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CTRI Number  CTRI/2012/05/002653 [Registered on: 15/05/2012] Trial Registered Prospectively
Last Modified On: 14/06/2013
Post Graduate Thesis  No 
Type of Trial  Interventional 
Type of Study   Drug 
Study Design  Randomized, Parallel Group, Placebo Controlled Trial 
Public Title of Study   A study to determine the effectiveness and safety of AMR101 in reducing the risk of cardiovascular events (e.g. stroke, heart attack, unstable angina) in patients with high triglyceride levels and who are on statin treatments. 
Scientific Title of Study   A Multi-Center, Prospective, Randomized, Double-Blind, Placebo-Controlled, Parallel-Group Study to Evaluate the Effect of AMR101 on Cardiovascular Health and Mortality in Hypertriglyceridemic Patients with Cardiovascular Disease or at High Risk for Cardiovascular Disease: REDUCE-IT (Reduction of Cardiovascular Events with EPA – Intervention Trial) 
Trial Acronym  REDUCE-IT  
Secondary IDs if Any  
Secondary ID  Identifier 
AMR-01-01-0019 version 1.0 dated 2 Aug 2011  Protocol Number 
NCT01492361  ClinicalTrials.gov 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name   
Designation   
Affiliation   
Address 




 
Phone    
Fax    
Email    
 
Details of Contact Person
Scientific Query
 
Name  Sanjay Kabra 
Designation  Director – Clinical Research 
Affiliation  PharmaNet Clinical Services Pvt. Ltd.  
Address  Unit 1101, Level 11, Millenia Tower B 1 and 2 Murphy Road Bangalore KARNATAKA

Bangalore
KARNATAKA
560 008
India 
Phone  912240957478  
Fax  912240957499  
Email  skabra@pharmanet-i3.com  
 
Details of Contact Person
Public Query
 
Name  Sanjay Kabra 
Designation  Director – Clinical Research 
Affiliation  PharmaNet Clinical Services Pvt. Ltd.  
Address  Unit 1101, Level 11, Millenia Tower B 1 and 2 Murphy Road Bangalore KARNATAKA

Bangalore
KARNATAKA
560 008
India 
Phone  912240957478  
Fax  912240957499  
Email  skabra@pharmanet-i3.com  
 
Source of Monetary or Material Support  
Amarin Pharma Inc. 1430 Route 206, Suite 200, Bedminster, NJ 07921, USA 
 
Primary Sponsor  
Name  Amarin Pharma Inc 
Address  1430 Route 206, Suite 200, Bedminster, NJ 07921, USA 
Type of Sponsor  Pharmaceutical industry-Global 
 
Details of Secondary Sponsor  
Name  Address 
Pharmanet Clinical Services Pvt Ltd   Unit 1101, Level 11, Millenia Tower B, 1 and 2 Murphy Road Bangalore-Karnataka  
 
Countries of Recruitment     Australia
Canada
India
Netherlands
New Zealand
Poland
Romania
Russian Federation
Ukraine
United States of America
South Africa  
Sites of Study
Modification(s)  
No of Sites = 22  
Name of Principal Investigator  Name of Site  Site Address  Phone/Fax/Email 
Dr Hemant Thacker  Bhatia Hospital   G1 Block (Ground Floor, Tardeo Road, Mumbai-422 005 Maharashtra, India
Mumbai
MAHARASHTRA 
919820073882

drhpt@hotmail.com 
Dr Sunil Sathe  Cardiac Care & Counselling Center  04th Floor, Park Plaza, Opp Kamala Nehru Park, Pune—411004, Maharashtra, India
Pune
MAHARASHTRA 
91-20-25663890

svscardcare@gmail.com 
Dr Johny Joseph  Caritas Hospital  Clinical Research Division, Thellakom PO, Kottayam – 686016, Kerala
Kottayam
KERALA 
919447124948

drjohnyjoseph@gmail.com 
Dr Jitendra Pal Singh Sawhney  Dharmavira Head Centre Sir Ganga Ram Hospital  Sir Ganga Ram Hospital Marg, Rajinder Nagar, New Delhi, India-110060 NEW DELHI
South
DELHI 
919810059773

jpssawhney@yahoo.com 
Dr A Sharda  Diabetes Center   Endocrinology Department, 640, 1st Main, 1st Stage, Indiranagar, Bangalore – 560038, Karnataka, India
Bangalore
KARNATAKA 
919448063156

sharda.a@gmail.com 
Dr Atul Mathur  Fortis Escorts Heart Institute  Okhla Road, New Delhi– 110025, India
South
DELHI 
919810187115

atul_mathur@hotmail.com 
Dr Rajpal Abhaichand  GKNM Hospital  Nethaji Road, Pappanaickenpalayam, Coimbatore – 641 037, Tamil Nadu, India
Coimbatore
TAMIL NADU 
919443272172

drrajpal@yahoo.com 
Dr Ravikumar Aluru  Global Hospitals  Lakdikapool, Hyderabad – 500004, Andhra Pradesh, India
Hyderabad
ANDHRA PRADESH 
919848024638

ravi27369@yahoo.com 
Dr Hathur Basavanagowdappa  JSS Medical College Hospital  Ramanuja Road, Mysore- 570004, Karnataka, India
Mysore
KARNATAKA 
91-821-2548368

hbgowda@gmail.com 
Dr V A Kothiwale  KLE’s Dr. Prabhakar Kore Hospital & MRC   Nehru Nagar, Belgaum- 590010
Belgaum
KARNATAKA 
919448119899

kothiwale@yahoo.co.in 
Dr Rajendra Kumar Premchand  Krishna Institute of Medical Sciences  No 1-8-31/1, Minister Road, Begumpet, Hyderabad – 500003, Andhra Pradesh
Hyderabad
ANDHRA PRADESH 
919848029443

kumarpre@hotmail.com 
Dr Viswanathan Mohan  Madras Diabetes Research Foundation  #4, Conran Smith Road, Gopalapuram, Chennai – 600086, Tamil Nadu
Chennai
TAMIL NADU 
91-44-43968888

drmohans@vsnl.net 
Dr Ramesh Babu  Medwin Hospital  Raghava Rathna Towers, Chirag Ali Lane, Nampally , Hyderabad – 500 001, Andhra Pradesh, India
Hyderabad
ANDHRA PRADESH 
919177000889

rameshbabubyrapaneni@yahoo.co.in 
Dr Mukesh Sarna  Monilek Hospital and Research Center Department of Internal Medicine  Sector 4, Jawahar Nagar, Jaipur – 302004. Rajasthan, India
Jaipur
RAJASTHAN 
91-141-2652181

mukeshsarna@gmail.com 
Dr Malipeddi Bhaskara Rao  Queen’s NRI Hospital   Gurudwara Lane, Seethammadhara, Visakhapatnam- 530013, Andhra Pradesh
Visakhapatnam
ANDHRA PRADESH 
919000744766

bhaskarstudies@hotmail.com 
Dr Nitin Ghaisas  Shatabdi Super Speciality Hospital  Suyojit city center, Opp.Mahamarg Bus Stand, Mumbai Naka, Nasik – 422 005, Maharashtra, India
Nashik
MAHARASHTRA 
91-253-6639001

nitin.ghaisas@gmail.com 
Dr Jugal Bihari Gupta  SR Kalla Memorial Gastro and General Hospital  78 Dhuleshwar Garden, Behind HSBC bank, Sardar Patel Marg C-Scheme, Jaipur, Rajasthan, India-302001
Jaipur
RAJASTHAN 
919829414680

drjbgupta@gmail.com 
Dr Santhosh Mysore Jayadev  St. John’s Medical College Hospital  3rd Floor, Dept of Cardiology, Sarjapur Road, Bangalore - 560034, Karnataka, India
Bangalore
KARNATAKA 
919880350278

cardioresearch@gmail.com 
Dr Arun Srinivas  Vikram Hospital Private Limited  Vivekananda Road, Yadavagiri, Mysore, Karnataka, India – 570020 KARNATAKA
Mysore
KARNATAKA 
919845028387

cardiology@vhpl.com 
Dr Sunil Dwivedi  Vikram Hospital Private Limited  No 71/1, Millers Road, Bangalore – 560052, Karnataka
Bangalore
KARNATAKA 
919845132745

dwivediksunil@rediffmail.com 
Dr SS Ramesh  Vivus Heart Centre  Vivus House, No.8, Millers Tank Bund Road, Bangalore-560052, Karnataka
Bangalore
KARNATAKA 
919845033682

ssramesh@vivushealth.net 
Dr Mohanan Purayil  Westfort Hi-Tech Hospital  P.B No-930, Punkunnam, Thrissur- 680002, Kerala,India
Thrissur
KERALA 
919846076006

drmohanan@gmail.com 
 
Details of Ethics Committee
Modification(s)  
No of Ethics Committees= 22  
Name of Committee  Approval Status 
Bangalore Central Ethics Committee, Bangalore; Dr. Sunil Dwivedi  Approved 
Clinical Trial Ethics Committee, Bhatia Hospital, Mumbai; Dr. Hemant Thacker  Approved 
Ethics Committee –Caritas Hospital, Kottayam; Dr. Johny Joseph  Approved 
Ethics Committee of Biniwale Clinic, Pune; Dr. Sunil Sathe  Approved 
Ethics Committee of KLE University, Belgaum; Dr. V. A. Kothiwale  Approved 
Ethics Committee Westfort Hi-Tech Hospital, Thrissur; Dr. Mohanan Purayil  Approved 
Ethics Committee, Sir Ganga Ram Hospital, New Delhi; Dr. Jitendra Pal Singh Sawhney  Approved 
Independent Ethics Committee, Science for Health, Bangalore; Dr A. Sharda   Approved 
Institute Ethics Committee, Queen’s NRI Hospital, Vishakhapatnam; Dr. Malipeddi Bhaskara Rao  Approved 
Institutional Ethical Review Board, St. John’s Medical College and Hospital, Bangalore;Dr. Santhosh Mysore Jayadev   Approved 
Institutional Ethics Committee of JSS Medical College Hospital, Mysore; Dr. Hathur Basavanagowdappa  Approved 
Institutional Ethics Committee of Krishna Institute of Medical Sciences; Dr. Rajendra Kumar Premchand  Approved 
Institutional Ethics Committee of Madras Diabetes Research, Chennai; Dr. Viswanathan Mohan  Approved 
Institutional Ethics Committee, Medwin Hospital, Nampally, Hyderabad; Dr. Ramesh Babu  Approved 
Institutional Ethics committee, Monilek Hospital and Research centre, Jaipur; Dr. Mukesk Kumar Sarna  Approved 
Institutional Ethics Committee-Global Hospitals, Hyderabad; Dr. Uday Prashant  Approved 
Institutional Ethics Committee; G. Kuppuswamy Naidu Memorial Hospital, Tamil Nadu; Dr. Rajpal Abhaichand  Approved 
Institutional Review Board, Bhagwan Mahaveer Jain Heart Centre, Bangalore; Dr. Ramesh   Approved 
S.R. Kalla Memorial Ethical Committee For Human Research, Jaipur; Dr. Jugal Bihari Gupta  Approved 
Shatabdi Hospital Ethics Committee; Nasik; Dr. Nitin Ghaisas  Approved 
The Independent Ethics Committee, Fortis Escorts Heart Institute, New Dehli; Dr Atul Mathur   Approved 
Vikram Hospital Ethics Committee; Mysore; Dr. Arun Srinivas  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Approved/Obtained 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  Cardiovascular Diseases,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Intervention  AMR101   Oral, 4g daily (2 capsules of 1g given twice daily plus statin therapy) Duration of Therapy: 18 Months 
Comparator Agent  Placebo capsule   Oral, 4 capsules daily (2 capsules given twice daily plus statin therapy) Duration of Therapy: 18 Months 
 
Inclusion Criteria
Modification(s)  
Age From  45.00 Year(s)
Age To  99.00 Year(s)
Gender  Both 
Details  • Men and non-pregnant or sterile women ages 45 and older
• Hypertriglyceridemia
• On statin therapy for at least four weeks
• Either having established Cardiovascular Disease or at high risk for Cardiovascular Disease
 
 
ExclusionCriteria 
Details  • Severe heart failure
• Any life-threatening disease other than Cardiovascular Disease
• Active severe liver disease
• Hemoglobin A1c 10.0%
• Poorly controlled hypertension
• Planned coronary intervention (such as stent placement or heart bypass) or any non-cardiac major surgical procedure
• Known familial lipoprotein lipase deficiency (Fredrickson Type I), apolipoprotein C-II deficiency, or familial dysbetalipoproteinemia (Fredrickson Type III)
• Known hypersensitivity to fish oil products
• History of acute or chronic pancreatitis
• Patients are excluded if using the following medications:
o niacin 200 mg/day or fibrates;
o any omega-3 fatty acid medications;
o dietary supplements containing omega-3 fatty acids (e.g., flaxseed oil, fish oil, krill oil, or algal oil);
o bile acid sequestrants
 
 
Method of Generating Random Sequence   Computer generated randomization 
Method of Concealment   Centralized 
Blinding/Masking   Participant, Investigator, Outcome Assessor and Date-entry Operator Blinded 
Primary Outcome  
Outcome  TimePoints 
Composite endpoint of CV death, MI, stroke, coronary revascularization, and hospitalization for unstable angina  4-6 years 
 
Secondary Outcome  
Outcome  TimePoints 
Incidence of additional cardiovascular events, lipid and lipoprotein levels, subgroup analyses such as: diabetics, etc.  4-6 years 
 
Target Sample Size
Modification(s)  
Total Sample Size="7990"
Sample Size from India="1000" 
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   Phase 3 
Date of First Enrollment (India)   30/05/2012 
Date of Study Completion (India) Applicable only for Completed/Terminated trials 
Date of First Enrollment (Global)  21/11/2011 
Date of Study Completion (Global) Applicable only for Completed/Terminated trials 
Estimated Duration of Trial   Years="5"
Months="0"
Days="0" 
Recruitment Status of Trial (Global)
Modification(s)  
Open to Recruitment 
Recruitment Status of Trial (India)  Open to Recruitment 
Publication Details    
Individual Participant Data (IPD) Sharing Statement

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

Brief Summary
Modification(s)  

This is a multi-center, multi-national, prospective, randomized, double-blind, placebo controlled, parallel-group study. This is an event-driven trial: Approximately 7990 patients will be randomized at multiple research sites worldwide including 22 sites in India, over a planned period of 18 months. After randomization, patients will be treated with AMR101 4 g daily with statin, or   Placebo with statin. The patients will be followed over 3.25-4.75 years with a planned median follow-up of 4 years. The study end date is determined to be when sufficient primary efficacy events have occurred.

 
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