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CTRI Number  CTRI/2017/09/009786 [Registered on: 15/09/2017] Trial Registered Prospectively
Last Modified On: 05/04/2024
Post Graduate Thesis  No 
Type of Trial  Interventional 
Type of Study   Drug 
Study Design  Single Arm Study 
Public Title of Study   To study the effectiveness, safety and tolerability of Fixed Dose Combination of Perindopril plus Indapamide plus Amlodipine in the treatment of hypertension. 
Scientific Title of Study   Efficacy and tolerability of Fixed Dose Combination of Perindopril plus Indapamide plus Amlodipine in patients with grade II/III hypertension 
Trial Acronym   
Secondary IDs if Any  
Secondary ID  Identifier 
SER/01/2016 v2.0 dt 20 05 2017amendment 1.0 dt 08 07 2017  Protocol Number 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Dr Siddharth Shah 
Designation  National Coordinator 
Affiliation   
Address  Bombay mutual terrace, opera house, V.P. road, Mumbai

Mumbai
MAHARASHTRA
400004
India 
Phone  91-022-23612578  
Fax  91-022-23612578  
Email  drsnsonline@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Sofi Joseph 
Designation  Head of Regulatory Affairs & Pharmacovigilance 
Affiliation  Serdia Pharmaceuticals (India) Pvt. Ltd 
Address  Serdia House, Off Dr. S.S.Rao Road, Parel, Mumbai

Mumbai
MAHARASHTRA
400 012
India 
Phone  91-022-24196000  
Fax  91-022-24162735  
Email  sofi.joseph@servier.com  
 
Details of Contact Person
Public Query
 
Name  SOFI JOSEPH 
Designation  Head of Regulatory Affairs & Pharmacovigilance 
Affiliation  Serdia Pharmaceuticals (India) Pvt. Ltd 
Address  Serdia House, Off Dr. S.S.Rao Road, Parel, Mumbai

Mumbai
MAHARASHTRA
400 012
India 
Phone  91-022-24196000  
Fax  91-022-24162735  
Email  sofi.joseph@servier.com  
 
Source of Monetary or Material Support  
Serdia Pharmaceuticals (India) Pvt. Ltd 
 
Primary Sponsor  
Name  Serdia Pharmaceuticals India Pvt Ltd 
Address  Serdia House, Off Dr. S.S.Rao Road, Parel, Mumbai  
Type of Sponsor  Pharmaceutical industry-Global 
 
Details of Secondary Sponsor  
Name  Address 
NOT APPLICABLE   
 
Countries of Recruitment     India  
Sites of Study
Modification(s)  
No of Sites = 5  
Name of Principal Investigator  Name of Site  Site Address  Phone/Fax/Email 
DrHemant Thacker  Bhatia Hospital  G-1 Block (Ground Floor) Bhatia Hospital, Tardeo Road Mumbai - 400007
Mumbai
MAHARASHTRA 
91-022-23613882

drhpt@hotmail.com 
Dr Gaurav Chaudhary  King Georges Medical University  Dept of cardiology, Administrative block, 1st Floor, Research cell, King Georges Medical University, Lucknow - 226003, Uttar Pradesh
Lucknow
UTTAR PRADESH 
9936062507

gauravchaudharydr@gmail.com 
DrLSreenivasa Murthy  Lifecare Hospital and Research Centre  #2748/2152 MLN Enclave, 16th E cross, 8th Main, D Block, Next to corporation bank, Sahakarnagar, Bangaluru - 560092
Bangalore
KARNATAKA 
91-080-23631055

drlsm@lcrc.in 
DrKMK Reddy  Osmania Medical College & General Hospital  Department of Cardiology, Osmania Medical College & General Hospital, Afzalgunj, Hyderabad, T.S - 500012, India
Hyderabad
ANDHRA PRADESH 
9848015098

drkmkreddycardio@gmail.com 
DrJitendra Pal Singh Sawhney  Sir Gangaram Hospital  5th floor, Dharma Veera Heart Centre, Rajinder Nagar, New Delhi - 110060
New Delhi
DELHI 
91-011-25224349

jpssawhney@yahoo.com 
 
Details of Ethics Committee
Modification(s)  
No of Ethics Committees= 5  
Name of Committee  Approval Status 
Clinical Trial Ethics Committee (Bhatia Hospital)  Approved 
King Georges Medical University - Institutional Ethics Committee  Approved 
Lifecare Hospital and Research Centre   Approved 
Osmania Medical College Ethics Committee  Approved 
Sir Gangaram Hospital Ethics Committee  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Approved/Obtained 
 
Health Condition / Problems Studied
Modification(s)  
Health Type  Condition 
Healthy Human Volunteers  Fasting Condition 
Patients  (1) ICD-10 Condition: I10||Essential (primary) hypertension, GRADE II/III HYPERTENSION,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Intervention  A fixed dose combination of perindopril indapamide and amlodipine (Brand name TRIPLIXAM®)  2 strengths of FDC Perindopril erbumine 4 mg indapamide 1.25 mg and amlodipine 5 mg AND Perindopril erbumine 8 mg indapamide 1.25 mg and amlodipine 5 mg  
Comparator Agent  N/A  N/A 
 
Inclusion Criteria  
Age From  18.00 Year(s)
Age To  65.00 Year(s)
Gender  Both 
Details  1. Uncontrolled grade II and grade III hypertensive patients with a baseline blood pressure > 140/90 mmHg despite receiving any two drug therapy comprising of either ACEI, ARBs, CCBs and diuretics as individual tablets or in combination as a fixed dose combination therapy
2. Patients of either sex
3. With confirmed diagnosis of Grade II/ III (moderate to severe) hypertension, as per ESC 2013 guidelines
 
 
ExclusionCriteria 
Details  1. Uncontrolled diabetes (Hba1c% more than 7)
2. H/o myocardial infarction within the previous 3 months
3. H/o cerebrovascular event within previous 3 months
4. Uncontrolled arrhythmias
5. H/o Heart failure
6. Patients with class II/IV heart blocks
7. Patients receiving beta-blockers
8. Patients with known severe impaired renal function (serum creatinine levels 5.3 mg/dl and / or serious liver disorders)
9. Patients unwilling to give informed consent.
10. Patients with known history of hypersensitivity to indapamide or amlodipine or perindopril
11. Any contraindication to Thiazide type diuretic, CCB and ACEI
12. Pregnancy or lactation
13. Patients with any other condition or disease, which in opinion of the investigator could preclude evaluation of response to study medication or hamper the safety of the trial participant.
14. Patients previously enrolled in similar or any other trial in the preceding last 6 months.
 
 
Method of Generating Random Sequence   Not Applicable 
Method of Concealment   Not Applicable 
Blinding/Masking   Not Applicable 
Primary Outcome  
Outcome  TimePoints 
To assess the blood pressure reduction rate in moderate to severe hypertensive patients after treatment with TRIPLIXAM® given once daily in the morning during the study evaluation period.  Day 15 and Day 180 
 
Secondary Outcome  
Outcome  TimePoints 
To assess the safety and tolerability of TRIPLIXAM® in the treatment of hypertension

 
Day 180 
To evaluate the quality of life (QoL) in patients treated with TRIPLIXAM® treatment using WHO QoL tool questionnaire. (WHOQOL-BREF 26-point questionnaire)  Day 180 
 
Target Sample Size   Total Sample Size="240"
Sample Size from India="240" 
Final Enrollment numbers achieved (Total)= "0"
Final Enrollment numbers achieved (India)="240" 
Phase of Trial   Phase 3 
Date of First Enrollment (India)
Modification(s)  
28/11/2017 
Date of Study Completion (India) 31/01/2019 
Date of First Enrollment (Global)  Date Missing 
Date of Study Completion (Global) Date Missing 
Estimated Duration of Trial   Years="0"
Months="6"
Days="0" 
Recruitment Status of Trial (Global)
Modification(s)  
Not Applicable 
Recruitment Status of Trial (India)  Completed 
Publication Details   TO BE DECIDED 
Individual Participant Data (IPD) Sharing Statement

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

Brief Summary
Modification(s)  

The study will be conducted as per the GCP guidelines and the "Ethical Guidelines for Biomedical Research on Human Participants" issued by ICMR and the other regulations in force in India.

The Fixed Dose Combination of perindopril + indapamide + amlodipine, three drugs in a fixed dose combination (FDC) is recently approved in Europe. It is indicated for the treatment of essential hypertension where combination treatment for target blood pressure is recommended. The proposed phase III study is a part of the marketing approval review process in India.

The sponsor of the study M/S Serdia Pharmaceuticals (India) Pvt. Ltd wishes to introduce a fixed dose combination with these three widely used antihypertensive drugs from three different therapeutic classes in the following composition:

  • perindopril erbumine 4 mg + indapamide 1.25 mg + amlodipine 5 mg

  • perindopril erbumine 8 mg + indapamide 1.25mg + amlodipine 5 mg

    240 patients (35 patients per centre) will be included in the study satisfying the eligibility criteria as per the protocol, with an objective to obtain at least 200 patients completing the study from 5 centres.

    Scheduled date of start: Sep 2017 (tentative)

    Scheduled date of completion: May 2019 (tentative)

 
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