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CTRI Number  CTRI/2024/07/071165 [Registered on: 23/07/2024] Trial Registered Prospectively
Last Modified On: 17/10/2024
Post Graduate Thesis  No 
Type of Trial  Observational 
Type of Study   Prospective Observational 
Study Design  Other 
Public Title of Study   To Study the Dosage pattern and Demographic characteristics in Heart Failure patients initiated with ARNI in India 
Scientific Title of Study   A Study Assessing the Dosage pattern and Demographic characteristics in Heart Failure reduced Ejection Fraction patients initiated with Angiotensin Receptor Neprilysin Inhibitor in India (ADD ARNI) 
Trial Acronym   
Secondary IDs if Any  
Secondary ID  Identifier 
ING_CR_2024_C5, Version 1.0, Date: 16/05/2024  Protocol Number 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Dr Sanjay Mittal 
Designation  Consultant Clinical Services 
Affiliation  Cipla Ltd 
Address  Cipla LTD Bellasis Road Medical Services Department Opp. Hotel Sahil Mumbai Central East Mumbai Maharashtra

Mumbai
MAHARASHTRA
400008
India 
Phone  9910044477  
Fax    
Email  san_mit@hotmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Dr Nitin Zalte 
Designation  Senior Team Lead Vitalis 
Affiliation  Cipla Ltd 
Address  Cipla LTD Bellasis Road Medical Affairs MSD C wing First floor Opp. Hotel Sahil Mumbai Central East Mumbai Maharashtra

Mumbai
MAHARASHTRA
400008
India 
Phone  9004687211  
Fax    
Email  nitin.zalte@cipla.com  
 
Details of Contact Person
Public Query
 
Name  Dr Nitin Zalte 
Designation  Senior Team Lead Vitalis 
Affiliation  Cipla Ltd 
Address  Cipla LTD Bellasis Road Medical Affairs MSD C wing First floor Opp. Hotel Sahil Mumbai Central East Mumbai Maharashtra


MAHARASHTRA
400008
India 
Phone  9004687211  
Fax    
Email  nitin.zalte@cipla.com  
 
Source of Monetary or Material Support  
Cipla Limited 
 
Primary Sponsor  
Name  Cipla Limited 
Address  Cipla LTD Bellasis Road Opp Hotel Sahil Mumbai Central East Mumbai 400008 
Type of Sponsor  Pharmaceutical industry-Indian 
 
Details of Secondary Sponsor  
Name  Address 
NA  NA 
 
Countries of Recruitment     India  
Sites of Study  
No of Sites = 1  
Name of Principal Investigator  Name of Site  Site Address  Phone/Fax/Email 
Dr Sanjay Mittal  Cipla Limited  Cipla House Peninsula Business Medical Services Department Park Ganapatrao Kadam Marg Lower Parel West
Mumbai
MAHARASHTRA 
9910044477

san_mit@hotmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Suraksha-Ethics Committee  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition: I509||Heart failure, unspecified,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Intervention  NIL  NIL 
Comparator Agent  NIL  NIL 
 
Inclusion Criteria  
Age From  18.00 Year(s)
Age To  90.00 Year(s)
Gender  Both 
Details  Patients of either gender or aged more than 18 years
Patients with documented heart failure with reduced left ventricular ejection fraction less than 40 percent not more than 3 months prior to enrolment
Patients with NYHA class II IV and not hospitalized in the past 1 month prior to enrolment
ARNi naïve symptomatic, chronic HFrEF patients which includes recently diagnosed patients OR stable chronic HFrEF patients
Patients eligible for initiation of ARNi therapy as per the clinical judgement of the treating physician
Provide written informed consent 
 
ExclusionCriteria 
Details  Patients who are deemed ineligible for this study at the discretion of the treating physician
Pregnant and Lactating female
Patients with acute decompensated heart failure
Patients with Hyperkalemia potassium level more than or equal to 5.30 mmol per Litres within the past 2 weeks
Patients are currently participating in another clinical study 
 
Method of Generating Random Sequence    
Method of Concealment    
Blinding/Masking    
Primary Outcome  
Outcome  TimePoints 
To assess the dosage pattern and treatment persistence with ARNi therapy in HFrEF patients in India  Baseline and 12 weeks 
 
Secondary Outcome  
Outcome  TimePoints 
To describe the medication dosage pattern and the implementation of GDMT in HFrEF patients who are initiated with ARNi
To evaluate the safety of ARNi therapy
To evaluate the effectiveness of ARNi therapy 
Baseline and 12 weeks 
 
Target Sample Size   Total Sample Size="3000"
Sample Size from India="3000" 
Final Enrollment numbers achieved (Total)= "0"
Final Enrollment numbers achieved (India)="2347" 
Phase of Trial   N/A 
Date of First Enrollment (India)   02/08/2024 
Date of Study Completion (India) 02/07/2025 
Date of First Enrollment (Global)  Date Missing 
Date of Study Completion (Global) Date Missing 
Estimated Duration of Trial   Years="1"
Months="0"
Days="0" 
Recruitment Status of Trial (Global)
Modification(s)  
Not Applicable 
Recruitment Status of Trial (India)  Completed 
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 observational study aims to provide insights into the real-world usage patterns of Angiotensin Receptor Neprilysin Inhibitor (ARNi) therapy in patients with Heart Failure with reduced Ejection Fraction (HFrEF) in India. The primary focus is on understanding the dosage patterns and treatment persistence among these patients. Additionally, the study will document the implementation of Guideline-Directed Medical Therapy (GDMT) and assess both the safety and effectiveness of ARNi therapy in this population. The findings will contribute to better clinical decision-making and optimized patient care for HFrEF in the Indian context. 
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