Actively Recruiting
A Randomized, Placebo-controlled, Participant- and Investigator-blinded Study to Evaluate the Efficacy in Reducing Atrial Fibrillation Burden (AFB) as Well as the Safety, Tolerability, and Pharmacokinetics of Oral PKN605 in Participants With Atrial Fibrillation
Led by Novartis Pharmaceuticals · Updated on 2026-05-18
165
Participants Needed
38
Research Sites
N/A
Total Duration
On this page
AI-Summary
What this Trial Is About
Researchers are evaluating the effectiveness, safety, tolerability, and how the body processes PKN605 in adults with atrial fibrillation. This Phase 2 study compares PKN605 to a placebo to see if it can reduce the amount of time participants experience atrial fibrillation. The trial is randomized, placebo-controlled, and both participants and investigators are blinded to the assigned treatment. The study begins with a screening period lasting up to 90 days to confirm eligibility. After that, participants are randomly assigned to receive either PKN605, given orally at two different dose levels, or a matching oral placebo. The treatment phase lasts 24 weeks, with clinic visits roughly once a month. Atrial fibrillation burden is monitored throughout using various ECG devices. About one month after treatment ends, participants have a final safety follow-up visit. During the study, participants will undergo regular ECG monitoring to track atrial fibrillation episodes. Researchers will measure atrial fibrillation burden using ECG patch monitors over 24 weeks as the primary outcome. Secondary outcomes include the time to first atrial fibrillation recurrence, presence of recurrence, and drug concentration levels at specified times. The study includes safety and tolerability assessments, with total participation lasting approximately 7 months including screening and follow-up.
CONDITIONS
Brief Title
A Study to Investigate the Efficacy, Safety, Tolerability and Pharmacokinetics of PKN605 in Participants With Atrial Fibrillation
Who Can Participate
Eligibility Criteria
You may qualify if you...
- Signed informed consent must be obtained prior to participation in the study
- Male and female participants 18 years of age or older
- History of at least 2 episodes of atrial fibrillation or atrial flutter, with at least one episode being atrial fibrillation
- At least one atrial fibrillation episode within the last 12 months, confirmed by ECG or similar heart rhythm recording
- One or more of the following: atrial fibrillation burden of 1% or higher on heart rhythm monitoring within the last 12 months, CHA2DS2-VASc score of 2 or higher in males or 3 or higher in females, stable heart failure with mild symptoms, or NT-proBNP level of 300 pg/mL or higher within the last 12 months
- On guideline-directed stroke prevention treatment, as confirmed by the Investigator
- Body mass index (BMI) of 18 kg/m2 or higher
- Sinus rhythm at baseline documented by 12-lead ECG; participants with persistent atrial fibrillation should be cardioverted at least 12 hours before randomization
You will not qualify if you...
- Permanent atrial fibrillation
- Ongoing reversible causes of atrial fibrillation such as hyperthyroidism, myocarditis, acute alcohol or infection related atrial fibrillation, surgery-related atrial fibrillation, or pulmonary embolism
- Current use of Vaughan Williams class I or III antiarrhythmic therapy unless stopped at least 7 days before screening; amiodarone must be stopped at least 6 weeks before screening
- History of atrial fibrillation ablation without recurrence for 2 or more months
- Having an implanted pacemaker, defibrillator, or cardiac monitor
- Infiltrative or hypertrophic cardiomyopathy
- Left ventricular ejection fraction of 40% or less within the last 12 months
- Decompensated heart failure or hospitalization for heart failure within 3 months prior to screening
AI-Screening
AI-Powered Screening
Complete this quick 3-step screening to check your eligibility
Your Study Journey
Duration - Up to 90 days
Participants are screened for eligibility to participate in the trial.
1 screening and enrollment visit
Duration - 24 weeks
Participants receive oral PKN605 or placebo for atrial fibrillation and have monthly clinic visits for monitoring.
Monthly visits for approximately 6 visits
Duration - Approximately 4 weeks
Participants have a final safety follow-up visit approximately one month after the treatment phase ends.
1 visit (in-person)
Trial Site Locations
Total: 38 locations
1
Cardiology Associates of North MS
Tupelo, Mississippi, United States, 38801
Actively Recruiting
2
Weill Cornell Medical Center
New York, New York, United States, 10021
Actively Recruiting
3
Duke Univ Medical Center
Durham, North Carolina, United States, 27710
Actively Recruiting
4
Intermountain Medical Center
Murray, Utah, United States, 84107
Actively Recruiting
5
Swedish Heart and Vascular Clinic
Seattle, Washington, United States, 98122
Actively Recruiting
6
Novartis Investigative Site
Calgary, Alberta, Canada, T2P 3C5
Actively Recruiting
7
Novartis Investigative Site
Vancouver, British Columbia, Canada, V5Z 1M9
Actively Recruiting
8
Novartis Investigative Site
Hamilton, Ontario, Canada, L8L 2X2
Actively Recruiting
9
Novartis Investigative Site
London, Ontario, Canada, N6A 5W9
Actively Recruiting
10
Novartis Investigative Site
Newmarket, Ontario, Canada, L3Y 2P6
Actively Recruiting
11
Novartis Investigative Site
Toronto, Ontario, Canada, M4N 3M5
Actively Recruiting
12
Novartis Investigative Site
Toronto, Ontario, Canada, M5B 1W8
Actively Recruiting
13
Novartis Investigative Site
Montreal, Quebec, Canada, H1T 1C8
Actively Recruiting
14
Novartis Investigative Site
Montreal, Quebec, Canada, H2X 1R9
Actively Recruiting
15
Novartis Investigative Site
Montreal, Quebec, Canada, H4A 3J1
Actively Recruiting
16
Novartis Investigative Site
Québec, Quebec, Canada, G1V 4G5
Actively Recruiting
17
Novartis Investigative Site
Sherbrooke, Quebec, Canada, J1H 5N4
Actively Recruiting
18
Novartis Investigative Site
Beijing, Beijing Municipality, China, 100013
Actively Recruiting
19
Novartis Investigative Site
Beijing, China, 100730
Actively Recruiting
20
Novartis Investigative Site
Xi'an, China, 223001
Actively Recruiting
21
Novartis Investigative Site
Bad Homburg, Germany, 61348
Actively Recruiting
22
Novartis Investigative Site
Berlin, Germany, 10787
Actively Recruiting
23
Novartis Investigative Site
Berlin, Germany, 13353
Actively Recruiting
24
Novartis Investigative Site
Hamburg, Germany, 20099
Actively Recruiting
25
Novartis Investigative Site
Hamburg, Germany, 20246
Actively Recruiting
26
Novartis Investigative Site
Arnhem, Gelderland, Netherlands, 6815 AD
Actively Recruiting
27
Novartis Investigative Site
Maastricht, Limburg, Netherlands, 6229 HX
Actively Recruiting
28
Novartis Investigative Site
Delft, South Holland, Netherlands, 2625 AD
Actively Recruiting
29
Novartis Investigative Site
Goes, Zeeland, Netherlands, 4462 RA
Actively Recruiting
30
Novartis Investigative Site
Groningen, Netherlands, 9713 GZ
Actively Recruiting
31
Novartis Investigative Site
Veldhoven, Netherlands, 5504 DB
Actively Recruiting
32
Novartis Investigative Site
Singapore, Singapore, Singapore, S308433
Actively Recruiting
33
Novartis Investigative Site
Singapore, Singapore, 119074
Actively Recruiting
34
Novartis Investigative Site
Singapore, Singapore, 169609
Actively Recruiting
35
Novartis Investigative Site
Brighton, East Sussex, United Kingdom, BN2 5BE
Actively Recruiting
36
Novartis Investigative Site
Newcastle upon Tyne, Tyne and Wear, United Kingdom, NE7 7DN
Actively Recruiting
37
Novartis Investigative Site
Liverpool, United Kingdom, L14 3PE
Withdrawn
38
Novartis Investigative Site
London, United Kingdom, W12 0HS
Actively Recruiting
Research Team
N
Novartis Pharmaceuticals
N
Novartis Pharmaceuticals
How is the study designed?
Study Type
INTERVENTIONAL
Masking
DOUBLE
Allocation
RANDOMIZED
Model
PARALLEL
Primary Purpose
TREATMENT
Number of Arms
3
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