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Paroxysmal Atrial Fibrillation: Role of Inflammation, Oxidative Stress Injury and Effect of Statins (PAFRIOSIES)

This study is currently recruiting participants.
Verified by University of Calgary, October 2008

Sponsors and Collaborators: University of Calgary
Merck Canada Ltd.
Canadian Institutes of Health Research (CIHR)
Information provided by: University of Calgary
ClinicalTrials.gov Identifier: NCT00321802
  Purpose

The purpose of this study is to determine the effect of statin therapy for prevention of atrial fibrillation (AF) in pacemaker and non-pacemaker patients with paroxysmal atrial fibrillation in the absence of significant coronary artery disease.


Condition Intervention Phase
Atrial Fibrillation
Drug: Simvastatin
Drug: Placebo
Phase II

Genetics Home Reference related topics:   Brugada syndrome    familial atrial fibrillation    short QT syndrome   

MedlinePlus related topics:   Stress   

Drug Information available for:   Simvastatin   

U.S. FDA Resources

Study Type:   Interventional
Study Design:   Prevention, Randomized, Double Blind (Subject, Investigator), Placebo Control, Parallel Assignment, Safety/Efficacy Study
Official Title:   Paroxysmal Atrial Fibrillation: Role of Inflammation, Oxidative Stress Injury and Effect of Statins

Further study details as provided by University of Calgary:

Primary Outcome Measures:
  • Time to first detected AF [ Time Frame: 6 Months ] [ Designated as safety issue: Yes ]

Secondary Outcome Measures:
  • Changes in CRP and oxidative stress levels over time and their relationship with AF burden [ Time Frame: 6 Months ] [ Designated as safety issue: Yes ]

Estimated Enrollment:   110
Study Start Date:   April 2006
Estimated Study Completion Date:   December 2009
Estimated Primary Completion Date:   September 2009 (Final data collection date for primary outcome measure)

Arms Assigned Interventions
1: Experimental
Patients randomized to active drug, then AF burden and CRP values will be compared to those in placebo arm.
Drug: Simvastatin
Patients take 40 mg of simvastatin per day for 6 months.
2: Placebo Comparator
Patients take placebo once daily for 6 Months, then AF burden and CRP values will be compared to those in experimental arm.
Drug: Placebo
Placebo

Detailed Description:

Patients with a history of paroxysmal atrial fibrillation, with or without a dual chamber pacemaker and who meet all study criteria will be randomized to receive either a placebo, or simvastatin 40 mg, daily for 6 months.

Liver enzymes are drawn at randomization and 3 months. CRP and oxidative stress products are drawn at randomization, weekly for the first month and then monthly for 5 months.

Patients transmit their rhythm, twice daily for 5 consecutive days at randomization, then 5 consecutive days monthly for 6 months.

Clinic visits are required at randomization, 3 months and 6 months.

  Eligibility
Ages Eligible for Study:   18 Years and older
Genders Eligible for Study:   Both
Accepts Healthy Volunteers:   Yes

Criteria

Inclusion Criteria:

  • Patients with paroxysmal AF (> 3 epis each > 15 min in length) over 6 months
  • Patients on stable antiarrhythmic drug therapy and life expectancy > 1 year

Exclusion Criteria:

  • Patients with PAF due to reversible cause
  • Chronic inflammatory conditions
  • Other medical conditions requiring statin therapy
  • Patients on amiodarone or verapamil
  • Elevated CK or ALT
  • Life expectancy <1 year
  • TAVN ablation
  • Geographic isolation
  • Inability to give informed consent
  Contacts and Locations

Please refer to this study by its ClinicalTrials.gov identifier: NCT00321802

Contacts
Contact: Cynthia Chen, MSc     403-220-2544     jichen@ucalgary.ca    
Contact: Anne M Gillis, MD     403-220-6841     amgillis@ucalgary.ca    

Locations
Canada, Alberta
University of Calgary, Foothills Hospital     Recruiting
      Calgary, Alberta, Canada, T2N 4N1
      Principal Investigator: Anne M Gillis, MD            

Sponsors and Collaborators
University of Calgary
Merck Canada Ltd.
Canadian Institutes of Health Research (CIHR)

Investigators
Principal Investigator:     Anne M Gillis, MD     University of Calgary    
Study Director:     Henry J Duff, MD     University of Calgary    
Study Director:     Derek V Exner, MD, MPH     University of Calgary    
Study Director:     Katherine Kavanagh, MD     University of Calgary    
Study Director:     L B Mitchell, MD     University of Calgary    
Study Director:     Robert S Sheldon, MD, PhD     University of Calgary    
Study Director:     D G Wyse, MD, PhD     University of Calgary    
Study Director:     George Veenhuyzen, MD     University of Calgary    
  More Information


Responsible Party:   University of Calgary ( Anne M. Gillis M.D. )
Study ID Numbers:   18108
First Received:   May 3, 2006
Last Updated:   October 30, 2008
ClinicalTrials.gov Identifier:   NCT00321802
Health Authority:   Canada: Health Canada

Keywords provided by University of Calgary:
atrial fibrillation  
statin therapy  
CRP levels  
Paroxysmal Atrial Fibrillation  

Study placed in the following topic categories:
Heart Diseases
Simvastatin
Stress
Atrial Fibrillation
Arrhythmias, Cardiac
Inflammation

Additional relevant MeSH terms:
Antimetabolites
Pathologic Processes
Molecular Mechanisms of Pharmacological Action
Therapeutic Uses
Antilipemic Agents
Enzyme Inhibitors
Cardiovascular Diseases
Anticholesteremic Agents
Hydroxymethylglutaryl-CoA Reductase Inhibitors
Pharmacologic Actions

ClinicalTrials.gov processed this record on November 06, 2008




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