Skip to content

Ranolazine for Incomplete Vessel Revascularization Post-Percutaneous Coronary Intervention (PCI)

A Phase 3, Randomized, Double-Blind, Placebo-Controlled Study of the Effects of Ranolazine on Major Adverse Cardiovascular Events in Subjects With a History of Chronic Angina Who Undergo Percutaneous Coronary Intervention With Incomplete Revascularization

Status
Completed
Phases
Phase 3
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT01442038
Acronym
RIVER-PCI
Enrollment
2651
Registered
2011-09-28
Start date
2011-10-31
Completion date
2015-02-28
Last updated
2016-07-15

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Angina Pectoris, Coronary Artery Disease

Brief summary

This study will evaluate the efficacy of ranolazine as compared with placebo when used as part of standard medical therapy in chronic angina subjects with incomplete revascularization post-percutaneous coronary intervention (PCI; formerly known as angioplasty with stent) on the composite of ischemia-driven revascularization or ischemia-driven hospitalization without revascularization.

Interventions

DRUGRanolazine

Subjects will receive ranolazine 500 milligrams (mg) twice daily for 7 days, followed by 1000 mg administered orally twice daily for the duration of the study. Subjects receiving a moderate CYP3A4 inhibitor will receive ranolazine 500 mg or placebo administered orally twice a day for the duration of the concomitant therapy.

DRUGPlacebo

Subjects will receive one tablet of matching placebo twice daily for 7 days, followed by two tablets of matching placebo twice daily for the duration of the study. Subjects receiving a moderate CYP3A4 inhibitor will receive ranolazine 500 mg or placebo administered orally twice a day for the duration of the concomitant therapy.

Sponsors

Gilead Sciences
Lead SponsorINDUSTRY

Study design

Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
TRIPLE (Subject, Caregiver, Investigator)

Eligibility

Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No

Inclusion criteria

1. Written informed consent 2. Males and females aged 18 years and older 3. History of chronic angina defined as at least 2 episodes of anginal pain or discomfort in the chest, jaw, shoulder, back, neck, or arm that is precipitated by exertion or emotional stress, and relieved by rest or sublingual nitroglycerin, which occurred on at least 2 separate days and at least 14 days prior to PCI (in the case of staged PCI procedures, at least 14 days prior to the first PCI in the series). Participants may or may not have additional angina episodes within the 14 days prior to their first PCI in the series, as well as any time prior to Randomization. 4. PCI for any indication (ACS or non-ACS). For the purposes of stratification at randomization, ACS will be defined as hospitalization for anginal pain or discomfort within the previous 24 hours to their hospitalization with any one (or more) of the following criteria: i. Elevated troponin or creatinine kinase-MB (CK-MB) consistent with myocardial infarction (MI), as reported by local laboratory and measured prior to index PCI ii. Electrocardiographic changes (including transient changes) comprising new or presumably new ST segment depression ≥ 0.1 mV (≥ 1 mm), or ST segment elevation ≥ 0.1 mV (≥ 1 mm) in at least 2 contiguous leads, or new or presumably new Left Bundle Branch Block 5. Randomization within 14 days post-PCI. In the case of staged PCI procedures, randomization has to occur within 14 days of the last PCI in the series. Participants may be randomized starting on the day of PCI and anytime during the following 14 days. PCI is defined as an attempt to cross the lesion with a wire with the intention of performing revascularization. 6. Post-PCI (post the last PCI for staged procedures) evidence of incomplete revascularization defined as the presence of one or more visually estimated ≥ 50% stenoses in one or more coronary arteries with reference vessel diameter of at least 2.0 mm, whether in the target vessel or in a non-target vessel regardless of the presence or absence of coronary collaterals. In the case of a participant post-coronary artery bypass grafting (CABG), incomplete revascularization is defined as the presence of one or more visually estimated ≥ 50% stenoses in an unbypassed epicardial vessel with a reference diameter of ≥ 2.0 mm, or one or more visually estimated ≥ 50% stenoses in a bypass graft supplying an otherwise unrevascularized myocardial territory. 7. Clinically stable post-PCI. Participants randomized in-hospital on day of planned discharge or in clinic are considered stable. Participants randomized in-hospital prior to day of planned discharge must meet all of the following criteria: i. CK-MB \< 3 times the upper limit of normal (ULN) at least 3 hours post-PCI, or if ≥ 3 times the ULN with evidence of decreasing CK-MB (decreased by at least 20% from the prior measurement) as reported by local laboratory. If CK-MB is not available, a participant must have evidence of normal or decreasing troponin levels (by at least 20% from the prior measurement) at least 3 hours post-PCI, as reported by local laboratory. ii. Systolic blood pressure ≥ 90 mm Hg and not receiving pressors or inotropes iii. No current requirement for an intra-aortic balloon pump (IABP) or any left ventricular assist device iv. No current requirement for intravenous (IV) nitroglycerin 8. Ability and willingness to comply with all study procedures during the course of the study 9. Females of childbearing potential must have a negative pregnancy test at Screening (unless surgically sterile or post-menopausal) and must agree to use highly effective contraception methods from Screening throughout the duration of study treatment and for 14 days following the last dose of study drug.

Exclusion criteria

1. Any future planned revascularization (including staged procedures) or possible planned revascularization (ie, planned stress test to assess the imminent need for additional revascularization). Future planned stress tests for purposes of monitoring are permitted but strongly discouraged. Participants may be enrolled after the last PCI in the staged series or once a decision is made not to perform a follow up PCI, as long as Randomization occurs within 14 days from the last PCI. If a participant has had a stress test post-PCI and prior to Randomization and no further intervention is planned, the participant may be enrolled within 14 days from the last PCI. 2. Unrevascularized left main coronary artery stenosis ≥ 50%. Participants with a history of CABG to the left coronary system will be considered to have a revascularized left main if at least one graft is patent. 3. Major complication during or after the index PCI (in the case of staged PCI, the last in the series) including: i. Major bleeding (TIMI Bleeding classification or any bleeding requiring blood transfusion of ≥ 2 units of red blood cells) ii. Coronary perforation requiring treatment iii. Procedural complication requiring surgery (including CABG or peripheral vascular surgery) 4. Stroke within 90 days prior to Randomization, or any history of stroke with permanent major neurologic disability (eg, aphasia or significant motor dysfunction) 5. Cardiogenic shock within 90 days prior to Randomization (transient decreases in blood pressure without clinical sequelae are not considered to be cardiogenic shock) 6. New York Heart Association (NYHA) Class III or IV heart failure 7. Severe renal insufficiency as assessed by an estimated glomerular filtration rate \< 30 mL/min/1.73m2 using the 4 variable modification of diet in renal disease (MDRD) equation per local laboratory (based on the last available measurement prior to Randomization, collected within 1 month prior to the index PCI \[in the case of staged PCI, the last in the series\]) 8. Liver cirrhosis 9. Use of Class Ia, Ic, or Class III antiarrhythmics, except for amiodarone 10. Current treatment with strong inhibitors of CYP3A 11. Current treatment with CYP3A4 inducers or P-gp inducers 12. Participants taking \> 20 mg simvastatin daily or \> 40 mg lovastatin daily who cannot reduce the dose to 20 mg once daily for simvastatin or 40 mg once daily for lovastatin, or who cannot switch to another statin 13. Participants taking greater than a total of 1000 mg daily of metformin who cannot reduce the dose to a maximum total of 1000 mg daily (additional anti-diabetic medications may be added as clinically indicated to allow participants to decrease their metformin dose and maintain glycemic control) 14. Previous treatment with ranolazine for \> 7 consecutive days within 30 days prior to Randomization, or known hypersensitivity or intolerance to ranolazine or to any of the excipients 15. Participation in another investigational drug or investigational device study within 30 days prior to Randomization (participation in registries is allowed) 16. Women who are pregnant or breast feeding 17. Non-coronary artery disease comorbid conditions (eg, advanced malignancy, severe aortic stenosis) which are likely to result in death within 2 years of Randomization 18. Any condition that in the opinion of the investigator would preclude compliance with the study protocol

Design outcomes

Primary

MeasureTime frameDescription
Kaplan-Meier Estimates for Time From Randomization to First Occurrence of Ischemia-driven Revascularization or Ischemia-driven Hospitalization Without RevascularizationBaseline through end of study (average 90 weeks)Time to event distributions were estimated by the Kaplan-Meier (KM) method. 1 month = 28 days; 1 calendar year = 365 days.

Secondary

MeasureTime frameDescription
Kaplan-Meier Estimates for Time From Randomization to Sudden Cardiac DeathBaseline through end of study (average 90 weeks)Time to event distributions were estimated by the Kaplan-Meier method. 1 month = 28 days; 1 calendar year = 365 days.
Kaplan-Meier Estimates for Time From Randomization to Cardiovascular DeathBaseline through end of study (average 90 weeks)Time to event distributions were estimated by the Kaplan-Meier method. 1 month = 28 days; 1 calendar year = 365 days.
Kaplan-Meier Estimates for Time From Randomization to Myocardial InfarctionBaseline through end of study (average 90 weeks)Time to event distributions were estimated by the Kaplan-Meier method. 1 month = 28 days; 1 calendar year = 365 days.

Countries

Austria, Belgium, Canada, Czechia, France, Germany, Israel, Italy, Netherlands, Poland, Russia, Spain, Sweden, United Kingdom, United States

Participant flow

Recruitment details

Participants were enrolled at study sites in the United States, Canada, Europe, Russia, and Israel. The first participant was screened on 03 November 2011. The last study visit occurred on 09 February 2015.

Pre-assignment details

2734 participants were screened.

Participants by arm

ArmCount
Ranolazine
Ranolazine 500 mg (1 x 500 mg tablet) twice daily for 7 days, followed by ranolazine 1000 mg (2 x 500 mg tablet) twice daily for the duration of the study (participants receiving a moderate CYP3A4 inhibitor continued to receive ranolazine 500 mg (1 x 500 mg tablet) twice daily for the duration of the study)
1,322
Placebo
Ranolazine placebo (1 tablet) twice daily for 7 days, followed by ranolazine placebo (2 tablets) twice daily for the duration of the study (participants receiving a moderate CYP3A4 inhibitor continued to receive ranolazine placebo (1 tablet) twice daily for the duration of the study)
1,297
Total2,619

Withdrawals & dropouts

PeriodReasonFG000FG001
Overall StudyAdverse Event2615
Overall StudyDeath3529
Overall StudyInvestigator-Initiated Early Closure4443
Overall StudyInvestigator's Discretion1316
Overall StudyLost to Follow-up3751
Overall StudyParticipant Withdrew Consent137102
Overall StudyProtocol Deviation920
Overall StudyStudy Terminated By Sponsor23

Baseline characteristics

CharacteristicRanolazinePlaceboTotal
Age, Continuous63.4 years
STANDARD_DEVIATION 10.51
63.4 years
STANDARD_DEVIATION 10.06
63.4 years
STANDARD_DEVIATION 10.29
Age, Customized
65-74 Years
402 participants383 participants785 participants
Age, Customized
< 65 Years
714 participants719 participants1433 participants
Age, Customized
≥ 75 Years
206 participants195 participants401 participants
Race/Ethnicity, Customized
American Indian or Alaska Native
0 participants3 participants3 participants
Race/Ethnicity, Customized
Asian
16 participants10 participants26 participants
Race/Ethnicity, Customized
Black or African American
49 participants43 participants92 participants
Race/Ethnicity, Customized
Hispanic or Latino
72 participants64 participants136 participants
Race/Ethnicity, Customized
Native Hawaiian or Pacific Islander
2 participants1 participants3 participants
Race/Ethnicity, Customized
Not Hispanic or Latino
1219 participants1208 participants2427 participants
Race/Ethnicity, Customized
Not Permitted
23 participants16 participants39 participants
Race/Ethnicity, Customized
Not Reported
28 participants24 participants52 participants
Race/Ethnicity, Customized
Other
29 participants28 participants57 participants
Race/Ethnicity, Customized
Unknown
3 participants1 participants4 participants
Race/Ethnicity, Customized
White
1203 participants1196 participants2399 participants
Region of Enrollment
Austria
12 participants15 participants27 participants
Region of Enrollment
Belgium
20 participants21 participants41 participants
Region of Enrollment
Canada
80 participants85 participants165 participants
Region of Enrollment
Czech Republic
31 participants44 participants75 participants
Region of Enrollment
France
22 participants15 participants37 participants
Region of Enrollment
Germany
34 participants27 participants61 participants
Region of Enrollment
Israel
111 participants109 participants220 participants
Region of Enrollment
Italy
28 participants33 participants61 participants
Region of Enrollment
Netherlands
13 participants13 participants26 participants
Region of Enrollment
Poland
203 participants172 participants375 participants
Region of Enrollment
Russian Federation
154 participants168 participants322 participants
Region of Enrollment
Spain
80 participants87 participants167 participants
Region of Enrollment
Sweden
19 participants25 participants44 participants
Region of Enrollment
United Kingdom
16 participants17 participants33 participants
Region of Enrollment
United States
499 participants466 participants965 participants
Sex: Female, Male
Female
276 Participants260 Participants536 Participants
Sex: Female, Male
Male
1046 Participants1037 Participants2083 Participants

Adverse events

Event typeEG000
affected / at risk
EG001
affected / at risk
deaths
Total, all-cause mortality
— / —— / —
other
Total, other adverse events
665 / 1,322531 / 1,297
serious
Total, serious adverse events
516 / 1,322485 / 1,297

Outcome results

Primary

Kaplan-Meier Estimates for Time From Randomization to First Occurrence of Ischemia-driven Revascularization or Ischemia-driven Hospitalization Without Revascularization

Time to event distributions were estimated by the Kaplan-Meier (KM) method. 1 month = 28 days; 1 calendar year = 365 days.

Time frame: Baseline through end of study (average 90 weeks)

Population: Full Analysis Set: all participants in the Safety Analysis Set (randomized and received at least one dose of study drug), except participants with no qualifying percutaneous coronary intervention (PCI; formerly known as angioplasty with stent))

ArmMeasureGroupValue (NUMBER)
RanolazineKaplan-Meier Estimates for Time From Randomization to First Occurrence of Ischemia-driven Revascularization or Ischemia-driven Hospitalization Without RevascularizationKM Estimate: 1 Month3.4 percentage of participants
RanolazineKaplan-Meier Estimates for Time From Randomization to First Occurrence of Ischemia-driven Revascularization or Ischemia-driven Hospitalization Without RevascularizationKM Estimate: 6 Months11.3 percentage of participants
RanolazineKaplan-Meier Estimates for Time From Randomization to First Occurrence of Ischemia-driven Revascularization or Ischemia-driven Hospitalization Without RevascularizationKM Estimate: 12 Months19.1 percentage of participants
RanolazineKaplan-Meier Estimates for Time From Randomization to First Occurrence of Ischemia-driven Revascularization or Ischemia-driven Hospitalization Without RevascularizationKM Estimate: 1 Calendar Year20.2 percentage of participants
RanolazineKaplan-Meier Estimates for Time From Randomization to First Occurrence of Ischemia-driven Revascularization or Ischemia-driven Hospitalization Without RevascularizationKM Estimate: 18 Months23.8 percentage of participants
RanolazineKaplan-Meier Estimates for Time From Randomization to First Occurrence of Ischemia-driven Revascularization or Ischemia-driven Hospitalization Without RevascularizationKM Estimate: 24 Months27.6 percentage of participants
RanolazineKaplan-Meier Estimates for Time From Randomization to First Occurrence of Ischemia-driven Revascularization or Ischemia-driven Hospitalization Without RevascularizationKM Estimate: 2 Calendar Years30.7 percentage of participants
RanolazineKaplan-Meier Estimates for Time From Randomization to First Occurrence of Ischemia-driven Revascularization or Ischemia-driven Hospitalization Without RevascularizationKM Estimate: 30 months31.1 percentage of participants
RanolazineKaplan-Meier Estimates for Time From Randomization to First Occurrence of Ischemia-driven Revascularization or Ischemia-driven Hospitalization Without RevascularizationKM Estimate: 36 Months32.2 percentage of participants
RanolazineKaplan-Meier Estimates for Time From Randomization to First Occurrence of Ischemia-driven Revascularization or Ischemia-driven Hospitalization Without RevascularizationKM Estimate: 3 Calendar YearsNA percentage of participants
PlaceboKaplan-Meier Estimates for Time From Randomization to First Occurrence of Ischemia-driven Revascularization or Ischemia-driven Hospitalization Without RevascularizationKM Estimate: 30 months33.8 percentage of participants
PlaceboKaplan-Meier Estimates for Time From Randomization to First Occurrence of Ischemia-driven Revascularization or Ischemia-driven Hospitalization Without RevascularizationKM Estimate: 1 Month2.3 percentage of participants
PlaceboKaplan-Meier Estimates for Time From Randomization to First Occurrence of Ischemia-driven Revascularization or Ischemia-driven Hospitalization Without RevascularizationKM Estimate: 24 Months29.4 percentage of participants
PlaceboKaplan-Meier Estimates for Time From Randomization to First Occurrence of Ischemia-driven Revascularization or Ischemia-driven Hospitalization Without RevascularizationKM Estimate: 6 Months10.0 percentage of participants
PlaceboKaplan-Meier Estimates for Time From Randomization to First Occurrence of Ischemia-driven Revascularization or Ischemia-driven Hospitalization Without RevascularizationKM Estimate: 3 Calendar Years37.8 percentage of participants
PlaceboKaplan-Meier Estimates for Time From Randomization to First Occurrence of Ischemia-driven Revascularization or Ischemia-driven Hospitalization Without RevascularizationKM Estimate: 12 Months17.3 percentage of participants
PlaceboKaplan-Meier Estimates for Time From Randomization to First Occurrence of Ischemia-driven Revascularization or Ischemia-driven Hospitalization Without RevascularizationKM Estimate: 2 Calendar Years31.0 percentage of participants
PlaceboKaplan-Meier Estimates for Time From Randomization to First Occurrence of Ischemia-driven Revascularization or Ischemia-driven Hospitalization Without RevascularizationKM Estimate: 1 Calendar Year18.9 percentage of participants
PlaceboKaplan-Meier Estimates for Time From Randomization to First Occurrence of Ischemia-driven Revascularization or Ischemia-driven Hospitalization Without RevascularizationKM Estimate: 36 Months37.8 percentage of participants
PlaceboKaplan-Meier Estimates for Time From Randomization to First Occurrence of Ischemia-driven Revascularization or Ischemia-driven Hospitalization Without RevascularizationKM Estimate: 18 Months25.3 percentage of participants
p-value: 0.4895% CI: [0.818, 1.099]Cox Proportional Hazards Model
Secondary

Kaplan-Meier Estimates for Time From Randomization to Cardiovascular Death

Time to event distributions were estimated by the Kaplan-Meier method. 1 month = 28 days; 1 calendar year = 365 days.

Time frame: Baseline through end of study (average 90 weeks)

Population: Full Analysis Set

ArmMeasureGroupValue (NUMBER)
RanolazineKaplan-Meier Estimates for Time From Randomization to Cardiovascular DeathKM Estimate: 24 Months1.7 percentage of participants
RanolazineKaplan-Meier Estimates for Time From Randomization to Cardiovascular DeathKM Estimate: 12 Months1.0 percentage of participants
RanolazineKaplan-Meier Estimates for Time From Randomization to Cardiovascular DeathKM Estimate: 2 Calendar Years1.9 percentage of participants
RanolazineKaplan-Meier Estimates for Time From Randomization to Cardiovascular DeathKM Estimate: 6 Months0.6 percentage of participants
RanolazineKaplan-Meier Estimates for Time From Randomization to Cardiovascular DeathKM Estimate: 30 months1.9 percentage of participants
RanolazineKaplan-Meier Estimates for Time From Randomization to Cardiovascular DeathKM Estimate: 1 Calendar Year1.1 percentage of participants
RanolazineKaplan-Meier Estimates for Time From Randomization to Cardiovascular DeathKM Estimate: 36 Months1.9 percentage of participants
RanolazineKaplan-Meier Estimates for Time From Randomization to Cardiovascular DeathKM Estimate: 18 Months1.5 percentage of participants
RanolazineKaplan-Meier Estimates for Time From Randomization to Cardiovascular DeathKM Estimate: 3 Calendar Years1.9 percentage of participants
RanolazineKaplan-Meier Estimates for Time From Randomization to Cardiovascular DeathKM Estimate: 1 Month0.2 percentage of participants
PlaceboKaplan-Meier Estimates for Time From Randomization to Cardiovascular DeathKM Estimate: 3 Calendar Years1.7 percentage of participants
PlaceboKaplan-Meier Estimates for Time From Randomization to Cardiovascular DeathKM Estimate: 1 Month0.1 percentage of participants
PlaceboKaplan-Meier Estimates for Time From Randomization to Cardiovascular DeathKM Estimate: 6 Months0.4 percentage of participants
PlaceboKaplan-Meier Estimates for Time From Randomization to Cardiovascular DeathKM Estimate: 12 Months0.9 percentage of participants
PlaceboKaplan-Meier Estimates for Time From Randomization to Cardiovascular DeathKM Estimate: 18 Months1.4 percentage of participants
PlaceboKaplan-Meier Estimates for Time From Randomization to Cardiovascular DeathKM Estimate: 24 Months1.7 percentage of participants
PlaceboKaplan-Meier Estimates for Time From Randomization to Cardiovascular DeathKM Estimate: 2 Calendar Years1.7 percentage of participants
PlaceboKaplan-Meier Estimates for Time From Randomization to Cardiovascular DeathKM Estimate: 30 months1.7 percentage of participants
PlaceboKaplan-Meier Estimates for Time From Randomization to Cardiovascular DeathKM Estimate: 36 Months1.7 percentage of participants
PlaceboKaplan-Meier Estimates for Time From Randomization to Cardiovascular DeathKM Estimate: 1 Calendar Year1.0 percentage of participants
p-value: 0.8295% CI: [0.579, 1.994]Cox Proportional Hazards Model
Secondary

Kaplan-Meier Estimates for Time From Randomization to Myocardial Infarction

Time to event distributions were estimated by the Kaplan-Meier method. 1 month = 28 days; 1 calendar year = 365 days.

Time frame: Baseline through end of study (average 90 weeks)

Population: Full Analysis Set

ArmMeasureGroupValue (NUMBER)
RanolazineKaplan-Meier Estimates for Time From Randomization to Myocardial InfarctionKM Estimate: 1 Month1.2 percentage of participants
RanolazineKaplan-Meier Estimates for Time From Randomization to Myocardial InfarctionKM Estimate: 6 Months3.8 percentage of participants
RanolazineKaplan-Meier Estimates for Time From Randomization to Myocardial InfarctionKM Estimate: 12 Months5.8 percentage of participants
RanolazineKaplan-Meier Estimates for Time From Randomization to Myocardial InfarctionKM Estimate: 1 Calendar Year6.2 percentage of participants
RanolazineKaplan-Meier Estimates for Time From Randomization to Myocardial InfarctionKM Estimate: 18 Months7.3 percentage of participants
RanolazineKaplan-Meier Estimates for Time From Randomization to Myocardial InfarctionKM Estimate: 24 Months8.7 percentage of participants
RanolazineKaplan-Meier Estimates for Time From Randomization to Myocardial InfarctionKM Estimate: 2 Calendar Years10.0 percentage of participants
RanolazineKaplan-Meier Estimates for Time From Randomization to Myocardial InfarctionKM Estimate: 30 months10.9 percentage of participants
RanolazineKaplan-Meier Estimates for Time From Randomization to Myocardial InfarctionKM Estimate: 36 Months10.9 percentage of participants
RanolazineKaplan-Meier Estimates for Time From Randomization to Myocardial InfarctionKM Estimate: 3 Calendar Years10.9 percentage of participants
PlaceboKaplan-Meier Estimates for Time From Randomization to Myocardial InfarctionKM Estimate: 30 months10.1 percentage of participants
PlaceboKaplan-Meier Estimates for Time From Randomization to Myocardial InfarctionKM Estimate: 1 Month0.6 percentage of participants
PlaceboKaplan-Meier Estimates for Time From Randomization to Myocardial InfarctionKM Estimate: 24 Months9.4 percentage of participants
PlaceboKaplan-Meier Estimates for Time From Randomization to Myocardial InfarctionKM Estimate: 6 Months3.3 percentage of participants
PlaceboKaplan-Meier Estimates for Time From Randomization to Myocardial InfarctionKM Estimate: 3 Calendar Years13.4 percentage of participants
PlaceboKaplan-Meier Estimates for Time From Randomization to Myocardial InfarctionKM Estimate: 12 Months5.7 percentage of participants
PlaceboKaplan-Meier Estimates for Time From Randomization to Myocardial InfarctionKM Estimate: 2 Calendar Years9.4 percentage of participants
PlaceboKaplan-Meier Estimates for Time From Randomization to Myocardial InfarctionKM Estimate: 1 Calendar Year6.2 percentage of participants
PlaceboKaplan-Meier Estimates for Time From Randomization to Myocardial InfarctionKM Estimate: 36 Months13.4 percentage of participants
PlaceboKaplan-Meier Estimates for Time From Randomization to Myocardial InfarctionKM Estimate: 18 Months8.5 percentage of participants
p-value: 0.8195% CI: [0.745, 1.256]Cox Proportional Hazards Model
Secondary

Kaplan-Meier Estimates for Time From Randomization to Sudden Cardiac Death

Time to event distributions were estimated by the Kaplan-Meier method. 1 month = 28 days; 1 calendar year = 365 days.

Time frame: Baseline through end of study (average 90 weeks)

Population: Full Analysis Set

ArmMeasureGroupValue (NUMBER)
RanolazineKaplan-Meier Estimates for Time From Randomization to Sudden Cardiac DeathKM Estimate: 1 Month0.2 percentage of participants
RanolazineKaplan-Meier Estimates for Time From Randomization to Sudden Cardiac DeathKM Estimate: 6 Months0.5 percentage of participants
RanolazineKaplan-Meier Estimates for Time From Randomization to Sudden Cardiac DeathKM Estimate: 12 Months0.5 percentage of participants
RanolazineKaplan-Meier Estimates for Time From Randomization to Sudden Cardiac DeathKM Estimate: 1 Calendar Year0.5 percentage of participants
RanolazineKaplan-Meier Estimates for Time From Randomization to Sudden Cardiac DeathKM Estimate: 18 Months0.5 percentage of participants
RanolazineKaplan-Meier Estimates for Time From Randomization to Sudden Cardiac DeathKM Estimate: 24 Months0.5 percentage of participants
RanolazineKaplan-Meier Estimates for Time From Randomization to Sudden Cardiac DeathKM Estimate: 2 Calendar Years0.7 percentage of participants
RanolazineKaplan-Meier Estimates for Time From Randomization to Sudden Cardiac DeathKM Estimate: 30 months0.7 percentage of participants
RanolazineKaplan-Meier Estimates for Time From Randomization to Sudden Cardiac DeathKM Estimate: 36 Months0.7 percentage of participants
RanolazineKaplan-Meier Estimates for Time From Randomization to Sudden Cardiac DeathKM Estimate: 3 Calendar Years0.7 percentage of participants
PlaceboKaplan-Meier Estimates for Time From Randomization to Sudden Cardiac DeathKM Estimate: 30 months0.9 percentage of participants
PlaceboKaplan-Meier Estimates for Time From Randomization to Sudden Cardiac DeathKM Estimate: 1 Month0.1 percentage of participants
PlaceboKaplan-Meier Estimates for Time From Randomization to Sudden Cardiac DeathKM Estimate: 24 Months0.9 percentage of participants
PlaceboKaplan-Meier Estimates for Time From Randomization to Sudden Cardiac DeathKM Estimate: 6 Months0.2 percentage of participants
PlaceboKaplan-Meier Estimates for Time From Randomization to Sudden Cardiac DeathKM Estimate: 3 Calendar Years0.9 percentage of participants
PlaceboKaplan-Meier Estimates for Time From Randomization to Sudden Cardiac DeathKM Estimate: 12 Months0.5 percentage of participants
PlaceboKaplan-Meier Estimates for Time From Randomization to Sudden Cardiac DeathKM Estimate: 2 Calendar Years0.9 percentage of participants
PlaceboKaplan-Meier Estimates for Time From Randomization to Sudden Cardiac DeathKM Estimate: 1 Calendar Year0.5 percentage of participants
PlaceboKaplan-Meier Estimates for Time From Randomization to Sudden Cardiac DeathKM Estimate: 36 Months0.9 percentage of participants
PlaceboKaplan-Meier Estimates for Time From Randomization to Sudden Cardiac DeathKM Estimate: 18 Months0.8 percentage of participants
p-value: 0.495% CI: [0.244, 1.691]Cox Proportional Hazards Model

Source: ClinicalTrials.gov · Data processed: Mar 15, 2026