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CTRI Number  CTRI/2010/091/000148 [Registered on: 06/04/2010]
Last Modified On:
Post Graduate Thesis   
Type of Trial   
Type of Study    
Study Design  Randomized, Parallel Group, Active Controlled Trial 
Public Title of Study   A clinical trial to study the effects of two drugs, Fixed-Dose Combination of Telmisartan and Metoprolol Succinate ER with Telmisartan Alone in Patients of Essential Hypertension  
Scientific Title of Study   An Open-labeled, Randomized, Parallel group, Active controlled, Multicentric Phase III Clinical trial to compare the efficacy, tolerability and Safety ofFixed-Dose Combination of Telmisartan and Metoprolol Succinate ER with Telmisartan Alone in Patients of Essential Hypertension  
Trial Acronym   
Secondary IDs if Any  
Secondary ID  Identifier 
DSCS/Raven/TelmiMet/0209A  Protocol Number 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Dr. Nitin m rathod 
Designation   
Affiliation   
Address  R N Cooper Hospital, Vileparle (W), Mumbai, nitinmr@Yahoo.in

Mumbai
MAHARASHTRA
400057
India 
Phone    
Fax    
Email  nitinmr@yahoo.in  
 
Details of Contact Person
Scientific Query
 
Name  Dr. Nitin m rathod 
Designation   
Affiliation   
Address  R N Cooper Hospital, Vileparle (W), Mumbai, nitinmr@Yahoo.in

Mumbai
MAHARASHTRA
400057
India 
Phone    
Fax    
Email  nitinmr@yahoo.in  
 
Details of Contact Person
Public Query
 
Name  Dr. Nitin m rathod 
Designation   
Affiliation   
Address  R N Cooper Hospital, Vileparle (W), Mumbai, nitinmr@Yahoo.in

Mumbai
MAHARASHTRA
400057
India 
Phone    
Fax    
Email  nitinmr@yahoo.in  
 
Source of Monetary or Material Support  
M/s. Ravenbhel Healthcare Pvt. Ltd. 
 
Primary Sponsor  
Name  M/s. Ravenbhel Healthcare Pvt. Ltd. 
Address   
Type of Sponsor   
 
Details of Secondary Sponsor  
Name  Address 
Nil   
 
Countries of Recruitment     India  
Sites of Study  
No of Sites = 4  
Name of Principal Investigator  Name of Site  Site Address  Phone/Fax/Email 
Dr. Rajiv R Oza  Clinic, Bhavnagar, Rajivoza59@hotmail.com  Clinic, Bhavnagar, Rajivoza59@hotmail.com,-
Bhavnagar
GUJARAT 


Rajivoza59@hotmail.com 
Dr. Kirti C Patel  K E M Hospital, Mumbai, pkirtic@yahoo.in  K E M Hospital, Mumbai, pkirtic@yahoo.in,-
Mumbai
MAHARASHTRA 


pkirtic@yahoo.in 
Dr. Nitin m rathod  R N Cooper Hospital, Vileparle (W), Mumbai, nitinmr@yahoo.in  R N Cooper Hospital, Vileparle (W), Mumbai, nitinmr@yahoo.in,-400057
Mumbai
MAHARASHTRA 


nitinmr@yahoo.in 
Dr. Raj G Bhagat  Smt. N H L Muni Medical college, Ahmedabad, rajpurvi@yahoo.com  Smt. N H L Muni Medical college, Ahmedabad, rajpurvi@yahoo.com,-
Ahmadabad
GUJARAT 


rajpurvi@yahoo.com 
 
Details of Ethics Committee  
No of Ethics Committees= 4  
Name of Committee  Approval Status 
COMSARTs  Approved 
COMSARTs  Approved 
COMSARTs  Approved 
COMSARTs  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Approved/Obtained 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  Hypertension,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Comparator Agent  telmisartan  once daily 
Intervention  Telmisartan with metoprolol ER  once daily` 
 
Inclusion Criteria  
Age From   
Age To   
Gender   
Details  ? Male and female outpatients ³ 18 years of age. ? Females must be either irreversibly sterilized or post-menopausal as defined by the absence of menstruation for at least 24 months. ? Essential hypertensive patients who meet the following criteria. o Mean supine DBP >= 95 and <= 114 mm Hg at each of Visits 2 and 3. o Mean supine systolic blood pressure (SBP) must be >= 140 and <= 200 mm Hg at Visit 3. ? Able to stop current antihypertensive therapy without risk to the patient. ? Patients who are able and are willing to comply with the protocol and have signed IEC or IRB approved Informed Consent Form. ? Patients who are able to adequately maintain the diary.  
 
ExclusionCriteria 
Details  ? Not willing to sign the ICF, ? Known or suspected secondary hypertension. ? Mean SBP equal to or greater than 200 mmHg ? Patients with abnormal clinical chemistry, hematology, urinalysis, or ECG test results that are considered clinically significant by the investigator or the sponsor. ? Patients with significant hepatic disease (liver function tests x 2 upper limit of normal reference range) or significant renal disease (creatinine x 2 upper limit of normal reference range). ? Bilateral renal artery stenosis, renal artery stenosis in a solitary kidney, patients post-renal transplant or with only one functioning kidney ? Uncorrected volume or sodium depletion or hyponatremia ? Primary aldosteronism ? Hereditary fructose intolerance ? Patients who have previously experienced symptoms characteristic of angioedema during treatment with ACE inhibitors or angiotensin-II receptor antagonists ? History of drug or alcohol dependency within the previous six months. Chronic administration of any medication known to affect blood pressure, other than the trial medication ? Concurrent participation in another clinical trial or any investigational therapy within thirty days prior to signing the consent form. ? Symptomatic congestive heart failure (New York Heart Academy (NYHA) functional class CHF II-IV) - unstable angina pectoris, myocardial infarction, percutaneous transluminal coronary angioplasty (PTCA) or coronary artery bypass graft (CABG) surgery less than three months prior to informed consent ? Stroke less than six months prior to informed consent ? Sustained ventricular tachycardia, atrial fibrillation, atrial flutter or other clinically relevant arrhythmias as determined by the investigator. ? Hypertrophic obstructive cardiomyopathy, hemodynamically relevant stenosis of the aortic or mitral valve ? Insulin-dependent diabetes mellitus whose diabetes has not been stable and controlled for the previous three months ? Night-shift workers who routinely sleep during the daytime and whose working hours include midnight to 4: 00 AM ? Known allergic hypersensitivity to any component of the formulations under investigation ? Concomitant therapy with lithium, cholestyramine or colestipol resins. non-compliance with study medication (defined as less than 80% or more than 120%) during the run-in period ? Current treatment with any antihypertensive agent ? Any other clinical condition which, in the opinion of the investigator, would not allow safe completion of the protocol and safe administration of telmisartan or Metoprolol ? Patients being treated with any of the excluded medications mentioned in the protocol. ? Patients with concomitant diseases such as malignancy, HIV ? Pregnancy and lactation. ? Females of childbearing potential may not be recruited.  
 
Method of Generating Random Sequence   Computer generated randomization 
Method of Concealment   On-site computer system 
Blinding/Masking   Open Label 
Primary Outcome  
Outcome  TimePoints 
To investigate whether a fixed-dose combination of 20 mg of the angiotensin receptor II antagonist telmisartan plus 25 mg of the beta-blocker Metoprolol Succinate ER is superior to 20 mg telmisartan alone in patients with mild to moderate hypertension.  8 weeks 
 
Secondary Outcome  
Outcome  TimePoints 
Nil   
 
Target Sample Size   Total Sample Size="200"
Sample Size from India="" 
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 3 
Date of First Enrollment (India)   Date Missing 
Date of Study Completion (India) Applicable only for Completed/Terminated trials 
Date of First Enrollment (Global)  03/02/2010 
Date of Study Completion (Global) Applicable only for Completed/Terminated trials 
Estimated Duration of Trial   Years="0"
Months="2"
Days="0" 
Recruitment Status of Trial (Global)   Completed 
Recruitment Status of Trial (India)   
Publication Details    
Individual Participant Data (IPD) Sharing Statement

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

Brief Summary   This study is An Open-labeled, Randomized, Parallel group, Active controlled, Multicentric Phase III Clinical trial to compare the efficacy, tolerability and Safety of Fixed-Dose Combination of Telmisartan and Metoprolol Succinate ER with Telmisartan Alone in Patients of Essential Hypertension in 200 patients will be conducted in 4 centres in India  
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