Ondansetron for the Management of Atrial Fibrillation

Phase

Condition

Dysrhythmia

Chest Pain

Cardiac Disease

Treatment

Ondansetron 8mg

Placebo

Clinical Study ID

NCT05844501

16581

22TPA964193

Ages 18-100
All Genders

Study Summary

"Afib" is a common irregular heartbeat. Afib can cause stroke, blood clots, dementia and death. Medicines used to treat Afib often do not work well and can cause serious side effects. Clinicians need medicines that work better for Afib. Medicines for Afib work by blocking a current in the heart called a potassium current. There is a newer potassium current called IKas that can contribute to Afib. A medicine called ondansetron is used to keep people with cancer from getting sick to their stomach and throwing up. The investigators have found that ondansetron blocks IKas, and the investigators think that this means that ondansetron may work well to treat Afib. So, in this study the investigators want to find out if ondansetron can: 1) Reduce the amount of time that people have Afib, and 2) Slow down the heart rate when people have Afib. The investigators will study 80 people who are scheduled to have an AF ablation. Several weeks prior to undergoing the ablation procedure, these AF patients will be assigned by chance (like flipping a coin) to one of two groups: ondansetron 8 mg by mouth twice daily or a sugar pill (placebo), which they will take for 28 days. The people in the study will not know whether they are receiving ondansetron or placebo. The investigators will find out if ondansetron reduces the percentage of time that people are in Afib. Also, the investigators will find out if ondansetron slows the heart rate while people are having Afib. The investigators will compare the people in the study who take ondansetron with the people in the study who take placebo. This research will help the investigators to find out if ondansetron can be used as a medicine for people who have Afib.

Eligibility Criteria

Inclusion

Inclusion Criteria:

Men and women 18-100 years of age
ECG-verified AF and/or atrial flutter requiring elective catheter ablation
Receiving guideline-recommended anticoagulation (if CHA2DS2-VASc score is 0 (men) or 1 (women), anticoagulation can be omitted)

Exclusion

Exclusion Criteria:

Women of childbearing potential
Subject reported syncope of unknown origin within the previous 6 months
Diagnosis of active thyrotoxicosis
Diagnosis AF from reversible noncardiac causes
Diagnosis of acutely decompensated heart failure
Left ventricular ejection fraction less than or equal to 20%
New York Heart Association class IV heart failure
Diagnosis of severe liver disease (Child-Pugh score greater than or equal to

Cardiac surgery (preceding 2 months)
Not receiving anticoagulation due to contraindications (as determined by treatingphysician and recorded in the medical record)
Pretreatment QRS > 180 ms, QTc > 450 ms within two weeks of screening visit
Heart rate < 50 beats per minute in SR
Diagnosis of hypotension
Diagnosis of Wolff-Parkinson-White syndrome
Previous ondansetron hypersensitivity or serotonin syndrome
Diagnosis of phenylketonuria
Diagnosis of congenital long QT syndrome
Concomitant therapy with both beta-blockers and a nondihydropyridine CCB
History of drug-induced torsades de pointes or QTc prolongation
Concomitant therapy with QTc-prolonging medications (www.crediblemeds.org), exceptamiodarone and propafenone
Concomitant therapy with serotonergic drugs (selective serotonin reuptakeinhibitors, serotonin and norepinephrine reuptake inhibitors, monoamine oxidaseinhibitors, mirtazapine, lithium, tramadol), apomorphine, phenytoin, carbamazepine,oxcarbazepine, rifampin.
Left ventricular ejection fraction < 20% and those with NYHA class IV heart failurewith reduced ejection fraction (confirmed by diagnosis or echocardiogram within 6months of enrollment in screening)
Patients with pre-existing allergies to adhesives
Patients with neuromuscular stimulators

Study Design

Ondansetron 8mg

April 22, 2025

December 31, 2027

Study Description

Atrial fibrillation (AF) is a common arrhythmia associated with symptoms, stroke, systemic embolism, heart failure, dementia, and mortality. Guideline-recommended strategies for conversion to and maintenance of sinus rhythm (SR) and ventricular rate (VR) control are of limited efficacy and/or are poorly tolerated. There is a critical need for safer, more effective alternatives for AF drug therapy. The apamin-sensitive small-conductance calcium-activated potassium (SK) ion current (IKas) is important for repolarization in the atria and pulmonary vein muscle sleeves. IKas also contributes to sinoatrial and AV node electrophysiology. Therefore, IKas may be a target for rhythm and rate control in AF. Evidence suggests: 1) IKas plays an important role in the mechanism of AF, 2) The antiemetic agent ondansetron at therapeutic concentrations is a potent IKas inhibitor, and 3) Ondansetron is a cardiac-selective IKas inhibitor. Thus, the investigators hypothesize that ondansetron is effective for rhythm and rate control in patients with AF. Specific Aim 1: Determine the efficacy and safety of ondansetron for reducing AF burden. This aim will be achieved via a prospective, randomized, double-blind placebo-controlled study in patients with AF (n=80). Patients with AF scheduled to undergo an elective catheter AF ablation (pulmonary vein isolation) will be randomized in double-blind fashion to receive ondansetron 8 mg twice daily (n=40) or matching placebo (n=40) for 28 days. The study drug/placebo will be initiated several weeks prior to the ablation procedure, and the 28 days of treatment will be complete at least 3 days prior to the ablation. Continuous ECG recording will be performed using 2 consecutive adhesive skin patch ECG monitors, which provide 14-days of continuous recording. The primary outcome measure will be AF burden (percentage of time in AF). Specific Aim 2: Determine the efficacy and safety of ondansetron for VR control in AF. The effect of ondansetron versus placebo on VR control will be assessed. Primary outcome measures will be mean daily heart rates in AF on days 7, 14, 21 and 28 days following initiation of ondansetron/placebo.

Connect with a study center

Indiana Clinical Research Center
Indianapolis, Indiana 46202
United States
Active - Recruiting
Indiana University Health Methodist Hospital
Indianapolis, Indiana 46202
United States
Site Not Available
Purdue University
Indianapolis, Indiana 46202
United States
Active - Recruiting

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