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Atrial FibrillationPhase 3PALLASNCT01151137

Permanent Atrial fibriLLAtion Outcome Study Using Dronedarone on Top of Standard Therapy

A Phase 3 study testing Dronedarone in people with Atrial Fibrillation, run by Sanofi at 37 sites in 37 countries.

Terminated

Stopped early. The study ended before it was planned to and will not resume.

Official record
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Trial 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… Read more about this study

Who is it for?
Ages 65 years and older
Conditions the study is for
Atrial Fibrillation
What is being tested?
Dronedarone
Type of treatment
Pill or oral medicine
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
3,236 participants
Where
37 sitesin 37 countries
Study dates
Jul 2010to Sep 2011
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 65 years and older
  • All sexes
  • No healthy volunteers
  • Older adult

Who may be able to join

  • 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:
Show all 12Show fewer
  • 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.

Who cannot join

  • 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.

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

    Macquarie Park

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

Brazil1 site
  • Sanofi-Aventis Administrative Office

    São Paulo

Other trials in Brazil

Bulgaria1 site
  • Sanofi-Aventis Administrative Office

    Sofia

Other trials in Bulgaria

Canada1 site
  • Sanofi-Aventis Administrative Office

    Laval

Other trials in Canada

Chile1 site
  • Sanofi-Aventis Administrative Office

    Providencia Santiago

Other trials in Chile

Czechia1 site
  • Sanofi-Aventis Administrative Office

    Prague

Other trials in Czechia

Denmark1 site
  • Sanofi-Aventis Administrative Office

    Hørsholm

Other trials in Denmark

Finland1 site
  • Sanofi-Aventis Administrative Office

    Helsinki

Other trials in Finland

France1 site
  • Sanofi-Aventis Administrative Office

    Paris

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Germany1 site
  • Sanofi-Aventis Administrative Office

    Frankfurt

Other trials in Germany

Greece1 site
  • Sanofi-Aventis Administrative Office

    Kallithea

Other trials in Greece

Hong Kong1 site
  • Sanofi-Aventis Administrative Office

    Hong Kong

Other trials in Hong Kong

Hungary1 site
  • Sanofi-Aventis Administrative Office

    Budapest

Other trials in Hungary

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

    Col. Coyoacan

Other trials in Mexico

Netherlands1 site
  • Sanofi-Aventis Administrative Office

    Gouda

Other trials in Netherlands

New Zealand1 site
  • Sanofi-Aventis Administrative Office

    Auckland

Other trials in New Zealand

Norway1 site
  • Sanofi-Aventis Administrative Office

    Lysaker

Other trials in Norway

Poland1 site
  • Sanofi-Aventis Administrative Office

    Warsaw

Other trials in Poland

Romania1 site
  • Sanofi-Aventis Administrative Office

    Bucharest

Other trials in Romania

Russia1 site
  • Sanofi-Aventis Administrative Office

    Moscow

Other trials in Russia

Singapore1 site
  • Sanofi-Aventis Administrative Office

    Singapore

Other trials in Singapore

Slovakia1 site
  • Sanofi-Aventis Administrative Office

    Bratislava

Other trials in Slovakia

South Africa1 site
  • Sanofi-Aventis Administrative Office

    Gauteng

Other trials in South Africa

South Korea1 site
  • Sanofi-Aventis Administrative Office

    Seoul

Other trials in South Korea

Spain1 site
  • Sanofi-Aventis Administrative Office

    Barcelona

Other trials in Spain

Sweden1 site
  • Sanofi-Aventis Administrative Office

    Bromma

Other trials in Sweden

Switzerland1 site
  • Sanofi-Aventis Administrative Office

    Geneva

Other trials in Switzerland

Taiwan1 site
  • Sanofi-Aventis Administrative Office

    Taipei

Other trials in Taiwan

Ukraine1 site
  • Sanofi-Aventis Administrative Office

    Kiev

Other trials in Ukraine

United Kingdom1 site
  • Sanofi-Aventis Administrative Office

    Guildford Surrey

Other trials in United Kingdom

About this study

Official title: A Randomized, Double Blind, Placebo Controlled, Parallel Group Trial for Assessing the Clinical Benefit of Dronedarone 400mg BID on Top of Standard Therapy in Patients With Permanent Atrial Fibrillation and Additional Risk Factors

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).

Read the detailed description

The study period per participant was variable depending on the enrollment in the study.

A final follow-up visit had to occur within 1 month after the CSED.

Being tested
Dronedarone, Placebo (for Dronedarone)
Medical subject headings
Atrial Fibrillation

What participants receive

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

  • DronedaroneDrug

    Also called MULTAQ, SR33589

    Film-coated tablet

    Oral administration under fed conditions (during breakfast and dinner)

  • Placebo (for Dronedarone)Drug

    film-coated tablet strictly identical in appearance

    Oral administration under fed conditions (during breakfast and dinner)

Study groups in NCT01151137
Study groupRoleWhat they receive
DronedaroneExperimentalDronedarone 400 mg twice a day until the CSED
Receives: Drug: Dronedarone
placeboPlacebo comparatorPlacebo (for Dronedarone) twice a day until the CSED
Receives: Drug: Placebo (for Dronedarone)

What is being measured

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

  1. 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.

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

  2. 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.

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

  3. 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.

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

Secondary outcomes (2)
  1. Deaths

    Deaths were classified according to the primary cause of death.

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

  2. Time to Cardiovascular Death (Cumulative Incidence Function)

    Time to cardiovascular death was defined as the time from randomization to the 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.

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

Timeline

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

  1. First posted25 Jun 2010 (estimated)
  2. Study startJul 2010
  3. Primary completionSep 2011
  4. Study completionSep 2011

Why it stopped: The study was stopped because of safety concerns

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
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Masking
Triple blind
Who is masked
Participant, Investigator, Outcomes assessor
Enrolment
3,236 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT01151137
Sponsor's protocol ID
EFC11405
Other IDs
2010-019791-73, U1111-1116-5566
Acronym
PALLAS
Status last verified
Oct 2012
First submitted
22 Jun 2010
Last updated
26 Oct 2012
Data monitoring committee
Yes

Publications

  • 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.

    PubMed 22082198
  • 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.

    PubMed 25378467

Questions about this trial

What is this clinical trial studying?

A Phase 3 study testing Dronedarone in people with Atrial Fibrillation, 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 12 inclusion and 4 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: stopped early, as of the sponsor's last update on 26 Oct 2012. 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 26 Oct 2012). 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?

Overview of the Two Co-primary Outcomes (time frame: From randomization up to the CSED which occurred at study termination (maximum follow-up of 1 year)). The study lists 3 primary outcomes in all. 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 NCT01151137, which also lists 2 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 26 Oct 2012.

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