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Atrial FibrillationPhase 1CADENCE 215NCT01483183

Ascending Dose Study of OPC-108459 Intravenous Infusions in Patients With Paroxysmal and Persistent Atrial Fibrillation

A Phase 1 study testing OPC-108459 in people with Atrial Fibrillation and Paroxysmal Atrial Fibrillation, run by Otsuka Pharmaceutical Development & Commercialization, Inc. at 25 sites in 6 countries.

Terminated

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

Official record
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Trial summary

The purpose of Part 1 of this study is to determine the maximally tolerated dose of OPC-108459 in patients with paroxysmal and persistent atrial fibrillation (AF). The purpose of Part 2 of this study is to determine potential efficacy of dose(s) of OPC-108459 for the treatment of paroxysmal and persistent atrial… Read more about this study

Who is it for?
Ages 18 to 85 years
What is being tested?
OPC-108459
Type of treatment
Injection or infusion
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
40 participants
Where
25 sitesin 6 countries
Study dates
Nov 2011to Oct 2015
Phase
Phase 1
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 18 to 85 years
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Subjects with paroxysmal atrial fibrillation (AF) (recent or new onset) or subjects with persistent AF at the time of randomization
  • Subjects who are hemodynamically stable
  • Subjects with a low risk of thromboembolic potential
  • Subjects who are willing to comply with the reproductive precautions

Who cannot join

  • Subjects with:
  • History of long QT syndrome, Torsade de Pointes or an uncorrected QT interval of > 450 ms
  • History of myocardial infarction within 6 months of screening
  • Acute coronary syndrome, angina or active myocardial ischemia diagnosed by ECG, or other imaging within 6 months of screening
  • History of ventricular tachycardia, fibrillation, or resuscitated cardiac arrest
  • History of clinically significant congenital heart disease
Show all 19Show fewer
  • Presence of severe aortic or mitral stenosis, aortic or mitral regurgitation, atrial septal defect, or other conditions leading to AF
  • Diagnosis of heart failure NYHA Class II-IV or with an ejection fraction <40% (Part 1 only)
  • Diagnosis of heart failure NYHA Class IV or NYHA I, II, or III with an ejection fraction <35% (Part 2 only)
  • Concomitant treatment with class I or III anti-arrhythmics agents unless the medication was discontinued more than 5 half-lives before dosing
  • History of seizures
  • Diagnosis of atrial flutter
  • Diagnosis of stroke, TIA (transient ischemic attack), or any transient neurological deficit within 1 year of screening or known carotid artery stenosis of >50%
  • Cardiac surgery within 3 months of screening
  • Bradycardia (< 50 bpm) or sick sinus syndrome, unless controlled by a pacemaker
  • Current reversible cause of AF
  • Wolff-Parkinson-White syndrome
  • Any congenital abnormality, severe valve disease
  • Subjects who have taken another investigational product within 30 days of dosing

Trial locations and contacts

25 sites in 6 countries.

25 sites in 6 countries

United States9 sites
  • Otsuka Investigational Site

    Germantown, Tennessee, 38138

  • Otsuka Investigational Site

    Hollywood, Florida, 33021

  • Otsuka Investigational Site

    Houston, Texas, 77024

  • Otsuka Investigational Site

    Jacksonville, Florida, 32209

  • Otsuka Investigational Site

    Johnson City, New York, 13790

  • Otsuka Investigational Site

    Lexington, Kentucky, 40536

  • Otsuka Investigational Site

    New Orleans, Louisiana, 70112

  • Otsuka Investigational Site

    Sarasota, Florida, 34232

  • Otsuka Investigational Site

    Washington D.C., District of Columbia, 20422

Other trials in United States

Spain5 sites
  • Otsuka Investigational Site

    Barcelona, 08970

  • Otsuka Investigational Site

    Fuenlabrada, Madrid, 28942

  • Otsuka Investigational Site

    Granada, 18014

  • Otsuka Investigational Site

    Madrid, 28034

  • Otsuka Investigational Site

    Madrid, 28905

Other trials in Spain

Germany4 sites
  • Otsuka Investigational Site

    Berlin, 13953

  • Otsuka Investigational Site

    Hamburg, 22291

  • Otsuka Investigational Site

    Leipzig, 04289

  • Otsuka Investigational Site

    Pirna, 01796

Other trials in Germany

Italy4 sites
  • Otsuka Investigational Site

    Ancona, 60126

  • Otsuka Investigational Site

    Bologna, 40138

  • Otsuka Investigational Site

    Cremona, 26100

  • Otsuka Investigational Site

    San Fermo, Como, 22100

Other trials in Italy

Netherlands2 sites
  • Otsuka Investigational Site

    Amsterdam, 1105AZ

  • Otsuka Investigational Site

    Groningen, 9713GZ

Other trials in Netherlands

United Kingdom1 site
  • Otsuka Investigational Site

    Chertsey, Surrey, KT160PZ

Other trials in United Kingdom

About this study

Official title: A Multi-center, Parallel-group, Double-blind, Placebo-controlled, Randomized, Ascending Dose Trial to Determine the Safety, Tolerability, Pharmacokinetics and Efficacy of Intravenous Infusions of OPC-108459 Administered to Subjects With Paroxysmal and Persistent Atrial Fibrillation

The purpose of Part 1 of this study is to determine the maximally tolerated dose of OPC-108459 in patients with paroxysmal and persistent atrial fibrillation (AF).

The purpose of Part 2 of this study is to determine potential efficacy of dose(s) of OPC-108459 for the treatment of paroxysmal and persistent atrial fibrillation.

Read the detailed description

This trial will test the pharmacokinetic and pharmacodynamic characteristics of ascending doses of OPC-108459 in separate populations of paroxysmal and persistent AF subjects.

The trial will consist of two parts. Each part will evaluate two populations of subjects presenting for cardioversion in a hospital setting.

Cohorts of paroxysmal and persistent subjects may have their dose increased independently.

Being tested
OPC-108459, Placebo
Keywords
Atrial fibrillation, Paroxysmal Atrial fibrillation, Persistent Atrial fibrillation, A-fib
Medical subject headings
Atrial Fibrillation

What participants receive

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

  • OPC-108459Drug

    Also called 269-11-215

    Part 1: single dose OPC-108459, 10-minute constant rate IV infusion to achieve specified Cmax target

    Part 2: single dose OPC-108459, 10-minute constant rate IV infusion to achieve Cmax target concentration from Part 1; if failure to convert to sinus rhythm, second dose OPC-108459 administered, 10-minute constant rate IV infusion to achieve target concentration from Part 1

  • PlaceboDrug

    Placebo dose, 10-minute constant rate IV infusion

Study groups in NCT01483183
Study groupRoleWhat they receive
Persistent or Paroxysmal AF Part 1: OPC-108459ExperimentalTo safely meet each of the following Cmax targets: 1.0-10.0 µg/mL. There will be 9 cohorts in all: 1.0, 1.6, 2.4, 3.6, 5.4, 7.0, 8.0, 9.0, and 10.0.
Receives: Drug: OPC-108459
Persistent or Paroxysmal AF Part 1: PlaceboPlacebo comparatorNot described
Receives: Drug: Placebo
Persistent or Paroxysmal AF Part 2: OPC-108459ExperimentalSingle dose to safely meet target concentration from Part 1, if subject fails to convert to sinus rhythm within 10 minutes, second dose will be administered to achieve 25% increase when compared to first infusion
Receives: Drug: OPC-108459
Placebo Part 2Placebo comparatorNot described
Receives: Drug: OPC-108459; Drug: Placebo

What is being measured

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

  1. Part 1: Maximum (Peak) Plasma Concentration (Cmax)

    OPC-108459 was administered as a 10-minute constant rate IV infusion. Blood samples were collected pre-dose (within 45 minutes of dosing), at the end of infusion and 0.5, 1, 2, 4, 8 and 24 hours post start of infusion.

    Measured: 24 hours

  2. Part 1: Area Under the Concentration-time Curve From Time 0 to Time of the Last Measurable Concentration (AUCτ)

    OPC-108459 was administered as a 10-minute constant rate IV infusion. Blood samples were collected pre-dose (within 45 minutes of dosing), at the end of infusion and 0.5, 1, 2, 4, 8 and 24 hours post infusion.

    Measured: 24 hours

  3. Part 1:Maximal Change From Baseline in QT Interval Corrected for Heart Rate Using the Fridericia Formula (QTcF) Within 24 Hour Infusion

    12-lead Holter monitors were placed on all participants within 45 minutes prior to dosing. Post dose measurements were made at 2, 4, 6, 8, 10, 20, 30, and 40 minutes and 1, 1.5, 2, 4, 6, 8, 12, 16, and 24 hours post-dose. To achieve consistent recording, Holter sampling will be recorded with the participant recumbent and at rest for at least 10 minutes prior to collection.

    Measured: 24 hours

  4. Part 1: Maximal Change From Baseline in Ventricular Rate Within 24 Hour Infusion

    12-lead Holter monitors were placed on all participants within 45 minutes prior to dosing. Post dose measurements were made at 2, 4, 6, 8, 10, 20, 30, and 40 minutes and 1, 1.5, 2, 4, 6, 8, 12, 16, and 24 hours post-dose. To achieve consistent recording, Holter sampling will be recorded with the participant recumbent and at rest for at least 10 minutes prior to collection.

    Measured: 24 hours

  5. Part 1: Maximal Change From Baseline in Blood Pressure Within 24 Hour Infusion

    Maximum change from baseline in diastolic and systolic blood pressure(BP) collected during vital sign measurements in the 24-hour postdose interval. Participants must be hemodynamically stable defined as a screening systolic blood pressure between 90 to 160 mmHg, diastolic <100 mmHg. BP was measured after at least 3 minutes in the supine position. BP was measured at predose (within 45 minutes of dosing); 3 and 7 minutes and approximately 1, 4, 8, 12, and 24 hours.

    Measured: 24 hours

  6. Part 2/1 Infusion: Cmax

    The trial was terminated after Part 1 enrollment completed. All analyses described in this document were performed on Part 1 data. However, Part 2 was not conducted and therefore is not included in this document.

    Measured: 24 hours

  7. Part 2/2 Infusions: Cmax

    The trial was terminated after Part 1 enrollment completed. All analyses described in this document were performed on Part 1 data. However, Part 2 was not conducted and therefore is not included in this document.

    Measured: 24 hours

  8. Part 2/1 Infusion: AUCt

    The trial was terminated after Part 1 enrollment completed. All analyses described in this document were performed on Part 1 data. However, Part 2 was not conducted and therefore is not included in this document.

    Measured: 24 hours

  9. Part 2/2 Infusions: AUCt

    The trial was terminated after Part 1 enrollment completed. All analyses described in this document were performed on Part 1 data. However, Part 2 was not conducted and therefore is not included in this document.

    Measured: 24 hours

  10. Part 2: QTcF

    The trial was terminated after Part 1 enrollment completed. All analyses described in this document were performed on Part 1 data. However, Part 2 was not conducted and therefore is not included in this document.

    Measured: 24 hours

  11. Part 2: Ventricular Rate

    The trial was terminated after Part 1 enrollment completed. All analyses described in this document were performed on Part 1 data. However, Part 2 was not conducted and therefore is not included in this document.

    Measured: 24 hours

  12. Part 2: Diastolic and Systolic Blood Pressure

    The trial was terminated after Part 1 enrollment completed. All analyses described in this document were performed on Part 1 data. However, Part 2 was not conducted and therefore is not included in this document.

    Measured: 24 hours

  13. Part 2: Percentage of Subjects With Normal Sinus Rhythm (NSR)

    The trial was terminated after Part 1 enrollment completed. All analyses described in this document were performed on Part 1 data. However, Part 2 was not conducted and therefore is not included in this document.

    Measured: 24 hours

Secondary outcomes (4)
  1. Part 1: Percentage of Participants With NSR

    Percent of participants with NSR, defined as NSR for at least 1 minute within 30 minutes of the end of OPC-108459 infusion.

    Measured: 30 minutes

  2. Part 2: Time to NSR

    The trial was terminated after Part 1 enrollment completed. All analyses described in this document were performed on Part 1 data. However, Part 2 was not conducted and therefore is not included in this document.

    Measured: 24 hours

  3. Part 2: Duration of NSR

    The trial was terminated after Part 1 enrollment completed. All analyses described in this document were performed on Part 1 data. However, Part 2 was not conducted and therefore is not included in this document.

    Measured: 24 hours

  4. Part 2: Duration of NSR

    The trial was terminated after Part 1 enrollment completed. All analyses described in this document were performed on Part 1 data. However, Part 2 was not conducted and therefore is not included in this document.

    Measured: 168 hours

Timeline

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

  1. First posted1 Dec 2011 (estimated)
  2. Study startNov 2011
  3. Primary completionOct 2015
  4. Study completionOct 2015

Why it stopped: Enrollment Difficulty

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 1
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Masking
Double blind
Who is masked
Participant, Investigator
Enrolment
40 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT01483183
Sponsor's protocol ID
269-11-215
Acronym
CADENCE 215
Status last verified
Feb 2017
First submitted
29 Nov 2011
Last updated
10 Apr 2017
Data monitoring committee
No

Questions about this trial

What is this clinical trial studying?

A Phase 1 study testing OPC-108459 in people with Atrial Fibrillation and Paroxysmal Atrial Fibrillation, run by Otsuka Pharmaceutical Development & Commercialization, Inc. at 25 sites in 6 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 4 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: stopped early, as of the sponsor's last update on 10 Apr 2017. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 25 sites in United States, Spain, Germany, Italy, Netherlands and 1 more country. 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 1 studies test a treatment in a small group of people for the first time or in a new way, mainly to check safety and find the right dose.

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 10 Apr 2017). 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?

Part 1: Maximum (Peak) Plasma Concentration (Cmax) (time frame: 24 hours). The study lists 13 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?
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 10 Apr 2017.

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