New drug may offer safer, faster fix for Post-Surgery heart flutter
NCT ID NCT04748991
First seen Jun 25, 2026 · Last updated Jun 27, 2026 · Updated 1 time
Summary
This study tests whether a newer drug, Vernakalant, works better than the standard Amiodarone for treating atrial fibrillation (irregular heartbeat) that often occurs after heart surgery. About 50 adults who recently had heart surgery will receive one of the two drugs. The main goal is to see which drug restores normal heart rhythm faster and with fewer side effects, like drops in blood pressure.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- Vernakalant (also known as BRINAVESS) and Amiodarone (also known as Cordarone, Nexterone, Pacerone)
- What this could lead to
- If Vernakalant works better, it could offer a faster, safer way to restore normal heart rhythm after heart surgery, reducing time in the ICU and need for blood pressure medications.
- What could go wrong
- This is a small early-phase trial with only 50 participants, so results may not apply to everyone. Vernakalant may not be more effective than the standard drug Amiodarone, and side effects are still possible.
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 3
Large-scale testing in a bigger group. Usually the last step before a treatment can be approved.
- Participants
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About 50 people
The number the study aims to enrol. It can still change while the study runs.
- Expected to start
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Sep 2026
An estimate. Start dates often move.
- Expected to finish
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Sep 2029
An estimate. End dates often move.
- 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 years and older
- 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 \>/=18 years 2. Undergone heart surgery for coronary artery bypass surgery (on-pump or off-pump CABG) and/or valve repair or replacement (excluding mechanical valves), including re-operations. 3. Hemodynamically stable with/without vasopressor support Exclusion Criteria: 1. LVAD insertion or heart transplantation 2. MAZE procedure 3. Transcatheter aortic valve replacement (TAVR) 4. History of or planned mechanical valve replacement 5. Rheumatic heart disease 6. Congenital cardiac defect (excluding bicuspid aortic valve or patent foramen ovale) 7. History of prior atrial fibrillation or flutter 8. History of ablation for atrial fibrillation 9. Contraindication to amiodarone * PR \>240ms * Heart block (2nd or 3rd degree) * QTC \>480ms * Untreated thyroid disorder * AST or ALT \>2x upper limit of normal * Hepatic cirrhosis * Interstitial lung disease 10. Received amiodarone within 6 weeks 11. Contraindications to Vernakalant * Known hypersensitivity to Vernakalant * Prolonged QT * Heart block (2nd or 3rd degree) * Use of anti-arrhythmic medication in the past 4 weeks. 12. Return to OR during CVICU stay or readmission to CIVCU from Cardiac Surgery ward.
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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.
How to take part
Only the study team decides who joins. These are the ways to reach them.
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The official record
ClinicalTrials.gov lists the study team's own contact details, including names and phone numbers. We don't republish those.
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A doctor treating you
A doctor who knows your case can contact a study site on your behalf, and can tell you whether this study is worth pursuing at all.
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