Ibutilide Fumarate

Atrial Fibrillation

Treatment

3 FDA approvals

20 Active Studies for Ibutilide Fumarate

What is Ibutilide Fumarate

Ibutilide

The Generic name of this drug

Treatment Summary

Ibutilide is an intravenous medication used to treat abnormal heart rhythms, such as atrial flutter and atrial fibrillation. It works by restoring the normal rhythm of the heart, known as normal sinus rhythm (NSR).

Corvert

is the brand name

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Ibutilide Fumarate Overview & Background

Brand Name

Generic Name

First FDA Approval

How many FDA approvals?

Corvert

Ibutilide

1995

4

Approved as Treatment by the FDA

Ibutilide, also known as Corvert, is approved by the FDA for 3 uses which include Atrial Fibrillation and Atrial Fibrillation .

Atrial Fibrillation

Helps manage Atrial Fibrillation

Atrial Fibrillation

Helps manage Atrial Fibrillation

Atrial Flutter

Helps manage Atrial Flutter

Effectiveness

How Ibutilide Fumarate Affects Patients

Ibutilide affects the electrical activity of the heart, lengthening the time it takes for it to beat and making it harder for abnormal heart rhythms to start. It does this by activating a slow inward current (mostly sodium) at very low amounts, instead of blocking outward potassium currents which is the way most other heart rhythm drugs work.

How Ibutilide Fumarate works in the body

Ibutilide is an intravenous drug that helps treat heart rhythm problems. It works by changing the activity of certain types of potassium and calcium channels in your cells. Specifically, Ibutilide binds to and alters hERG, delayed inward rectifier potassium, and L-type calcium channels.

When to interrupt dosage

The amount of Ibutilide Fumarate is contingent upon the diagnosed condition. The dosage varies, as per the technique of delivery (e.g. Solution or Solution - Intravenous) noted in the table below.

Condition

Dosage

Administration

Atrial Fibrillation

, 0.1 mg/mL

, Intravenous, Injection, solution, Injection, solution - Intravenous, Solution, Solution - Intravenous

Warnings

There are 20 known major drug interactions with Ibutilide Fumarate.

Common Ibutilide Fumarate Drug Interactions

Drug Name

Risk Level

Description

Arsenic trioxide

Major

The risk or severity of QTc prolongation can be increased when Ibutilide is combined with Arsenic trioxide.

Artemether

Major

The risk or severity of QTc prolongation can be increased when Ibutilide is combined with Artemether.

Asenapine

Major

The risk or severity of QTc prolongation can be increased when Ibutilide is combined with Asenapine.

Astemizole

Major

The risk or severity of QTc prolongation can be increased when Ibutilide is combined with Astemizole.

Cisapride

Major

The risk or severity of QTc prolongation can be increased when Ibutilide is combined with Cisapride.

Ibutilide Fumarate Toxicity & Overdose Risk

Animals who overdose on this drug may experience depression of the central nervous system, rapid breathing, and seizures. The lethal dose for rats is higher than 50mg/kg, which is at least 250 times the maximum recommended human dosage.

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Ibutilide Fumarate Novel Uses: Which Conditions Have a Clinical Trial Featuring Ibutilide Fumarate?

159 active studies are assessing the potential of Ibutilide Fumarate to ameliorate Atrial Fibrillation.

Condition

Clinical Trials

Trial Phases

Atrial Fibrillation

103 Actively Recruiting

Not Applicable, Phase 4, Phase 1, Phase 3, Phase 2, Early Phase 1

Patient Q&A Section about ibutilide fumarate

These questions and answers are submitted by anonymous patients, and have not been verified by our internal team.

What is ibutilide used for?

"Ibutilide is a medication used to treat atrial flutter and atrial fibrillation by converting them to normal sinus rhythm. It can also be used as a pretreatment for electro cardioversion, though this is not an officially approved use."

Answered by AI

What class of drug is ibutilide?

"Ibutilide is an antiarrhythmic drug that is only available for intravenous use. It is used to terminate atrial arrhythmias."

Answered by AI

What does ibutilide do to the heart?

"Ibutilide belongs to a class of antiarrhythmic drugs called class III agents. Ibutilide enhances the slow inward sodium current, while other class III agents work by blocking cardiac potassium channels. Ibutilide can be used as a one-time intravenous infusion to cardiovert atrial fibrillation or atrial flutter to sinus rhythm chemically."

Answered by AI

How is ibutilide administered?

"The recommended dose of ibutilide for intravenous administration in patients weighing ≥60 kg is 1 mg over a 10-minute period. If the arrhythmia has not terminated, a second 10-minute infusion of equal strength can be given 10 minutes after the end of the initial infusion."

Answered by AI

Clinical Trials for Ibutilide Fumarate

Image of Allegheny General Hospital in Pittsburgh, United States.

Bachmann's Bundle vs Right Atrial Appendage Pacing for Atrial Fibrillation

18+
All Sexes
Pittsburgh, PA

Participants will be randomly assigned to one of two clinical treatment Arms, both of which are standard care procedures performed in the right atrium (RA): Arm A: Pacing from the Bachmann's Bundle (BB) in the right atrium (upper right chamber of the heart) Arm B: Pacing from the right atrial appendage (RAA - a sac attached to the right atrium) Neither of these treatments are experimental; both are routinely performed by Electrophysiologists in the clinical setting. The purpose of this study is to compare side by side these two treatments and evaluate if one is better than the other. After the procedure, participants will be followed for one year. Medical record data will be collected, and a blood sample will be collected upon enrollment and at one year after implantation. Research-related surveys will be completed at the standard-care 3-, 6-, and 12-month visits.

Recruiting
Has No Placebo

Allegheny General Hospital

Joshua Silverstein, MD

Medtronic

Image of Cleveland Clinical Foundation in Cleveland, United States.

4D ICE Imaging for Atrial Fibrillation

18+
All Sexes
Cleveland, OH

The purpose of this study is to evaluate the imaging performance and procedural safety of a prototype 4D ICE catheter during real-time intracardiac imaging and to optimize device imaging parameters, compared with current standard imaging modalities. TEE is the current standard of care and will serve as the primary imaging modality for clinical guidance during the EP and Structural Heart Disease (SHD) procedures. In this research protocol, TEE is not being investigated. ICE will be used as an adjunct imaging modality for research data collection and workflow evaluation only. All procedures will be performed using commercially available, FDA-approved Watchman devices, and no investigational implantable devices will be used. The use of ICE in this study does not modify the approved therapeutic device indication, implantation technique, or standard clinical decision-making.

Recruiting
Has No Placebo

Cleveland Clinical Foundation

Walid Saliba, MD

Siemens Corporation, Corporate Technology

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CT Scan for Atrial Fibrillation

18+
All Sexes
Manhasset, NY

This study aims to investigate whether a quick, additional CT scan of the heart, performed immediately after a standard CT scan for pulmonary embolism, can effectively detect blood clots in the left atrial appendage (LAA) in patients with atrial fibrillation. Detecting these clots is crucial before certain heart procedures to prevent stroke. Currently, a different, more involved procedure (Transesophageal Echocardiography - TEE) is often used. This study will assess if this additional CT scan is feasible, meaning if it can provide clear enough images to identify LAA clots without needing more contrast dye. The study will involve 60 patients, half receiving an "ungated" CT scan and the other half a "gated" CT scan (timed with their heart rhythm). The results of these scans will not be used for immediate patient care during the study, but rather to evaluate the CT scan technique itself. There is no direct benefit to participants, but the information gained could lead to faster diagnosis and reduced unnecessary testing for future patients.

Waitlist Available
Has No Placebo

North Shore University Hospital

Canon Medical Systems, USA

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REGN7508 + Apixaban for Atrial Fibrillation

18+
All Sexes
Dothan, AL

This study is researching an experimental drug called REGN7508 (called "study drug") and how it compares against another treatment called apixaban. The study is focused on people who have atrial fibrillation, which means that the heart beats too fast and unevenly. The aim of the study is to see how safe and effective REGN7508 is in preventing stroke and/or systemic embolism in participants with atrial fibrillation and how it compares against participants that will receive apixaban in this study. The study is looking at several other research questions, including: * What side effects may happen from taking the study drug * Whether the body makes antibodies against the study drug (which could make the study drug less effective or could lead to side effects)

Phase 3
Recruiting

SEC Clinical Research (+60 Sites)

Clinical Trial Management

Regeneron Pharmaceuticals

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BAY 3670549 for Atrial Fibrillation

18 - 85
All Sexes
Aurora, CO

The main goal of this study is to find out how well BAY 3670549 works, how safe it is, how well people can tolerate it, and how the body handles the medicine. The study will compare BAY 3670549 to a placebo (a dummy treatment with no active medicine) in people with AF who need a treatment called electrical cardioversion. Electrical cardioversion is a procedure that helps the heart return to a normal rhythm. In this study, each participant will get a single intravenous (IV) infusion of either BAY 3670549 or a placebo. Participants will then be observed to see whether the heart rhythm returns to a normal rhythm. If it does not, electrical cardioversion can still be performed as planned. The study will look at how many participants return from AF to a normal rhythm, without needing electrical cardioversion and how long it takes. It will also show how many participants experience medical problems after treatment and how BAY 3670549 move into, through and out of the participants' body. The total duration of the study for an individual participant may be up two months. The findings from this study may contribute to the development of a new treatment option for people with AF.

Phase 2
Recruiting

UCHealth University of Colorado Hospital - Cardiology (+5 Sites)

Bayer

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VARIPULSE Catheter for Atrial Fibrillation

18 - 80
All Sexes
Jonesboro, AR

The purpose of this study is to assess how safe VARIPULSE catheter system is for treatment of a heart rhythm disease called persistent atrial fibrillation (PsAF) in participants who are having a catheter ablation procedure (treat heart rhythm disease). This includes isolation of pulmonary vein and superior vena cava (heart veins; pulmonary vein isolation \[PVI\] and superior vena cava isolation \[SVCI\]), with or without another technique called posterior wall isolation (PWI). Also, to assess how safe it is for participants who are having a catheter ablation procedure and at the same time receiving another procedure called left atrial appendage occlusion (LAAO; to reduce stroke risk). Additionally, to assess how well VARIPULSE catheter system works over a long period of time for treatment of PsAF in participants undergoing catheter ablation for PVI, SVCI and SVCI+PWI.

Recruiting
Has No Placebo

Arrhythmia Research Group (+23 Sites)

Biosense Webster, Inc. Clinical Trial

Biosense Webster, Inc.

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Single-lead ECG Screening for Atrial Fibrillation

18 - 90
All Sexes
Boston, MA

The goal of this prospective, non-randomized pilot study is to learn whether predictions from a previously validated 12-lead ECG-based artificial intelligence (AI) algorithm (ECG-AI) identify people more likely to have undiagnosed atrial fibrillation (AF). The main questions it aims to answer are: Do people predicted to have high risk of AF using ECG-AI have a higher rate of new AF diagnosis using 1L ECG screening compared with people predicted to have a low risk? Do AI-based AF risk estimates from the 12-lead ECG correlate with AF risk estimates from the 1L ECG? Do people find 1L ECG screening for AF acceptable and useful? Participants will: Undergo screening with 1L ECG mailed to their home Complete a survey assessing attitudes toward 1L ECG screening Complete a 14-day patch monitor on 1 or 2 occasions depending on 1L ECG results

Waitlist Available
Has No Placebo

Mass General Brigham

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