Ranolazine Loading to Prevent PCI-induced Myocardial Injury

NCT ID: NCT01491061

Last Updated: 2013-03-07

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

UNKNOWN

Clinical Phase

PHASE4

Total Enrollment

100 participants

Study Classification

INTERVENTIONAL

Study Start Date

2014-01-31

Study Completion Date

2017-12-31

Brief Summary

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It has previously been shown that pretreatment with ranolazine 1,000 mg twice daily for 7 days can significantly reduce procedural myocardial injury in elective percutaneous coronary intervention (PCI). The investigators tested the hypothesis that twice overnight high-dose ranolazine loading before PCI can reduce the peri-procedural myocardial ischemic damage similarly to long-term pre-treatment with standard doses.

Detailed Description

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Background

Ranolazine is a novel antianginal drug that reduces intracellular sodium and calcium accumulation during ischemia thus limiting ischemic injury.

It has previously been shown that pretreatment with ranolazine 1,000 mg twice daily for 7 days can significantly reduce procedural myocardial injury in elective percutaneous coronary intervention.

It remains unknown, however, which of these two therapeutic approaches is more effective after PCI.

Purpose

The primary objective of this study is to test the hypothesis that twice overnight high-dose ranolazine loading before PCI can reduce the peri-procedural myocardial ischemic damage similarly to long-term pre-treatment with standard doses.

Conditions

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Coronary Artery Disease

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

TRIPLE

Participants Caregivers Investigators

Study Groups

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Ranolazine

Administration of two preprocedural doses of Ranolazine 12 hours apart (1,000 mg the night before PCI and 1,000 mg prior to PCI)

Group Type ACTIVE_COMPARATOR

Ranolazine

Intervention Type DRUG

os, 1,000 mg twice 12 hours apart prior to PCI

Placebo

Placebo

Group Type PLACEBO_COMPARATOR

Placebo

Intervention Type DRUG

os, two doses 12 hours apart prior to PCI

Interventions

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Ranolazine

os, 1,000 mg twice 12 hours apart prior to PCI

Intervention Type DRUG

Placebo

os, two doses 12 hours apart prior to PCI

Intervention Type DRUG

Other Intervention Names

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Ranexa TM, Gilead, USA

Eligibility Criteria

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Inclusion Criteria

* Angiographically-proven coronary artery disease
* Class I indication to elective percutaneous coronary intervention
* Stable conditions
* No recent acute coronary syndromes
* Normal baseline values of markers of myocardial damage (creatine kinase, creatine kinase-MB, myoglobin, and troponin I)
* Able to understand and willing to sign the informed consent form

Exclusion Criteria

• Women of child bearing potential patients must demonstrate a negative pregnancy test performed within 24 hours before
Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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University of Roma La Sapienza

OTHER

Sponsor Role lead

Responsible Party

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Francesco Pelliccia

Assistant Professor

Responsibility Role PRINCIPAL_INVESTIGATOR

Locations

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San Raffaele Pisana

Rome, , Italy

Site Status

Countries

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Italy

Central Contacts

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Francesco Pelliccia, MD

Role: CONTACT

+393483392006

Facility Contacts

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Giuseppe Marazzi, MD

Role: primary

+39 335 8381320

Other Identifiers

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653/2011/D

Identifier Type: -

Identifier Source: org_study_id

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