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Study of Ranexa in Patients With Coronary Artery Disease and Painful Polyneuropathy

Primary Purpose

Coronary Artery Disease, Pain, Peripheral Nervous System Diseases

Status
Terminated
Phase
Phase 4
Locations
United States
Study Type
Interventional
Intervention
Ranolazine
Placebo
Sponsored by
Gilead Sciences
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Coronary Artery Disease focused on measuring Coronary Artery Disease, Pain, Peripheral Neuropathy, Polyneuropathy

Eligibility Criteria

18 Years - undefined (Adult, Older Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria:

  • Males or females aged ≥ 18 years
  • Coronary artery disease with a clinically diagnosed peripheral neuropathy
  • Willing and able to provide signed informed consent and Health Insurance Portability and Accountability Act (HIPAA) authorization
  • Willing and able to comply with the requirements of the protocol and follow directions from the clinic staff

Exclusion Criteria:

  • History of allergy or intolerance to ranolazine
  • Any condition or concomitant medication that would have precluded the safe use of ranolazine as outlined in the prescribing information sheet (see Appendix E)
  • In the judgment of the investigator, any clinically-significant ongoing medical condition that might jeopardize the patient's safety or interfere with the absorption, distribution, metabolism or excretion of the study drug
  • In the judgment of the investigator, clinically-significant abnormal physical findings during screening (excluding the patient's peripheral neuropathy condition)
  • Use of any experimental or investigational drug or device within 30 days prior to screening
  • Pregnant or breast feeding, or (if premenopausal), not practicing an acceptable method of birth control (as detailed in Inclusion Criterion 4)
  • Had received prior treatment with, or investigational exposure to, ranolazine within 7 days prior to randomization
  • Clinically significant hepatic impairment
  • Had end-stage renal disease requiring dialysis
  • Psychological or addictive disorders (not limited to, but including drug and/or alcohol dependency) that may have precluded patient consent or compliance, or that may have confounded study interpretation
  • Positive pregnancy test at Baseline (pre-randomization, Day 0)

Sites / Locations

  • Cardiovascular Institute of the South Clinical Research Corporation

Arms of the Study

Arm 1

Arm 2

Arm Type

Experimental

Experimental

Arm Label

Placebo-Ranolazine

Ranolazine-Placebo

Arm Description

Participants were randomized to receive placebo to match ranolazine during Weeks 1 to 6, then ranolazine during Weeks 7 to 12.

Participants were randomized to receive ranolazine during Weeks 1 to 6, then placebo to match ranolazine during Weeks 7 to 12.

Outcomes

Primary Outcome Measures

Reduction in Neuropathic Pain
Reduction in patient-reported neuropathic pain (by 2 numeric levels as measured by the Numeric Pain Scale)

Secondary Outcome Measures

Assess Participant Quality of Life Utilizing the Short Form 36 Health Survey (SF-36v2) Questionnaire
The participant quality of life assessed utilizing the SF-36v2 questionnaire
Response to Thermal and Mechanical Stimuli
The participant response to thermal and mechanical stimuli as measured by the Hargreaves and Von Frey tests

Full Information

First Posted
January 28, 2009
Last Updated
May 23, 2014
Sponsor
Gilead Sciences
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1. Study Identification

Unique Protocol Identification Number
NCT00832572
Brief Title
Study of Ranexa in Patients With Coronary Artery Disease and Painful Polyneuropathy
Official Title
A Double-blind, Placebo-controlled, Cross-over Study of Ranolazine in Patients With Coronary Artery Disease for the Treatment of Painful Polyneuropathy
Study Type
Interventional

2. Study Status

Record Verification Date
May 2014
Overall Recruitment Status
Terminated
Why Stopped
Lack of enrollment
Study Start Date
January 2009 (undefined)
Primary Completion Date
June 2009 (Actual)
Study Completion Date
June 2009 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Gilead Sciences

4. Oversight

Data Monitoring Committee
No

5. Study Description

Brief Summary
This study was to determine whether ranolazine was effective in the treatment of neuropathic pain in patients with coronary artery disease. Eligibility required neurological examination by the study doctor and assessment of the patient's pain. Eligible participants were randomized to receive blinded study medication for a total of 12 weeks.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Coronary Artery Disease, Pain, Peripheral Nervous System Diseases, Polyneuropathy
Keywords
Coronary Artery Disease, Pain, Peripheral Neuropathy, Polyneuropathy

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 4
Interventional Study Model
Crossover Assignment
Masking
ParticipantCare ProviderInvestigatorOutcomes Assessor
Allocation
Randomized
Enrollment
5 (Actual)

8. Arms, Groups, and Interventions

Arm Title
Placebo-Ranolazine
Arm Type
Experimental
Arm Description
Participants were randomized to receive placebo to match ranolazine during Weeks 1 to 6, then ranolazine during Weeks 7 to 12.
Arm Title
Ranolazine-Placebo
Arm Type
Experimental
Arm Description
Participants were randomized to receive ranolazine during Weeks 1 to 6, then placebo to match ranolazine during Weeks 7 to 12.
Intervention Type
Drug
Intervention Name(s)
Ranolazine
Other Intervention Name(s)
Ranexa
Intervention Description
Ranolazine ER tablet administered orally for 6 weeks (500 mg twice a day for 3 weeks, followed by either 500 mg or 1000 mg twice a day for 3 weeks).
Intervention Type
Drug
Intervention Name(s)
Placebo
Intervention Description
Placebo to match ranolazine administered twice a day for 6 weeks
Primary Outcome Measure Information:
Title
Reduction in Neuropathic Pain
Description
Reduction in patient-reported neuropathic pain (by 2 numeric levels as measured by the Numeric Pain Scale)
Time Frame
Baseline to Week 6
Secondary Outcome Measure Information:
Title
Assess Participant Quality of Life Utilizing the Short Form 36 Health Survey (SF-36v2) Questionnaire
Description
The participant quality of life assessed utilizing the SF-36v2 questionnaire
Time Frame
Baseline to Week 6
Title
Response to Thermal and Mechanical Stimuli
Description
The participant response to thermal and mechanical stimuli as measured by the Hargreaves and Von Frey tests
Time Frame
Baseline to Week 6

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Males or females aged ≥ 18 years Coronary artery disease with a clinically diagnosed peripheral neuropathy Willing and able to provide signed informed consent and Health Insurance Portability and Accountability Act (HIPAA) authorization Willing and able to comply with the requirements of the protocol and follow directions from the clinic staff Exclusion Criteria: History of allergy or intolerance to ranolazine Any condition or concomitant medication that would have precluded the safe use of ranolazine as outlined in the prescribing information sheet (see Appendix E) In the judgment of the investigator, any clinically-significant ongoing medical condition that might jeopardize the patient's safety or interfere with the absorption, distribution, metabolism or excretion of the study drug In the judgment of the investigator, clinically-significant abnormal physical findings during screening (excluding the patient's peripheral neuropathy condition) Use of any experimental or investigational drug or device within 30 days prior to screening Pregnant or breast feeding, or (if premenopausal), not practicing an acceptable method of birth control (as detailed in Inclusion Criterion 4) Had received prior treatment with, or investigational exposure to, ranolazine within 7 days prior to randomization Clinically significant hepatic impairment Had end-stage renal disease requiring dialysis Psychological or addictive disorders (not limited to, but including drug and/or alcohol dependency) that may have precluded patient consent or compliance, or that may have confounded study interpretation Positive pregnancy test at Baseline (pre-randomization, Day 0)
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Craig Walker, MD
Organizational Affiliation
Cardiovascular Institute of the South Clinical Research Corporation
Official's Role
Principal Investigator
Facility Information:
Facility Name
Cardiovascular Institute of the South Clinical Research Corporation
City
Houma
State/Province
Louisiana
ZIP/Postal Code
70360
Country
United States

12. IPD Sharing Statement

Links:
URL
http://www.neuropathy.org/
Description
The Neuropathy Association, a public, non-profit organization providing information and support for patients with neuropathy

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Study of Ranexa in Patients With Coronary Artery Disease and Painful Polyneuropathy

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