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CTRI Number  CTRI/2024/11/076537 [Registered on: 11/11/2024] Trial Registered Prospectively
Last Modified On: 28/10/2024
Post Graduate Thesis  Yes 
Type of Trial  PMS 
Type of Study   Drug 
Study Design  Randomized, Parallel Group, Multiple Arm Trial 
Public Title of Study   EFFECT OF BEMPEDOIC ACID AND EZETIMIBE ON BLOOD SUGAR LEVEL IN PATIENTS WITH BOTH DIABETES AND HIGH CHOLESTEROL 
Scientific Title of Study   Effectiveness Of Bempedoic Acid -Ezetimibe Fixed Dose Combination On Insulin Sensitivity In Diabetic Dyslipidemic Patients - A Prospective, Open-label, Randomized Controlled Trial. 
Trial Acronym  NIL 
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Dr J S Kumar 
Designation  MBBS., MD., FRCP., Professor and HOD of General Medicine  
Affiliation  SRM Institute 
Address  Department of General Medicine, Unit- 1 and 7, Block-B, Room Number G-04, Diabetic OPD, SRM Hospital and Research Centre, SRM Nagar, Kattankulathur

Kancheepuram
TAMIL NADU
603203
India 
Phone  9840047678  
Fax    
Email  kumarj1@srmist.edu.in  
 
Details of Contact Person
Scientific Query
 
Name  Dr V M Vijay kumar 
Designation  M.PHARM., Ph.D., Professor and HOD of Pharmacy Practice 
Affiliation  SRM Institute 
Address  Department of Pharmacy Practice,J-4 Block, Room Number- 02, SRM Hospital and Research Centre, SRM Nagar, Kattankulathur

Kancheepuram
TAMIL NADU
603203
India 
Phone  9003400350  
Fax    
Email  vijaypractice@yahoo.com  
 
Details of Contact Person
Public Query
 
Name  Karthick Perumal 
Designation  Doctor of Pharmacy  
Affiliation  SRM Institute 
Address  Department of Pharmacy Practice, J-Block, Room Number- 04, SRM Hospital and Research Centre, SRM Nagar, Kattankulathur

Kancheepuram
TAMIL NADU
603203
India 
Phone  6383450839  
Fax    
Email  kp1366@srmist.edu.in  
 
Source of Monetary or Material Support  
SRM College of Pharmacy SRM Medical College Hospital and Research Centre, Kattankulathur- 603 203,Chennai,Tamil Nadu, India 
 
Primary Sponsor  
Name  SRM College of Pharmacy 
Address  SRM Medical College Hospital and Research Centre, Kattankulathur,Chennai 
Type of Sponsor  Research institution and hospital 
 
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 
Karthick Perumal  SRM Hospital and Research Centre  Department of General Medicine, Unit- 1 and 7, Block-B, Room Number G-04, Diabetic OPD, SRM Hospital and Research Centre, SRM Nagar, Kattankulathur- 603203, Chennai, India
Kancheepuram
TAMIL NADU 
6383450839

kp1366@srmist.edu.in 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
SRM Medical College Hospital and Research Centre, Institutional Ethics Committee  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition: E789||Disorder of lipoprotein metabolism, unspecified,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Comparator Agent  Control Group- Existing baseline statin therapy.   Existing statin therapy for the period of 90 days. 
Intervention  Test Group 1, Bempedoicacid 180mg plus Ezetimibe 10mg as a fixed dose combination.   Bempedoicacid 180mg plus Ezetimibe 10mg as a fixed dose combination over baseline statin therapy, given through oral route, once daily at night time for the period of 90 days  
Intervention  Test Group 2, Ezetimibe 10mg over existing baseline statin therapy.  Ezetimibe 10mg over existing baseline statin therapy, given through oral route, once daily at night time for the period of 90 days. 
 
Inclusion Criteria  
Age From  18.00 Year(s)
Age To  75.00 Year(s)
Gender  Both 
Details  1. Men and women above 18 years of age are include.

2. Patients diagnosed with Type 2 Diabetes Mellitus and dyslipidemia.

3. Participants receiving baseline statin therapy should have fasting LDL-C level of 100mg/dL or higher at first screening visit.

4. Patients receiving antihyperglycemic medication before randomization and HbA1c between 6.5% to 10% at randomization
 
 
ExclusionCriteria 
Details  1. Patients with recent history of clinically significant cardiovascular disease, including uncontrolled hypertension, planned revascularization procedure, NYHA class IV heart failure.

2. Myocardial infarction, severe or unstable angina, coronary angioplasty, coronary artery bypass graft surgery, stroke, transient ischaemic attack within 3 months of screening are excluded.
 
 
Method of Generating Random Sequence   Computer generated randomization 
Method of Concealment   On-site computer system 
Blinding/Masking   Open Label 
Primary Outcome  
Outcome  TimePoints 
To assess the insulin sensitivity using HOMA IR index score and improvement of beta cell function C peptide.  After 90 days 
 
Secondary Outcome  
Outcome  TimePoints 
To compare the reduction in HbA1c levels and reducing LDL-C and total cholesterol levels in diabetic dyslipidemic patients.  After 90 days 
 
Target Sample Size   Total Sample Size="90"
Sample Size from India="90" 
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   Post Marketing Surveillance 
Date of First Enrollment (India)   14/11/2024 
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="0"
Months="6"
Days="28" 
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 randomized, open label, prospective study which involves patients above 18 years of age who are diagnosed with Type 2 Diabetes Mellitus and dyslipidemia.

   Participants receiving baseline statin therapy should have fasting LDL-C level of 100mg/dL or higher at first screening visit.


   Patients are randomized into 3 groups based on Random allocation software version 2.0


Initial Evaluations: VISIT-0 (Day-1) 

                           Fasting Blood Glucose

                           Fasting Insulin

                           Fasting Low Density Lipoprotein

                           Fasting Total Cholesterol

                           HbA1c

                           Postprandial Blood Glucose

                           Fasting C- Peptide

                           Fasting Triglycerides

                           HOMA-IR index score online calculator

                           KIER Scoring Scale

 

     Group 1 (Test group 1): Involves 30 patients administered with Bempedoic acid(180mg) + Ezetimibe(10mg) as a fixed dose combination over baseline statin therapy for 90 days (Once daily) at bedtime.

      Group 2 (Test group 2): Involves 30 patients administered with Ezetimibe(10mg) as a monotherapy over baseline statin therapy for 90 days (Once daily) at bedtime. 

      Group 3 (Control group): Involves 30 patients continuing existing statin therapy.

      Patients are contacted through telephone regarding medication adherence on visit 1 (Day-30) and visit 2 (Day-60).

      Patients are requested for In-person visit 3 (Day 90) for the follow up with above mentioned parameters.

      The results are statistically compared and reported after 90 days of treatment.


 
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