- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT02252406
Impact of Ranolazine in Blood Markers in Women With Angina and Metabolic Syndrome (IRMA)
March 27, 2020 updated by: University of Florida
Impact of Ranolazine on Inflammatory, Thrombogenic, Lipogenic, Biomarkers in Women With Angina and Metabolic Syndrome.
The purpose of this study is to determine the effects of ranolazine on different markers of cardiometabolic disease in women with stable angina.
Study Overview
Status
Completed
Conditions
Intervention / Treatment
Detailed Description
Evaluate the ability of ranolazine to favorably modify thrombogenic, inflammatory, lipogenic, oxidative stress and hormonal biomarkers in a relatively short period of time in a group of ethnically diverse women with chronic stable angina and metabolic syndrome.
Study Type
Interventional
Enrollment (Actual)
33
Phase
- Phase 4
Contacts and Locations
This section provides the contact details for those conducting the study, and information on where this study is being conducted.
Study Locations
-
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Florida
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Jacksonville, Florida, United States, 32209
- University of Florida
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-
Participation Criteria
Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.
Eligibility Criteria
Ages Eligible for Study
30 years to 75 years (Adult, Older Adult)
Accepts Healthy Volunteers
No
Genders Eligible for Study
Female
Description
Inclusion Criteria:
- Patients with chronic stable angina (> 3 months) on evidence based adequate therapy
- Evidence of stable coronary artery disease by any of these:
- MI, PCI or CABG > 30 days prior to enrollment or
- Angiography showing > 50% stenosis in major vessel, branch or bypass graft > 30 days of enrollment or
- Abnormal stress MPI nuclear study, or DBA stress echo where the decision has been to treat medically and where angina has remained stable for >= 3 months
- Evidence of the Metabolic Syndrome: As defined by ATP III criteria i.e 3/5 of following Abdominal circumference F > 88 cm (35 in), M > 102 cm (40 in) Hypertriglyceridemia ≥ 150 mg/dl HDL F < 50 mg/dl M < 40 mg/dl Blood Pressure ≥130/85 Fasting Glucose ≥100 mg/dl For reproductive age women, a negative urine pregnancy test is required if all other inclusion criteria are met.
Exclusion Criteria:
- Exclusion of patients with contraindications to use of RANEXA, including patients on CYP3A4 inducers/potent inhibitors, and patients with liver cirrhosis.
- Exclusion of Patients with CrCl < 30 mL/min
- Limit dose of RANEXA to 500mg BID in patients on concurrent diltiazem/ verapamil
- Limit concurrent simvastatin to 20 mg/day
- Limit concurrent metformin to 1700 mg/day Additional Exclusion
- Patients with variable -inconsistent symptoms
- Patients with unstable coronary artery disease or revascularization within 30 days of enrollment.
- Patients who have known severe liver disease.
- Patients already receiving maximal ranolazine therapy for more than 4 weeks
- Presence of diabetes (AIC≥ 6.5 and /or on insulin therapy or anti-diabetic medication other than metformin) unstable hypothyroidism, active infection, active cancer (or ongoing chemotherapy and/or radiation within a year who are not on remission) and/or recent major surgery or illness.
- Patients with any contraindication to ranolazine see above
- Women of reproductive age are excluded if they are planning to become pregnant in the next 6 -12 months after randomization.
- Patients who are pregnant or lactating
- Documented allergic reaction to ranolazine in the past.
- Unexplained prolongation of the QTc > 500 milliseconds.
- Current or planned co-administration of moderate CYP3A inhibitors (eg, diltiazem, verapamil, aprepitant, erythromycin, fluconazole, and grapefruit juice or grapefruit-containing products) is not a full contraindication, if meet inclusion criteria otherwise, these patients could be accepted in trial but dose will be limited to 500 mg BID as stated previously.
- Current or planned co-administration of strong CYP3A inhibitors (eg, ketoconazole, itraconazole, clarithromycin, nefazodone, nelfinavir, ritonavir, indinavir, and saquinavir) OR strong CYP3A inducers (eg, rifampin, rifabutin, rifapentine, phenobarbital, phenytoin,carbamazepine, and St. John's Wort) is a contraindication.
Study Plan
This section provides details of the study plan, including how the study is designed and what the study is measuring.
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: Quadruple
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
Experimental: Ranolazine
Ranolazine would start with 500 mg BID and be force titrated to 1 gram po BID after 3 weeks.
Down titration would only be allowed for side effects.
This would be on top of all standard medical therapy.
|
Ranolazine 500 mg from baseline to week 3 and 1000 mg thereafter until week 24
Other Names:
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Placebo Comparator: Placebo
Placebo arm would start with 500 mg matching placebo tablet BID and be force titrated to 1 gram matching placebo tablet twice a day after 3 weeks.
Down titration would only be allowed for side effects (if reported).
This would be on top of all standard medical therapy.
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Matching placebo tablets daily for 24 weeks.
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Impact of Ranolazine on Hemoglobin A1C
Time Frame: Change from baseline to 24 weeks
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Will evaluate the impact of ranolazine in HgbA1C in women with Metabolic Syndrome (MBS)
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Change from baseline to 24 weeks
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Impact of Ranolazine on HDL-C Levels in Subjects
Time Frame: Change from Baseline to 24 weeks
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Will evaluate the impact of ranolazine in HDL-C levels in women with metabolic syndrome
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Change from Baseline to 24 weeks
|
Collaborators and Investigators
This is where you will find people and organizations involved with this study.
Sponsor
Investigators
- Principal Investigator: Gladys P Velarde, MD, FACC, University of Florida
Study record dates
These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.
Study Major Dates
Study Start
September 1, 2015
Primary Completion (Actual)
December 17, 2018
Study Completion (Actual)
May 17, 2019
Study Registration Dates
First Submitted
August 11, 2014
First Submitted That Met QC Criteria
September 25, 2014
First Posted (Estimate)
September 30, 2014
Study Record Updates
Last Update Posted (Actual)
April 10, 2020
Last Update Submitted That Met QC Criteria
March 27, 2020
Last Verified
March 1, 2020
More Information
Terms related to this study
Keywords
Additional Relevant MeSH Terms
- Pathologic Processes
- Myocardial Ischemia
- Heart Diseases
- Cardiovascular Diseases
- Vascular Diseases
- Glucose Metabolism Disorders
- Metabolic Diseases
- Pain
- Neurologic Manifestations
- Disease
- Insulin Resistance
- Hyperinsulinism
- Chest Pain
- Syndrome
- Metabolic Syndrome
- Angina Pectoris
- Angina, Stable
- Molecular Mechanisms of Pharmacological Action
- Membrane Transport Modulators
- Sodium Channel Blockers
- Ranolazine
Other Study ID Numbers
- WIRB20141202
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
No
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Yes
Studies a U.S. FDA-regulated device product
No
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
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