Ajmaline Utilization in the Diagnosis and Treatment of Cardiac Arrhythmias (AJUAR)
The study evaluates 3 different populations:
It is an open, randomized, parallel-group study comparing the effectiveness of intravenous (iv) ajmaline with currently used antiarrhythmic drugs in the acute treatment of :
- recent-onset atrial fibrillation versus iv flecainide
- sustained monomorphous ventricular tachycardia versus iv procainamide
The study also evaluates in an open, randomized, crossover study, the use of iv ajmaline versus iv flecainide in the diagnosis of Brugada syndrome
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Study Type
Study Type
Enrollment (Actual)
Enrollment
Phase
Phase
- Phase 4
Contacts and Locations
Study Locations
-
-
-
Barcelona, Spain, 08036
- Servicio de Cardiología, Hospital Clínic
-
Madrid, Spain
- Hospital Puerta de Hierro
-
Valencia, Spain
- Hospital La Fe
-
-
Guipuzcoa
-
Donostia, Guipuzcoa, Spain
- Hospital Donostia
-
-
Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Description
Inclusion Criteria:
- AF: Patients with isolated, idiopathic, sustained, symptomatic, recent onset(>10 minutes to <24 hours) atrial fibrillation.
- VT: Patients with ventricular tachycardia with good haemodynamic tolerability attending the emergency room or induced at the electrophysiology lab during testing for ventricular arrhythmias.
- Brugada Sd (BrS): First-degree relatives of a patient with Brugada Syndrome with a ECG non-diagnostic of the BrS.
Exclusion Criteria:
- General: Pregnancy
- AF: Pre-existing heart disease.
- Secondary AF
- 2nd and 3rd degree AV block or RBBB associated with LAFB or LPFB (bifascicular block).
- LVF<40%.
- Moderate-severe liver failure.
- AF with haemodynamic compromise.
- VT:VT with haemodynamic compromise.
- BrS:Pre-existing heart disease.
- 2nd and 3rd degree AV block or RBBB associated with LAFB or LPFB (bifascicular block).
- Moderate-severe liver failure.
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: None (Open Label)
Number of Arms
Arms and Interventions
Participant Group / ArmParticipant Group / Arm |
Intervention / TreatmentIntervention / Treatment |
|---|---|
|
Active Comparator: A
IV flecainide in atrial fibrillation
|
2 mg/kg iv in 10 minutes
|
|
Experimental: B
IV ajmaline in atrial fibrillation
|
1 mg/kg iv in 10 minutes
|
|
Active Comparator: c
iv procainamide in ventricular tachycardia
|
10 mg/kg iv in 10 minutes
|
|
Experimental: d
iv ajmaline in ventricular tachycardia
|
1 mg/kg iv in 10 minutes
|
|
Active Comparator: e
iv flecainide in diagnosis of Brugada Sd
|
2 mg/kg iv in 10 minutes
|
|
Experimental: f
iv ajmaline in diagnosis of Brugada Sd
|
1 mg/kg iv in 10 minutes
|
What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Time Frame |
|---|---|
|
Proportion of patients with reversion of atrial fibrillation
Time Frame: 1 hour
|
1 hour
|
|
Proportion of patients with reversion of ventricular tachycardia
Time Frame: 15 min
|
15 min
|
|
Proportion of subjects developing EKG pattern diagnostic of Brugada Sd. after provocation test.
Time Frame: 1 hour
|
1 hour
|
Collaborators and Investigators
Sponsor
Sponsor
Study record dates
Study Major Dates
Study Start
Study Start
Primary Completion (Actual)
Primary Completion
Study Completion (Actual)
Study Completion
Study Registration Dates
First Submitted
First Submitted
First Submitted That Met QC Criteria
First Submitted That Met QC Criteria
First Posted (Estimate)
First Posted
Study Record Updates
Last Update Posted (Estimate)
Last Update Posted
Last Update Submitted That Met QC Criteria
Last Update Submitted That Met QC Criteria
Last Verified
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
- Pathologic Processes
- Heart Diseases
- Cardiovascular Diseases
- Genetic Diseases, Inborn
- Cardiac Conduction System Disease
- Atrial Fibrillation
- Arrhythmias, Cardiac
- Tachycardia
- Tachycardia, Ventricular
- Brugada Syndrome
- Molecular Mechanisms of Pharmacological Action
- Anti-Arrhythmia Agents
- Membrane Transport Modulators
- Voltage-Gated Sodium Channel Blockers
- Sodium Channel Blockers
- Flecainide
- Procainamide
- Ajmaline
Other Study ID Numbers
Other Study ID Numbers
- AJUAR
- EudraCT number:2007-006334-33
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