Multiple Phase II and Phase IV clinical trials have evaluated ranolazine across diverse cardiovascular and metabolic conditions, including chronic stable angina, myocardial ischemia, ventricular premature complexes, metabolic syndrome, and diabetic peripheral neuropathic pain. Sponsored by academic medical centers, regional research groups, and pharmaceutical entities such as Gilead Sciences, the University of Florida, and OBS Pakistan, trial recruitment statuses range from completed and terminated to unknown. These investigations specifically targeted inflammatory and metabolic markers in angina as well as arrhythmia management in ischemic heart disease.
| NCT Number | Recruitment | Conditions | Sponsor/Collaborators | Start Date | Phases |
|---|---|---|---|---|---|
| NCT03486561 | Unknown status | Chronic Stable Angina |
OBS Pakistan |
2018-04-01 | Phase 4 |
| NCT03044964 | Unknown status | Angina |
Amit Malhotra MD|Gilead Sciences|Stern Cardiovascular Foundation Inc. |
2017-01-10 | Phase 4 |
| NCT02252406 | Completed | Stable Angina|Metabolic Syndrome |
University of Florida |
2015-09 | Phase 4 |
| NCT02360397 | Completed | Ventricular Premature Complexes|Myocardial Ischemia |
Kent Hospital Rhode Island|Gilead Sciences |
2014-12 | Phase 2 |
| NCT02156336 | Terminated | Diabetic Peripheral Neuropathic Pain |
Horizons International Peripheral Group|Gilead Sciences |
2014-05 | Phase 4 |
(data from https://clinicaltrials.gov, updated on 2024-05-22)
Mechanism and Biochemical Profile
Appendix RUO and cGMP Quality Standards
| Quality Dimension | RUO (Research Use Only) | cGMP (Current Good Manufacturing Practice) |
|---|---|---|
| Clinical Applicability | Prohibited in human clinical trials or medical diagnostics. | Mandatory for human clinical trials (Phase I–III) and therapies. |
| Regulatory Status | Non-regulated grade; exempt from drug manufacturing laws. | Legally enforced by health authorities (e.g., FDA, EMA, NMPA). |
| Facility Environment | Unclassified analytical or research laboratories. | Validated Cleanrooms (ISO Class 5–8) with continuous monitoring. |
| Quality Control | Basic purity and activity testing. | Rigorous safety release testing (Sterility, Endotoxin, Mycoplasma). |
| Process Validation | Basic equipment calibration; no process validation required. | Full qualification (IQ/OQ/PQ) and complete batch records. |
| Quality Assurance | Vendor self-declared without required formal QMS. | Mandatory QA/QC unit, Change Control, CAPA, and vendor audits. |
| Regulatory Impact | High risk of IND rejection if used as a critical raw material. | Required for IND/NDA filings, supported by Drug Master Files (DMF). |
Footnotes
Regulatory Note: Governed by FDA (21 CFR Parts 210/211/312), EMA (EudraLex Vol 4), ICH Guidelines (E6/Q7/Q9/Q10), and compendial standards (USP <71>/<85>/<1043>).