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描述 | Ranolazine is an anti-angina drug that achieves its effects by inhibiting the late phase of inward sodium current (INa and IKr with IC50 values of 6 μM and 12 μM, respectively) without affecting heart rate or blood pressure (BP)[3]. Ranolazine antagonizes the ventricular repolarization changes caused by clofilium and suppresses clofilium-induced TdP (Torsade de Pointes) in rabbits[4]. Ranolazine potentiates the effects of ACEIs (angiotensin-converting enzyme inhibitor) and ARBs (angiotensin receptor blocker). Clinicians should monitor for this potentiation when initiating treatment with ranolazine and an ACEI or ARB[5]. Ranolazine is also a partial fatty acid oxidation (FAO) inhibitor. Ranolazine reduces cellular acetyl-CoA content via inhibition of fatty acid beta-oxidation and activates pyruvate dehydrogenase. Ranolazine significantly reduces infarct size and cardiac troponin T release in rats subjected to left anterior descending coronary artery occlusion-reperfusion[6]. Ranolazine therapy may decrease A1C (andhemoglobin A1C) among patients with T2DM without an increase in hypoglycemia. For patients with T2DM (type 2 diabetes mellitus) and chronic stable angina, ranolazine may be of use given its utility in cardiovascular disease and benefit in A1C lowering[7]. |
临床研究 | |||||
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NCT号 | 适应症或疾病 | 临床期 | 招募状态 | 预计完成时间 | 地点 |
NCT02425969 | Grey-zone Fractional Flow Rese... 展开 >>rve Intermediate Coronary Lesions Stable Angina Coronary Physiology 收起 << | Not Applicable | Completed | - | United Kingdom ... 展开 >> Golden Jubilee National Hospital Glasgow, Dunbartonshire, United Kingdom, G81 4DY 收起 << |
NCT01703156 | Low Risk Acute Coronary Syndro... 展开 >>me 收起 << | Not Applicable | Completed | - | United States, Oklahoma ... 展开 >> Veteran's Affairs Medical Center Oklahoma City, Oklahoma, United States, 73104 收起 << |
NCT01215253 | - | Completed | - | - |
实验方案 | |||
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1mg | 5mg | 10mg | |
1 mM 5 mM 10 mM |
2.34mL 0.47mL 0.23mL |
11.69mL 2.34mL 1.17mL |
23.39mL 4.68mL 2.34mL |
参考文献 |
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