RecruitingPhase 2ACTRN12618001692224

The Efficacy, Safety and Tolerability of Oral NP202 in Adults who have Paroxysmal Atrial Fibrillation and a Cardiac Device

A Phase II Randomised, Double-Blind, Placebo-Controlled Study of the Efficacy, Safety and Tolerability of Oral NP202 in Adults who have Paroxysmal Atrial Fibrillation and a Cardiac Device


Sponsor

John Hunter Hospital

Enrollment

50 participants

Start Date

Jun 21, 2018

Study Type

Interventional

Conditions

Summary

NP202 has been shown to reduce rhythm disturbances in heart muscle in the ventricles, and it is compelling to discover if it similarly reduces rhythm disturbances in heart muscle in the atria. As AF is the most common rhythm disturbance in the atria, it is the most suitable target to investigate a benefit. This is a single-centre, randomised, double blind, placebo controlled study to assess the efficacy, safety and tolerability of NP202. Subjects will be screened during routine interrogation of their cardiac device. Eligible subjects will have a high burden of paroxysmal atrial fibrillation. They will be randomised and administered their first dose of investigational product (IP) on Study Day 1. Subjects will take their IP dose once a day for 1 month (30 days). During this treatment period they will return to the site for study visits at Week 2, and Months 1, 2, and 3. Month 3 is the end of the Treatment Period. Subject will return for follow up and the final study visit at Month 4. A Data Monitoring Committee (DMC) will review safety data at agreed recruitment and progression milestones to provide independent oversight of subject safety. Armaron Bio Pty Ltd has provided the study drug at no cost. They have not have provided any funding and the study investigators have full intellectual property and rights over the study data.


Eligibility

Sex: Both males and femalesMin Age: 18 YearssMax Age: 80 Yearss

Plain Language Summary

Simplified for easier understanding

This trial is testing a new oral medication called NP202 to see whether it can reduce episodes of atrial fibrillation (AF), which is an irregular heartbeat originating in the upper chambers of the heart. AF is the most common heart rhythm problem and can cause symptoms like palpitations, breathlessness, and fatigue, and raises the risk of stroke. NP202 has previously shown promise in reducing abnormal rhythms in the lower chambers of the heart, and this study investigates whether the same benefit applies to AF. Participants will be randomly assigned to receive either NP202 or a placebo (a dummy pill) once a day for one month. Because all participants already have an implanted cardiac device — such as a loop recorder, pacemaker, or defibrillator — researchers can precisely track how often AF episodes occur before, during, and after treatment. You may qualify if you are aged 18–80, have paroxysmal AF (episodes that start and stop on their own within 7 days), carry an implanted cardiac device, and have had a meaningful AF burden over the past 6 months. People with significant kidney or liver problems, or who are pregnant or breastfeeding, are not eligible.

This summary was AI-generated to explain the trial in plain language. It is not medical advice. Always discuss eligibility with your doctor before enrolling in a clinical trial.

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Interventions

Randomised trial of NP202 versus placebo. NP202 is a synthetic flavonol. The mechanism of action is thought to be inhibition of pro-apoptotic kinases of the death-associated protein kinase family. N

Randomised trial of NP202 versus placebo. NP202 is a synthetic flavonol. The mechanism of action is thought to be inhibition of pro-apoptotic kinases of the death-associated protein kinase family. NP202 has been shown to reduce rhythm disturbances in heart muscle in the ventricles, and it is compelling to discover if it similarly reduces rhythm disturbances in heart muscle in the atria. As AF is the most common rhythm disturbance in the atria, it is the most suitable target to investigate a benefit. NP202 is a tablet and dose administered is 100mg daily for 4 weeks. Adherence was monitored by drug returned at 4 weeks.


Locations(1)

John Hunter Hospital - New Lambton

NSW, Australia

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ACTRN12618001692224