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Ranolazine

Generic Name
Ranolazine
Brand Names
Aspruzyo Sprinkle, Ranexa, Ranexa (previously Latixa)
Drug Type
Small Molecule
Chemical Formula
C24H33N3O4
CAS Number
95635-55-5
Unique Ingredient Identifier
A6IEZ5M406
Background

Chronic angina is a common cardiovascular condition affecting millions worldwide and causes significant disability while interfering with daily activities. Ranolazine is a well-tolerated piperazine derivative used for the management of this condition, offering relief from uncomfortable and debilitating symptoms. With a mechanism of action different from drugs used to treat the same condition, ranolazine is a promising anti-anginal therapy. It was originally approved by the FDA in 2006.

Indication

Ranolazine is indicated for the treatment of chronic angina. It can be used alone or in conjunction with nitrates, beta-blockers, angiotensin receptor blockers, anti-platelet drugs, calcium channel blockers, lipid-lowering drugs, and ACE inhibitors.

Ranolazine has also been used off-label for the treatment of certain arrhythmias, including ventricular tachycardia, however, this use is not strongly supported by scientific evidence. Ranolazine has also been studied for the treatment of acute coronary syndrome, microvascular coronary dysfunction, arrhythmia, and glycemic control, which are not yet approved indications.

Associated Conditions
Chronic Angina, Ventricular Arrhythmia

Feasibility Trial for a Right Ventricular Failure Platform Trial

Phase 2
Recruiting
Conditions
Pulmonary Hypertension
Right Ventricular Dysfunction
Right Heart Failure
Interventions
First Posted Date
2024-08-26
Last Posted Date
2025-03-27
Lead Sponsor
University of Alberta
Target Recruit Count
30
Registration Number
NCT06570473
Locations
🇨🇦

University of Calgary, Calgary, Alberta, Canada

🇨🇦

University of Alberta, Edmonton, Alberta, Canada

🇨🇦

The University of British Columbia, Vancouver, British Columbia, Canada

and more 2 locations

A Study of Ranolazine in ALS

Phase 2
Recruiting
Conditions
Amyotrophic Lateral Sclerosis
Interventions
Drug: Placebo
First Posted Date
2024-07-30
Last Posted Date
2025-04-17
Lead Sponsor
Swathy Chandrashekhar, MD
Target Recruit Count
72
Registration Number
NCT06527222
Locations
🇺🇸

University of California, San Francisco, San Francisco, California, United States

🇺🇸

Mayo Clinic Florida, Jacksonville, Florida, United States

🇺🇸

University of Kansas Medical Center, Fairway, Kansas, United States

and more 4 locations

Reduce Crohn's-Associated Diarrhea With Sodium Channel Therapy

Phase 2
Terminated
Conditions
Inflammatory Bowel Disease
Crohn's Disease
Interventions
Drug: Placebo
First Posted Date
2020-07-02
Last Posted Date
2025-02-06
Lead Sponsor
Vanderbilt University Medical Center
Target Recruit Count
4
Registration Number
NCT04456517
Locations
🇺🇸

Vanderbilt University Medical Center, Nashville, Tennessee, United States

Effects of Ranolazine on Coronary Microvascular Dysfunction in Patients With Hypertrophic Cardiomyopathy

Phase 2
Completed
Conditions
HCM - Hypertrophic Non-Obstructive Cardiomyopathy
Interventions
First Posted Date
2019-05-17
Last Posted Date
2020-12-10
Lead Sponsor
IRCCS San Raffaele
Target Recruit Count
26
Registration Number
NCT03953989
Locations
🇮🇹

IRCCS Ospedale San Raffaele, Milan, Italy

Management of Ischemic Heart Disease With Angiwell-XR (Ranolazine)

Phase 4
Conditions
Chronic Stable Angina
Interventions
First Posted Date
2018-04-03
Last Posted Date
2018-04-03
Lead Sponsor
OBS Pakistan
Target Recruit Count
2000
Registration Number
NCT03486561

Safety and Efficacy of Ranolazine for the Treatment of Amyotrophic Lateral Sclerosis

Phase 2
Completed
Conditions
ALS
Interventions
First Posted Date
2018-03-21
Last Posted Date
2024-12-09
Lead Sponsor
University of Kansas Medical Center
Target Recruit Count
14
Registration Number
NCT03472950
Locations
🇺🇸

University of Kansas Medical Center, Kansas City, Kansas, United States

A TSHRN1201 Sub-study-To Evaluate the Effects of add-on Ranolazine on Exercise Tolerance and Angina Frequency

Not Applicable
Completed
Conditions
Angina
Interventions
Drug: Placebos
First Posted Date
2018-01-17
Last Posted Date
2019-04-10
Lead Sponsor
TSH Biopharm Corporation Limited
Target Recruit Count
20
Registration Number
NCT03401502
Locations
🇨🇳

National Taiwan University Hospital, Taipei, Zhongzheng Dist, Taiwan

RANOLAZINE STUDY: Speckle Tracking Derived Myocardial Strain

Withdrawn
Conditions
Ischaemic Myocardial Dysfunction
Severe Coronary Artery Disease
Interventions
First Posted Date
2017-08-22
Last Posted Date
2018-04-10
Lead Sponsor
Saint Thomas Health
Registration Number
NCT03257683
Locations
🇺🇸

Saint Thomas Heart at Saint Thomas West, Nashville, Tennessee, United States

CiPA Phase 1 ECG Biomarker Validation Study

Phase 1
Completed
Conditions
Pharmacodynamics
Drug-induced QT Prolongation
Pharmacokinetics
Interventions
First Posted Date
2017-03-03
Last Posted Date
2020-01-18
Lead Sponsor
Food and Drug Administration (FDA)
Target Recruit Count
60
Registration Number
NCT03070470
Locations
🇺🇸

Spaulding Clinical Research, West Bend, Wisconsin, United States

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