cardiovascular
death and hospitalisation for cardiovascular reasons. Furthermore from the
study secondary endpoints, Multaq(R), showed a significant decrease in the
risk of cardiovascular death by 30% (p=0.03) on top of standard therapy,
including rate control and antithrombotic drugs, in patients with atrial
fibrillation or atrial flutter. Multaq(R) also significantly decreased the
risk of arrhythmic death by 45% (p=0.01) and there were numerically fewer
deaths (16%) from any cause in the dronedarone group compared to placebo
(p=0.17). First cardiovascular hospitalisation was reduced by 25%
(p=0.000000009) in the dronedarone group. The pre-specified safety endpoint
was the incidence of treatment emergent adverse events (time of observation
for treatment emergent adverse events) including: all adverse events,
serious adverse events, adverse events leading to study drug
discontinuation.
The atrial fibrillation or atrial flutter patients studied were either
75 years of age or over (with or without cardiovascular risk factor) or
were below 75 years of age with at least one additional cardiovascular risk
factor (hypertension, diabetes, previous cerebrovascular event, left atrium
size greater than 50 mm or left ventricular ejection fraction lower than 40
percent). Patients suffering from decompensated heart failure were excluded
from the study. Patients were randomised to receive Multaq(R) 400 mg BID or
placebo, with a maximum follow-up of 30 months.
The countries which enrolled patients included: Argentina, Australia,
Austria, Belgium, Canada, Chile, China, Czech Republic, Finland, Germany,
Greece, Hong Kong, Hungary, India, Israel, Italy, Malaysia, Mexico,
Morocco, New Zealand, Norway, Philippines, Poland, Portugal, Russia, South
Africa, Singapore, South Korea, Spain, Sweden, Taiwan, Thailand, The
Netherlands, Tunisia, Turkey, the UK, the US.
About Multaq(R) (dronedarone)
Dronedarone (brand name Multaq(R)) is an investigational new treatment
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