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CTRI Number  CTRI/2019/07/020204 [Registered on: 15/07/2019] Trial Registered Prospectively
Last Modified On: 28/01/2020
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 of Combination of Azilsartan Medoxomil plus Cilnidipine Tablets for the treatment of subjects with 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 FDC of Azilsartan Medoxomil 40 mg plus Cilnidipine 5 mg Tablets and FDC of Azilsartan Medoxomil 40 mg plus Cilnidipine 10 mg Tablets versus Azilsartan Medoxomil Tablets 40 mg and Cilnidipine Tablets 10 mg monotherapy in subjects with stage 2 hypertension 
Trial Acronym   
Secondary IDs if Any  
Secondary ID  Identifier 
CT-Syn-AC-2018, Version No. 2.0, Dated Nov 15, 2018  Protocol Number 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)
Modification(s)  
Name  Dr A Gopal Rao 
Designation  Associate Professor 
Affiliation  Rajiv Gandhi Institute of Medical Sciences & RIMS Government General Hospital 
Address  Department of Medicine, Rajiv Gandhi Institute of Medical Sciences & RIMS Government General Hospital Srikakulam-532001, Andhra Pradesh

Srikakulam
ANDHRA PRADESH
532001
India 
Phone  8942279033  
Fax    
Email  drgopalraoa@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Abhinav Arora 
Designation  Managing Director 
Affiliation  Synokem Pharmaceuticals Ltd. 
Address  Synokem Pharmaceuticals Ltd. 14/486, Sunder Vihar, Outer Ring Road, Paschim Vihar, New Delhi-110087, India.

New Delhi
DELHI
110087
India 
Phone  9811882440  
Fax    
Email  abhinavarora@synokempharma.com  
 
Details of Contact Person
Public Query
 
Name  Abhinav Arora 
Designation  Managing Director 
Affiliation  Synokem Pharmaceuticals Ltd. 
Address  Synokem Pharmaceuticals Ltd. 14/486, Sunder Vihar, Outer Ring Road, Paschim Vihar, New Delhi-110087, India.

New Delhi
DELHI
110087
India 
Phone  9811882440  
Fax    
Email  abhinavarora@synokempharma.com  
 
Source of Monetary or Material Support  
Synokem Pharmaceuticals Ltd. 14/486, Sunder Vihar, Outer Ring Road, Paschim Vihar, New Delhi-110087, India. 
 
Primary Sponsor  
Name  Synokem Pharmaceuticals Ltd 
Address  Synokem Pharmaceuticals Ltd. 14/486, Sunder Vihar, Outer Ring Road, Paschim Vihar, New Delhi-110087, India. 
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 = 24  
Name of Principal Investigator  Name of Site  Site Address  Phone/Fax/Email 
Dr Aman Romesh Khanna  Aman Hospital & Research Center  15, Shashwat, Opp. E.S.I Hospital, Gotri Road, Vadodara-390021
Vadodara
GUJARAT 
9904402122

amankhanna1974@gmail.com 
Dr Ajay Bansal  Bansal Hospital & Research Centre  Bansal Hospital & Research Centre, 04, Janakpuri-1st, Imli Phatak, Jaipur-302005
Jaipur
RAJASTHAN 
9950442955

dr.ajayb.cr@gmail.com 
Dr Swapnav Borthakur  Down Town Hospital Ltd.  Down Town Hospital Ltd. Dispur, G S Road, Guwahati-781006
Kamrup
ASSAM 
9864038704

swapnav.borthakur@gmail.com 
Dr D Anil Kumar  Gandhi Hospital  Department of General Medicine, Gandhi Hospital, Musheerabad, Secunderabad-500003
Hyderabad
TELANGANA 
9440523902

anilddrmd@gmail.com 
Dr Ansari Rizwanahmed Nurulhasan  GCS Medical College, Hospital and Research Centre  Department of Medicine, GCS Medical College, Hospital and Research Centre, Opp. DRM Office, Nr. Chamunda Bridge, Naroda Road, Ahmedabad-380025
Ahmadabad
GUJARAT 
9033884736

drrizwanansari@yahoo.com 
Dr Krishna Chandra Narzary  GNRC Hospitals  GNRC Medical, North Guwahati-781031
Kamrup
ASSAM 
8133814975

drkrishna_narzary@yahoo.co.in 
Dr Samir Govil  GSVM Medical College  Post Graduate Department of Medicine, GSVM Medical College, Kanpur-208002
Kanpur Nagar
UTTAR PRADESH 
9839068111

nephroknp@gmail.com 
Dr Manoj Kumar Gupta  Health Point Hospital  21, Prannath Pandit Street (opp: Lansdown Padmapukur), Kolkata-700025
Kolkata
WEST BENGAL 
9599038676

manojsrmc@gmail.com 
Dr Sanchita Saha  IPGME&R and SSKM Hospital  Department of Medicine, Arsenic Clinic, 4th Floor, Ronald Ross Building, IPGME&R and SSKM Hospital, 244, AJC Bose Road, Kolkata-700020
Kolkata
WEST BENGAL 
9475053772

saha_sanchita2000@rediffmail.com 
Dr Upendra N Chaudhary  Janam Multi-Specialty Hospital  Janam Multi-Specialty Hospital, Madhav Complex, Near Sanand Police Station, Sanand
Ahmadabad
GUJARAT 
9825334682

dev22ndjune2003@yahoo.co.in 
Dr Vivek Kumar  King Georges Medical University  King Georges Medical University, Chowk, Lucknow-226003
Lucknow
UTTAR PRADESH 
9454324669

drvivek2@rediffmail.com 
Dr Sumit Anand  Maharaja Agrasen Superspeciality Hospital  Maharaja Agrasen Superspeciality Hospital, Central Spine, Agrasen Aspatal Marg, Sector-7, Vidyadhar Nagar, Jaipur-302039
Jaipur
RAJASTHAN 
9929082000

dr.anandsumit@gmail.com 
Dr Syed Umar Quadri Syed Abdul Jabbar  Mahatma Gandhi Missions Medical College and Hospital  N-6 CIDCO, Aurangabad-431003
Aurangabad
MAHARASHTRA 
0240-6601100

umarazmed@gmail.com 
Dr Manish Gutch  Mother and Child State Referral Hospital  A Unit of Dr. Ram Manohar Lohia Institute of Medical Sciences, Amar Shaheed Path, Gomati Nagar, Lucknow-226002
Lucknow
UTTAR PRADESH 
9453429252

manish07gutch@gmail.com 
Dr Aparna N Kodre  Noble Hospital Pvt. Ltd.  153, Magarpatta City Road, Hadapsar, Pune-411013
Pune
MAHARASHTRA 
9850136436

draparnankodre@gmail.com 
Dr Vikas Reddy Maddali  Osmania General Hospital  Department of Cardiology, Osmania General Hospital, Afzalgunj, Hyderabad-500012
Hyderabad
TELANGANA 
9491928493

vikasreddy04@gmail.com 
Dr Jitendra Singh Kushwaha  Prakhar Hospital Pvt. Ltd.  8/219, Arya Nagar, Kanpur-208002
Kanpur Nagar
UTTAR PRADESH 
8263833668

pi.clintrial@gmail.com 
Dr Krishna Pandey  Rajendra Memorial Research Institute of Medical Sciences  Agamkuan, Patna-800007
Patna
BIHAR 
0612-2245744

drkrishnapandey@gmail.com 
Dr A Gopal Rao  Rajiv Gandhi Institute of Medical Sciences & RIMS Government Genera! Hospital   Department of General Medicine, Rajiv Gandhi Institute of Medical Sciences & RIMS Government General Hospital, Srkakulam-532001
Srikakulam
ANDHRA PRADESH 
8942279033

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

cromgoa@gmail.com 
Dr Zakir Siddique  SAARC Super-Tech Diabetes-Asthma Awareness & Management Clinic  Utkarsh Nirman Building, B-6, Nirmal Medicals, Sadar, Nagpur
Nagpur
MAHARASHTRA 
7122567588

drzakir.siddique@gmail.com 
Dr Mishra Mukesh  Shat Aayu Critical Care, Polytrauma Centre & Multispeciality Hospital  Wardha Road, Near Hitvada Press, Dhantoli, Nagpur-440012
Nagpur
MAHARASHTRA 
9822565161

shatayuhospital@gmail.com 
Dr Jitendra Pal Singh Sawhney  Sir Ganga Ram Hospital  Department of Cardiology, Sir Ganga Ram Hospital Marg, Rajinder Nagar, New Delhi-110060
New Delhi
DELHI 
9810059773

jpssawhney@yahoo.com 
Dr Indira Pattnaik  Sparsh Hospitals & Critical Care (P) Ltd.  Medicine OPD, Sparsh Hospitals & Critical Care (P) Ltd., A/407, Sahid Nagar, Bhubaneswar-751007
Khordha
ORISSA 
9437246066

indirapattnaik@yahoo.co.in 
 
Details of Ethics Committee
Modification(s)  
No of Ethics Committees= 24  
Name of Committee  Approval Status 
Ethics Committee  Submittted/Under Review 
Ethics Committee, Down Town Hospital  Approved 
Ethics Committee, Dr. Ram Manohar Lohia Combined Hospital  Submittted/Under Review 
Ethics Committee, G.S.V.M Medical College  Approved 
Ethics Committee, GNRC Hospitals  Submittted/Under Review 
Ethics Committee, IPGME&R Research Oversight Committee  Submittted/Under Review 
Ethics Committee, MGM Medical College  Submittted/Under Review 
Ethics Committee, Prakhar Hospital Pvt. Ltd.  Submittted/Under Review 
Ethics Committee, Rajendra Memorial Research Institute of Medical Sciences  Submittted/Under Review 
Health Point Ethics Committee, Health Point Multi-Speciality Hospital  Submittted/Under Review 
Institutional Ethics Committee  Submittted/Under Review 
Institutional Ethics Committee, Aman Hospital and Research Center  Submittted/Under Review 
Institutional Ethics Committee, Bansal Hospital & Research Centre  Approved 
Institutional Ethics Committee, Gandhi Medical College/Gandhi Hospital   Approved 
Institutional Ethics Committee, GCS Medical College, Hospital and Research Centre  Submittted/Under Review 
Institutional Ethics Committee, KIng Georges Medical University  Submittted/Under Review 
Institutional Ethics Committee, Maharaja Agrasen Superspecialty Hospital   Approved 
Institutional Ethics Committee, Noble Hospital Pvt. Ltd.  Submittted/Under Review 
Institutional Ethics Committee, Osmania Medical College  Approved 
Institutional Ethics Committee, Rajiv Gandhi Institute of Medical Sciences & RIMS Government Genera! Hospital  Approved 
Institutional Ethics Committee, Redkar Hospital and Research Center  Approved 
Institutional Ethics Committee, Sparsh Hospital and Critical Care Private Limited  Approved 
Om Institutional Ethics Committee  Submittted/Under Review 
Sir Ganga Ram Hospital Ethics Committee  Submittted/Under Review 
 
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 
Comparator Agent  Azilsartan Medoxomil Tablets 40 mg  One tablet once a day orally in the morning after breakfast every day for 84 days (12 weeks) 
Comparator Agent  Cilnidipine Tablets 10 mg  One tablet once a day orally in the morning after breakfast every day for 84 days (12 weeks) 
Intervention  FDC of Azilsartan Medoxomil 40 mg plus Cilnidipine 10 mg Tablets  One tablet once a day orally in the morning after breakfast every day for 84 days (12 weeks) 
Intervention  FDC of Azilsartan Medoxomil 40 mg plus Cilnidipine 5 mg Tablets  One tablet once a day orally in the morning after breakfast every day for 84 days (12 weeks) 
 
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 (both inclusive).
2. Treatment naïve subjects diagnosed with stage 2 hypertension having mean seated SBP of ≥160 to ≤180 mmHg and mean seated 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).
3. Subjects with ability to understand and provide written informed consent form, which must have been obtained prior to screening.
4. Subjects willing to comply with the protocol requirements.
 
 
ExclusionCriteria 
Details  1. Suspected hypersensitivity to either of the study medications or any of the ingredients of the formulation.
2. Any surgical or medical condition which might alter the absorption, distribution, metabolism or excretion of the study drug.
3. Has clinical laboratory evaluations (including biochemistry and hematology) are not within the reference range for the testing laboratory and the results are deemed clinically significant by the investigator.
4. Subjects with known case of secondary or malignant hypertension.
5. Subjects with evidence of postural hypotension (defined as drop in >20 mmHg for systolic blood pressure and >10 mmHg for diastolic blood pressure after assuming the standing posture from supine or sitting position).
 
 
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 
Mean change in seated systolic blood pressure (SeSBP) between baseline and 12 weeks. [For subjects who are discontinued due to lack of efficacy last SBP reading at the time of discontinuation will be considered as end point]  At Baseline, Week 2, Week 4, Week 8 and Week 12 
 
Secondary Outcome  
Outcome  TimePoints 
Mean change in seated diastolic blood pressure (SeDBP) between baseline and 12 weeks. [For subjects who are discontinued due to lack of efficacy last DBP reading at the time of discontinuation will be considered as end point]  At Baseline, Week 2, Week 4, Week 8 and Week 12 
Mean change in ambulatory blood pressure (Mean 24 hour SBP and DBP) from baseline to the end of study (12 weeks)  At baseline and Week 12 
 
Target Sample Size   Total Sample Size="222"
Sample Size from India="222" 
Final Enrollment numbers achieved (Total)= "228"
Final Enrollment numbers achieved (India)="228" 
Phase of Trial   Phase 3 
Date of First Enrollment (India)   22/07/2019 
Date of Study Completion (India) 18/01/2020 
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   NIL 
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 Azilsartan Medoxomil 40 mg + Cilnidipine 5 mg Tablets and FDC of Azilsartan Medoxomil 40 mg + Cilnidipine 10 mg Tablets versus Azilsartan Medoxomil Tablets 40 mg and Cilnidipine Tablets 10 mg monotherapy in subjects with stage 2 hypertension.

 

Primary objective: To evaluate the efficacy and safety of FDC of Azilsartan Medoxomil 40 mg + Cilnidipine 5 mg Tablets and FDC of Azilsartan Medoxomil 40 mg + Cilnidipine 10 mg Tablets in subjects with stage 2 hypertension.

 

Secondary objective: To evaluate the tolerability of FDC of Azilsartan Medoxomil 40 mg + Cilnidipine 5 mg Tablets and FDC of Azilsartan Medoxomil 40 mg + Cilnidipine 10 mg Tablets in subjects with stage 2 hypertension.



 
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