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DRONEDARONE

Phase 4FDA approved 2009

Atrial Fibrillation | Small molecule | Cardiovascular |Sanofi|Trials Updated: Feb 19, 2016

DRONEDARONE development status

FDA approval Jul 1, 2009 as Multaq
Approval holderSanofi Aventis Us
ApplicationNDA022425
Highest phase Phase 4 (NCT01135017)
Phase scored for SNYPhase 3
Registered trials 11 across 4 sponsors since Dec 2009

Label indication MULTAQ ® is indicated to reduce the risk of hospitalization for atrial fibrillation in patients in sinus rhythm with a history of paroxysmal or persistent atrial fibrillation (AF) [see Clinical Studies (14) ] . MULTAQ is an antiarrhythmic drug indicated to reduce the risk of hospitalization for atrial fibrillation (AF) in patients in sinus rhythm with a history of paroxysmal or persistent AF ( 1 , 14 ). FDA label

DRONEDARONE target and mechanism

Molecular targetSCN1A, SCN5A, SCN4A, SCN7A, SCN2A, SCN9A
Target classBlocker
ModalitySmall molecule

Also known as DRONEDARONE (SR33589), Multaq®

Success Probability

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Market & Valuation

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Trial Design

RandomizedDouble-BlindPLACEBO_CONTROLLEDDMC
Total Trials7
Total Enrollment6,764

FDA Designations

No designations recorded

DRONEDARONE clinical trials

DRONEDARONE · 7 trials · 2 indications

Phase 3 6Phase 2 1
NCT01182376SOAR: Study Observing Antiarrhythmic Remodelling Using LGE-MRIAtrial Fibrillation
COMPLETED33 Analytics
NCT00489736Efficacy & Safety of Dronedarone Versus Amiodarone for the Maintenance of Sinus Rhythm in Patients With Atrial FibrillationAtrial Fibrillation
COMPLETED504 Analytics
NCT00174785A Trial With Dronedarone to Prevent Hospitalization or Death in Patients With Atrial FibrillationAtrial Fibrillation
COMPLETED4,628 Analytics
NCT00697086European Study of Dronedarone in Atrial FibrillationAtrial Fibrillation
COMPLETED174 Analytics
NCT00259376American-Australian-African Trial With Dronedarone in Patients With Atrial Fibrillation or Atrial Flutter for the Maintenance of Sinus RhythmAtrial Fibrillation
COMPLETED629 Analytics
NCT00259428EURopean Trial In Atrial Fibrillation(AF) or Flutter (AFL) Patients Receiving Dronedarone for the maIntenance of Sinus Rhythm (EURIDIS)Atrial Fibrillation
COMPLETED615 Analytics
PHASE3COMPLETED
SOAR: Study Observing Antiarrhythmic Remodelling Using LGE-MRI
Atrial FibrillationUnlock trial analytics
PHASE3COMPLETED
Efficacy & Safety of Dronedarone Versus Amiodarone for the Maintenance of Sinus Rhythm in Patients With Atrial Fibrillation
Atrial FibrillationUnlock trial analytics
PHASE3COMPLETED
A Trial With Dronedarone to Prevent Hospitalization or Death in Patients With Atrial Fibrillation
Atrial FibrillationUnlock trial analytics
PHASE3COMPLETED
European Study of Dronedarone in Atrial Fibrillation
Atrial FibrillationUnlock trial analytics
PHASE3COMPLETED
American-Australian-African Trial With Dronedarone in Patients With Atrial Fibrillation or Atrial Flutter for the Maintenance of Sinus Rhythm
Atrial FibrillationUnlock trial analytics
PHASE3COMPLETED
EURopean Trial In Atrial Fibrillation(AF) or Flutter (AFL) Patients Receiving Dronedarone for the maIntenance of Sinus Rhythm (EURIDIS)
Atrial FibrillationUnlock trial analytics

Study Endpoints

Primary Endpoints

LA Fibrosis
baseline, 1 year

The change in left atrial fibrosis percentage, as measured on a scale, using MRI imaging, from baseline to the end of treatment.

Treatment Failure
minimum study duration is 6 months (+10 days); maximum is 15 months

The primary event is the treatment failure defined as the first recurrence of atrial fibrillation or premature study drug discontinuation for intolerance or lack of efficacy according to the investigator judgement. The primary efficacy analysis is performed on the time from first study drug intake to this primary event. The "Measured Values" table below presents the numbers of patients with the event at the end of the study period.

First Hospitalization for Cardiovascular Reason or Death From Any Cause
minimum follow-up duration: 1 year ; maximum: 2.5 years

The primary event is the first hospitalization for cardiovascular reason or death from any cause, whichever is earlier, as assessed by the investigator. The primary efficacy analysis is performed on the time from randomization to this primary event. The Measured Values table below presents the numbers of patients with the event at the end of the study period.

Change from baseline in mean ventricular rate at rest and during exercise
Day 14
The primary endpoint of the study is the time from randomisation to first documented AF/AFL recurrence
Change from baseline in mean ventricular rate measured by 24-hour Holter Electrocardiogram (ECG)
Day 14

Secondary Endpoints

Occurrence of the Main Safety Endpoint (MSE) Defined as Thyroid, Hepatic, Pulmonary, Neurological, Skin, Eye, or Gastrointestinal Specific Treatment Emergent Events or Premature Study Drug Discontinuation Following Any Adverse Event
minimum study duration is 6 months (+10 days); maximum is 15 months
Death From Any Cause
minimum follow-up duration: 1 year ; maximum: 2.5 years
First Hospitalization for Cardiovascular Reason
minimum follow-up duration: 1 year ; maximum: 2.5 years
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Study Design & Arms

AllocationRANDOMIZED
MaskingDOUBLE
ModelPARALLEL
PurposePREVENTION

Treatment Arms

ArmTypeDescription
PlaceboPLACEBO_COMPARATORHalf of the patients will be assigned placebo.
Multaq® (dronedarone)EXPERIMENTALHalf of the patients will be prescribed dronedarone.
Dronedarone 400mg bidEXPERIMENTALdronedarone 400mg tablets administered twice a day (bid) and matching over-encapsulated tablets of placebo of amiodarone 200mg
Amiodarone 600mg/200mg odACTIVE_COMPARATORover-encapsulated tablets of amiodarone 200mg (600mg daily for 28 days then 200mg daily) administered once daily (od) and matching placebo of dronedarone 400mg tablets
1EXPERIMENTAL -
2PLACEBO_COMPARATOR -
dronedarone 300 mgEXPERIMENTALDronedarone, 100mg + 200mg tablets twice daily, administered with food.
dronedarone 400 mgEXPERIMENTALDronedarone, 400mg tablets twice daily, administered with food.
dronedarone 600 mgEXPERIMENTALDronedarone, 400mg + 200mg tablets twice daily, administered with food.

Interventions

NameTypeDescription
dronedaroneDRUGDronedarone will be prescribed by the patient's team according to established guidelines.
PlaceboDRUGPlacebo will be administered by the patient's team according to established guidelines.
dronedarone (SR33589)DRUGoral administration
amiodaroneDRUGoral administration
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Eligibility Criteria

Age Range18 Years to N/A
SexALL
Healthy VolunteersNo

Inclusion Criteria: * Patients age 18 and older * Must carry a diagnosis of Paroxysmal Atrial Fibrillation for 1 months or longer prior to being enrolled. * AAD: Multaq® (dronedarone) candidate * Patients have given informed consent Exclusion Criteria: * Patients who are unavailable to continue f...

Countries:United StatesArgentinaAustraliaAustriaBelgiumCanadaChileChinaCzechiaEstoniaFinlandFranceGermanyItalyMexicoMoroccoNetherlandsPolandRussiaSouth KoreaSwedenTunisiaTurkey (Türkiye)GreeceHong KongHungaryIndiaIsraelMalaysiaNew ZealandNorwayPhilippinesPortugalSingaporeSouth AfricaSpainTaiwanThailandUnited KingdomSwitzerlandDenmarkJapan
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Competitive Landscape -Atrial Fibrillation 159 trials

Frequently asked questions about DRONEDARONE

What is dronedarone used for?

Dronedarone is an antiarrhythmic drug being studied for atrial fibrillation, a common heart rhythm disorder. It is designed to help control heart rhythm and ventricular rate in patients with this condition. It is a small molecule developed by Sanofi and is currently in Phase 3 clinical development.

What does dronedarone target?

Dronedarone targets multiple sodium channel subtypes: SCN1A, SCN5A, SCN4A, SCN7A, SCN2A, and SCN9A. It acts as a blocker of these channels, which are involved in cardiac electrical signaling. This mechanism is intended to stabilize heart rhythm in atrial fibrillation.

Who is developing dronedarone?

Dronedarone is being developed by Sanofi, a global pharmaceutical company. Sanofi trades on the New York Stock Exchange under the ticker SNY. The drug is part of Sanofi's cardiovascular pipeline.

What phase is dronedarone in?

Dronedarone is in Phase 3 clinical development. It is an investigational drug and has not been approved by the FDA for any indication. The Phase 3 program includes completed trials evaluating its efficacy and safety in atrial fibrillation.

What clinical trials is dronedarone in?

Dronedarone has been studied in several completed clinical trials, including NCT01213368, a Phase 2 dose-ranging study in Japanese patients; NCT01182376, a Phase 3 study using LGE-MRI; NCT00697086, a Phase 3 European study; and NCT00489736, a Phase 3 trial comparing dronedarone with amiodarone. All are completed.

Is dronedarone the same as SR33589?

Yes, dronedarone is also known by its developmental code SR33589. The names dronedarone and SR33589 refer to the same investigational drug. It is a small molecule being developed by Sanofi for atrial fibrillation.