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
|
|
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)
|
|
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. |