Ranolazine effects on exercise tolerance and angina frequency in Taiwanese stable angina: A bridging study of the CARISA randomized trial.


Journal

Journal of the Formosan Medical Association = Taiwan yi zhi
ISSN: 0929-6646
Titre abrégé: J Formos Med Assoc
Pays: Singapore
ID NLM: 9214933

Informations de publication

Date de publication:
05 Oct 2024
Historique:
received: 07 01 2024
revised: 04 07 2024
accepted: 16 09 2024
medline: 7 10 2024
pubmed: 7 10 2024
entrez: 6 10 2024
Statut: aheadofprint

Résumé

The effectiveness of Ranolazine on chronic angina had been proved and launched in the United States. This study aimed to determine whether add-on Ranolazine could also be effective in Taiwanese population with persisting angina symptoms despite taking conventional antianginal agents. This is a multi-center, randomized, parallel, double-blind comparative study. The endpoint is to compare the change from the baseline of the exercise treadmill test (ETT) performing duration between add-on ranolazine and placebo at week 12. 46 patients were evaluable for the efficacy and safety endpoints. The mean change from baseline in ETT duration at week 12 was increased in the treatment and control group, and their mean difference was 20.8 s. All data in the Taiwanese population was like those in the CARISA study (24.0 s). The safety evaluation revealed that patients were tolerable to the add-on ranolazine therapy. The AE incidence for both ranolazine and placebo was 34.8%. The data were comparable to the past studies despite the limited statistical power. The add-on ranolazine therapy shows the potential to raise the exercise performance and tolerance of patients with chronic angina.

Sections du résumé

BACKGROUND BACKGROUND
The effectiveness of Ranolazine on chronic angina had been proved and launched in the United States. This study aimed to determine whether add-on Ranolazine could also be effective in Taiwanese population with persisting angina symptoms despite taking conventional antianginal agents.
METHODS METHODS
This is a multi-center, randomized, parallel, double-blind comparative study. The endpoint is to compare the change from the baseline of the exercise treadmill test (ETT) performing duration between add-on ranolazine and placebo at week 12.
RESULTS RESULTS
46 patients were evaluable for the efficacy and safety endpoints. The mean change from baseline in ETT duration at week 12 was increased in the treatment and control group, and their mean difference was 20.8 s. All data in the Taiwanese population was like those in the CARISA study (24.0 s). The safety evaluation revealed that patients were tolerable to the add-on ranolazine therapy. The AE incidence for both ranolazine and placebo was 34.8%. The data were comparable to the past studies despite the limited statistical power.
CONCLUSION CONCLUSIONS
The add-on ranolazine therapy shows the potential to raise the exercise performance and tolerance of patients with chronic angina.

Identifiants

pubmed: 39370366
pii: S0929-6646(24)00438-8
doi: 10.1016/j.jfma.2024.09.018
pii:
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Informations de copyright

Copyright © 2024 Formosan Medical Association. Published by Elsevier B.V. All rights reserved.

Déclaration de conflit d'intérêts

Declaration of Competing interest The authors have no conflicts of interest relevant to this article.

Auteurs

Jen-Kuang Lee (JK)

National Taiwan University Hospital, Taiwan.

I-Chang Hsieh (IC)

Chang Gung Memorial Hospital Linkou, Taiwan.

Po-Hsun Huang (PH)

Veterans General Hospital, Taipei, Taiwan.

Yen-Wen Wu (YW)

Far Eastern Memorial Hospital, Taiwan.

Jung-Chung Hsu (JC)

Far Eastern Memorial Hospital, Taiwan.

Jen-Yuan Kuo (JY)

Mackay Memorial Hospital, Taiwan.

Po-Yuan Chang (PY)

National Taiwan University Hospital, Taiwan.

Cheng-Hsueh Wu (CH)

Veterans General Hospital, Taipei, Taiwan.

Juey-Jen Hwang (JJ)

National Taiwan University Hospital, Taiwan. Electronic address: jueyhwang@ntu.edu.tw.

Classifications MeSH