Alzheimer's drug may tame annoying heart flutters
NCT ID NCT06501638
First seen Jun 25, 2026 · Last updated Jun 27, 2026 · Updated 1 time
Summary
This study tested whether memantine, a drug currently used for Alzheimer's disease, can reduce the number of extra heartbeats (called premature atrial contractions or PACs) in people who have frequent and bothersome symptoms. 256 adults with at least 1000 extra beats per day took either memantine or a placebo for six weeks. Researchers measured changes in heart rhythm using a portable monitor to see if the drug helped.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- Memantine hydrochloride (a drug used for Alzheimer's, repurposed here)
- What this could lead to
- If it works, this could offer a new treatment option for people with frequent, bothersome extra heartbeats.
- What could go wrong
- This is an early phase 2 trial, so results may not confirm effectiveness. Memantine can cause side effects like dizziness or confusion.
This is an AI summary of the original study and may miss details. Read our disclaimer.
Study facts
What this study's own registry entry says, in plain language.
- Phase
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Phase 2
Tests whether the treatment actually works, and watches for side effects, in a larger group.
- Participants
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256 people
The number who actually took part.
- Started
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Aug 2024
- Finished
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May 2025
- Lead sponsor
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Other sponsor
The registry's catch-all category, for sponsors it does not file as a company, a government agency, or a research network.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
- Ages
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18 to 80 years
- Sex
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Anyone
- Healthy volunteers
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Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: 1. Age between 18 and 80 (inclusive). 2. Presence of symptoms related to premature atrial contractions (PACs) during screening, with PACs occurring ≥1000 times/24 hours. 3. Understanding and willingness to comply with the study procedures and methods, voluntary participation in the study, and signing an informed consent form. Exclusion Criteria: 1. Atrial fibrillation, atrial flutter, or persistent atrial tachycardia (confirmed by electrocardiogram within the past 6 months or detected by continuous 3-day (72h) monitoring with a wearable Holter monitor at baseline); or ventricular tachycardia (excluding occasional short episodes of ventricular tachycardia during sleep) or ventricular fibrillation. 2. Occurrence of a stroke event, including hemorrhagic/ischemic stroke and transient ischemic attack (TIA), within the past 6 months prior to screening; history of cardiac surgery, myocardial infarction (MI), percutaneous coronary intervention (PCI), or atrial arrhythmia radiofrequency ablation within the past 3 months prior to screening. 3. Left ventricular ejection fraction (LVEF) ≤40%; or New York Heart Association (NYHA) functional class III or IV. 4. Sick sinus syndrome, second-degree type II or higher atrioventricular block, or bifascicular block without permanent pacemaker implantation. 5. Ongoing use of amiodarone within the past 4 weeks prior to screening, or ongoing use of antiarrhythmic drugs other than amiodarone, as well as Chinese herbal medicine with antiarrhythmic effects within the past 1 weeks prior to screening. 6. Presence of unstable angina, severe congenital heart disease (excluding patent foramen ovale), post-artificial heart valve replacement, acute myocarditis, acute endocarditis, rheumatic heart valve disease,Hypertrophic obstructive cardiomyopathy. 7. Coexistence of other diseases with an expected survival period of less than 1 year. 8. Active hepatitis or significant liver dysfunction (ALT or AST \>3 times the upper limit of normal \[ULN\], TBIL \>3 ULN). 9. Severe renal insufficiency (calculated estimated glomerular filtration rate \[eGFR\] \<40 ml/min/1.73m² using the CKD-EPI equation). 10. Received investigational drugs or medical device treatments in other clinical trials within 1 month prior to screening or within 5 half-lives (whichever is longer). 11. Pregnancy, lactating women, or positive pregnancy test result before randomization. 12. Hyperthyroidism that has not been properly treated and thyroid function has not returned to normal, the perioperative period of cardiothoracic surgery (one week before surgery to two weeks after surgery), uncorrected electrolyte disturbances (serum K+ \> 5.5 mmol/L or \< 3.5 mmol/L, serum magnesium \< 1.5 mmol/L, etc.); chronic obstructive pulmonary disease (COPD) combined with respiratory failure or infection that has not been corrected, etc. 13. History of epilepsy, seizures, or mental illness. 14. Known allergy to memantine hydrochloride tablets or their excipients. 15. Patients currently receiving memantine treatment for moderate or severe Alzheimer's disease. 16. Other circumstances where the investigator deems the subject unsuitable for inclusion in the study.
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Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
Contacts and locations
Locations
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Shanghai East Hospital
Shanghai, Shanghai Municipality, 200120, China