Phase 4Recruiting
Flecainide Safety in Patients With Coronary Artery Disease and Atrial Fibrillation (ReCAST AF)
Randomized Evaluation of fleCAinide Safety Versus STandard of Care in Patients With Coronary Artery Disease and Atrial Fibrillation
- Sponsor
- Universitaire Ziekenhuizen KU Leuven (Academic or other)
- Enrolment
- 988 planned
- Conditions
- Atrial Fibrillation (AF); Coronary Artery Disease
- Interventions
- flecainide; Sotalol or Amiodarone
- Ages
- adults, older adults
- Registry
- NCT07405671, CTIS2025-525121-13-00
Full record on ClinicalTrials.gov
From the registry
The goal of this clinical trial is to learn whether the antiarrhythmic drug flecainide can be used as safely as standard rhythm-control drugs in people with atrial fibrillation (AF) and stable coronary artery disease (CAD). The study includes adults aged 18 years and older who have AF and known but stable coronary artery disease. The main questions this study aims to answer are: * Is treatment with flecainide as safe as standard rhythm-control drugs (sotalol or amiodarone) in this patient group? * Does flecainide lead to similar or fewer serious side effects, hospitalisations, or deaths compared with standard treatment? Researchers will compare patients treated with flecainide to patients treated with standard rhythm-control therapy (sotalol or amiodarone) to see whether flecainide is not worse in terms of safety outcomes. Participants will: * Be randomly assigned to receive either flecainide or standard rhythm-control medication * Take the assigned medication as part of routine clinical care * Attend regular follow-up visits at the hospital and have additional follow-up by…
Primary outcomes
- Composite safety outcome
History
Primary completion expected
Last registry update
Started
Registered