Drugs / Ranolazine
last change Aug 2026 re-read 9 days ago

Ranolazine

Small molecule targets SCN4A, SCN5A via inhibition

Developed for
type 2 diabetes mellitus · coronary artery disorder · myocardial ischemia · coronary microvascular disorder · diastolic heart failure · amyotrophic lateral sclerosis · atrial fibrillation · hypertrophic cardiomyopathy
+28 more · pulmonary arterial hypertension · pulmonary hypertension · cardiac rhythm disease · cardiomyopathy · Crohn disease · dilated cardiomyopathy · heart failure · intermediate coronary syndrome · ischemic disease · long QT syndrome · long QT syndrome 3 · metabolic syndrome X · myocardial disorder · myocardial stunning · myotonic dystrophy type 1 · nondystrophic myotonia · paramyotonia congenita of Von Eulenburg · persistent atrial fibrillation · polyneuropathy · ST-elevation myocardial infarction · sudden cardiac arrest · acute coronary syndrome · arteriosclerosis disorder · diabetic polyneuropathy · irritable bowel syndrome · mitral valve insufficiency · peripheral arterial disease · postoperative ventricular dysfunction
Investigated by
Gilead Sciences · Cedars-Sinai Medical Center · University of Florida · Walter Reed National Military Medical Center · A.Menarini Asia-Pacific Holdings Pte Ltd · ALS Association
+42 more · Accelerating Clinical Trials Consortium · Aspirus Heart and Vascular Institute-Research and Education · Boston University · Brigham and Women's Hospital · CV Therapeutics · Canadian Heart Function Alliance · Cardiovascular Institute of the South Clinical Research Corporation · Duke University · Emory University · Federico II University · Fondazione Policlinico Universitario Agostino Gemelli IRCCS · Food and Drug Administration (FDA) · Hadassah Medical Organization · IRCCS San Raffaele · Kent Hospital, Rhode Island · Menarini Group · Menarini International Operations Luxembourg SA · Northwestern University · OBS Pakistan · Ohio State University · Ottawa Heart Institute Research Corporation · Santa Maria Goretti Hospital, Latina · Spaulding Clinical Research LLC · Swathy Chandrashekhar, MBBS · TSH Biopharm Corporation Limited · Team PHenomenal Hope · Tel-Aviv Sourasky Medical Center · The TIMI Study Group · University Medical Centre Ljubljana · University Medicine Göttingen, Cardiac Center · University of Alberta · University of California, San Diego · University of Chicago · University of Colorado, Denver · University of Kansas Medical Center · University of Michigan · University of New Mexico · University of Oklahoma · University of Rochester · Università Magna Grecia, Catanzaro · Vanderbilt University Medical Center · Yale University

Regulatory milestones approvals, filings & regulatory actions · 3 recorded

MilestoneJurisdictionBrandIndicationDateSentence it was read from
Label expansion US (FDA) RANEXA — 2008-11-05 fda.gov ↗
Approved EU (EMA) Ranexa (previously Latixa) — 2008-07-08 europa.eu ↗
Approved US (FDA) RANEXA — 2006-01-27 fda.gov ↗

Trials 54

PhaseRegistry idDatesIndicationSponsorStatusOutcome
Phase 17 trials
Phase 1 NCT02817932 Mar → Jul 2016 — A.Menarini Asia-Pacific Holdings Pte Ltd Unknown No outcome recorded
Phase 1 NCT02251457 Aug 2014 → Dec 2017 myotonic dystrophy type 1, nondystrophic myotonia, paramyotonia congenita of Von Eulenburg Ohio State University Completed No outcome recorded
Phase 1 NCT01873950 May → Jul 2013 — Food and Drug Administration (FDA) Completed No outcome recorded
Phase 1 NCT01675973 Jul → Aug 2012 — Gilead Sciences Terminated No outcome recorded
Phase 1 NCT01546597 Feb → Mar 2012 type 2 diabetes mellitus Gilead Sciences Completed No outcome recorded
Phase 1 NCT01546558 Feb → Mar 2012 type 2 diabetes mellitus Gilead Sciences Completed No outcome recorded
Phase 1 NCT01757808 Aug 2011 → Jan 2015 pulmonary arterial hypertension University of Chicago Completed No outcome recorded
Phase 215 trials · 1 met primary · 3 missed
Phase 2 NCT06570473 Jul 2025 → Aug 2026 overdue heart failure, pulmonary hypertension University of Alberta Recruiting No outcome recorded
Phase 2 NCT06527222 Apr 2025 → Jul 2028 expected amyotrophic lateral sclerosis Swathy Chandrashekhar, MBBS Recruiting No outcome recorded
Phase 2 NCT04456517 Oct 2022 → Apr 2024 Crohn disease Vanderbilt University Medical Center Terminated No outcome recorded Stop: Enrollment
Phase 2 NCT03472950 Jun 2018 → Dec 2020 amyotrophic lateral sclerosis University of Kansas Medical Center Completed No outcome recorded
Phase 2 NCT03953989 Oct 2016 → Feb 2020 hypertrophic cardiomyopathy IRCCS San Raffaele Completed No outcome recorded
Phase 2 NCT02360397 Dec 2014 → Dec 2017 cardiac rhythm disease, myocardial ischemia Kent Hospital, Rhode Island Completed No outcome recorded
Phase 2 NCT02147067 Sep 2014 → Mar 2018 coronary microvascular disorder Emory University Completed Missed primary
Phase 2 NCT02133911 May 2014 → Dec 2015 dilated cardiomyopathy University Medical Centre Ljubljana Completed No outcome recorded
Phase 2 NCT01728025 Oct 2012 → Nov 2017 long QT syndrome 3 Tel-Aviv Sourasky Medical Center Unknown No outcome recorded
Phase 2 NCT01648205 Sep 2012 → Jul 2018 long QT syndrome University of Rochester Completed Missed primary
Phase 2/31 trial
Phase 2/3 NCT07380919 Feb → Jun 2026 overdue ST-elevation myocardial infarction Federico II University Recruiting No outcome recorded
Phase 311 trials · 3 met primary · 4 missed
Phase 3 NCT01810796 Dec 2013 → Dec 2016 coronary artery disorder Hadassah Medical Organization Unknown No outcome recorded
Phase 3 NCT01754259 Apr 2013 → Oct 2015 coronary artery disorder, type 1 diabetes mellitus, type 2 diabetes mellitus Brigham and Women's Hospital Completed Missed primary
Phase 3 NCT01555164 Jun 2012 → Sep 2013 type 2 diabetes mellitus Gilead Sciences Completed Missed primary
Phase 3 NCT01349491 Mar 2012 → Jun 2014 atrial fibrillation University of Oklahoma Terminated No outcome recorded Stop: Enrollment
Phase 3 NCT01494987 Jan 2012 → Aug 2013 type 2 diabetes mellitus Gilead Sciences Completed Met primary
Phase 3 NCT01472185 Nov 2011 → Oct 2013 type 2 diabetes mellitus Gilead Sciences Completed Met primary
Phase 3 NCT01442038 Oct 2011 → Feb 2015 coronary artery disorder Gilead Sciences Completed Missed primary
Phase 3 NCT01174173 Jun 2010 → Jan 2014 pulmonary arterial hypertension Northwestern University Completed Mixed
Phase 3 NCT00998218 Sep 2009 → Dec 2010 sudden cardiac arrest Aspirus Heart and Vascular Institute-Research and Education Completed No outcome recorded
Phase 3 NCT00099788 Oct 2004 → Feb 2007 myocardial ischemia Gilead Sciences Completed Missed primary
Phase 413 trials · 1 met primary · 2 missed
Phase 4 NCT02687269 Apr 2019 → Sep 2020 myocardial stunning Fondazione Policlinico Universitario Agostino Gemelli IRCCS Withdrawn No outcome recorded
Phase 4 NCT03486561 Apr → Sep 2018 intermediate coronary syndrome OBS Pakistan Unknown No outcome recorded
Phase 4 NCT02252406 Sep 2015 → Dec 2018 metabolic syndrome X University of Florida Completed No outcome recorded
Phase 4 NCT02052011 Apr 2014 → Nov 2015 coronary microvascular disorder Yale University Completed Missed primary
Phase 4 NCT01996618 Jan 2014 → Jun 2016 — Walter Reed National Military Medical Center Unknown No outcome recorded
Phase 4 NCT01721967 Nov 2012 → Nov 2015 hypertrophic cardiomyopathy Duke University Completed No outcome recorded
Phase 4 NCT01435174 Oct 2011 → Mar 2013 cardiovascular disorder, end stage renal failure University of Michigan Completed No outcome recorded
Phase 4 NCT01425359 Sep 2011 → Oct 2012 coronary artery disorder, type 2 diabetes mellitus Gilead Sciences Completed Met primary
Phase 4 NCT02133352 Jul 2011 → May 2013 diastolic heart failure, pulmonary hypertension Boston University Completed No outcome recorded
Phase 4 NCT01334203 May 2011 → Oct 2012 coronary artery disorder, type 2 diabetes mellitus Gilead Sciences Withdrawn No outcome recorded
Phase not applicable7 trials · 1 missed
— NCT03401502 Jun 2018 → Mar 2019 — TSH Biopharm Corporation Limited Completed No outcome recorded
— NCT02611596 Nov 2016 → Nov 2018 myocardial ischemia, type 2 diabetes mellitus Walter Reed National Military Medical Center Withdrawn No outcome recorded
— NCT01992016 Apr 2014 → Oct 2016 malignant soft tissue neoplasm, metastatic carcinoma in the bone, prostate adenocarcinoma University of Colorado, Denver Completed No outcome recorded
— NCT01705509 Sep 2012 → Mar 2017 cardiomyopathy Cardiovascular Institute of the South Clinical Research Corporation Terminated No outcome recorded
— NCT01815957 May 2012 → Mar 2016 coronary artery disorder, coronary microvascular disorder, ischemic disease, myocardial disorder University of New Mexico Completed No outcome recorded
— NCT01342029 May 2011 → Dec 2016 coronary microvascular disorder Cedars-Sinai Medical Center Completed Missed primary
— NCT00574756 Dec 2007 → Mar 2010 diastolic heart failure University of California, San Diego Terminated No outcome recorded Stop: Business
Comparator or background therapy30 trials
Phase 1 NCT03070470 Comparator Mar → Jun 2017 — Food and Drug Administration (FDA) Completed No outcome recorded
Phase 1 NCT01843127 Comparator Apr → Sep 2013 type 2 diabetes mellitus Gilead Sciences Completed No outcome recorded
Phase 2 NCT02147834 Comparator Aug 2015 → Mar 2016 intermediate coronary syndrome North Florida Foundation for Research and Education Terminated No outcome recorded
Phase 2 NCT02265796 Comparator Sep 2014 → May 2016 intermediate coronary syndrome North Florida Foundation for Research and Education Completed No outcome recorded
Phase 2 NCT01887353 Comparator Jun 2013 → Feb 2014 atrial fibrillation, heart failure Intermountain Health Care, Inc. Terminated No outcome recorded Stop: Enrollment

News releases announcing trial results or a regulatory action · 5

DateIssuerRelease
2019-08-21 Zydus Lifesciences Limited Regulatory Zydus receives final approval from the USFDA for Ranolazine Extended-Release Tablets zyduslife.com ↗
Zydus Cadila has received the final approval from the USFDA to market Ranolazine Extended-Release Tablets (US RLD - Ranexa ®), 500 mg and 1,000 mg.
2019-07-09 Glenmark Pharmaceuticals Ltd. India Regulatory Glenmark Pharmaceuticals receives ANDA approval for Ranolazine Extended-Release Tablets, 500 mg and 1,000 mg glenmarkpharma.com ↗
Glenmark Pharmaceuticals receives ANDA approval for Ranolazine Extended-Release Tablets, 500 mg and 1,000 mg
2014-05-10 Gilead Sciences Results Gilead Announces Results from Phase 2 Study Showing Reduction in Atrial Fibrillation Burden with the Investigational Combination of Ranolazine and Low-Dose Dronedarone gilead.com ↗
In HARMONY, the combination of ranolazine and low-dose dronedarone provided greater reductions in AFB from baseline than either therapy used alone.
2013-03-10 Gilead Sciences Results Gilead’s Ranexa® Reduces Angina Frequency in Study of Chronic Angina Patients With Type 2 Diabetes gilead.com ↗
2010-06-10 Gilead Sciences Regulatory Gilead Sciences Announces Notification of ANDA Filing for Ranexa(R) gilead.com ↗
In the Notice Letter, Lupin alleges that all 10 patents associated with Ranexa are invalid, unenforceable and/or will not be infringed by Lupin's manufacture, use or sale of the product described in its ANDA submission.

All press releases naming this drug 9 releases

DateIssuerRelease

Evidence & citations 20 cited values

Every value below carries the sentence it was read from. 89 sources stand behind the page.

FieldValueCited text
Known as Ranolazine “The purpose of this study is to assess the effect of severe renal impairment on the steady-state PK, as well as safety and tolerability, of ranolazine, compared to subjects...” NCT01675973 ↗
82

“Ranolazine improves angina in women with evidence of myocardial ischemia but no obstructive coronary artery disease.” PMID 21565740 ↗ May 2011

“After enrollment in the study, participants will initiate Ranolazine for 4 weeks.” NCT01815957 ↗

NCT01480336 ↗

NCT01163734 ↗

NCT00099788 ↗

NCT01494987 ↗

NCT00574756 ↗

NCT01843127 ↗

NCT06570473 ↗

NCT02147834 ↗

Show 72 more sources

Known as Aspruzyo ChEMBL registry synonym — accepted as the source's own label CHEMBL1404 ↗
Known as Aspruzyo sprinkle ChEMBL registry synonym — accepted as the source's own label CHEMBL1404 ↗
Known as CVT-303 ChEMBL registry synonym — accepted as the source's own label CHEMBL1404 ↗
Known as NSC-759100 ChEMBL registry synonym — accepted as the source's own label CHEMBL1404 ↗
Known as Ran d ChEMBL registry synonym — accepted as the source's own label CHEMBL1404 ↗
Known as Ranexa “ranolazine (Ranexa)” NCT02133352 ↗
1

NCT01345188 ↗

Known as Ranexa (previously latixa) ChEMBL registry synonym — accepted as the source's own label CHEMBL1404 ↗
Known as Ranolazina ChEMBL registry synonym — accepted as the source's own label CHEMBL1404 ↗
Known as Ranolazine dihydrochloride ChEMBL registry synonym — accepted as the source's own label CHEMBL1404 ↗
Known as Ranolazine hcl ChEMBL registry synonym — accepted as the source's own label CHEMBL1404 ↗
Known as RANOLAZINE HYDROCHLORIDE ChEMBL registry synonym — accepted as the source's own label CHEMBL1404 ↗
Known as RS-43285 ChEMBL registry synonym — accepted as the source's own label CHEMBL1404 ↗
Known as RS-43285-003 ChEMBL registry synonym — accepted as the source's own label CHEMBL1404 ↗
Action Inhibit “Sodium channel protein type IV alpha subunit blocker” CHEMBL1404 ↗
1

“inhibiting the late sodium current” PMID 21538388 ↗ Apr 2011

Modality Small molecule “Ranolazine, a piperazine derivative with anti-ischemic effects” PMID 26059896 ↗ Jun 2015
Route Intravenous “initiated intravenously and followed by oral ranolazine extended-release 1000 mg twice daily” PMID 17456819 ↗ Apr 2007
Route Oral “initiated intravenously and followed by oral ranolazine extended-release 1000 mg twice daily” PMID 17456819 ↗ Apr 2007
Target SCN4A “Sodium channel protein type IV alpha subunit blocker” CHEMBL1404 ↗
Target SCN5A “Ranolazine exerted a concentration-dependent block of INaL of the SCN5A-D1790G channel” PMID 27733495 ↗ Oct 2016