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CTRI Number  CTRI/2021/03/031971 [Registered on: 15/03/2021] Trial Registered Prospectively
Last Modified On: 10/11/2022
Post Graduate Thesis  No 
Type of Trial  PMS 
Type of Study   Drug 
Study Design  Single Arm Study 
Public Title of Study   A Post marketing study to see safety and efficacy of combination of Amitriptyline and Chlordiazepoxide in management of depression with co-morbid anxiety 
Scientific Title of Study   A Prospective, single arm, Multi-centric, Active, Post Marketing Surveillance Study for evaluation of safety and efficacy of FDC of Amitriptyline and Chlordiazepoxide tablets of Dr. Reddys Laboratories Ltd in management of depression with co-morbid anxiety 
Trial Acronym   
Secondary IDs if Any  
Secondary ID  Identifier 
GGI-Libotryp-07-2020 version 2 date 06 Aug 2020  Protocol Number 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Seema Bhagat 
Designation  Clinical Research Specialist  
Affiliation  Clinical Research Specialist  
Address  Dr Reddys Laboratories Limited 8-2-337 Road No. 3 Banjara Hills Hyderabad Telangana 500034 INDIA

Hyderabad
TELANGANA
500034
India 
Phone    
Fax    
Email  seemavikasb@drreddys.com  
 
Details of Contact Person
Scientific Query
 
Name  Amey Mane  
Designation  Head Ideation and Clinical Research  
Affiliation  Head Ideation and Clinical Research 
Address  Dr Reddys Laboratories Limited 8-2-337 Road No. 3 Banjara Hills Hyderabad Telangana 500034 INDIA

Hyderabad
TELANGANA
500034
India 
Phone    
Fax    
Email  amey.mane@drreddys.com  
 
Details of Contact Person
Public Query
 
Name  Amey Mane  
Designation  Head Ideation and Clinical Research  
Affiliation  Head Ideation and Clinical Research 
Address  Dr Reddys Laboratories Limited 8-2-337 Road No. 3 Banjara Hills Hyderabad Telangana 500034 INDIA

Hyderabad
TELANGANA
500034
India 
Phone    
Fax    
Email  amey.mane@drreddys.com  
 
Source of Monetary or Material Support  
Dr Reddys Laboratories limited  
 
Primary Sponsor  
Name  Dr Reddys Laboratories Ltd 
Address  Dr Reddys Laboratories Ltd 8-2-337 Road Number 3 Banjara Hills Hyderabad Telangana 500034 INDIA 
Type of Sponsor  Pharmaceutical industry-Global 
 
Details of Secondary Sponsor  
Name  Address 
NIL  NIL 
 
Countries of Recruitment     India  
Sites of Study
Modification(s)  
No of Sites = 6  
Name of Principal Investigator  Name of Site  Site Address  Phone/Fax/Email 
Umesh Nagapurkar   Chopda Medicare and Research Centre Pvt limited Magnum Heart institute  Chopda Medicate & Research Centre Pvt Ltd Magnum Heart Institute 3/5 Patil Lane No. 1, Laxmi Nagar, Near K.B.H. Vidyalaya Canada Corner Nashik 422005 Maharashtra India
Nashik
MAHARASHTRA 
9823146088

umeshanjali@gmail.com 
Dr Archana Javdekar   Dr D Y Patil Medical College hospital and research centre   Department of Psychiatry Dr D Y Patil Medical college hospital and research centre Sant Tukaram Nagar Pimpri Pune 411018
Pune
MAHARASHTRA 
9822041271

archanajavdekar@gmail.com 
Satheesh Rao  K.S. Hegde Medical Academy  KS Hegde Medical Academy KS Hegde Medical Sciences Complex Department of Psychiatry Deralakatte Mangaluru 575 018 Karnataka INDIA
Dakshina Kannada
KARNATAKA 
8242203044

dr_satheeshrao@yahoo.com 
Dr Singaravelu Thiyagarajan   Life Care Clinic  Life Care Clinic 43 - A Paul Street Fort Salem 1 Tamil Nadu
Salem
TAMIL NADU 
9080506147

singaravelu@hotmail.co.uk 
Dr Heena Merchant  Lokmanya Tilak Muncipal Medical college and general hospital  Lokmanya Tilak Municipal Medical College and General Hospital, Dr. Babasaheb Ambedkar Road, Sion (West), Mumbai – 400022 Maharashtra, India
Mumbai
MAHARASHTRA 
7977739233

heenathedoc@gmail.com 
Dr Nischol Raval  Sahyadri Super specialty hospital  Sahyadri Super specialty hospital, ​Plot no.30 – C, Erandwane, Deccan Gymkhana, Pune 411004, Maharashtra, India
Pune
MAHARASHTRA 
9689490033

nischolraval@gmail.com 
 
Details of Ethics Committee
Modification(s)  
No of Ethics Committees= 6  
Name of Committee  Approval Status 
Ethics committee - Dr D Y Patil Vidyapeeth, Pune  Approved 
Human Research Lokmanya Tilak Municipal medical College IEC HR Ltmmc  Submittted/Under Review 
MagnaCare Ethics Committee  Approved 
Nitte Deemed to be University University Enclave Medical Sciences Complex Deralakatte mangalore Dakshina Kannada Karnataka  Approved 
Sahyadri Clinical Research & Development Center  Approved 
Shanmuga Medical Research Foundation Trust No.24 Saradha College road Salem Salem Tamil Nadu 636007  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Notified 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition: F419||Anxiety disorder, unspecified,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Intervention  Libotryp tablets and Libotryp DS tablets   Combination of Amitriptyline 12.5 mg or 25mg and Chlordiazepoxide 5 mg or 10 mg Chlordiazepoxide and amitriptyline hydrochloride tablets 10 mg or 5 mg and 25mg or 12.5 mg in an initial dosage of 3 or 4 tablets daily in divided doses may be satisfactory in patients or as per investigator descretion The total duration is 2 months  
Comparator Agent  Not applicable   Not applicable  
 
Inclusion Criteria  
Age From  18.00 Year(s)
Age To  99.00 Year(s)
Gender  Both 
Details  Patient with anxiety comorbid with depression
Newly Prescribed with Libotryp or Libotryp DS as per clinical discretion of investigator

 
 
ExclusionCriteria 
Details  Patients who is not able to understand the nature of study and willing to provide written informed consent.
 
 
Method of Generating Random Sequence   Not Applicable 
Method of Concealment   Not Applicable 
Blinding/Masking   Not Applicable 
Primary Outcome  
Outcome  TimePoints 
To actively surveil safety of FDC of Amitriptyline and Chlordiazepoxide tablets in management of depression with co-morbid anxiety in India in terms of Sedative effects and Anticholinergic side effects and Dizziness and Decrease in Libido  Incidence of any of the following event
Sedative effects or Anticholinergic side effects
or Dizziness or Decrease in Libido or AE or SAE at Day 30 and Day 60 after study using study medication
 
 
Secondary Outcome  
Outcome  TimePoints 
To passively evaluate Safety reports such as adverse drug reactions, laboratory parameters, ECG (if available)
To evaluate Efficacy as change in Hamilton Anxiety Score (HAM-A) and Hamilton Depression Score (HAM-D) score
 
Proportion of patients showing at least 50% decrease in baseline HAM-D and HAM-A scores at end of 30 days of therapy
2. Proportion of patients showing at least 50% decrease in baseline HAM-D and HAM-A scores at end of 60 days of therapy
 
 
Target Sample Size   Total Sample Size="375"
Sample Size from India="375" 
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   Post Marketing Surveillance 
Date of First Enrollment (India)   20/03/2021 
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="1"
Months="0"
Days="0" 
Recruitment Status of Trial (Global)
Modification(s)  
Not Applicable 
Recruitment Status of Trial (India)  Open to Recruitment 
Publication Details   Nil 
Individual Participant Data (IPD) Sharing Statement

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

Response - NO
Brief Summary  

This multicentric single arm post marketing surveillance study would be performed in patients of anxiety comorbid with depression, who have been newly prescribed FDC of Amitriptyline and Chlordiazepoxide tablets of Dr. Reddy’s Laboratories Ltd. All the enrolled patients will be followed up for 60 day and will be assessed for HAM-A and HAM-D assessment. Patients will be encouraged to report adverse events throughout the study period. All the data generated will be analysed using appropriate statistical test. 

 
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