Trial Outcomes & Findings for Reduce Crohn's-Associated Diarrhea With Sodium Channel Therapy (NCT NCT04456517)

NCT ID: NCT04456517

Last Updated: 2025-02-06

Results Overview

Daily number of loose stools will be collected directly from all subjects using MyCap.

Recruitment status

TERMINATED

Study phase

PHASE2

Target enrollment

4 participants

Primary outcome timeframe

Baseline to 12 weeks

Results posted on

2025-02-06

Participant Flow

4 of 4 participants were randomized.

Participant milestones

Participant milestones
Measure
Ranolazine, Then Placebo
\- Participants first receive a Ranolazine 500 mg tablet twice daily for 12 weeks, they then receive a Placebo tablet (matching Ranolazine 500 mg tablets) twice daily for 12 weeks. This treatment will be given to participants with either active CD or patients with CD that is in remission but who experience continued symptoms Ranolazine: 500 mg tablet Placebo: Ranolazine-matched placebo tablet
Placebo, Then Ranolazine
\- Participants first receive a Placebo tablet (matching Ranolazine 500 mg tablets) twice daily for 12 weeks, they then receive a Ranolazine 500mg tablet twice daily for 12 weeks. This treatment will be given to participants with either active CD or patients with CD that is in remission but who experience continued symptoms Ranolazine: 500 mg tablet Placebo: Ranolazine-matched placebo tablet
First Intervention:Baseline to 12 Weeks
STARTED
3
1
First Intervention:Baseline to 12 Weeks
COMPLETED
3
0
First Intervention:Baseline to 12 Weeks
NOT COMPLETED
0
1
Second Intervention: 12 Weeks to 24 Week
STARTED
3
0
Second Intervention: 12 Weeks to 24 Week
COMPLETED
3
0
Second Intervention: 12 Weeks to 24 Week
NOT COMPLETED
0
0

Reasons for withdrawal

Reasons for withdrawal
Measure
Ranolazine, Then Placebo
\- Participants first receive a Ranolazine 500 mg tablet twice daily for 12 weeks, they then receive a Placebo tablet (matching Ranolazine 500 mg tablets) twice daily for 12 weeks. This treatment will be given to participants with either active CD or patients with CD that is in remission but who experience continued symptoms Ranolazine: 500 mg tablet Placebo: Ranolazine-matched placebo tablet
Placebo, Then Ranolazine
\- Participants first receive a Placebo tablet (matching Ranolazine 500 mg tablets) twice daily for 12 weeks, they then receive a Ranolazine 500mg tablet twice daily for 12 weeks. This treatment will be given to participants with either active CD or patients with CD that is in remission but who experience continued symptoms Ranolazine: 500 mg tablet Placebo: Ranolazine-matched placebo tablet
First Intervention:Baseline to 12 Weeks
Adverse Event
0
1

Baseline Characteristics

Reduce Crohn's-Associated Diarrhea With Sodium Channel Therapy

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Ranolazine, Then Placebo
n=3 Participants
\- Participants first receive a Ranolazine 500 mg tablet twice daily for 12 weeks, they then receive a Placebo tablet (matching Ranolazine 500 mg tablets) twice daily for 12 weeks. This treatment will be given to participants with either active CD or patients with CD that is in remission but who experience continued symptoms Ranolazine: 500 mg tablet Placebo: Ranolazine-matched placebo tablet
Placebo, Then Ranolazine
n=1 Participants
\- Participants first receive a Placebo tablet (matching Ranolazine 500 mg tablets) twice daily for 12 weeks, they then receive a Ranolazine 500mg tablet twice daily for 12 weeks. This treatment will be given to participants with either active CD or patients with CD that is in remission but who experience continued symptoms Ranolazine: 500 mg tablet Placebo: Ranolazine-matched placebo tablet
Total
n=4 Participants
Total of all reporting groups
Age, Continuous
37.7 years
STANDARD_DEVIATION 9.5 • n=99 Participants
59 years
STANDARD_DEVIATION 9.1 • n=107 Participants
43 years
STANDARD_DEVIATION 13.2 • n=206 Participants
Sex: Female, Male
Female
3 Participants
n=99 Participants
1 Participants
n=107 Participants
4 Participants
n=206 Participants
Sex: Female, Male
Male
0 Participants
n=99 Participants
0 Participants
n=107 Participants
0 Participants
n=206 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
0 Participants
n=99 Participants
0 Participants
n=107 Participants
0 Participants
n=206 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
3 Participants
n=99 Participants
1 Participants
n=107 Participants
4 Participants
n=206 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
0 Participants
n=99 Participants
0 Participants
n=107 Participants
0 Participants
n=206 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=99 Participants
0 Participants
n=107 Participants
0 Participants
n=206 Participants
Race (NIH/OMB)
Asian
0 Participants
n=99 Participants
0 Participants
n=107 Participants
0 Participants
n=206 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=99 Participants
0 Participants
n=107 Participants
0 Participants
n=206 Participants
Race (NIH/OMB)
Black or African American
0 Participants
n=99 Participants
0 Participants
n=107 Participants
0 Participants
n=206 Participants
Race (NIH/OMB)
White
3 Participants
n=99 Participants
1 Participants
n=107 Participants
4 Participants
n=206 Participants
Race (NIH/OMB)
More than one race
0 Participants
n=99 Participants
0 Participants
n=107 Participants
0 Participants
n=206 Participants
Race (NIH/OMB)
Unknown or Not Reported
0 Participants
n=99 Participants
0 Participants
n=107 Participants
0 Participants
n=206 Participants
Region of Enrollment
United States
3 participants
n=99 Participants
1 participants
n=107 Participants
4 participants
n=206 Participants

PRIMARY outcome

Timeframe: Baseline to 12 weeks

Population: 1 subject in Placebo arm only has baseline data since they withdrew.

Daily number of loose stools will be collected directly from all subjects using MyCap.

Outcome measures

Outcome measures
Measure
Ranolazine
n=3 Participants
\- Participants receive a Ranolazine 500 mg tablet twice daily for 12 weeks.
Placebo
n=4 Participants
\- Participants receive a Placebo tablet (matching Ranolazine 500 mg tablets) twice daily for 12 weeks.
Daily Number of Loose Stools
Liquid Stools at Baseline
3.6 number of liquid stools
Standard Deviation 2.5
4.5 number of liquid stools
Standard Deviation 3.4
Daily Number of Loose Stools
Liquid stools at Week 12
2.9 number of liquid stools
Standard Deviation 1.6
3.2 number of liquid stools
Standard Deviation 0.8

SECONDARY outcome

Timeframe: Baseline to 12 weeks

Population: One of three subjects on ranolazine did not have a baseline CDAI score. 1 of 4 subject on placebo did not complete course.

The Crohn's Disease Activity Index (CDAI) combines weighted scores of clinical and laboratory variables to estimate disease severity. The CDAI consists of eight variables, two of which are subjective, related to the disease, each weighted according to its ability to be predictive of disease activity. The absolute score ranges from 0 to 600. CDAI scores of less than 150 indicate a clinical remission and scores over 450 indicate severely active disease. Since blood draws will not be performed as part of this study, the hematocrit component of the CDAI will not be assessed.

Outcome measures

Outcome measures
Measure
Ranolazine
n=3 Participants
\- Participants receive a Ranolazine 500 mg tablet twice daily for 12 weeks.
Placebo
n=4 Participants
\- Participants receive a Placebo tablet (matching Ranolazine 500 mg tablets) twice daily for 12 weeks.
Crohn's Disease Activity Index (CDAI) Score
Baseline CDAI
169 score on a scale
Standard Deviation 90.5
117 score on a scale
Standard Deviation 88.1
Crohn's Disease Activity Index (CDAI) Score
12 week CDAI
100 score on a scale
Standard Deviation 99.6
110.3 score on a scale
Standard Deviation 97.8

SECONDARY outcome

Timeframe: Baseline to Week 12

Population: 1 of 4 subjects assigned placebo for 12 weeks did not complete course.

The Harvey-Bradshaw index (Harvey-Bradshaw Index - HBI) assesses the degree of illness (activity) in patients with Crohn's disease. The HBI consists of 5 items with a minimum score of 0 and a maximum attainable score depending on the number of stools the patient identifies per day. HBI scores \< 5 are defined as clinical remission, HBI between 5 and 7 as mild disease, HBI between 8 and 16 as moderate disease, and HBI \> 16 as severe disease.

Outcome measures

Outcome measures
Measure
Ranolazine
n=3 Participants
\- Participants receive a Ranolazine 500 mg tablet twice daily for 12 weeks.
Placebo
n=4 Participants
\- Participants receive a Placebo tablet (matching Ranolazine 500 mg tablets) twice daily for 12 weeks.
Harvey Bradshaw Index (HBI) Score
Baseline HBI
6.7 score on a scale
Standard Deviation 1.5
5 score on a scale
Standard Deviation 3.1
Harvey Bradshaw Index (HBI) Score
12 week HBI
4.7 score on a scale
Standard Deviation 3.5
5 score on a scale
Standard Deviation 1.7

SECONDARY outcome

Timeframe: Baseline to 12 weeks

Population: 1 of 4 subjects in placebo arm did not complete course.

The SIBDQ is a 10-item questionnaire measuring quality of life in four domains: bowel symptoms, emotional health, systemic symptoms, and social function and is scored on a 7-point Likert scale from 1 (severe problem) to 7 (no problems at all). The absolute score ranges are from 10 (poor Health-related quality of life) to 70 (optimum Health-related quality of life).

Outcome measures

Outcome measures
Measure
Ranolazine
n=3 Participants
\- Participants receive a Ranolazine 500 mg tablet twice daily for 12 weeks.
Placebo
n=4 Participants
\- Participants receive a Placebo tablet (matching Ranolazine 500 mg tablets) twice daily for 12 weeks.
Short Inflammatory Bowel Disease Questionnaire (SIBDQ) Score
Baseline SIBDQ
52 score on a scale
Standard Deviation 10.5
54 score on a scale
Standard Deviation 10.1
Short Inflammatory Bowel Disease Questionnaire (SIBDQ) Score
Week 12 SIBDQ
57.3 score on a scale
Standard Deviation 8.1
59.3 score on a scale
Standard Deviation 5.9

SECONDARY outcome

Timeframe: Baseline to week 12

Population: 1 of 4 subjects in placebo arm did not complete course.

The PHQ-9 is a 9-item questionnaire that screens for the presence and severity of depression and can be used to make a depression diagnosis using DSM-IV criteria. The PHQ-9 is scored on a 3-point Likert scale from 0 (not at all) to 3 (nearly every day). The absolute score ranges are from 0 (none or minimal depression) to 27 (severe depression).

Outcome measures

Outcome measures
Measure
Ranolazine
n=3 Participants
\- Participants receive a Ranolazine 500 mg tablet twice daily for 12 weeks.
Placebo
n=4 Participants
\- Participants receive a Placebo tablet (matching Ranolazine 500 mg tablets) twice daily for 12 weeks.
Patient Health Questionnaire (PHQ-9) Score
Baseline PHQ9
8.3 score on a scale
Standard Deviation 5.5
7 score on a scale
Standard Deviation 3.9
Patient Health Questionnaire (PHQ-9) Score
12 week PHQ9
5.7 score on a scale
Standard Deviation 3.5
6.3 score on a scale
Standard Deviation 3.8

Adverse Events

Ranolazine

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Placebo

Serious events: 0 serious events
Other events: 1 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Other adverse events
Measure
Ranolazine
n=3 participants at risk
\- Participants receive a Ranolazine 500 mg tablet twice daily for 12 weeks
Placebo
n=4 participants at risk
Participants receive a Placebo tablet (matching Ranolazine 500 mg tablets) twice daily for 12 weeks.
Eye disorders
Blurry vision
0.00%
0/3 • Baseline to 24 weeks
Adverse event information was collected for any untoward or unfavorable medical occurrence in a participant, including any abnormal sign (for example, abnormal physical exam or laboratory finding), symptom, or disease, temporally associated with the participant's participation in the research, whether or not considered related to the participant's participation in the research.
25.0%
1/4 • Number of events 1 • Baseline to 24 weeks
Adverse event information was collected for any untoward or unfavorable medical occurrence in a participant, including any abnormal sign (for example, abnormal physical exam or laboratory finding), symptom, or disease, temporally associated with the participant's participation in the research, whether or not considered related to the participant's participation in the research.

Additional Information

Michael McGill

Vanderbilt University Medical Center

Phone: 615-322-4643

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place