital General Universitario Gregorio Marañon
Responsible party
Sponsor
First posted
Oct 4, 2006
Start date
Sep 2005
Primary completion
Jun 2011
Completion
Jun 2011
Last update
Apr 6, 2016

Study contacts

Jesús Almendral, MD
principal investigator · Hospital General Universitario Gregorio Marañón. Madrid. Spain
Fernando Arribas, MD
study director · Hospital General Universitario 12 de Octubre. Madrid. Spain
Rafael Peinado, MD
study director · Hospital General Universitario La Paz. Madrid. Spain
Alfonso Martín, MD
study director · Hospital de Móstoles. Madrid. Spain
Carmen del Arco, MD
study director · Hospital de la Princesa. Madrid. Spain
Dolores Vigil, MD
study director · Hospital general Universitario Gregorio Marañón. Madrid. Spain
Mercedes Ortiz, PhD
study director · Hospital General Universitario Gregorio Marañón. Madrid. Spain
Blanca Coll-Vinent, MD
study director · Hospital Clinic. Barcelona. Spain

Oversight

Data monitoring committee
Yes
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is terminated, as verified in Mar 2016. You cannot join it, but the record below documents what was studied.

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