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The purpose of this study is:
To assess the pharmacokinetic profile and safety of ranolazine PR in healthy Korean and Caucasian volunteers after oral administration of Ranolazine at the doses of 375, 500, 750mg after single and repeated oral administrations.
Ranolazine is an antianginal drug that exerts its effects by inhibition of the late sodium current in cardiac cells. This action reduces intracellular sodium accumulation and consequently decreases intracellular calcium overload which is expected to reduce myocardial stiffness, oxygen consumption and ATP utilization and improve blood flow to the microvasculature.These effects of ranolazine do not depend upon reductions in heart rate or blood pressure or vasodilation.
Ranolazine PR, approved for treatment of chronic angina in 56 countries and currently marketed in 21 countries including the US shows clinical efficacy and tolerability in the proposed therapeutic dose range from 375 mg to 750mg. Factors that may affect ranolazine pharmacokinetics including demographics, drug-drug interactions, disease state, CYP2D6 metabolizer genotype status and impaired renal or hepatic functions have been studied. The relationship between ranolazine plasma concentration and clinical effects has been also well-established. This PK study has been designed as a bridging study for Ranolazine PR registration in Korea.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Group 1 (Korean, 375 mg) | Experimental | Group 1 (Korean, 375 mg): Ranolazine PR 375 mg |
|
| Group 2 (Korean, 500 mg): | Experimental | Group 2 (Korean, 500 mg): Ranolazine PR 500 mg |
|
| Group 3 (Korean, 750 mg): | Experimental | Group 3 (Korean, 750 mg): Ranolazine PR 750 mg |
|
| Group 4 (Caucasian, 375mg) | Experimental | Group 4 (Caucasian, 375mg) : Ranolazine PR 375 mg |
|
| Group 5 (Caucasian, 750mg) | Experimental | Group 5 (Caucasian, 750mg) : Ranolazine PR 750 mg |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Ranolazine | Drug |
|
| Measure | Description | Time Frame |
|---|---|---|
| Pharmacokinetic assessment | Area under the plasma concentration versus time curve (AUC) | Up to 5 days |
| Pharmacokinetic Assessment | Plasma concentration (maximum,through, average) | Up to 5 days |
| Pharmacokinetic Assessment | Tmax | Up to 5 days |
| Pharmacokinetic Assessment | Half-life | Up to 5 days |
| Measure | Description | Time Frame |
|---|---|---|
| Number of participants with treatment-related adverse events assessed using MedDRA | Assessment based on reported symptoms, physical examination, vital signs, adverse events, ECGs, laboratory test results | 5 days |
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Inclusion Criteria:
Healthy adult Korean or Caucasian males, 19 - 45 years of age
Subjects weighing ≥ 50 kg with BMI between 18 and 27 kg/m2 (inclusive) at screening visit
Subjects with no clinically significant abnormal findings as determined by physical examination, ECG, medical history, or clinical laboratory test results
Subjects who agreed to voluntarily participate in this study and comply with all the study requirements by signing informed consent form after being informed of the nature of this study and understanding all aspects of this study
Exclusion Criteria:
History of clinically significant gastrointestinal, hepatic, renal, respiratory, cardiovascular, metabolic, immunological or hormonal disorder
Surgery of the gastrointestinal tract that could interfere with kinetics of the study drug
Relevant chronic or acute infections
History of relevant allergy/hypersensitivity (including allergy to the trial medication or its excipients)
Administration of any investigational products within 3 months from the first dose of the study drug (ranolazine PR)
History of participating other BE study or clinical trial within 3 months from the first dose of the study drug(ranolazine PR)
Any of the following vital sign abnormalities
Any of the following ECG abnormalities
Any finding in the physical examination deviating from normal and judged clinically significant by the investigator
Any laboratory value outside of the reference range that the investigator considers to be of clinical significance
Subjects who have donated blood or received blood transfusion within 90 days of participating in this study
Subjects who are positive for Hepatitis B, Hepatitis C, VDRL and HIV
Subjects who showed positive result in alcohol and drug abuse tests
Subjects who have smoked over 10 cigarettes until 90 days prior to the study initiation or who is not able to stop smoking throughout the hospitalization period
Subjects who took prescribed medications within 14 days or over-the-counter (OTC) medications within 7 days prior to the first dose of the study drug (ranolazine PR) or who have to take these medications during the study period
Subject who judged not eligible for study participation by investigator
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| In-Jin Jang, MD | Contact | : +82 2 2072 1910 |
| Name | Affiliation | Role |
|---|---|---|
| In-Jin Jang, MD | Seoul National University Hospital | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Seoul National University Hospital | Recruiting | Seoul | South Korea |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 33518355 | Derived | Yoo H, Lee SW, Yoon DY, Yoon SH, Cho JY, Yu KS, Jang IJ, Lee S. Pharmacokinetics and Safety of Extended-release Ranolazine in Korean and White Healthy Subjects. Clin Ther. 2021 Mar;43(3):526-534.e4. doi: 10.1016/j.clinthera.2021.01.005. Epub 2021 Jan 29. |
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| Type | Date | Date Unknown |
|---|---|---|
| Release | Feb 16, 2022 | |
| Reset | Apr 18, 2022 | |
| Release | Apr 29, 2022 | |
| Reset | Jan 26, 2023 |
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| Release Date | Unrelease Date | Unrelease Date Unknown | Reset Date | MCP Release Number |
|---|---|---|---|---|
| Feb 16, 2022 | Apr 18, 2022 | |||
| Apr 29, 2022 |
| ID | Term |
|---|---|
| D000069458 | Ranolazine |
| ID | Term |
|---|---|
| D000083 | Acetanilides |
| D000813 | Anilides |
| D000577 | Amides |
| D009930 | Organic Chemicals |
| D000814 |
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| Jan 26, 2023 |
| Aniline Compounds |
| D000588 | Amines |
| D010879 | Piperazines |
| D006573 | Heterocyclic Compounds, 1-Ring |
| D006571 | Heterocyclic Compounds |