Type 2 Diabetes Evaluation of Ranolazine in Subjects With Chronic Stable Angina (TERISA)
Angina Pectoris, Coronary Artery Disease, Type 2 Diabetes Mellitus
About this trial
This is an interventional treatment trial for Angina Pectoris focused on measuring Chronic angina, Angina pectoris, Coronary artery disease, Type 2 Diabetes Mellitus
Eligibility Criteria
Inclusion Criteria:
- Written informed consent
- Males and females aged at least 18 years
- At least a 3-month history of chronic stable angina triggered by physical effort and relieved by rest and/or sublingual nitroglycerin
CAD documented by one or more of the following:
- Angiographic evidence of ≥ 50% stenosis of one or more major coronary arteries
- History of myocardial infarction (MI) documented by positive myocardial muscle creatine kinase (CK-MB) enzymes, troponins, or electrocardiogram (ECG) changes
- Cardiac imaging study or exercise test diagnostic for CAD
- Treatment with up to 2 antianginal therapies at a stable dose for at least 2 weeks prior to the Qualifying Period.
- Documented history of T2DM
- Willing to maintain stable tobacco usage habits throughout the study
- Willing to maintain stable activity levels throughout the study
- Females of childbearing potential must agree to utilize highly effective contraception methods from Screening throughout the duration of study treatment and for 14 days following the last dose of study drug.
Exclusion Criteria:
- New York Heart Association (NYHA) Class III and IV
- Acute coronary syndrome in the prior 2 months or planned coronary revascularization during the study period
- Stroke or transient ischemic attack within 6 months prior to Screening
- QTc > 500 milliseconds
- Uncontrolled hypertension (seated systolic blood pressure > 180 mmHg or diastolic blood pressure > 110 mmHg)
- Systolic blood pressure < 100 mmHg
- Clinically significant hepatic impairment
- Prior treatment with ranolazine, or known hypersensitivity or intolerance to ranolazine
- Females who are breastfeeding
- Positive serum pregnancy test
- Participation in another investigational drug or device study within 1 month prior to Screening
- Current treatment with trimetazidine, ivabradine, or nicorandil. Subjects will need to discontinue these medications 2 weeks prior to the Qualifying Period.
- Current treatment with potent inhibitors of cytochrome (CYP)3A (eg, ketoconazole, itraconazole, clarithromycin, nefazodone, nelfinavir, ritonavir, indinavir, and saquinavir)
- Current treatment with CYP3A and P glycoprotein (Pgp) inducers (eg, rifampicin/rifampin, carbamazepine, and St. John's wort [Hypericum perforatum])
- Current treatment with CYP3A4 substrates with a narrow therapeutic range (eg, cyclosporine, tacrolimus, and sirolimus)
- Subjects taking simvastatin who cannot reduce the dose to 20 mg once daily or who cannot switch to another statin
- Current treatment with Class I or III antiarrhythmic medications
- History of illicit drug use or alcohol abuse within 1 year of Screening
- Any other conditions that, in the opinion of the investigator, are likely to prevent compliance with the study protocol or pose a safety concern if the subject participates in the study
Sites / Locations
- Cardiology and Medicine Clinic
- Merced Heart Associates
- Spectrum Clinical Research Institute, Inc
- Sacramento Heart and Vascular Research Center
- South Florida Research Solutions, LLC
- Baptist Heart Specialist
- Clinical Research of Central Florida
- Masters of Clinical Research, Inc.
- Columbus Cardiology Associates
- Central Cardiology Associates
- Research Integrity, LLC
- Alexandria Cardiology Clinic
- Clinical Trials Management, LLC
- Endeavor Medical Research, PLC
- Minneapolis Heart Institute Foundation
- Cross Country Cardiology
- Kore CV Research
- Wellmont Cardiovascular Associates Heart Institute
- Med-Tech Research
- Humble Cardiology Associates
- State Institution "Gomel regional clinical hospital"
- State Inst Rep Scientific and Practical center
- Diagnostic Consultative Center, Ascendent Cardiological Out-Patient Office
- MHAT "Tsar Boris III"
- National Cardiology Center, Cardiology Clinic - III
- MHAT "Vita", Cardiology Department
- UMHAT "Tsaritsa Yoanna" - ISUL, Cardiology Clinic
- Military Medical Academy, Clinic of Cardiology and Intesive Care
- SKDS Research Inc
- Dr. Roger Labonté Professional Medicine Corp.
- Aniol Gupta MD
- Montréal General Hospital
- High Desert Medical Group
- Montreal Heart Institute
- London Road Diagnostic Clinic and Medical Centre
- Topsail Road Medical Clinic
- Vojenska Nemocnice Brno
- Cardiocentrum Kladno s.r.o.
- Poliklinika Modrany - Kardiologie
- Fakultní Nemocnice v Motole
- Corintez s.r.o.
- Centrum klinického výzkumu, s.r.o.
- Nemocnice Slaný
- Tbilisi State Medical University Alexandre Aladashvili University Clinic
- Amtel Hospital First Clinical LLC
- Clinic "Guli"
- Cardio-Reanimation Clinic LTD
- Emergency Cardiology Center by Academician G. Chapidze LTD
- Tbilisi Heart and Vascular Clinic LTD
- Multiprofile Clinical Hospital of Tbilisi #2 LTD
- Charité Campus Virchow Klinikum
- Städtische Kliniken Bielefeld
- Sankt Johannes-Hospital Dortmund
- Universitätsklinikum Göttingen
- Gemeinschaftspraxis fur Kardiologie
- Praxis Fur Innere Medizin Kardiologie, Pneumologic und Allergologie
- Universitätsmedizin Mannheim
- Barzilai Medical Center, Cardiology Dept.
- Assaf Harofeh Medical Centre
- Shaare Zedek Medical Center
- Kaplan Medical Center
- Ziv Medical Center
- Tel Aviv Souraski Medical Center
- MULTI-MED PLUS Sp. z o.o.
- Niepubliczny Zakład Opieki Zdrowotnej Przychodnia Zdrowia "Zadębie"
- KO-MED Marek Konieczny
- Specjalistyczna Praktyka Lekarska Leszek Bryniarski
- NZOZ Revita Poradnia Kardiologiczna
- Instytut Kardiologii
- Instytut Kardiologii
- NZOZ Sródmiescie Sp z o.o.
- Pomorskie Centra Kardiologiczne S.A.
- S.P. Specjalistyczny Szpital Zachodni im.JP II
- Krakowski Szpital Specjalistyczny im.JPII
- Synexus SCM Sp. z o.o. Oddział w Warszawie
- Centrum Badawcze Współczenej Terapii
- Slaskie Centrum Chorób Serca w Zabrzu
- City Hospital #38 named after Semashko N.A
- Altay Regional Cardiologycal Dispensary
- "Chita State Medical Academy" Curative-Diagnostic Clinic department
- Sverdlovsky Regional Clinical Hospital of Wars Veterans
- Municipal Institution of Healthcare "Kemerovo Cardiology Dispensary"
- Non-state Institution of healthcare "Department hospital on station Kemerovo of OAO "Russian Railway"
- Medical centre "Delis", LLC
- Federal State Institution "National Research Center for Preventive Medicine"
- State healthcare institution of Moscow "City Clinical hospital#15 named after O.M.Filatov"
- State Healthcare institution of Moscow"Cardiology Dispensary #2"
- First Moscow State Medical University I.M. Sechenov
- State Budget Educational Institution of High Professional Education First Moscow State Medical University... #1, Cardiology Clinic, Hospital Therapy Department
- State Budget Educational Institution of High Professional Education First Moscow State Medical University... #1, Cardiology Clinic, Hospital Therapy Department
- Moscow City Clinical Hospital #51
- FGU Central Clinical Hospital with Polyclinic of President Administrative Department of RF
- Moscow State University of Medicine and Dentistry based on Moscow City Clinical Hospital #71
- City Clinical Hospital named after S.P.Botkin
- State Institution of Moscow Healthcare "City Clinical Hospital named after S.P. Botkin"
- Moscow State Institution of Health "City Clinical Hospital #81"
- Federal State Institution "Outpatient department #3" of President Management department of Russian Federation
- State Novosibirsk Regional Clinical Hospital
- Regional Clinical Hospital named after N.N.Burdenko
- State Institution of Healthcare Perm Regional Hospital for War Veterans
- State Healthcare Institution "Ryazan regional clinical cardiological dispensary"
- "Clinical hospital named after S.R.Mirotvortsev"
- Educational Institution of Higher Vocational Education "Smolensk State Medical Academy" on the base of Municipal Medicoprophylactic Institution "Hospital of Emergency Medical Care",
- FGU Central Clinical Hospital with Polyclinic of President Administrative Department of RF
- Federal State Educational Institution of High Professional Education "Military Medical Academy n.a. S.M. Kirov" of the Ministry of Defence of Russia
- International Medical Center "SOGAZ", LLC
- State Healthcare institution "Municipal Out-patient Clinic #109"
- Saint-Petersburg State Healthcare Institution
- Federal Heart, Blood and Endocrinology Centre n.a. Almazov
- Institution and Address: "Medical Research Institute", LLC
- Federal Heart, Blood and Endocrinology Centre n.a. Almazov
- State Institution of Healthcare "City Hospital #40 of Kurortniy administrative district
- Autonomous healthcare institution of Voronezh region "Voronezh regional clinic consultative and diagnostic centre"
- Municipal Institution of Healthcare "Clinical Hospital #8 of Yaroslavl"
- Cardiology Clinic, Clinical Center Serbia
- Institute of Cardiovascular Diseases
- ALIAN, s.r.o.
- Cardioconsult, s.r.o.
- Kardiovaskulárne centrum, s.r.o.
- CARDIO D&R, s.r.o.
- KARDIOMED, s.r.o.
- Kardiocentrum Nitra, s.r.o.
- University Clinic of Respiratory and Allergic Diseases Golnik
- University Klinicni Center Ljubljana
- General Hospital Murska Sobota
- Donetsk National Medical University, Department of Internal Medicine #1 based on Department of Emergency Cardiology and Rehabilitation of Institute of Urgent and Recovery Surgery named after V. K. Gusak
- Central Clinical Hospital of Ukrzaliznitsia, Cardiology department
- Kharkiv Medical Academy of Postgraduate Education, Department of cardiology and functional diagnostics based on City Clinical Hospital #8, Department of Cardiology #2
- Central polyclinic of Pechersk district, Department of cardiology
- Kyiv City Clinical Hospital #1, Department of Emergency Cardiology
- Kyiv city clinical hospital #5
- Department of Diabetology of National Medical Academy of Postgraduate Education named after P.L.Shupyk based on Day Time Hospital of Administration of Medical Service and Rehabilitation of "ARTEM" SHC
- SI "Institute of Gerontology of AMS of Ukraine"
- Lviv National Medical University named after Danylo Halytsky, Department of Propaedeutics of Internal Medicine #1 based on Polyclinic Department of Municipal City Clinical Hospital #5
- SI Odessa Regional Cardiological Dispensary
Arms of the Study
Arm 1
Arm 2
Placebo Comparator
Experimental
Placebo
Ranolazine
Qualifying phase: Participants will enter a 2-week washout period if needing to discontinue antianginal drugs (except beta-blockers) followed by placebo to match ranolazine (1 tablet twice daily) during a 4-week run-in period. Participants with at least 85% adherence to documentation requirements (angina frequency and sublingual nitroglycerin use) over the last 21 days of the placebo run-in period will be randomized to the treatment period. Treatment Period: Placebo to match ranolazine (Day 1: 1 tablet in the evening; Days 2-7: 1 tablet twice daily; 2 tablets twice daily thereafter) for up to 8 weeks.
Qualifying phase: Participants will enter a 2-week washout period if needing to discontinue antianginal drugs (except beta-blockers) followed by placebo to match ranolazine (1 tablet twice daily) during a 4-week run-in period. Participants with at least 85% adherence to documentation requirements (angina frequency and sublingual nitroglycerin use) over the last 21 days of the placebo run-in period will be randomized to the treatment period. Treatment period: Ranolazine tablets (Day 1: 1 × 500 tablet in the evening; Days 2-7: 1 × 500 mg twice daily; 2 × 500 mg twice daily thereafter) for up to 8 weeks.