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CTRI Number  CTRI/2024/11/077130 [Registered on: 20/11/2024] Trial Registered Prospectively
Last Modified On: 19/11/2024
Post Graduate Thesis  Yes 
Type of Trial  Interventional 
Type of Study   Drug 
Study Design  Randomized, Parallel Group, Active Controlled Trial 
Public Title of Study   A New formulation of drug for Heart Attack and Comparison with Pre-existing drug 
Scientific Title of Study   Comparison of clinical outcomes between patients with Acute Coronary Syndrome receiving Conventional Loading Dose and Newly formulated loading dose with Trimetazidine  
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 SAI SINDHURI MARUVADA 
Designation  Post Graduate, General Medicine 
Affiliation  SAVEETHA MEDICAL COLLEGE AND HOSPITAL 
Address  Room no. 1, Department of General Medicine, Saveetha Medical College and Hospital, Saveetha Nagar, Thandalam, Chennai
Room no. 1, Department of General Medicine, Saveetha Medical College and Hospital, Saveetha Nagar, Thandalam, Chennai
Chennai
TAMIL NADU
602105
India 
Phone  07382990519  
Fax    
Email  sindhu.1903@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  DR SAI SINDHURI MARUVADA 
Designation  Post Graduate, General Medicine 
Affiliation  SAVEETHA MEDICAL COLLEGE AND HOSPITAL 
Address  Chennai, Tamil Nadu, India
Chennai, Tamil Nadu, India

TAMIL NADU
602105
India 
Phone  07382990519  
Fax    
Email  sindhu.1903@gmail.com  
 
Details of Contact Person
Public Query
 
Name  DR SAI SINDHURI MARUVADA 
Designation  Post Graduate, General Medicine 
Affiliation  SAVEETHA MEDICAL COLLEGE AND HOSPITAL 
Address  Chennai, Tamil Nadu, India
Chennai, Tamil Nadu, India

TAMIL NADU
602105
India 
Phone  07382990519  
Fax    
Email  sindhu.1903@gmail.com  
 
Source of Monetary or Material Support  
Saveetha Medical College and Hospital, Saveetha Nagar, Thandalam, Chennai- 602105, Chennai, Tamil Nadu 
 
Primary Sponsor  
Name  Saveetha Medical College and Hospital 
Address  Saveetha Nagar, Thandalam, Chennai, Tamil Nadu 602105 
Type of Sponsor  Private 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 Sai Sindhuri Maruvada  Saveetha Medical College and Hospital  Saveetha Nagar, Thandalam, Chennai, Tamil Nadu 602105
Chennai
TAMIL NADU 
07382990519

sindhu.1903@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Saveetha Medical College and Hospital Institutional Ethics Committee  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition: I219||Acute myocardial infarction, unspecified,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Comparator Agent  Conventional Loading dose for   Conventional Loading dose for Acute Coronary Syndrome containing Aspirin(300mg), Clopidogrel(300mg), Atorvastatin(80mg) 
Intervention  New formulation of Loading dose   New formulation of Loading dose for Acute Coronary Syndrome containing Aspirin(300mg), Clopidogrel(300mg), Atorvastatin(80mg), Trimetazidine(35mg) 
 
Inclusion Criteria  
Age From  18.00 Year(s)
Age To  80.00 Year(s)
Gender  Both 
Details  1. Ability to consent
2. Patients presenting with symptoms suggestive of ACS, including chest pain or discomfort, and corresponding ECG changes indicative of ischemia or myocardial injury (ST-segment elevation, ST-segment depression, T-wave inversion).
3. Absence of contraindications to aspirin, clopidogrel, statins, and Trimetazidine, including known allergies, intolerances, or significant adverse reactions.
4. Hemodynamically stable patients, defined as those without evidence of ongoing ischemia or hemodynamic compromise requiring urgent intervention (e.g., cardiogenic shock).
 
 
ExclusionCriteria 
Details  1. Age above 80 years
2. Inability to consent
3. Patients with a recent history of major bleeding events within a specified time frame, typically within the past 30 days, increasing the risk of recurrent bleeding complications with antiplatelet and anticoagulant therapy.
4. Patients presenting with hemodynamic instability requiring immediate revascularization or intensive care management, such as cardiogenic shock or acute pulmonary edema.
5. Patients with symptoms suggestive of chest pain or discomfort due to non-cardiac causes (e.g., musculoskeletal pain, gastrointestinal disorders) without evidence of ACS on diagnostic evaluation.
 
 
Method of Generating Random Sequence   Computer generated randomization 
Method of Concealment   An Open list of random numbers 
Blinding/Masking   Participant and Investigator Blinded 
Primary Outcome  
Outcome  TimePoints 
Estimation of Major Adverse Cardiac Events using Seattle Angina Score  1 month after administration of drug 
 
Secondary Outcome  
Outcome  TimePoints 
Quality of Life, Mortality due to Cardiac Cause, Number of hospital visits, Duration and the Number of Hospital admission  3 months after administration of drug 
 
Target Sample Size   Total Sample Size="60"
Sample Size from India="60" 
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 1 
Date of First Enrollment (India)   03/12/2024 
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="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 study involves pharmacological development of oral formulation in the form of tablet with Acetyl Salicylic acid(300mg), Clopidogrel(300mg), Atorvastatin(80mg) and Trimetazidine(35mg). Following the development of the composition, Preclinical animal trial will be conducted for a period of 30 days, to assess the adverse drug reactions (ADR) of the newly developed formulation. Phase-1 clinical trial will be conducted in healthy volunteers, by administering newly developed formulation. Regular monitoring of vital signs (Heart rate, blood pressure, temperature), regular blood and urine test (Liver and kidney function test) to look for signs of toxicity will be done. Participants will be closely monitored for any adverse effects. Phase-2 clinical trial:  Participants who satisfy the inclusion criteria will be randomly assigned to either of the two groups, one group receiving the Newly developed formulation and the other group receiving Conventional loading dose. To compare the efficacy of the formulation MACE(Major Adverse Cardiovascular Events), Quality of Life(Seattle Angina Questionnaire) will be assessed over 3  months duration.

 
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