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CTRI Number  CTRI/2012/12/003247 [Registered on: 20/12/2012] Trial Registered Prospectively
Last Modified On: 26/06/2014
Post Graduate Thesis  No 
Type of Trial  Interventional 
Type of Study   Drug 
Study Design  Randomized, Parallel Group, Active Controlled Trial 
Public Title of Study   A clinical trial to study the effect of Fixed Dose Combination of Repaglinide / Metformin IR Tablet in the treatment of patients with Type 2 Diabetes Mellitus 
Scientific Title of Study   A Randomized, Double Blind, Comparative, Prospective, Multicentre, Parallel Study to assess Efficacy, Safety and Tolerability of Fixed Dose Combination of Repaglinide / Metformin IR Tablet Compared with Metformin IR Tablet Monotherapy or Repaglinide Tablet Monotherapy in Adult Patients with Type 2 Diabetes Mellitus Inadequately Controlled on Metformin Alone 
Trial Acronym   
Secondary IDs if Any  
Secondary ID  Identifier 
GPL/CT/2012/005/III; version no.2.0, dated:12.10.2012  Protocol Number 
 
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  Dr Piyush Agarwal 
Designation  Deputy General Manager 
Affiliation  Glenmark Pharmaceuticals Ltd 
Address  Glenmark Pharmaceuticals Ltd Glenmark House, B D Sawant Marg Chakala, Andheri(East), Mumbai

Mumbai
MAHARASHTRA
400099
India 
Phone  912240189999  
Fax    
Email  piyusha@glenmarkpharma.com  
 
Details of Contact Person
Public Query
 
Name  Dr Shailendra Sachan 
Designation  Manager- Medical Writing 
Affiliation  Glenmark Pharmaceuticals Ltd 
Address  Glenmark Pharmaceuticals Ltd Glenmark Research Centre, Plot No. A-607, T.T.C. Industrial Area, MIDC, Mahape, Navi Mumbai

Thane
MAHARASHTRA
400709
India 
Phone  912267720000  
Fax    
Email  shailendrasachan@glenmarkpharma.com  
 
Source of Monetary or Material Support  
Glenmark Pharmaceuticals Ltd 
 
Primary Sponsor  
Name  Glenmark Pharmaceuticals Ltd 
Address  Glenmark Pharmaceuticals Ltd Glenmark House, B D Sawant Marg Chakala, Andheri(East), Mumbai, India-400 099  
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 = 27  
Name of Principal Investigator  Name of Site  Site Address  Phone/Fax/Email 
Dr Hiren Pandya  AMC MET Medical College, Ahmedabad  Department of Medicine, Ground Floor, General Hospital, Maninagar, Ahmedabad – 380 008
Ahmadabad
GUJARAT 
917925391810

drhirenpandya@yahoo.com 
Dr Shailesh Adwani  Apex Hospital  Kalewadi Phata Thergaon, Aundh Road, Pune 411033
Pune
MAHARASHTRA 
02065102102

sradwani@yahoo.com 
Dr Vipul Khandelwal  Apex Hospital Pvt. Ltd  Dept. of General Medicine, S P4 & 6 Malviya Industrial Area, Malviya Nagar, Jaipur, 302017
Jaipur
RAJASTHAN 
01414101111

dr.vipul@yahoo.co.in 
Dr Asha Shah  B.J Medical College & Civil Hospital  Dept of Medicine,Asarwa, Ahmedabad,380016,Gujarat,
Ahmadabad
GUJARAT 
09327066349

ashashah55@gmail.com 
Dr Mahendra C Parmar  Baroda Medical College & SSG Hospital  Dept of Medicine,Sayajiganj, Vadodara-390001, Gujarat
Vadodara
GUJARAT 
02652424848

mcparmar1961@gmail.com 
Dr BR ShivKumar  Cosmopolitan Medical Centre   No. 8, 5th Main, Mariappa Road, Kullappa Circle, Kammanahalli, St. Thomas Town Post, Bangalore, Karnataka – 560084
Bangalore
KARNATAKA 
9900329850

dr_shiva_kumar@yahoo.co.in 
Dr Narayan Deogaonkar  Deogaonkar Hospital   Old Pandit Colony, Near KTHM College, Gangapur Road, Nashik - 422002
Nashik
MAHARASHTRA 
02532570424

drnarayan_04@yahoo.co.in 
Dr Vijay Shekhar Reddy  Gandhi Medical College  Dept. Of Endocrinology, 3rd floor, Musheerabad, Hyderabad, Andhra Pradesh 500 020
Hyderabad
ANDHRA PRADESH 
04027505566

drdvsreddyendo@yahoo.com 
Dr Jayashri Shembalkar  Getwell Hospital and Research Institute  20/1, Dr. Khare Marg, Dhantoli, Nagpur – 440012.
Nagpur
MAHARASHTRA 
07126632200

pkshembalkar@hotmail.com 
Dr Abhay Kumar Sahoo  IMS & Sum Hospital  Dept. Of Endocrinology/Clinical Research, Kalinga Nagar, Khandagiri, Bhubaneswar – 751 003, Orissa, India
Khordha
ORISSA 
06742386292

abhay.kalinga@gmail.com 
Dr S Srikanta  Jnana Sanjeevini Medical Centre  No 2,1st Across,Marenahalli,JP Nagar,II Phase,Bangalore 560078
Bangalore
KARNATAKA 
9886042322

samatvam@gmail.com 
Dr Mallikarjun Jali  K.L.E.S Dr. Prabhakar Kore Hospital & Medical Research Centre  Diabetic OPD, Ground floor, Nehru Nagar, Belgaum – 590 010
Belgaum
KARNATAKA 
08312473777

drjaliclinicalresearch@gmail.com 
Dr KAV Subrahmanyam  King George Hospital  Dept. of Endocrinology, Super Specialty Block, Visakhapatnam -530002
Visakhapatnam
ANDHRA PRADESH 
918912508275

kavsendo@yahoo.co.in 
Dr R Balamurugan  Kovai Diabetes Speciality Centre & Hospital  Ground floor, Clinical Research Dept.,15, Vivekananda Road, Ramnagar, Coimbatore – 641 009.
Coimbatore
TAMIL NADU 
04224377732

balamuruga_dr@hotmail.com 
Dr Sangeeta Pednekar  Lokmanya Tilak Municipal Medical College & General Hospital  Dept of Medicine, LTMMC & LTMGH, Sion, Mumbai.
Mumbai
MAHARASHTRA 
09821577430

sjpednekar@hotmail.com 
Dr Dinesh Dhanwal  Maulana Azad Medical College and Associated Hospital  Dept. of Medicine & Endocrinology,Room No. 115, 1st floor, B. L. Taneja Block, Bahadur Shah Zafar Marg, New Delhi – 110002
New Delhi
DELHI 
0112323240

dineshdhanwal@hotmail.com 
Dr Chetan Patil  Muktai Hospital  Shivaji Nagar, Opposite Fame Adlabs, Shivajinagar, Nashik-Pune Road, Nashik
Nashik
MAHARASHTRA 
9822651494

patilchetan@yahoo.com 
Dr Pramod Joshi  Niramaya Hospital  Dept. Of Medicine, Ground floor, Behind Jaihind Petrol Pump, Next To Post Office, Chinchwad Station , Pune-411 019
Pune
MAHARASHTRA 
02027441860

niramaya_chinchwad@yahoo.co.in 
Dr Rajesh Atal  Orange City Hospital & Research Institute  19, Pandey Layout, Veer Sawarkar Square, Nagpur-440015
Nagpur
MAHARASHTRA 
07126634800

atalrajesh@hotmail.com 
Dr Rakesh Sahay  Osmania General Hospital  Department of Endocrinology, 3rd floor, Golden jubilee block, Afzalgunj, Hyderabad, AP, India 500 012
Hyderabad
ANDHRA PRADESH 
04024651667

sahayrk@gmail.com 
Dr Ronak Shah  Poojan Multyspeciality Hospital  1st floor, Navnidhi Avenue, Gurukul Road, Subhash chowk, Memnagar, Ahmedabad 380052, Gujarat
Ahmadabad
GUJARAT 
9898783040

poojan.research@gmail.com 
Dr Anita Paritekar  RCSM Medical College & Hospital  Dept of Medicine, CPR Hospital Campus Town Hall Kolhapur
Kolhapur
MAHARASHTRA 
02312645278

cromkolhapur@gmail.com 
Dr R P Agrawal  Sardar Patel Medical College SPMC  Diabetes Care & Research Centre, SP Medical College, Bikaner 334001
Bikaner
RAJASTHAN 
9414142931

drrpagrawal@yahoo.co.in 
Dr Janak Khambholja  Smt. N.H.L. Medical College, Seth V. S.   Dept. Of Medicine, Elisbridge, Ahmedabad, Gujarat, India 380 006
Surendranagar
GUJARAT 
07926577621

kham_jak@yahoo.co.in 
Dr Sandeep Jain  Somani Hospital  277, Shri Gopal Nagar, 80 feet road, Gopal byepass, Jaipur-302019, Rajasthan
Jaipur
RAJASTHAN 
9414069583

drsandeeprjain@yahoo.co.in 
Dr Veeranna Gowda  Victoria Hospital   Dept of General Medicine, Fort, K. R. Road, Bangalore-560002, Karnataka,
Bangalore
KARNATAKA 
08026701518

veerannakm@gmail.com 
Dr Hansraj Alva  Vinaya Hospital & Research Centre  Ground floor, Karangalpady, Mangalore-575 003, Karnataka, India
Dakshina Kannada
KARNATAKA 
08244243555

drhansraj@epsilon.net.in 
 
Details of Ethics Committee
Modification(s)  
No of Ethics Committees= 27  
Name of Committee  Approval Status 
AMC MET Ethics Committee, AMC MET Medical College, Ahmedabad  Approved 
Apex Hospital Institutional Review Board, Apex Hospital, Pune  Approved 
Canara Research Ethical Committee, Vinaya Hospital & Research Centre, Mangalore  Approved 
Deogaonkar Hospital Ethics Committee, Deogaonkar Hospital, Nashik  Approved 
Ethics Committee Apex Hospitals Pvt Ltd, Jaipur   Approved 
Ethics Committee of Bangalore Medical College and Research Institute & Associated Hospitals, Victoria Hospital, Bangalore  Submittted/Under Review 
Ethics Committee of KLE University, K.L.E.S Dr. Prabhakar Kore Hospital & Medical Research Centre, Belgaum  Approved 
Ethics Committee, S.P. Medical College Bikaner  Approved 
Getwell Institutional Ethics Committee, Getwell Hospital and Research Institute, Nagpur  Approved 
Human Ethics Committee, Gandhi Medical College, Hyderabad  Submittted/Under Review 
IECHR, Medical College Baroda  Approved 
Institutional Ethics Committee ,B.J Medical College and Civil Hospital,Ahmedabad  Submittted/Under Review 
Institutional Ethics Committee and Human Research (IEC-HR), Lokmanya Tilak Municipal Medical College & General Hospital, Mumbai   Approved 
Institutional Ethics Committee of Kovai Diabetes Speciality Centre & Hospital, Coimbatore   Approved 
Institutional Ethics Committee, Institute of Medical Sciences & Sum Hospital, IMS & Sum Hospital, Bhubaneswar  Approved 
Institutional Ethics Committee, King George Hospital, Visakhapatnam   Approved 
Institutional Ethics Committee, Maulana Azad Medical College and Associated Hospital, New Delhi  Approved 
Institutional Ethics Committee, Smt. NHL Municipal Medical College, Ahmedabad  Approved 
Muktai Hospital IRB  Approved 
Niramaya Hospital Ethics Committee, Pune  Approved 
Orange City Institutional Ethics Committee, Orange City Hospital & Research Institute, Nagpur  Approved 
Osmania Medical College Ethics Committee, Osmania General Hospital, Hyderabad  Approved 
Poojan Ethics Committee, Poojan Multyspeciality Hospital, Ahmedabad  Approved 
RCSM, Government Medical College, Kolhapur Institutional Ethics committee  Submittted/Under Review 
Science For Health, Jnana Sanjeevini Medical Centre,Bangalore  Approved 
SoMex Research & Health Ethics Committee, Somani Hospital, Jaipur  Approved 
Synapse Ethics Committee, Cosmopolitan Medical Centre, Bangalore  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Approved/Obtained 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  Type 2 Diabetes Mellitus Inadequately Controlled on Metformin Alone,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Intervention  FDC of Repaglinide 1 mg/2 mg + Metformin 500 mg Tablet  administered twice daily for 16 weeks 
Comparator Agent  Metformin 500 mg / 1000 mg Tablets  administered twice daily for 16 weeks 
Comparator Agent  Repaglinide 1mg / 2 mg Tablets  administered twice daily for 16 weeks 
 
Inclusion Criteria  
Age From  18.00 Year(s)
Age To  65.00 Year(s)
Gender  Both 
Details  1. Patients aged ≥18 and ≤65 years inclusive of either sex willing to give their written informed consent and comply with the protocol requirements.
2. Patients with Type 2 Diabetes Mellitus who have been treated with Metformin monotherapy for at least 3 months and not adequately controlled.
3. Patients of Type 2 Diabetes Mellitus with Glycosylated Haemoglobin (HbA1c) levels of > 7% to ≤ 9%.
 
 
ExclusionCriteria 
Details  1. Pregnant or lactating women.
2. Female Patient of child bearing potential who do not agree to remain abstinent or use medically acceptable methods of contraception during the study therapy and for 4 weeks after the end of study therapy.
3. Patients with known hypersensitivity to any of the components of the formulation
4. Known cases of Diabetic Nephropathy, Diabetic Ketoacidosis, Hyperglycemia hyperosmolar state, Retinopathy, Neuropathy or other diabetic complications of sufficient severity to require treatment
5. Clinically significant cardiovascular disease and/or Electrocardiograph abnormality.
6. Patients who have a recent history or who are currently known to abuse alcohol or drugs.
7. Patients with clinically significant Renal, Hepatic, or Cerebrovascular Disease, Malignancy, Chronic Uncontrolled Systemic Diseases like Asthma, Hypertension, Collagen Disorders, etc. or any other serious medical illness.
8. Patients receiving treatment with systemic corticosteroids.
9. Patients who have participated in any clinical trial in the past 1 month.
10. Any other condition that in the opinion of the Investigator that does not justify the patient’s participation in the study.
 
 
Method of Generating Random Sequence   Computer generated randomization 
Method of Concealment   Pre-numbered or coded identical Containers 
Blinding/Masking   Participant and Investigator Blinded 
Primary Outcome  
Outcome  TimePoints 
Mean Change in Glycosylated Haemoglobin (HbA1c) levels  16 weeks 
 
Secondary Outcome  
Outcome  TimePoints 
1. Mean Change in Fasting and Postprandial Plasma Glucose (FPG and PPG)  16 weeks 
2. Global Assessment of Efficacy by the Physicians  16 weeks 
3. Global Assessment of Tolerability by the Patients  16 weeks 
 
Target Sample Size   Total Sample Size="237"
Sample Size from India="237" 
Final Enrollment numbers achieved (Total)= ""
Final Enrollment numbers achieved (India)="" 
Phase of Trial   Phase 3 
Date of First Enrollment (India)   02/01/2013 
Date of Study Completion (India) Date Missing 
Date of First Enrollment (Global)  Date Missing 
Date of Study Completion (Global) Date Missing 
Estimated Duration of Trial   Years="0"
Months="8"
Days="0" 
Recruitment Status of Trial (Global)
Modification(s)  
Not Applicable 
Recruitment Status of Trial (India)  Completed 
Publication Details    
Individual Participant Data (IPD) Sharing Statement

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

Brief Summary  

This is double-blind, randomized, active controlled, three-arm, parallel-group, comparative study. Study will enroll 237 patients with type 2 diabetes from the different centers from India.   

Patients will be recruited after providing written informed consent. After successful screening, patients will be randomized in 1:1:1 ratio to receive either Fixed Dose Combination of Repaglinide/Metformin or Repaglinide or Metformin IR for sixteen weeks. The primary objective of the study is to see the mean Change in Glycosylated Haemoglobin (HbA1c) levels. Secondary objective includes fasting and postprandial plasma glucose, Global Assessment of Efficacy by the Physicians and Global Assessment of Tolerability by the Patient.

During the study, there will be 6 study visits for efficacy, safety and tolerability assessment.

 
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