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CTRI Number  CTRI/2018/04/013453 [Registered on: 24/04/2018] Trial Registered Retrospectively
Last Modified On: 13/04/2018
Post Graduate Thesis  Yes 
Type of Trial  Observational 
Type of Study   Follow Up Study 
Study Design  Non-randomized, Active Controlled Trial 
Public Title of Study   A Clinical trial to study the effects of two drugs Telmisartan and Cilnidipine in patients with high blood pressure and heart disease 
Scientific Title of Study   Efficacy, Safety and Cost effectiveness of Telmisartan and Cilnidipine in Hypertensive Patients with coronary artery disease in a tertiary care hospital. 
Trial Acronym   
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Dr Althab Begum 
Designation  Post graduate 
Affiliation  SRM Medical College Hospital RC 
Address  SRM Medical College Hospital and Research Institute Potheri Kattankulathur Kancheepuram District

Kancheepuram
TAMIL NADU
603203
India 
Phone  9884272226  
Fax    
Email  dralthab24@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Dr Satyajit Mohapatra  
Designation  Associate Professor of Pharmacology 
Affiliation  SRM Medical College Hospital RC 
Address  SRM Medical College Hospital and Research Institute Potheri Kattankulathur Kancheepuram District

Kancheepuram
TAMIL NADU
603203
India 
Phone  9791161626  
Fax    
Email  satyajitmp@gmail.com  
 
Details of Contact Person
Public Query
 
Name  Dr Satyajit Mohapatra  
Designation  Associate Professor of Pharmacology 
Affiliation  SRM Medical College Hospital RC 
Address  SRM Medical College Hospital and Research Institute Potheri Kattankulathur Kancheepuram District

Kancheepuram
TAMIL NADU
603203
India 
Phone  9791161626  
Fax    
Email  satyajitmp@gmail.com  
 
Source of Monetary or Material Support  
Department of Cardiology, SRM MCH & RC 
 
Primary Sponsor  
Name  SRM  
Address  SRM MEDICAL COLLEGE AND HOSPITAL RC 
Type of Sponsor  Research institution and hospital 
 
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 Althab Begum  SRM Medical College & Hospital & Research Center  Department of Cardiology Potheri, Kattankulathur 603203
Kancheepuram
TAMIL NADU 
9884272226

dralthab24@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Institutional Ethics Committee  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  Patients known case of Hypertensives with Coronary artery disease,  
 
Intervention / Comparator Agent  
Type  Name  Details 
 
Inclusion Criteria  
Age From  18.00 Year(s)
Age To  80.00 Year(s)
Gender  Both 
Details  1.Male and female patients 18-80 years of age.
2.Known hypertensive patients with coronary artery
disease
3.Range of blood pressure in >140/90mmHg
4.Hypertensive patients with co morbidity conditions like Diabetes mellitus, Dyslipidemia

 
 
ExclusionCriteria 
Details  1.Age below 18 years and above 80 years
2.Pregnant and lactating women.
3.Patients with hepatic impairment.
4.Patients with acute illness or blood pressure >180mmHg systolic or >120mmHg diastolic
5.Known hypersensitivity to telmisartan/cilnidipine.
 
 
Method of Generating Random Sequence   Not Applicable 
Method of Concealment   Not Applicable 
Blinding/Masking   Not Applicable 
Primary Outcome  
Outcome  TimePoints 
Primary objective is to evaluate the SBP and DBP as compared to baseline of telmisartan and Cilnidipine   The blood pressure readings will be noted on Day 0, 4 weeks, 12 weeks and the end of 6 months  
 
Secondary Outcome  
Outcome  TimePoints 
To compare the parameters between two groups in hypertensive patients. Samples are collected from patients and tested for Blood urea and Serum Creatinine, Sodium, Potassium, Chloride and Bicarbonate.
 
The samples are collected on Day 0 and the end of 6 months.  
 
Target Sample Size   Total Sample Size="126"
Sample Size from India="126" 
Final Enrollment numbers achieved (Total)= "126"
Final Enrollment numbers achieved (India)="126" 
Phase of Trial   Phase 4 
Date of First Enrollment (India)   28/10/2016 
Date of Study Completion (India) 05/02/2018 
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)   Not Applicable 
Recruitment Status of Trial (India)  Completed 
Publication Details   It will be published in peer reviewed journal by this year end 
Individual Participant Data (IPD) Sharing Statement

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

Brief Summary  

                Hypertension is the major risk factor for cardiovascular mortality.  One of the important elements in hypertension control is early diagnosis. Reduction in blood pressure by 5mmHg  can decrease the risk of Stroke by 34%, Ischemic Heart Disease by 21% reduce dementia, heart failure and mortality from Cardiovascular

disease. Telmisartan is a long acting Angiotensin Receptor Blocker (ARB), which has affinity for AT1 receptors. The pharmacokinetic of Telmisartan is having a long

half life of 24 hours, good penetration due to large volume of distribution and minimal renal clearance compared to other ARB’s. Cilnidipine is an intermediate acting

dihydropyridine. It is given in patients with isolated systolic hypertension and is renoprotective. Hence this study is taken to evaluate the efficacy and safety of

Telmisartan and Cilnidipine in hypertensive patients with Coronary Artery Disease. Blood pressure is decreased significantly in both the groups and there was decrease

in  heart rate in patients taking Cilnidipine. The pharmacoeconomic factors will be taken into consideration to derive a cost effective regime, so that patients can

continue the medications for a long term for better therapeutic outcome.

 
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