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Atrial FibrillationPhase 3ATHENANCT00174785

A Trial With Dronedarone to Prevent Hospitalization or Death in Patients With Atrial Fibrillation

A Phase 3 study testing dronedarone (SR33589) in people with Atrial Fibrillation and Atrial Flutter, run by Sanofi at 37 sites in 37 countries.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
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Trial summary

To assess the efficacy of dronedarone in preventing cardiovascular hospitalization or death from any cause in a population of high-risk patients with atrial fibrillation/atrial flutter (AF/AFL). To assess that dronedarone is well tolerated in this population. Read more about this study

Who is it for?
Ages 70 years and older
Conditions the study is for
Atrial Fibrillation, Atrial Flutter
What is being tested?
dronedarone (SR33589)
Type of treatment
Pill or oral medicine
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
4,628 participants
Where
37 sitesin 37 countries
Study dates
Jun 2005to Mar 2008
Phase
Phase 3
Are there results?
Yes, posted in the registrySummary in the doctors' view

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 70 years and older
  • All sexes
  • No healthy volunteers
  • Older adult

Who may be able to join

  • 1. Patients aged 75 years or older (70 years before protocol amendment 1), or patients aged at least 70 years (any age before protocol amendment 1) with one or more of the following risk factors at baseline:
  • Hypertension (taking antihypertensive drugs of at least two different classes)
  • Diabetes
  • Prior cerebrovascular accident (stroke or transient ischemic attack) or systemic embolism
  • Left atrium diameter greater than or equal to 50 mm by echocardiography
  • Left ventricular ejection fraction less than 0.40 by 2D-echocardiography (two-dimensional echocardiography)
  • 2. Availability of one electrocardiogram (ECG) within the last 6 months, showing that the patient was or is in AF/AFL
  • 3. Availability of one ECG within the last 6 months, showing that the patient was or is in sinus rhythm

Who cannot join

  • General criteria:
  • 1. Refusal or inability to give informed consent to participate in the study
  • 2. Any non cardiovascular illness or disorder that could preclude participation or severely limit survival including cancer with metastasis and organ transplantation requiring immune suppression
  • 3. Pregnant women (pregnancy test must be negative) or women of childbearing potential not on adequate birth control: only women with a highly effective method of contraception [oral contraception or intra-uterine device (IUD)] or sterile can be randomized.
  • 4. Breastfeeding women
  • 5. Previous (2 preceding months) or current participation in another clinical trial with an investigational drug (under development) or with an investigational device
Show all 19Show fewer
  • 6. Previous participation in this trial
  • Criteria Related to a cardiac condition:
  • 7. Patients in permanent atrial fibrillation
  • 8. Patients in unstable hemodynamic condition such as acute pulmonary edema within 12 hours prior to start of study medication; cardiogenic shock; treatment with intra-venous pressor agents; patients on respirator; congestive heart failure of stage NYHA IV (New York Heart Association classification) within the last 4 weeks; uncorrected, hemodynamically significant primary obstructive valvular disease; hemodynamically significant obstructive cardiomyopathy; a cardiac operation or revascularization procedure within 4 weeks preceding randomization
  • 9. Planned major non-cardiac or cardiac surgery or procedures including surgery for valvular heart disease, coronary artery bypass graft (CABG) , percutaneous coronary intervention (PCI) , or on urgent cardiac transplantation list
  • 10. Acute myocarditis or constrictive pericarditis
  • 11. Bradycardia < 50 bpm and/or PR-interval > 0.28 sec on the last 12-lead ECG
  • 12. Significant sinus node disease (documented pause of 3 seconds or more) or 2nd or 3rd degree atrioventricular block (AV-block) unless treated with a pacemaker
  • Criteria Related to Concomitant Medications:
  • 13. Need of a concomitant medication that is prohibited in this trial, including the requirement for Vaughan Williams Class I and III anti-arrhythmic drugs, that would preclude the use of study drug during the planned study period
  • Criteria Related to Laboratory Abnormalities:
  • 14. Plasma potassium < 3.5 mmol/l (as anti-arrhythmic drugs can be arrhythmogenic in patients with hypokalemia, this must be corrected prior to randomization)
  • 15. A calculated Glomerular Filtration Rate (GFR) at baseline <10 ml/min using the Cockroft Gault formula

Trial locations and contacts

37 sites in 37 countries.

37 sites in 37 countries

United States1 site
  • Sanofi-Aventis Administrative Office

    Bridgewater, New Jersey, 08807

Other trials in United States

Argentina1 site
  • Sanofi-Aventis Administrative Office

    Buenos Aires

Other trials in Argentina

Australia1 site
  • Sanofi-Aventis Administrative Office

    New South Wales

Other trials in Australia

Austria1 site
  • Sanofi-Aventis Administrative Office

    Vienna

Other trials in Austria

Belgium1 site
  • Sanofi-Aventis Administrative Office

    Diegem

Other trials in Belgium

Canada1 site
  • Sanofi-Aventis Administrative Office

    Laval

Other trials in Canada

Chile1 site
  • Sanofi-Aventis Administrative Office

    Santiago

Other trials in Chile

China1 site
  • Sanofi-Aventis Administrative Office

    Shangaï

Other trials in China

Czechia1 site
  • Sanofi-Aventis Administrative Office

    Prague

Other trials in Czechia

Finland1 site
  • Sanofi-Aventis Administrative Office

    Helsinki

Other trials in Finland

Germany1 site
  • Sanofi-aventis Administrative Office

    Berlin

Other trials in Germany

Greece1 site
  • Sanofi-Aventis Administrative Office

    Athens

Other trials in Greece

Hong Kong1 site
  • Sanofi-Aventis Administrative Office

    Causeway Bay

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Hungary1 site
  • Sanofi-Aventis Administrative Office

    Budapest

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India1 site
  • Sanofi-Aventis Administrative Office

    Mumbai

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Israel1 site
  • Sanofi-Aventis Administrative Office

    Netanya

Other trials in Israel

Italy1 site
  • Sanofi-Aventis Administrative Office

    Milan

Other trials in Italy

Malaysia1 site
  • Sanofi-Aventis Administrative Office

    Kuala Lumpur

Other trials in Malaysia

Mexico1 site
  • Sanofi-Aventis Administrative Office

    México

Other trials in Mexico

Morocco1 site
  • Sanofi-Aventis Administrative Office

    Casablanca

Other trials in Morocco

Netherlands1 site
  • Sanofi-Aventis Administrative Office

    Gouda

Other trials in Netherlands

New Zealand1 site
  • Sanofi-Aventis Administrative Office

    Macquarie Park

Other trials in New Zealand

Norway1 site
  • Sanofi-Aventis Administrative Office

    Lysaker

Other trials in Norway

Philippines1 site
  • Sanofi-Aventis Administrative Office

    Makati City

Other trials in Philippines

Poland1 site
  • Sanofi-Aventis Administrative Office

    Warsaw

Other trials in Poland

Portugal1 site
  • Sanofi-Aventis Administrative Office

    Porto Salvo

Other trials in Portugal

Russia1 site
  • Sanofi-Aventis Administrative Office

    Moscow

Other trials in Russia

Singapore1 site
  • Sanofi-Aventis Administrative Office

    Singapore

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South Africa1 site
  • Sanofi-Aventis Administrative Office

    Midrand

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South Korea1 site
  • Sanofi-Aventis Administrative Office

    Seoul

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Spain1 site
  • Sanofi-Aventis Administrative Office

    Barcelona

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Sweden1 site
  • Sanofi-Aventis Administrative Office

    Bromma

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Taiwan1 site
  • Sanofi-Aventis Administrative Office

    Taipei

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Thailand1 site
  • Sanofi-Aventis Administrative Office

    Bangkok

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Tunisia1 site
  • Sanofi-Aventis Administrative Office

    Mégrine

Other trials in Tunisia

Turkey (Türkiye)1 site
  • Sanofi-Aventis Administrative Office

    Istanbul

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United Kingdom1 site
  • Sanofi-Aventis Administrative Office

    Guildford Surrey

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About this study

Official title: A Placebo-controlled,Double-blind,Parallel Arm Trial to Assess the Efficacy of Dronedarone 400mg Bid for the Prevention of Cardiovascular Hospitalization or Death From Any Cause in Patients With Atrial Fibrillation/Atrial Flutter (AF/AFL)

To assess the efficacy of dronedarone in preventing cardiovascular hospitalization or death from any cause in a population of high-risk patients with atrial fibrillation/atrial flutter (AF/AFL).

To assess that dronedarone is well tolerated in this population.

Read the detailed description

This is a prospective, multinational, double-blind, randomized, multi-center, placebo-controlled, parallel-group trial evaluating the effects of dronedarone versus placebo (ratio 1:1) over a minimum treatment duration of 12 months and a mean follow-up duration of 1.75 years (in AF/AFL patients). Patients can be included in the study while in atrial fibrillation/flutter or in sinus rhythm if conversion has occurred either spontaneously or following a procedure such as electrical cardioversion (or overdrive pacing) or administration of an antiarrhythmic drug.After randomization all patients will be followed until the common study end date; the last patient included in the study will be followed for 1 year. Visits will be at baseline, after 7 days, after 14 days, after one month, after three months and then every three months until end of the study. At each visit patients will be asked for the occurrence of hospitalizations or other events since the last visit. The study will be monitored by an independent Data Monitoring Committee (DMC) for safety, tolerability and efficacy.

Being tested
dronedarone (SR33589), placebo
Keywords
Mortality, Hospitalization
Medical subject headings
Atrial Fibrillation, Atrial Flutter

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • dronedarone (SR33589)Drug

    Also called Multaq®

    oral administration (tablets)

  • placeboDrug

    oral administration (tablets)

Study groups in NCT00174785
Study groupRoleWhat they receive
Dronedarone 400mg bidExperimentalDronedarone 400mg tablets twice daily (bid)
Receives: Drug: dronedarone (SR33589)
PlaceboPlacebo comparatormatching placebo tablets
Receives: Drug: placebo

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. First Hospitalization for Cardiovascular Reason or Death From Any Cause

    The primary event is the first hospitalization for cardiovascular reason or death from any cause, whichever is earlier, as assessed by the investigator. The primary efficacy analysis is performed on the time from randomization to this primary event. The Measured Values table below presents the numbers of patients with the event at the end of the study period.

    Measured: minimum follow-up duration: 1 year ; maximum: 2.5 years

Secondary outcomes (3)
  1. Death From Any Cause

    The considered event is death from any cause. The analysis is performed on the time from randomization to this event. The Measured Values table below presents the numbers of patients with the event at the end of the study period.

    Measured: minimum follow-up duration: 1 year ; maximum: 2.5 years

  2. First Hospitalization for Cardiovascular Reason

    The considered event is the first hospitalization for cardiovascular reason, as assessed by the Investigator. The analysis is performed on the time from randomization to this event. The Measured Values table below presents the numbers of patients with the event at the end of the study period.

    Measured: minimum follow-up duration: 1 year ; maximum: 2.5 years

  3. Cardiovascular Death

    The considered event is cardiovascular death, as assessed by the Investigator. The analysis is performed on the time from randomization to this event. The Measured Values table below presents the numbers of patients with the event at the end of the study period.

    Measured: minimum follow-up duration: 1 year ; maximum: 2.5 years

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted15 Sep 2005 (estimated)
  2. Study startJun 2005
  3. Primary completionMar 2008
  4. Study completionMar 2008

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase 3
Primary purpose
Prevention
Allocation
Randomised
Intervention model
Parallel groups
Masking
Double blind
Who is masked
Participant, Investigator
Enrolment
4,628 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT00174785
Sponsor's protocol ID
EFC5555
Acronym
ATHENA
Status last verified
Jan 2010
First submitted
13 Sep 2005
Last updated
12 Jan 2010
Data monitoring committee
Yes

Publications

  • Hohnloser SH, Connolly SJ, Crijns HJ, Page RL, Seiz W, Torp-Petersen C. Rationale and design of ATHENA: A placebo-controlled, double-blind, parallel arm Trial to assess the efficacy of dronedarone 400 mg bid for the prevention of cardiovascular Hospitalization or death from any cause in patiENts with Atrial fibrillation/atrial flutter. J Cardiovasc Electrophysiol. 2008 Jan;19(1):69-73. doi: 10.1111/j.1540-8167.2007.01016.x. Epub 2007 Nov 21.

    PubMed 18031520
  • Hohnloser SH, Crijns HJ, van Eickels M, Gaudin C, Page RL, Torp-Pedersen C, Connolly SJ; ATHENA Investigators. Effect of dronedarone on cardiovascular events in atrial fibrillation. N Engl J Med. 2009 Feb 12;360(7):668-78. doi: 10.1056/NEJMoa0803778.

    PubMed 19213680
  • Vamos M, Vagvolgyi A, McKindley DS, Hohnloser SH. Efficacy and Safety of Dronedarone in Overweight and Obesity: Post Hoc Analysis of the ATHENA Trial. J Cardiovasc Electrophysiol. 2026 May;37(5):969-979. doi: 10.1111/jce.70322. Epub 2026 Mar 22.

    PubMed 41865291
  • Kirchhof P, Camm AJ, Crijns HJGM, Piccini JP, Torp-Pedersen C, McKindley DS, Wieloch M, Hohnloser SH. Dronedarone provides effective early rhythm control: post-hoc analysis of the ATHENA trial using EAST-AFNET 4 criteria. Europace. 2025 Mar 28;27(4):euaf080. doi: 10.1093/europace/euaf080.

    PubMed 40295782
  • Handelsman Y, Bunch TJ, Rodbard HW, Steinberg BA, Thind M, Bigot G, Konigsberg L, Wieloch M, Kowey PR. Impact of dronedarone on patients with atrial fibrillation and diabetes: A sub-analysis of the ATHENA and EURIDIS/ADONIS studies. J Diabetes Complications. 2022 Jul;36(7):108227. doi: 10.1016/j.jdiacomp.2022.108227. Epub 2022 Jun 8.

    PubMed 35717354
  • Vamos M, Oldgren J, Nam GB, Lip GYH, Calkins H, Zhu J, Ueng KC, Ludwigs U, Wieloch M, Stewart J, Hohnloser SH. Dronedarone vs. placebo in patients with atrial fibrillation or atrial flutter across a range of renal function: a post hoc analysis of the ATHENA trial. Eur Heart J Cardiovasc Pharmacother. 2022 Jun 8;8(4):363-371. doi: 10.1093/ehjcvp/pvab090.

    PubMed 34958366
  • Akerborg O, Nilsson J, Bascle S, Lindgren P, Reynolds M. Cost-effectiveness of dronedarone in atrial fibrillation: results for Canada, Italy, Sweden, and Switzerland. Clin Ther. 2012 Aug;34(8):1788-802. doi: 10.1016/j.clinthera.2012.06.007. Epub 2012 Jul 6.

    PubMed 22770643
  • Torp-Pedersen C, Crijns HJ, Gaudin C, Page RL, Connolly SJ, Hohnloser SH; ATHENA Investigators. Impact of dronedarone on hospitalization burden in patients with atrial fibrillation: results from the ATHENA study. Europace. 2011 Aug;13(8):1118-26. doi: 10.1093/europace/eur102. Epub 2011 May 15.

    PubMed 21576129
  • Page RL, Connolly SJ, Crijns HJ, van Eickels M, Gaudin C, Torp-Pedersen C, Hohnloser SH; ATHENA Investigators. Rhythm- and rate-controlling effects of dronedarone in patients with atrial fibrillation (from the ATHENA trial). Am J Cardiol. 2011 Apr 1;107(7):1019-22. doi: 10.1016/j.amjcard.2010.11.028. Epub 2011 Feb 4.

    PubMed 21296333
  • Hohnloser SH, Crijns HJ, van Eickels M, Gaudin C, Page RL, Torp-Pedersen C, Connolly SJ; ATHENA Investigators. Dronedarone in patients with congestive heart failure: insights from ATHENA. Eur Heart J. 2010 Jul;31(14):1717-21. doi: 10.1093/eurheartj/ehq113. Epub 2010 Apr 30.

    PubMed 20436046

Questions about this trial

What is this clinical trial studying?

A Phase 3 study testing dronedarone (SR33589) in people with Atrial Fibrillation and Atrial Flutter, run by Sanofi at 37 sites in 37 countries.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 8 inclusion and 19 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: finished, as of the sponsor's last update on 12 Jan 2010. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 37 sites in United States, Argentina, Australia, Austria, Belgium and 32 more countries. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. Some participants in this study may receive a placebo. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

What does this phase mean?

Phase 3 studies compare the treatment with the current standard treatment or a placebo in a large group, to confirm how well it works and watch for side effects.

Not every study follows the same path, and some studies (observational studies, device studies) have no phase.

Are results available for this study?

Yes. Results are posted in the registry (first posted 23 Dec 2009). A summary is in the For doctors view, and the full results are on ClinicalTrials.gov.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

First Hospitalization for Cardiovascular Reason or Death From Any Cause (time frame: minimum follow-up duration: 1 year ; maximum: 2.5 years). It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT00174785, which also lists 10 linked publications.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 12 Jan 2010.

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