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CTRI Number  CTRI/2011/06/001819 [Registered on: 21/06/2011] Trial Registered Prospectively
Last Modified On: 02/11/2011
Post Graduate Thesis  No 
Type of Trial  Interventional 
Type of Study   Drug 
Study Design  Randomized, Parallel Group, Active Controlled Trial 
Public Title of Study   Clinical trial of S-Metoprolol and Telmisartan combination tablet in the treatment of hypertension 
Scientific Title of Study   Clinical trial to assess the efficacy and safety of fixed dose combination of S-Metoprolol and Telmisartan tablets in hypertension 
Trial Acronym  SMT 
Secondary IDs if Any  
Secondary ID  Identifier 
EPL/2010/SMT/01  Protocol Number 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Dr Anand V Tendulkar 
Designation  Manager - Medical 
Affiliation   
Address  Emcure Pharmaceuticals Ltd, Rajiv Gandhi IT Park Phase I, MIDC, Hinjwadi Pune

Pune
MAHARASHTRA
411057
India 
Phone  020-39821000  
Fax  020-39821019  
Email  Anand.Tendulkar@emcure.co.in  
 
Details of Contact Person
Scientific Query
 
Name  Dr Anand V Tendulkar 
Designation  Manager - Medical 
Affiliation   
Address  Emcure Pharmaceuticals Ltd, Rajiv Gandhi IT Park Phase I, MIDC, Hinjwadi Pune


MAHARASHTRA
411057
India 
Phone  020-39821000  
Fax  020-39821019  
Email  Anand.Tendulkar@emcure.co.in  
 
Details of Contact Person
Public Query
 
Name  Dr Anand V Tendulkar 
Designation  Manager - Medical 
Affiliation   
Address  Emcure Pharmaceuticals Ltd, Rajiv Gandhi IT Park Phase I, MIDC, Hinjwadi Pune


MAHARASHTRA
411057
India 
Phone  020-39821000  
Fax  020-39821019  
Email  Anand.Tendulkar@emcure.co.in  
 
Source of Monetary or Material Support  
Emcure Pharmaceuticals Ltd 
 
Primary Sponsor  
Name  Emcure Pharmaceuticals Ltd Pune 
Address  Survey No. 255/2, Phase I, Rajiv Gandhi IT Park, MIDC, Hinjewadi, Pune-411057 
Type of Sponsor  Pharmaceutical industry-Indian 
 
Details of Secondary Sponsor  
Name  Address 
NIL  NIL 
 
Countries of Recruitment     India  
Sites of Study  
No of Sites = 17  
Name of Principal Investigator  Name of Site  Site Address  Phone/Fax/Email 
Dr Sudhir Bhatnagar MDMed  Abhinav Multispeciality Hospital  Kamal Chowk, Naya nakasha, Nagpur - 440017
Nagpur
MAHARASHTRA 
0712-2641715

drsudhirbhatnagar@gmail.com 
Dr S Balamurugan MB DTCD DNB  Chest Research Centre  2, First Cross, Janaki Nagar Extension,Valasaravakkam-600087 Chennai
Chennai
TAMIL NADU 
044-24865796

dr.s.bala@gmail.com 
Dr Ajay B Dande MDMed  Dande Diabetes and Heart care Centre, Maternity Home  Bhangwant, 49, Maya nagar, Behind Hotel Deepali Exceutive, N-2, CIDCO, Aurangabad
Aurangabad
MAHARASHTRA 
0240-2483456

drdande@yahoo.com 
Dr S K Raut  Dhanvantari Hospital  Pune-Solapur Road, Near Gadital, Hadapsar, Pune
Pune
MAHARASHTRA 
9423581029

skcorporate@yahoo.co.uk 
Dr Suresh Gaikwad MBBS MDMed  Dr Gaikwads Critical Care Centre  31, Reshimbag, Sakkardara Square, Umrer Road, Nagpur - 09
Nagpur
MAHARASHTRA 
0712-2740741

gaikwadhospital@ymail.com 
Dr Ashish Badadare MDMed  Giridhar Clinic   Shree Oshiya Corner, In front of Sukhsagar Telephone Exchange, Sukhsagar nagar, Pune-411016
Pune
MAHARASHTRA 
020-26961911

ashishpb2008@gmail.com 
Dr Rajeev C Naik MDMed  Ketki Hospital  Plot No. 477, N-3, CIDCO,Near Kamgar Chowk, In front of Chate House-431003 Aurangabad
Aurangabad
MAHARASHTRA 
0240-2482902

rajivcnaik@indiatimes.com 
Dr Ashish Magdum MDMed DMCardio  Kranti Cardiac Centre  Behind Kranti Clinic, Near Bus Stand, Sangli - 416416
Sangli
MAHARASHTRA 
0233-25307555

ashishmagdum@hotmail.com 
Dr Biswakesh Majumdar  Medicine Research & Diagnostic Pvt. Ltd.  68,Chowanghee Road,Kolkata-700020
Kolkata
WEST BENGAL 
033-22811138

dr_biswakes@yahoo.co.in 
Dr Tulsi Das Bhattacharjee  Nightingale Hospital  11, Shakespeare Sarani, Kolkata-700071
Kolkata
WEST BENGAL 
033-22825377

dr.tulsidas.b@gmail.com 
Dr Rajesh P Enadle MDMed  Prabhavati Multispeciality Hospital & Research Centre  Ambejogai Road, Latur
Latur
MAHARASHTRA 
02382-227111

enadle@gmail.com 
Dr J Sangumani MD D Diab  Radianz Clinical Services  662, K K nagar, Madurai-625020
Madurai
TAMIL NADU 
0452-2580991

jeyaraman.sangumani@gmail.com 
Dr S SivaRamasubramanian MDMed  Radianz Clinical Services  662, K K Nagar, Madurai-625020
Madurai
TAMIL NADU 
0452-2580991

drsivaramsubramanian.radianz@gmail.com 
Dr Indraneel Basu  Sanjeevani Clinic  B 15/56, Sonarpura, Opposite Gauriya Math, Varanasi
Varanasi
UTTAR PRADESH 
0542-3251524

dribasumd@yahoo.co.in 
Dr Shantanu Sengupta MD DNB FASE FCCP  Sengupta Hospital & Research Institute  Ravi Nagar Square, Nagpur
Nagpur
MAHARASHTRA 
9823570925

senguptasp@gmail.com 
Dr Mahesh Padsalge MDMed  Shivam Clinic & Research Centre  23, Ambika Shopping Centre, Sector-8, Nerul, Navi Mumbai-400706
Mumbai
MAHARASHTRA 
022-27719497

drmaheshpadsalge@gmail.com 
Dr Rajesh R Deshmane MBBS FCPSMed D Diabetology  Shree Mahalaxmi Diabetis Care Centre  Os-14, Akshar Plaza, Opposite Sasane Ground, Main Road, Tarabai Park, Kolhapur-416001
Kolhapur
MAHARASHTRA 
0231-2662345

smdcc_kolhapur@yahoo.co.in 
 
Details of Ethics Committee
Modification(s)  
No of Ethics Committees= 17  
Name of Committee  Approval Status 
Ethics Committee Dande Diabetes and Heart Care Centre, Maternity Home for Dr Ajay B. Dande   Approved 
Ethics Committee Nightingale Hospital for Dr Tulsi Das Bhattacharjee   Approved 
Ethics Committee Radianz Clinical Services for Dr. J. Sangumani   Approved 
Ethics Committee Radianz Clinical Services for Dr. S. Siva Ramsubramanian  Approved 
Independent Ethics Committee, Dhanashree Hospital Navi Sangvi, Pune 411025 for Dr. Ashish Magdum  Approved 
Independent Ethics Committee, Dhanashree Hospital Navi Sangvi, Pune 411025 for Dr. Ashish P. Badadare   Approved 
Independent Ethics Committee, Dhanashree Hospital Navi Sangvi, Pune 411025 for Dr. Biswakesh Majumdar  Approved 
Independent Ethics Committee, Dhanashree Hospital Navi Sangvi, Pune 411025 for Dr. Indraneel Basu  Approved 
Independent Ethics Committee, Dhanashree Hospital Navi Sangvi, Pune 411025 for Dr. Mahesh Padsalge  Approved 
Independent Ethics Committee, Dhanashree Hospital Navi Sangvi, Pune 411025 for Dr. Rajeev C. Naik  Approved 
Independent Ethics Committee, Dhanashree Hospital Navi Sangvi, Pune 411025 for Dr. Rajesh Enadle  Approved 
Independent Ethics Committee, Dhanashree Hospital Navi Sangvi, Pune 411025 for Dr. S. Balamurugan  Approved 
Independent Ethics Committee, Dhanashree Hospital Navi Sangvi, Pune 411025 for Dr. S. K. Raut  Approved 
Independent Ethics Committee, Dhanashree Hospital Navi Sangvi, Pune 411025 for Dr. Shantanu Sengupta  Approved 
Independent Ethics Committee, Dhanashree Hospital Navi Sangvi, Pune 411025 for Dr. Sudhir Bhatnagar  Approved 
Independent Ethics Committee, Dhanashree Hospital Navi Sangvi, Pune 411025 for Dr. Suresh B. Gaikwad  Approved 
Independent Ethics Committee, Dhanashree Hospital Navi Sangvi, Pune 411025 for Dr.Rajesh R. Deshmane  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Approved/Obtained 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  Patients with essential hypertension ,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Comparator Agent  Metoprolol 50mg, Telmisartan 20/40 mg  One tablet of Metoprolo 50 mg and One tablet of Telmisartan 20/40 mg orally once daily for 12 weeks. 
Intervention  S-Metoprolol 25 mg, Telmisartan 20/40 mg   Fixed Dose Combination of S-Metoprolol 25mg and Telmisartan 20/40 mg orally once daily for 12 weeks 
 
Inclusion Criteria  
Age From  18.00 Year(s)
Age To  65.00 Year(s)
Gender  Both 
Details  Male or female patients between 18-65 years of age, Patients diagnosed with essential hypertension not controlled on monotherapy or newly diagnosed Stage II hypertensives, Patients willing to give written informed consent and willing to comply with study protocol
 
 
ExclusionCriteria 
Details  Patients previously sensitive to any of the ingredients of the fixed dose combination under study or beta blockers or angiotensin receptor blockers, Patients with history of secondary or malignant hypertension, Patients with evidence of any cardiac arrhythmia on ECG, Patients with known significant respiratory/liver/kidney/neurological diseases / uncontrolled diabetes, Pregnant and lactating women or the women of child bearing age who are not practicing the effective means of contraception, Patients who will receive some other drug during the study besides that in the protocol that could alter the pharmacokinetic/ pharmacodynamic profile of the study drug, Patients with known alcohol or drug abuse, Any condition that, in the opinion of the investigator, does not justify the patient’s inclusion in the study
 
 
Method of Generating Random Sequence   Computer generated randomization 
Method of Concealment   Centralized 
Blinding/Masking   Open Label 
Primary Outcome  
Outcome  TimePoints 
Responder rate defined as proportion of patients with decrease in diastolic BP by at least 10 mmHg compared to baseline after 12 weeks  Responder rate defined as proportion of patients with decrease in diastolic BP by at least 10 mmHg compared to baseline after 12 weeks 
 
Secondary Outcome  
Outcome  TimePoints 
Mean reduction in systolic and diastolic blood pressure measured in sitting position compared to baseline  After 4, 8 and 12 weeks 
Reduction in mean heart rate compared to baseline  After 4, 8 and 12 weeks 
Compliance to treatment   After 4, 8 and 12 weeks 
Subject’s as well as Physicians global assessment about the tolerability of the drug
 
After 12 weeks 
Percent of the subjects experiencing any drug related adverse event as evaluated and recorded by the investigator  After 4, 8 and 12 weeks 
 
Target Sample Size   Total Sample Size="200"
Sample Size from India="200" 
Final Enrollment numbers achieved (Total)= ""
Final Enrollment numbers achieved (India)="" 
Phase of Trial   Phase 3 
Date of First Enrollment (India)   30/06/2011 
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    
Individual Participant Data (IPD) Sharing Statement

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

Brief Summary   This multicentric, open label, comparative clinical trial is planned to assess efficacy and safety of FDC of S(-) Metoprolol(25 mg) and Telmisartan(20/40 mg) Tablet. Patients stisfing Patient satisfying inclusion and exclusion criteria will receive either Test / Reference drug as per randomization..In Test group patient will receive FDC of S-Metoprolol 25 mg + Telmisartan 20mg and Reference group will receive one tablet of  Metoprolol 50mg and Telmisartan 20 mg each. In test group dose will modified in subsequent visit to S-Metoprolol 25mg and Telmisartan 40 mg and in Reference group it will modify upto Metoprolo 50 mg and Olmesartan 40 mg each. (if BP > 140/90). Baseline laboratory investigations will be done. Patients will be evaluated for efficacy and safety variables after 4, 8 and 12 weeks of therapy. Same laboratory investigations will be repeated after 12 weeks of therapy except ECG. The study duration is of 12 weeks  
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