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Flecainide or Sotalol or Propafenone

Phase 3

Paroxysmal Atrial Fibrillation | Small molecule | Cardiovascular |Rhythm Pharmaceuticals, Inc.|Last Updated: Oct 16, 2018

Success Probability
Approval Probability 71%
TA Base Rate26%
Adjusted LOA41%
ML RiskLOW_RISK
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Market & Valuation
rNPV $3.2B
Market Size $9.4B
Revenue Basis $1.6B
Competitors 6
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Trial Design
RandomizedACTIVE_CONTROLLED
Total Trials1
Total Enrollment245
FDA Designations
No designations recorded
Clinical Trials (1)
NCT IDTitlePhaseStatusEnrollmentVelocityDesignStartCompletionLast UpdatedSitesCountries
NCT00523978A Clinical Study of the Arctic Front Cryoablation Balloon for the Treatment of Paroxysmal Atrial FibrillationPHASE3 COMPLETED 245Oct 1, 2006Jul 1, 2011Oct 16, 201826 United States, Canada
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Study Endpoints
Primary Endpoints
Acute Procedural Success (APS)
371.4 Minutes (Average)

Acute Procedural Success was defined as a demonstration of electrical isolation in ≥ 3 Pulmonary Veins (PVs) at the conclusion of the first protocol-defined cryoablation procedure. APS was decided at the end of the procedure the mean time was calculated for the time frame.

Freedom From Chronic Treatment Failure (CTF)
12 month follow up period

Subjects that did not have or were free of CTF. CTF was defined as the occurence of an Atrial Fibrillation (AF) intervention, use of non-study AF drug therapy, or the occurence of detectable AF which is is defined as an episode of AF, documented in a tracing, and lasting more than 30 seconds, occurring during a Non Blanked Follow-up Period.

Treatment Success
12 months

Treatment Success was defined as Acute Procedure Success (APS) and freedom from Chronic Treatment Failure (CTF) for Experimental Subjects, and freedom from CTF for Control Subjects. Under this pre-specified definition of Treatment Success, Experimental Subjects must have had APS and remained free of CTF during the 12-month follow-up duration, while Control Subjects must have remained free of CTF during the 12-month follow-up duration.

Freedom From Major Atrial Fibrillation Events (MAFEs)
12 Months

Subjects that did not have or were free of MAFEs. MAFEs were serious adverse events categorized as cardiovascular death, myocardial infarction, stroke, or hospitalization for AF recurrence/ablation, flutter ablation, embolic events, heart failure, hemorrhage or anti-arrhythmic drug treatment.

Cryoablation Procedure Events (CPEs)
To end of ablation procedure

Subjects that had CPEs. CPEs were device- or procedure-related serious adverse events (SAE) categorized as access site complications, cardiac damage, pulmonary vein (PV) stenosis, embolic complications, arrhythmias, unresolved phrenic nerve palsy and death.

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Study Design & Arms
AllocationRANDOMIZED
MaskingNONE
ModelPARALLEL
PurposeTREATMENT
Treatment Arms
ArmTypeDescription
ExperimentalEXPERIMENTALExperimental subjects received cryoablation intended to isolate the pulmonary veins and ablate arrhythmia foci. If necessary, experimental subjects were allowed a previously failed Study Atrial Fibrillation Drug (AF Drug).
ControlACTIVE_COMPARATORControl Subjects were treated with an AF Drug (flecainide, propafenone, or sotalol) that they had not previously failed.
Interventions
NameTypeDescription
Arctic Front® Cryoablation CatheterDEVICEExperimental Subjects received cryoablation intended to isolate the pulmonary veins and ablate arrhythmia foci with the cryoablation catheter system.
Flecainide or Sotalol or PropafenoneDRUGFlecainide 200 mg / day Propafenone 450 mg / day Propafenone-SR 650 mg / day Sotalol 240 mg / day
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Eligibility Criteria
Age Range18 Years — 75 Years
SexALL
Healthy VolunteersNo
Study Sites26

Inclusion Criteria: * Documented Paroxysmal Atrial Fibrillation (PAF): PAF diagnosis, 2 episodes of PAF within the last 2 months, at least 1 episode of PAF must be documented * Age 18-75 * Documented Effectiveness Failure of one (1) AF drug * Willing to be randomized to either group and do full 12 ...

Countries:United StatesCanada
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