HOMEPRODUCTSCOMPANYCONTACTFAQResearchDictionaryPharmaSign Up FREE or Login

[Comparative study of cibenzoline and flecainide by oral route for preventing recurrence of paroxysmal atrial tachyarrhythmias].

Abstract
Although paroxysmal atrial arrhythmias are the commonest form of arrhythmia, their therapeutic management still remains controversial. Seventy one patients were included in a multicentre, randomized double-blind, double-placebo study, in parallel groups (37 in group C and 34 in group F) to compare the efficacy of cibenzoline (C) and flecainide (F), administered orally, in the prevention of recurrent atrial arrhythmia. The arrhythmia usually consisted of atrial fibrillation (n = 65), while 6 patients presented with paroxysmal atrial flutter. The mean daily dosages were 221 +/- 60 mg (C) and 165 +/- 49 mg (F). The mean age was 63 +/- 12 years in group C and 63 +/- 16 years in group F. In this trial, atrial arrhythmia was idiopathic in almost two-thirds of cases. The duration of follow-up of this study was 6 months, during which recurrences of arrhythmia were evaluated in terms of the symptoms experienced and in terms of ECG and Holter examinations repeated at the 3rd and 6th months. Supplementary ECG and Holter examinations were also performed in the presence of a clinical suspicion of recurrent symptoms. Comparison of the percentages of patients not developing a documented recurrence and who tolerated treatment, by Kaplan-Meler curves, showed a significant difference between cibenzoline (58%) and flecainide (56%). In the not-responders, the mean time to recurrence was 75 +/- 48 days in group C and 75 +/- 62 days in group F(NS). Six patients dropped out of the trial because of adverse events, including 3 cardiac adverse events (2 case of ventricular proarrhythmic activity). Four extracardiac adverse events led to discontinuation of treatment in group C. In conclusion, the efficacy of cibenzoline and flecainlde in the secondary prevention of atrial arrhythmia was found to be comparable, with 58% and 58% of patients in sinus rhythm, respectively, with a follow-up of 6 months.
AuthorsP Maison-Blanche, B Brembilla-Perrot, J P Fauchier, D Babuty, L F Garnier, P Rouesnel, J C Breuillac, F Funck, F Scheck, P Peraudeau, J L Medvedowsky
JournalAnnales de cardiologie et d'angeiologie (Ann Cardiol Angeiol (Paris)) Vol. 46 Issue 2 Pg. 109-16 (Feb 1997) ISSN: 0003-3928 [Print] France
Vernacular TitleEtude comparative de la cibenzoline et du flécaïnide administrés par voie orale dans la prévention de récidive des tachyarythmies auriculaires paroxystiques.
PMID9137677 (Publication Type: Clinical Trial, Clinical Trial, Phase II, Comparative Study, English Abstract, Journal Article, Multicenter Study, Randomized Controlled Trial)
Chemical References
  • Anti-Arrhythmia Agents
  • Imidazoles
  • Flecainide
  • cifenline
Topics
  • Anti-Arrhythmia Agents (adverse effects, therapeutic use)
  • Atrial Fibrillation (prevention & control)
  • Atrial Flutter (prevention & control)
  • Double-Blind Method
  • Flecainide (adverse effects, therapeutic use)
  • Humans
  • Imidazoles (adverse effects, therapeutic use)
  • Male
  • Middle Aged
  • Recurrence

Join CureHunter, for free Research Interface BASIC access!

Take advantage of free CureHunter research engine access to explore the best drug and treatment options for any disease. Find out why thousands of doctors, pharma researchers and patient activists around the world use CureHunter every day.
Realize the full power of the drug-disease research graph!


Choose Username:
Email:
Password:
Verify Password:
Enter Code Shown: