NCT00251706

Brief 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.

Trial Health

87
On Track

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
600

participants targeted

Target at P50-P75 for phase_3 atrial-fibrillation

Timeline
Completed

Started Feb 1999

Longer than P75 for phase_3 atrial-fibrillation

Geographic Reach
1 country

1 active site

Status
completed

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

Click on a node to explore related trials.

Study Timeline

Key milestones and dates

Study Start

First participant enrolled

February 1, 1999

Completed
5.6 years until next milestone

Study Completion

Last participant's last visit for all outcomes

September 1, 2004

Completed
1.2 years until next milestone

First Submitted

Initial submission to the registry

November 8, 2005

Completed
2 days until next milestone

First Posted

Study publicly available on registry

November 10, 2005

Completed
Last Updated

May 5, 2006

Status Verified

November 1, 2005

First QC Date

November 8, 2005

Last Update Submit

May 4, 2006

Conditions

Keywords

atrial fibrillationatrial flutteramiodaronepost-operativecoronary artery bypass surgeryvalve replacement or repair

Outcome Measures

Primary Outcomes (4)

  • more than 5 minutes of post-operative atrial tachyarrhythmia

  • ventricular response rate of atrial tachyarrhythmias

  • burden of post-operate atrial tachyarrhythmias

  • length of hospital stay

Secondary Outcomes (3)

  • withdrawal of full-dose blinded therapy

  • non-fatal post-operative complications

  • hospital mortality

Interventions

Eligibility Criteria

Age0 Years+
Sexall
Healthy VolunteersNo
Age GroupsChild (0-17), Adult (18-64), Older Adult (65+)

You may qualify if:

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

You may not qualify if:

  • 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

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

Libin Cardiovascular Institute / University of Calgary

Calgary, Alberta, T2N 2T9, Canada

Location

Related Publications (1)

  • 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.

MeSH Terms

Conditions

Atrial FibrillationAtrial Flutter

Interventions

Amiodarone

Condition Hierarchy (Ancestors)

Arrhythmias, CardiacHeart DiseasesCardiovascular DiseasesPathologic ProcessesPathological Conditions, Signs and Symptoms

Intervention Hierarchy (Ancestors)

BenzofuransHeterocyclic Compounds, 2-RingHeterocyclic Compounds, Fused-RingHeterocyclic Compounds

Study Officials

  • L. Brent Mitchell, MD

    University of Calgary

    PRINCIPAL INVESTIGATOR

Study Design

Study Type
interventional
Phase
phase 3
Allocation
RANDOMIZED
Masking
DOUBLE
Purpose
PREVENTION
Intervention Model
PARALLEL
Sponsor Type
OTHER

Study Record Dates

First Submitted

November 8, 2005

First Posted

November 10, 2005

Study Start

February 1, 1999

Study Completion

September 1, 2004

Last Updated

May 5, 2006

Record last verified: 2005-11

Locations