Drugs / flecainide
last change 3 days ago re-read 2 minutes ago

flecainide

Small molecule targets SCN5A via inhibition

Developed for
atrial fibrillation · cardiac rhythm disease · paroxysmal atrial fibrillation · atrial flutter · coronary artery disorder · Andersen-Tawil syndrome · cardiogenetic disease · catecholaminergic polymorphic ventricular tachycardia
+8 more · mitral valve prolapse · narcolepsy · Parkinson disease · sudden arrhythmia death syndrome · arrhythmogenic right ventricular cardiomyopathy · hydrops fetalis · persistent atrial fibrillation · ventricular tachycardia
Investigated by
Medtronic · National Heart, Lung, and Blood Institute (NHLBI) · Theranexus · Biosense Webster, Inc. · MEDA Pharma GmbH & Co. KG · 3M
+38 more · Abbott Medical Devices · Academic Medical Center - University of Amsterdam · Asan Medical Center · Assistance Publique - Hôpitaux de Paris · Atrial Fibrillation Network · Baylis Medical Company · Duke Clinical Research Institute · Eastern Cooperative Oncology Group · Fonds de Dotation ACTION · German Federal Ministry of Education and Research · German Research Foundation · IRCCS San Raffaele · InCarda Therapeutics, Inc. · Inje University Ilsan Paik Hospital · Institut de recherche biomédicale des armées (IRBA), Bretigny sur Orge, France · Jason Andrade · Keimyung University Dongsan Medical Center · Korea University Anam Hospital · Korea University Guro Hospital · Mayo Clinic · Meda Pharmaceuticals · National Cancer Institute (NCI) · Oslo University Hospital · Ottawa Heart Institute Research Corporation · Population Health Research Institute · Research Foundation Flanders · Samsung Medical Center · Sinchon Severance Hospital, Yonsei University College of Medicine · The Catholic University of Korea · The Research Council of Norway · Universitaire Ziekenhuizen KU Leuven · University of Illinois at Chicago · University of Oslo · University of Pennsylvania · University of Rostock · Valley Health System · Vanderbilt University Medical Center · Wonju Severance Christian Hospital

Regulatory milestones approvals, filings & regulatory actions · 1 recorded

MilestoneJurisdictionBrandIndicationDateSentence it was read from
Approved US (FDA) TAMBOCOR 1985-10-31 fda.gov

Trials 25 · a red edge is where a trial was stopped

PhaseRegistry idDatesIndicationSponsorStatusOutcome
Phase 11 trial
Phase 1 NCT03182413 Sep → Dec 2015 Theranexus Completed No outcome recorded
Phase 26 trials
Phase 2 NCT06205550 Mar → Oct 2025 overdue Andersen-Tawil syndrome, cardiogenetic disease Academic Medical Center - University of Amsterdam Not yet recruiting No outcome recorded
Phase 2 NCT03624920 Jul 2018 → Dec 2019 Parkinson disease Theranexus Completed No outcome recorded
Phase 2 NCT03539302 May 2018 → Jan 2022 paroxysmal atrial fibrillation InCarda Therapeutics, Inc. Completed No outcome recorded
Phase 2 NCT02821715 Sep 2016 → Dec 2018 narcolepsy Theranexus Completed No outcome recorded
Phase 2 NCT00002996 May 1998 → Apr 2006 Eastern Cooperative Oncology Group Completed No outcome recorded
Phase 2 NCT00000504 Sep 1982 → Sep 1985 cardiac rhythm disease National Heart, Lung, and Blood Institute (NHLBI) Completed No outcome recorded
Phase 34 trials
Phase 3 NCT05631730 Jan 2023 → Jun 2026 overdue cardiac rhythm disease, mitral valve prolapse Oslo University Hospital Recruiting No outcome recorded
Phase 3 NCT05213104 Mar 2022 → Feb 2024 overdue cardiac rhythm disease, patent foramen ovale, stroke disorder Assistance Publique - Hôpitaux de Paris Active not recruiting No outcome recorded
Phase 3 NCT00000556 Mar 1995 → Sep 2002 atrial fibrillation National Heart, Lung, and Blood Institute (NHLBI) Completed No outcome recorded
Phase 3 NCT00000526 Aug 1986 → Mar 1998 cardiac arrest, coronary artery disorder, myocardial infarction, myocardial ischemia +1 National Heart, Lung, and Blood Institute (NHLBI) Completed No outcome recorded
Phase 47 trials
Phase 4 NCT07405671 Sep 2026 → Dec 2029 expected atrial fibrillation, coronary artery disorder Universitaire Ziekenhuizen KU Leuven Not yet recruiting No outcome recorded
Phase 4 NCT06142604 Jul 2024 → Jun 2025 atrial fibrillation Population Health Research Institute Withdrawn No outcome recorded
Phase 4 NCT02347111 Dec 2020 → Jun 2026 overdue atrial fibrillation University of Illinois at Chicago Recruiting No outcome recorded
Phase 4 NCT01505296 Dec 2011 → Jan 2014 atrial fibrillation Valley Health System Withdrawn No outcome recorded
Phase 4 NCT00340314 Jan 2005 → May 2006 atrial fibrillation IRCCS San Raffaele Completed No outcome recorded
Phase 4 NCT00189319 Sep 2003 → ? paroxysmal atrial fibrillation MEDA Pharma GmbH & Co. KG Completed No outcome recorded
Phase 4 NCT00408473 atrial fibrillation MEDA Pharma GmbH & Co. KG Terminated No outcome recorded
Phase not applicable7 trials
NCT07447297 Jan 2024 → Dec 2027 expected atrial fibrillation, atrial flutter Samsung Medical Center Recruiting No outcome recorded
NCT02825979 Jan 2017 → Sep 2022 atrial fibrillation Jason Andrade Unknown No outcome recorded
NCT01117454 Dec 2011 → Dec 2015 catecholaminergic polymorphic ventricular tachycardia Vanderbilt University Medical Center Completed No outcome recorded
NCT02051621 Aug 2010 → Aug 2015 atrial fibrillation, atrial flutter University of Rostock Unknown No outcome recorded
NCT00408200 Nov 2006 → Apr 2008 paroxysmal atrial fibrillation University of Pennsylvania Completed No outcome recorded
NCT00578617 Sep 2006 → Feb 2009 atrial fibrillation Mayo Clinic Completed No outcome recorded
NCT00215774 Mar 2005 → Oct 2009 atrial fibrillation Atrial Fibrillation Network Completed No outcome recorded
Also used as a comparator or background therapy in 35 trials
PhaseRegistry idDatesIndicationSponsorStatusOutcome
Phase 23 trials
Phase 2 NCT03685149 Comparator Jul 2019 → Jul 2022 arrhythmogenic right ventricular cardiomyopathy University of Rochester Completed No outcome recorded
Phase 2 NCT01833455 Comparator Feb 2013 → Jun 2016 cardiac rhythm disease, hypertensive disorder University of Wisconsin, Madison Terminated No outcome recorded
Phase 2 NCT01709682 Comparator Nov 2007 → Jan 2012 paroxysmal atrial fibrillation Meshalkin Research Institute of Pathology of Circulation Completed No outcome recorded
Phase 2/31 trial
Phase 2/3 NCT03162120 Comparator Sep → Dec 2018 atrial fibrillation Elpen Pharmaceutical Co. Inc. Withdrawn No outcome recorded
Phase 37 trials
Phase 3 NCT05939076 Comparator Aug 2023 → Dec 2027 expected persistent atrial fibrillation Region Örebro County Not yet recruiting No outcome recorded
Phase 3 NCT05549752 Comparator Mar 2023 → Dec 2025 overdue nonobstructive coronary artery disease, paroxysmal atrial fibrillation Hippocration General Hospital Recruiting No outcome recorded
Phase 3 NCT05039359 Comparator Apr 2022 → May 2023 paroxysmal atrial fibrillation InCarda Therapeutics, Inc. Terminated No outcome recorded
Phase 3 NCT02624765 Comparator Feb 2016 → Mar 2024 atrial flutter, hydrops fetalis Edgar Jaeggi Completed No outcome recorded
Phase 3 NCT00589303 Comparator Dec 2007 → Jul 2011 atrial fibrillation, heart failure Mayo Clinic Terminated No outcome recorded
Phase 410 trials
Phase 4 NCT07270848 Comparator Jan 2026 → Jun 2028 expected atrial fibrillation Inha University Hospital Not yet recruiting No outcome recorded
Phase 4 NCT03587558 Comparator Sep 2017 → Dec 2019 cardiac rhythm disease Keimyung University Dongsan Medical Center Unknown No outcome recorded
Phase 4 NCT03005366 Comparator Jan 2017 → Jun 2023 paroxysmal atrial fibrillation David Filgueiras-Rama Completed No outcome recorded
Phase 4 NCT02389218 Comparator Mar 2015 → May 2020 atrial fibrillation University Hospital, Ghent Completed No outcome recorded
Phase 4 NCT01780311 Comparator Jan 2013 → Jan 2014 ventricular tachycardia Ospedale San Donato Unknown No outcome recorded
Phase not applicable14 trials
NCT07445334 Comparator Mar 2026 → Sep 2027 expected cardiac rhythm disease Western Sydney Local Health District Not yet recruiting No outcome recorded
NCT06699342 Comparator Jan 2025 → Dec 2027 expected atrial fibrillation Seoul National University Hospital Recruiting No outcome recorded
NCT06322017 Comparator Apr 2024 → Apr 2030 expected atrial fibrillation Nantes University Hospital Recruiting No outcome recorded
NCT06096337 Comparator Dec 2023 → Feb 2026 overdue persistent atrial fibrillation Boston Scientific Corporation Active not recruiting No outcome recorded
NCT05790707 Comparator Apr 2023 → Jan 2027 expected cognitive impairment with or without cerebellar ataxia, persistent atrial fibrillation Poitiers University Hospital Recruiting No outcome recorded

Evidence & citations 14 cited values

Every value below carries the sentence it was read from. 62 sources stand behind the page.

FieldValueCited text
Known as flecainide “Pharmacologic therapy includes rate control with beta-blockers (e.g., bisoprolol), calcium channel blockers (e.g., diltiazem), or antiarrhythmic drugs (e.g., flecainide,...” NCT06699342
57

“Antiarrhythmic drug therapy (Class I - flecainide, propafenone; Class III - sotalol, dronedarone) will prescribed and monitored based on local clinical practice, and according...” NCT02825979

“Antiarrhythmic drug therapy (Class I - flecainide, propafenone; Class III - sotalol, dronedarone) will prescribed and monitored based on local clinical practice, and according...” NCT05514860

“In patients with structural heart disease, amiodarone is recommended, while flecainide plus diltiazem or beta-blockers are encouraged in patients without structural heart diseases.” NCT00863213

“The recommended drugs are flecainide, propafenone, sotalol and amiodarone, but the final choice of drug and dosage is left to the discretion of the attending physician.” NCT01477983

“Other class IC antiarrhythmic drug that they had been taking before catheter ablation will be administrated.(flecainide 100mg bid PO or propafenone 225mg tid)” NCT01775891

“THN102 Dosage B : 200 mg/2 mg THN102 is a combination of modafinil 100mg and flecainide 1 mg daily dosage is 200 mg of modafinil and 2 mg of flecainide” NCT03624920

“THN102 is a novel combination of modafinil and low-dose flecainide, targeting glial connexin activity to modulate modafinil effects.” PMID 31419329 Sep 2019

“If coronary artery disease and structural heart disease is ruled out, flecainide (class I anti-arrhythmic agent) may be used.” NCT07445334

“* procainamide * quinidine * disopyramide * propafenone * flecainide * sotalol * dofetilide * amiodarone” NCT00589303

“Amiodarone; Dronaderone; Sotalol Beta blockers; Calcium channel blockers; Flecainide; or Propafenone.” NCT02459574

“maximum tolerable doses of another ADT, which included flecainide, sotalol, and amiodarone.” PMID 17161267 Oct 2006

Flecainide: Tambocor or Flecainide EG 100mg b.i.d., Apocard R 100 to 200mg overdose (OD)” NCT03437356

“Amiodarone, flecainide, sotalol, propafenone are the anti arrhythmic drugs allowed.” NCT05790707

flecainide, propafenone, pilsicainide, sotalol, amiodarone, dronedarone and so on” NCT07447297

“Propafenone 450-625mg, Flecainide 200-300mg, Sotalol 240-320mg” NCT00911508

“propafenone, flecainide, sotalol, dofetilide” NCT01505296

flecainide (Tambocor ®) 100 mg twice daily” NCT02051621

Flecainide 200mg” NCT00578617

Flecainide 3 mg” NCT02821715

NCT01646281

NCT03587558

NCT06096337

NCT01833455

NCT07405671

NCT00189319

NCT06205550

NCT05631730

NCT05213104

NCT01709682

NCT02389218

NCT05939076

NCT03005366

NCT00408200

NCT00002996

NCT02624765

NCT01117454

NCT03685149

NCT00702117

NCT02110537

NCT00408473

NCT00000504

NCT06322017

NCT00540787

NCT07270848

NCT03845010

NCT00000556

NCT05549752

NCT03162120

NCT02248753

NCT00215774

NCT00392106

NCT02347111

NCT00523978

NCT02294955

NCT00000526

NCT06142604

NCT01780311

Known as Apocard R “Flecainide: Tambocor or Flecainide EG 100mg b.i.d., Apocard R 100 to 200mg overdose (OD)” NCT03437356
Known as Flecainida ChEMBL registry synonym — accepted as the source's own label CHEMBL652
Known as flecainide acetate “FlecIH-103 (flecainide acetate inhalation solution)” NCT05039359
1

NCT03539302

Known as FLECAINIDE COMPONENT OF THN-102 ChEMBL registry synonym — accepted as the source's own label CHEMBL652
Known as Flecainide EG “Flecainide: Tambocor or Flecainide EG 100mg b.i.d., Apocard R 100 to 200mg overdose (OD)” NCT03437356
Known as Flecainide monoacetate ChEMBL registry synonym — accepted as the source's own label CHEMBL652
Known as FlecIH-103 “a 120 mg orally inhaled solution of flecainide acetate (FlecIH-103)” PMID 40132102 Mar 2025
Known as NSC-719273 ChEMBL registry synonym — accepted as the source's own label CHEMBL652
Known as Tambocor “dronedarone - Multaq™ OR flecainide - Tambocor™ OR propafenone - Rytmonorm™ OR sotalol - Sotacor™” NCT05939076
2

“Flecainide: Tambocor or Flecainide EG 100mg b.i.d., Apocard R 100 to 200mg overdose (OD)” NCT03437356

“flecainide (Tambocor ®) 100 mg twice daily” NCT02051621

Action Inhibit “a classical INa blocker, which will be more effective to terminate AF episodes with slower activation rates.” NCT03005366
1

“Sodium channel protein type V alpha subunit blocker” CHEMBL652

Modality Small molecule CHEMBL652
Route Intravenous “2 mg/kg iv in 10 minutes” NCT00702117
Target SCN5A “Sodium channel protein type V alpha subunit blocker” CHEMBL652