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Miscellaneous

Partial fatty acid oxidation inhibitors for stable angina

Pages 615-629 | Published online: 24 Feb 2005

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  • ••Recent controlled trial demonstrating clearefficacy with trimetazidine on top of a a-blocker.
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  • •Intriguing small trial showing improved LV function in ischaemic heart failure patients.
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  • SELLIER P, BROUSTET JP: Efficacy at trough and safety of trimetazidine MR 35 mg in patients with stable angina pectoris. Cardiovasc. Drugs Therapy (2001) 15\(Suppl. 1):81.
  • •Abstract describing the efficacy of maintained release" formulation of trimetazidine.
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  • ••Recent overview of the clinicalpharmacology of ranolazine.
  • MCCORMACK JG, BARR RL, WOLFF AA, LOPASCHUK GD: Ranolazine stimulates glucose oxidation in normoxic, ischaemic, and reperfused ischaemic rat hearts. Circulation (1996) 93:135–145.
  • ••Preclinical studies demonstrating increasedmyocardial glucose oxidation with ranolazine.
  • MCCORMACK JG, BARACOS VE, BARR R, LOPASCHUK GD: Effects of ranolazine on oxidative substrate preference in epitrochlearis muscle. Appl. Physiol (1996) 81:905–910.
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  • GRALINSKI MR, BLACK SC, KILGORE KS, CHOU AY, MCCORMACK JG, LUCCHESI BR: Cardioprotective effects of ranolazine (RS-43285) in the isolated perfused rabbit heart. Cardiovasc. Res. (1994) 28:1231–1237.
  • ALLELY MC, BROWN CM, KENNY BA, KILPATRICK AT, MARTIN A, SPEDDING M: Modulation of alpha 1-adrenoceptors in rat left ventricle by ischaemia and acetyl carnitines: protection by ranolazine. Cardiovasc. Pharmacol (1993) 21:869–873.
  • COCCO G, ROUSSEAU ME BOUVY T et al.: Effects of a new metabolic modulator, ranolazine, on exercise tolerance in angina pectoris patients treated with beta-blocker or diltiazem. Cardiovasc. Phannacol. (1992) 20:131–138.
  • •This interesting clinical trial has never been published as a full paper.
  • PEPINE CJ, WOLFF AA FOR THE RANOLAZINE STUDY GROUP: A controlled trial with a novel anti-ischaemic agent, ranolazine, in chronic stable angina pectoris that is responsive to conventional antianginal agents. Arm Cardiol (1999) 84:46–50.
  • ROUSSEAU ME VISSER FG, BAX JJ et al.: Ranolazine: antianginal therapy with a novel mechanism: placebo controlled comparison versus atenolol. Eut: Heart J. (1994) 15 (Suppl.):95.
  • THADANI U, EZEKOWITZ M, FENNEY L, CHIANG YK: Double-blind efficacy and safety study of a novel anti-ischaemic agent, ranolazine, versus placebo in patients with chronic stable angina pectoris. Ranolazine Study Group. Circulation (1994) 90:726-734.WOLFF AA FOR THE MARISA INVESTIGATORS: Monotherapy assessment of ranolazine in stable angina. Am. Coll. Cardiol (2000) 35(Suppl. A):408A.
  • This is the definitive trial with ranolazine montherapy and has only been published in abstract form.
  • DEQUATTRO V, SKETTINO S, CHAITMAN B et al.: Comparative antianginal efficacy and tolerability of ranolazine in diabetic and nondiabetic patients: results of the MARISA trial. Am. College Cardiol 50th Annual Scientific Session (2001).
  • JANSKY P, SKETTINO S, CHAITMAN BR et al.: Comparative antianginal efficacy of ranolazine in young (65 years) versus elderly (> 65 years) patients: results of the MARISA trial. Circulation (2000) 102 (Suppl. II) :11–72.
  • CHAITMAN BR FOR THE CARISA INVESTIGATORS: Improved exercise capacity using a novel pFOX inhibitor as antianginal therapy: results of the Combination Assessment of Ranolazine In Stable Angina (CARISA). Circulation (2001) 104:2B.
  • ••The CARISA trial has only been published in abstract form.
  • STANLEY WC, MISHIMA T, BIESIADECKI BJ et al.: Ranolazine, a partial fatty acid oxidation inhibitor, improves left ventricular performance in dogs with chronic heart failure. Euro..1. Heart Failure (2000) 2 (Suppl. 2):97.
  • STANLEY WC, CHANDLER MP, MISHIMA T et al.: Ranolazine, a partial fatty acid oxidation (pFOX) inhibitor, improves left ventricular efficiency in dogs with heart failure. Cardiovasc. Drugs Ther. (2001) 15\(Suppl. 1):107.
  • CHAITMAN BR, SKETTINO S, DEQUATTRO V et al.: Improved exercise performance on ranolazine in patients with chronic angina and a history of heart failure: the MARISA Trial. J. Ain. Col. Cardiol. (2001) Suppl.

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