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Atrial FibrillationPhase 2NCT04680026

A Study of IV HBI-3000 for the Conversion Recent Onset Atrial Fibrillation (AF)

A Phase 2 study testing HBI-3000 in people with Atrial Fibrillation, run by HUYABIO International, LLC. at 14 sites in 5 countries.

Active, not recruiting

Under way, not looking for participants. Everyone needed has enrolled. The study is still running.

Official record
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Trial summary

This Phase 2 study is a two-stage, serial cohort dose escalation and expansion study of a single 30-minute (IV) infusion of HBI-3000 for the conversion of patients with recent-onset atrial fibrillation (AF). Stage A is open label and all patients will receive HBI-3000. Read more about this study

Who is it for?
Ages 18 to 80 years
Conditions the study is for
Atrial Fibrillation
What is being tested?
HBI-3000
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
150 participants
Where
14 sitesin 5 countries
Study dates
1 Jun 2021to 31 Dec 2025
Phase
Phase 2
Are there results?
Not yet: the study is under way

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 80 years
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • 18 to 80 years of age
  • Sustained AF of > 2 hours and < 72 hours duration
  • Eligible for cardioversion (electrical and pharmacologic)
  • On adequate anticoagulant therapy or eligible for anticoagulation during treatment and for at least 30 days duration after treatment if indicated by ACC/AHA/HRS or country specific national or international guidelines for thromboembolic risk reduction related to AF

Who cannot join

  • Atrial fibrillation < 2 hours or > 72 hours duration or with duration not reliably established at the time of dosing
  • Hemodynamic instability that may require emergency electrical cardioversion
  • Atrial flutter
  • Moderate to severe HF
  • Clinical or ECG signs of acute cardiac ischemia or digitalis toxicity
  • Known or suspected hyperthyroidism
Show all 15Show fewer
  • Cardiac surgery, stroke, TIA, acute MI/ PCI, unstable angina, or persistent angina at rest within the previous 3 months
  • Presence of LA thrombus by TEE or TTE
  • Presence of concurrent myocarditis or endocarditis
  • ECG abnormalities: Current QTcF > 480 msec; QRS interval > 120 msec and/or a complete bundle branch block (BBB)l Delta wave or other pre-excitation pattern consistent with WPW syndrome; Acute coronary ischemia patterns
  • Use of medication that prolongs the QTc interval or history of: Long QT syndrome, congenital or acquired; Torsades de Pointes (TdP); Brugada Syndrome; Ventricular arrhythmia (not including infrequent isolated PVC)
  • Concurrent treatment with Class I or III antiarrhythmic drugs, metformin or strong CYP2D6 inhibitors (unless the medication is discontinued > 5 half-lives before enrollment)
  • Treatment with oral amiodarone in the previous 3 months or IV amiodarone administered within 24 hours prior to planned Study Drug administration
  • Use of vernakalant, or any experimental drug within 30 days or five half-lives (whichever is longer) of Study Drug administration, or use of an invasive investigational medical device within 2 months prior to Study Drug administration, or current enrollment in another study with investigational agent or procedure
  • Clinically significant laboratory abnormalities

Trial locations and contacts

14 sites in 5 countries.

14 sites in 5 countries

United States4 sites
  • NCH Research Institute

    Naples, Florida, 34102

  • Prairie Education & Research

    Springfield, Illinois, 62701

  • North Mississippi Medical Center

    Tupelo, Mississippi, 38801

  • CHRISTUS Trinity Mother Frances Hospital - Tyler

    Tyler, Texas, 75701

Other trials in United States

Serbia4 sites
  • University Clinical Center of Serbia

    Belgrade, 11000

  • Dedinje Institute for Cardiovascular Diseases

    Belgrade, 11040

  • University Hospital Medical Center Bezanijska kosa

    Belgrade, 11080

  • Niš University Clinical Center

    Niš, Bulevar Doktora, 18108

Other trials in Serbia

Canada3 sites
  • Montreal Heart Institute

    Montreal, Quebec, H1T 1C8

  • Centre hospitalier de L'Universite de Montral (CHUM)

    Montreal, Quebec, H2X 0C1

  • Centre integre de sante et de services sociaux de Lanaudiere - Hopital Pierre-Le Gardeur

    Terrebonne, Quebec, J6V 2H2

Other trials in Canada

New Zealand2 sites
  • Waikato Hospital

    Hamilton, 3240

  • Wellington Regional Hospital

    Wellington, 6021

Other trials in New Zealand

Bosnia and Herzegovina1 site
  • University Clinical Center of the Republic of Srpska

    Banja Luka, 78000

Other trials in Bosnia and Herzegovina

About this study

Official title: A Phase 2, Two-Stage, Serial Cohort Dose Escalation and Expansion Study of a Single Intravenous Infusion of HBI 3000 for the Conversion of Atrial Fibrillation (AF) of Recent Onset

This Phase 2 study is a two-stage, serial cohort dose escalation and expansion study of a single 30-minute (IV) infusion of HBI-3000 for the conversion of patients with recent-onset atrial fibrillation (AF).

Stage A is open label and all patients will receive HBI-3000. In each of three dose cohorts, up to 10 patients will receive HBI-3000 by IV infusion (30 minutes). Three different dose levels are planned to be administered serially, lowest to highest, with assessment of safety, tolerability, and efficacy prior to proceeding to the next dose level group.

Following Stage A, the iDMC will recommend up to two doses of HBI-3000 to be further explored in Stage B. Stage B is a serial, randomized, double-blind and placebo-controlled cohort of two different doses of HBI-3000, with a dose decision after the first cohort. Stage B will be powered to show a difference between HBI-3000 and placebo in conversion rate at each of the two dose levels.

Read the detailed description

This is a two-stage study in patients with AF of recent onset:

Stage A is open label and all patients will receive HBI-3000. In each of three dose cohorts, up to 10 patients will receive HBI-3000 by IV infusion (30 minutes). For each dosing cohort, sentinel dosing is planned. Each patient may enroll only once in the study, will be enrolled into only one dose cohort and receive only a single dose treatment. In Stage A, three different dose levels are planned to be administered serially, lowest to highest, with assessment of safety, tolerability, and efficacy prior to proceeding to the next dose level group. The actual dose levels may be modified, and additional dose levels may be considered based on the observed results at each cohort.

Stage B is the randomized, double-blind and placebo-controlled part of the study. Study drug for Stage B patients is either HBI-3000 or placebo. Two cohorts will be enrolled sequentially, lowest dose level first, with safety, efficacy, and available PK results evaluated by the Sponsor and iDMC prior to enrolling patients in the next/higher dose cohort. The dose level for the second cohort may be adjusted following interim review of results in the first cohort. Patients will be randomized to receive a single IV infusion of HBI 3000 or placebo over 30 minutes. In each of the dose cohorts, sequentially enrolled patients will be randomized at 2:1 ratio so that 40 patients will receive HBI 3000 infusion and 20 patients will receive placebo infusion. Each patient may enroll only once in the study, will be enrolled into only one dose cohort and receive only a single dose treatment.

Being tested
HBI-3000, Placebo
Keywords
cardioversion
Medical subject headings
Atrial Fibrillation

What participants receive

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

  • HBI-3000Drug

    Also called sulcardine sulfate

    Small molecule, multi-ion channel blocker

  • PlaceboDrug

    Normal saline

Study groups in NCT04680026
Study groupRoleWhat they receive
Drug: HBI-3000, Stage A Dose Level 1ExperimentalStage A Open Label HBI-3000 Dose Level 1: 200 mg
Receives: Drug: HBI-3000
Drug: HBI-3000, Stage A Dose Level 2ExperimentalStage A Open Label HBI-3000 Dose Level 2: 350 mg planned
Receives: Drug: HBI-3000
Drug: HBI-3000, Stage A Dose Level 3ExperimentalStage A Open Label HBI-3000 Dose Level 2: 500 mg planned
Receives: Drug: HBI-3000
Drug: HBI-3000, Stage B Dose Level 1ExperimentalStage B Double-blind placebo controlled, Cohort 1 HBI-3000 Dose Level 1: Selected based on Stage A results
Receives: Drug: HBI-3000; Drug: Placebo
Drug: HBI-3000, Stage B Dose Level 2ExperimentalStage B Double-blind placebo controlled, Cohort 2 HBI-3000 Dose Level 2: Selected based on Stage A, and Stage B Cohort 1 results
Receives: Drug: HBI-3000; Drug: Placebo

What is being measured

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

  1. Evaluate the safety of intravenously (IV) administered HBI-3000 in patients with Atrial Fibrillation (AF) of recent onset, as measured by the incidence of adverse events (AEs)

    Evaluate the safety of intravenously (IV) administered HBI-3000 in patients with Atrial Fibrillation (AF) of recent onset, as measured by the incidence of adverse events (AEs)

    Measured: 30 days

  2. Evaluate the safety of intravenously (IV) administered HBI-3000 in patients with Atrial Fibrillation (AF) of recent onset, as measured by changes in heart rate (HR)

    Evaluate the safety of intravenously (IV) administered HBI-3000 in patients with Atrial Fibrillation (AF) of recent onset, as measured by change in heart rate (HR) from baseline (prior to Study Drug infusion) to study timepoints during and after Study Drug infusion, specifically:

    HR < 40 bpm for 2 minutes or longer within 90 minutes of initiation of the infusion

    HR increase > 25 percent before conversion to SR (based on one minute averages compared between the event and the first minute of stable telemetry)

    HR > 120 bpm for one minute or longer after conversion to SR and within 90 minutes of initiation of the infusion

    Measured: 90 minutes

  3. Evaluate the safety of intravenously (IV) administered HBI-3000 in patients with Atrial Fibrillation (AF) of recent onset, as measured by change in blood pressure (BP)

    Evaluate the safety of intravenously (IV) administered HBI-3000 in patients with Atrial Fibrillation (AF) of recent onset, as measured by changes in blood pressure (BP) from baseline (prior to Study Drug infusion) to study timepoints during and after Study Drug infusion, specifically: Systolic BP < 90 mmHg for > 1 minute during SR and within 90 minutes of initiation of the infusion

    Measured: 90 minutes

  4. Evaluate the safety of intravenously (IV) administered HBI-3000 in patients with Atrial Fibrillation (AF) of recent onset, as measured by ECG interval changes above a specific level

    Evaluate the safety of intravenously (IV) administered HBI-3000 in patients with Atrial Fibrillation (AF) of recent onset, as measured by ECG interval changes from baseline (prior to Study Drug infusion) to 24 hour post-infusion, specifically:

    QTcF: > 500 msec and > 60 msec above the 24-hour post-conversion level during SR

    PR: > 50 percent above the 24-hour post-conversion level during SR

    QRS: ≥ 33 percent above the 24-hour post-conversion level during SR

    Measured: 24 hours

  5. The efficacy of intravenously (IV) administered HBI-3000 as measured by the proportion of patients with AF of recent onset who convert to SR

    Evaluate the efficacy of intravenously (IV) administered HBI-3000 in patients with Atrial Fibrillation (AF) of recent onset as measured by the proportion of patients with AF of recent onset who convert to SR (for a duration of at least one minute) within 120 minutes of the start of infusion

    Measured: 120 minutes

Secondary outcomes (2)
  1. Evaluate the time to conversion to SR from start of infusion

    Efficacy as measured by the time from the start of infusion to the time of conversion to SR for a duration of at least one minute

    Measured: 24 hours

  2. Evaluate the proportion of patients with sustained AF or late conversion to SR

    Efficacy as measured by the proportion of patients with sustained or late conversion of AF of recent onset to SR at 12 hours, 24 hours and 7 days after start of infusion

    Measured: 12 hours, 24 hours and 7 days

Timeline

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

  1. First posted22 Dec 2020
  2. Study start1 Jun 2021
  3. Primary completion31 Dec 2025 (estimated)
  4. Study completion31 Dec 2025 (estimated)

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 2
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Model description
Allocation: Stage A: non-randomized; Stage B: randomized, double-blind and placebo-controlled Intervention Model: Two-stage study Masking: None; Stage A (open label); Stage B: randomized, double-blind and placebo-controlled
Masking
Quadruple blind
Who is masked
Participant, Care provider, Investigator, Outcomes assessor
Enrolment
150 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT04680026
Sponsor's protocol ID
HBI-3000-402
Status last verified
Dec 2025
First submitted
17 Dec 2020
Last updated
2 Dec 2025
Results posted
No
Data monitoring committee
Yes
FDA-regulated drug
Yes
FDA-regulated device
No
Individual data sharing
No

Questions about this trial

What is this clinical trial studying?

A Phase 2 study testing HBI-3000 in people with Atrial Fibrillation, run by HUYABIO International, LLC. at 14 sites in 5 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 15 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: under way, not looking for participants, as of the sponsor's last update on 2 Dec 2025. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 14 sites in United States, Serbia, Canada, New Zealand, Bosnia and Herzegovina. 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. 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?

This study is still under way. Results are not available in the source record yet.

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?

Evaluate the safety of intravenously (IV) administered HBI-3000 in patients with Atrial Fibrillation (AF) of recent onset, as measured by the incidence of adverse events (AEs) (time frame: 30 days). The study lists 5 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 2 Dec 2025; AzTrials last refreshed its copy on 3 Nov 2026.

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