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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
Associated Therapies
-

Microvascular Assessment of Ranolazine in Non-Obstructive Atherosclerosis (MARINA)

Phase 2
Completed
Conditions
Microvascular Angina
Interventions
Drug: Placebo
Drug: Ranolazine
First Posted Date
2014-05-26
Last Posted Date
2019-05-21
Lead Sponsor
Emory University
Target Recruit Count
26
Registration Number
NCT02147067
Locations
🇺🇸

Emory University, Atlanta, Georgia, United States

Study of Ranolazine in the Treatment of Pulmonary Hypertension Associated With Diastolic Left Ventricular Dysfunction

Phase 4
Completed
Conditions
Pulmonary Hypertension
Diastolic Left Ventricular Dysfunction
Interventions
First Posted Date
2014-05-08
Last Posted Date
2017-05-17
Lead Sponsor
Boston University
Target Recruit Count
10
Registration Number
NCT02133352
Locations
🇺🇸

Boston University Medical Center, Boston, Massachusetts, United States

A Pilot Trial of Ranolazine to Treat Patients With Dilated Cardiomyopathy

Phase 2
Completed
Conditions
Dilated Cardiomyopathy
Interventions
First Posted Date
2014-05-08
Last Posted Date
2021-04-28
Lead Sponsor
University Medical Centre Ljubljana
Target Recruit Count
10
Registration Number
NCT02133911
Locations
🇸🇮

Advanced Heart Failure and Transplantation Programme, University Medical Center Ljubljana, Slovenia, Ljubljana, Slovenia

Ranolazine and Microvascular Angina by PET in the Emergency Department

Phase 4
Completed
Conditions
Microvascular Angina
Interventions
Drug: Placebo
Drug: Ranolazine
First Posted Date
2014-01-31
Last Posted Date
2017-05-16
Lead Sponsor
Yale University
Target Recruit Count
31
Registration Number
NCT02052011
Locations
🇺🇸

Yale New Haven Hospital, New Haven, Connecticut, United States

Study to Reduce Symptoms of Premature Beats With Ranolazine

Phase 4
Conditions
Premature Ventricular Beats
Interventions
First Posted Date
2013-11-27
Last Posted Date
2015-05-01
Lead Sponsor
Walter Reed National Military Medical Center
Target Recruit Count
72
Registration Number
NCT01996618
Locations
🇺🇸

Walter Reed National Military Medical Center, Bethesda, Maryland, United States

A Pilot Study to Enhance F18 FDG-PET Imaging of Prostate Cancers With the Metabolic Inhibitor Ranolazine

Not Applicable
Completed
Conditions
Soft Tissue Metastases
Stage IV Prostate Cancer
Stage IIA Prostate Cancer
Stage III Prostate Cancer
Adenocarcinoma of the Prostate
Stage IIB Prostate Cancer
Bone Metastases
Interventions
First Posted Date
2013-11-25
Last Posted Date
2018-12-03
Lead Sponsor
University of Colorado, Denver
Target Recruit Count
11
Registration Number
NCT01992016
Locations
🇺🇸

University of Colorado Cancer Center, Aurora, Colorado, United States

Effects of Ranolazine and Exercise on Daily Physical Activity Trial

Phase 4
Completed
Conditions
Chronic Stable Angina
Interventions
Behavioral: Aerobic Exercise
Drug: Ranolazine
Drug: Placebo
First Posted Date
2013-09-23
Last Posted Date
2017-12-12
Lead Sponsor
Duke University
Target Recruit Count
38
Registration Number
NCT01948310
Locations
🇺🇸

Duke Center for Living, Durham, North Carolina, United States

The Use of Ranolazine for Atrial Fibrillation and Diastolic Heart Failure

Phase 2
Terminated
Conditions
Atrial Fibrillation
Heart Failure
Interventions
Drug: Placebo
Drug: Ranolazine
First Posted Date
2013-06-26
Last Posted Date
2015-07-20
Lead Sponsor
Intermountain Health Care, Inc.
Target Recruit Count
8
Registration Number
NCT01887353
Locations
🇺🇸

Intermountain Medical Center, Murray, Utah, United States

Study of the Electrocardiographic Effects of Ranolazine, Dofetilide, Verapamil, and Quinidine in Healthy Subjects

Phase 1
Completed
Conditions
Drug-induced Surface ECG Changes
Interventions
First Posted Date
2013-06-10
Last Posted Date
2018-03-08
Lead Sponsor
Food and Drug Administration (FDA)
Target Recruit Count
22
Registration Number
NCT01873950

A Study to Evaluate the Effect of Ranolazine on Postprandial Glucagon in Subjects With Type 2 Diabetes.

Phase 1
Completed
Conditions
Type 2 Diabetes Mellitus
Interventions
First Posted Date
2013-04-30
Last Posted Date
2014-03-31
Lead Sponsor
Gilead Sciences
Target Recruit Count
24
Registration Number
NCT01843127
Locations
🇺🇸

Profil Institute for Clinical Research, Inc., Chula Vista, California, United States

🇺🇸

Translational Research Institute-Florida Hospital, Orlando, Florida, United States

🇺🇸

SeaView Research, Inc, Miami, Florida, United States

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