Education and Training
Genetically Targeted Therapy for the Prevention of Symptomatic Atrial Fibrillation in Patients With Heart Failure
This study is being done to compare the effects of bucindolol hydrochloride (bucindolol) to metoprolol succinate (Toprol-XL) on the recurrence of symptomatic atrial fibrillation/atrial flutter in patients with heart failure who have a specific genotype for the beta-1 adrenergic receptor.
Stanford is currently not accepting patients for this trial.
Intervention(s):
- drug: bucindolol hydrochloride
- drug: metoprolol succinate
- other: Placebo oral capsule
Eligibility
Key Inclusion Criteria:
- Must weigh at least 40 kg
- Possess the β1389 Arg/Arg genotype
- Left Ventricular Ejection Fraction (LVEF) < 0.50 assessed within 12 months prior to
Screening
- At least one episode of symptomatic paroxysmal or persistent AF within 180 days of
Screening
- Clinically appropriate for electrical cardioversion (ECV) if AF/AFL is present after
study drug initiation
- Receiving appropriate anticoagulation therapy prior to Randomization
Key Exclusion Criteria:
- NYHA Class IV symptoms at the time of Randomization
- Significant fluid overload at Randomization
- Permanent AF at Screening
- More than two previous ECV within 6 months of Randomization or if the most recent ECV
failed to produce SR
- Presence of an LVAD, or likely to requirement LVAD placement within 6 months of
Randomization
- History of a successful atrioventricular (AV) node ablation
- History of an AF/AFL ablation within 30 days of Randomization
- Evidence of an appropriate firing of an implanted cardioverter-defibrillator (ICD)
device for ventricular tachycardia (VT) or ventricular fibrillation (VF) within 90
days of Randomization
Ages Eligible for Study
18 Years - 85 Years
Genders Eligible for Study
All
Not currently accepting new patients for this trial
Contact Information
Stanford University
School of Medicine
300 Pasteur Drive
Stanford,
CA
94305
Not Recruiting