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CTRI Number  CTRI/2009/091/001022 [Registered on: 18/12/2009]
Last Modified On: 27/10/2018
Post Graduate Thesis  No 
Type of Trial  Interventional 
Type of Study
Modification(s)  
Drug 
Study Design  Single Arm Study 
Public Title of Study
Modification(s)  
A clinical trial to study the effects of Atorvastatin + Ramipril + Aspirin + Metoprolol (as extended release) fixed dose combination capsules for secondary prophylaxis in patients with ischemic heart disease. 
Scientific Title of Study
Modification(s)  
An open label multicentric study to assess the efficacy and safety of Atorvastatin + Ramipril + Aspirin + Metoprolol (as extended release) fixed dose combination capsules for secondary prophylaxis in patients with ischemic heart disease. 
Trial Acronym   
Secondary IDs if Any
Modification(s)  
Secondary ID  Identifier 
09-16  Protocol Number 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)
Modification(s)  
Name  Dr Ravindra Mittal 
Designation  Medical Advisor & Head - Regulatory Affairs 
Affiliation   
Address  Cadila Healthcare Ltd.
Zydus Tower, Satellite Cross Roads
Ahmadabad
GUJARAT
380015
India 
Phone  07926868926  
Fax  07926862362  
Email  r.mittal@zyduscadila.com  
 
Details of Contact Person
Scientific Query

Modification(s)  
Name  Dr Ravindra Mittal 
Designation  Medical Advisor & Head - Regulatory Affairs 
Affiliation   
Address  Cadila Healthcare Ltd
Zydus Tower Satellite Cross Roads
Ahmadabad
GUJARAT
380015
India 
Phone  07926868926  
Fax  07926862362  
Email  r.mittal@zyduscadila.com  
 
Details of Contact Person
Public Query

Modification(s)  
Name  Dr Ravindra Mittal 
Designation  Medical Advisor & Head - Regulatory Affairs 
Affiliation   
Address  Cadila Healthcare Ltd
Zydus Tower Satellite Cross Roads
Ahmadabad
GUJARAT
380015
India 
Phone  07926868926  
Fax  07926862362  
Email  r.mittal@zyduscadila.com  
 
Source of Monetary or Material Support
Modification(s)  
Cadila Healthcare Ltd. Ahmedabad, India. 
 
Primary Sponsor
Modification(s)  
Name  Cadila Healthcare Ltd 
Address  Zydus Tower, Satellite Cross Roads Ahmadabad GUJARAT 380015 India 
Type of Sponsor  Pharmaceutical industry-Indian 
 
Details of Secondary Sponsor
Modification(s)  
Name  Address 
NIL  NIL 
 
Countries of Recruitment
Modification(s)  
  India  
Sites of Study
Modification(s)  
No of Sites = 4  
Name of Principal Investigator  Name of Site  Site Address  Phone/Fax/Email 
Dr. Mahendra Parmar  Government Medical College, Vadodara  Dept. of Medicine,Government Medical College-
Vadodara
GUJARAT 


mcparmar1961@yahoo.co.in 
Dr Puneet Rijhwani  Mahatma Gandhi National Institute of Medical Sciences Jaipur  Dept. of Medicine Mahatma Gandhi National Institute of Medical Sciences
Jaipur
RAJASTHAN 
9314503514

puneet284@rediffmail.com 
Dr. Raghvindra Chowdhary  S.P. Medical College and A.G. Hospitals, Bikaner.  Dept. of Medicine,S.P. Medical College and A.G. Hospitals-
Bikaner
RAJASTHAN 


drraghven_10@yahoo.com 
Dr. Praveen Garg  Shashwat Hospital & Research Centre, Ahmedabad  Consultant Physician, Shashwat Hospital & Research Centre,,323, Satyam Mall, Opposite Vishweshwar Mahadev Temple, Mansi Cross Road, Vastrapur,-
Ahmadabad
GUJARAT 
079-26741500

praveen_k_garg@yahoo.com 
 
Details of Ethics Committee
Modification(s)  
No of Ethics Committees= 4  
Name of Committee  Approval Status 
Ethics Committee - S.P. Medical College and A.G. Hospitals, Bikaner  Approved 
Independent Ethics Committee - Aditya (DrMahendraParmarBaroda)  Approved 
Independent Ethics Committee - Aditya (DrPraveenGargAhmedabad)   Approved 
Institutional Ethics Committee - Mahatma Gandhi Medical College & Hospital, Jaipur (DrPuneetRijhwaniJaipur)  Approved 
 
Regulatory Clearance Status from DCGI
Modification(s)  
Status 
Approved/Obtained 
 
Health Condition / Problems Studied
Modification(s)  
Health Type  Condition 
Patients  (1) ICD-10 Condition: I259||Chronic ischemic heart disease, unspecified, Secondary prophylaxis of ischemic heart disease,  
 
Intervention / Comparator Agent
Modification(s)  
Type  Name  Details 
Intervention  Fixed dose combination capsules of Atorvastatin 10mg + Ramipril 5mg + Aspirin 150mg + Metoprolol succinate 25mg (as extended release)  Once daily in the evening for 4 weeks 
Comparator Agent  None  Not applicable 
 
Inclusion Criteria
Modification(s)  
Age From  18.00 Year(s)
Age To  99.00 Year(s)
Gender  Both 
Details  1. Patients of either sex more than or equal to 18 years of age (No upper age limit was mentioned in our Protocol for this clinical trial).
2. Established diagnosis of ischemic heart disease.
3. Informed consent of the patient / relative. 
 
ExclusionCriteria 
Details  1.Pregnancy & Lactation.
2.Patients with active liver disease or hepatic dysfunction indicated by AST or ALT levels  2.5 times the upper limit of normal.
3.Patients with history of myopathy or evidence of active muscle disease.
4.Patients with congestive heart failure (defined as New York Heart Association class III or IV heart failure).
5.Patients with 2nd or 3rd degree AV block, sick sinus syndrome or uncontrolled cardiac arrhythmias.
6.Patients with active peptic ulceration, hemophilia or hemorrhagic disorders.
7.Patients with unstable endocrine or metabolic diseases known to influence serum lipids and lipoproteins or known impairment of renal function.
8.Patients with any other serious concurrent illness or malignancy.
9.Patients with continuing history of alcohol and / or drug abuse.
10.Patients with known hypersensitivity to either of the contents of the combination.
11.Participation in another clinical trial in the past 3 months. 
 
Method of Generating Random Sequence
Modification(s)  
Not Applicable 
Method of Concealment
Modification(s)  
Not Applicable 
Blinding/Masking
Modification(s)  
Open Label 
Primary Outcome
Modification(s)  
Outcome  TimePoints 
No. of events of manifestations of ischemic heart disease experienced by the patients during the study period of 4 weeks.  0,2 & 4 weeks. 
 
Secondary Outcome
Modification(s)  
Outcome  TimePoints 
(1) The reduction in the systolic and diastolic blood pressure at the end of the treatment phase i.e. Week 4, as compared to the start of the treatment phase i.e., Week 0.
(2) The percent change in serum LDL cholesterol and other lipid parameters at the end of the treatment phase i.e., Week 4, as compared to the start of the treatment phase i.e., Week 0.
(3) No. of tablets of isosorbide dinitrate taken by the patients during the study period of 4 weeks. 
0,2 & 4 weeks. 
 
Target Sample Size
Modification(s)  
Total Sample Size="100"
Sample Size from India="100" 
Final Enrollment numbers achieved (Total)= ""
Final Enrollment numbers achieved (India)="" 
Phase of Trial
Modification(s)  
Phase 3 
Date of First Enrollment (India)
Modification(s)  
26/11/2009 
Date of Study Completion (India) Date Missing 
Date of First Enrollment (Global)  Date Missing 
Date of Study Completion (Global) Date Missing 
Estimated Duration of Trial
Modification(s)  
Years="0"
Months="4"
Days="0" 
Recruitment Status of Trial (Global)
Modification(s)  
Not Applicable 
Recruitment Status of Trial (India)  Completed 
Publication Details
Modification(s)  
“none yet” 
Individual Participant Data (IPD) Sharing Statement

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

Brief Summary
Modification(s)  

This study is an open label, multicentric study assessing the safety and efficacy of fixed-dose combination capsules of Atorvastatin 10mg + Ramipril 5mg + Aspirin 150mg + Metoprolol succinate 25mg (as extended release) once daily in the evening for 4 weeks for secondary prophylaxis in 100 patients with ischemic heart disease that will be conducted in one center only in India. The primary outcome measure will be the number of events of manifestations of ischemic heart disease experienced by the patients during the study period of 4 weeks.

 
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