Drugs / flecainide
last change 30 days ago re-read 9 days 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

PhaseRegistry idDatesIndicationSponsorStatusOutcome
Phase 11 trial · 1 met primary
Phase 1 NCT03182413 Sep → Dec 2015 — Theranexus Completed Met primary
Phase 26 trials · 1 missed
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 Missed primary
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 · 1 missed
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 Missed primary
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 · 1 met primary
Phase 4 NCT07405671 Sep 2026 → Dec 2029 expected atrial fibrillation, coronary artery disorder Universitaire Ziekenhuizen KU Leuven 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 Met primary
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 · 4 met primary · 1 missed
— 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 Met primary
— NCT01117454 Dec 2011 → Dec 2015 catecholaminergic polymorphic ventricular tachycardia Vanderbilt University Medical Center Completed Met primary
— NCT02051621 Aug 2010 → Aug 2015 atrial fibrillation, atrial flutter University of Rostock Unknown Met primary
— NCT00408200 Nov 2006 → Apr 2008 paroxysmal atrial fibrillation University of Pennsylvania Completed Met primary
— NCT00578617 Sep 2006 → Feb 2009 atrial fibrillation Mayo Clinic Completed No outcome recorded
— NCT00215774 Mar 2005 → Oct 2009 atrial fibrillation Atrial Fibrillation Network Completed Missed primary
Comparator or background therapy35 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 Stop: Enrollment
Phase 2 NCT01709682 Comparator Nov 2007 → Jan 2012 paroxysmal atrial fibrillation Meshalkin Research Institute of Pathology of Circulation Completed No outcome recorded
Phase 2/3 NCT03162120 Comparator Sep → Dec 2018 atrial fibrillation Elpen Pharmaceutical Co. Inc. Withdrawn No outcome recorded
Phase 3 NCT05939076 Comparator Aug 2023 → Dec 2027 expected persistent atrial fibrillation Region Örebro County Not yet recruiting No outcome recorded

News releases announcing trial results or a regulatory action · 13

DateIssuerRelease
2020-07-30 Theranexus Results THERANEXUS TO PRESENT THE RESULTS OF THN102 FOR PARKINSON'S DISEASE AT THE 2020 INTERNATIONAL CONGRESS OF PARKINSON'S DISEASE AND MOVEMENT DISORDERS actusnews.com ↗
The ESS score improved by 3.9 points in patients after treatment with THN102-200/2.
2020-03-31 Theranexus Results THERANEXUS ANNOUNCES THE SUCCESS OF ITS PHASE II TRIAL FOR THN102 IN PARKINSON'S PATIENTS actusnews.com ↗
2019-09-03 Theranexus Results THERANEXUS ANNOUNCES THE PUBLICATION OF TWO SCIENTIFIC PAPERS AND A PRESENTATION AT THE EUROPEAN PAIN CONGRESS (EFIC) TO BE HELD ON 3-7 SEPTEMBER IN VALENCIA, SPAIN actusnews.com ↗
2019-02-27 Theranexus Results THERANEXUS ANNOUNCES PRELIMINARY RESULTS OF PHASE II TRIAL OF THN102 ON NARCOLEPSY PATIENTS actusnews.com ↗
However, the results do not indicate any difference in efficacy between THN102 (combination of modafinil and flecainide) and modafinil alone with respect to the trial’s primary endpoint (Epworth Sleepiness Scale).
2018-07-05 Theranexus Results THERANEXUS PRESENTS NEW DATA ON THE STIMULATING EFFECT OF ITS DRUG CANDIDATE THN102 actusnews.com ↗
The research demonstrates that the histaminergic system is involved in the stimulating effect of THN102.
2018-06-26 Theranexus Regulatory THERANEXUS ANNOUNCES GERMAN AUTHORITIES APPROVAL FOR ITS PHASE 2 CLINICAL TRIAL IN PARKINSON'S DISEASE actusnews.com ↗
We are pleased to announce this approval in Germany which will allow the opening of several centres for the phase 2 Parkinson's study.
2018-05-22 Theranexus Results THERANEXUS ANNOUNCES THE PUBLICATION OF A SCIENTIFIC ARTICLE ON THE MECHANISM OF ACTION OF DRUG CANDIDATE THN102 IN THE INTERNATIONAL JOURNAL OF NEUROPSYCHOPHARMACOLOGY actusnews.com ↗
The study has established the effect of drug candidate THN102, a combination of modafinil and flecainide, on brain metabolic activity by means of an approved imaging technique called positron emission tomography, with radiolabelled glucose (fludeoxyglucose or FDG).
2018-04-23 Theranexus Regulatory THN102 OBTAINS INVESTIGATIONAL NEW DRUG STATUS FROM THE FOOD AND DRUG ADMINISTRATION (FDA) actusnews.com ↗
It therefore authorises the phase 2 clinical trial to assess the clinical benefit of the THN102, a combination of modafinil and flecainide in 60 patients with Parkinson’s disease and suffering from EDS.
2018-04-19 Theranexus Regulatory THERANEXUS ANNOUNCES THE FIRST EUROPEAN APPROVAL FOR ITS PHASE 2 CLINICAL TRIAL WITH THN 102 IN PARKINSON'S DISEASE PATIENTS actusnews.com ↗
2015-02-19 Eisai Inc. Regulatory EISAI RECEIVES APPROVAL IN JAPAN FOR FINE GRANULE FORMULATION OF ANTI-ARRHYTHMIC AGENT TAMBOCOR® SUITABLE FOR PEDIATRIC PATIENTS eisai.com ↗
Eisai Co., Ltd. (Headquarters: Tokyo, CEO: Haruo Naito, “Eisai”) announced today that it has received marketing and manufacturing approval in Japan for Tambocor® Fine Granules 10%, a new formulation of anti-arrhythmic agent Tambocor (flecainide acetate).
2010-05-13 Eisai Inc. Regulatory EISAI RECEIVES APPROVAL FOR ADDITIONAL INDICATION OF ANTI-ARRHYTHMIC AGENT TAMBOCOR® TABLETS FOR TACHYARRHYTHMIA IN PEDIATRIC PATIENTS IN JAPAN eisai.com ↗
2010-01-14 Eisai Inc. Regulatory Eisai Submits Application for Additional Indication of Anti-arrhythmic Agent Tambocor® Tablets for Tachyarrhythmia in Paediatric Patients in Japan eisai.com ↗
This submission for additional indication has been made in response to the conclusion reached by the committee.

All press releases naming this drug 14 releases

DateIssuerRelease

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 ↗

Show 47 more sources

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 ↗