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Slide Lecture Programs
2007 Core Curriculum
Myocardial Ischemia Redefined: Optimal Care in CAD
October 9, 2007


III: Clinical Trial Update Slide 45


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ROLE: Long-term safety and tolerability in stable CAD patients

  • The ROLE trial involved >80% of the patients who completed the MARISA or CARISA trials and voluntarily agreed to participate in an open-label extension program.
  • The average exposure to the drug was 2.82 years. Of the 746 patients participating in the study, 571 (76.7%) completed 2 years of open-label therapy; only 9.7% of the 23.3% who did not complete 2 years of therapy stopped the study drug due to adverse effects.
  • Aside from angina, the most common adverse effects were dizziness (11.8%) and constipation (10.9%). Adverse events rates were similar in patients who received ranolazine for the first time (n = 197 formerly in the placebo group), and 549 patients who had previously taken the drug.
  • Electrophysiological complications were not a major determinant of study drug discontinuation.


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