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CTRI Number  CTRI/2015/05/005778 [Registered on: 18/05/2015] Trial Registered Prospectively
Last Modified On: 27/10/2017
Post Graduate Thesis  No 
Type of Trial  Interventional 
Type of Study   Drug 
Study Design  Randomized, Parallel Group, Active Controlled Trial 
Public Title of Study   Evaluation of efficacy and safety of fixed dose combination of statin and cholecalciferol for the treatment of hyperlipidemia 
Scientific Title of Study   Evaluation of efficacy and safety of fixed dose combination of statin and cholecalciferol for the treatment of hyperlipidemia: a randomised, open label, comparative, multicenter study. 
Trial Acronym   
Secondary IDs if Any
Modification(s)  
Secondary ID  Identifier 
SP/IP-100/1012   Protocol Number 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)
Modification(s)  
Name  Dr Nomita Bhandari 
Designation  General Manager  
Affiliation  Sun Pharma Laboratories Limited  
Address  Sun Pharma Laboratories Limited (SPLL) ‘Sun House’ Plot No.201, B/1, Western Express Highway Goregaon(E) Mumbai-400063 Maharashtra,India Mumbai MAHARASHTRA 400063 India

Mumbai
MAHARASHTRA
400063
India 
Phone  02243246391  
Fax  02228947101  
Email  nomita.bhandari@sunpharma.com  
 
Details of Contact Person
Scientific Query

Modification(s)  
Name  Dr Maulik Doshi  
Designation  Medical Monitor  
Affiliation  Sun Pharma Laboratories Limited  
Address  Sun Pharma laboratories Limited Tandalja, Vadodara-390020 Gujarat Sun Pharma laboratories Limited Tandalja, Vadodara-390020 Gujarat Vadodara GUJARAT 390020 India

Mumbai
MAHARASHTRA
390020
India 
Phone  02656615500  
Fax  02652354897  
Email  maulik.doshi@sunpharma.com  
 
Details of Contact Person
Public Query

Modification(s)  
Name  Mr Guruprasad Palekar  
Designation  Deputy General Manager 
Affiliation  Sun Pharma Laboratories Limited  
Address  India Clinical Research Sun Pharma Laboratories Limited (SPLL) ‘Sun House’ 201, B/1, Western Express Highway, Goregaon(E), Mumbai-400063, Maharashtra, India

Mumbai
MAHARASHTRA
400063
India 
Phone  02243244324  
Fax  02228947101  
Email  guruprasad.palekar@sunpharma.com  
 
Source of Monetary or Material Support  
Sun Pharma Laboratories Limited Sun House, 201, B/1, Western Express Highway, Goregaon(E), Mumbai-400063  
 
Primary Sponsor
Modification(s)  
Name  Sun Pharma Laboratories Limited  
Address  Sun Pharma Laboratories Limited Sun House, Plot No.201 B/1, Western Express Highway, Goregaon (E), Mumbai-400063 India 
Type of Sponsor  Pharmaceutical industry-Indian 
 
Details of Secondary Sponsor  
Name  Address 
NIL  NIL 
 
Countries of Recruitment     India  
Sites of Study
Modification(s)  
No of Sites = 11  
Name of Principal Investigator  Name of Site  Site Address  Phone/Fax/Email 
Dr Shrikant Deshpande  Ashirwad Hospital & Research Centre  Maratha Section, Near Jijamata Udyan Ulhasnagar-421004, Maharashtra-421004
Thane
MAHARASHTRA 
9822017445

svshrikant@gmail.com 
Dr Sachin Patil  Aster Aadhar Hospital  R. S. No. 628, B Ward, Near Shastri Nagar, KMT Workshop, Kolhapur-416012 MAHARASHTRA
Kolhapur
MAHARASHTRA 
9225068519

sachinpatil.aacr@gmail.com 
Dr Rathindra Nath Sarkar  Calcutta Medical College  Department of Medicine, 88, College street, Kolkata-700073 WEST BENGAL
Kolkata
WEST BENGAL 
09433069803

drrnsarkar09@gmail.com 
Dr Amita A Gandhi  GMERS Medical College & Hospital  Department of Medicine , room No.1,Ground floor,S. G. Highway, Near New Gujarat High Court, Sola, Ahmedabad-380061 GUJARAT
Ahmadabad
GUJARAT 
09327452240

amita67@gmail.com 
Dr Gouranga Sarkar  IPGME & R/SSKM Hospital  Department of Medicine, IPGME & R/ SSKM Hospital, 244, AJC Bose Road , Kolkata-700020
Kolkata
WEST BENGAL 
9830165760

drgsmed@gmail.com 
Dr Kartik Vikrambhai Patel  Kanoria Hospital and Research Centre  Kanoria Hospital and Research Centre, Airport-Gandhinagar Highway, Village Bhat, Dist: Gandhinagar-382428, Gujarat
Gandhinagar
GUJARAT 
9879615645

drkartikpatel1980@gmail.com 
Dr Manish Agrawal  Medilink Hospital and Research Center   Nr. Shyamal char Rasta 132 ft ring road, satellite, Ahmedabad. PIN: 380015 Ahmadabad GUJARAT
Ahmadabad
GUJARAT 
07926762821

medilinkresearchcentre@yahoo.com 
Dr P Shravan Kumar  Osmania General Hospital  Department of Medicine, Osmania Medical College, Osmania General Hospital, Afzalgunj, -500012 Hyderabad
Hyderabad
ANDHRA PRADESH 
9949944122

shraavan28@yahoo.com 
Dr Mukesh Mishra  Shat Aayu Multispeciality Hospital  Shat Aayu Multispeciality Hospital, Wardha Road, Near Hitavada Press, Dhantoli, Nagpur-440012, Maharashtra
Nagpur
MAHARASHTRA 
07122447162

shatayuhospital@gmail.com 
Dr Nitin Ghaisas  Shatabdi Super Speciality Hospital  Suyojit City Centre, Opp. Mahamarg Bus Stand Mumbai Naka, Nashik-422005. MAHARASHTRA
Nashik
MAHARASHTRA 
09823122892

nitin.ghaisas@gmail.com 
Dr Raman Sharma  SMS Hospital and Medical College  G-1, Department of medicine, Ground floor,Jaipur-302004, Rajasthan
Jaipur
RAJASTHAN 
9414044488

sharmarm@gmail.com 
 
Details of Ethics Committee
Modification(s)  
No of Ethics Committees= 11  
Name of Committee  Approval Status 
Ashirwad Ethics Committee, Ashirwad hospital research centre  Approved 
Aster Aadhar ethics committee  Approved 
Ethics Committee GMERS Medical College  Approved 
Ethics Committee, Osmania Medical College  Approved 
Institutional Ethics Committee of human research of medical college, Kolkata  Approved 
Institutional Ethics committee, SMS hospital & Medical college  Approved 
Institutional Ethics Committee-Shat Aayu Multispeciality Hospital  Approved 
IPGME& R Research Oversight Committee  Approved 
Kanoria Ethics Committee  Approved 
Medilink Ethics Committtee  Approved 
Shatabdi Hospital Ethics Committee  Approved 
 
Regulatory Clearance Status from DCGI
Modification(s)  
Status 
Approved/Obtained 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  patients with hyperlipidemia,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Comparator Agent  Atorvastatin (10/20 mg)  Route of Administration: Oral Total Duration of therapy: 24 weeks 
Intervention  FDC of Atorvastatin (10/20 mg) and Vitamin D3 (1000 IU)   Route of Administration: Oral Total Duration of therapy: 24 weeks  
 
Inclusion Criteria  
Age From  18.00 Year(s)
Age To  70.00 Year(s)
Gender  Both 
Details  1 Male or female patients aged between 18 to 70 years with hyperlipidemia.
2 Patients LDL level greater than or equal to 100 mg/dL with at least one risk factor OR LDL level greater than or equal to 130 mg/dL with no risk factor.
3 Treatment-Naïve Patients i.e., not currently on Statin or other Lipid lowering drugs or Vitamin D supplement.
4 Patients willing to give their informed consent.
 
 
ExclusionCriteria 
Details  1. Pregnant, lactating women or women of childbearing age who are not using an acceptable method of birth control.
2. Patient whose serum level of Vitamin D3 <10 nmol/L.
3. Patients with cardiovascular disease and/or type 1 diabetes mellitus.
4. Patients with significantly abnormal laboratory analysis of thyroid function.
5. Patients with severe renal impairment, including those receiving dialysis.
6. Patients with active liver disease, including those with primary biliary cirrhosis and unexplained persistent liver function abnormalities.
7. Patients with preexisting gallbladder disease.
8. Patients who is taking seizure drugs.
9. Patients who is taking steroids.
10. Patients with hypersensitivity to statin.
11. Patients taking oral coumarin anticoagulant.
12. Patients with concurrent administration of fibric acid derivatives, lipid-modifying doses of niacin, cyclosporine, or strong CYP 3A4 inhibitors (e.g., clarithromycin, HIV protease inhibitors, and itraconazole).
13. Patient with history of alcohol abuse.
 
 
Method of Generating Random Sequence   Computer generated randomization 
Method of Concealment   Centralized 
Blinding/Masking   Open Label 
Primary Outcome  
Outcome  TimePoints 
• Evaluation of Percent average change of LDL from baseline to end of treatment
• Evaluation of Percent average change of TC from baseline to end of treatment
 
Visit 01 (Day 0), Visit 02 (Day 56 ± 2), Visit 03 (Day 112 ± 2), ), Visit 04 (Day 168 ± 2) 
 
Secondary Outcome
Modification(s)  
Outcome  TimePoints 
Evaluation of Percent average change of HDL from baseline to end of treatment  Visit 01 (Day 0), Visit 02 (Day 56 ± 2), Visit 03 (Day 112 ± 2), Visit 04 (Day 168 ± 2) 
Evaluation of Percent average change of TG from baseline to end of treatment  Visit 01 (Day 0), Visit 02 (Day 56 ± 2), Visit 03 (Day 112 ± 2), Visit 04 (Day 168 ± 2) 
Evaluation of Percent average change of Vitamin D3 level from baseline to end of treatment  Visit 01 (Day 0) and Visit 04 (Day 168 ± 2) 
Treatment Emergent AEs (Adverse Events) / monitoring of AEs and SAEs (Serious Adverse Events) throughout the study period  Visit 02 (Day 56 ± 2), Visit 03 (Day 112 ± 2), Visit 04 (Day 168 ± 2) 
Assessment of laboratory parameters from baseline to end of treatment (Hemoglobin, Total and differential WBC count, SGOT, SGPT, Total bilirubin, Serum Creatinine and urine analysis  Visit 01 (Day 0) and Visit 04 (Day 168 ± 2) 
ECG assessment at baseline and end of the treatment  Visit 01 (Day 0) and Visit 04 (Day 168 ± 2) 
 
Target Sample Size   Total Sample Size="300"
Sample Size from India="300" 
Final Enrollment numbers achieved (Total)= "335"
Final Enrollment numbers achieved (India)="335" 
Phase of Trial   Phase 3 
Date of First Enrollment (India)
Modification(s)  
09/07/2015 
Date of Study Completion (India) 31/12/2016 
Date of First Enrollment (Global)  Date Missing 
Date of Study Completion (Global) Date Missing 
Estimated Duration of Trial   Years="1"
Months="6"
Days="0" 
Recruitment Status of Trial (Global)
Modification(s)  
Not Applicable 
Recruitment Status of Trial (India)  Completed 
Publication Details    
Individual Participant Data (IPD) Sharing Statement

Will individual participant data (IPD) be shared publicly (including data dictionaries)?  

Brief Summary
Modification(s)  

This was a Phase III, an open-label, randomized, comparative, multicentric study in which efficacy and safety of the FDC of Atorvastatin + Vitamin D3 was determined in 335 patients at 11 different centers across different geographies in India. Patients were randomized to receive either FDC of Atorvastatin (10mg/20mg) + Vitamin D3 / OD or Atorvastatin/(10mg/20mg) / OD alone. Vitamin D3 (60,000 IU) sachet was given to patients who were on fixed dose combination of Atorvastatin + Vitamin D3 group once in a week for 8 weeks. Male or female subjects aged between 18-70 years with hyperlipidemia, fulfilling all the inclusion criteria and none of the exclusion criteria were enrolled in the study. Patients were evaluated for percent average change in serum LDL and total cholesterol level from baseline to end of the treatment as primary efficacy variables. Percent average change in serum HDL, TG and Vitamin D3 level were measured as secondary efficacy variables. Blood samples were collected for laboratory testing of hemoglobin, total and differential WBC count, total bilirubin, SGOT and SGPT, serum creatinine, urine analysis at screening visit and at end of the study. ECG was performed at screening visit and at end of study.

The duration of study participation of each patient was up to 25 weeks (i.e., 01 week of screening period and 24 weeks of treatment period).

Based on the study results it is concluded that FDC [Atorvastatin 10/20 mg and Vitamin D3 (1000 IU)] is safe and effective in patients with hyperlipidemia. It is especially useful in patients with baseline Vitamin D3 level < 30 nmol/L. In this population supplementation of Vitamin D3 with Atorvastatin has been shown to cause (1) clinically relevant faster reduction in LDL and total cholesterol in comparison to Atorvastatin alone and (2) exert similar action to the one observed with double dose of Atorvastatin. This effect is relevant in Indian population wherein a larger population is deficient in Vitamin D3.

 
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