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CTRI Number  CTRI/2011/06/001820 [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-Amlodipine , Olmesartan and Hydrochlorothiazide combination tablet in the treatment of Hypertension"  
Scientific Title of Study   Clinical Study to assess the efficacy and safety of fixed dose combination of S-Amlodipine besilate, Olmesartan medoxomil and Hydrochlorothiazide tablets in hypertension 
Trial Acronym  SAOH 
Secondary IDs if Any  
Secondary ID  Identifier 
EPL/2010/SAOH/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 MAHARASHTRA 411057 India

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

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

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, Pune.  
 
Primary Sponsor  
Name  Emcure Pharmaceuticals Ltd Pune 
Address  Emcure Pharmaceuticals Ltd, Rajiv Gandhi IT Park Phase I, MIDC, Hinjwadi Pune MAHARASHTRA 411057 India  
Type of Sponsor  Pharmaceutical industry-Indian 
 
Details of Secondary Sponsor  
Name  Address 
NIL  NIL 
 
Countries of Recruitment     India  
Sites of Study  
No of Sites = 19  
Name of Principal Investigator  Name of Site  Site Address  Phone/Fax/Email 
Dr Sudhir Bhatnagar MDMed FRCGPUK  Abhinav Multispeciality Hospital  Kamal Chowk, Nagpur-440017
Nagpur
MAHARASHTRA 
0712-2641715

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

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

drdande@yahoo.com 
Dr Suresh Gaikwad MBBS MDMed  Dr Gaikwads Critical Care Centre  31, Reshimbag, Sakkardara Square, Umrer Road, Nagpur-440009
Nagpur
MAHARASHTRA 
0712-2740741

gaikwadhospital@ymail.com 
Dr Ashish Badadare MDMed  Giridhar Clinic   Shree Oshiya Corner Building, 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 In front of Chate House Near Kamgar Chowk, Aurangabad-431003
Aurangabad
MAHARASHTRA 
0240-2482902

rajivcnaik@indiatimes.com 
Dr Ashish Magdum MDMed DMCardio  Kranti Cardiac Centre  Behind Kranti Clinic, Stand Road, 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, Shakesphere Sarani, Kolkata - 700071
Kolkata
WEST BENGAL 
033-22825377

dr.tulsidas.b@gmail.com 
Dr D N Hambire MDMed  Noble Hospital Pvt. Ltd.  153, Magarpatta City Road, Hadapsar, Pune-400013
Pune
MAHARASHTRA 
9823979775

poonamzodage@gmail.com 
Dr Rajesh P Enadle MDMed  Prabhavati Multispeciality Hospital & Research Centre  Ambajogai Road, Latur-413512
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 Praveen K Jain  Sanjeevan Hospital  6th Lane, Laxmi Road, A/P Jaysingapur, Dist - Kolhapur Pin - 416101
Kolhapur
MAHARASHTRA 
9422046659

pravindrj@gmail.com 
Dr Indraneel Basu MDMed  Sanjeevani Clinic  B 15/56, Sonarpura, Opposite Gauria Math, Varanai
Varanasi
UTTAR PRADESH 
0542-3251542

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

senguptasp@gmail.com 
Dr Mahesh Padsalge MDMed  Shivam Clinic & Research Centre  Shop No 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 
Dr Sanjay R Mane  Spandan Clinic,  Bazarpeth, Ahilya Nagar, Kupwad, Sangli-416425 Maharashtra
Sangli
MAHARASHTRA 
9325071233

dockumar12@gmail.com 
 
Details of Ethics Committee
Modification(s)  
No of Ethics Committees= 5  
Name of Committee  Approval Status 
Ethics Committee Dande Diabetes and Heart Care Centre, Maternity Home   Approved 
Ethics Committee Nightingale Hospital  Approved 
Ethics Committee Radianz Clinical Services   Approved 
Independent Ethics Committee, Dhanashree Hospital Navi Sangvi, Pune 411025  Approved 
Institutional Ethics Committee Noble Hospital   Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Approved/Obtained 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  hypertension ,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Comparator Agent  Fixed Dose combination of Amlodipine 5mg and Hydrochlorothiazide 12.5mg Tablet & Olmesartan 40 mg tablet  Low Dose - Fixed Dose combination of Amlodipine 5mg and Hydrochlorothiazide 12.5mg one Tablet once daily & Olmesartan 40 mg one tablet once daily for 12 weeks.If required (BP 140/90 mm Hg )dose may be increased to Fixed Dose combination of Amlodipine 5mg and Hydrochlorothiazide 12.5mg Two Tablet once daily in addition to Olmesartan 40 mg one tablet once daily in subsequent visit upto 12 weeks of therapy. 
Intervention  Fixed Dose Combination of S-Amlodipine2.5/5 mg,Olmesartan 40 mg and Hydrochlorothiazide 12.5/25 mg tablet   Low Dose - Fixed Dose Combination of S-Amlodipine 2.5mg,Olmesartan 40 mg and Hydrochlorothiazide 12.5mg tablet once daily for 12 weeks. If required dose may be increased upto Fixed dose combination of S-Amlodipine 5mg, Hydrocholorothiazide 25 mg and Olmesartan 40 mg tablet once daily upto 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, Subjects diagnosed with essential hypertension not controlled on monotherapy or two drug therapy or newly diagnosed Stage II hypertensives, Subject willing to give written informed consent and willing to comply with study protocol
 
 
ExclusionCriteria 
Details  Subjects previously sensitive to any of the ingredients of the fixed dose combination under study or calcium channel blockers or angiotensin receptor blockers or thiazide diuretic, Subjects with history of secondary or malignant hypertension, Patients with known significant respiratory/liver/kidney/neurological diseases / uncontrolled diabetes, Patients with evidence of any cardiac arrhythmia on ECG, 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 at 12 weeks of therapy  Responder rate defined as proportion of patients with decrease in diastolic BP by at least 10 mmHg compared to baseline at 12 weeks of therapy 
 
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 of thearapy 
Mean reduction in heart rate compared to baseline  After 4, 8 and 12 weeks of therapy 
Compliance to therapy   After 4, 8 and 12 weeks of therapy 
Subject’s as well as Physician’s global assessment about the tolerability of the drug
 
After 12 weeks of therapy 
Percent of the subjects experiencing any drug related adverse event as evaluated and recorded by the investigator  After 4, 8 and 12 weeks of therapy 
 
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, Randomized, Comparative clinical trial is planned to assess efficacy and safety of FDC of S - Amlodipine besilate (2.5/5 mg), Hydrochlorothiazide 12.5/25 mg and Olmesartan 40 mg Tablet. Patient satisfying inclusion and exclusion criteria will receive either test or Reference drug as per Randomization.In test group at screening visit  patient will start with FDC of S-Amlodipine 2.5 mg, Hydrocholorothiazide 12.5 mg and Olmesartan 40mg one tablet once daily for first 4 weeks and in subsequent visit if BP >140/90 mm of Hg then dose of FDC will increased upto S-Amlodipine 5mg + Olmesartan 40 mg + Hydrochlorothiazide 25 mg once daily upto 12 weeks. If dose doesnot modified same dose will continue.In Reference group initially patient will start with FDC of Amlodipine 25mg with Hydrochlorothiazide 12.5 mg one tablet once daily with Olmesartan 40 mg one tablet once daily. In subsequent visit if  BP>140/90 mm of Hg then this dose will increase upto FDC of Amlodipine 25mg + Hydrocholorthiazide 12.5 mg two tablets once daily along with Olmesartan 40 mg one tablet once daily.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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