METFORMIN FOR ATRIAL FIBRILLATION
NCT05878535 · Status: NOT_YET_RECRUITING · Phase: PHASE2 · Type: INTERVENTIONAL · Enrollment: 770
Last updated 2024-01-22
Summary
The aim of this multicenter, pragmatic, open-label, randomized, placebo-controlled clinical trial is to test whether repurposing metformin for the treatment of atrial fibrillation will be effective in decreasing patients' hospitalization, adverse major cardiovascular events, and non-cancer death.
Participants will be randomized into 2 study arms (385 participant each), whereby:
* The Metformin Group (MG): will receive metformin oral tablets in addition to the standard rate/rhythm control strategy and anticoagulation.
* The Placebo Control Group (PCG): will receive placebo oral tablets as a control group in addition to the standard rate/rhythm control strategy and anticoagulation.
Then both arms will be compared according to the these endpoints:
* The primary endpoint is hospitalization due to an episodic AF or an AF with a rapid or slow ventricular response (in the case of permanent AF).
* The secondary endpoint is a composite of non-fatal major cardiovascular adverse events or non-cancer death.
The non-fatal major cardiovascular adverse events include:
* Hospitalization due to heart failure.
* Non-fatal myocardial infarction.
* Non-fatal stroke.
* Hospitalization due to unstable angina.
Conditions
Interventions
- DRUG
-
Metformin 850 mg oral tablets. Prescribed: Once daily PO with meals and 200 mL of water. The dose can be up-titrated to 1500-2000 mg divided q8-12hr with meals in enrolled diabetic patients as a monotherapy or combined with sulfonylurea.
- DRUG
-
Placebo oral tablets. Prescribed: Once daily PO with meals and 200 mL of water.
Sponsors & Collaborators
-
Arab Contractors Medical Centre
lead OTHER
Principal Investigators
-
Eslam Abbas, MBBCh, MSC · Arab Contractors Medical Centre, and Dar El Salam Cancer Center
Study Design
- Allocation
- RANDOMIZED
- Purpose
- TREATMENT
- Masking
- NONE
- Model
- PARALLEL
Eligibility
- Min Age
- 20 Years
- Max Age
- 65 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2024-06-01
- Primary Completion
- 2025-01-31
- Completion
- 2025-04-30
Countries
- Egypt
Study Locations
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