Canakinumab for the Prevention of Recurrences After Electrical Cardioversion: CONVERT-AF (CONVERT-AF)
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
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Study Type
Study Type
Enrollment (Actual)
Enrollment
Phase
Phase
- Phase 2
Contacts and Locations
Study Locations
-
-
-
Hamburg, Germany
- University Heart Center Hamburg
-
-
-
-
-
Basel, Switzerland, 4031
- Department of Medicine, University Hospital
-
Geneve, Switzerland
- HUG Geneve
-
Lausanne, Switzerland
- CHUV Lausanne
-
St. Gallen, Switzerland
- Kantonsspital St. Gallen
-
-
Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Description
Inclusion Criteria:
- EKG-documented AF
- Undergoing electrical cardioversion
- C-reactive protein ≥1.25mg/L
- Age ≥ 50 years, women need to be postmenopausal
Exclusion Criteria:
- 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
- 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
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: Quadruple
Number of Arms
Arms and Interventions
Participant Group / ArmParticipant Group / Arm |
Intervention / TreatmentIntervention / Treatment |
|---|---|
|
Experimental: Canakinumab
1 s.c.
injection of canakinumab 150mg directly after cardioversion
|
|
|
Placebo Comparator: Placebo
1 s.c.
injection directly after cardioversion
|
What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Time Frame |
|---|---|
|
Recurrence of atrial fibrillation
Time Frame: 180 days
|
180 days
|
Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Time Frame |
|---|---|
|
Recurrence of atrial fibrillation
Time Frame: 90 days
|
90 days
|
|
Change in plasma levels of C-reactive protein
Time Frame: 180 days
|
180 days
|
|
Time to first redo cardioversion
Time Frame: 180 days
|
180 days
|
Collaborators and Investigators
Sponsor
Sponsor
Investigators
Investigators
- Principal Investigator: David Conen, Prof., Cardiology, University Hospital Basel
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 (Actual)
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
Other Study ID Numbers
Other Study ID Numbers
- CONVERT-AF Version5 22.01.2013
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
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