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Phase 2 N=20 Randomized Double-blind Treatment

Microvascular Coronary Disease In Women: Impact Of Ranolazine

Myocardial Ischemia

Enrolled (actual)
20
Serious AEs
0.0%
Results posted
Dec 2015
Primary outcome: Primary: Cardiac Magnetic Resonance (CMRs) — 11.7; 16.0 Percentage of ischemic myocardium

Study Design & Population

Study type
Interventional
Phase
Phase 2
Interventions
Ranolazine (Drug); Placebo (Drug)
Age
Pediatric, Adult, Older Adult
Sex
Female
Sponsor
Cedars-Sinai Medical Center
Primary completion
Dec 2009

Outcome Measures

OutcomeResultp-value
PRIMARY
Cardiac Magnetic Resonance (CMRs)
11.7; 16.0
SECONDARY
Seattle Angina Questionnaire (SAQ)
91.7; 83.3; 75; 50; 80; 75

Summary

1. To evaluate the impact of ranolazine extended-release tablets in women with subendocardial ischemia due to microvascular endothelial dysfunction on myocardial ischemia (Cardiac Magnetic Resonance (CMR) extent, severity. 2. To evaluate the impact of ranolazine extended-release tablets in women with subendocardial ischemia due to microvascular endothelial dysfunction on the outcomes of angina (Seattle Angina Questionnaire (SAQ), WISE angina frequency, Duke Activity Status Inventory(DASI) and SF-36).

Eligibility Criteria

Inclusion Criteria

  • Women with signs and symptoms of myocardial ischemia (chest pain, abnormal stress testing, abnormal noninvasive testing) in the absence of obstructive coronary artery disease (epicardial coronary stenosis <50% luminal diameter stenosis).
  • Women with ≥10% myocardial ischemia by CMR perfusion.

Exclusion Criteria

  • Contraindications to withholding nitrates, beta-blockers, calcium channel agents, ACE/ARB agents for 48 hours prior to testing.
  • Contraindications in CMR including AICD, pacemaker, untreatable claustrophobia or known angio-edema.
  • Contraindications to ranolazine including hepatic insufficiency, prolonged QT, renal failure.
  • Women taking drugs that inhibit CYP3A such as diltiazem, verapamil, ketoconazole, macrolides or HIV protease inhibitors.
  • Women less than 18 years of age.
  • Women on drugs that prolong the QT interval such as Class Ia or III antiarrhythmic agents, erythromycin, certain antipsychotics.
  • Pregnancy or breast feeding.
  • Life expectancy less than 6 months.
View full record on ClinicalTrials.gov →

Data sourced from ClinicalTrials.gov (NCT00570089). Outcome figures and adverse-event rates are extracted automatically from the registry's posted results and are provided for clinician reference, not as a substitute for the primary publication.

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