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CompletedNCT00468767ACT IUpdated Apr 2, 2008

Phase III Tolerance and Efficacy Study of RSD1235 in Patients With Atrial Fibrillation

A Phase 3 interventional study of Vernakalant Injection 20 mg/mL in Atrial Fibrillation, sponsored by Advanz Pharma. Completed at 49 sites in 4 countries. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2008-04-02.

Sponsored by Advanz Pharma · Phase 3, Interventional, and Treatment

Phase
Phase 3
Study type
Interventional
Enrollment
356
Allocation
Randomized
Ages
18 Years and older
Sex
All
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Study summary

This study is being conducted to demonstrate the effectiveness of RSD1235 in the conversion of atrial fibrillation to sinus rhythm.

Read the detailed description

There are approximately 2 million reported prevalent cases of atrial fibrillation (AF) and atrial flutter in the United States (Heart Disease \& Stroke Statistics - 2003 Update, AHA). These arrhythmias may be occasional or sustained. While not directly fatal, these arrhythmias cause discomfort and can lead to stroke or congestive heart failure.

This Phase III trial is Cardiome's first pivotal study with RSD1235. The study seeks to confirm the findings of the Phase II proof-of-concept through demonstration of RSD1235's abilities to convert AF to sinus rhythm. The patient population will include recent onset AF (AF duration of 3 hours to 7 days) and patients with longer AF duration.

This is a double-blind, placebo-controlled, randomized study in patients with AF; stratification will be based on duration of AF. Treatment will be considered successful if there is a treatment-induced conversion of atrial arrhythmia to sinus rhythm for a minimum of 1-minute by Hour 1.5 (Time 0 = start of first infusion). All patients will be evaluated for safety.

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Conditions studied

  • Atrial Fibrillation

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Keywords

  • Atrial fibrillation
  • RSD1235
  • Atrial fibrillation of 3 hours to 7 days duration.
  • Atrial fibrillation of 3 hours to 45 days duration.
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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 356 is above the median of 144 across 2,380 interventional studies indexed under Atrial Fibrillation.

Browse Atrial Fibrillation studies →

Lead sponsor

Advanz Pharma is the lead sponsor of 9 studies on the registry; none 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

  • 18 years of age or older;
  • Have an atrial arrhythmia with symptoms that has been sustained for greater than 3 hours and up to 45 days.
  • Have adequate anticoagulant therapy.

Exclusion criteria

Exclusion Criteria:

  • Have a QRS > 0.14 seconds unless patient has pacemaker or uncorrected QT > 0.440 seconds as measured on a 12-lead ECG.
  • Have serious diseases/illnesses that could interfere with the conduct or validity of the study or compromise patient safety.
  • Have received intravenous Class I or Class III antiarrhythmic drugs or intravenous amiodarone within 24 hours prior to dosing.
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Study design

Phase
Phase 3
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Triple (Participant, Investigator, Outcomes assessor)
Enrollment
356 participants (actual)

Study arms

  • Experimental
    1

    Atrial fibrillation (AF) duration of 3 hours to 7 days.

    Drug: Vernakalant Injection 20 mg/mL

  • Experimental
    2

    AF duration of \>7 days to \<45 days

    Drug: Vernakalant Injection 20 mg/mL

Interventions

  • DrugVernakalant Injection 20 mg/mL

    Also known as: RSD1235; Vernakalant; Vernakalant Injection; Vernakalant (iv)

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What researchers measure

Primary outcomes

  1. To demonstrate the effectiveness of RSD1235 in the conversion of atrial fibrillation to sinus rhythm.

    Time frame: The proportion of patients with atrial fibrillation (AF) of 3 hours to 7 days duration who have treatment-induced conversion of AF to sinus rhythm for a minimum duration of one minute in the first 90 minutes after the first exposure to study treatment.

Secondary outcomes

  1. To assess the safety of RSD1235 in this patient population.

    Time frame: The proportion of patients with AF of 3 hours to 45 days duration who have treatment-induced conversion of AF to sinus rhythm for a minimum duration of one minute in the first 90 minutes after the first exposure to study treatment.

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Study locations

49 sites
  • University of California
    Los Angeles, California 90073, United States
  • Regional Cardiology Associates
    Sacramento, California 95819, United States
  • Florida Heart Institute
    Orlando, Florida 32803, United States
  • James Haley VA Hospital
    Tampa, Florida 33612, United States
  • Cardiac Arrhythmia Service, Massachusetts General Hospital
    Boston, Massachusetts 02459, United States
  • Thoracic and Cardiovascular Institute
    Lansing, Michigan 48910, United States
  • Oregon Health & Science University
    Portland, Oregon 97201, United States
  • Main Line Health Heart Center
    Wynnewood, Pennsylvania 19096, United States
  • Medical College of Virginia
    Richmond, Virginia 23219, United States
  • McGuire VA Medical Center
    Richmond, Virginia 23249, United States
  • Marshfield Clinic
    Marshfield, Wisconsin 54449, United States
  • Heart Health Institute, Rockyview General Hospital
    Calgary, Alberta T2E 7C5, Canada
  • University of Calgary
    Calgary, Alberta T2N 4N1, Canada
  • University of Alberta Hospital
    Edmonton, Alberta T6G 2B7, Canada
  • Cardiac Arrhythmia Trials
    Victoria, British Columbia V8R 4R2, Canada
  • Hamilton Health Sciences, Hamilton General Hospital
    Hamilton, Ontario L8L 2X2, Canada
  • Ottawa Hospitals (Civic & General)
    Ottawa, Ontario K1Y 4E9, Canada
  • Sunnybrook Health Sciences Centre, Emergency Medicine Research Program
    Toronto, Ontario M4N 3M5, Canada
  • Institut de Cardiologie de Montreal
    Montreal, Quebec H1T 1C8, Canada
  • Hopital Notre-Dame du CHUM
    Montreal, Quebec H2L 4M1, Canada
  • CHUM-Hotel-Dieu de Montreal
    Montreal, Quebec H2W 1T8, Canada
  • Institute de Cardiologie de Quebec, Hopital Laval
    Ste Foy, Quebec G1V 4G5, Canada
  • Centre Hospitalier LeGardeur
    Terrebonne, Quebec J6V 2H2, Canada
  • Aalborg University
    Aalborg, Denmark
  • Århus Amtssygehus, Med. kardiologisk
    Arhus, Denmark
  • Centralsygehuset Esbjerg Varde
    Esbjerg, Denmark
  • Fredericia Sygehus
    Fredericia, Denmark
  • Frederikssund Sygehus
    Frederikssund, Denmark
  • Glostrup Amtssygehus
    Glostrup, Denmark
  • Haderslev Sygehus, Kardiologisk Laboratorium
    Haderslev, Denmark
  • Gentofte Amtssygehus
    Hellerup, Denmark
  • Helsingor Sygehus, Kardiovaskulært
    Helsingor, Denmark
  • Herlev Amtssygehus, Kardiologisk
    Herlev, Denmark
  • Hillerod Sygehus, Medicinsk
    Hillerod, Denmark
  • Sygehus Vendsyssel Hjorring
    Hjorring, Denmark
  • Holstebro centralsygehus
    Holstebro, Denmark
  • Horsens Sygehus
    Horsens, Denmark
  • Hvidovre Hospital, Kardiologisk
    Hvidovre, Denmark
  • Amager Hospital, Med. Center
    Kobenhavn, Denmark
  • H:S Bispebjerg Hospital
    Kobenhavn, Denmark
  • Roskilde Amts Sygehus Køge
    Koge, Denmark
  • Kolding Sygehus, Kardiologisk ambulatorium
    Kolding, Denmark
  • Sygehus Fyn Svendborg
    Svendborg, Denmark
  • Universitetssjukhuset MAS
    Malmo, Sweden
  • Universitetssjukhuset, Molndal
    Molndal, Sweden
  • Universityetssjukhuset, Orebro
    Orebro, Sweden
  • Danderyds sjukhus
    Stockholm, Sweden
  • Akademiska Sjukhuset, Uppsala
    Uppsala, Sweden
  • Centrallasarettet, Vasteras
    Vasteras, Sweden
08

References and documents

Publications

  • Stiell IG, Dickinson G, Butterfield NN, Clement CM, Perry JJ, Vaillancourt C, Calder LA. Vernakalant hydrochloride: A novel atrial-selective agent for the cardioversion of recent-onset atrial fibrillation in the emergency department. Acad Emerg Med. 2010 Nov;17(11):1175-82. doi: 10.1111/j.1553-2712.2010.00915.x. Erratum In: Acad Emerg Med. 2011 Feb;18(2):224. PubMed 21175515 ↗
  • Roy D, Pratt CM, Torp-Pedersen C, Wyse DG, Toft E, Juul-Moller S, Nielsen T, Rasmussen SL, Stiell IG, Coutu B, Ip JH, Pritchett EL, Camm AJ; Atrial Arrhythmia Conversion Trial Investigators. Vernakalant hydrochloride for rapid conversion of atrial fibrillation: a phase 3, randomized, placebo-controlled trial. Circulation. 2008 Mar 25;117(12):1518-25. doi: 10.1161/CIRCULATIONAHA.107.723866. Epub 2008 Mar 10. PubMed 18332267 ↗
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Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Apr 2, 2008, 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
NCT00468767
Lead sponsor
Advanz Pharma
Collaborators
Astellas Pharma US, Inc.
First posted
May 3, 2007
Start date
Aug 2003
Primary completion
Nov 2004
Completion
Nov 2004
Last update
Apr 2, 2008

Study contacts

Sheila Grant, MBA
study director · Advanz Pharma

Oversight

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

Not currently enrolling

This study is completed, as verified in Mar 2008. You cannot join it, but the record below documents what was studied.

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