Atrial FibrillationPhase 2CONVERT-AFNCT01805960
Canakinumab for the Prevention of Recurrences After Electrical Cardioversion: CONVERT-AF
A Phase 2 study testing Canakinumab in people with Atrial Fibrillation, run by University Hospital, Basel, Switzerland at 5 sites in 2 countries.
Trial summary
The purpose of this study is to test the efficacy of a single injection of Canakinumab on AF recurrences within 6 months after electrical cardioversion in patients with persistent AF. Read more about this study
- Who is it for?
- Ages 50 years and older
- Conditions the study is for
- Atrial Fibrillation
- What is being tested?
- Canakinumab
- Type of treatment
- Injection or infusion
- Could I receive a placebo?
- Yes, some participants may receive a placebo
- How many people
- 24 participants
- Where
- 5 sitesin 2 countries
- Study dates
- Jun 2013to Dec 2016
- Phase
- Phase 2
- Are there results?
- None posted in the registry
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 50 years and older
- All sexes
- No healthy volunteers
- Adult, Older adult
Who may be able to join
- EKG-documented AF
- Undergoing electrical cardioversion
- C-reactive protein ≥1.25mg/L
- Age ≥ 50 years, women need to be postmenopausal
Who cannot join
- Undergoing urgent cardioversion because of medical instability
- AF persistence after cardioversion or AF recurrence before randomization
- Atrial flutter
- Severe renal failure (creatinine clearance <30 ml/min)
- Known active or recurrent hepatic disorder (including cirrhosis, hepatitis A, B or C, or Alanine transaminase/aspartate aminotransferase levels >3x ULN or total bilirubin >2x ULN)
- History of malignancy other than basal cell skin carcinoma
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- Known intolerance or allergic reactions to canakinumab
- Use of amiodarone within the last 6 months
- Known HIV or any other immune compromised state including neutropenia or immunodeficiency
- History of ongoing, chronic or recurrent infectious disease
- History or evidence of active tuberculosis (TB) infection at Visit 1 or one of the risk factors for tuberculosis such as but not limited or exclusive to:
- History of any of the following: residence in a congregate setting (e.g. jail or prison, homeless shelter, or chronic care facility), substance abuse (e.g. injection or noninjection), health-care workers with unprotected exposure to patients who are at high risk of TB or patients with TB disease before the identification and correct airborne precautions of the patient.
- Close contact (i.e. share the same air space in a household or other enclosed environment for a prolonged period (days or weeks, not minutes or hours)) with a person with active pulmonary TB disease within the last 12 months.
- Evidence of tuberculosis infection, at Visit 1, determined as defined by local guidelines/ local medical practice (see also below for determination of tuberculosis status). If presence of tuberculosis is established then treatment (according to local guidelines) must have been completed prior to randomization. Completion of treatment is determined by local TB guidelines or in the absence of such guidelines the following has to be demonstrated: TB has been treated adequately with antibiotics, cure can be demonstrated, and risk factors resulting in TB exposure and contracting TB have been removed (e.g. the patient does not live anymore in high TB exposure setting).
- Patients on systemic corticosteroids or other anti-inflammatory drugs other than non-steroidal anti-inflammatory drugs
- Patients on any biological drug targeting the immune system
- Acute coronary syndrome or acute stroke within 3 months
- History of heart failure hospitalization within 3 months
- Planned major surgery including planned coronary artery bypass grafting
- Women of childbearing potential
- Live vaccinations within 3 months prior to the randomization visit (visit 2) or live vaccinations planned during the trial.
- Life expectancy <1 year
- Inability to comply with the study protocol
- Previously enrolled in CONVERT-AF
- Patients who have received an investigational drug or device within 30 days of first visit.
- History of alcohol and/or substance abuse that could interfere with the conduct of the trial
Trial locations and contacts
5 sites in 2 countries.
5 sites in 2 countries
Switzerland4 sites
Department of Medicine, University Hospital
Basel, Basel, 4031
HUG Geneve
Geneva
CHUV Lausanne
Lausanne
Kantonsspital St. Gallen
Sankt Gallen
About this study
Official title: Canakinumab for the Prevention of Recurrences After Electrical Cardioversion in Patients With Persistent Atrial Fibrillation (CONVERT-AF) Trial - A Randomized Double Blind Placebo Controlled Study
The purpose of this study is to test the efficacy of a single injection of Canakinumab on AF recurrences within 6 months after electrical cardioversion in patients with persistent AF.
- Conditions
- Atrial Fibrillation
- Being tested
- Canakinumab, Placebo
- Medical subject headings
- Atrial Fibrillation
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
CanakinumabBiological
PlaceboBiological
| Study group | Role | What they receive |
|---|---|---|
| Canakinumab | Experimental | 1 s.c. injection of canakinumab 150mg directly after cardioversion Receives: Biological: Canakinumab |
| Placebo | Placebo comparator | 1 s.c. injection directly after cardioversion Receives: Biological: Placebo |
What is being measured
The primary outcome is the main question the study is designed to answer.
Recurrence of atrial fibrillation
Measured: 180 days
Secondary outcomes (3)
Recurrence of atrial fibrillation
Measured: 90 days
Change in plasma levels of C-reactive protein
Measured: 180 days
Time to first redo cardioversion
Measured: 180 days
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted6 Mar 2013 (estimated)
- Study startJun 2013
- Primary completionDec 2016
- Study completionDec 2016
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Other trials for Atrial FibrillationStudies of the same condition, open and under way.
- More trials run by University Hospital, Basel, SwitzerlandThe sponsor's other registered studies.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
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 2
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Quadruple blind
- Who is masked
- Participant, Care provider, Investigator, Outcomes assessor
- Enrolment
- 24 participants (actual)
Sponsor and investigators
- Lead sponsor
- University Hospital, Basel, Switzerland
- Sponsor type
- University, hospital or other
- Responsible party
- Sponsor
- Investigators
- David Conen, Prof., Principal investigator, Cardiology, University Hospital Basel
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT01805960
- Sponsor's protocol ID
- CONVERT-AF Version5 22.01.2013
- Acronym
- CONVERT-AF
- Status last verified
- Feb 2017
- First submitted
- 5 Mar 2013
- Last updated
- 14 Feb 2017
- Results posted
- No
- Data monitoring committee
- No
Study at a glance
From the registry record, last updated by the sponsor on 14 Feb 2017. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Canakinumab for the Prevention of Recurrences After Electrical Cardioversion in Patients With Persistent Atrial Fibrillation (CONVERT-AF) Trial - A Randomized Double Blind Placebo Controlled Study
- ClinicalTrials.gov ID
- NCT01805960
- Acronym / sponsor ID
- CONVERT-AF / CONVERT-AF Version5 22.01.2013
- Conditions
- Atrial Fibrillation
- Phase
- Phase 2
- Study type
- Interventional
- Recruitment status
- Terminated
- Enrolment
- 24 participants (actual)
- Lead sponsor
- University Hospital, Basel, SwitzerlandUniversity, hospital or other
- Study start
- Jun 2013
- Primary completion
- Dec 2016 (actual)
- Study completion
- Dec 2016 (actual)
- First posted
- 6 Mar 2013 (estimated)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
The purpose of this study is to test the efficacy of a single injection of Canakinumab on AF recurrences within 6 months after electrical cardioversion in patients with persistent AF.
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Quadruple blind (participant, care provider, investigator, outcomes assessor)
- Number of arms
- 2
| Arm | Type | Receives |
|---|---|---|
| Canakinumab | Experimental | Biological: Canakinumab1 s.c. injection of canakinumab 150mg directly after cardioversion |
| Placebo | Placebo comparator | Biological: Placebo1 s.c. injection directly after cardioversion |
Who may qualify
- Ages
- 50 years and older
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (4 listed)
- EKG-documented AF
- Undergoing electrical cardioversion
- C-reactive protein ≥1.25mg/L
- Age ≥ 50 years, women need to be postmenopausal
Key exclusion criteria (26 listed)
- Undergoing urgent cardioversion because of medical instability
- AF persistence after cardioversion or AF recurrence before randomization
- Atrial flutter
- Severe renal failure (creatinine clearance <30 ml/min)
- Known active or recurrent hepatic disorder (including cirrhosis, hepatitis A, B or C, or Alanine transaminase/aspartate aminotransferase levels >3x ULN or total bilirubin >2x ULN)
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| Canakinumab | Biological | Canakinumab |
| Placebo | Biological | Placebo |
Primary outcome
Recurrence of atrial fibrillation
Time frame: 180 days
3 secondary outcomes
Recurrence of atrial fibrillation
Time frame: 90 days
Change in plasma levels of C-reactive protein
Time frame: 180 days
Time to first redo cardioversion
Time frame: 180 days
Results and safety
The study was stopped early. Results are not available in the source record.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 14 Feb 2017.
Related trials for Atrial Fibrillation
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Paroxysmal AF
Active, not recruitingObservational study
Concomitant Left Atrial Appendage Closure and Pulsed Field Ablation-Asia
Concomitant Procedures, Atrial Fibrillation
Active, not recruiting
CONVERGE Post-Approval Study (PAS)
Chronic Atrial Fibrillation
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Early Closure of Left Atrial Appendage for Patients With Atrial Fibrillation and Ischemic Stroke Despite Anticoagulation Therapy
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RecruitingPhase 2
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Atrial Fibrillation (AF)
Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
David Conen, Prof. principal investigator
Cardiology, University Hospital Basel
5 sites in 2 countries: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 2 study testing Canakinumab in people with Atrial Fibrillation, run by University Hospital, Basel, Switzerland at 5 sites in 2 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 26 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 14 Feb 2017. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 5 sites in Switzerland, Germany. 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 2 studies give the treatment to a larger group to see whether it has the intended effect and to keep checking safety.
Not every study follows the same path, and some studies (observational studies, device studies) have no phase.
Are results available for this study?
The study was stopped early. Results are not available in the source record.
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?
Recurrence of atrial fibrillation (time frame: 180 days). 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 14 Feb 2017.