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Trial details imported from ClinicalTrials.gov
For full trial details, please see the original record at
https://clinicaltrials.gov/study/NCT01151137
Registration number
NCT01151137
Ethics application status
Date submitted
22/06/2010
Date registered
25/06/2010
Date last updated
26/10/2012
Titles & IDs
Public title
Permanent Atrial fibriLLAtion Outcome Study Using Dronedarone on Top of Standard Therapy
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Scientific title
A Randomized, Double Blind, Placebo Controlled, Parallel Group Trial for Assessing the Clinical Benefit of Dronedarone 400mg BID on Top of Standard Therapy in Patients With Permanent Atrial Fibrillation and Additional Risk Factors
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Secondary ID [1]
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2010-019791-73
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Secondary ID [2]
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EFC11405
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Universal Trial Number (UTN)
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Trial acronym
PALLAS
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Atrial Fibrillation
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Condition category
Condition code
Cardiovascular
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Other cardiovascular diseases
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
Treatment: Drugs - Dronedarone
Treatment: Drugs - Placebo (for Dronedarone)
Experimental: Dronedarone - Dronedarone 400 mg twice a day until the CSED
Placebo comparator: placebo - Placebo (for Dronedarone) twice a day until the CSED
Treatment: Drugs: Dronedarone
Film-coated tablet
Oral administration under fed conditions (during breakfast and dinner)
Treatment: Drugs: Placebo (for Dronedarone)
film-coated tablet strictly identical in appearance
Oral administration under fed conditions (during breakfast and dinner)
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Intervention code [1]
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Treatment: Drugs
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Comparator / control treatment
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Control group
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Outcomes
Primary outcome [1]
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Overview of the Two Co-primary Outcomes
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Assessment method [1]
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First co-primary outcome was defined as the first event among stroke, systemic arterial embolism, Myocardial Infarctions \[MI\], or cardiovascular death.
Second co-primary outcome was defined as the first event among unscheduled cardiovascular hospitalization or death from any cause.
Both co-primary outcomes were determined based on the central review and adjudication by a blinded Adjudication Committee of all reported deaths (from any cause), MI, systemic arterial embolisms, strokes, Transient Ischemic Attacks \[TIA\], Heart Failure hospitalization and unplanned hospitalisations for cardiovascular cause.
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Timepoint [1]
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From randomization up to the CSED which occurred at study termination (maximum follow-up of 1 year)
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Primary outcome [2]
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Time to First Co-primary Outcome (Cumulative Incidence Function)
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Assessment method [2]
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Time to first co-primary outcome was defined as the time from randomization to the first event among stroke, systemic arterial embolism, MI or cardiovascular death.
Cumulative incidence function in each treatment group was calculated using non-parametric Kaplan-Meier estimate.
95% confidence interval was computed at each time-point using Greenwood's variance estimation.
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Timepoint [2]
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From randomization up to the CSED which occurred at study termination (maximum follow-up of 1 year)
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Primary outcome [3]
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Time to Second Co-primary Outcome (Cumulative Incidence Function)
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Assessment method [3]
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Time to second co-primary outcome was defined as the time from randomization to the first event among unscheduled cardiovascular hospitalization or death from any cause.
Cumulative incidence function in each treatment group was calculated using non-parametric Kaplan-Meier estimate.
95% confidence interval was computed at each time-point using Greenwood's variance estimation.
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Timepoint [3]
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From randomization up to the CSED which occurred at study termination (maximum follow-up of 1 year)
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Secondary outcome [1]
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Deaths
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Assessment method [1]
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Deaths were classified according to the primary cause of death.
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Timepoint [1]
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From randomization up to the CSED which occurred at study termination (maximum follow-up of 1 year)
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Secondary outcome [2]
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Time to Cardiovascular Death (Cumulative Incidence Function)
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Assessment method [2]
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Time to cardiovascular death was defined as the time from randomization to the death.
Cumulative incidence function in each treatment group was calculated using non-parametric Kaplan-Meier estimate.
95% confidence interval was computed at each time-point using Greenwood's variance estimation.
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Timepoint [2]
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From randomization up to the CSED which occurred at study termination (maximum follow-up of 1 year)
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Eligibility
Key inclusion criteria
Inclusion criteria:
* Permanent AF defined by the presence of all of the following criteria:
* Availability of one 12-lead ECG not more than 14 days prior to randomization showing that the patient is in AF or atrial flutter;
* Availability of documentation (including either rhythm strips or medical report of the rhythm) showing that the patient was in AF or atrial flutter at least 6 months prior to randomization;
* No evidence of sinus rhythm in the period between these two documentations of AF;
* Decision of the patient and physician to allow AF to continue without further efforts to restore sinus rhythm.
* At least one of the following risk criteria:
* Coronary artery disease;
* Prior stroke or Transient Ischemic Attack [TIA];
* Symptomatic heart failure;
* Left ventricular ejection fraction [LVEF] less or equal to 0.40;
* Peripheral arterial occlusive disease;
* Aged 75 years or older with both hypertension and diabetes mellitus.
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Minimum age
65
Years
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Maximum age
No limit
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Sex
Both males and females
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Can healthy volunteers participate?
No
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Key exclusion criteria
Exclusion criteria:
* Paroxysmal AF;
* Persistent AF without a decision to allow AF to continue without further efforts to restore sinus rhythm;
* Heart failure of New-York Heart Association [NYHA] class IV or recent unstable NYHA class III.
The above information is not intended to contain all considerations relevant to a patient's potential participation in a clinical trial.
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Study design
Purpose of the study
Treatment
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Allocation to intervention
Randomised controlled trial
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
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Masking / blinding
Blinded (masking used)
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Who is / are masked / blinded?
The people receiving the treatment/s
The people assessing the outcomes
The people analysing the results/data
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Intervention assignment
Parallel
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Other design features
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Phase
Phase 3
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Type of endpoint/s
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Statistical methods / analysis
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Recruitment
Recruitment status
Stopped early
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Data analysis
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Reason for early stopping/withdrawal
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Other reasons
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Date of first participant enrolment
Anticipated
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Actual
1/07/2010
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Date of last participant enrolment
Anticipated
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Actual
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Date of last data collection
Anticipated
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Actual
1/09/2011
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Sample size
Target
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Accrual to date
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Final
3236
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Recruitment in Australia
Recruitment state(s)
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Recruitment hospital [1]
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Sanofi-Aventis Administrative Office - Macquarie Park
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Recruitment postcode(s) [1]
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- Macquarie Park
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Recruitment outside Australia
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United States of America
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New Jersey
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Argentina
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Buenos Aires
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Austria
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Vienna
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Belgium
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Diegem
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Brazil
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Sao Paulo
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Bulgaria
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Sofia
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Laval
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Chile
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Providencia Santiago
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Praha
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Horsholm
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Helsinki
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Paris
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Germany
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Frankfurt
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Greece
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Hong Kong
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Hong Kong
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Hungary
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Budapest
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Israel
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Natanya
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Milan
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Gouda
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Auckland
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Norway
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Warsaw
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Romania
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Bucuresti
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Russian Federation
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Moscow
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Bratislava
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Gauteng
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Barcelona
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Bromma
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Geneva
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Kiev
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United Kingdom
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Guildford Surrey
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Funding & Sponsors
Primary sponsor type
Commercial sector/industry
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Name
Sanofi
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Address
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Ethics approval
Ethics application status
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Summary
Brief summary
Primary Objective: * Demonstrate the efficacy of Dronedarone in preventing major cardiovascular events (stroke, systemic arterial embolism, myocardial infarction or cardiovascular death) or unplanned cardiovascular hospitalization or death from any cause in patients with permanent Atrial Fibrillation \[AF\] and additional risk factors Secondary Objective: * Demonstrate the efficacy of Dronedarone in preventing cardiovascular death This was an event-driven study where a common study end date \[CSED\] was to be determined by Steering Committee based on the number of events (stroke, systemic arterial embolism, myocardial infarction or cardiovascular death).
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Trial website
https://clinicaltrials.gov/study/NCT01151137
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Trial related presentations / publications
Connolly SJ, Camm AJ, Halperin JL, Joyner C, Alings M, Amerena J, Atar D, Avezum A, Blomstrom P, Borggrefe M, Budaj A, Chen SA, Ching CK, Commerford P, Dans A, Davy JM, Delacretaz E, Di Pasquale G, Diaz R, Dorian P, Flaker G, Golitsyn S, Gonzalez-Hermosillo A, Granger CB, Heidbuchel H, Kautzner J, Kim JS, Lanas F, Lewis BS, Merino JL, Morillo C, Murin J, Narasimhan C, Paolasso E, Parkhomenko A, Peters NS, Sim KH, Stiles MK, Tanomsup S, Toivonen L, Tomcsanyi J, Torp-Pedersen C, Tse HF, Vardas P, Vinereanu D, Xavier D, Zhu J, Zhu JR, Baret-Cormel L, Weinling E, Staiger C, Yusuf S, Chrolavicius S, Afzal R, Hohnloser SH; PALLAS Investigators. Dronedarone in high-risk permanent atrial fibrillation. N Engl J Med. 2011 Dec 15;365(24):2268-76. doi: 10.1056/NEJMoa1109867. Epub 2011 Nov 14. Erratum In: N Engl J Med. 2012 Feb 16;366(7):672. Hohnloser SH, Halperin JL, Camm AJ, Gao P, Radzik D, Connolly SJ; PALLAS investigators. Interaction between digoxin and dronedarone in the PALLAS trial. Circ Arrhythm Electrophysiol. 2014 Dec;7(6):1019-25. doi: 10.1161/CIRCEP.114.002046. Epub 2014 Nov 6.
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Public notes
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Contacts
Principal investigator
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Clinical Sciences & Operations
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Sanofi
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Contact person for scientific queries
No information has been provided regarding IPD availability
What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
Type
Citations or Other Details
Journal
Connolly SJ, Camm AJ, Halperin JL, Joyner C, Aling...
[
More Details
]
Results are available at
https://clinicaltrials.gov/study/NCT01151137
Download to PDF