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CTRI Number  CTRI/2020/06/025735 [Registered on: 09/06/2020] Trial Registered Prospectively
Last Modified On: 29/05/2020
Post Graduate Thesis  No 
Type of Trial  Interventional 
Type of Study   Drug 
Study Design  Randomized, Parallel Group, Placebo Controlled Trial 
Public Title of Study   CLEAR FIBROSIS HEART TRAIL  
Scientific Title of Study   Perfenidone in Endomyocardial Fibrosis patients 
Trial Acronym   
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Rohit Walia  
Designation  Assistant Professor Incharge Electrophysiology , Heart Failure Special Clinic  
Affiliation  All India Institute of Medical Science , Rishikesh  
Address  Room Number 25103 , Department of Cardiology , All India Institute of Medical Science , Rishikesh , Uttarakhand.

Dehradun
UTTARANCHAL
249203
India 
Phone  8800492549  
Fax    
Email  rwalia7731@yahoo.in  
 
Details of Contact Person
Scientific Query
 
Name  Rohit Walia  
Designation  Assistant Professor Incharge Electrophysiology , Heart Failure Special Clinic  
Affiliation  All India Institute of Medical Science , Rishikesh  
Address  Room Number 25103 , Department of Cardiology , All India Institute of Medical Science , Rishikesh , Uttarakhand.


UTTARANCHAL
249203
India 
Phone  8800492549  
Fax    
Email  rwalia7731@yahoo.in  
 
Details of Contact Person
Public Query
 
Name  Rohit Walia  
Designation  Assistant Professor Incharge Electrophysiology , Heart Failure Special Clinic  
Affiliation  All India Institute of Medical Science , Rishikesh  
Address  Room Number 25103 , Department of Cardiology , All India Institute of Medical Science , Rishikesh , Uttarakhand.


UTTARANCHAL
249203
India 
Phone  8800492549  
Fax    
Email  rwalia7731@yahoo.in  
 
Source of Monetary or Material Support  
All India Institute of Medical Science , Rishikesh  
 
Primary Sponsor  
Name  Rohit Walia  
Address  Room Number 25103 , Department of Cardiology , All India Institute of Medical Science , Rishikesh  
Type of Sponsor  Other [SELF] 
 
Details of Secondary Sponsor  
Name  Address 
NIL  NIL 
 
Countries of Recruitment     India  
Sites of Study  
No of Sites = 1  
Name of Principal Investigator  Name of Site  Site Address  Phone/Fax/Email 
Rohit Walia   All India Institute of Medical Science Rishikesh   Room number 25103, Department of Cardiology , All India Institute of Medical Science , Virbhadra Road , Pashulok , Rishikesh
Dehradun
UTTARANCHAL 
8800492549

rwalia7731@yahoo.in 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
All India Institute of Medical Science   Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition: I52||Other heart disorders in diseasesclassified elsewhere,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Intervention  Perfenidone Drug   Start with 200 mg TDS orally , if tolerated after one week increase to 400 mg TDS and if tolerated increase to 600 mg TDS orally  
Comparator Agent  Placebo   Placebo  
 
Inclusion Criteria  
Age From  20.00 Year(s)
Age To  60.00 Year(s)
Gender  Both 
Details  Endomyocardial Fibrosis patients

Informed consent  
 
ExclusionCriteria 
Details  Chronic Renal Failure

Liver Failure

Expected life expectancy less than one year

Associated Malignancy

Assisted circulation

Cardiac devices

Contraindications to MRI
 
 
Method of Generating Random Sequence   Permuted block randomization, variable 
Method of Concealment   On-site computer system 
Blinding/Masking   Participant and Investigator Blinded 
Primary Outcome  
Outcome  TimePoints 
change in myocardial extracellular volume  1 year  
 
Secondary Outcome  
Outcome  TimePoints 
Absolute change in LV and RV mass, volume, ejection fraction, myocardial cell volume, LV diastolic function, strain, backscatter and backscatter and torsion
Absolute change in left atrium and right atrium volume and function and left atrial function , Absolute change in NT pro BNP and HS- Troponin T ,Absolute change in exercise tolerance
All-cause mortality, cardiovascular mortality, hospitalisations due to heart failure and arrhythmias will be recorded
 
1 year  
 
Target Sample Size   Total Sample Size="108"
Sample Size from India="108" 
Final Enrollment numbers achieved (Total)= "Applicable only for Completed/Terminated trials"
Final Enrollment numbers achieved (India)="Applicable only for Completed/Terminated trials" 
Phase of Trial   N/A 
Date of First Enrollment (India)   30/06/2020 
Date of Study Completion (India) Applicable only for Completed/Terminated trials 
Date of First Enrollment (Global)  Date Missing 
Date of Study Completion (Global) Applicable only for Completed/Terminated trials 
Estimated Duration of Trial   Years="2"
Months="6"
Days="0" 
Recruitment Status of Trial (Global)   Not Applicable 
Recruitment Status of Trial (India)  Not Yet Recruiting 
Publication Details   Nil  
Individual Participant Data (IPD) Sharing Statement

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

Brief Summary   Endomyocardial Fibroisis is a disease with no curative treatment or drug to limit fibrosis progression . Perfenidone is an anti fibrotic drug which is approved for treatment of idiopathic pulmonary fibrosis which is also characterised by diffuse severe fibrosis of lungs. Perfenidone has shown good results in randomised controlled trails for this condition . We plan to test perfenidone for end-myocardial fibrosis patients and use cardiac MRI to evaluate its effect on the progression of disease over one year.  
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