Clinical Trials

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)

Check the Ranolazine product page for in-depth specifications, including solubility, stock solutions, MOA, and working concentrations.

Compliance for Clinical Use

Mechanism and Biochemical Profile

Ranolazine selectively inhibits the late inward sodium current in cardiomyocytes, which attenuates intracellular sodium accumulation and suppresses secondary calcium overload driven by the sodium-calcium exchanger during ischemic stress. By restoring cellular ionic balance, it improves myocardial relaxation and reduces wall tension, mitigating intracellular hypoxia and offering clinical efficacy in conditions such as chronic stable angina and myocardial ischemia.

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>).

Note: Technical data last updated: Sep 1, 2026.