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CTRI Number  CTRI/2018/12/016607 [Registered on: 11/12/2018] Trial Registered Prospectively
Last Modified On: 25/01/2020
Post Graduate Thesis  No 
Type of Trial  Interventional 
Type of Study   Drug 
Study Design  Randomized, Parallel Group, Active Controlled Trial 
Public Title of Study   A Study of Efonidipine Hydrochloride Ethanolate 20 mg and Telmisartan 40 mg Tablets Versus Efonidipine Hydrochloride Ethanolate Tablets 20 mg and Telmisartan Tablets 40 mg as a single drug in a patient for the treatment of Hypertension. 
Scientific Title of Study   A Multicentric, Randomized, Double Blind, Parallel Group, Comparative, Phase-III Clinical Study to Evaluate the Efficacy, Safety and Tolerability of Efonidipine Hydrochloride Ethanolate 20 mg and Telmisartan 40 mg Tablets Versus Efonidipine Hydrochloride Ethanolate Tablets 20 mg and Telmisartan Tablets 40 mg monotherapy in Subjects with Stage 2 Hypertension. 
Trial Acronym   
Secondary IDs if Any  
Secondary ID  Identifier 
APL/CT/17/08  Protocol Number 
Date: Mar 01, 2018. Version No. 01  Other 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Dr K Sunil Naik 
Designation  Principal Investigator 
Affiliation  Rajiv Gandhi Institute of Medical Sciences & RIMS Govt. General Hospital 
Address  Rajiv Gandhi Institute of Medical Sciences & RIMS Govt. General Hospital, Srikakulam-532001, Andhra Pradesh, India.

Srikakulam
ANDHRA PRADESH
532001
India 
Phone  919440828299  
Fax    
Email  rimsresearch@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  02228672111  
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  02228672111  
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 = 25  
Name of Principal Investigator  Name of Site  Site Address  Phone/Fax/Email 
Dr AK Awasthi  Ajanta Research Centre  Ajanta Research Centre, Ajanta Hospital and IVF Centre 765 ABC Complex, Kanpur Road,Alambagh,Lucknow-226005
Lucknow
UTTAR PRADESH 
9415063607
05224101017
dr.akawasthi@gmail.com 
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. SOP 4 & 6,MIA,Malviya nagar, Jaipur-302017
Jaipur
RAJASTHAN 
9413190570
0141-2751006
drbrijmohan.goyal@gmail.com 
Dr Ajay Bansal  Bansal Hospital & Research Centre  Bansal Hospital & Research Centre, 04, Janakpuri 1st Imli Phatak, Jaipur-302005. Rajasthan
Jaipur
RAJASTHAN 
09950442955

dr.ajayb.cr@gmail.com 
Dr Deepak Gupta  Barala Hospital & Research Center  Barala Hospital & Research Center, Radhaswami Bagh, NH-l1, Jaipur Road, Chomu-303702
Jaipur
RAJASTHAN 
9414047011

dr.deepakgupta11@gmail.com 
Dr Swapnav Borthakur  Down Town Hospital Ltd  Down Town Hospital, Dispur, G S Road,Guwahati-78l006
Jorhat
ASSAM 
91-9864038704

swapnav.borthakur@gmail.com 
Dr Manish Gutch  Dr. Ram Manohar Lohia Institute of medical Sciences  Dr. Ram Manohar Lohia Institute of Medical Sciences, Vibhuti Khand. Gomti Nagar. Lucknow-226010
Lucknow
UTTAR PRADESH 
9453429252

manish07gutch@gmail.com 
Dr D Anil Kumar  Gandhi Hospital  In Patient Block, Department of Medicine, Gandhi Hospital, Musheerabad, Secunderabad, Telangana-500003.
Hyderabad
TELANGANA 
9440523902

anilddrmd@gmail.com 
Dr Prajapati Vipulkumar Bachullhai  GCS Medical College, Hospital and Research Centre  GCS Medical College. Hospital and Research Centre, Opp. DRM Office, Nt. Chamunda Bridge, Namda Road, Ahmedabad-380025, Gujarat India.
Ahmadabad
GUJARAT 
919909912551
917922201915
prajapativipuI1983@gmaii.com 
Dr Mukund Anant Deshpande  Government Medical College and Super Specialty Hospital Nagpur  Department of Cardiology Government Medical College and Super Specialty Hospital, Medical College Square, Nagpur-440003
Nagpur
MAHARASHTRA 
9823056562

drmukunddeshpande@gmail.com 
Dr Mahmodullah Razi  GSVM Medical College Kanpur  LPS Institute of Cardiology, GSVM Medical College, Rawatpur, Kanpur-208019
Kanpur Nagar
UTTAR PRADESH 
7408427786

dnnmrazi@gmail.com 
Dr Madhukar Gangaram Gaikwad  GT Hospital, Grant Govt. Medical College & Sir JJ Group of Hospitals  GT Hospital, Grant Government Medical College & Sir JJ Group of Hospitals, LT Road, Mumbai.
Mumbai (Suburban)
MAHARASHTRA 
919769998885

drgaikwadmg@gmail.com 
Dr Praveen Kumar  Indira Gandhi Institute of Medical Sciences Patna (IGMS)  Department of General Medicine, Indira Gandhi Institute of Medical Sciences, Sheikhpura, Patna-800014, Bihar, India.
Patna
BIHAR 
918051459087

praveen_Kumar_23@yahoo.co.in 
Dr Prof Dhurjati Prasad Sinha  Institute of Post Graduate Medical Education & Research  IPGME & R, SSKM Hospital, 244, Acharya Jagadish Chandra Bose Road, Kolkata, West Bengal, India- 700020
Kolkata
WEST BENGAL 
09433018443

drdpsinha@gmail.com 
Dr Subrata Halder  Institute of Post-Graduate Medical Education & Research  Dept of Medicine, 4th Floor, Ronald Ross Building, IPGME&R and SSKM Hospital, 244, AJC Bose Road, Kolkata-700020
Kolkata
WEST BENGAL 
918584806678

sh.ipgmer@gmail.com 
Dr Srabani Ghosh   IPGMER  Dept. of Medicine,IPGMER 4th Floor, Ronald Ross Building, 244, AJC Bose Road, Kolkata-700020.
Kolkata
WEST BENGAL 
919433295970

drsrabanighosh73@gmail.com 
Dr S Narasinga Rao  King George Hospital  Assistant Professor, Department of Medicine, Rajendra Prasad Ward, King George Hospital,Maharanipeta, Visakhapatnam-530002
Visakhapatnam
ANDHRA PRADESH 
919848136704
918912782211
snrnaveen007@gmail.com 
Dr Raju Badiger  KLES Dr. Prabhakar Kore Hospital and MRC  KLES Dr. Prabhakar Kore Hospital and MRC, Nehru nagar, Belagavi, Karnataka 590010
Belgaum
KARNATAKA 
9986447523

rajubadiger@yahoo.com 
Dr Sunil Prem Chand Massand  Maharaja Agrasen Hospital  Maharaja Agrasen Hospital West Punjabi Bagh, New Delhi-110Q26
New Delhi
DELHI 
01140777666

info@mahdelhi.org 
Dr Debashish Baidya  Marwari Hospital And Research Centre  Marwari Hospital And Research Centre, S J Road, Athgaon, Guwahati-781008
Jorhat
ASSAM 
91-8723085653

drbaidyamdmed@gmail.com 
Dr Manoj Kumar Srivastava  Om Research Center, Om Surgical Center & Maternity Home  Om Research Center, Om Surgical Center & Maternity Home, SA-I7/3, P-4, Sri Krishna Nagar, Paharia, Ghazipur Road, Varanasi-221007, Uttar Pradesh, India.
Varanasi
UTTAR PRADESH 
919415256272
915422588849
omresearchcenter@gmail.com 
Dr Barama Srihari  Osmania Medical College & General Hospital  General Physician, Dept.of Cardiology Osmania Medical College & General Hospital Afzalgunj, Hyderabad, T.S.500012, India.
Hyderabad
TELANGANA 
7799851491

srihari7399@gmail.com 
Dr K Sunil Naik  Rajiv Gandhi Institute of Medical Sciences & RIMS Government Genera! Hospital  Department of Medicine, Rajiv Gandhi Institute of Medical Sciences & RIMS Government Genera! Hospital, Srikakulam-53200 1, Andhra Pradesh, India
Srikakulam
ANDHRA PRADESH 
8942279033

rimsresearch@gmail.com 
Dr Sagar Vivek Redkar  Redkar Hospital and Research Center  Redkar Hospital and Research Centre, Mumbai-Goa Highway, Oxelbag, Village-Dhargal, Tal-Pemem, Goa-403513.
North Goa
GOA 
9158592177

cromgoa@gmail.com 
Dr Sunil Kumar Mahavar  SMS Medical College & Hospital  SMS Medical College & Attached Hospitals JLN Marg Jaipur-302004
Jaipur
RAJASTHAN 
9460259469

dr.sunilmahavar09@gmail.com 
 
Details of Ethics Committee
Modification(s)  
No of Ethics Committees= 25  
Name of Committee  Approval Status 
Ethics Committee IPGME& R Research Oversight Committee  Approved 
Ethics Committee, Ajanta Hospital & IVF Centre  Submittted/Under Review 
Ethics Committee, Down Town Hospital  Approved 
Ethics Committee, G.S.V.M Medical College  Submittted/Under Review 
Ethics Committee, IPGME&R Research Oversight Committee  Submittted/Under Review 
Ethics Committee, Marwari Hospital & Research Centre  Submittted/Under Review 
Ethics Committee, Om Surgical Center & Maternity Home  Submittted/Under Review 
Ethics Committee, Rajiv Gandhi Institute of Medical Sciences & RIMS Government General Hospital  Approved 
Ethics Committee, S.M.S. Medical College and Attached Hospitals  Submittted/Under Review 
Institutional Ethics Committee King George Hospital  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 Bansal Hospital & Research Centre  Approved 
Institutional Ethics Committee Indira Gandhi Institute of Medical Sciences (IGMS)  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  Submittted/Under Review 
Institutional Ethics Committee, GCS Medical College, Hospital & Research Centre  Approved 
Institutional Ethics Committee, Government Medical College  Submittted/Under Review 
Institutional Ethics Committee, Grant Government Medical College & Sir J.J., Group of Hospital  Approved 
Institutional Ethics Committee, Maharaja Agrasen Hospital  Submittted/Under Review 
Institutional Ethics Committee, Osmania Medical College  Approved 
Institutional Human Ethics Committee, All India Institute of Medical Sciences  Submittted/Under Review 
IPGME&R Research Oversight 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: I10||Essential (primary) hypertension,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Intervention  Efonidipine Hydrochloride Ethanolate 20 mg and Telmisartan 40 mg  One tablet once a day orally in the morning after breakfast around same time for 12 weeks 
Comparator Agent  Efonidipine Hydrochloride Ethanolate Tablets 20 mg   One tablet once a day orally in the morning after breakfast around same time for 12 weeks  
Comparator Agent  Telmisartan Tablets 40 mg   One tablet once a day orally in the morning after breakfast around same time for 12 weeks  
 
Inclusion Criteria  
Age From  18.00 Year(s)
Age To  65.00 Year(s)
Gender  Both 
Details  Subjects meeting all of the following criteria will be recruited for the trial:

1. Male or Female subjects between 18 to 65 years of age (Both Inclusive).
2. Treatment-Naïve subjects who are suffering from Stage 2 Hypertension.
3. Subjects diagnosed with mean SBP of ≥160 to ≤180 mmHg and mean DBP ≥100 to ≤110 mmHg (3 readings will be taken by validated automated blood pressure machine in sitting position, first reading will be taken after 15 min. rest and subsequent two readings will be recorded at the interval of 2 min. each).
4. Subjects who are willing to sign informed consent for participation in the study and willing to adhere to all protocol procedures.
 
 
ExclusionCriteria 
Details  Subjects will be excluded if ANY of the following conditions apply:

1. Suspected hypersensitivity to any of the ingredients of study medication.
2. Subjects with known case of Secondary or Malignant Hypertension.
3. Subjects with abnormal Renal Function Test.
4. Subjects with abnormal eGFR less than 60 mL/min/1.73 m2 will be excluded from the study.
5. Subjects with known case of bilateral renal artery stenosis, renal artery stenosis in a solitary kidney, post-renal transplant or with only one functioning kidney.
6. Subjects with hyponatremia as per blood biochemistry results at screening.
7. Subjects with Serum potassium more than 5.5 mEq/L or less than 3.5 mEq/L at baseline.
8. Subjects with abnormal Liver Function Tests.
9. Subjects with abnormal Thyroid Function Test.
10. Subjects with known case of Type 1 Diabetes will be excluded from the study.
11. Subjects with Type 2 Diabetes Mellitus whose diabetes has not been stable and uncontrolled for the previous three months and with HbA1c value greater than 8% will be excluded from the study.
12. Subjects with known case of symptomatic congestive heart failure, severe aortic stenosis, unstable angina pectoris, myocardial infarction, percutaneous transluminal coronary angioplasty (PTCA) or coronary artery bypass graft (CABG) surgery, sinus node dysfunction and any clinically significant cardiac arrhythmias will be excluded from the study.
13. Subjects with known case of Stroke will be excluded from the study.
14. Subjects diagnosed or suffering from any Oncological Conditions since last 2 years will be excluded from the study.
15. Subjects with known case of Epileptic seizures will be excluded from the study.
16. Subjects with clinical history of bipolar disorder i.e. who are taking lithium.
17. Female subjects who are pregnant or lactating or planning to become pregnant during the study period. Females who are not ready to use acceptable contraceptive methods during the course of study.
18. Concurrent participation in another clinical trial or any investigational therapy within 30 days prior to signing informed consent.
19. Currently taking prohibited concomitant medications(s) listed and inability/unwillingness to discontinue them for the entire study period.
20. Suspected inability or unwillingness to comply with the study procedures.
 
 
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 Efonidipine Hydrochloride Ethanolate 20 mg and Telmisartan 40 mg Tablets in Subjects with Stage 2 Hypertension  Change from baseline in mean sitting SBP at the end of study (12 weeks).  
 
Secondary Outcome  
Outcome  TimePoints 
To evaluate the tolerability of Efonidipine Hydrochloride Ethanolate 20 mg and Telmisartan 40 mg Tablets in Subjects with Stage 2 Hypertension.   Change from baseline in mean sitting DBP at the end of study (12 weeks).

Mean change in Ambulatory Blood Pressure (Mean 24 hours SBP and DBP) from baseline to the end of study (12 weeks). 
 
Target Sample Size   Total Sample Size="249"
Sample Size from India="249" 
Final Enrollment numbers achieved (Total)= "0"
Final Enrollment numbers achieved (India)="244" 
Phase of Trial   Phase 3 
Date of First Enrollment (India)   24/12/2018 
Date of Study Completion (India) Date Missing 
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)
Modification(s)  
Not Applicable 
Recruitment Status of Trial (India)  Completed 
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 Efonidipine Hydrochloride Ethanolate 20 mg and Telmisartan 40 mg Tablets Versus Efonidipine Hydrochloride Ethanolate Tablets 20 mg and Telmisartan Tablets 40 mg monotherapy in Subjects with Stage 2 Hypertension.”

 

Primary Objective

·      To evaluate the efficacy and safety of Efonidipine Hydrochloride Ethanolate 20 mg and Telmisartan 40 mg Tablets in Subjects with Stage 2 Hypertension.

 

Secondary Objective

·      To evaluate the tolerability of Efonidipine Hydrochloride Ethanolate 20 mg and Telmisartan 40 mg Tablets in Subjects with Stage 2 Hypertension.

 
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