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CTRI Number  CTRI/2019/07/020052 [Registered on: 05/07/2019] Trial Registered Prospectively
Last Modified On: 20/09/2021
Post Graduate Thesis  No 
Type of Trial  Interventional 
Type of Study   Drug 
Study Design  Randomized, Parallel Group, Multiple Arm Trial 
Public Title of Study   Clinical trial of Biapenem injection (Antibiotic) in patients 
Scientific Title of Study   AN OPEN LABEL, BALANCED, RANDOMIZED, MULTICENTRE, MULTI-DOSE, TWO-TREATMENT, PARALLEL, COMPARATIVE PHASE III CLINICAL TRIAL TO DETERMINE THE SAFETY AND EFFICACY OF BIAPENEM 300mg INJECTIONSMANUFACTURED BY BDR PHARMACEUTICALS INTERNATIONALS PVT. LTD., INDIA WITH I-NEM (IMIPENEM 500 mg + CILASTIN 500 mg) INJECTION MANUFACTURED BY GLENMARK PHARMACEUTICALS, INDIAIN HUMAN ADULT, PATIENTS WITH VARIOUS COMPLICATED INFECTIONS. 
Trial Acronym   
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  R Abiraamasundari  
Designation  Director 
Affiliation  Spinos Life Science and Research Private Limited 
Address  SpinoS Life Science and Research Pvt Ltd No 29 A Krishna Madhuravanam VellakinarPirivu Thudiyalur Coimbatore 641029 Tamil Nadu India

Coimbatore
TAMIL NADU
641029
India 
Phone  04222642491  
Fax  04222642492  
Email  abirami@spinoslifescience.com  
 
Details of Contact Person
Scientific Query
 
Name  R Abiraamasundari  
Designation  Director 
Affiliation  Spinos Life Science and Research Private Limited 
Address  SpinoS Life Science and Research Pvt Ltd No 29 A Krishna Madhuravanam VellakinarPirivu Thudiyalur Coimbatore 641029 Tamil Nadu India


TAMIL NADU
641029
India 
Phone  04222642491  
Fax  04222642492  
Email  abirami@spinoslifescience.com  
 
Details of Contact Person
Public Query
 
Name  R Abiraamasundari  
Designation  Director 
Affiliation  Spinos Life Science and Research Private Limited 
Address  SpinoS Life Science and Research Pvt Ltd No 29 A Krishna Madhuravanam VellakinarPirivu Thudiyalur Coimbatore 641029 Tamil Nadu India


TAMIL NADU
641029
India 
Phone  04222642491  
Fax  04222642492  
Email  abirami@spinoslifescience.com  
 
Source of Monetary or Material Support  
SpinoS Life Science and Research Pvt Ltd No 29 A Krishna Madhuravanam VellakinarPirivu Thudiyalur Coimbatore 641029 Tamil Nadu India  
 
Primary Sponsor  
Name  BDR Pharmaceuticals Internationals Pvt Ltd 
Address  Engineering Center 6th Floor 9th Matthew Road Opera House Mumbai India 400 004  
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 = 19  
Name of Principal Investigator  Name of Site  Site Address  Phone/Fax/Email 
Dr S K Noushad Ali  ACSR Government Medical College and Hospital  Dargamitta, G.T. Road, Nellore - 524004
Nellore
ANDHRA PRADESH 
09494828694

mddbnoal@gmail.com 
Dr Ravi B Nagarajaiah  Adichunchanagri Institute of Medical Sciences   Nagamangala Taluk Dist B.G Nagara
Mandya
KARNATAKA 
9448323893

ravibn972@yahoo.com 
Dr Amit Agrawal  Agrawal Hospital  9/ Kilachand Shopping Center, 5th LANE, 1st Floor, Patan-384265
Patan
GUJARAT 
09825079851

dramitagrawal64@gmail.com 
Dr Sanjay K Agarwal  All India Institute of Medical Sciences   All India Institute of Medical Sciences Ansari Nagar East New Delhi Delhi 110029
New Delhi
DELHI 
911126588500

skagarwalnephro@gmail.com 
Dr Tushar Sudarshan Mishra   All India Institute of Medical Sciences  All India Institute of Medical Sciences AIIMS Road Sijua Patrapada Bhubaneswar Odisha 751019
Khordha
ORISSA 
6742476789

urg_tushar@aiimsbhubaneswar.edu.in 
Dr Prashanth G  Basaveshwara Medical College and Hospital  SJM Campus NH 4 Chitradurga
Chitradurga
KARNATAKA 
9845263002

drprashanthg@gmail.com 
DrAlwar Ramanujam  Bharati hospital  115 Alakar kovil Road K.Pudur Madurai
Madurai
TAMIL NADU 
9789470605
-
alwarramanujam@gmail.com 
Dr Jigar Mehta  K D Hospital  Vaishnodevi circle, SG highway, Ahmedabad-382421
Ahmadabad
GUJARAT 
09825026577

drjigar74@yahoo.com 
Dr Kolimi Premkumar  Kurnool Medical College and Government General Hospital  Budhawarapeta Kurnool
Kurnool
ANDHRA PRADESH 
9885651330

drpremkumar30@gmail.com 
Dr Sahil Agrawal  Lifecare ICU  8 Subhadra Nagar Station Road Patan Gujarat-384265
Patan
GUJARAT 
9426121516

sahilagarawal7794@yahooo.com 
Dr Bhimasen Soren  Narayana Medical College and Hospital  Chinthareddy Palem Muthukur Road Nellore
Nellore
ANDHRA PRADESH 
9948361985

drbsoren@gmail.com 
DrNarayanaswamy  Narayana_super_speciality_hospital  18th Cross Rd.Margosa Road, Malleshwaram, Bengaluru-560003
Bangalore
KARNATAKA 
9448053952

drnarayanavagus@gmail.com 
Dr Suresh Kumar  Panimalar Medical College Hospital and Research Institute  Varadharajapuram Poonamallee Chennai - 600123
Chennai
TAMIL NADU 
9994197191

sureshgplus@gmail.com 
Dr Jitendra Singh Kushwaha  Prakhar Hospital Research Centre  Prakhar Hospital Research Centre 8 219 Ara Nagar Kanpur Uttar Pradesh 208002
Kanpur Nagar
UTTAR PRADESH 
9918002225

pi.clintrial@gmail.com 
Dr Giri Raj KV  Rajalakshmi hospital & research center  Lakshmipura Main road, Vidyaranyapura post Bangalore - 560097 Karnataka India.
Bangalore
KARNATAKA 
09448039952
09448039952
drgirirajkv@gmail.com 
Dr Dnyaneshwar R Waghmare  Sai Hospital  90 feet Rd Masiha Islanpura CHS Dharavi Mumbai Maharashtra 400017
Mumbai
MAHARASHTRA 
9619239938
-
drdrwaghmare@gmail.com 
Dr Madhu MS  Sparsh Super Speciality Hospital   4/1, Tumkur Road, Yeswanthpur-560022
Tumkur
KARNATAKA 
09535391578

spurthimadhu@gmail.com 
Dr Meghana Murthy  Vagus super speciality hospital  18th Cross Road Margosa Road Malleshwaram Bangalore 560003 Karnataka India
Bangalore
KARNATAKA 
07259214727

meggydoc@gmail.com 
Dr Yalamanchi Sadasiva Rao  Yalamanchi Hospital and research center pvt ltd   D No 29 7 44 Venkataratanam street Suryaraopet Vijayawada 520002 Andrapradesh
Krishna
ANDHRA PRADESH 
9848132230

iniyan@voxturglobal.com 
 
Details of Ethics Committee
Modification(s)  
No of Ethics Committees= 19  
Name of Committee  Approval Status 
Adichunchanagiri_IEC  Approved 
Agrawal Hospital Ethics Committee_lifecare  Approved 
Agrawal_IEC  Approved 
EthicscommiteePrakharHospitalprivatelimited  Approved 
IECACSRNellore  Approved 
IECrajalakshmihospital  Approved 
IECvagushospital  Approved 
Institutional Ethics commitee All India Institute of medical sciences  Approved 
Institutional Ethics Committee Narayana Medical College Nellore  Approved 
Institutional Ethics Committee Sai Hospital  Approved 
Institutional Ethics Committee Sparsh Hospital  Approved 
Institutional Ethics Review Committee_basveshwara  Approved 
InstitutionalEthicsCommittee,ChandniHospitalPvtLtd  Approved 
KDHospitalInstitutionalEthicsComittee  Approved 
Panimalar Medical College Hospital and Research Institute Institutional Human Ethics Committee  Approved 
Saihospital_IEC  Approved 
Saravana Multispeciality Hospital Institutional Ethics Committee  Approved 
Vagus_Naraya_EC  Approved 
Yalamanchi Hospital Ethics committe  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
No Objection Certificate 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition: A488||Other specified bacterial diseases,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Intervention  Biapenem 300mg Injections   I-nem (Imipenem 500 mg + Cilastin 500 mg) injection, reconstituted in 0.9% sodium chloride will be administered intravenously over 30 minutes, 4 times daily, the treatment continued for 03 days / 07 days which will be extended able to a maximum 14 days according to their disease severity 
Comparator Agent  I-nem Imipenem 500 mg and Cilastin 500 mg injection   Biapenem 300 mg (02 injections) injection, reconstituted in 0.9% sodium chloride will be administered intravenously over 30 minutes, 02 times daily. The treatment continued for 03 Days / 07 days which will be extended able to a maximum 14 days according to their disease severity 
 
Inclusion Criteria
Modification(s)  
Age From  18.00 Year(s)
Age To  99.00 Year(s)
Gender  Both 
Details  1.Adult human with a BodyMassIndex ranges between 18.50 kgm2 to 29.99 kgm2
2.Usually one or more of the following conditions Pyelonephritis ,Indwelling urinary catheter,Obstructive uropathy ,Azotemia, Urinary retention
3.Patients having two of the following symptoms will be included fever, pelvicpain ,Nausea, vomiting , Dysuria, urinaryfrequency, urinaryurgency ,Costovertebralangle tenderness
4.Patients who have objective documentation of clinical progression of complicated cUTI while on antibacterial drug therapy.
5.Patients who received antibacterial drugs for surgical prophylaxis and then developed cUTI.
6.Urine specimen with evidence of pyuria Dipstick analysis positive for leukocyte esterase
7.Patients with positive culture report for the cUTI infections.
 
 
ExclusionCriteria 
Details  1.Receipt of effective antibacterial drug therapy for cUTI for a continuous duration
2.Patients with suspected or confirmed prostatitis.
3.Patients with uncomplicated urinary tract infections
4.Documented history of any hypersensitivity or allergic reaction to any β-lactam antibacterial agents.
5.Women who are pregnant or nursing.
6.Patient with history of epilepsy.
7.Has confirmed or suspected pneumonia of viral, fungal or parasitic origin
8.Abnormal liver function tests ; (SGOT or SGPT) >3 times of the upper limit of the normal range;
9.Abnormal renal function tests Creatinine clearance <50ml/min
10.Haematocrit<25% or haemoglobin<6 g/dL
11.Total Leucocyte count (TLC) <3000 cells/µL,
12.Platelet count <40,000 cells/µL,
13.H/O Psychiatric illness
14.Patients have negative culture report in the cUTI infection.
 
 
Method of Generating Random Sequence   Stratified randomization 
Method of Concealment   Not Applicable 
Blinding/Masking   Open Label 
Primary Outcome  
Outcome  TimePoints 
The primary endpoint of clinical success is defined as resolution of the baseline signs and symptoms  Day 08, Day 11, Day 15,Day 21 
 
Secondary Outcome  
Outcome  TimePoints 
Multiple outcomes will be evaluated within primary and secondary endpoints  Day 8, Day 11, Day 15, Day 21 
 
Target Sample Size
Modification(s)  
Total Sample Size="180"
Sample Size from India="180" 
Final Enrollment numbers achieved (Total)= "180"
Final Enrollment numbers achieved (India)="180" 
Phase of Trial   Phase 3 
Date of First Enrollment (India)   05/08/2019 
Date of Study Completion (India) 07/09/2021 
Date of First Enrollment (Global)  Date Missing 
Date of Study Completion (Global) Date Missing 
Estimated Duration of Trial   Years="2"
Months="0"
Days="0" 
Recruitment Status of Trial (Global)
Modification(s)  
Not Applicable 
Recruitment Status of Trial (India)  Completed 
Publication Details
Modification(s)  
Nil 
Individual Participant Data (IPD) Sharing Statement

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

Brief Summary
Modification(s)  
The primary objective is to compare the efficacy of Biapenem 300mg Injections Manufactured by BDR Pharmaceuticals Internationals Pvt. Ltd., India with I-nem (Imipenem 500 mg + Cilastin 500 mg) injection manufactured by Glenmark Pharmaceuticals, India in patients with Complicated urinary Tract Infections (UTIs).
The secondary objective is to monitor the safety and tolerability of a multi-dose administered in Human Adult, Patients With Complicated Urinary Tract Infections
 
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