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This study will evaluate the effect of ranolazine compared to placebo on the average weekly angina frequency in subjects with chronic stable angina and coronary artery disease (CAD) who have a history of type 2 diabetes mellitus (T2DM), and whether ranolazine can reduce the frequency of angina (chest pain) attacks, compared to a placebo. Subjects will be asked to record their daily angina episodes in a diary at the end of each study day. Ranolazine is approved for the treatment of chronic angina, and is not approved for the treatment of T2DM.
Participants who meet the eligibility criteria at screening will enter a 4-to 6-week Qualifying Period. The allowed concomitant antianginal medication(s) must be maintained at a stable dose throughout the study. Participants will document the number of angina episodes, number of sublingual nitroglycerin doses taken, and a dyspnea score (on a scale from 1 to 5) on a daily basis in a diary. Participants eligible to stay in the study after the Qualifying Period will enter the 8-week double-blind dosing phase. Participants will have study visits at the end of Weeks 2 and 8. Participants will continue to document the number of angina episodes and number of sublingual nitroglycerin doses taken as well as a dyspnea score on a daily basis by the end of each day in their diary. In addition, participants will be called during Week 2 and at the end of Week 5 to encourage compliance. A safety follow-up phone call will be made 14 days after the last study visit or early discontinuation.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Placebo | Placebo Comparator | Qualifying phase: Participants will enter a 2-week washout period if needing to discontinue antianginal drugs (except beta-blockers) followed by placebo to match ranolazine (1 tablet twice daily) during a 4-week run-in period. Participants with at least 85% adherence to documentation requirements (angina frequency and sublingual nitroglycerin use) over the last 21 days of the placebo run-in period will be randomized to the treatment period. Treatment Period: Placebo to match ranolazine (Day 1: 1 tablet in the evening; Days 2-7: 1 tablet twice daily; 2 tablets twice daily thereafter) for up to 8 weeks. |
|
| Ranolazine | Experimental | Qualifying phase: Participants will enter a 2-week washout period if needing to discontinue antianginal drugs (except beta-blockers) followed by placebo to match ranolazine (1 tablet twice daily) during a 4-week run-in period. Participants with at least 85% adherence to documentation requirements (angina frequency and sublingual nitroglycerin use) over the last 21 days of the placebo run-in period will be randomized to the treatment period. Treatment period: Ranolazine tablets (Day 1: 1 × 500 tablet in the evening; Days 2-7: 1 × 500 mg twice daily; 2 × 500 mg twice daily thereafter) for up to 8 weeks. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Ranolazine | Drug |
|
| |
| Ranolazine placebo |
| Measure | Description | Time Frame |
|---|---|---|
| Average Weekly Angina Frequency Over the Last 6 Weeks of Treatment | Average weekly angina frequency was defined as the total number of angina episodes reported during the last 6 weeks of treatment divided by 6 weeks. For subjects who terminated with less than 6 weeks of treatment, frequency was calculated as the total number of angina episodes reported during the treatment period divided by the subject's actual duration of treatment. | 6 weeks |
| Measure | Description | Time Frame |
|---|---|---|
| Average Weekly Frequency of Sublingual Nitroglycerin Use Over the Last 6 Weeks of Treatment | Average weekly frequency of sublingual nitroglycerin use was defined as the total number reported during the last 6 weeks of treatment divided by the duration corresponding to the last 6 weeks of treatment. | 6 weeks |
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Inclusion Criteria:
Written informed consent
Males and females aged at least 18 years
At least a 3-month history of chronic stable angina triggered by physical effort and relieved by rest and/or sublingual nitroglycerin
CAD documented by one or more of the following:
Treatment with up to 2 antianginal therapies at a stable dose for at least 2 weeks prior to the Qualifying Period.
Documented history of T2DM
Willing to maintain stable tobacco usage habits throughout the study
Willing to maintain stable activity levels throughout the study
Females of childbearing potential must agree to utilize highly effective contraception methods from Screening throughout the duration of study treatment and for 14 days following the last dose of study drug.
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Patrick Yue, MD | Gilead Sciences | Study Director |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Cardiology and Medicine Clinic | Little Rock | Arkansas | 72204 | United States | ||
| Merced Heart Associates |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 25249560 | Derived | Arnold SV, Kosiborod M, Li Y, Jones PG, Yue P, Belardinelli L, Spertus JA. Comparison of the Seattle Angina Questionnaire With Daily Angina Diary in the TERISA Clinical Trial. Circ Cardiovasc Qual Outcomes. 2014 Nov;7(6):844-50. doi: 10.1161/CIRCOUTCOMES.113.000752. Epub 2014 Sep 23. | |
| 24978650 | Derived | Roubinian NH, Escobar GJ, Liu V, Gardner MN, Carson JL, Kleinman SH, Murphy EL; NHLBI Recipient Epidemiology and Donor Evaluation Study (REDS-III). Decreased red blood cell use and mortality in hospitalized patients. JAMA Intern Med. 2014 Aug;174(8):1405-7. doi: 10.1001/jamainternmed.2014.2889. No abstract available. |
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1142 participants entered the qualifying period.
Participants were enrolled at a total of 116 study sites in North America, Europe, and Asia. The first participant was screened on 05 October 2011. The last participant observation occurred on 25 October 2012.
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| ID | Title | Description |
|---|---|---|
| FG000 | Placebo | Qualifying phase: Participants entered a 2-week washout period if needed to discontinue antianginal drugs (except beta-blockers) followed by placebo to match ranolazine (1 tablet twice daily) during a 4-week run-in period. Participants with at least 85% adherence to documentation requirements (angina frequency and sublingual nitroglycerin use) over the last 21 days of the placebo run-in period were randomized to the treatment period. Treatment Period: Placebo to match ranolazine (Day 1: 1 tablet in the evening; Days 2-7: 1 tablet twice daily; 2 tablets twice daily thereafter) for up to 8 weeks. |
| Title | Milestones | Reasons Not Completed | |||||
|---|---|---|---|---|---|---|---|
| Overall Study |
|
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| Drug |
|
| Percentage of Weeks Participants Achieved at Least a 50% Reduction in Angina Frequency |
For each participant, the percentage of the last 6 weeks on treatment during which the angina frequency was less than or equal to 50% of the baseline average weekly angina frequency was determined. |
| 6 weeks |
| Percentage of the Last 6 Weeks on Treatment During Which the Angina Frequency Was ≤ 50% of the Baseline Average Weekly Angina Frequency | 6 weeks |
| Change From Baseline in the Short-Form 36® (SF-36) Mental and Physical Component Scores | The range of each health domain score is 0-100, with 0 indicating a poorer health state and 100 indicating a better health state. An increase in score indicates an improvement in health state. Participants were asked to complete the survey at randomization (prior to receiving treatment), and at end of treatment visit (Week 8) or early study drug discontinuation or early termination visit. The survey asked participants for responses specific to the preceding 4 weeks prior to completing the survey. | Up to 8 weeks |
| Patient's Global Impression of Change (PGIC) Scale Score | The PGIC was completed at the end of treatment/last visit.The PGIC scale measures the change in the participant's overall status since the beginning of the study on a scale ranging from 1 (no change or worse) to 7 (very much improved). | 8 weeks |
| Merced |
| California |
| 95340 |
| United States |
| Spectrum Clinical Research Institute, Inc | Moreno Valley | California | 92553 | United States |
| Sacramento Heart and Vascular Research Center | Sacramento | California | 95825 | United States |
| South Florida Research Solutions, LLC | Hollywood | Florida | 33021 | United States |
| Baptist Heart Specialist | Jacksonville | Florida | 32207 | United States |
| Clinical Research of Central Florida | Winter Haven | Florida | 33880 | United States |
| Masters of Clinical Research, Inc. | Augusta | Georgia | 30909 | United States |
| Columbus Cardiology Associates | Columbus | Georgia | 31909 | United States |
| Central Cardiology Associates | Elizabethtown | Kentucky | 42701 | United States |
| Research Integrity, LLC | Owensboro | Kentucky | 42303 | United States |
| Alexandria Cardiology Clinic | Alexandria | Louisiana | 71301 | United States |
| Clinical Trials Management, LLC | Mandeville | Louisiana | 70471 | United States |
| Endeavor Medical Research, PLC | Alpena | Michigan | 49707 | United States |
| Minneapolis Heart Institute Foundation | Minneapolis | Minnesota | 55407 | United States |
| Cross Country Cardiology | Edgewater | New Jersey | 07020 | United States |
| Kore CV Research | Jackson | Tennessee | 38305 | United States |
| Wellmont Cardiovascular Associates Heart Institute | Johnson City | Tennessee | 37604 | United States |
| Med-Tech Research | Houston | Texas | 77024 | United States |
| Humble Cardiology Associates | Humble | Texas | 77338 | United States |
| State Institution "Gomel regional clinical hospital" | Homyel | 246029 | Belarus |
| State Inst Rep Scientific and Practical center | Minsk | 220036 | Belarus |
| Diagnostic Consultative Center, Ascendent Cardiological Out-Patient Office | Sofia | 1202 | Bulgaria |
| MHAT "Tsar Boris III" | Sofia | 1233 | Bulgaria |
| National Cardiology Center, Cardiology Clinic - III | Sofia | 1309 | Bulgaria |
| MHAT "Vita", Cardiology Department | Sofia | 1505 | Bulgaria |
| UMHAT "Tsaritsa Yoanna" - ISUL, Cardiology Clinic | Sofia | 1527 | Bulgaria |
| Military Medical Academy, Clinic of Cardiology and Intesive Care | Sofia | 1606 | Bulgaria |
| Dr. Roger Labonté Professional Medicine Corp. | Greater Sudbury | Ontario | P3E 3B8 | Canada |
| SKDS Research Inc | Newmarket | Ontario | L3Y 5G8 | Canada |
| Aniol Gupta MD | Toronto | Ontario | M9V 4B4 | Canada |
| Montréal General Hospital | Montreal | Quebec | H3G 1A4 | Canada |
| High Desert Medical Group | Lancaster | 93534 | Canada |
| Montreal Heart Institute | Montreal | H1T 1C8 | Canada |
| London Road Diagnostic Clinic and Medical Centre | Ontario | N7T 4X3 | Canada |
| Topsail Road Medical Clinic | St. John's | A1E 2E2 | Canada |
| Vojenska Nemocnice Brno | Brno | 636 00 | Czechia |
| Cardiocentrum Kladno s.r.o. | Kladno | 27280 | Czechia |
| Poliklinika Modrany - Kardiologie | Prague | 14300 | Czechia |
| Fakultní Nemocnice v Motole | Prague | 150 06 | Czechia |
| Corintez s.r.o. | Prague | 158 00 | Czechia |
| Centrum klinického výzkumu, s.r.o. | Príbram | 26101 | Czechia |
| Nemocnice Slaný | Slaný | 27401 | Czechia |
| Tbilisi State Medical University Alexandre Aladashvili University Clinic | Tbilisi | 0102 | Georgia |
| Amtel Hospital First Clinical LLC | Tbilisi | 0144 | Georgia |
| Clinic "Guli" | Tbilisi | 0144 | Georgia |
| Cardio-Reanimation Clinic LTD | Tbilisi | 0159 | Georgia |
| Emergency Cardiology Center by Academician G. Chapidze LTD | Tbilisi | 0159 | Georgia |
| Tbilisi Heart and Vascular Clinic LTD | Tbilisi | 0159 | Georgia |
| Multiprofile Clinical Hospital of Tbilisi #2 LTD | Tbilisi | 0164 | Georgia |
| Charité Campus Virchow Klinikum | Berlin | 13353 | Germany |
| Städtische Kliniken Bielefeld | Bielefeld | 33604 | Germany |
| Sankt Johannes-Hospital Dortmund | Dortmund | 44137 | Germany |
| Universitätsklinikum Göttingen | Göttingen | 37099 | Germany |
| Gemeinschaftspraxis fur Kardiologie | Heidelberg | 69115 | Germany |
| Praxis Fur Innere Medizin Kardiologie, Pneumologic und Allergologie | Mannheim | 68165 | Germany |
| Universitätsmedizin Mannheim | Mannheim | 68169 | Germany |
| Barzilai Medical Center, Cardiology Dept. | Ashkelon | 78287 | Israel |
| Assaf Harofeh Medical Centre | Be’er Ya‘aqov | 70300 | Israel |
| Shaare Zedek Medical Center | Jerusalem | 91004 | Israel |
| Kaplan Medical Center | Rehovot | 76100 | Israel |
| Ziv Medical Center | Safed | 13100 | Israel |
| Tel Aviv Souraski Medical Center | Tel Aviv | 64239 | Israel |
| Specjalistyczna Praktyka Lekarska Leszek Bryniarski | Krakow | Lesser Poland Voivodeship | 30-082 | Poland |
| NZOZ Revita Poradnia Kardiologiczna | Krakow | Lesser Poland Voivodeship | 31-949 | Poland |
| KO-MED Marek Konieczny | Puławy | Lublin Voivodeship | 24-100 | Poland |
| Instytut Kardiologii | Warsaw | Masovian Voivodeship | 02-637 | Poland |
| Instytut Kardiologii | Warsaw | Masovian Voivodeship | 04-628 | Poland |
| NZOZ Sródmiescie Sp z o.o. | Gdynia | Pomeranian Voivodeship | 81-394 | Poland |
| Pomorskie Centra Kardiologiczne S.A. | Gdansk | 80126 | Poland |
| S.P. Specjalistyczny Szpital Zachodni im.JP II | Grodzisk Mazowiecki | 05-825 | Poland |
| Krakowski Szpital Specjalistyczny im.JPII | Krakow | 31-202 | Poland |
| Synexus SCM Sp. z o.o. Oddział w Warszawie | Warsaw | 01-192 | Poland |
| Centrum Badawcze Współczenej Terapii | Warsaw | 02-679 | Poland |
| Slaskie Centrum Chorób Serca w Zabrzu | Zabrze | 41-800 | Poland |
| MULTI-MED PLUS Sp. z o.o. | Lódz | Łódź Voivodeship | 90-553 | Poland |
| Niepubliczny Zakład Opieki Zdrowotnej Przychodnia Zdrowia "Zadębie" | Skierniewice | Łódź Voivodeship | 96-100 | Poland |
| City Hospital #38 named after Semashko N.A | Pushkin | Sankt-Peterburg | 196601 | Russia |
| Altay Regional Cardiologycal Dispensary | Barnaul | 656055 | Russia |
| "Chita State Medical Academy" Curative-Diagnostic Clinic department | Chita | 672039 | Russia |
| Municipal Institution of Healthcare "Kemerovo Cardiology Dispensary" | Kemerovo | 650002 | Russia |
| Non-state Institution of healthcare "Department hospital on station Kemerovo of OAO "Russian Railway" | Kemerovo | 650056 | Russia |
| Medical centre "Delis", LLC | Kirovsk | 187342 | Russia |
| Federal State Institution "National Research Center for Preventive Medicine" | Moscow | 101990 | Russia |
| State healthcare institution of Moscow "City Clinical hospital#15 named after O.M.Filatov" | Moscow | 111539 | Russia |
| State Healthcare institution of Moscow"Cardiology Dispensary #2" | Moscow | 117556 | Russia |
| First Moscow State Medical University I.M. Sechenov | Moscow | 119991 | Russia |
| State Budget Educational Institution of High Professional Education First Moscow State Medical University... #1, Cardiology Clinic, Hospital Therapy Department | Moscow | 119991 | Russia |
| State Budget Educational Institution of High Professional Education First Moscow State Medical University... #1, Cardiology Clinic, Hospital Therapy Department | Moscow | 119992 | Russia |
| Moscow City Clinical Hospital #51 | Moscow | 121309 | Russia |
| FGU Central Clinical Hospital with Polyclinic of President Administrative Department of RF | Moscow | 121359 | Russia |
| Moscow State University of Medicine and Dentistry based on Moscow City Clinical Hospital #71 | Moscow | 121374 | Russia |
| City Clinical Hospital named after S.P.Botkin | Moscow | 125284 | Russia |
| State Institution of Moscow Healthcare "City Clinical Hospital named after S.P. Botkin" | Moscow | 125284 | Russia |
| Moscow State Institution of Health "City Clinical Hospital #81" | Moscow | 127644 | Russia |
| Federal State Institution "Outpatient department #3" of President Management department of Russian Federation | Moscow | 129090 | Russia |
| State Novosibirsk Regional Clinical Hospital | Novosibirsk | 630087 | Russia |
| Regional Clinical Hospital named after N.N.Burdenko | Penza | 440026 | Russia |
| State Institution of Healthcare Perm Regional Hospital for War Veterans | Perm | 614097 | Russia |
| State Healthcare Institution "Ryazan regional clinical cardiological dispensary" | Ryazan | 390026 | Russia |
| FGU Central Clinical Hospital with Polyclinic of President Administrative Department of RF | Saint Petersburg | 121359 | Russia |
| Federal State Educational Institution of High Professional Education "Military Medical Academy n.a. S.M. Kirov" of the Ministry of Defence of Russia | Saint Petersburg | 191124 | Russia |
| International Medical Center "SOGAZ", LLC | Saint Petersburg | 191186 | Russia |
| State Healthcare institution "Municipal Out-patient Clinic #109" | Saint Petersburg | 192288 | Russia |
| Saint-Petersburg State Healthcare Institution | Saint Petersburg | 193144 | Russia |
| Federal Heart, Blood and Endocrinology Centre n.a. Almazov | Saint Petersburg | 194156 | Russia |
| Institution and Address: "Medical Research Institute", LLC | Saint Petersburg | 196084 | Russia |
| Federal Heart, Blood and Endocrinology Centre n.a. Almazov | Saint Petersburg | 197341 | Russia |
| State Institution of Healthcare "City Hospital #40 of Kurortniy administrative district | Saint Petersburg | 197705 | Russia |
| "Clinical hospital named after S.R.Mirotvortsev" | Saratov | 410054 | Russia |
| Educational Institution of Higher Vocational Education "Smolensk State Medical Academy" on the base of Municipal Medicoprophylactic Institution "Hospital of Emergency Medical Care", | Smolensk | 214000 | Russia |
| Autonomous healthcare institution of Voronezh region "Voronezh regional clinic consultative and diagnostic centre" | Voronezh | 394018 | Russia |
| Municipal Institution of Healthcare "Clinical Hospital #8 of Yaroslavl" | Yaroslavl | 150030 | Russia |
| Sverdlovsky Regional Clinical Hospital of Wars Veterans | Yekaterinburg | 620905 | Russia |
| Cardiology Clinic, Clinical Center Serbia | Belgrade | 11000 | Serbia |
| Institute of Cardiovascular Diseases | Kamenitz | 21204 | Serbia |
| ALIAN, s.r.o. | Bardejov | 085 01 | Slovakia |
| Cardioconsult, s.r.o. | Bratislava | 811 04 | Slovakia |
| Kardiovaskulárne centrum, s.r.o. | Bratislava | 831 01 | Slovakia |
| CARDIO D&R, s.r.o. | Košice | 040 22 | Slovakia |
| KARDIOMED, s.r.o. | Lučenec | 984 01 | Slovakia |
| Kardiocentrum Nitra, s.r.o. | Nitra | 949 01 | Slovakia |
| University Clinic of Respiratory and Allergic Diseases Golnik | Golnik | 4204 | Slovenia |
| University Klinicni Center Ljubljana | Ljubljana | 1000 | Slovenia |
| General Hospital Murska Sobota | Murska Sobota | 9001 | Slovenia |
| Donetsk National Medical University, Department of Internal Medicine #1 based on Department of Emergency Cardiology and Rehabilitation of Institute of Urgent and Recovery Surgery named after V. K. Gusak | Donetsk | 83045 | Ukraine |
| Central Clinical Hospital of Ukrzaliznitsia, Cardiology department | Kharkiv | 61103 | Ukraine |
| Kharkiv Medical Academy of Postgraduate Education, Department of cardiology and functional diagnostics based on City Clinical Hospital #8, Department of Cardiology #2 | Kharkiv | 61176 | Ukraine |
| Central polyclinic of Pechersk district, Department of cardiology | Kyiv | 01103 | Ukraine |
| Kyiv City Clinical Hospital #1, Department of Emergency Cardiology | Kyiv | 02091 | Ukraine |
| Kyiv city clinical hospital #5 | Kyiv | 03115 | Ukraine |
| Department of Diabetology of National Medical Academy of Postgraduate Education named after P.L.Shupyk based on Day Time Hospital of Administration of Medical Service and Rehabilitation of "ARTEM" SHC | Kyiv | 04050 | Ukraine |
| SI "Institute of Gerontology of AMS of Ukraine" | Kyiv | 04114 | Ukraine |
| Lviv National Medical University named after Danylo Halytsky, Department of Propaedeutics of Internal Medicine #1 based on Polyclinic Department of Municipal City Clinical Hospital #5 | Lviv | 79044 | Ukraine |
| SI Odessa Regional Cardiological Dispensary | Odesa | 65025 | Ukraine |
| 23500237 | Derived | Kosiborod M, Arnold SV, Spertus JA, McGuire DK, Li Y, Yue P, Ben-Yehuda O, Katz A, Jones PG, Olmsted A, Belardinelli L, Chaitman BR. Evaluation of ranolazine in patients with type 2 diabetes mellitus and chronic stable angina: results from the TERISA randomized clinical trial (Type 2 Diabetes Evaluation of Ranolazine in Subjects With Chronic Stable Angina). J Am Coll Cardiol. 2013 May 21;61(20):2038-45. doi: 10.1016/j.jacc.2013.02.011. Epub 2013 Mar 10. |
| FG001 | Ranolazine | Qualifying phase: Participants entered a 2-week washout period if needed to discontinue antianginal drugs (except beta-blockers) followed by placebo to match ranolazine (1 tablet twice daily) during a 4-week run-in period. Participants with at least 85% adherence to documentation requirements (angina frequency and sublingual nitroglycerin use) over the last 21 days of the placebo run-in period were randomized to the treatment period. Treatment period: Ranolazine tablets (Day 1: 1 × 500 tablet in the evening; Days 2-7: 1 × 500 mg twice daily; 2 × 500 mg twice daily thereafter) for up to 8 weeks. |
| COMPLETED |
|
| NOT COMPLETED |
|
|
Safety Analysis Set: randomized participants who received at least one dose of study treatment.
Not provided
| ID | Title | Description |
|---|---|---|
| BG000 | Placebo | Qualifying phase: Participants entered a 2-week washout period if needed to discontinue antianginal drugs (except beta-blockers) followed by placebo to match ranolazine (1 tablet twice daily) during a 4-week run-in period. Participants with at least 85% adherence to documentation requirements (angina frequency and sublingual nitroglycerin use) over the last 21 days of the placebo run-in period were randomized to the treatment period. Treatment Period: Placebo to match ranolazine (Day 1: 1 tablet in the evening; Days 2-7: 1 tablet twice daily; 2 tablets twice daily thereafter) for up to 8 weeks. |
| BG001 | Ranolazine | Qualifying phase: Participants entered a 2-week washout period if needed to discontinue antianginal drugs (except beta-blockers) followed by placebo to match ranolazine (1 tablet twice daily) during a 4-week run-in period. Participants with at least 85% adherence to documentation requirements (angina frequency and sublingual nitroglycerin use) over the last 21 days of the placebo run-in period were randomized to the treatment period. Treatment period: Ranolazine tablets (Day 1: 1 × 500 tablet in the evening; Days 2-7: 1 × 500 mg twice daily; 2 × 500 mg twice daily thereafter) for up to 8 weeks. |
| BG002 | Total | Total of all reporting groups |
| Units | Counts |
|---|---|
| Participants |
|
| Title | Description | Population Description | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Denominator Units Selected | Denominators | Classes | ||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Age, Continuous | Mean | Standard Deviation | years |
| |||||||||||||||
| Age, Customized | Number | participants |
| ||||||||||||||||
| Sex: Female, Male | Count of Participants | Participants |
| ||||||||||||||||
| Race/Ethnicity, Customized | Number | participants |
| ||||||||||||||||
| Race/Ethnicity, Customized | Number | participants |
| ||||||||||||||||
| Region of Enrollment | All randomized participants were analyzed for region of enrollment (placebo, n = 476; ranolazine, n = 473). | Number | participants |
| |||||||||||||||
| Body Mass Index | Mean | Standard Deviation | kg/m^2 |
| |||||||||||||||
| Glycosylated hemoglobin (HbA1c) | Mean | Standard Deviation | percent HbA1c in blood |
|
| Type | Title | Description | Population Description | Reporting Status | Anticipated Posting Date | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Time Frame | Units Analyzed | Denominator Units Selected | Arm/Group Information | Denominators | Classes | Analyses | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Primary | Average Weekly Angina Frequency Over the Last 6 Weeks of Treatment | Average weekly angina frequency was defined as the total number of angina episodes reported during the last 6 weeks of treatment divided by 6 weeks. For subjects who terminated with less than 6 weeks of treatment, frequency was calculated as the total number of angina episodes reported during the treatment period divided by the subject's actual duration of treatment. | Full Analysis Set (FAS): randomized participants who received at least 1 dose of randomized study drug with at least 1 postbaseline primary efficacy measurement and did not have any major eligibility violations. Participants were included in the FAS if they did not discontinue study drug prior to Day 14. | Posted | Mean | Standard Deviation | angina attacks per week | 6 weeks |
|
|
|
| |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Secondary | Average Weekly Frequency of Sublingual Nitroglycerin Use Over the Last 6 Weeks of Treatment | Average weekly frequency of sublingual nitroglycerin use was defined as the total number reported during the last 6 weeks of treatment divided by the duration corresponding to the last 6 weeks of treatment. | Full Analysis Set | Posted | Mean | Standard Deviation | nitroglycerin uses per week | 6 weeks |
| ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Secondary | Percentage of Weeks Participants Achieved at Least a 50% Reduction in Angina Frequency | For each participant, the percentage of the last 6 weeks on treatment during which the angina frequency was less than or equal to 50% of the baseline average weekly angina frequency was determined. | Participants in the Full Analysis Set with available data were analyzed. | Posted | Mean | Standard Deviation | percentage of weeks | 6 weeks |
| ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Secondary | Percentage of the Last 6 Weeks on Treatment During Which the Angina Frequency Was ≤ 50% of the Baseline Average Weekly Angina Frequency | Full Analysis Set | Posted | Mean | Standard Error | percentage of weeks | 6 weeks |
| |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Secondary | Change From Baseline in the Short-Form 36® (SF-36) Mental and Physical Component Scores | The range of each health domain score is 0-100, with 0 indicating a poorer health state and 100 indicating a better health state. An increase in score indicates an improvement in health state. Participants were asked to complete the survey at randomization (prior to receiving treatment), and at end of treatment visit (Week 8) or early study drug discontinuation or early termination visit. The survey asked participants for responses specific to the preceding 4 weeks prior to completing the survey. | Participants in the Full Analysis Set with available data were analyzed. | Posted | Mean | Standard Error | units on a scale | Up to 8 weeks |
| ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Secondary | Patient's Global Impression of Change (PGIC) Scale Score | The PGIC was completed at the end of treatment/last visit.The PGIC scale measures the change in the participant's overall status since the beginning of the study on a scale ranging from 1 (no change or worse) to 7 (very much improved). | Participants in the Full Analysis Set with available data were analyzed. | Posted | Mean | Standard Error | units on a scale | 8 weeks |
|
Baseline to Day 56 plus 30 days
Safety Analysis Set: randomized participants who received at least one dose of study treatment.
Not provided
| ID | Title | Description | Deaths (Affected) | Deaths (At Risk) | Serious Events (Affected) | Serious Events (At Risk) | Other Events (Affected) | Other Events (At Risk) |
|---|---|---|---|---|---|---|---|---|
| EG000 | Placebo | Qualifying phase: Participants entered a 2-week washout period if needed to discontinue antianginal drugs (except beta-blockers) followed by placebo to match ranolazine (1 tablet twice daily) during a 4-week run-in period. Participants with at least 85% adherence to documentation requirements (angina frequency and sublingual nitroglycerin use) over the last 21 days of the placebo run-in period were randomized to the treatment period. Treatment Period: Placebo to match ranolazine (Day 1: 1 tablet in the evening; Days 2-7: 1 tablet twice daily; 2 tablets twice daily thereafter) for up to 8 weeks. | 20 | 474 | 0 | 474 | ||
| EG001 | Ranolazine | Qualifying phase: Participants entered a 2-week washout period if needed to discontinue antianginal drugs (except beta-blockers) followed by placebo to match ranolazine (1 tablet twice daily) during a 4-week run-in period. Participants with at least 85% adherence to documentation requirements (angina frequency and sublingual nitroglycerin use) over the last 21 days of the placebo run-in period were randomized to the treatment period. Treatment period: Ranolazine tablets (Day 1: 1 × 500 tablet in the evening; Days 2-7: 1 × 500 mg twice daily; 2 × 500 mg twice daily thereafter) for up to 8 weeks. | 16 | 470 | 0 | 470 |
| Term | Organ System | Source Vocabulary | Assessment Type | Notes | Statistical Information |
|---|---|---|---|---|---|
| Anaemia | Blood and lymphatic system disorders | MedDRA (15.1) | Systematic Assessment |
| |
| Acute myocardial infarction | Cardiac disorders | MedDRA (15.1) | Systematic Assessment |
| |
| Angina unstable | Cardiac disorders | MedDRA (15.1) | Systematic Assessment |
| |
| Angina pectoris | Cardiac disorders | MedDRA (15.1) | Systematic Assessment |
| |
| Acute coronary syndrome | Cardiac disorders | MedDRA (15.1) | Systematic Assessment |
| |
| Cardiac failure acute | Cardiac disorders | MedDRA (15.1) | Systematic Assessment |
| |
| Cardiac failure chronic | Cardiac disorders | MedDRA (15.1) | Systematic Assessment |
| |
| Cardiogenic shock | Cardiac disorders | MedDRA (15.1) | Systematic Assessment |
| |
| Atrial fibrillation | Cardiac disorders | MedDRA (15.1) | Systematic Assessment |
| |
| Coronary artery disease | Cardiac disorders | MedDRA (15.1) | Systematic Assessment |
| |
| Ventricular tachycardia | Cardiac disorders | MedDRA (15.1) | Systematic Assessment |
| |
| Chest pain | General disorders | MedDRA (15.1) | Systematic Assessment |
| |
| Sudden cardiac death | General disorders | MedDRA (15.1) | Systematic Assessment |
| |
| Thrombosis in device | General disorders | MedDRA (15.1) | Systematic Assessment |
| |
| Hip fracture | Injury, poisoning and procedural complications | MedDRA (15.1) | Systematic Assessment |
| |
| Hyperglycaemia | Metabolism and nutrition disorders | MedDRA (15.1) | Systematic Assessment |
| |
| Ischaemic stroke | Nervous system disorders | MedDRA (15.1) | Systematic Assessment |
| |
| Cervical myelopathy | Nervous system disorders | MedDRA (15.1) | Systematic Assessment |
| |
| Syncope | Nervous system disorders | MedDRA (15.1) | Systematic Assessment |
| |
| Transient ischaemic attack | Nervous system disorders | MedDRA (15.1) | Systematic Assessment |
| |
| Calculus ureteric | Renal and urinary disorders | MedDRA (15.1) | Systematic Assessment |
| |
| Calculus urinary | Renal and urinary disorders | MedDRA (15.1) | Systematic Assessment |
| |
| Pulmonary embolism | Respiratory, thoracic and mediastinal disorders | MedDRA (15.1) | Systematic Assessment |
| |
| Circulatory collapse | Vascular disorders | MedDRA (15.1) | Systematic Assessment |
| |
| Hypertension | Vascular disorders | MedDRA (15.1) | Systematic Assessment |
|
Not provided
After conclusion of the study and without prior written approval from Gilead, investigators in this study may communicate, orally present, or publish in scientific journals or other media only after the following conditions have been met:
| Title | Organization | Phone | Extension | |
|---|---|---|---|---|
| Clinical Trial Disclosures | Gilead Sciences, Inc. | ClinicalTrialDisclosures@gilead.com |
| ID | Term |
|---|---|
| D000787 | Angina Pectoris |
| D003324 | Coronary Artery Disease |
| D003924 | Diabetes Mellitus, Type 2 |
| ID | Term |
|---|---|
| D017202 | Myocardial Ischemia |
| D006331 | Heart Diseases |
| D002318 | Cardiovascular Diseases |
| D014652 | Vascular Diseases |
| D002637 | Chest Pain |
| D010146 | Pain |
| D009461 | Neurologic Manifestations |
| D012816 | Signs and Symptoms |
| D013568 | Pathological Conditions, Signs and Symptoms |
| D003327 | Coronary Disease |
| D001161 | Arteriosclerosis |
| D001157 | Arterial Occlusive Diseases |
| D003920 | Diabetes Mellitus |
| D044882 | Glucose Metabolism Disorders |
| D008659 | Metabolic Diseases |
| D009750 | Nutritional and Metabolic Diseases |
| D004700 | Endocrine System Diseases |
Not provided
Not provided
| ID | Term |
|---|---|
| D000069458 | Ranolazine |
| ID | Term |
|---|---|
| D000083 | Acetanilides |
| D000813 | Anilides |
| D000577 | Amides |
| D009930 | Organic Chemicals |
| D000814 | Aniline Compounds |
| D000588 | Amines |
| D010879 | Piperazines |
| D006573 | Heterocyclic Compounds, 1-Ring |
| D006571 | Heterocyclic Compounds |
Not provided
Not provided
| 65 - 74 years |
|
| ≥ 75 years |
|
| Male |
|
| Black or African American |
|
| White |
|
| Not Hispanic or Latino |
|
| Not Reported |
|
| Unknown |
|
| Belarus |
|
| Serbia |
|
| Slovenia |
|
| Slovakia |
|
| Ukraine |
|
| Israel |
|
| Russian Federation |
|
| Czech Republic |
|
| Canada |
|
| Poland |
|
| Bulgaria |
|
| Georgia |
|
| Germany |
|
|
|
|
|
|
|
|
|
|
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|