CClinicalTrials.gg
RecruitingNCT06835491PARACAUpdated Dec 23, 2025

Prophylactic Anti-aRrhythmic Therapy With Amiodarone in Critically Ill Patients Admitted for an Out-of-hospital Cardiac Arrest With Initial Shockable Rhythm

A Phase 3 interventional study of Amiodarone in Ventricular Arrhythmias and Cardiac Arrest, sponsored by Versailles Hospital. Recruiting at 29 sites in France. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2025-12-23.

Sponsored by Versailles Hospital · Phase 3, Interventional, and Prevention

From the registry’s dates

  • Started Nov 2025; still recruiting 11 months later.
Phase
Phase 3
Study type
Interventional
Enrollment
674
Allocation
Randomized
Ages
18 Years and older
Sex
All
01

Study summary

To determine if prophylactic administration of amiodarone for 72 hours in critically ill patients admitted after an OHCA with shockable rhythm, with a confirmed or a presumed cardiac cause, decreases the incidence of a composite endpoint of 30-day (starting from inclusion) all-cause mortality and/or severe in-hospital ventricular arrhythmia recurrence (ventricular fibrillation and/or ventricular tachycardia requiring intervention including re-arrest)

02

Conditions studied

  • Ventricular Arrhythmias and Cardiac Arrest

Browse trials for

03

In context

Heart Arrest

966 studies on the registry are indexed under Heart Arrest; 227 are open to participants now.

This study's planned enrollment of 674 is above the median of 100 across 557 interventional studies indexed under Heart Arrest.

Browse Heart Arrest studies →

Lead sponsor

Versailles Hospital is the lead sponsor of 74 studies on the registry; 17 are open to participants now.

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

04

Who can participate

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

Inclusion criteria

  1. Patient aged ≥ 18 years
  2. Admitted in intensive care unit
  3. Out-of-hospital cardiac arrest with initial shockable rhythm
  4. Presumed cardiac or unknown cause
  5. Delay between ROSC and screening for randomisation \< 6 hours
  6. Informed consent from the patient or a surrogate or deferred consent
  7. Affiliated to or benefiting from a social insurance

Exclusion criteria

Exclusion Criteria:

  1. Cardiac arrest secondary to an extra-cardiac cause (suspected or confirmed)
  2. Indication for amiodarone decided by the physician at ICU admission
  3. No central venous catheter available for continuous infusion of amidoarone
  4. Thyroid disease under treatment
  5. History of cardiac conduction disorders, not treated by permanent pacemaker
  6. Any contra indication to amiodarone treatment
  7. Refractory ventricular arrhythmia or electrical storm
  8. Need for veno-arterial extracorporeal membrane oxygenation (VA-ECMO) at admission
  9. Known limitations in therapy and Do Not Resuscitate-order
  10. Moribund patient due to pre-arrest history (estimated life expectancy \< 3 months)
  11. Pregnant or breastfeeding women
  12. Patient needing a nadolol treatment due to QT long syndrome or catecholaminergic polymorphic ventricular tachycardia
  13. Patient with known pulmonary fibrosis
  14. Patient with known interstitial lung disease
05

Study design

Phase
Phase 3
Primary purpose
Prevention
Allocation
Randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
674 participants (estimated)

Study arms

  • Experimental
    Amiodarone

    Initial loading dose of 300mg over 30 minutes in 250ml of glucose 5% solution. Continuous amiodarone infusion will be administered for 72 hours at a dose of 10 mg/kg without exceeding 900 mg/24h.

    Drug: Amiodarone

  • No intervention
    Control

Interventions

  • DrugAmiodarone

    Initial loading dose of 300mg over 30 minutes in 250ml of glucose 5% solution. Continuous amiodarone infusion will be administered for 72 hours at a dose of 10 mg/kg without exceeding 900 mg/24h.

06

What researchers measure

Primary outcomes

  1. Rate of Mortality and severe ventricular arrhythmia

    The primary endpoint is a composite of 30-day (starting from inclusion) all-cause mortality and occurrence of severe in-hospital ventricular arrhythmia, defined by ventricular fibrillation and/or ventricular tachycardia requiring intervention occurring between inclusion and hospital discharge (or 30-day whichever the sooner).

    Time frame: 30 days

Secondary outcomes

  1. outcomes related with cardiac events

    * Occurrence of ventricular fibrillation (VF) * Occurrence of ventricular tachycardia (VT) requiring or not intervention * Occurrence of atrial fibrillation (AF) and supraventricular tachycardia * Occurrence of cardiac re-arrest due to asystole

    Time frame: 90 days

  2. outcomes related with mortality

    * ICU mortality * Hospital (and 30-day) mortality * Day 90 mortality

    Time frame: 90 days

  3. Duration of invasive mechanical ventilation

    Time frame: 90 days

  4. Number of participants with outcomes related with amiodorane side effects

    Number of the following side effects, patients could experimente (if applicable) during amiodarone infusion: * Conduction disorders * Hemodynamic consequences * Hepatic cytolysis * Anaphylaxis

    Time frame: 5 days

  5. Neurological outcome

    M-Rankin scale (the lowest score is no handicap and the highest score is death) and Glasgow Outcome Score (the lowest score is the most severe coma)

    Time frame: 90 days

  6. Duration vasopressor infusion

    Time frame: 90 days

  7. Length of ICU stay

    Time frame: 90 days

  8. Length of stay in hospital

    Time frame: 90 days

  9. Dose of the anti-arrhythmic drugs

    Time frame: 90 days

  10. Number of days of anti-arrhythmic drugs

    Time frame: 90 days

07

Study locations

25 of 29 sites recruiting
  • Chu Amiens
    Amiens, France
    • julien maizel, md · Contact
    Not yet recruiting
  • Chu Angers
    Angers, France
    • pierre asfar, MD · Contact
    Recruiting
  • CH annecy genevois
    Annecy, France
    • davis bougon, md · Contact
    Recruiting
  • Ch Argenteuil
    Argenteuil, France
    • gaetan plantefeve, md · Contact
    Recruiting
  • CH Mondor
    Aurillac, France
    • Emanuele turbil, MD · Contact
    Recruiting
  • CHU Brest
    Brest, France
    • pierre bailly, MD · Contact
    Recruiting
  • CH Brive
    Brive-la-Gaillarde, France
    • cédric barucchi, MD · Contact
    Recruiting
  • Chu Caen
    Caen, France
    • cédric daubin, MD · Contact
    Not yet recruiting
  • Chi Nord Ardennes
    Charleville-Mézières, France
    • jérémy rosman, MD · Contact
    Recruiting
  • CHSF
    Corbeil-Essonnes, France
    • sophie marques, md · Contact
    Recruiting
  • CHD vendée
    La Roche-sur-Yon, France
    • gwenhael colin, MD · Contact
    Recruiting
  • CH la rochelle
    La Rochelle, France
    • francois perrier, MD · Contact
    Recruiting
  • Hcl
    Lyon, France
    • jean christophe richard, MD · Contact
    Recruiting
  • Ap Hm
    Marseille, France
    • jeremy bourenne · Contact
    Recruiting
  • Hopital Cartier
    Massy, France
    • wulfran bougouin, md · Contact
    Recruiting
  • chi Gregoire
    Montreuil, France
    • vincent das, MD · Contact
    Not yet recruiting
  • Hoptial Mulhouse
    Mulhouse, France
    • guylaine labro, md · Contact
    Recruiting
  • CHU Nantes
    Nantes, France
    • jean baptiste lascarrou, MD · Contact
    Not yet recruiting
  • Clinique Ambroise Paré
    Neuilly-sur-Seine, France
    • guillaume geri, md · Contact
    Recruiting
  • CHU Nice -MIR Archet
    Nice, France
    • mathieu jozwiak · Contact
    Recruiting
  • CHU Nice -MIR Pasteur
    Nice, France
    • denis doyen, MD · Contact
    Recruiting
  • Chu Orléans
    Orléans, France
    • grégoire muller, MD · Contact
    Recruiting
  • CHU Cochin
    Paris, France
    • alain coriou, MD · Contact
    Recruiting
  • Hopital saint joseph
    Paris, France
    • cedric bruel, MD · Contact
    Recruiting
  • CHU Poitiers
    Poitiers, France
    • florence boissier, MD · Contact
    Recruiting
  • Chu Strasbourg
    Strasbourg, France
    • antoine studer, md · Contact
    Recruiting
  • CHI Toulon
    Toulon, France
    • noemie peres, MD · Contact
    Recruiting
  • Chu Toulouse
    Toulouse, France
    • clement delmas, md · Contact
    Recruiting
  • CH Cotentin
    Valognes, France
    • julien calus, MD · Contact
    Recruiting
08

References and documents

Individual participant data

Plan to share: No

No publications or documents are linked to this record.

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Dec 23, 2025, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT06835491
Lead sponsor
Versailles Hospital
Responsible party
Hugo Bellut (Investigator coordonator, Versailles Hospital) — Principal investigator
First posted
Feb 19, 2025
Start date
Nov 6, 2025
Primary completion
Jan 15, 2027 (estimated)
Completion
Mar 15, 2027 (estimated)
Last update
Dec 23, 2025

Study contacts

Sandrine Roux
Contact
sroux@ght78sud.fr
0139239777

Oversight

Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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