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CTRI Number  CTRI/2024/07/069866 [Registered on: 03/07/2024] Trial Registered Prospectively
Last Modified On: 02/07/2024
Post Graduate Thesis  Yes 
Type of Trial  Interventional 
Type of Study   Drug 
Study Design  Randomized, Parallel Group Trial 
Public Title of Study   To see if Telmisartan helps to improve the symtoms of Raynauds Phenomena (discoloration/pain in fingers on exposure to cold temperatures) in patients of Systemic sclerosis or MCTD 
Scientific Title of Study   Open label randomised controlled trial of telmisartan in Raynauds phenomena associated with progressive systemic sclerosis and mixed connective tissue disorder 
Trial Acronym  NIL 
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Suraj Kumar Sha 
Designation  Junior Resident 
Affiliation  Institute of Medical Sciences  
Address  Department of General Medicine Institute of Medical Sciences Banaras Hindu University Varanasi Uttar Pradesh

Varanasi
UTTAR PRADESH
221005
India 
Phone  8170005186  
Fax    
Email  surajsha96@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Deepak K Gautam 
Designation  Professor 
Affiliation  Institute of Medical Sciences  
Address  Division of Rheumatology Department of General Medicine Institute of Medical Sciences Banaras Hindu University Varanasi Uttar Pradesh

Varanasi
UTTAR PRADESH
221005
India 
Phone  6392194981  
Fax    
Email  dgautam@bhu.ac.in  
 
Details of Contact Person
Public Query
 
Name  Suraj Kumar Sha 
Designation  Junior Resident 
Affiliation  Institues of Medical Sciences Banaras Hindu University 
Address  Department of General Medicine Institute of Medical Sciences Banaras Hindu University Varanasi Uttar Pradesh 221005

Varanasi
UTTAR PRADESH
221005
India 
Phone  8170005186  
Fax    
Email  surajsha96@gmail.com  
 
Source of Monetary or Material Support  
Institute of Medical Sciences Banaras Hindu University Varanasi Uttar Pradesh 221005 
 
Primary Sponsor  
Name  Institute of Medical Sciences Banaras Hindu University Varanasi Uttar Pradesh 221005 
Address  Institute of Medical Sciences Banaras Hindu University Varanasi Uttar Pradesh 221005 
Type of Sponsor  Government medical college 
 
Details of Secondary Sponsor  
Name  Address 
NIL  NIL 
 
Countries of Recruitment     India  
Sites of Study  
No of Sites = 1  
Name of Principal Investigator  Name of Site  Site Address  Phone/Fax/Email 
Dr Deepak K Gautam  Sir SunderLal Hoapital, BHU  Rheumatology OPD Room no 217 Division of Rheumatology Department of General Medicine Sir Sunder Lal Hospital Institute of Medical Sciences Banaras Hindu University Varanasi Uttar Pradesh 221005
Varanasi
UTTAR PRADESH 
6392194981

dgautam@bhu.ac.in 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
BANARAS HINDU UNIVERSITY INSTITUTE OF MEDICAL SCIENCES, VARANASI, INDIA 221005  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition: M358||Other specified systemic involvement of connective tissue, (2) ICD-10 Condition: M340||Progressive systemic sclerosis,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Comparator Agent  Nifedipine (10 - 20mg)  Once a diagnosis of progressive systemic sclerosis or MCTD with Raynauds Phenomena is made, the patients are given SOC (Tadalafil and protective precautions) with Tablet. Nifedipine (10- 20mg) (as permissible by blood pressure) orally thrice daily for 12 weeks and followed up at 6 and 12 weeks in between the months of November to February to look for the frequency and severity of Raynauds Phenomena with the help of Raynauds condition score (translated in hindi) 
Intervention  Telmisartan plus SOC (Tadalafil plus cold protective measures)  Once a diagnosis of progressive systemic sclerosis or MCTD with Raynauds Phenomena is made, the patients are given SOC (Tadalafil and protective precautions) with Tablet. Telmisartan (20mg - 40mg)(as permissible by blood pressure) orally once daily for 12 weeks and followed up at 6 and 12 weeks in between the months of November to February to look for the frequency and severity of Raynauds Phenomena with the help of Raynauds condition score (translated in hindi) 
 
Inclusion Criteria  
Age From  18.00 Year(s)
Age To  65.00 Year(s)
Gender  Both 
Details  1.Age greater than or equal to 18 years
2.Patients diagnosed as systemic sclerosis or MCTD with history of Raynauds Phenomena
3.Willing to give signed written consent
 
 
ExclusionCriteria 
Details 
1.Any co-existing significant/incapacitating chronic illness
2.Patient with symptomatic CAD
3.Patients on oral or sublingual nitrates
4.Patient who are pregnant or reproductive couples who have intention of pregnancy
5.Patients with known contraindication to either of IPs or SOC
Patient with symptomatic CAD  
 
Method of Generating Random Sequence   Computer generated randomization 
Method of Concealment   An Open list of random numbers 
Blinding/Masking   Open Label 
Primary Outcome  
Outcome  TimePoints 
Improvement in severity and frequency of Raynauds
Phenomenon after introduction of drug with
standard of care 
0,6 and 12 weeks 
 
Secondary Outcome  
Outcome  TimePoints 
Any untoward effect or hypersensitivity   At 1 & 2 weeks 
 
Target Sample Size   Total Sample Size="20"
Sample Size from India="20" 
Final Enrollment numbers achieved (Total)= "Applicable only for Completed/Terminated trials"
Final Enrollment numbers achieved (India)="Applicable only for Completed/Terminated trials" 
Phase of Trial   Phase 2 
Date of First Enrollment (India)   01/11/2024 
Date of Study Completion (India) Applicable only for Completed/Terminated trials 
Date of First Enrollment (Global)  Date Missing 
Date of Study Completion (Global) Applicable only for Completed/Terminated trials 
Estimated Duration of Trial   Years="1"
Months="0"
Days="0" 
Recruitment Status of Trial (Global)   Not Applicable 
Recruitment Status of Trial (India)  Not Yet Recruiting 
Publication Details   N/A 
Individual Participant Data (IPD) Sharing Statement

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

Response - NO
Brief Summary   Registered cases will randomised into 2 groups of 10 patients each, all patients will receive standard of care ( Tadalafil with cold protective measures), one arm of the study (10patients) will receive Telmisartan (20- 40mg) and the other group will receive Nifedipine (10 - 20mg) from the month of November to February, they will be then followed up at 6 and 12 weeks with Raynauds condtion score which will assess the frequency and severity of Raynauds Phenomenon 
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