Ranolazine for Improving Symptoms of Palpitations
- Registration Number
- NCT01495520
- Lead Sponsor
- University of Roma La Sapienza
- Brief Summary
Patients with ischemic heart disease often report multiple symptoms, including angina and palpitations. Ranolazine has antiarrhythmic effects which are largely a result of the drug's effect on multiple ion channels. It remains unknown, however, whether the favorable effects of ranolazine on symptoms and arrhythmias are maintained over time. Aim of this study is to test the hypothesis that chronic treatment with ranolazine can improve the symptomatic status of patients with ischemic heart disease by reducing the occurrence of palpitations.
- Detailed Description
Background:
Patients with ischemic heart disease often report multiple symptoms, including angina and palpitations.
Ranolazine is a novel antianginal and antiischemic drug that reduces intracellular sodium and calcium accumulation during ischemia thus limiting ischemic injury. Furthermore, ranolazine has antiarrhythmic effects which are largely a result of the drug's effect on multiple ion channels.
It has previously been shown that treatment with ranolazine can reduce the frequency of supraventricular and ventricular tachycardia in the short term. In a subgroup analysis of the MERLIN-TIMI 36 trial, the continuous ECGs of 6,351 patients were analyzed. The results showed that, in comparison with placebo, treatment with ranolazine resulted in fewer episodes of ventricular tachycardia that lasted 8 beats or longer (5.3% versus 8.3%; P \<0.001), and in fewer episodes of supraventricular tachycardia (44.7% versus 55%; P \<0.001) and new-onset atrial fibrillation (1.7% versus 2.4%; P=0.08).
It remains unknown, however, whether the favorable effects of ranolazine on symptoms and arrhythmias are maintained over time.
Purpose:
The primary objective of this study is to test the hypothesis that chronic treatment with ranolazine can improve the symptomatic status of patients with ischemic heart disease by reducing the occurrence of palpitations.
Recruitment & Eligibility
- Status
- UNKNOWN
- Sex
- All
- Target Recruitment
- 100
- Symptoms of palpitations
- Angiographically-proven coronary artery disease
- Stable conditions
- No recent acute coronary syndromes
- Able to understand and willing to sign the informed consent form
- Symptomatic patients (palpitation) with stable angina pectoris already on therapy with beta-blockers and/or calcium antagonists.
- Women of child bearing potential patients must demonstrate a negative pregnancy test performed within 24 hours
- Severe renal failure
- Severe hepatic failure
Study & Design
- Study Type
- INTERVENTIONAL
- Study Design
- CROSSOVER
- Arm && Interventions
Group Intervention Description Placebo Placebo Patients will receive placebo for 30 days Ranolazine Ranolazine Patients will receive ranolazine 750 mg bid for 30 days
- Primary Outcome Measures
Name Time Method Occurrence of symptoms of palpitations Up to 30 days Occurrence of symptoms of palpitations
- Secondary Outcome Measures
Name Time Method Occurrence of arrhythmia in case of symptoms of palpitations Up to 30 days Definition of presence, number, type and duration of the arrhythmia in case of the patient-reported symptoms of palpitations