Colchicine After Electrocardioversion for Atrial Fibrillation

Trial statusRecruiting
Trial phasePhase 3
Trial typeInterventional
Biological sexAll
Age18+
SponsorUniversity Hospital, Basel, Switzerland

About this trial

The purpose of this study is to investigate whether a 3 month treatment course of low-dose Colchicine decreases the recurrence of Atrial fibrillation (AF) after electrocardioversion (ECV) in patients with AF.

Eligibility criteria

This trial does not accept healthy volunteers

Qualifiers

Age >18 years

ECG-documented AF prior to ECV

Successful ECV with conversion of AF to sinus rhythm with persistent sinus rhythm ≥30 minutes after ECV

Ability to give written informed consent

Disqualifiers

AF persistence after cardioversion or early AF recurrence within 30 minutes after ECV

Any other rhythm than AF before cardioversion

Pulmonary vein isolation within 3 months prior to ECV or pulmonary vein isolation planned within 3 months after ECV

Known intolerance or hypersensitivity to Colchicine

Trial design

Design model

Parallel

Treatments tested in this trial

  • Colchicine

    Drug

    Colchicine 0.5 mg (oral) once daily for 90 days. The chemical name for colchicine is (S)-N-(5,6,7,9-tetrahydro-1,2,3,10-tetramethoxy-9 oxobenzol\[a\]heptalen-7-yl) acetamide. Colchicine consists of pale yellow scales or powder. It is soluble in water, freely soluble in alcohol, and slightly soluble in ether.

  • Placebo

    Drug

    Matched placebo. Both the active drug and placebo will look similarly. The route and mode of administration is also similar to the active group.

Treatment groups

416 Participants
are divided into 2 treatment groups
Group A: Experimental GroupExperimental treatment 1 intervention
Group B: Control GroupPlacebo comparator 1 intervention

Trial outcomes

Primary outcomes

1

Number of atrial fibrillation (AF) recurrence

The primary outcome of AF recurrence within 6 months will be assessed based on the ECG (electrocardiogram) documentation of any AF. If a patient reports symptoms of AF recurrence in between the study visits, the research staff will obtain an ECG documentation. The outcome will only be valid if AF recurrence is documented by an ECG.

Time frame
within 6 month after electrocardioversion

Secondary outcomes

1

Number of atrial fibrillation (AF) recurrence

The secondary outcome of AF recurrence within 1 months will be assessed based on the ECG (electrocardiogram) documentation of any AF. If a patient reports symptoms of AF recurrence in between the study visits, the research staff will obtain an ECG documentation. The outcome will only be valid if AF recurrence is documented by an ECG.

Time frame
within 1 month after electrocardioversion
2

Number of atrial fibrillation (AF) recurrence

The secondary outcome of AF recurrence within 3 months will be assessed based on the ECG (electrocardiogram) documentation of any AF. If a patient reports symptoms of AF recurrence in between the study visits, the research staff will obtain an ECG documentation. The outcome will only be valid if AF recurrence is documented by an ECG.

Time frame
within 3 month after electrocardioversion
3

Time to first redo electrocardioversion

Time to first redo electrocardioversion

Time frame
up to 6 month
4

Use of antiarrhythmic drugs

Assessment of medication intake by study staff Vaughan-Williams classification class 1 and 3 of antiarrhythmic drugs will be documented (1 = sodium channel blockade, 3 = potassium channel blockade)

Time frame
within 6 month after electrocardioversion

Other outcomes

Sponsors and contacts

Click on the lead sponsor to view all of their trials.

University Hospital, Basel, Switzerland

Lead sponsor

Swiss Heart Foundation

Collaborator

Fondation Machaon, Switzerland, Genf

Collaborator

Foundation for Cardiovascular Research Basel

Collaborator