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CTRI Number  CTRI/2025/02/080038 [Registered on: 07/02/2025] Trial Registered Prospectively
Last Modified On: 07/02/2025
Post Graduate Thesis  No 
Type of Trial  Observational 
Type of Study   Cross Sectional Study 
Study Design  Other 
Public Title of Study   Study on safety and effectiveness, and usage of two drugs used for managing blood-pressure 
Scientific Title of Study   An Observational, Parallel arm study to assess safety, clinical utilization and effectiveness of Bisoprolol or Metoprolol in stable coronary Artery Disease with reduced ejection fraction (CADBIS Study) 
Trial Acronym  CADBIS Study 
Secondary IDs if Any  
Secondary ID  Identifier 
TPL2404480 Version-1.0, Date 06/05/2024   Protocol Number 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Dr Arun Kumar G 
Designation  MD, DM (Cardiology) 
Affiliation  Medical Trust Hospital 
Address  Medical Trust Hospital, Mahatma Gandhi Road, Pallimukku, Kochi, Ernakulam, Kerala 682016

Ernakulam
KERALA
682016
India 
Phone  9496157468  
Fax    
Email  arunkumargopalakrishnapillai@proton.me  
 
Details of Contact Person
Scientific Query
 
Name  Dr Krishnaprasad K 
Designation  General Manager - Medical Strategic Affairs (India,RoW)  
Affiliation  Torrent Pharmaceuticals Ltd. 
Address  Torrent Pharmaceuticals Ltd., Ashram Road - Navrangpura

Ahmadabad
GUJARAT
380009
India 
Phone  07069000572  
Fax    
Email  krishnaprasadkorukonda@torrentpharma.com  
 
Details of Contact Person
Public Query
 
Name  Dr Rathish Nair 
Designation  Assistant General Manager - Medical Strategic Affairs 
Affiliation  Torrent Pharmaceuticals Ltd. 
Address  Torrent Pharmaceuticals Ltd., Ashram Road - Navrangpura, Ahmadabad

Ahmadabad
GUJARAT
380009
India 
Phone  07069000560  
Fax    
Email  RathishNair@TorrentPharma.com  
 
Source of Monetary or Material Support  
Torrent Pharmaceuticals Ltd., Ashram Road - Navrangpura, Ahmedabad, GUJARAT-380009, India 
 
Primary Sponsor  
Name  Torrent Pharmaceuticals Ltd. 
Address  Torrent Pharmaceuticals Ltd., Ashram Road - Navrangpura, Ahmedabad, GUJARAT-380009, India 
Type of Sponsor  Pharmaceutical industry-Indian 
 
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 Arun Kumar G  Medical Trust Hospital  Medical Trust Hospital, Mahatma Gandhi Road, Pallimukku, Kochi, Ernakulam, Kerala 682016
Ernakulam
KERALA 
9496157468

arunkumargopalakrishnapillai@proton.me 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Institutional Ethics Committee- The Madras Medical Mission  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition: I251||Atherosclerotic heart disease of native coronary artery,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Intervention  NIL  NIL 
Comparator Agent  NIL  NIL 
 
Inclusion Criteria  
Age From  18.00 Year(s)
Age To  65.00 Year(s)
Gender  Both 
Details  1. Male or Female patients 18 to 65 years.
2. An echocardiogram within six months prior inclusion which indicated an abnormally functioning or dilated left ventricle with (No angina, No NYHA class III or class IV).
3. Stable CAD cases confirmed with coronary angiography
4. Ejection fraction less than 40 percent with or without Atrial Fibrillation.
5. Known CAD cases with any comorbid risk factors.
6. Not on Beta Blockers therapy.
7. Patient willing to enroll for the study.
8. Patient on background medical therapy or no therapy. 
 
ExclusionCriteria 
Details  1. Hypersensitivity to Bisoprolol or Metoprolol.
2. Patients with mildly reduced or preserved ejection fraction. (greater than 40 percent)
3. Having a baseline heart rate less than 60 per min (sinus bradycardia).
4. Cardiogenic shock.
5. Second or third degree AV block.
6. Sick sinus syndrome.
7. Hepatic enzyme elevation X3 ULN.
8. For women only currently pregnant (confirmed with positive pregnancy test) or breastfeeding.
9. Stroke during last 30 days before enrolment.
10. Thromboembolic complications or thrombosis within 14 days before enrollment.
11. Use of psychoactive drugs. 
 
Method of Generating Random Sequence   Not Applicable 
Method of Concealment   Not Applicable 
Blinding/Masking   Not Applicable 
Primary Outcome  
Outcome  TimePoints 
1. Mean change in LVEF after 8 and 24 weeks of treatment.
2. Change in Blood Pressure (SBP & DBP) at 8 and 24 weeks from baseline.
3. Mean change in Heart rate (HR) from baseline to 8 and 24 weeks follow-up. 
At 8 weeks and 24 weeks 
 
Secondary Outcome  
Outcome  TimePoints 
Mean change in LV volume (End Diastolic Volume or Preload)  At 8 weeks and 24 weeks 
Mean change in LDL-C, HDL-C and Triglycerides level after 8 and 24 weeks from baseline  At 8 weeks and 24 weeks 
Mean change in comorbid risk factors (Dyslipidemia or HTN or T2DM)  At 8 weeks and 24 weeks 
Proportion of participants with treatment emergent adverse event during observation period.  At 8 weeks and 24 weeks 
Concomitant medicine prescribing trend for CAD  At 8 weeks and 24 weeks 
 
Target Sample Size   Total Sample Size="40"
Sample Size from India="40" 
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   N/A 
Date of First Enrollment (India)   17/02/2025 
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="0"
Months="6"
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   This is a Prospective, parallel arm, observational clinical study to study the impact of Bisoprolol or Metoprolol in stable coronary Artery Disease with reduced ejection fraction.

Total 80 patients will be enrolled in this study.

Study drug: Bisoprolol 2.5 or 5 mg and Metoprolol 25 or 50 mg
 
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