Type 2 Diabetes MellitusPhase 3NCT01472185
Ranolazine Monotherapy in Subjects With Type 2 Diabetes Mellitus
A Phase 3 study testing Ranolazine, Diet and Exercise in people with Type 2 Diabetes Mellitus, run by Gilead Sciences at 159 sites in 10 countries.
Trial summary
This is a randomized, double-blind, placebo-controlled, parallel-group, multi-center study to determine the effect of ranolazine when given as monotherapy on glycemic control in subjects with type 2 diabetes mellitus (T2DM) who were inadequately controlled with diet and exercise alone and who are treatment naive to… Read more about this study
- Who is it for?
- Ages 18 to 75 years
- Conditions the study is for
- Type 2 Diabetes Mellitus
- What is being tested?
- Ranolazine, Diet and Exercise
- Type of treatment
- Pill or oral medicine, Lifestyle or therapy programme
- Could I receive a placebo?
- Yes, some participants may receive a placebo
- How many people
- 465 participants
- Where
- 159 sitesin 10 countries
- Study dates
- Nov 2011to Oct 2013
- Phase
- Phase 3
- Are there results?
- Yes, posted in the registrySummary in the doctors' view
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 18 to 75 years
- All sexes
- No healthy volunteers
- Adult, Older adult
Who may be able to join
- Written informed consent
- Males and females, 18 to 75 years old, inclusive
- Documented history of T2DM
- Treatment naïve to antihyperglycemic therapy or having received no prior treatment with antihyperglycemic therapy for at least 90 days (TZDs for at least 24 weeks) prior to screening
- Body mass index (BMI) 25 kg/m2 to 45 kg/m2 inclusive at screening
- HbA1c 7% - 10%, inclusive at screening and at the end of the Qualifying Period (Day 14 +2 days)
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- Fasting serum glucose (FSG) of ≥ 130 mg/dL (7.2 mmol/L) and ≤ 240 mg/dL (13.3 mmol/L) at screening and at the end of the Qualifying Period (Day 14 +2 days). A one-time central laboratory re-test of FSG is allowed in subjects with an initial central laboratory FSG ≥ 125 mg/dL (6.9 mmol/L) and < 130 mg/dL (7.2 mmol/L) who are otherwise eligible as determined by the investigator.
- Fasting serum C-peptide ≥ 0.8 ng/mL at screening
- Able and willing to comply with all study procedures during the course of the study
- Females of child-bearing potential must have a negative pregnancy test at screening and must agree to use highly effective contraception methods from screening throughout the duration of the Treatment Period and for 14 days following the last dose of study drug
- At least 80% compliant with dosing during the Qualifying Period
Who cannot join
- History of or current diagnosis of type 1 diabetes mellitus
- History of diabetic ketoacidosis, ketosis-prone diabetes, or hyperosmolar hyperglycemic coma
- History of a severe episode of hypoglycemia (≥ 1 episode within 3 months prior to screening or ≥ 2 episodes within 6 months prior to screening), defined as hypoglycemia requiring 3rd party assistance to actively administer carbohydrate, glucagon, or other resuscitative actions due to severe impairment in consciousness or behavior
- Clinically significant complications of diabetes that, in the judgment of the investigator, would make the subject unsuitable to participate in this study
- History of any clinically significant cardiovascular or cerebrovascular event (eg, myocardial infarction [MI], acute coronary syndrome [ACS], recent coronary revascularization [including coronary artery bypass graft procedures or percutaneous coronary intervention], transient ischemic attack or ischemic stroke) ≤ 3 months prior to screening
- Inadequately controlled or unstable hypertension as defined by systolic blood pressure (SBP) > 160 mmHg or diastolic blood pressure (DBP) > 100 mmHg at screening and randomization
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- Prolonged QTc interval > 500 msec by ECG at screening, a personal or family history of QTc prolongation, congenital long QT syndrome, or subjects who are receiving drugs that prolong the QTc interval, such as Class Ia or Class III antiarrhythmic agents, erythromycin, and certain antipsychotics (eg, ziprasidone)
- History of bariatric surgery at any time in the past or any other surgery < 2 months before screening, or planning to undergo surgery during the study. Subjects with a planned minor surgery may be enrolled upon approval by the Medical Monitor.
- Any other hospitalization in the 14 days prior to screening or planned hospitalization at any time during the study
- Significant weight change (± 5%) < 2 months prior to screening or on a weight-loss program and is not in the maintenance phase at screening
- Severe renal impairment, defined as an estimated glomerular filtration rate (eGFR) by the Modification of Diet in Renal Disease (MDRD) equation < 30 mL/min/1.73 m2 at screening or undergoing any type of dialysis at screening or planning to undergo any type of dialysis during the course of the study.
- History of liver cirrhosis (Child-Pugh Class A, B or C)
- Active liver disease and/or significant abnormal liver function defined as aspartate aminotransferase (AST) > 3x upper limit of the normal range (ULN) and/or alanine aminotransferase (ALT) > 3x ULN and/or serum total bilirubin > 2.0 mg/dL
- History of cancer (except non-melanomic skin cancers or cervical in situ) within 5 years prior to screening
- History of alcohol or other drug abuse < 12 months prior to screening
- Any other clinically significant existing medical or psychiatric condition, including clinically significant laboratory abnormalities, or one requiring further evaluation that, in the opinion of the investigator, could interfere with conduct of the study or interpretation of the data
- Prior treatment with open-label ranolazine or known hypersensitivity or intolerance to ranolazine or any of its excipients
- Treatment with strong or moderate cytochrome (CYP)3A inhibitors or P-glycoprotein (P-gp) inhibitors within 14 days prior to randomization
- Treatment with CYP3A inducers or P-gp inducers within 14 days prior to randomization
- Treatment with CYP3A4 substrates with a narrow therapeutic range (eg, cyclosporine, tacrolimus, sirolimus) within 14 days prior to randomization
- Treatment with simvastatin at a daily dose > 20 mg or lovastatin at a daily dose > 40 mg, within 14 days prior to randomization
- Weight-loss medication or anti-obesity medication (prescription or nonprescription) < 3 months prior to screening
- Treatment with niacin > 200 mg daily; if receiving ≤ 200 mg daily, should be on stable doses for ≥ 90 days prior to screening and for the duration of the study
- Expected or current treatment with systemic corticosteroids (oral or injectable) for > 14 days from screening through the end of the Treatment Period. Topical or inhaled corticosteroid formulations are permitted at any time during the study
- If receiving thyroid replacement therapy, should be on stable doses for at least 6 weeks prior to randomization
- Hemoglobin < 12 g/dL for males; or < 11 g/dL for females, at screening
- Participation in another clinical study involving an investigational drug or device < 30 days prior to screening; participation in another clinical study involving an antihyperglycemic therapy < 90 days prior to screening
- Donation of blood < 2 months prior to screening; plans to donate blood while participating in the study
- Females who are pregnant or breastfeeding
- Other condition(s) that, in the opinion of the investigator, would compromise the safety of the subject, would prevent compliance with the study protocol (including the ability to comply with Mixed Meal Tolerance Test [MMTT]), or would compromise the quality of the clinical study
Trial locations and contacts
159 sites in 10 countries.
159 sites in 10 countries
United States57 sites
Albuquerque Clinical Trials
Albuquerque, New Mexico, 87102
University of New Mexico Clinical and Translational Science Center
Albuquerque, New Mexico, 87131
Blair Medical Associates, Inc, Station Medical Center
Altoona, Pennsylvania, 16602
Synergy Therapeutic Partners
Atlanta, Georgia, 30127
Associated Internal Medicine Specialists, P.C.
Battle Creek, Michigan, 49015
Clinical Inquest Center, Ltd.
Beavercreek, Ohio, 45431
Boca Raton Clinical Research Associates, Inc
Boca Raton, Florida, 33432
PAB Clinical Research
Brandon, Florida, 33511
Burke Internal Medicine & Research
Burke, Virginia, 22015
PMG Research of Charlotte
Charlotte, North Carolina, 28202
Cedar-Crosse Research Center
Chicago, Illinois, 60607
HCCA Clinical Research Solutions
Columbia, Tennessee, 38401
The University of Texas Southwestern Medical Center at Dallas
Dallas, Texas, 75390
CTL Research
Eagle, Idaho, 83616
Southland Clinical Research Center, Inc.
Fountain Valley, California, 92708
Florida Research Network, LLC
Gainesville, Florida, 32605-4253
Thunderbird Internal Medicine/Clinical Research Advantage
Glendale, Arizona, 85306
Global Research Management
Glendale, California, 91205
PharmQuest
Greensboro, North Carolina, 27408
A G A Clinical Trials
Hialeah, Florida, 33012
Excel Clinical Research, LLC
Houston, Texas, 77081
Texas Center for Drug Development, PA
Houston, Texas, 77081
Humble Cardiology Associates
Humble, Texas, 77338
HCCA Clinical Research Solution
Jackson, Tennessee, 38305
Jacksonville Center for Clinical Research
Jacksonville, Florida, 32216
Juno Research, LLC
Katy, Texas, 77450
New Phase Research & Development
Knoxville, Tennessee, 37923
National Research Institute
Los Angeles, California, 90057
Manassas Clinical Research Center
Manassas, Virginia, 20110
Clinical Trials Management, LLC
Metairie, Louisiana, 70006
Baptist Diabetes Associates
Miami, Florida, 33156
NextPhase Clinical Trials, Inc.
Miami Beach, Florida, 33140
Precision Research Organization
Miami Lakes, Florida, 33016
LaPorte County Institute for Clinical Research
Michigan City, Indiana, 46360
Spectrum Clinical Research Institute, Inc
Moreno Valley, California, 92553
North Central Arkansas Medical Associates
Mountain Home, Arkansas, 72653
Suncoast Clinical Research
New Port Richey, Florida, 34652
Clinical Research Solution
New York, New York, 10016
Infinity Research Group, LLC
Oklahoma City, Oklahoma, 73103
Florida Institute for Clinical Research LLC
Orlando, Florida, 32822
MD Medical Research
Oxon Hill, Maryland, 20745
Central Phoenix Medical Clinic
Phoenix, Arizona, 85020
Paul W. Davis, MD, Private Practice
Pine Bluff, Arkansas, 71603
Sacramento Heart and Vascular Medical Associates
Sacramento, California, 95825
PMG Research of Salisbury
Salisbury, North Carolina, 28144
Highland Clinical Research
Salt Lake City, Utah, 84124
Jean Brown Research
Salt Lake City, Utah, 84124
Cetero Research
San Antonio, Texas, 78237
Discovery Clinical Trials
San Antonio, Texas, 78258
Clearview Medical Research LLC
Santa Clarita, California, 91350
HCCA Clinical Research Solutions
Smyrrna, Tennessee, 37167
Regenerate Clinical Trials
South Miami, Florida, 33143
Southeastern Research Associates, Inc.
Taylors, South Carolina, 29687
IRC Clinics, Inc
Towson, Maryland, 21204
Desert Sun Clinical Research, LLC
Tucson, Arizona, 85710
Eclipse Clinical Research
Tucson, Arizona, 85745
Infosphere Clinical Research
West Hills, California, 91307
Russia39 sites
3rd Central Military Clinical Hospital named after A.A.Vishnevskogo
Arkhangel'skoye, 143420
GOU VPO "Chita State Medical Academy" of Minzdravsocrazvitie RF
Chita, 672090
"Clinic of New Medical Technology" Company Limited
Dzerzhinskiy, 140091
Kemerovo Regional Clinical Hospital
Kemerovo, 650066
"Krasnoyarsk State Medical University n.a. Prof. V.F. Voyno-Yasenetsky
Krasnoyarsk, 660062
State Healthcare Institution of Moscow "Cardiologival Dispensary #2 of Management Department of South Administrative District"
Moscow, 117556
Central Clinical Hospital of Russian Academy of Sciences
Moscow, 117593
Medical Sanitary Unit of Minestry of Internal Affairs of Russia in Moscow
Moscow, 127299
Moscow City Clinical Hospital #63
Moscow, 129090
City Clinical Hospital # 13 of Avtozavodsky District of Nizhniy Novgorod
Nizhny Novgorod, 603018
Novosibirsk State Medical University
Novosibirsk, 630087
LLC "Reafan"
Novosibirsk, 630099
Scientific Research Institute of Physiology of Siberian Department RAMS
Novosibirsk, 630117
City Hospital # 38 named after N A Semashko
Pushkin, 196601
Rostov State Medical University
Rostov-on-Don, 344022
Ryazan State Medical University
Ryazan, 390005
Saint-Petersburg City Outpatient Clinic#37
Saint Petersburg, +011 78123152068
Medinet, LLC
Saint Petersburg, 190000
North-Western State Medical Unversity n.a. I.I.Mechnikov
Saint Petersburg, 191015
Military Medical Academy named after S.M. Kirov
Saint Petersburg, 191124
Saint-Petersburg state budgetary healthcare institution "City Polyclinic #109"
Saint Petersburg, 192283
Alexanders City Hospital
Saint Petersburg, 193312
Clinical Hospital #122 n.a. Sokolov of FMBA
Saint Petersburg, 194291
ANO "Medical Centre "XXI century"
Saint Petersburg, 194354
St. Elizabeth City Hospital
Saint Petersburg, 195257
Krestovsky Island Medical Institute, LLC
Saint Petersburg, 197042
Federal Centre of Heart, Blood and Endocrinology named after V.A. Almazov
Saint Petersburg, 197341
Military Medical Academy named after S.M. Kirov
Saint Petersburg, 198013
International Medical Center "SOGAZ", LLC
Saint Petersburg, 198168
Saint-Petersburg City Pokrovskaya Hospital
Saint Petersburg, 199106
Center "Diabetes", LLC
Samara, 443067
Smolensk State Medical Academy, Sanatorium-Preventorium
Smolensk, 214019
Tyumen State Medical Academy
Tyumen, 625023
Voronezh Regional Clinical Hospital #1
Voronezh, 394082
City Hospital named after N.A.Semashko
Yaroslavl, 150002
Clinical Hospital for Emergency Care named after N.V. Solovyov
Yaroslavl, 150003
Medical Sanitary Unit of Novo-Yaroslavsky Oil Refinery
Yaroslavl, 150023
Yaroslavl Regional Clinical Hospital
Yaroslavl, 150062
The Urals State Medical Academy
Yekaterinburg, 620102
Poland14 sites
NZOZ Centrum Osteporozy i Chorob Kostno-Stawowych J.Badurski Sp.j.
Bialystok, 15-461
Leszek Romanowski Barbara Romanowska "DIABET" Centrum Medyczne s.c.
Chrzanów, 32-500
NZOZ PrimaMED
Kielce, Świętokrzyskie Voivodeship, 25-364
LANDA - Specjalistyczne Gabinety Lekarskie
Krakow, Lesser Poland Voivodeship, 30-015
NZOZ Specjalistyczna Przychodnia Medyczna Atopia
Krakow, 31-159
NZOZ Cereo-Med Sp. z o.o.
Lodz, 92-003
SPZOZ Uniwersytecki Szpital Kliniczny Nr 1 im. Norberta Barlickiego Uniwersytetu Medycznego w Łodzi, Oddział Kliniczny Diabetologii
Lodz, Łódź Voivodeship, 90-153
NZOZ Centrum Medyczne Szpital Sw. Rodziny
Lodz, Łódź Voivodeship, 90-302
Specjalistyzny Ośrodek Lecznicz-Badawczy
Ostróda, 14-100
NZOZ Centrum Badan Klinicznych Oswiecim
Oswięcim, Lesser Poland Voivodeship, 32-600
Miedzyleski Szpital Specjalistyczny w Warszawie
Warsaw, 04-749
NZOZ Regionalna Poradnia Diabetologiczna
Wroclaw, Lower Silesian Voivodeship, 50-127
NZOZ Centrum Badan Klinicznych
Wroclaw, Lower Silesian Voivodeship, 50-349
NZOZ Polimedica
Zgierz, Łódź Voivodeship, 95-100
Ukraine12 sites
City Clinical Hospital#9, Dnipropetrovsk State Medical Academy
Dnipropetrovsk, 49023
Educational Scientific Medical Centre "University clinic" of Donetsk National Medical University n.a. M.Gorkiy
Donetsk, 83003
State Institution "Institute of Problems of Endocrine Pathology n.a. V.Y. Danylevsky of NAMS of Ukraine"
Kharkiv, 61002
Administration of Medical Service and Rehabilitation of "ARTEM" State Holding Company
Kyiv, 04050
National Medical University n.a. O.O. Bogomolets, Chair of Family Medicine based on Outpatient Clinic # 2 of Shevchenkovsky District
Kyiv, 04050
V. P. Komissarenko Institute of Endocrinology and Metabolism of AMS of Ukraine
Kyiv, 04114
Municipal Institution Lutsk City Clinical Hospital
Lutsk, 43024
Lviv Regional Endocrinology Dispensary
Lviv, 79010
Odessa State Medical University
Odesa, 65039
Public Institution "City Outpatients' Hospital #20"
Odesa, 65114
Vinnytsya Regional Clinical Endocrinology Dispensary
Vinnytsia, 21010
Zhytomyr Regional Clinical Hospital
Zhytomyr, 10002
Romania11 sites
CMI Diabet Nutritie Boli Metabolice Dr. Pop Lavinia
Baia Mare, Jud. Maramures, 430123
Vitadiab SRL - Cabinet Medical Dr. Barabas Alina SRL
Brasov, Jud Brasov, 500269
Institutul de Diabet, Nutritie si Boli Metabolice "Dr. N. C. Paulescu"
Bucharest, 020042
Tehnomed Trading Srl
Bucharest, 020354
O.D. Medica Srl
Bucharest, 020725
CMI Morosanu V. Magdalena
Galati, Galați County, 800371
Spitalul Clinic Judetean de Urgenta "Sf. Apostol Andrei" Galati
Galati, Galați County, 800578
Consultmed SRL
Iași, Jud. Iasi, 700547
Spital Clinic Judetean de Urgenta Oradea Stationarul 1
Oradea, Jud Bihor, 410169
Diabmed Dr. Popescu Alexandrina SRL
Ploieşti, Prahova, 100163
Centru Medical Dr. Negrisanu
Timisoara, Jud. Timis, 300456
South Africa9 sites
Worthwhile Clinical Trials
Benoni, 1500
Centre for Diabetes, Asthma and Allergy
Johannesburg, 01829
Soweto Clinical Trial Centre
Johannesburg, 1818
Netcare Umhlanga Medical Centre
Kwa Zulu Natal, Umhlanga, Durban, 4320
Aliwal Shoal Medical & Clinical Trial Centre
Kwa Zulu Natal, 4170
Newkwa Medical Centre
Newlands West, Durban, 4037
Global Clinical Trials
Pretoria, Pretoria, 0001
Helderberg Clinical Trials Centre
Somerset West, 7130
Tiervlei Trial Centre
Western Cape, 7530
Hungary7 sites
Drug Research Center
Balatonfüred, 8230
Synexus Hungary Ltd
Budapest, 1036
Markhot Ferenc Hospital
Eger, 3300
Kanizsai Dorottya Hospital
Nagykanizsa, 8800
Borbanya Praxis Kft., Outpatient Clinic
Nyíregyháza, 4400
Medifarma 98
Nyíregyháza, 4400
Zala County Hospital
Zalaegerszeg, 08900
Slovakia7 sites
METABOLKLINIK s.r.o.
Bratislava, Bratislava Region, 811 01
Metabolic Center of Dr. Katarina Raslova Ltd.
Bratislava, Bratislava Region, 831 01
ENDIAMED s.r.o
Dolný Kubín, Žilina Region, 02601
"Diabetologicka a metabolicka ambulancia Human-care s.r.o"
Košice, Košice Region, 04001
MediVet s.r.o.
Malacky, 901 01
ARETEUS s.r.o., Diabetologicka ambulancia
Trebišov, Košice Region, 07501
MEDIVASA s.r.o.
Žilina, Žilina Region, 010 10
Serbia2 sites
Clinical Center of Serbia
Belgrade, 11000
Clinical Center of Kragujevac
Kragujevac, 34000
Czechia1 site
Nemocnice s poliklinikou Havirov
Havířov, Moravian-Silesian Region, 736 01
About this study
Official title: A Phase 3, Randomized, Double-Blind, Placebo-Controlled, Parallel-Group Study to Evaluate the Efficacy and Safety of Ranolazine Monotherapy in Subjects With Type 2 Diabetes Mellitus
This is a randomized, double-blind, placebo-controlled, parallel-group, multi-center study to determine the effect of ranolazine when given as monotherapy on glycemic control in subjects with type 2 diabetes mellitus (T2DM) who were inadequately controlled with diet and exercise alone and who are treatment naive to antihyperglycemic therapy or have not received antihyperglycemic therapy in the 90 days (or thiazolidinediones [TZDs] for at least 24 weeks) prior to screening, and to characterize the relationship between HbA1c reduction and other glycemic parameters in subjects with T2DM.
- Conditions
- Type 2 Diabetes Mellitus
- Being tested
- Ranolazine, Placebo, Diet, Exercise
- Keywords
- Type 2 Diabetes Mellitus
- Medical subject headings
- Diabetes Mellitus, Type 2
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
RanolazineDrug
Also called Ranexa®
Ranolazine tablets administered orally twice daily.
PlaceboDrug
Placebo to match ranolazine administered orally twice daily.
DietBehavioural
Participants are instructed to continue the diet regimen prescribed by their physician.
ExerciseBehavioural
Participants are instructed to continue the exercise regimen prescribed by their physician.
| Study group | Role | What they receive |
|---|---|---|
| Placebo | Placebo comparator | Qualifying Period: Placebo to match ranolazine (1 tablet twice daily) for 14 days.
Treatment Period: Placebo to match ranolazine (Days 1-7: 1 tablet twice daily; 2 tablets twice daily thereafter) for up to 24 weeks.
Participants were required to maintain their diet and exercise regimen. Receives: Drug: Placebo; Behavioral: Diet; Behavioral: Exercise |
| Ranolazine | Experimental | Qualifying Period: Placebo to match ranolazine (1 tablet twice daily) for 14 days.
Treatment Period: Ranolazine tablets (Days 1-7: 1 × 500 mg twice daily; 2 × 500 mg twice daily thereafter) for up to 24 weeks.
Participants were required to maintain their diet and exercise regimen. Receives: Drug: Ranolazine; Drug: Placebo; Behavioral: Diet; Behavioral: Exercise |
What is being measured
The primary outcome is the main question the study is designed to answer.
Change From Baseline in Glycosylated Hemoglobin (HbA1c) at Week 24
The average (mean) change from baseline in HbA1c at Week 24 was analyzed.
Measured: Baseline; Week 24
Secondary outcomes (4)
Change From Baseline in Fasting Serum Glucose at Week 24
The average (mean) change from baseline in fasting serum glucose at Week 24 was analyzed.
Measured: Baseline; Week 24
Percentage of Participants With HbA1c < 7% at Week 24
Measured: Week 24
Change From Baseline in 2-hour Postprandial Serum Glucose at Week 24
The average (mean) change from baseline in 2-hour postprandial serum glucose at Week 24 was analyzed.
Mixed Meal Tolerance Test (MMTT) Full Analysis Set: randomized participants who received at least one dose of study treatment with a baseline and at least one postbaseline measurement of serum glucose at time [T] = 120 minutes during the MMTT, administered under fasting conditions, excluding participants with major eligibility protocol violations and analyzed based on the randomized treatment regardless of actual treatment received.
Measured: Baseline; Week 24
Change From Baseline in Incremental Change of 2-hour Postprandial Serum Glucose at Week 24
The average (mean) change from baseline in incremental change of 2-hour postprandial serum glucose at Week 24 was analyzed.
Measured: Baseline; Week 24
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted16 Nov 2011 (estimated)
- Study startNov 2011
- Primary completionOct 2013
- Study completionOct 2013
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Posted resultsParticipant flow, outcome measures and adverse events reported by the sponsor.
- Publications (1)Papers the sponsor has linked to this study.
- Other trials for Type 2 Diabetes MellitusStudies of the same condition, open and under way.
- More trials run by Gilead SciencesThe sponsor's other registered studies.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Interventional
- Phase
- Phase 3
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Triple blind
- Who is masked
- Participant, Investigator, Outcomes assessor
- Enrolment
- 465 participants (actual)
Sponsor and investigators
- Lead sponsor
- Gilead Sciences
- Sponsor type
- Industry (pharma, biotech, devices)
- Responsible party
- Sponsor
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT01472185
- Sponsor's protocol ID
- GS-US-259-0131
- Status last verified
- Oct 2014
- First submitted
- 11 Nov 2011
- Last updated
- 24 Oct 2014
- Results posted
- Yes, on ClinicalTrials.gov
- Data monitoring committee
- Yes
Publications
Eckel RH, Henry RR, Yue P, Dhalla A, Wong P, Jochelson P, Belardinelli L, Skyler JS. Effect of Ranolazine Monotherapy on Glycemic Control in Subjects With Type 2 Diabetes. Diabetes Care. 2015 Jul;38(7):1189-96. doi: 10.2337/dc14-2629. Epub 2015 Jun 6.
PubMed 26049552
Study at a glance
From the registry record, last updated by the sponsor on 24 Oct 2014. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- A Phase 3, Randomized, Double-Blind, Placebo-Controlled, Parallel-Group Study to Evaluate the Efficacy and Safety of Ranolazine Monotherapy in Subjects With Type 2 Diabetes Mellitus
- ClinicalTrials.gov ID
- NCT01472185
- Acronym / sponsor ID
- GS-US-259-0131
- Conditions
- Type 2 Diabetes Mellitus
- Keywords
- Type 2 Diabetes Mellitus
- Phase
- Phase 3
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 465 participants (actual)
- Lead sponsor
- Gilead SciencesIndustry (pharma, biotech, devices)
- Study start
- Nov 2011
- Primary completion
- Oct 2013 (actual)
- Study completion
- Oct 2013 (actual)
- First posted
- 16 Nov 2011 (estimated)
- Results
- Posted 15 Oct 2014
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
This is a randomized, double-blind, placebo-controlled, parallel-group, multi-center study to determine the effect of ranolazine when given as monotherapy on glycemic control in subjects with type 2 diabetes mellitus (T2DM) who were inadequately controlled with diet and exercise alone and who are treatment naive to antihyperglycemic therapy or have not received antihyperglycemic therapy in the 90 days (or thiazolidinediones [TZDs] for at least 24 weeks) prior to screening, and to characterize the relationship between HbA1c reduction and other glycemic parameters in subjects with T2DM.
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Triple blind (participant, investigator, outcomes assessor)
- Number of arms
- 2
| Arm | Type | Receives |
|---|---|---|
| Placebo | Placebo comparator | Drug: Placebo, Behavioral: Diet, Behavioral: ExerciseQualifying Period: Placebo to match ranolazine (1 tablet twice daily) for 14 days. Treatment Period: Placebo to match ranolazine (Days 1-7: 1 tablet twice daily; 2 tablets twice daily thereafter) for up to 24 weeks. Participants were required to maintain their diet and exercise regimen. |
| Ranolazine | Experimental | Drug: Ranolazine, Drug: Placebo, Behavioral: Diet, Behavioral: ExerciseQualifying Period: Placebo to match ranolazine (1 tablet twice daily) for 14 days. Treatment Period: Ranolazine tablets (Days 1-7: 1 × 500 mg twice daily; 2 × 500 mg twice daily thereafter) for up to 24 weeks. Participants were required to maintain their diet and exercise regimen. |
Who may qualify
- Ages
- 18 to 75 years
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (11 listed)
- Written informed consent
- Males and females, 18 to 75 years old, inclusive
- Documented history of T2DM
- Treatment naïve to antihyperglycemic therapy or having received no prior treatment with antihyperglycemic therapy for at least 90 days (TZDs for at least 24 weeks) prior to screening
- Body mass index (BMI) 25 kg/m2 to 45 kg/m2 inclusive at screening
Key exclusion criteria (30 listed)
- History of or current diagnosis of type 1 diabetes mellitus
- History of diabetic ketoacidosis, ketosis-prone diabetes, or hyperosmolar hyperglycemic coma
- History of a severe episode of hypoglycemia (≥ 1 episode within 3 months prior to screening or ≥ 2 episodes within 6 months prior to screening), defined as hypoglycemia requiring 3rd party assistance to actively administer carbohydrate, glucagon, or other resuscitative actions due to severe impairment in consciousness or behavior
- Clinically significant complications of diabetes that, in the judgment of the investigator, would make the subject unsuitable to participate in this study
- History of any clinically significant cardiovascular or cerebrovascular event (eg, myocardial infarction [MI], acute coronary syndrome [ACS], recent coronary revascularization [including coronary artery bypass graft procedures or percutaneous coronary intervention], transient ischemic attack or ischemic stroke) ≤ 3 months prior to screening
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| RanolazineAlso: Ranexa®Ranolazine tablets administered orally twice daily. | Drug | Ranolazine |
| PlaceboPlacebo to match ranolazine administered orally twice daily. | Drug | Placebo, Ranolazine |
| DietParticipants are instructed to continue the diet regimen prescribed by their physician. | Behavioural | Placebo, Ranolazine |
| ExerciseParticipants are instructed to continue the exercise regimen prescribed by their physician. | Behavioural | Placebo, Ranolazine |
Primary outcome
Change From Baseline in Glycosylated Hemoglobin (HbA1c) at Week 24
Time frame: Baseline; Week 24
The average (mean) change from baseline in HbA1c at Week 24 was analyzed.
4 secondary outcomes
Change From Baseline in Fasting Serum Glucose at Week 24
Time frame: Baseline; Week 24
Percentage of Participants With HbA1c < 7% at Week 24
Time frame: Week 24
Change From Baseline in 2-hour Postprandial Serum Glucose at Week 24
Time frame: Baseline; Week 24
Change From Baseline in Incremental Change of 2-hour Postprandial Serum Glucose at Week 24
Time frame: Baseline; Week 24
Results and safety
Loading the posted results from ClinicalTrials.gov…
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 24 Oct 2014.
- Posted resultsParticipant flow, baseline, all outcome measures and adverse events.
- Derived from this study: PubMed 26049552Eckel RH, Henry RR, Yue P, Dhalla A, Wong P, Jochelson P, Belardinelli L, Skyler JS. Effect of Ranolazine Monotherapy on Glycemic Control in Subjects With Type 2 Diabetes. Diabetes Care. 2015 Jul;38(7):1189-96. doi: 10.2337/dc14-2629. Epub 2015 Jun 6.
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
The record lists no contact. Use the official record to reach the sponsor.
159 sites in 10 countries: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 3 study testing Ranolazine, Diet and Exercise in people with Type 2 Diabetes Mellitus, run by Gilead Sciences at 159 sites in 10 countries.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 11 inclusion and 30 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: finished, as of the sponsor's last update on 24 Oct 2014. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 159 sites in United States, Russia, Poland, Ukraine, Romania and 5 more countries. Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. Some participants in this study may receive a placebo. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
What does this phase mean?
Phase 3 studies compare the treatment with the current standard treatment or a placebo in a large group, to confirm how well it works and watch for side effects.
Not every study follows the same path, and some studies (observational studies, device studies) have no phase.
Are results available for this study?
Yes. Results are posted in the registry (first posted 15 Oct 2014). A summary is in the For doctors view, and the full results are on ClinicalTrials.gov.
How can a doctor refer a patient or contact the research team?
The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Change From Baseline in Glycosylated Hemoglobin (HbA1c) at Week 24 (time frame: Baseline; Week 24). It is what the study was designed to measure, not a finding.
Where can I read the original study information?
On the ClinicalTrials.gov record for NCT01472185, which also lists 1 linked publication.
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 24 Oct 2014.