NCT01151137

Brief Summary

Primary Objective:

  • Demonstrate the efficacy of Dronedarone in preventing major cardiovascular events (stroke, systemic arterial embolism, myocardial infarction or cardiovascular death) or unplanned cardiovascular hospitalization or death from any cause in patients with permanent Atrial Fibrillation \[AF\] and additional risk factors Secondary Objective:
  • Demonstrate the efficacy of Dronedarone in preventing cardiovascular death This was an event-driven study where a common study end date \[CSED\] was to be determined by Steering Committee based on the number of events (stroke, systemic arterial embolism, myocardial infarction or cardiovascular death).

Trial Health

68
Monitor

Trial Health Score

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

Enrollment
3,236

participants targeted

Target at P75+ for phase_3 atrial-fibrillation

Timeline
Completed

Started Jul 2010

Shorter than P25 for phase_3 atrial-fibrillation

Geographic Reach
36 countries

36 active sites

Status
terminated

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

First Submitted

Initial submission to the registry

June 22, 2010

Completed
3 days until next milestone

First Posted

Study publicly available on registry

June 25, 2010

Completed
6 days until next milestone

Study Start

First participant enrolled

July 1, 2010

Completed
1.2 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

September 1, 2011

Completed
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

September 1, 2011

Completed
1.2 years until next milestone

Results Posted

Study results publicly available

October 26, 2012

Completed
Last Updated

October 26, 2012

Status Verified

October 1, 2012

Enrollment Period

1.2 years

First QC Date

June 22, 2010

Results QC Date

September 14, 2012

Last Update Submit

October 23, 2012

Conditions

Outcome Measures

Primary Outcomes (3)

  • Overview of the Two Co-primary Outcomes

    First co-primary outcome was defined as the first event among stroke, systemic arterial embolism, Myocardial Infarctions \[MI\], or cardiovascular death. Second co-primary outcome was defined as the first event among unscheduled cardiovascular hospitalization or death from any cause. Both co-primary outcomes were determined based on the central review and adjudication by a blinded Adjudication Committee of all reported deaths (from any cause), MI, systemic arterial embolisms, strokes, Transient Ischemic Attacks \[TIA\], Heart Failure hospitalization and unplanned hospitalisations for cardiovascular cause.

    From randomization up to the CSED which occurred at study termination (maximum follow-up of 1 year)

  • Time to First Co-primary Outcome (Cumulative Incidence Function)

    Time to first co-primary outcome was defined as the time from randomization to the first event among stroke, systemic arterial embolism, MI or cardiovascular death. Cumulative incidence function in each treatment group was calculated using non-parametric Kaplan-Meier estimate. 95% confidence interval was computed at each time-point using Greenwood's variance estimation.

    From randomization up to the CSED which occurred at study termination (maximum follow-up of 1 year)

  • Time to Second Co-primary Outcome (Cumulative Incidence Function)

    Time to second co-primary outcome was defined as the time from randomization to the first event among unscheduled cardiovascular hospitalization or death from any cause. Cumulative incidence function in each treatment group was calculated using non-parametric Kaplan-Meier estimate. 95% confidence interval was computed at each time-point using Greenwood's variance estimation.

    From randomization up to the CSED which occurred at study termination (maximum follow-up of 1 year)

Secondary Outcomes (2)

  • Deaths

    From randomization up to the CSED which occurred at study termination (maximum follow-up of 1 year)

  • Time to Cardiovascular Death (Cumulative Incidence Function)

    From randomization up to the CSED which occurred at study termination (maximum follow-up of 1 year)

Other Outcomes (2)

  • Overview of Cardiovascular Events

    From randomization up to the CSED which occurred at study termination (maximum follow-up of 1 year)

  • Overview of Adverse Events [AE]

    from first study drug intake up to 10 days after the last study drug intake

Study Arms (2)

Dronedarone

EXPERIMENTAL

Dronedarone 400 mg twice a day until the CSED

Drug: Dronedarone

placebo

PLACEBO COMPARATOR

Placebo (for Dronedarone) twice a day until the CSED

Drug: Placebo (for Dronedarone)

Interventions

Film-coated tablet Oral administration under fed conditions (during breakfast and dinner)

Also known as: MULTAQ, SR33589
Dronedarone

film-coated tablet strictly identical in appearance Oral administration under fed conditions (during breakfast and dinner)

placebo

Eligibility Criteria

Age65 Years+
Sexall
Healthy VolunteersNo
Age GroupsOlder Adult (65+)

You may qualify if:

  • Permanent AF defined by the presence of all of the following criteria:
  • Availability of one 12-lead ECG not more than 14 days prior to randomization showing that the patient is in AF or atrial flutter;
  • Availability of documentation (including either rhythm strips or medical report of the rhythm) showing that the patient was in AF or atrial flutter at least 6 months prior to randomization;
  • No evidence of sinus rhythm in the period between these two documentations of AF;
  • Decision of the patient and physician to allow AF to continue without further efforts to restore sinus rhythm.
  • At least one of the following risk criteria:
  • Coronary artery disease;
  • Prior stroke or Transient Ischemic Attack \[TIA\];
  • Symptomatic heart failure;
  • Left ventricular ejection fraction \[LVEF\] less or equal to 0.40;
  • Peripheral arterial occlusive disease;
  • Aged 75 years or older with both hypertension and diabetes mellitus.

You may not qualify if:

  • Paroxysmal AF;
  • Persistent AF without a decision to allow AF to continue without further efforts to restore sinus rhythm;
  • Heart failure of New-York Heart Association \[NYHA\] class IV or recent unstable NYHA class III.
  • The above information is not intended to contain all considerations relevant to a patient's potential participation in a clinical trial.

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (37)

Sanofi-Aventis Administrative Office

Bridgewater, New Jersey, 08807, United States

Location

Sanofi-Aventis Administrative Office

Buenos Aires, Argentina

Location

Sanofi-Aventis Administrative Office

Macquarie Park, Australia

Location

Sanofi-Aventis Administrative Office

Vienna, Austria

Location

Sanofi-Aventis Administrative Office

Diegem, Belgium

Location

Sanofi-Aventis Administrative Office

São Paulo, Brazil

Location

Sanofi-Aventis Administrative Office

Sofia, Bulgaria

Location

Sanofi-Aventis Administrative Office

Laval, Canada

Location

Sanofi-Aventis Administrative Office

Providencia Santiago, Chile

Location

Sanofi-Aventis Administrative Office

Prague, Czechia

Location

Sanofi-Aventis Administrative Office

Hørsholm, Denmark

Location

Sanofi-Aventis Administrative Office

Helsinki, Finland

Location

Sanofi-Aventis Administrative Office

Paris, France

Location

Sanofi-Aventis Administrative Office

Frankfurt, Germany

Location

Sanofi-Aventis Administrative Office

Kallithea, Greece

Location

Sanofi-Aventis Administrative Office

Hong Kong, Hong Kong

Location

Sanofi-Aventis Administrative Office

Budapest, Hungary

Location

Sanofi-Aventis Administrative Office

Netanya, Israel

Location

Sanofi-Aventis Administrative Office

Milan, Italy

Location

Sanofi-Aventis Administrative Office

Kuala Lumpur, Malaysia

Location

Sanofi-Aventis Administrative Office

Col. Coyoacan, Mexico

Location

Sanofi-Aventis Administrative Office

Gouda, Netherlands

Location

Sanofi-Aventis Administrative Office

Auckland, New Zealand

Location

Sanofi-Aventis Administrative Office

Lysaker, Norway

Location

Sanofi-Aventis Administrative Office

Warsaw, Poland

Location

Sanofi-Aventis Administrative Office

Bucharest, Romania

Location

Sanofi-Aventis Administrative Office

Moscow, Russia

Location

Sanofi-Aventis Administrative Office

Singapore, Singapore

Location

Sanofi-Aventis Administrative Office

Bratislava, Slovakia

Location

Sanofi-Aventis Administrative Office

Gauteng, South Africa

Location

Sanofi-Aventis Administrative Office

Seoul, South Korea

Location

Sanofi-Aventis Administrative Office

Barcelona, Spain

Location

Sanofi-Aventis Administrative Office

Bromma, Sweden

Location

Sanofi-Aventis Administrative Office

Geneva, Switzerland

Location

Sanofi-Aventis Administrative Office

Taipei, Taiwan

Location

Sanofi-Aventis Administrative Office

Kiev, Ukraine

Location

Sanofi-Aventis Administrative Office

Guildford Surrey, United Kingdom

Location

Related Publications (2)

  • Connolly SJ, Camm AJ, Halperin JL, Joyner C, Alings M, Amerena J, Atar D, Avezum A, Blomstrom P, Borggrefe M, Budaj A, Chen SA, Ching CK, Commerford P, Dans A, Davy JM, Delacretaz E, Di Pasquale G, Diaz R, Dorian P, Flaker G, Golitsyn S, Gonzalez-Hermosillo A, Granger CB, Heidbuchel H, Kautzner J, Kim JS, Lanas F, Lewis BS, Merino JL, Morillo C, Murin J, Narasimhan C, Paolasso E, Parkhomenko A, Peters NS, Sim KH, Stiles MK, Tanomsup S, Toivonen L, Tomcsanyi J, Torp-Pedersen C, Tse HF, Vardas P, Vinereanu D, Xavier D, Zhu J, Zhu JR, Baret-Cormel L, Weinling E, Staiger C, Yusuf S, Chrolavicius S, Afzal R, Hohnloser SH; PALLAS Investigators. Dronedarone in high-risk permanent atrial fibrillation. N Engl J Med. 2011 Dec 15;365(24):2268-76. doi: 10.1056/NEJMoa1109867. Epub 2011 Nov 14.

  • Hohnloser SH, Halperin JL, Camm AJ, Gao P, Radzik D, Connolly SJ; PALLAS investigators. Interaction between digoxin and dronedarone in the PALLAS trial. Circ Arrhythm Electrophysiol. 2014 Dec;7(6):1019-25. doi: 10.1161/CIRCEP.114.002046. Epub 2014 Nov 6.

MeSH Terms

Conditions

Atrial Fibrillation

Interventions

Dronedarone

Condition Hierarchy (Ancestors)

Arrhythmias, CardiacHeart DiseasesCardiovascular DiseasesPathologic ProcessesPathological Conditions, Signs and Symptoms

Intervention Hierarchy (Ancestors)

AmiodaroneBenzofuransHeterocyclic Compounds, 2-RingHeterocyclic Compounds, Fused-RingHeterocyclic Compounds

Limitations and Caveats

Given that the study was prematurely discontinued after 3236 patients were randomized (30% of the initial planned number), p-values were provided for information without any adjustment for multiplicity.

Results Point of Contact

Title
Trial Transparency Team
Organization
sanofi-aventis

Study Officials

  • Clinical Sciences & Operations

    Sanofi

    STUDY DIRECTOR

Publication Agreements

PI is Sponsor Employee
No
Restriction Type
OTHER
Restrictive Agreement
Yes

Study Design

Study Type
interventional
Phase
phase 3
Allocation
RANDOMIZED
Masking
TRIPLE
Who Masked
PARTICIPANT, INVESTIGATOR, OUTCOMES ASSESSOR
Purpose
TREATMENT
Intervention Model
PARALLEL
Sponsor Type
INDUSTRY
Responsible Party
SPONSOR

Study Record Dates

First Submitted

June 22, 2010

First Posted

June 25, 2010

Study Start

July 1, 2010

Primary Completion

September 1, 2011

Study Completion

September 1, 2011

Last Updated

October 26, 2012

Results First Posted

October 26, 2012

Record last verified: 2012-10

Locations