Atrial FibrillationPhase 2NCT07217067
A Study to Investigate the Efficacy, Safety, Tolerability and Pharmacokinetics of PKN605 in Participants With Atrial Fibrillation
A Phase 2 study testing PKN605 in people with Atrial Fibrillation, run by Novartis Pharmaceuticals at 40 sites in 7 countries.
Trial summary
A randomized, placebo-controlled, participant-and investigator-blinded study to evaluate the efficacy in reducing atrial fibrillation burden as well as the safety, tolerability and pharmacokinetics of PKN605 in participants with atrial fibrillation Read more about this study
- Who is it for?
- Ages 18 years and older
- Conditions the study is for
- Atrial Fibrillation
- What is being tested?
- PKN605
- Type of treatment
- Pill or oral medicine
- Could I receive a placebo?
- Yes, some participants may receive a placebo
- How many people
- 165 participants
- Where
- 40 sitesin 7 countries
- Study dates
- 28 Oct 2025to 9 Sep 2027
- 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 years and older
- All sexes
- No healthy volunteers
- Adult, Older adult
Who may be able to join
- -Inclusions at Screening
- Signed informed consent must be obtained prior to participation in the study
- Male and female participants ≥ 18 years of age
- History of atrial fibrillation
- AF (atrial fibrillation or atrial flutter) within the last 12 months (or during screening) documented by 12-lead ECG, Holter, or any other ECG recording method, as confirmed by the Investigator
- Meets one or more of the following criteria:
Show all 15Show fewer
- Recurrent AF (≥ 2 episodes), and ≥ 1 of the following
- AFB of 1% or higher on a local ambulatory Holter, mobile cardiac telemetry, ECG patch monitor, or other ambulatory electrocardiographic monitor within the last 12 months
- CHA2DS2-VASc score of 2 or higher in males, 3 or higher in females (1 point for congestive heart failure, hypertension, age 65-74 years, diabetes, vascular disease, female sex; 2 points for age 75 years or older, prior stroke or transient ischemic attack)
- Stable heart failure or with New York Heart Association class I or II symptoms
- NT-proBNP level of 300 pg/mL or higher on a local lab test within the last 12 months B. AFB ≥ 1% or an AF episode lasting ≥ 2 h during Screening, including when detected using a study provided ECG patch monitor C. Persistent AF, as confirmed by the Investigator
- On guideline-directed stroke prevention treatment, as confirmed by the Investigator
- Participants must have a body mass index (BMI) ≥ 18 kg/m2. BMI is calculated as body weight (kg) divided by height (m) squared
- Inclusions at Day 1
- Sinus rhythm at Baseline documented by 12-lead ECG (participants with persistent AF should be cardioverted at least 12 hours before randomization)
Who cannot join
- -Exclusions at Screening
- Permanent AF
- Ongoing reversible causes of AF (e.g., hyperthyroidism, myocarditis, acute alcohol, sepsis- or infection related AF, surgery-related AF, pulmonary embolism)
- Ongoing use of antiarrhythmic therapy (Vaughan Williams class I or III anti-arrhythmic therapy must be discontinued at least 7 days before Screening phase ECG patch monitor; amiodarone must be discontinued at least 6 weeks before Screening phase ECG patch monitor)
- History of an AF ablation procedure without a recurrence of AF at least 2 or more months after the ablation.
- Implanted pacemaker, defibrillator, or cardiac monitor
Show all 9Show fewer
- Infiltrative (e.g., amyloidosis, sarcoidosis) or hypertrophic cardiomyopathy
- Left ventricular ejection fraction of 40% or less documented within the last 12 months, or during Screening. If multiple LVEF measurements are recorded within the last 12 months, the most recent LVEF measurement should be used
- Current decompensated heart failure or hospitalization for heart failure within 3 months prior to Screening
Trial locations and contacts
40 sites in 7 countries. Contact the study team or a site near you to ask about taking part.
Novartis Pharmaceuticals contact
40 sites in 7 countries
Canada13 sites, 13 recruiting
- Recruiting
Novartis Investigative Site
Calgary, Alberta, T2P 3C5
- Recruiting
Novartis Investigative Site
Halifax, Nova Scotia, B3H 3A7
- Recruiting
Novartis Investigative Site
Hamilton, Ontario, L8L 2X2
- Recruiting
Novartis Investigative Site
London, Ontario, N6A 5W9
- Recruiting
Novartis Investigative Site
Montreal, Quebec, H1T 1C8
- Recruiting
Novartis Investigative Site
Montreal, Quebec, H2X 1R9
- Recruiting
Novartis Investigative Site
Montreal, Quebec, H4A 3J1
- Recruiting
Novartis Investigative Site
Newmarket, Ontario, L3Y 2P6
- Recruiting
Novartis Investigative Site
Québec, Quebec, G1V 4G5
- Recruiting
Novartis Investigative Site
Sherbrooke, Quebec, J1H 5N4
- Recruiting
Novartis Investigative Site
Toronto, Ontario, M4N 3M5
- Recruiting
Novartis Investigative Site
Toronto, Ontario, M5B 1W8
- Recruiting
Novartis Investigative Site
Vancouver, British Columbia, V5Z 1M9
United States6 sites, 6 recruiting
- Recruiting
Cooper University Hospital
Camden, New Jersey, 08103
Ifeoluwa Onuoha, onuoha-ifeoluwa@cooperhealth.edu
Andrea Russo
- Recruiting
Duke Univ Medical Center
Durham, North Carolina, 27710
Jessalyn Davis, jessalyn.crews@duke.edu
Jonathan Piccini
- Recruiting
Intermountain Medical Center
Murray, Utah, 84107
Paden Hansen, paden.hansen@imail.org
Michael Cutler
- Recruiting
Weill Cornell Medical Center
New York, New York, 10021
Penn Collins, gpc4001@med.cornell.edu
Jim Way Cheung
- Recruiting
Swedish Heart and Vascular Clinic
Seattle, Washington, 98122
Serena Risher, +1 206 386 6462, Serena.Risher@swedish.org
David Lam
- Recruiting
Cardiology Associates of North MS
Tupelo, Mississippi, 38801
Brittany Cook, Brittany.cook@nmhs.net
James Edgar Stone
Netherlands6 sites, 5 recruiting
- Recruiting
Novartis Investigative Site
Arnhem, Gelderland, 6815 AD
- Withdrawn
Novartis Investigative Site
Delft, South Holland, 2625 AD
- Recruiting
Novartis Investigative Site
Goes, Zeeland, 4462 RA
- Recruiting
Novartis Investigative Site
Groningen, 9713 GZ
- Recruiting
Novartis Investigative Site
Maastricht, Limburg, 6229 HX
- Recruiting
Novartis Investigative Site
Veldhoven, 5504 DB
Germany5 sites, 5 recruiting
- Recruiting
Novartis Investigative Site
Bad Homburg, 61348
- Recruiting
Novartis Investigative Site
Berlin, 10787
- Recruiting
Novartis Investigative Site
Berlin, 13353
- Recruiting
Novartis Investigative Site
Hamburg, 20099
- Recruiting
Novartis Investigative Site
Hamburg, 20246
United Kingdom4 sites, 3 recruiting
- Recruiting
Novartis Investigative Site
Brighton, East Sussex, BN2 5BE
- Withdrawn
Novartis Investigative Site
Liverpool, L14 3PE
- Recruiting
Novartis Investigative Site
London, W12 0HS
- Recruiting
Novartis Investigative Site
Newcastle upon Tyne, Tyne and Wear, NE7 7DN
China3 sites, 3 recruiting
- Recruiting
Novartis Investigative Site
Beijing, Beijing Municipality, 100013
- Recruiting
Novartis Investigative Site
Beijing, 100730
- Recruiting
Novartis Investigative Site
Xi'an, 223001
Singapore3 sites, 3 recruiting
- Recruiting
Novartis Investigative Site
Singapore, Singapore, 308433
- Recruiting
Novartis Investigative Site
Singapore, 119074
- Recruiting
Novartis Investigative Site
Singapore, 169609
About this study
Official title: A Randomized, Placebo-controlled, Participant- and Investigator-blinded Study to Evaluate the Efficacy in Reducing Atrial Fibrillation Burden (AFB) as Well as the Safety, Tolerability, and Pharmacokinetics of Oral PKN605 in Participants With Atrial Fibrillation
A randomized, placebo-controlled, participant-and investigator-blinded study to evaluate the efficacy in reducing atrial fibrillation burden as well as the safety, tolerability and pharmacokinetics of PKN605 in participants with atrial fibrillation
Read the detailed description
A screening period of up to 90 days will be conducted to determine participants' eligibility. Once eligibility is confirmed, participants will be randomly assigned to receive either PKN605 or placebo. The treatment phase will last for 24 weeks, during which participants will visit the clinic approximately once a month. During the study, participants' atrial fibrillation will be monitored using various ECG devices. Approximately one month after the end of the treatment phase, participants will have a final safety follow-up visit. The primary purpose of the study is to monitor the effect PKN605 has on the amount of time participants spend in atrial fibrillation.
- Conditions
- Atrial Fibrillation
- Being tested
- PKN605, Placebo
- Keywords
- Atrial fibrillation, Atrial fibrillation burden, Arrhythmia
- Medical subject headings
- Atrial Fibrillation, Arrhythmias, Cardiac
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
PKN605Drug
PKN605 is an oral formulation
PlaceboOther
Matching placebo
| Study group | Role | What they receive |
|---|---|---|
| PKN605 lower dose | Experimental | PKN605 is an oral formulation Receives: Drug: PKN605 |
| PKN605 higher dose | Experimental | PKN605 is an oral formulation Receives: Drug: PKN605 |
| Placebo | Placebo comparator | Placebo is an oral formulation Receives: Other: Placebo |
What is being measured
The primary outcome is the main question the study is designed to answer.
Atrial fibrillation burden from ECG patch monitors
Defined as the amount of time spent in atrial fibrillation as a proportion of the analyzable monitoring time
Measured: 24 weeks
Secondary outcomes (3)
Time from the date of randomization to first atrial fibrillation recurrence
Defined as the time (days) from the date of randomization to first atrial fibrillation recurrence
Measured: 24 weeks
Presence of atrial fibrillation recurrence after randomization
Defined as presence of (or absence) of atrial fibrillation recurrence after randomization detected by ECG patch monitor, 12-lead ECG, handheld ECG, or other protocol approved method for ascertainment individually and as a composite
Measured: 24 weeks
Pharmacokinetic Parameter: concentration
PKN605 plasma concentration
Measured: 24 Weeks ( 0 hour(Pre-dose), 2 and 4 hour post dose)
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted15 Oct 2025
- Study start28 Oct 2025
- Primary completion9 Sep 2027 (estimated)
- Study completion9 Sep 2027 (estimated)
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 Novartis PharmaceuticalsThe 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
- Double blind
- Who is masked
- Participant, Investigator
- Enrolment
- 165 participants (estimated)
Sponsor and investigators
- Lead sponsor
- Novartis Pharmaceuticals
- Sponsor type
- Industry (pharma, biotech, devices)
- Responsible party
- Sponsor
- Investigators
- Novartis Pharmaceuticals, Study director, Novartis Pharmaceuticals
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT07217067
- Sponsor's protocol ID
- CPKN605A12201
- Status last verified
- Oct 2026
- First submitted
- 14 Oct 2025
- Last updated
- 28 Oct 2026
- Results posted
- No
- Data monitoring committee
- Yes
- FDA-regulated drug
- Yes
- FDA-regulated device
- No
- Individual data sharing
- Yes: Novartis is committed to sharing with qualified external researchers, access to patient-level data and supporting clinical documents from eligible studies. These requests are reviewed and approved by an independent review panel on the basis of scientific merit. All data provided is anonymized to respect the privacy of patients who have participated in the trial in line with applicable laws and regulations. This trial data availability is according to the criteria and process described on www.clinicalstudydatarequest.com
Study at a glance
From the registry record, last updated by the sponsor on 28 Oct 2026. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- A Randomized, Placebo-controlled, Participant- and Investigator-blinded Study to Evaluate the Efficacy in Reducing Atrial Fibrillation Burden (AFB) as Well as the Safety, Tolerability, and Pharmacokinetics of Oral PKN605 in Participants With Atrial Fibrillation
- ClinicalTrials.gov ID
- NCT07217067
- Acronym / sponsor ID
- CPKN605A12201
- Conditions
- Atrial Fibrillation
- Keywords
- Atrial fibrillation, Atrial fibrillation burden, Arrhythmia
- Phase
- Phase 2
- Study type
- Interventional
- Recruitment status
- Recruiting
- Enrolment
- 165 participants (estimated)
- Lead sponsor
- Novartis PharmaceuticalsIndustry (pharma, biotech, devices)
- Study start
- 28 Oct 2025 (actual)
- Primary completion
- 9 Sep 2027 (estimated)
- Study completion
- 9 Sep 2027 (estimated)
- First posted
- 15 Oct 2025 (actual)
- 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.
A randomized, placebo-controlled, participant-and investigator-blinded study to evaluate the efficacy in reducing atrial fibrillation burden as well as the safety, tolerability and pharmacokinetics of PKN605 in participants with atrial fibrillation
Detailed description
A screening period of up to 90 days will be conducted to determine participants' eligibility. Once eligibility is confirmed, participants will be randomly assigned to receive either PKN605 or placebo. The treatment phase will last for 24 weeks, during which participants will visit the clinic approximately once a month. During the study, participants' atrial fibrillation will be monitored using various ECG devices. Approximately one month after the end of the treatment phase, participants will have a final safety follow-up visit. The primary purpose of the study is to monitor the effect PKN605 has on the amount of time participants spend in atrial fibrillation.
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Double blind (participant, investigator)
- Number of arms
- 3
| Arm | Type | Receives |
|---|---|---|
| PKN605 lower dose | Experimental | Drug: PKN605PKN605 is an oral formulation |
| PKN605 higher dose | Experimental | Drug: PKN605PKN605 is an oral formulation |
| Placebo | Placebo comparator | Other: PlaceboPlacebo is an oral formulation |
Who may qualify
- Ages
- 18 years and older
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (15 listed)
- -Inclusions at Screening
- Signed informed consent must be obtained prior to participation in the study
- Male and female participants ≥ 18 years of age
- History of atrial fibrillation
- AF (atrial fibrillation or atrial flutter) within the last 12 months (or during screening) documented by 12-lead ECG, Holter, or any other ECG recording method, as confirmed by the Investigator
Key exclusion criteria (9 listed)
- -Exclusions at Screening
- Permanent AF
- Ongoing reversible causes of AF (e.g., hyperthyroidism, myocarditis, acute alcohol, sepsis- or infection related AF, surgery-related AF, pulmonary embolism)
- Ongoing use of antiarrhythmic therapy (Vaughan Williams class I or III anti-arrhythmic therapy must be discontinued at least 7 days before Screening phase ECG patch monitor; amiodarone must be discontinued at least 6 weeks before Screening phase ECG patch monitor)
- History of an AF ablation procedure without a recurrence of AF at least 2 or more months after the ablation.
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 |
|---|---|---|
| PKN605PKN605 is an oral formulation | Drug | PKN605 higher dose, PKN605 lower dose |
| PlaceboMatching placebo | Other | Placebo |
Primary outcome
Atrial fibrillation burden from ECG patch monitors
Time frame: 24 weeks
Defined as the amount of time spent in atrial fibrillation as a proportion of the analyzable monitoring time
3 secondary outcomes
Time from the date of randomization to first atrial fibrillation recurrence
Time frame: 24 weeks
Presence of atrial fibrillation recurrence after randomization
Time frame: 24 weeks
Pharmacokinetic Parameter: concentration
Time frame: 24 Weeks ( 0 hour(Pre-dose), 2 and 4 hour post dose)
Results and safety
This study is still under way. Results are not available in the source record yet.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 28 Oct 2026.
- Individual participant dataSharing planned: Yes. Novartis is committed to sharing with qualified external researchers, access to patient-level data and supporting clinical documents from eligible studies. These requests are reviewed and approved by an independent review panel on the basis of scientific merit. All data provided is anonymized to respect the privacy of patients who have participated in the trial in line with applicable laws and regulations. This trial data availability is according to the criteria and process described on www.clinicalstudydatarequest.com
Related trials for Atrial Fibrillation
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Horizon 360 Protocol for the Treatment of Paroxysmal Atrial Fibrillation With the Sphere-360™ Catheter and Affera™ Mapping and Ablation System (Horizon 360)
Paroxysmal AF
Active, not recruitingObservational study
Concomitant Left Atrial Appendage Closure and Pulsed Field Ablation-Asia
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CONVERGE Post-Approval Study (PAS)
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Recruiting
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.
Novartis Pharmaceuticals contact
Novartis Pharmaceuticals study director
Novartis Pharmaceuticals
40 sites in 7 countries: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 2 study testing PKN605 in people with Atrial Fibrillation, run by Novartis Pharmaceuticals at 40 sites in 7 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 15 inclusion and 9 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: looking for participants now, as of the sponsor's last update on 28 Oct 2026. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 40 sites in Canada, United States, Netherlands, Germany, United Kingdom and 2 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 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?
Contact Novartis Pharmaceuticals (1-888-669-6682, novartis.email@novartis.com), or a site near the patient. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Atrial fibrillation burden from ECG patch monitors (time frame: 24 weeks). 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 28 Oct 2026.