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EN: Which drug prevents worsening of paroxysmal atrial fibrillation: verapamil or metoprolol? NL: Welk medicijn voorkomt het hardnekkiger worden van paroxismaal atriumfibrilleren: verapamil of metoprolol?

Effects of Verapamil versus metoprolol to prevent progression from Paroxysmal to persistent Atrial Fibrillation

Status
Active, not recruiting
Phases
Unknown
Study type
Interventional
Source
NL-OMON
Registry ID
NL-OMON27565
Enrollment
200
Registered
2017-10-10
Start date
2017-08-01
Completion date
Unknown
Last updated
2024-06-11

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

EN: atrial fibrillation, progression, verapamil, metoprolol NL: atriumfibrilleren, progressie, verapamil, metoprolol

Interventions

Patients are randomized to verapamil slow release 240mg once daily or metoprolol slow release 100mg once daily. Dose adjustments (half or double) can be made upon the response to heart rate or blood p

Sponsors

Martini ziekenhuis Groningen
Lead Sponsor

Eligibility

Inclusion criteria

Inclusion criteria: In order to be eligible to participate in this trial, a subject must meet all of the following criteria: Patients (age > 18) with symptomatic paroxysmal AF with an indication for rate control medication who participate in the RACE 5 registry. Patients must be able and willing to sign informed consent for the randomised study.

Exclusion criteria

Exclusion criteria: Exclusion criteria are (history of) persistent AF, previous adverse effects to the study drugs, contra-indication for the study drugs (i.e. heart failure with reduced ejection fraction, symptomatic hypotension, atrioventricular conduction disturbance, severe asthma/COPD), history of pulmonary vein isolation (PVI), pregnancy and breastfeeding.

Design outcomes

Primary

MeasureTime frame
Primary outcome variable is incidence of AF progression from paroxysmal to persistent AF or the need for PVI.

Secondary

MeasureTime frame
Main secondary outcome variables are AF burden, heart rate, exercise tolerance, symptom severity, quality of life, and costs.

Contacts

Public ContactR.G. Tieleman
r.tieleman@mzh.nl(+31) (0)50 - 524 5800

Outcome results

None listed

Source: NL-OMON (via WHO ICTRP)