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Amiodarone Prophylaxis for Atrial Fibrillation in Patients Undergoing Surgery for Lung Cancer

Information source: Aarhus University Hospital
Information obtained from ClinicalTrials.gov on October 19, 2009
Link to the current ClinicalTrials.gov record.

Condition(s) targeted: Atrial Fibrillation

Intervention: Amiodarone (Drug)

Phase: Phase 4

Status: Not yet recruiting

Sponsored by: Aarhus University Hospital

Official(s) and/or principal investigator(s):
Lars R Zebis, MD, Ph.D., Principal Investigator, Affiliation: Aarhus University Hospital

Overall contact:
Lars R Zebis, MD, Phone: +45 89495566, Email: lrz@post.tele.dk

Summary

Patients undergoing lung resection due to pulmonary cancer can be compromised in their postoperative period due to atrial fibrillation.

A retrospective analysis performed at our institution indicates that 30 % of the population develope atrial fibrillation in the postoperative period.

Amiodarone is known to diminish the occurence of postoperative atrial fibrillation after heart surgery, why this drug is chosen as a prophylactic agent for the mentioned population.

Amiodarone is administrated twice a day for 5 days at a dose of 600 mg oral treatment after an initial loading bolus og 300 mg intravenously.

Clinical Details

Official title: Amiodarone Prophylaxis for Atrial Fibrillation in Patients Undergoing Surgery for Lung Cancer: A Controlled, Randomized, Double Blinded Trial

Study design: Prevention, Randomized, Double Blind (Subject, Caregiver, Investigator, Outcomes Assessor), Placebo Control, Parallel Assignment, Efficacy Study

Primary outcome: Free of atrial fibrillation

Secondary outcome: Cost-benefit analysis of amiodarone prophylactic

Eligibility

Minimum age: 18 Years. Maximum age: N/A. Gender(s): Both.

Criteria:

Inclusion Criteria:

- Resection of the lung due to confirmed diagnosis of cancer pulmones.

- Elective operation (scheduled operation for at least one day)

- Ready to be randomized

- Patient must be at least 18 at time of operation

Exclusion Criteria:

- Former operation of the lung

- Former heart surgery

- Bradycardia below 40 beats/ min

- Hypotension with systolic blood pressure below 80 mmHg

- AV-blockage of any degree or sick sinus node

- QTc interval above 440 ms for men or above 460 ms for women

- Paroxysmal, persistent or permanent atrial fibrillation or flutter

- Former atrial fibrillation or flutter for more than a month.

- Pregnant or positive pregnancy test

- Breastfeeding

- ALAT of more than twice the normal over limit

- Treatment with monoamineoxidase inhibitors (MAOI)

- Allergy to one or more components in amiodarone

Locations and Contacts

Lars R Zebis, MD, Phone: +45 89495566, Email: lrz@post.tele.dk

Aarhus University Hospital, Skejby, Aarhus DK-8200, Denmark
Additional Information

Starting date: August 2008
Ending date: December 2009
Last updated: July 28, 2008

Page last updated: October 19, 2009

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