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CTRI Number  CTRI/2018/10/016182 [Registered on: 29/10/2018] Trial Registered Prospectively
Last Modified On: 20/12/2018
Post Graduate Thesis  No 
Type of Trial  Interventional 
Type of Study   Drug 
Study Design  Randomized, Parallel Group, Multiple Arm Trial 
Public Title of Study   A Study Metoprolol Succinate plus Cilnidipine plus Telmisartan Tablets in patients for treatment of uncontrolled essential hypertension with stable ischemic heart disease 
Scientific Title of Study   A Multicentric, Randomized, Double Blind, Parallel Group, Comparative, Phase III Clinical Study to Evaluate the Efficacy, Safety and Tolerability of FDC of Metoprolol Succinate ER 25 mg plus Cilnidipine 10 mg plus Telmisartan 40 mg Tablets and FDC of Metoprolol Succinate ER 50 mg plus Cilnidipine 10 mg plus Telmisartan 40 mg Tablets versus FDC of Metoprolol Succinate ER 50 mg plus Telmisartan 40 mg Tablets in patients of uncontrolled essential hypertension with stable ischemic heart disease 
Trial Acronym   
Secondary IDs if Any  
Secondary ID  Identifier 
APL/CT/17/15  Protocol Number 
Version No. 01, Dated: May 07, 2018  Other 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Dr A Gopal Rao 
Designation  Principal Investigator 
Affiliation  Rajive Gandhi Institute of Medical Sciences & RIMS Govt. General Hospital 
Address  Rajive Gandhi Institute of Medical Sciences & RIMS Govt. General Hospital, Srikakulam-532001, Andhra Pradesh, India.

Srikakulam
ANDHRA PRADESH
532001
India 
Phone  919440122790  
Fax    
Email  drgopalraoa@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Dr Shailesh Singh 
Designation  Sr Vice President R&D and Regulatory Affairs 
Affiliation  Ajanta Pharma Ltd 
Address  Ajanta Pharma Ltd, Advent 43AB/44BCD, Charkop Industrial Estate, Kandivli West. Mumbai Mumbai (Suburban) MAHARASHTRA 400067 India Mumbai (Suburban) MAHARASHTRA 400067 India

Mumbai (Suburban)
MAHARASHTRA
400067
India 
Phone  0226062111  
Fax    
Email  shailesh.singh@ajantapharma.com  
 
Details of Contact Person
Public Query
 
Name  Dr Shailesh Singh 
Designation  Sr Vice President R&D and Regulatory Affairs 
Affiliation  Ajanta Pharma Ltd 
Address  Ajanta Pharma Ltd, Advent 43AB/44BCD, Charkop Industrial Estate, Kandivli West. Mumbai Mumbai (Suburban) MAHARASHTRA 400067 India Mumbai (Suburban) MAHARASHTRA 400067 India

Mumbai (Suburban)
MAHARASHTRA
400067
India 
Phone  0226062111  
Fax    
Email  shailesh.singh@ajantapharma.com  
 
Source of Monetary or Material Support  
Ajanta Pharma Ltd, Advent 43 AB/44BCD, Charkop Industrial Estate, Kandivali West, Mumbai. Maharashtra 400067. 
 
Primary Sponsor  
Name  Ajanta Pharma Ltd 
Address  Advent 43 AB / 44BCD, Charkop Industrial Estate, Kandivali West. Mumbai. Maharashtra 400067 
Type of Sponsor  Pharmaceutical industry-Indian 
 
Details of Secondary Sponsor  
Name  Address 
NIL  NIL 
 
Countries of Recruitment     India  
Sites of Study
Modification(s)  
No of Sites = 16  
Name of Principal Investigator  Name of Site  Site Address  Phone/Fax/Email 
Dr Surender Deora  All India Institute Of Medical Sciences  All India Institute Of Medical Sciences, Basni Industrial Area, Phase-2, Jodhpur, Rajasthan-342005
Jodhpur
RAJASTHAN 
8003996715

drsdeora@gmail.com 
Dr Brij Mohan Goyal  Apex Hospital Pvt. Ltd  Apex Hospital Pvt. Ltd, SP 4 & 6, MIA, Malviya Nagar, Jaipur-302017
Jaipur
RAJASTHAN 
9413190570
01412751006
drbrijmohan.goyal@gmail.com 
Dr Parmar Kartikeya Ganpatlal  B. J Medical College & Civil Hospital  Department of Medicine B.J. Medical College & Civil Hospital, Asarwa, Ahmedabad-380016, Gujarat.
Ahmadabad
GUJARAT 
919924643799
917922685938
drkartik@gmail.com 
Dr Ajay Bansal  Bansal Hospital & Research Centre  Bansal Hospital & Research Centre, 04, Janakpuri-1st, Imli Phatak, Jaipur-302005, Rajasthan, India.
Jaipur
RAJASTHAN 
919950442955
01412592911
dr.ajayb.cr@gmail.com 
Dr Deepak Gupta  Barala Hospital & Research Center  Barala Hospital & Research Center, Radhaswami Bagh, NH-11, Jaipur Road, Chomu-303702
Jaipur
RAJASTHAN 
919414047011

dr.deepakgupta11@gmail.com 
Dr Richa Giri  Dr Ram Manohar Lohia Combined Hospital Lucknow  Department of Medicine, Dr. Ram Manohar Lohia Combined Hospital, Vibhuti Khand, Gomati Nagar, Lucknow-226010.
Lucknow
UTTAR PRADESH 
918400331045

krricha227@gmail.com 
Dr D Anil Kumar  Gandhi Hospital  Department of General Medicine, Gandhi Hospital, Musheerabad, Secunderabad-500003
Hyderabad
ANDHRA PRADESH 
9440523902

anilddrmd@gmail.com 
Dr Prajapati Vipul Kumar Bachubhai  GCS Medical College, Hospital and Research Centre  GCS Medical College, Hospital and Research Centre, Opp. DRM Office, Near Chamunda Bridge, Naroda Road, Ahmedabad-380025, Gujarat, India.
Ahmadabad
GUJARAT 
919909912551
917922201915
prajapativipul11983@gmail.com 
Dr Mukund Anant Deshpande  Government Medical College and Super Specialty Hospital  Department of Cardiology Government Medical College and Super Specialty Hospital, Tukdoji Square, Near Hanuman Nagar, Nagpur-440003, Maharashtra, India
Nagpur
MAHARASHTRA 
9823056562
07122746682
drmukunddeshpande@gmail.com 
Dr Anupam Mandal  Institute of Post Graduate Medical Education and Research  Institute of Post Graduate Medical Education and Research, Dept. of Medicine, 4th Floor, Ronald Ross Building, IPGME&R and SSKM Hospital, 244, AJC Bose Road, Kolkata-700020.
Kolkata
WEST BENGAL 
09434120356

mandalanupam75@gmail.com 
Dr Raju H Badiger  KLEs Dr. Prabhakar Kore Hospital & Medical Research Centre  KLEs Dr. Prabhakar Kore Hospital & Medical Research Centre, Nehru Nagar, Belgavi, Karnataka-590010
Belgaum
KARNATAKA 
919986447523

rajubadiger@yahoo.com 
Dr Mahmodullah Razi  LPS Institute of Cardiology GSVM Medical College Kanpur  LPS Institute of Cardiology GSVM Medical College Rawatpur, Kanpur-208019
Kanpur Nagar
UTTAR PRADESH 
917408427786

drmmrazi@gmail.com 
Dr Manish Agarwal  Medilink Hospital Research Centre  Basement Medilink Hospital, Nr. Shyamal Cross Road, 132 ft. Ring Road, Satellite, Ahmedabad-380015, Gujarat.
Ahmadabad
GUJARAT 
919825443397

medilinkresearchcentre@yahoo.com 
Dr Barama Shrihari  Osmania General Hospital   Department of Cardiology, Osmania Medical College & General Hospital Afzalgunj, Hydrabad, T.S-500012, India.
Hyderabad
TELANGANA 
917799851491

srihari7399@gmail.com 
Dr A Gopal Rao  Rajiv Gandhi Institute of Medical Science & RIMS Govt. General Hospital  Rajiv Gandhi Institute of Medical Science & RIMS Govt. General Hospital, Srikakulam-532001, Andhra Pradesh, India.
Srikakulam
ANDHRA PRADESH 
918942279033
918942279033
drgopalraoa@gmail.com 
Dr Sagar Vivek Redkar  Redkar Hospital and Research Center  Redkar Hospital and Research Center, Mumbai-Goa Highway, Oshalbag,Village-Dhargal, Tal-Pernem, Goa-403513
North Goa
GOA 
91-9158592177

cromgoa@gmail.com 
 
Details of Ethics Committee
Modification(s)  
No of Ethics Committees= 16  
Name of Committee  Approval Status 
Ethics Committee, G.S.V.M Medical College  Approved 
Ethics Committee, IPGME&R Research Oversight Committee  Submittted/Under Review 
Institutional Ethics Committee (IEC), Barala Hospital & Research Center  Submittted/Under Review 
Institutional Ethics Committee (IEC), KLE University, JN Medical College  Submittted/Under Review 
Institutional Ethics Committee B. J. Medical College & Civil Hospital  Approved 
Institutional Ethics Committee Bansal Hospital & Research Centre  Approved 
Institutional Ethics Committee, Apex Hospital Private Limited  Submittted/Under Review 
Institutional Ethics Committee, Dr. Ram Manohar Lohia Institute of Medical Sciences  Submittted/Under Review 
Institutional Ethics Committee, Gandhi Medical College/Gandhi Hospital  Approved 
Institutional Ethics Committee, GCS Medical College, Hospital & Research Centre  Submittted/Under Review 
Institutional Ethics Committee, Government Medical College  Submittted/Under Review 
Institutional Ethics Committee, Osmania Medical College, Koti  Approved 
Institutional Ethics Committee, Rajiv Gandhi Institute of Medical Sciences & RIMS Government General Hospital  Approved 
Institutional Human Ethics Committee, All India Institute of Medical Sciences  Submittted/Under Review 
Medilink Ethics Committee  Approved 
Redkar Hospital & Research Center Institutional Ethics Committee (RHIEC)  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Approved/Obtained 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition: I259||Chronic ischemic heart disease, unspecified,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Intervention  Metoprolol Succinate ER 25 mg plus Cilnidipine 10 mg plus Telmisartan 40 mg Tablets  Each tablet is to be taken orally with water in the morning after breakfast preferably on the same time every day for 84 days 
Intervention  Metoprolol Succinate ER 50 mg plus Cilnidipine 10 mg plus Telmisartan 40 mg   Each tablet is to be taken orally with water in the morning after breakfast preferably on the same time every day for 84 days 
Comparator Agent  Metoprolol Succinate ER 50 mg plus Telmisartan 40 mg   Each tablet is to be taken orally with water in the morning after breakfast preferably on the same time every day for 84 days 
 
Inclusion Criteria  
Age From  18.00 Year(s)
Age To  65.00 Year(s)
Gender  Both 
Details  1. Male or female subjects aged between 18 and 65 years.
2. Subjects with the history of uncontrolled essential hypertension with stable ischemic heart disease [having seated diastolic BP (SeDBP) 90 to 110 mmHg and seated systolic BP (SeSBP) 140 to 180 mmHg] who is on the stable doses of Metoprolol Succinate ER 25 mg plus Telmisartan 40 mg Tablets for at least 4 weeks.
3. Subjects who are willing to sign informed consent for participation in the study and willing to adhere to all protocol procedures.
4. Female subjects of childbearing potential must be willing to use acceptable method of contraception or post-menopausal for at least one year or surgically sterile. 
 
ExclusionCriteria 
Details  Subjects with any of the following conditions will be excluded from the study:
1. Suspected hypersensitivity to either of the study medications or any of the ingredients of the formulation.
2. Subjects with diagnosed Secondary or Malignant Hypertension.
3. Surgical or medical condition that, in the judgment of the Investigator or Sponsor, could interfere with absorption, distribution, metabolism, or excretion of the drugs to be used.
4. Cardiovascular system, Subjects with known case of symptomatic congestive heart failure, unstable angina pectoris, sinus node dysfunction and any clinically significant cardiac arrhythmias. Subject who has had myocardial infarction, percutaneous transluminal coronary angioplasty (PTCA) or coronary artery bypass graft (CABG) surgery in last 1 year. Subjects with known case of stroke. 
 
Method of Generating Random Sequence   Computer generated randomization 
Method of Concealment   Sequentially numbered, sealed, opaque envelopes 
Blinding/Masking   Participant and Investigator Blinded 
Primary Outcome  
Outcome  TimePoints 
To evaluate the efficacy and safety of FDC of Metoprolol Succinate ER 25 mg plus Cilnidipine 10 mg plus Telmisartan 40 mg Tablets and FDC of Metoprolol Succinate ER 50 mg plus Cilnidipine 10 mg plus Telmisartan 40 mg Tablets in patients of uncontrolled essential hypertension with stable ischemic heart disease  at the end of 12 weeks 
 
Secondary Outcome  
Outcome  TimePoints 
To evaluate the tolerability of FDC of Metoprolol Succinate ER 25 mg plus Cilnidipine 10 mg plus Telmisartan 40 mg Tablets and FDC of Metoprolol Succinate ER 50 mg plus Cilnidipine 10 mg plus Telmisartan 40 mg Tablets in patients of uncontrolled essential hypertension with stable ischemic heart disease  at the end of 12 weeks 
 
Target Sample Size   Total Sample Size="240"
Sample Size from India="240" 
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)   31/10/2018 
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)  Not Yet Recruiting 
Publication Details   Not Yet 
Individual Participant Data (IPD) Sharing Statement

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

Brief Summary  

A Multicentric, Randomized, Double Blind, Parallel Group, Comparative, Phase III Clinical Study to Evaluate the Efficacy, Safety and Tolerability of FDC of Metoprolol Succinate ER 25 mg plus Cilnidipine 10 mg plus Telmisartan 40 mg Tablets and FDC of Metoprolol Succinate ER 50 mg plus Cilnidipine 10 mg plus Telmisartan 40 mg Tablets versus FDC of Metoprolol Succinate ER 50 mg plus Telmisartan 40 mg Tablets in patients of uncontrolled essential hypertension with stable ischemic heart disease.

 

Primary Objective: To evaluate the efficacy and safety of FDC of Metoprolol Succinate ER 25 mg plus Cilnidipine 10 mg plus Telmisartan 40 mg Tablets and FDC of Metoprolol Succinate ER 50 mg plus Cilnidipine 10 mg plus Telmisartan 40 mg Tablets in patients of uncontrolled essential hypertension with stable ischemic heart disease.

 

Secondary Objective: To evaluate the tolerability of FDC of Metoprolol Succinate ER 25 mg plus Cilnidipine 10 mg plus Telmisartan 40 mg Tablets and FDC of Metoprolol Succinate ER 50 mg plus Cilnidipine 10 mg plus Telmisartan 40 mg Tablets in patients of uncontrolled essential hypertension with stable ischemic heart disease.

 
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