Extended-Release RANCAD in the Patients With Stable Angina Pectoris
Study Details
Study Description
Brief Summary
A double-blind, randomized, placebo-controlled, parallel study to evaluate the effects of add-on RANCAD on exercise tolerance and angina frequency in patients with stable angina pectoris.
Condition or Disease | Intervention/Treatment | Phase |
---|---|---|
Phase 3 |
Detailed Description
Primary objective is to to determine the effects of add-on RANCAD on exercise treadmill test (ETT) duration at trough plasma level of RANCAD level after 12-weeks therapy.
Study Design
Arms and Interventions
Arm | Intervention/Treatment |
---|---|
Experimental: RANCAD 500mg RANCAD 1 tab (500 mg) + Placebo 1 tab, twice daily. |
Drug: RANCAD
Extended-Release RANCAD
Other Names:
|
Experimental: RANCAD 1000mg RANCAD 2 tabs (500 mg), twice daily |
Drug: RANCAD
Extended-Release RANCAD
Other Names:
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Active Comparator: Placebo 2 tabs, twice daily |
Drug: RANCAD
Extended-Release RANCAD
Other Names:
|
Outcome Measures
Primary Outcome Measures
- ETT performing at last treatment visit (Week 12). [Week 12 (not including screening & follow-up period)]
To compare the change from baseline of ETT performing duration between add-on RANCAD and placebo at trough (12 hours after dosing) at Week 12.
Eligibility Criteria
Criteria
Inclusion Criteria:
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Male or female patients aged ≥ 20 years old
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A minimum 3-month history of stable angina
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Patients with diagnosis of coronary artery disease (CAD)
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Patients present with the symptoms of stable angina after withdrawn from other antianginal drugs and given the required background therapy for at least 7 days will be qualified for entering this study and performing 1st ETT qualifying test
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Patients developed exercise-induced ECG ischemiai during two qualifying exercise treadmill testsii. The difference between twoiii tests should be ≤ 20% of the longer test or ≤ 1 minute i. Exercise-induced ECG ischemia is defined as the new development of horizontal or down-sloping ST-segment depression of ≥1mm at 60-80ms after the J point; if patients with baseline ST depression at rest (<1mm), qualifying ST segment depression is defined as additional ST depression of at least 1 mm below the resting value ii. Exercise treadmill test (ETT) will be performed by Modified Bruce Protocol.
- Two qualifying tests will be conducted 1 week apart, a 3rd ETT test will be performed ≤ 3 days when differences between previous two qualifying ETTs >20% of the longer test or >1 minute
- Willing and able to provide a written informed consent
Exclusion Criteria:
- Factors that might compromise ECG or ETT interpretation
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Patients with resting ST-segment depression ≥ 1mm in any lead
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Left bundle-branch block
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Patients implanted with pacemaker
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Patients under Digitalis therapy
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Patients with family history of (or congenital) long QT syndrome
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Patients with congenital heart disease
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Patients with uncorrected valvular heart disease
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Patients with unstable angina, or MI, or coronary revascularization procedure ≤ 2 months prior enter this study
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Female who is pregnant/lactating or planning to be pregnant, or female of childbearing potential* who is not using medically recognized method of contraception
*Other than those who have been surgically sterilized (defined as having undergone hysterectomy or bilateral oophorectomy or bilateral salpingectomy; tubal ligation alone is not considered sufficient) or one year post-menopausal.
- Patients are under any one of the following conditions:
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New York Heart Association (NYHA) Class III or Class IV congestive heart failure (CHF)
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QTc > 450 msec at screening
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Active myocarditis, pericarditis, hypertrophic cardiomyopathy
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Uncontrolled hypertension (defined as SBP > 180 mmHg) Voltage criteria for left ventricular hypertrophy in the absence of repolarization abnormalities will not be exclusion criteria
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Use of any investigational product ≤ 4 weeks prior to screening
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Patients with severe hepatic disease (e.g., liver cirrhosis)
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Patients with impaired renal function (defined as serum Cr >1.5 mg/dl)
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Patients with any condition or disease which is considered not suitable for this study by investigator
Contacts and Locations
Locations
Site | City | State | Country | Postal Code | |
---|---|---|---|---|---|
1 | Far Eastern Memorial Hospital | New Taipei city | Taiwan | 220 | |
2 | Mackay Memorial Hospital | Taipei City | Taiwan | 104 | |
3 | Shin Kong WuHoSu Memorial Hospital | Taipei | Taiwan | 111 | |
4 | National Taiwan University Hospital | Taipei | Taiwan | ||
5 | Taipei Veterans General Hospital | Taipei | Taiwan | ||
6 | Linkou Chang Gung Memorial Hospital | Taoyuan | Taiwan | 333 |
Sponsors and Collaborators
- TSH Biopharm Corporation Limited
Investigators
- Principal Investigator: Juey-Jen Hwang, M.D., Ph.D.,, National Taiwan University Hospital
Study Documents (Full-Text)
None provided.More Information
Publications
None provided.- TSHRN1201