Ranolazine for Improving Symptoms of Palpitations

NCT ID: NCT01495520

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

2016-12-31

Brief Summary

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Patients with ischemic heart disease often report multiple symptoms, including angina and palpitations. Ranolazine has antiarrhythmic effects which are largely a result of the drug's effect on multiple ion channels. It remains unknown, however, whether the favorable effects of ranolazine on symptoms and arrhythmias are maintained over time. Aim of this study is to test the hypothesis that chronic treatment with ranolazine can improve the symptomatic status of patients with ischemic heart disease by reducing the occurrence of palpitations.

Detailed Description

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Background:

Patients with ischemic heart disease often report multiple symptoms, including angina and palpitations.

Ranolazine is a novel antianginal and antiischemic drug that reduces intracellular sodium and calcium accumulation during ischemia thus limiting ischemic injury. Furthermore, ranolazine has antiarrhythmic effects which are largely a result of the drug's effect on multiple ion channels.

It has previously been shown that treatment with ranolazine can reduce the frequency of supraventricular and ventricular tachycardia in the short term. In a subgroup analysis of the MERLIN-TIMI 36 trial, the continuous ECGs of 6,351 patients were analyzed. The results showed that, in comparison with placebo, treatment with ranolazine resulted in fewer episodes of ventricular tachycardia that lasted 8 beats or longer (5.3% versus 8.3%; P \<0.001), and in fewer episodes of supraventricular tachycardia (44.7% versus 55%; P \<0.001) and new-onset atrial fibrillation (1.7% versus 2.4%; P=0.08).

It remains unknown, however, whether the favorable effects of ranolazine on symptoms and arrhythmias are maintained over time.

Purpose:

The primary objective of this study is to test the hypothesis that chronic treatment with ranolazine can improve the symptomatic status of patients with ischemic heart disease by reducing the occurrence of palpitations.

Conditions

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Ischemic Heart Disease

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

CROSSOVER

Primary Study Purpose

TREATMENT

Blinding Strategy

TRIPLE

Participants Caregivers Investigators

Study Groups

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Ranolazine

Patients will receive ranolazine 750 mg bid for 30 days

Group Type ACTIVE_COMPARATOR

Ranolazine

Intervention Type DRUG

os, pill, 750 mg, b.i.d., 30 days

Placebo

Patients will receive placebo for 30 days

Group Type PLACEBO_COMPARATOR

Placebo

Intervention Type DRUG

os, pill, b.i.d., 30 days

Interventions

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Ranolazine

os, pill, 750 mg, b.i.d., 30 days

Intervention Type DRUG

Placebo

os, pill, b.i.d., 30 days

Intervention Type DRUG

Other Intervention Names

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Ranexa TM, Gilead, US

Eligibility Criteria

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Inclusion Criteria

* Symptoms of palpitations
* Angiographically-proven coronary artery disease
* Stable conditions
* No recent acute coronary syndromes
* Able to understand and willing to sign the informed consent form
* Symptomatic patients (palpitation) with stable angina pectoris already on therapy with beta-blockers and/or calcium antagonists.

Exclusion Criteria

* Women of child bearing potential patients must demonstrate a negative pregnancy test performed within 24 hours
* Severe renal failure
* Severe hepatic failure
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

Principal Investigators

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Francesco Pelliccia, MD

Role: PRINCIPAL_INVESTIGATOR

University Sapienza

Central Contacts

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Francesco Pelliccia, MD

Role: CONTACT

+39064997

Other Identifiers

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671/2011/D

Identifier Type: -

Identifier Source: org_study_id

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