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Safety of oral chronic administration of ivabradine modified release formulation compared to ivabradine immediate release formulation, in patients with stable coronary artery disease

Conditions
Stable coronary artery disease
Therapeutic area: Diseases [C] - Cardiovascular Diseases [C14]
MedDRA version: 17.0Level: PTClassification code 10011078Term: Coronary artery diseaseSystem Organ Class: 10007541 - Cardiac disorders
Registration Number
EUCTR2012-001668-31-DE
Lead Sponsor
Institut de Recherches Internationales Servier
Brief Summary

Not available

Detailed Description

Not available

Recruitment & Eligibility

Status
ot Recruiting
Sex
All
Target Recruitment
850
Inclusion Criteria

- Women or men;
- Age = 18 years;
- Documented stable CAD with or without chronic stable angina pectoris;
- Normal sinus rhythm;
- Resting heart rate = 60bpm.

Are the trial subjects under 18? no
Number of subjects for this age range:
F.1.2 Adults (18-64 years) yes
F.1.2.1 Number of subjects for this age range 374
F.1.3 Elderly (>=65 years) yes
F.1.3.1 Number of subjects for this age range 326

Exclusion Criteria

- Women who are pregnant, breast-feeding or women of childbearing potential not using
estro-progestative oral or intra-uterine contraception or implants, or women using estroprogestative or intra-uterine contraception or implants but who consider stopping it during the planned duration of the study.
- Contra-indication to ivabradine, ivabradine not recommended or not effective, or requirement for a not recommended concomitant treatment (cf ivabradine SmPC)
- Heart failure patients with NYHA functional classification II, III or IV.

Study & Design

Study Type
Interventional clinical trial of medicinal product
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
Main Objective: To compare the safety profiles of the ivabradine modified release (MR) formulation and ivabradine immediate release (IR) formulation over a 6-month period;Secondary Objective: - To assess the safety profiles of the two formulations over a 12-month period;<br>- To assess the efficacy of the two formulations over 6 and 12-month periods;<br>- To assess the safety and efficacy of switching ivabradine formulations over a 3-month period;<br>- To assess in a subset of patients the pharmacokinetic (PK) profile and the cardiac safety from 24-hour Holter ECG of the two formulations.;Primary end point(s): Occurrence of emergent adverse events over 6 months;Timepoint(s) of evaluation of this end point: M06
Secondary Outcome Measures
NameTimeMethod
Secondary end point(s): Safety endpoints:<br>- Occurrence of emergent adverse events over 12 months;<br>- Other safety criteria over 6 and 12 months (blood pressure, laboratory test parameters).<br><br>Efficacy endpoints:<br>- HR change from baseline;<br>- Change in clinical symptoms.<br><br>Other endpoints: <br>-For PK characterisation: concentration of ivabradine and its active metabolite.<br>- For Holter evaluation: HR change and abnormalities during awake and sleep periods.;Timepoint(s) of evaluation of this end point: M06, M09 and M12
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