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. 2017 Feb 8;2017(2):CD011747. doi: 10.1002/14651858.CD011747.pub2

EUCTR 2011‐001278‐24.

Trial name or title 2011‐001278‐24 / MEIN/10/Ran‐Cad/003
Methods Study design: parallel‐group trial
Duration of follow‐up: 24 weeks
Method of randomisation: not described
Method of concealment of allocation: not described
Blinding: double‐blind
Power calculation: not mentioned
Phases of the study: 1 (treatment phase)
Participants Total number: 1460 (estimated)
Country of enrolment: Greece, Switzerland
Setting/location: not specified
Diagnostic criteria (stable angina pectoris): exercise angina in patients with CAD (macrovascular angina)
Comorbidities: none
Inclusion criteria:
  • Male and female patients (females of childbearing potential must be using adequate contraceptive precautions such as implants, injectables, combined oral contraceptives, intrauterine devices, sexual abstinence or vasectomised partner)

  • Patients aged ≥ 18 years

  • Patients with coronary artery disease confirmed by angiography, prior MI, prior revascularisation (PCI, CABG) and with exercise angina not controlled by the standard therapy

  • ST‐segment depression ≥ 1mm during exercise ECG

  • Capacity to perform the exercise test

  • Able and willing to sign informed consent and to comply with study procedures

  • Females of childbearing potential or within two years from the menopause must have a negative urine pregnancy test

  • Reproducible ST‐segment depression ≥ 1mm during two exercise tests performed 1 week apart (difference in exercise no more than 20%) (at first visit)


Exclusion criteria:
  • Angina at rest

  • ECG abnormalities at rest (left bundle‐branch block, resting ST‐segment depression ≥ 1mm, tachyarrhythmia)

  • Presence of factors that preclude satisfactory interpretation of the ECG (e.g. resting ST‐segment depression ≥ 1 mm in any lead, left bundle‐branch block, digoxin therapy) or repolarisation and conduction abnormalities

  • Heart failure (class III or IV NYHA)

  • Moderate‐severe hypertension (SBP > 160 mmHg and/or DBP > 100 mmHg)

  • Hypotension

  • Acute coronary syndrome or coronary revascularisation procedure within the prior 3 months before enrolment

  • Females who are pregnant or nursing

  • Any clinically relevant haematological or biochemical abnormality on routine screening, according to Investigator’s judgment

  • Severe concurrent pathology, including terminal illness (cancer, AIDS, etc.)

  • Renal impairment defined as creatinine clearance< 30 mL/min

  • Mild, moderate or severe hepatic impairment or hepatic insufficiency defined as: SGOT or SGPT > 3 times ULN or total serum bilirubin > 1.5 times greater than normal upper limit

  • Pre‐existing QT prolongation (including congenital long QT syndrome, uncorrected hypokalaemia)

  • Patients on QT‐prolonging drugs such as Class Ia (e.g. quinidine) and Class III (e.g. dofetilide, sotalol, dronedarone) anti‐arrhythmics, and antipsychotics (e.g. thioridazine, ziprasidone)

  • Existing contraindications for exercise testing (e.g. acute myocarditis or pericarditis, DVT, severe aortic stenosis)

  • Dementia, psychosis, alcoholism (>350 g ethanol/week) or chronic abuse of medicines, drugs or psychoactive substances

  • Conditions which in the Investigator’s opinion may interfere with the study’s execution or due to which the patient should not participate for safety reasons

  • Risk of low patient cooperation

Interventions Number of intervention groups: 2
Concomitant medications: not described
Excluded medications: those mentioned in exclusion criteria
Placebo group
Intervention: placebo
Duration of intervention: 24 weeks
Ranolazine group
Intervention: ranolazine (type of formulation not specified) 750 mg twice daily
Duration of intervention: 24 weeks
Outcomes Total number of outcomes: 5 (ETT parameters, angina frequency, nitroglycerin consumption frequency, adverse events incidence, laboratory findings)
OUTCOMES
Angina episodes frequency
Outcome definition: weekly frequency
Method and unit of measurement: number/week
Time points to report: 4, 12 and 24 weeks
Adverse events incidence
Outcome definition: not described
Method and unit of measurement: absolute frequency
Time points to report: 4, 12 and 24 weeks
Starting date Not reported
Contact information Study Medical Expert (SME)
Via Walter Tobagi, 8
Peschiera Borromeo ‐ Italy
003902516555236
dzava@lusofarmaco.it
Notes Source of funding: Menarini International Operations Luxembourg SA