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CTRI Number  CTRI/2025/08/093318 [Registered on: 20/08/2025] Trial Registered Prospectively
Last Modified On: 20/08/2025
Post Graduate Thesis  No 
Type of Trial  Observational 
Type of Study   Cross Sectional Study 
Study Design  Single Arm Study 
Public Title of Study   Study to understand clinical utility of Ticagrelor in cardiac disorder. 
Scientific Title of Study   A retrospective, Cross-sectional study on Ticagrelor usage pattern and tolerability in acute coronary syndrome (CROSS-TIC) 
Trial Acronym  CROSS-TIC 
Secondary IDs if Any  
Secondary ID  Identifier 
TPL2502104, Version- 00, Dated- 07/05/2025  Protocol Number 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Dr Mukesh Gabhane 
Designation  Assistant General Manager 
Affiliation  Torrent Pharmaceuticals Ltd. 
Address  Torrent House, Off. Ashram Road, Ahmedabad - 380009, Gujarat, India

Ahmadabad
GUJARAT
380009
India 
Phone  7069000639  
Fax    
Email  mukeshgabhane@torrentpharma.com  
 
Details of Contact Person
Scientific Query
 
Name  Dr Mukesh Gabhane 
Designation  Assistant General Manager 
Affiliation  Torrent Pharmaceuticals Ltd. 
Address  Torrent House, Off. Ashram Road, Ahmedabad - 380009, Gujarat, India


GUJARAT
380009
India 
Phone  7069000639  
Fax    
Email  mukeshgabhane@torrentpharma.com  
 
Details of Contact Person
Public Query
 
Name  Dr Mukesh Gabhane 
Designation  Assistant General Manager 
Affiliation  Torrent Pharmaceuticals Ltd. 
Address  Torrent House, Off. Ashram Road, Ahmedabad - 380009, Gujarat, India


GUJARAT
380009
India 
Phone  7069000639  
Fax    
Email  mukeshgabhane@torrentpharma.com  
 
Source of Monetary or Material Support  
Torrent Pharmaceuticals Ltd. Off. Ashram Road, Terapanth Rd, Navrangpura, Ahmedabad, Gujarat 380009 
 
Primary Sponsor  
Name  Torrent Pharmaceuticals Ltd. 
Address  Off. Ashram Road, Terapanth Rd, Navrangpura, Ahmedabad, Gujarat 380009 
Type of Sponsor  Pharmaceutical industry-Indian 
 
Details of Secondary Sponsor  
Name  Address 
NIL  N/A 
 
Countries of Recruitment     India  
Sites of Study  
No of Sites = 1  
Name of Principal Investigator  Name of Site  Site Address  Phone/Fax/Email 
Dr Tarun Dave  Heart Beat Clinic  24, Second Floor, White House, Panchavati Society, Ambawadi, Ahmedabad, Gujarat 380009
Ahmadabad
GUJARAT 
9824039416

tpl.sitemanagement@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Sangini Ethics Committee  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition: I200||Unstable angina, (2) ICD-10 Condition: I21||Acute myocardial infarction,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Intervention  Nil  Nil 
 
Inclusion Criteria  
Age From  18.00 Year(s)
Age To  99.00 Year(s)
Gender  Both 
Details  1. Male or female patients 18 years and above
2. Patients with history of MI or diagnosed with ACS and treated with ticagrelor 
 
ExclusionCriteria 
Details   
 
Method of Generating Random Sequence   Not Applicable 
Method of Concealment   Not Applicable 
Blinding/Masking   Not Applicable 
Primary Outcome  
Outcome  TimePoints 
1. Proportion of patients with ACS on DAPT of ticagrelor and aspirin  Baseline 
 
Secondary Outcome  
Outcome  TimePoints 
1. Proportion of patients with ACS on DAPT of ticagrelor & aspirin stratified by treatment duration
2. Tolerability 
Baseline 
 
Target Sample Size   Total Sample Size="15000"
Sample Size from India="15000" 
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)   01/09/2025 
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="1"
Months="0"
Days="0" 
Recruitment Status of Trial (Global)   Not Applicable 
Recruitment Status of Trial (India)  Open to Recruitment 
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  

Acute Coronary Syndrome (ACS) is a life-threatening clinical condition resulting from acute myocardial ischemia, encompassing unstable angina (UA), non-ST-segment elevation myocardial infarction (NSTEMI) and ST-segment elevation myocardial infarction (STEMI). It is most commonly caused by atherosclerotic plaque rupture with subsequent thrombosis and platelet aggregation, necessitating prompt antiplatelet therapy. Dual antiplatelet therapy (DAPT), typically involving aspirin and a P2Y12 receptor inhibitor, is the cornerstone of ACS management. While clopidogrel is widely used, its limitations have led to the use of newer agents like prasugrel and ticagrelor. 

This retrospective, clinic-based drug utilization study aims to assess the usage pattern and tolerability of ticagrelor in the management of ACS or in patients with a prior history of myocardial infarction. The study will analyze approximately 15,000 cases across India to better understand ticagrelor’s real-world application and impact in secondary cardiovascular event prevention. Data of male or female patients 18 years and above and patients with history of MI or diagnosed with ACS and treated with ticagrelor will be collected for the study.

 
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