CTRI Number |
CTRI/2022/07/044031 [Registered on: 15/07/2022] Trial Registered Prospectively |
Last Modified On: |
19/04/2023 |
Post Graduate Thesis |
No |
Type of Trial |
Interventional |
Type of Study
|
Drug |
Study Design |
Randomized, Parallel Group Trial |
Public Title of Study
|
A multicentric randomized comparative phase III clinical study of FDC of Azelnidipine 16 mg plus Telmisartan 40 mg Film Coated Tablets Versus FDC of Amlodipine 5 mg plus Telmisartan 40 mg tablets in subjects with stage 2 hypertension |
Scientific Title of Study
|
A multicentric randomized double blind parallel group two arm comparative phase III clinical study to evaluate the efficacy safety and tolerability of FDC of Azelnidipine 16 mg plus Telmisartan 40 mg Film Coated Tablets Versus FDC of Amlodipine 5 mg plus Telmisartan 40 mg tablets in subjects with stage 2 hypertension |
Trial Acronym |
|
Secondary IDs if Any
|
Secondary ID |
Identifier |
Protocol Id:MCR/CT/0221/01 Version No:01 Dated:23-06-2022 |
DCGI |
|
Details of Principal Investigator or overall Trial Coordinator (multi-center study)
|
Name |
Dr Vaishal Shah |
Designation |
Principal Investigator |
Affiliation |
Lifeline Multispeciality Hospital |
Address |
Vishal Complex, S. V. Rd, Opposite
N L High School, Malad West,
Mumbai, Maharashtra 400095
Thane MAHARASHTRA 400095 India |
Phone |
09833803296 |
Fax |
|
Email |
vshah8962@gmail.com |
|
Details of Contact Person Scientific Query
|
Name |
Mr Shravan Kumar Singh |
Designation |
General Manager(Drug Regulatory and Corporate Affairs) |
Affiliation |
Mascot Health Series Pvt. Ltd. |
Address |
Mascot Health Series Pvt. Ltd.
75, 76, 77, J Block DDA Market
VikasPuri, New Delhi-110018
New Delhi DELHI 110018 India |
Phone |
8587875225 |
Fax |
|
Email |
gm.ra@mascothealth.com |
|
Details of Contact Person Public Query
|
Name |
Dr Ravindra Mote |
Designation |
Director |
Affiliation |
Mediclin Clinical Research |
Address |
Mediclin Clinical Research, Fourth Floor, Ambika Industries, Penkar Pada, Opposite Thakur Mall, Mira Road (E), Thane-401107, India
Mumbai (Suburban)
Thane MAHARASHTRA 401107 India |
Phone |
8888884024 |
Fax |
|
Email |
ravindra.mote@mediclincr.com |
|
Source of Monetary or Material Support
|
Mascot Health Series PVT. Ltd.
Plot No. 79-80, Sector 6A, IIE SIDCUL, Haridwar, Uttarakhand-249403 |
|
Primary Sponsor
|
Name |
Mascot Health Series PVT Ltd |
Address |
Plot No. 79-80, Sector 6A, IIE SIDCUL, Haridwar, Uttarakhand-249403 |
Type of Sponsor |
Pharmaceutical industry-Indian |
|
Details of Secondary Sponsor
|
|
Countries of Recruitment
|
India |
Sites of Study
Modification(s)
|
No of Sites = 1 |
Name of Principal
Investigator |
Name of Site |
Site Address |
Phone/Fax/Email |
Dr Vaishal Shah |
Lifeline Multispeciality Hospital |
Vishal Complex, S. V. Rd, Opposite
N L High School, Malad West,
Mumbai, Maharashtra 400095 Thane MAHARASHTRA |
09833803296
vshah8962@gmail.com |
|
Details of Ethics Committee
Modification(s)
|
No of Ethics Committees= 12 |
Name of Committee |
Approval Status |
BANARAS HINDU UNIVERSITY INSTITUTE OF MEDICAL SCIENCES |
Approved |
ETHICS COMMITTEE BRIJ MEDICAL CENTER |
Approved |
ETHICS COMMITTEE GSVM MEDICAL COLLEGE KANPUR |
Approved |
ETHICS COMMITTEE HB SPECIALITY HOSPITAL |
Approved |
ETHICS COMMITTEE MOTILAL NEHRU MEDICAL COLLEGE |
Approved |
HEALTH POINT ETHICS COMMITTEE |
Approved |
INSTITUTIONAL ETHICS COMMITTE AATMAN HOSPITAL |
Approved |
INSTITUTIONAL ETHICS COMMITTEE GOVERNMENT MEDICAL COLLEGE AND GOVERNMENT GENERAL HOSPITAL |
Approved |
SHAH LIFELINE HOSPITAL AND HEART INSTITUTE ETHICS COMMITTEE |
Approved |
SHAH LIFELINE HOSPITAL AND HEART INSTITUTE ETHICS COMMITTEE |
Approved |
SHAH LIFELINE HOSPITAL AND HEART INSTITUTE ETHICS COMMITTEE |
Approved |
SHAH LIFELINE HOSPITAL AND HEART INSTITUTE ETHICS COMMITTEE |
Approved |
|
Regulatory Clearance Status from DCGI
|
|
Health Condition / Problems Studied
|
Health Type |
Condition |
Patients |
(1) ICD-10 Condition: I10||Essential (primary) hypertension, |
|
Intervention / Comparator Agent
|
Type |
Name |
Details |
Comparator Agent |
Amlodipine 5mg plus Telmisartan 40 mg |
Amlodipine 5mg plus Telmisartan 40 mg orally once daily after breakfast for 84 days |
Intervention |
Azelnidipine 16 mg plus Telmisartan 40 mg Film Coated Tablets |
Azelnidipine 16 mg plus Telmisartan 40 mg Film Coated Tablets orlly once daily after breakfast for 84 days |
|
Inclusion Criteria
|
Age From |
18.00 Year(s) |
Age To |
65.00 Year(s) |
Gender |
Both |
Details |
1. Male or Female subjects of age 18 to 65 years (both inclusive).
2. Treatment-Naïve subjects diagnosed with Stage 2 Hypertension having mean SBP of ≥160 to ≤180 mmHg and mean DBP ≥100 to ≤110 mmHg (3 readings will be taken by validated automated blood pressure machine in sitting position, first reading will be taken after 15 min. rest and subsequent two readings will be recorded at the interval of 2 min. each).
3. Subjects with the ability to understand and provide a written informed consent form, which must have been obtained before the screening.
4. Subjects willing to comply with the protocol requirements. |
|
ExclusionCriteria |
Details |
1. Suspected hypersensitivity to either the study medications or any of the formulation ingredients.
2. Subjects with a medical history of oncological conditions for the last 2 years.
3. Subjects with known cases of Epileptic seizures, clinical history of bipolar disorder i.e. who are taking lithium.
4. Patients suspected to be addicted to alcohol or drug abuse or with severe complications that would make the condition more complicated were assessed by the investigator.
5. Subject having any disease/ abnormalities as follow,
Cardiovascular system:
• Subject with unstable angina pectoris, myocardial infarction, percutaneous transluminal coronary angioplasty (PTCA) or coronary artery bypass graft (CABG) surgery, and any clinically significant cardiac arrhythmias.
• Subjects with known cases of Secondary or Malignant Hypertension.
• Subjects with known cases of symptomatic congestive heart failure, severe aortic stenosis.
Endocrine system:
• Subjects with abnormal Thyroid Function Test (TSH) [Normal range is 0.45 to 4.5 mIU/mL].
• Subjects with Type 1 Diabetes Mellitus.
• Subjects with Type 2 Diabetes Mellitus whose diabetes has not been stable and controlled for the previous three months and with an HbA1c value greater than 8%.
Renal system:
• Subjects with hyperkalemia and hypokalemia as per blood biochemistry results at screening [Normal range 3.5 to 5.5 mEq/L.
• Subjects with hyponatraemia as per blood biochemistry results at screening [Normal range 135 to 145 mEq/L].
• Subjects with abnormal Renal Function Test (RFT) [Serum Creatinine Normal range 0.6 to 1.3 mg/dL] & [BUN Normal range 7 to 20 mg/dL].
• Subjects with abnormal eGFR (<60 mL/min/1.73 m2).
• Subjects with known cases of bilateral renal artery stenosis, renal artery stenosis in a solitary kidney, post-renal transplant, or with only one functioning kidney.
Hepatic system:
• Subjects with abnormal Liver Function Tests with values more than 2.5 times the upper limit of normal.
6. Female subjects who are pregnant or lactating or planning to become pregnant during the study period.
7. Females who are not ready to use acceptable contraceptive methods during study.
8. Concurrent participation in another clinical trial or any investigational therapy within 30 days before signing informed consent.
9. Currently taking prohibited concomitant medications(s) listed and inability/unwillingness to discontinue them for the entire study period.
10. Suspected inability or unwillingness to comply with the study procedures. |
|
Method of Generating Random Sequence
|
Computer generated randomization |
Method of Concealment
|
Sequentially numbered, sealed, opaque envelopes |
Blinding/Masking
|
Double Blind Double Dummy |
Primary Outcome
|
Outcome |
TimePoints |
1. Change from baseline in mean sitting SBP to the end of study (12 weeks). [For subjects who are discontinued due to lack of efficacy last SBP reading at the time of discontinuation will be considered as end point].
2. The assessment of safety of Subjects (comparison of incidence of treatment emergent adverse event (TEAE)). |
1. Change from baseline in mean sitting SBP to the end of study (12 weeks). [For subjects who are discontinued due to lack of efficacy last SBP reading at the time of discontinuation will be considered as end point].
2. The assessment of safety of Subjects (comparison of incidence of treatment emergent adverse event (TEAE)). |
|
Secondary Outcome
|
Outcome |
TimePoints |
1. Change from baseline in mean sitting DBP at the end of study (12 weeks). [For subjects who are discontinued due to lack of efficacy last DBP reading at the time of discontinuation will be considered as end point].
2. Mean change in Ambulatory Blood Pressure (12 weeks) (Approximately for 25% of study population).
3. The assessment of tolerability of Investigational Product will be based on incidence of AEs and SAEs and Changes in laboratory values. |
Change from baseline in mean sitting DBP at the end of study (12 weeks). |
|
Target Sample Size
|
Total Sample Size="212" Sample Size from India="212"
Final Enrollment numbers achieved (Total)= "220"
Final Enrollment numbers achieved (India)="220" |
Phase of Trial
|
Phase 3 |
Date of First Enrollment (India)
|
15/07/2022 |
Date of Study Completion (India) |
05/12/2022 |
Date of First Enrollment (Global) |
Date Missing |
Date of Study Completion (Global) |
Date Missing |
Estimated Duration of Trial
|
Years="1" Months="0" Days="0" |
Recruitment Status of Trial (Global)
Modification(s)
|
Not Applicable |
Recruitment Status of Trial (India) |
Completed |
Publication Details
|
Not yet |
Individual Participant Data (IPD) Sharing Statement
|
Will individual participant data (IPD) be shared publicly (including data dictionaries)?
Response - NO
|
Brief Summary
|
A Multicentric, Randomized, Double Blind, Parallel Group, Two Arm, Comparative, Phase-III Clinical Study to Evaluate the Efficacy, Safety, and Tolerability of FDC of Azelnidipine 16 mg plus Telmisartan 40 mg Film Coated Tablets Versus FDC of Amlodipine 5mg + Telmisartan 40 mg tablets in Subjects with Stage 2 Hypertension. |