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    Summary
    EudraCT Number:2011-001278-24
    Sponsor's Protocol Code Number:MEIN/10/Ran-Cad/003
    National Competent Authority:Bulgarian Drug Agency
    Clinical Trial Type:EEA CTA
    Trial Status:Prematurely Ended
    Date on which this record was first entered in the EudraCT database:2013-08-20
    Trial results View results
    Index
    A. PROTOCOL INFORMATION
    B. SPONSOR INFORMATION
    C. APPLICANT IDENTIFICATION
    D. IMP IDENTIFICATION
    D.8 INFORMATION ON PLACEBO
    E. GENERAL INFORMATION ON THE TRIAL
    F. POPULATION OF TRIAL SUBJECTS
    G. INVESTIGATOR NETWORKS TO BE INVOLVED IN THE TRIAL
    N. REVIEW BY THE COMPETENT AUTHORITY OR ETHICS COMMITTEE IN THE COUNTRY CONCERNED
    P. END OF TRIAL
    Expand All   Collapse All
    A. Protocol Information
    A.1Member State ConcernedBulgarian Drug Agency
    A.2EudraCT number2011-001278-24
    A.3Full title of the trial
    EFFICACY OF RANOLAZINE IN PATIENTS WITH CORONARY ARTERY DISEASE (CAD)
    Ефикасност на Ранолазин при пациенти с коронарна артериална болест (КАБ)
    A.3.1Title of the trial for lay people, in easily understood, i.e. non-technical, language
    EFFICACY OF RANOLAZINE IN PATIENTS WITH CORONARY ARTERY DISEASE (CAD)
    Ефикасност на Ранолазин при пациенти с коронарна артериална болест (КАБ)
    A.4.1Sponsor's protocol code numberMEIN/10/Ran-Cad/003
    A.7Trial is part of a Paediatric Investigation Plan No
    A.8EMA Decision number of Paediatric Investigation Plan
    B. Sponsor Information
    B.Sponsor: 1
    B.1.1Name of SponsorMenarini International Operations Luxembourg SA
    B.1.3.4CountryLuxembourg
    B.3.1 and B.3.2Status of the sponsorCommercial
    B.4 Source(s) of Monetary or Material Support for the clinical trial:
    B.4.1Name of organisation providing supportMenarini International Operations Luxembourg SA
    B.4.2CountryLuxembourg
    B.5 Contact point designated by the sponsor for further information on the trial
    B.5.1Name of organisationMenarini International Operations Luxembourg SA
    B.5.2Functional name of contact pointStudy Medical Expert (SME)
    B.5.3 Address:
    B.5.3.1Street AddressVia Walter Tobagi, 8
    B.5.3.2Town/ cityPeschiera Borromeo
    B.5.3.3Post code20068
    B.5.3.4CountryItaly
    B.5.4Telephone number003902516555236
    B.5.5Fax number00390251650530
    B.5.6E-maildzava@lusofarmaco.it
    D. IMP Identification
    D.IMP: 1
    D.1.2 and D.1.3IMP RoleTest
    D.2 Status of the IMP to be used in the clinical trial
    D.2.1IMP to be used in the trial has a marketing authorisation Yes
    D.2.1.1.1Trade name Ranexa
    D.2.1.1.2Name of the Marketing Authorisation holderMenarini International Operations Luxembourg S.A.
    D.2.5The IMP has been designated in this indication as an orphan drug in the Community No
    D.2.5.1Orphan drug designation number
    D.3 Description of the IMP
    D.3.1Product nameRanexa
    D.3.4Pharmaceutical form Tablet
    D.3.4.1Specific paediatric formulation No
    D.3.7Routes of administration for this IMPOral use
    D.3.8 to D.3.10 IMP Identification Details (Active Substances)
    D.3.8INN - Proposed INNRANOLAZINE
    D.3.9.1CAS number 95635-55-5
    D.3.9.2Current sponsor codeNA
    D.3.9.3Other descriptive nameNA
    D.3.9.4EV Substance CodeSUB10259MIG
    D.3.10 Strength
    D.3.10.1Concentration unit mg milligram(s)
    D.3.10.2Concentration typeequal
    D.3.10.3Concentration number750
    D.3.11 The IMP contains an:
    D.3.11.1Active substance of chemical origin Yes
    D.3.11.2Active substance of biological/ biotechnological origin (other than Advanced Therapy IMP (ATIMP) No
    The IMP is a:
    D.3.11.3Advanced Therapy IMP (ATIMP) No
    D.3.11.3.1Somatic cell therapy medicinal product No
    D.3.11.3.2Gene therapy medical product No
    D.3.11.3.3Tissue Engineered Product No
    D.3.11.3.4Combination ATIMP (i.e. one involving a medical device) No
    D.3.11.3.5Committee on Advanced therapies (CAT) has issued a classification for this product No
    D.3.11.4Combination product that includes a device, but does not involve an Advanced Therapy No
    D.3.11.5Radiopharmaceutical medicinal product No
    D.3.11.6Immunological medicinal product (such as vaccine, allergen, immune serum) No
    D.3.11.7Plasma derived medicinal product No
    D.3.11.8Extractive medicinal product No
    D.3.11.9Recombinant medicinal product No
    D.3.11.10Medicinal product containing genetically modified organisms No
    D.3.11.11Herbal medicinal product No
    D.3.11.12Homeopathic medicinal product No
    D.3.11.13Another type of medicinal product No
    D.IMP: 2
    D.1.2 and D.1.3IMP RoleTest
    D.2 Status of the IMP to be used in the clinical trial
    D.2.1IMP to be used in the trial has a marketing authorisation Yes
    D.2.1.1.1Trade name Ranexa
    D.2.1.1.2Name of the Marketing Authorisation holderMenarini International Operations Luxembourg SA
    D.2.5The IMP has been designated in this indication as an orphan drug in the Community No
    D.2.5.1Orphan drug designation number
    D.3 Description of the IMP
    D.3.1Product nameRanexa
    D.3.4Pharmaceutical form Tablet
    D.3.4.1Specific paediatric formulation No
    D.3.7Routes of administration for this IMPOral use
    D.3.8 to D.3.10 IMP Identification Details (Active Substances)
    D.3.8INN - Proposed INNRANOLAZINE
    D.3.9.1CAS number 95635-55-5
    D.3.9.2Current sponsor codeNA
    D.3.9.3Other descriptive nameNA
    D.3.9.4EV Substance CodeSUB10259MIG
    D.3.10 Strength
    D.3.10.1Concentration unit mg milligram(s)
    D.3.10.2Concentration typeequal
    D.3.10.3Concentration number375
    D.3.11 The IMP contains an:
    D.3.11.1Active substance of chemical origin Yes
    D.3.11.2Active substance of biological/ biotechnological origin (other than Advanced Therapy IMP (ATIMP) No
    The IMP is a:
    D.3.11.3Advanced Therapy IMP (ATIMP) No
    D.3.11.3.1Somatic cell therapy medicinal product No
    D.3.11.3.2Gene therapy medical product No
    D.3.11.3.3Tissue Engineered Product No
    D.3.11.3.4Combination ATIMP (i.e. one involving a medical device) No
    D.3.11.3.5Committee on Advanced therapies (CAT) has issued a classification for this product No
    D.3.11.4Combination product that includes a device, but does not involve an Advanced Therapy No
    D.3.11.5Radiopharmaceutical medicinal product No
    D.3.11.6Immunological medicinal product (such as vaccine, allergen, immune serum) No
    D.3.11.7Plasma derived medicinal product No
    D.3.11.8Extractive medicinal product No
    D.3.11.9Recombinant medicinal product No
    D.3.11.10Medicinal product containing genetically modified organisms No
    D.3.11.11Herbal medicinal product No
    D.3.11.12Homeopathic medicinal product No
    D.3.11.13Another type of medicinal product No
    D.IMP: 3
    D.1.2 and D.1.3IMP RoleTest
    D.2 Status of the IMP to be used in the clinical trial
    D.2.1IMP to be used in the trial has a marketing authorisation Yes
    D.2.1.1.1Trade name Ranexa
    D.2.1.1.2Name of the Marketing Authorisation holderMenarini International Operations Luxembourg SA
    D.2.5The IMP has been designated in this indication as an orphan drug in the Community No
    D.2.5.1Orphan drug designation number
    D.3 Description of the IMP
    D.3.1Product nameRanexa
    D.3.4Pharmaceutical form Tablet
    D.3.4.1Specific paediatric formulation No
    D.3.7Routes of administration for this IMPOral use
    D.3.8 to D.3.10 IMP Identification Details (Active Substances)
    D.3.8INN - Proposed INNRANOLAZINE
    D.3.9.1CAS number 95635-55-5
    D.3.9.2Current sponsor codeNA
    D.3.9.3Other descriptive nameNA
    D.3.9.4EV Substance CodeSUB10259MIG
    D.3.10 Strength
    D.3.10.1Concentration unit mg milligram(s)
    D.3.10.2Concentration typeequal
    D.3.10.3Concentration number500
    D.3.11 The IMP contains an:
    D.3.11.1Active substance of chemical origin Yes
    D.3.11.2Active substance of biological/ biotechnological origin (other than Advanced Therapy IMP (ATIMP) No
    The IMP is a:
    D.3.11.3Advanced Therapy IMP (ATIMP) No
    D.3.11.3.1Somatic cell therapy medicinal product No
    D.3.11.3.2Gene therapy medical product No
    D.3.11.3.3Tissue Engineered Product No
    D.3.11.3.4Combination ATIMP (i.e. one involving a medical device) No
    D.3.11.3.5Committee on Advanced therapies (CAT) has issued a classification for this product No
    D.3.11.4Combination product that includes a device, but does not involve an Advanced Therapy No
    D.3.11.5Radiopharmaceutical medicinal product No
    D.3.11.6Immunological medicinal product (such as vaccine, allergen, immune serum) No
    D.3.11.7Plasma derived medicinal product No
    D.3.11.8Extractive medicinal product No
    D.3.11.9Recombinant medicinal product No
    D.3.11.10Medicinal product containing genetically modified organisms No
    D.3.11.11Herbal medicinal product No
    D.3.11.12Homeopathic medicinal product No
    D.3.11.13Another type of medicinal product No
    D.8 Information on Placebo
    D.8 Placebo: 1
    D.8.1Is a Placebo used in this Trial?Yes
    D.8.3Pharmaceutical form of the placeboTablet
    D.8.4Route of administration of the placeboOral use
    E. General Information on the Trial
    E.1 Medical condition or disease under investigation
    E.1.1Medical condition(s) being investigated
    Excercise angina in patients with Coronary Artery Disease
    ангина при натоварване при пациенти с коронарна артериална болест
    E.1.1.1Medical condition in easily understood language
    ECG alteration during exercise test in patients suffering from Coronary Atery Disease, which is a condition due to a constriction of the vessels which counduct the blood to the cadiac muscle
    промяна в ЕКГ по време на тест с натоварване при пациенти, страдащи от коронарна артериална болест, състояние, дължащо се на свиване на кръвоносните съдове, които пренасят кръвта до сърдечния мускул.
    E.1.1.2Therapeutic area Diseases [C] - Cardiovascular Diseases [C14]
    MedDRA Classification
    E.1.2 Medical condition or disease under investigation
    E.1.2Version 17.0
    E.1.2Level LLT
    E.1.2Classification code 10015648
    E.1.2Term Exercise induced angina
    E.1.2System Organ Class 100000004849
    E.1.3Condition being studied is a rare disease No
    E.2 Objective of the trial
    E.2.1Main objective of the trial
    The primary study objective will be to verify whether ranolazine 750 mg b.i.d. is effective in increasing exercise capacity (exercise treadmill time at peak).
    първичната цел на проучването е да провери дали ранолазин в доза от 750 мг два пъти дневно е ефективен за увеличаване на способността за физическо натоварване (време за упражнение на бягаща пътека при пикови плазмени нива на ранолазин)
    E.2.2Secondary objectives of the trial
    The secondary study objectives will be to verify whether ranolazine is effective in reducing angina frequency and nitroglycerin and/or nitrates consumption/week.
    The assessment of safety by evaluation of adverse events, laboratory findings and physical examination will also be considered a secondary study objective.
    вторичната цел е да провери дали ранолазин е ефективен за намаляване честотата на пристъпите на ангина и на седмичния прием на нитроглицерин и/или нитрати.
    За вторична цел на проучването също се счита и оценка на безопасността на лечението чрез оценка на нежелани събития, лабораторни резултати и физикален преглед
    E.2.3Trial contains a sub-study No
    E.3Principal inclusion criteria
    • Male and female patients (females of childbearing potential must be using adequate contraceptive precautions such as implants, injectables, combined oral contraceptives, intrauterine devices, sexual abstinence or vasectomised partner).
    • Patients aged ≥ 18 years.
    • Patients with coronary artery disease confirmed by angiography or prior MI or prior revascularization (PCI, CABG) and with exercise angina not controlled by the current therapy, with or without anginal pain.
    • ST-segment depression ≥ 1mm during exercise ECG.
    • Capacity to perform the exercise test.
    • Able and willing to sign informed consent and to comply with study procedures.
    • Written informed consent prior to enrolment into the study.
    • Females of childbearing potential or within two years from the menopause must have a negative urine pregnancy test

    Inclusion criterion at visit 1
    • Reproducible ST-segment depression ≥ 1mm during two exercise tests performed 1 week apart (difference in exercise no more than 20%).
    • Пациенти от мъжки и женски пол (жените с детероден потенциал, трябва да използват подходящи средства за предпазване от забременяване като импланти, инжекции, комбинирани перорални контрацептиви, вътрематочни устройства, въздържание или партньор с вазектомия).
    • Пациенти на възраст ≥ 18 години.
    • Пациенти с коронарна артериална болест, потвърдена от ангиография или предишен инфаркт на миокарда, или предишна реваскуларизация (PCI, CABG) и със стабилна ангина, появяваща се при физическо натоварване, която не се повлиява от настоящото лечение, със или без болка в резултат от ангината.
    • Депресия на ST сегмента ≥ 1мм при ЕКГ по време на физическо натоварване.
    • Възпроизводима депресия на ST сегмента ≥ 1мм по време на два теста с физическо натоварване, извършени в разстояние от 1 седмица (разлика във физическото натоварване от не повече от 20%) (да се провери при визита 1).
    • Способност за извършване на теста с физическо натоварване.
    • Възможност и желание за подписване на информирано съгласие и за спазване на процедурите по проучването.
    • Писмено информирано съгласие преди включване в проучването.
    • Жените с детероден потенциал, или които са в менопауза през последните две години, трябва да имат отрицателен уринен тест за бременност.
    E.4Principal exclusion criteria
    • Angina at rest.
    • ECG abnormalities at rest (left bundle-branch block, resting ST-segment depression ≥ 1mm, tachyarrhythmia).
    • Presence of factors that preclude satisfactory interpretation of the ECG (e.g. resting ST-segment depression ≥ 1mm in any lead, left bundle-branch block, right bundle-branch block, digoxin therapy) or repolarisation and conduction abnormalities.
    • Heart failure (class III or IV NYHA).
    • Moderate-severe hypertension (SBP>160 mmHg and/or DBP>100 mmHg).
    • Hypotension.
    • Acute coronary syndrome or coronary revascularization procedure within the prior 3 months before enrolment.
    • Already planned revascularization (PTCA or CABG )
    • Implant of a pacemaker
    • Females who are pregnant or nursing.
    • Any clinically relevant haematological or biochemical abnormality on routine screening, according to Investigator’s judgment.
    • Severe concurrent pathology, including terminal illness (cancer, AIDS, etc.).
    • Renal impairment defined as creatinine clearance< 30 mL/min.
    • Mild, moderate or severe hepatic impairment or hepatic insufficiency defined as: SGOT or SGPT > 3 times greater than normal upper limit or total serum bilirubin > 1.5 times greater than normal upper limit
    • Use of greater than 1000 mg daily dose of metformin during the study.
    • Use of greater than 20 mg daily dose of simvastatin during the study.
    • Pre-existing QT prolongation (including congenital long QT syndrome, uncorrected hypokalemia).
    • Use of following concomitant medications: potent CYP3A4 inhibitors (e.g. ketoconazole and other azole antifunginals, macrolide antibiotics, HIV protease inhibitors and grapefruit juice or grapefruit-containing product); CYP3A4 inducers (e.g. rifampicin, phenytoin, phenobarbital, carbamazepine, hypericum (St. John’s wort); P-glycoprotein inhibitor (e.g. ritonavir, quinidine, ciclosporin); QT-prolonging drugs such as Class Ia (e.g quinidine) and class III (e.g. dofetilide, sotalol, dronedarone) antiarrhytmics (aside from amiodarone), and antipsychotics (e.g., thioridazine, ziprasidone); CYP2D6 inhibitor (e.g paroxetine); other products for which interactions with the products under study have been recorded.
    • Existing contraindications for exercise testing (e.g. acute myocarditis or pericarditis, DVT, severe aortic stenosis)
    • Dementia, psychosis, alcoholism (>350 g ethanol/week) or chronic abuse of medicines, drugs or psychoactive substances.
    Only for Germany:
    • Dementia, psychosis, alcoholism (for women >280 g ethanol/week; for men >560 g ethanol/week according to the German Office for Questions Regarding Addiction) or chronic abuse of medicines, drugs or psychoactive substances.
    • Conditions which in the Investigator’s opinion may interfere with the study’s execution or due to which the patient should not participate for safety reasons.
    • Participation to other clinical trials in the previous three months.
    • Prescription and use of off-label medications
    • Risk of low patient cooperation.
    • Inability or unwillingness to issue the informed consent.
    • Ангина в състояние на покой.
    • ЕКГ отклонения в състояние на покой (ляв бедрен блок, десен бедрен блок, депресия на ST сегмента в състояние на покой ≥ 1мм, тахиаритмия).
    • Наличие на фактори, които възпрепятстват успешното разчитане на ЕКГ (напр. депресия на ST сегмента в състояние на покой ≥ 1мм в което и да е отвеждане, ляв бедрен блок, лечение с дигоксин) или реполаризация и нарушения в проводимостта.
    • Сърдечна недостатъчност (клас III или IV по класификацията на Нюйоркската кардиологична асоциация (NYHA)).
    • Умерено тежка хипертония (Систолно кръвно налягане>160 mmHg и/или Диастолно кръвно налягане>100 mmHg).
    • Хипотония.
    • Остър коронарен синдром или коронарна реваскуларизация в рамките на 3 месеца преди включване в проучването.
    • Реваскуларизация, която е вече планирана (PTCA или CABG).
    • Имплантиран пейсмейкър
    • Жени, които са бременни или кърмят.
    • Всякакво клинично значимо хематологично или биохимично отклонение при рутинния скрининг, по преценка на изследователя.
    • Тежка съпътстваща патология, включително терминално заболяване (рак, СПИН и др.).
    • Бъбречно увреждане, определено като креатининов клирънс < 30 мл/мин.
    • Леко, умерено или тежко чернодробно увреждане или чернодробна недостатъчност, определена като АСАТ или АЛАТ > 3 пъти горната граница на нормата или общ серумен билирубин > 1.5 горната граница на нормата.
    • Употреба на метформин в доза по-висока от 1000 мг. дневно, по време на проучването.
    • Употреба на симвастатин в доза по-висока от 20 мг. дневно, по време на проучването.
    • Предварително съществуващо удължение на QT интервала (включително вроден синдром на удължен QT интервал, неизлекувана хипокалиемия).
    • Употребата на следните съпътстващи лекарства: мощни CYP3A4 инхибитори (напр. кетоконазол и други азолни антимикотици, макролидни антибиотици, ХИВ протеазни инхибитори и сок от грейпфрут или продукт съдържащ грейпфрут); CYP3A4 индуктори (напр. рифампицин, фенитоин, фенобарбитал, карбамазепин, хиперикум (жълт кантарион); инхибитор на Р-гликопротеина (напр. ритонавир, квинидин, циклоспорин); лекарства, удължаващи QT-интервала като клас Іа (напр. квинидин) и клас ІІІ (напр. дофетилид, соталол, дронедарон), антиаритмици (с изключение на амиодарон), антипсихотици (напр. тиоридазин, зипразидон); CYP2D6 инхибитори (напр. пароксетин); други продукти, за които са регистрирани взаимодействия с изпитваните продукти.
    • Съществуващи противопоказания за извършване на тест с физическо натоварване (напр. остър миокардит или перикардит, дълбока венозна тромбоза (ДВТ), тежка аортна стеноза) деменция, психоза, алкохолизъм (>350 гр. етанол/седмица) или хронична злоупотреба с лекарства, наркотици или психоактивни вещества.
    Само за Германия:
    • Деменция, психоза, алкохолизъм (при жени > 280 гр. етанол/седмица; при мъже > 560 гр. етанол/седмица според Германската служба за въпроси относно зависимостите) или хронична злоупотреба с лекарства, наркотици или психоактивни вещества.
    • Условия, които по мнение на изследователя могат да попречат на провеждането на проучването, или поради които пациентът не трябва да участва, заради причини, свързани с безопасността.
    • Участие в други клинични изпитвания през последните три месеца.
    • Предписване и употреба на лекарства при индикации, различни от тези, за които съответните лекарства имат разрешение за употреба.
    • Риск пациентът да не сътрудничи на необходимото ниво.
    • Неспособност или нежелание за подписване на информираното съгласие.
    E.5 End points
    E.5.1Primary end point(s)
    Change in treadmill total exercise duration with ranolazine or placebo at peak ranolazine plasma levels (4 hrs after dosing)
    Промяна в общата продължителност на упражнението по бягаща пътека с ранолазин или плацебо, при пикови плазмени нива на ранолазин (4 часа след приемане на дозата), след 24 седмици лечение с оптимална доза.
    E.5.1.1Timepoint(s) of evaluation of this end point
    After 24 weeks of full-dose treatment.
    след 24 седмици лечение с оптимална доза
    E.5.2Secondary end point(s)
    • To assess the changes in the following paramethers of the treadmill exercise test with ranolazine or placebo at peak ranolazine plasma levels (4 hrs after dosing) after 4 (Visit 6) and 12 (Visit 7) weeks of full-dose treatment:
    - Change in total exercise duration.
    - Change in time to 1 mm ST-segment.
    - Change in % of time variation from baseline to 1 mm ST-segment depression
    - Change in time to angina .
    - Change in % of time variation from baseline to angina
    • To assess the number of angina attacks/week and the number of sublingual nitroglycerin/nitrates consumption week.
    • To assess use and changes in antianginal therapy (beta blockers, calcium channel antagonists, nitrates, ACE-inhibitors, Ivabradine, Trimetazidine, Nicorandil - where present in Europe) and changes in their doses, from baseline to the end of the study.
    • Да се оценят промените в следните параметри на упражнението по бягаща пътека с ранолазин или плацебо при пикови плазмени нива на ранолазин (4 часа след приемане на дозата), след 4 (Визита 6) и 12 (Визита 7) седмици лечение с оптимална доза.
    - Промяна в общата продължителност на упражнението
    - Промяна във времето до достигане на 1мм депресия на ST сегмента.
    - Изменението на времето от началната визита до 1мм депресия на ST сегмента при пикови плазмени нива на ранолазин, изразено в проценти.
    - Промяна във времето до възникване на пристъпи на ангина.
    - Изменението на времето в проценти от началната визита до възникването на пристъпи на ангина.
    • Да се оценят броят пристъпи на ангина на седмица и броят приеми на седмица на сублингвален нитроглицерин/нитрати.
    • Да се оцени употребата и промените в лекарствата за лечение на ангина (бета блокери, антагонисти на калциевите канали, нитрати, АСЕ инхибитори, Ивабрадин, Триметазидин, Никорандил – където е наличен в Европа) и промяната в техните дози от началната визита до края на проучването.
    E.5.2.1Timepoint(s) of evaluation of this end point
    If not specified has to be intended at each visit when the parameter is assessed
    Ако не е определен то се предвижда да се извършва на всяка визита, когато параметъра се оценява.
    E.6 and E.7 Scope of the trial
    E.6Scope of the trial
    E.6.1Diagnosis No
    E.6.2Prophylaxis No
    E.6.3Therapy Yes
    E.6.4Safety Yes
    E.6.5Efficacy Yes
    E.6.6Pharmacokinetic No
    E.6.7Pharmacodynamic No
    E.6.8Bioequivalence No
    E.6.9Dose response No
    E.6.10Pharmacogenetic No
    E.6.11Pharmacogenomic No
    E.6.12Pharmacoeconomic No
    E.6.13Others No
    E.7Trial type and phase
    E.7.1Human pharmacology (Phase I) No
    E.7.1.1First administration to humans No
    E.7.1.2Bioequivalence study No
    E.7.1.3Other No
    E.7.1.3.1Other trial type description
    E.7.2Therapeutic exploratory (Phase II) No
    E.7.3Therapeutic confirmatory (Phase III) No
    E.7.4Therapeutic use (Phase IV) Yes
    E.8 Design of the trial
    E.8.1Controlled Yes
    E.8.1.1Randomised Yes
    E.8.1.2Open No
    E.8.1.3Single blind No
    E.8.1.4Double blind Yes
    E.8.1.5Parallel group Yes
    E.8.1.6Cross over No
    E.8.1.7Other No
    E.8.2 Comparator of controlled trial
    E.8.2.1Other medicinal product(s) No
    E.8.2.2Placebo Yes
    E.8.2.3Other No
    E.8.2.4Number of treatment arms in the trial2
    E.8.3 The trial involves single site in the Member State concerned No
    E.8.4 The trial involves multiple sites in the Member State concerned Yes
    E.8.4.1Number of sites anticipated in Member State concerned10
    E.8.5The trial involves multiple Member States Yes
    E.8.5.1Number of sites anticipated in the EEA70
    E.8.6 Trial involving sites outside the EEA
    E.8.6.1Trial being conducted both within and outside the EEA Yes
    E.8.6.2Trial being conducted completely outside of the EEA No
    E.8.6.3If E.8.6.1 or E.8.6.2 are Yes, specify the regions in which trial sites are planned
    Albania
    Russian Federation
    Switzerland
    Ukraine
    E.8.7Trial has a data monitoring committee Yes
    E.8.8 Definition of the end of the trial and justification where it is not the last visit of the last subject undergoing the trial
    Last patient last visit
    ПППУ
    E.8.9 Initial estimate of the duration of the trial
    E.8.9.1In the Member State concerned years2
    E.8.9.1In the Member State concerned months8
    E.8.9.1In the Member State concerned days15
    E.8.9.2In all countries concerned by the trial years4
    E.8.9.2In all countries concerned by the trial months5
    E.8.9.2In all countries concerned by the trial days5
    F. Population of Trial Subjects
    F.1 Age Range
    F.1.1Trial has subjects under 18 No
    F.1.1.1In Utero No
    F.1.1.2Preterm newborn infants (up to gestational age < 37 weeks) No
    F.1.1.3Newborns (0-27 days) No
    F.1.1.4Infants and toddlers (28 days-23 months) No
    F.1.1.5Children (2-11years) No
    F.1.1.6Adolescents (12-17 years) No
    F.1.2Adults (18-64 years) Yes
    F.1.2.1Number of subjects for this age range: 490
    F.1.3Elderly (>=65 years) Yes
    F.1.3.1Number of subjects for this age range: 950
    F.2 Gender
    F.2.1Female Yes
    F.2.2Male Yes
    F.3 Group of trial subjects
    F.3.1Healthy volunteers No
    F.3.2Patients Yes
    F.3.3Specific vulnerable populations Yes
    F.3.3.1Women of childbearing potential not using contraception No
    F.3.3.2Women of child-bearing potential using contraception Yes
    F.3.3.3Pregnant women No
    F.3.3.4Nursing women No
    F.3.3.5Emergency situation No
    F.3.3.6Subjects incapable of giving consent personally No
    F.3.3.7Others No
    F.4 Planned number of subjects to be included
    F.4.1In the member state275
    F.4.2 For a multinational trial
    F.4.2.1In the EEA 790
    F.4.2.2In the whole clinical trial 1440
    F.5 Plans for treatment or care after the subject has ended the participation in the trial (if it is different from the expected normal treatment of that condition)
    The investigator can decide how to treat the patient after the end of the trial. All available treatments are allowed.
    Изследователят може да реши как да лекува пациента след края на изпитването. Всички налични лечения са позволени.
    G. Investigator Networks to be involved in the Trial
    N. Review by the Competent Authority or Ethics Committee in the country concerned
    N.Competent Authority Decision Authorised
    N.Date of Competent Authority Decision2013-09-12
    N.Ethics Committee Opinion of the trial applicationFavourable
    N.Ethics Committee Opinion: Reason(s) for unfavourable opinion
    N.Date of Ethics Committee Opinion2013-10-03
    P. End of Trial
    P.End of Trial StatusPrematurely Ended
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