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CTRI Number  CTRI/2009/091/000082 [Registered on: 06/04/2009]
Last Modified On: 23/09/2014
Post Graduate Thesis  No 
Type of Trial  Interventional 
Type of Study
Modification(s)  
Drug 
Study Design  Randomized, Parallel Group, Active Controlled Trial 
Public Title of Study   Safety and Efficacy of Indacaterol Once Daily Versus Salmeterol Twice Daily in Chronic Obstructive Pulmonary Disease (COPD) (INSIST)  
Scientific Title of Study   A 12 Week Treatment, Multi-Center, Randomized, Parallel Group, Double Blind, Double Dummy Study to Assess the Superiority of Indacaterol (150 µg o.d.) Via a SDDPI in Patients With Moderate to Severe COPD, Using Salmeterol (50 µg b.i.d.) as an Active Comparator Delivered Via a DISKUS Inhaler 
Trial Acronym   
Secondary IDs if Any  
Secondary ID  Identifier 
CQAB149B2349  Protocol Number 
NCT00821093  ClinicalTrials.gov 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name   
Designation   
Affiliation   
Address 

Not Applicable
N/A

India 
Phone    
Fax    
Email    
 
Details of Contact Person
Scientific Query
 
Name  Dr. Kamala Rai 
Designation   
Affiliation   
Address  Novartis Healthcare Private Limited, Medical Department, Sandoz House
Shivsagar Estate, Dr. Annie Besant Road, Worli
Mumbai
MAHARASHTRA
400 018
India 
Phone  022 24958533  
Fax  24954112  
Email  kamala.rai@novartis.com  
 
Details of Contact Person
Public Query
 
Name  Dr. Kamala Rai 
Designation   
Affiliation   
Address  Novartis Healthcare Private Limited, Medical Department, Sandoz House
Shivsagar Estate, Dr. Annie Besant Road, Worli
Mumbai
MAHARASHTRA
400 018
India 
Phone  022 24958533  
Fax  24954112  
Email  kamala.rai@novartis.com  
 
Source of Monetary or Material Support  
Novartis Pharma AG CHBS, WSJ-158.3.37.3, Novartis Pharma AG CH - 4056, Basel, Switzerland 
 
Primary Sponsor
Modification(s)  
Name  Novartis Healthcare Pvt Ltd 
Address  5th floor Shivsagar Estate Dr. Annie Besant Road Worli, Mumbai 400 018 INDIA  
Type of Sponsor  Pharmaceutical industry-Global 
 
Details of Secondary Sponsor  
Name  Address 
NIL   
 
Countries of Recruitment     India  
Sites of Study  
No of Sites = 9  
Name of Principal Investigator  Name of Site  Site Address  Phone/Fax/Email 
Dr. Manish Jain  Asthama Bhawan  Sawai Maan Singh Medical College, R-3,Sec-6,Near Cinestar, Vidhyanagar-302023
Jaipur
RAJASTHAN 
0141-2281010

drvirendrasingh@yahoo.com 
K Jagannath  Chennai Thoracic Research Institute  Director- Chennai Thoracic Research Institute,53, Sterling Road, Nungambakkam- 600034
Chennai
TAMIL NADU 
044 - 28279111
044-28250957
jagannath@sify.com 
Dr. S Balamurugan  Chest Clinic  # 2, Janaki Nagar Extension,Valasaravakkam-600 087
Chennai
TAMIL NADU 
044-24862202

dr.s.bala@gmail.com 
Dr. D. J. Christopher  Christian Medical College  Professor and Head, Department of Pulmonary Medicine,Christian Medical College-632004
Vellore
TAMIL NADU 
0416-2283373

resmed@cmcvellore.ac.in 
Dr. Mathew Thomas  Health & Research Centre  TC-1/ 907, 1st floor,Devi scan building, Kumarapuram, Medical College P.O.-695011

 
+91 9447058561

healthtrials@gmail.com 
R C Sahoo  Kasturba Medical College  Dept. of Chest Medicine,N.G. Road, Attavar-575001
Bangalore
KARNATAKA 
0824-2445858
0824-2425092
meera.lobo@acunovalife.com 
Dr. Suhas Kalashetti  KEM Hospital  Administrative Block, KEM Hospita,Banoo Coyaji Bldg., Sardar Moodliar Road, Rasta Peth-411 011
Pune
MAHARASHTRA 


skalashetti@yahoo.com 
Dr. Srinivas Rao  Osmania Hospital  Professor of Medicine, Department of General Medicine,,Osmania Medical College, Afzalgunj-500012
Hyderabad
ANDHRA PRADESH 
040-24744424

drnanyam@yahoo.com 
Dr. Anthony Mesquita  TB and Chest Hospital  TB & Chest Disease, ,St. Inez, -403002

 
0832-2225088
0832 2425007
drlalita@sancharnet.in 
 
Details of Ethics Committee
Modification(s)  
No of Ethics Committees= 9  
Name of Committee  Approval Status 
Institutional Ethics Commitee, KMC  Approved 
Chennai Thoracic Research Institute Ethics Committtee  Approved 
Ethics Committee  Approved 
Ethics Committee, K.E.M Hospital Research Centre  Approved 
Ethics committee, Osmania Hospital  Approved 
Goa Medical College and Hospitals Local Ethics Committee  Approved 
Independent Human Ethics Committee  Approved 
Institutional Ethics Committee, Kasturba Medical College  Approved 
Swasthya Kalyan Ethics Committee  Approved 
 
Regulatory Clearance Status from DCGI
Modification(s)  
Status 
Approved/Obtained 
 
Health Condition / Problems Studied
Modification(s)  
Health Type  Condition 
Patients  Chronic Obstructive Pulmonary Disease (COPD),  
 
Intervention / Comparator Agent  
Type  Name  Details 
Intervention  Indacaterol  150 µg  
Comparator Agent  Salmeterol  50 µg 
 
Inclusion Criteria
Modification(s)  
Age From  40.00 Year(s)
Age To  99.00 Year(s)
Gender  Both 
Details  1) Adults aged ≥40 years
2) Diagnosis of COPD (moderate to severe as classified by the GOLD Guidelines, 2007) and:

Smoking history of at least 10 pack years
Post-bronchodilator FEV1 <80% and ≥30% of the predicted normal value at screening (Visit 2).
Post-bronchodilator FEV1/FVC < 70% at screening
 
 
ExclusionCriteria 
Details  1) Patients who have received systemic corticosteroids for a COPD exacerbation in the 6 weeks prior to screening or during the run-in period 2) Patients requiring long-term oxygen therapy (>15 h a day) for chronic hypoxemia 3) Patients who have had a respiratory tract infection within 6 weeks prior to screening 4) Patients with concomitant pulmonary disease 5) Patients with a history of asthma 6) Patients with diabetes Type I or uncontrolled diabetes Type II 7) Any patient with lung cancer or a history of lung cancer 8) Any patient with active cancer or a history of cancer with less than 5 years disease-free survival time 9) Patients with a history of long QT syndrome or whose QTc interval (Fridericia's) measured at screening is prolonged 10) Patients who have been vaccinated with live attenuated vaccines within 30 days prior to screening or during the run-in period 11) Patients unable to successfully use a dry powder inhaler device, or perform spirometry measurements  
 
Method of Generating Random Sequence   Computer generated randomization 
Method of Concealment   Centralized 
Blinding/Masking   Participant, Investigator and Outcome Assessor Blinded 
Primary Outcome  
Outcome  TimePoints 
12 hr Area Under the Curve (AUC) forced expiratory volume in 1 second (FEV1) [ Time Frame: 12 weeks ] [ Designated as safety issue: No ]   
 
Secondary Outcome  
Outcome  TimePoints 
Change from baseline to 24 hr post-dose of (trough) forced expiratory volume in 1 second (FEV1) [ Time Frame: 12 weeks ] [ Designated as safety issue: No ]   
 
Target Sample Size
Modification(s)  
Total Sample Size="1084"
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)   Date Missing 
Date of Study Completion (India) Date Missing 
Date of First Enrollment (Global)  15/01/2009 
Date of Study Completion (Global) Date Missing 
Estimated Duration of Trial   Years="0"
Months="11"
Days="0" 
Recruitment Status of Trial (Global)
Modification(s)  
Completed 
Recruitment Status of Trial (India)  Completed 
Publication Details
Modification(s)  
no publication provided  
Individual Participant Data (IPD) Sharing Statement

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

Brief Summary
Modification(s)  
Number of patients to be recruited from India is 140. 
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