CTRI Number |
CTRI/2022/09/045464 [Registered on: 13/09/2022] Trial Registered Prospectively |
Last Modified On: |
19/12/2023 |
Post Graduate Thesis |
No |
Type of Trial |
Interventional |
Type of Study
|
Drug |
Study Design |
Single Arm Study |
Public Title of Study
|
A clinical trial to study the effects of fixed dose combination of Metoprolol and Telmisartan (Metosartan) in patients with essential hypertension |
Scientific Title of Study
|
CONTROL – A Phase IV, open-label, multi-centric, non-comparative study to assess the efficacy and tolerability of fixed dose combination (FDC) of metoprolol and telmisartan (Metosartan) in patients with essential hypertension. |
Trial Acronym |
|
Secondary IDs if Any
|
Secondary ID |
Identifier |
SP/CVD/Metosartan/PIV-01-2022 |
Protocol Number |
|
Details of Principal Investigator or overall Trial Coordinator (multi-center study)
|
Name |
Dr Chintan Khandhedia |
Designation |
Lead – Clinical Research and RWE |
Affiliation |
Sun Pharma Laboratories Limited (SPLL) |
Address |
Sun Pharma Laboratories Limited (SPLL), SUN HOUSE, CTS No. 201 B/1, Western Express Highway, Goregaon (E), Mumbai Sun Pharma Laboratories Limited (SPLL), SUN HOUSE, CTS No. 201 B/1, Western Express Highway, Goregaon (E), Mumbai Mumbai (Suburban) MAHARASHTRA 400063 India |
Phone |
02243245231 |
Fax |
|
Email |
chintan.khandhedia@sunpharma.com |
|
Details of Contact Person Scientific Query
|
Name |
Dr Neeraj Markandeywar |
Designation |
DGM – Medical Affairs |
Affiliation |
Sun Pharma Laboratories Limited (SPLL) |
Address |
Sun Pharma Laboratories Limited (SPLL), SUN HOUSE, CTS No. 201 B/1, Western Express Highway, Goregaon (E), Mumbai Sun Pharma Laboratories Limited (SPLL), SUN HOUSE, CTS No. 201 B/1, Western Express Highway, Goregaon (E), Mumbai Mumbai (Suburban) MAHARASHTRA 400063 India |
Phone |
02243245230 |
Fax |
|
Email |
neeraj.markandeywar@sunpharma.com |
|
Details of Contact Person Public Query
|
Name |
Dr Amol Prabhudesai |
Designation |
Project Manager-Clinical Operations |
Affiliation |
Tech Observer Pvt.Ltd |
Address |
1391, 34A, Pandit Vishnu Dutt Marg, RC Basti,Block WZ, Nangal Raya, Janakpuri, New Delhi, Delhi 1391, 34A, Pandit Vishnu Dutt Marg, RC Basti,Block WZ, Nangal Raya, Janakpuri, New Delhi, Delhi New Delhi DELHI 110046 India |
Phone |
01128524382 |
Fax |
|
Email |
amol.prabhudesai@tech-oberver.com |
|
Source of Monetary or Material Support
|
Sun Pharma Laboratories Limited (SPLL), SUN HOUSE, CTS No. 201 B/1, Western Express Highway, Goregaon (E), Mumbai 400063 |
|
Primary Sponsor
|
Name |
Sun Pharma Laboratories Limited SPLL |
Address |
Sun Pharma Laboratories Limited (SPLL), SUN HOUSE, CTS No. 201 B/1, Western Express Highway, Goregaon (E), Mumbai 400063 |
Type of Sponsor |
Pharmaceutical industry-Indian |
|
Details of Secondary Sponsor
|
|
Countries of Recruitment
|
India |
Sites of Study
Modification(s)
|
No of Sites = 7 |
Name of Principal
Investigator |
Name of Site |
Site Address |
Phone/Fax/Email |
Dr Prabhakar Doraiaj |
Ashwin Clinic |
AG 25/53, IV
Avenue, Anna Nagar, Chennai 600040 Chennai TAMIL NADU |
9884012727
prabhud19@gmail.com |
DrUpendra Kaul |
Batra Hospital & medical Research centre |
Department of Cardiology,2nd Floor,1, Tughlakabad, M.B Road, New delhi-110062 New Delhi DELHI |
01129957661
kaul.upendra@gmail.com |
Dr Manoj Chopada |
Chopda Medicare and Research Centre Pvt. Ltd, Magnum Heart Institute |
Magnum Heart Institute,Reception,Department of Cardiology, 3/5 Patil lane no 1, Laxmi nagar Near K B H Vidyalaya, Canada conner Nashik 422005 Maharashtra India Nashik MAHARASHTRA |
9823021613
drchopdamanoj@gmail.com |
Dr Gaurav Chhaya |
Khyati Multispecialty Hospital |
S.No235/2,B/S Tata Motor Showroom, Rajpath Club Bodakdev, Ahemadabad, Gujarat 380015
Ahmadabad GUJARAT |
9825324056
gaurav.chhaya2010@gmail.com |
Dr Manish Agarwal |
Medlink Hospital Research Centre |
Medilink Hospital, Near Shyamal Cross Road, 132 ft. Ring Road, Satellite Ahmedabad 380015 Gujarat, India
Ahmadabad GUJARAT |
9825443397
Medilinkhospital@yahoo.com |
Dr Selvamani |
Meenakshi Mission Hospital and Research Centre |
Meenakshi Mission Hospital and Research Centre,Department of Cardiology,OPD 2nd Floor, Lake Area, Melur Road, Madurai- 625107 Madurai TAMIL NADU |
9842158868
dr.selvamani2020@gmail.com |
Dr Kamal Sharma |
Sanjivini Super speciallity Hospital |
Sanjivini Super speciallity Hospital,First Floor,Department of Cardiology, 1, Uday Park Society Nr Sunrise park vastrapur Ahmedabad 380015 India Ahmadabad GUJARAT |
9426020154
kamalcardio@gmail.com |
|
Details of Ethics Committee
Modification(s)
|
No of Ethics Committees= 7 |
Name of Committee |
Approval Status |
Asian Education & Research Foundation |
Approved |
INSTITUTIONAL ETHICS COMMITTEE BILLROTH HOSPITALS PVT LTD |
Approved |
Institutional Ethics Committee Meenakshi Mission Hospital and Research Centre |
Approved |
Magna-care Ethics Committee Chopda Medicare and Research Centre Pvt. Ltd |
Approved |
Medilink ethics committee |
Approved |
Sanjivani Hospital Ethics Committee Sanjivani Super Speciality Hospital Pvt.Ltd. |
Approved |
Scientific Research and Ethical Review committee Batra Hospital & Medical Research Centre |
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 |
Intervention |
Metosartan |
Metosartan – FDC tablets of Metoprolol succinate extended release 25mg + Telmisartan 40mg (Metosartan 25) and Metoprolol succinate extended release 50mg + Telmisartan 40mg (Metosartan 50)
Route of Administration-Oral
Dosage- Once daily after food
Treatment Duration - 8 weeks |
Comparator Agent |
NA |
NA |
|
Inclusion Criteria
Modification(s)
|
Age From |
18.00 Year(s) |
Age To |
65.00 Year(s) |
Gender |
Both |
Details |
• Male or female patients aged between 18 and 65 years (both inclusive) willing to provide written informed consent.
• Patients diagnosed with essential hypertension with co-existing stable ischemic heart disease [no change in severity of symptoms or nitrate
consumption in previous 3 months and defined as either stable symptoms (angina or dyspnea), which are thought to be related to chronic arterial disease (CAD), or asymptomatic patients with prior-diagnosed CAD].
• Patients with uncontrolled essential hypertension [having seated diastolic BP (SeDBP) 90 to 110 mmHg and/or seated systolic BP (SeSBP) 140 to 200 mmHg based on in-clinic blood pressure AND 24-hr average SBP ≥ 130 and/or DBP ≥ 80 mmHg based on ABPM], heart rate of >70 beats/minute and who is on stable dose of antihypertensive monotherapy for at least 4 weeks.
•Patients recommended FDC of Metoprolol succinate extended release + Telmisartan as part of physician’s clinical decision, in line with the prescribing information (PI) of Metosartan.
• Female subjects of childbearing potential must have a negative urine pregnancy test prior to study entry and must be willing to use acceptable method of contraception (female of childbearing potential is defined as one who has not been postmenopausal for at least one year, or has not been surgically sterilized, or has not had a hysterectomy at least three months prior to the start of this study. Acceptable method of contraception includes (e.g., barrier method with spermicide). The calendar method or usage of intra-uterine device (IUD) will not be considered as an acceptable method. The patient must be willing to practice recommended and acceptable method of contraception to prevent pregnancy from the time of study entry till 2 weeks post the last dose of study medication. |
|
ExclusionCriteria |
Details |
• Presence of any clinically relevant known comorbid conditions like hepatic impairment, chronic renal failure, thromboembolic disorders, cerebrovascular diseases, uncontrolled diabetes, uncontrolled thyroid disorder etc.
• Any known cardiac disease/disorder like severe bradycardia, heart block greater than first degree or significant first-degree block, cardiogenic shock, decompensated cardiac failure, sick sinus syndrome without pacemaker etc. in which either Metoprolol or Telmisartan (individually or in combination) is contraindicated.
• Presence or history of secondary or malignant hypertension.
• Female subjects who are pregnant or lactating or are likely to become pregnant
• Patients receiving other beta blocker therapy (other than Metoprolol) in the last 4 weeks of treatment period prior to entering the study
• Any relevant clinical condition which, in the opinion of the investigator, could interfere with the outcome of the study.
• Patients expected to be non-compliant to the recommended instructions of the treating physician.
• Concomitant or prior (within 60 days of screening) use of any of the following medications: calcium channel blockers, digitalis glycosides, MAO inhibitors, fluoxetine, paroxetine, propafenone, quinidine, ACE inhibitors, clonidine, aliskiren.
• Patients who have participated in any study of an investigational product within last months.
• Subjects with known intolerance, hypersensitivity or any other contraindication to any of Metoprolol or Telmisartan. |
|
Method of Generating Random Sequence
|
Not Applicable |
Method of Concealment
|
Not Applicable |
Blinding/Masking
|
Open Label |
Primary Outcome
|
Outcome |
TimePoints |
Change in the mean 24-hr SBP and DBP from baseline to 8 weeks on ambulatory blood pressure measurement (ABPM). |
8 Weeks |
|
Secondary Outcome
|
Outcome |
TimePoints |
• Responder rates (BP target of 130/80 mm Hg as per 2017 American College of Cardiology [ACC] guidelines for hypertension) based on mean 24-hour ambulatory blood pressure measurement (ABPM).
• Responder rates (BP target of 130/80 mm Hg) based on in-clinic blood pressure measurements.
• Change in mean of SBP and DBP from baseline to 8 weeks for last 6-hr dosing interval (relative to dose time).
• Change in heart rate from baseline to 8 weeks.
• Proportion of patients achieving the target heart rate (Target heart rate is defined as 60 beats/min and 50 beats/min [range 50 – 60 beats/min]) at the end of study period
• Change in short term blood pressure variability measured at each visit
• Change in 24 hr distribution of BP reduction measured at each visit
• Change in evaluation of early morning BP levels – First 6 hours vs last 3 hours BP difference, calculated from the time of application of ABPM device.
|
8 Weeks |
|
Target Sample Size
|
Total Sample Size="88" Sample Size from India="88"
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 4 |
Date of First Enrollment (India)
|
16/09/2022 |
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
Modification(s)
|
This is a prospective, open label, multi-centric, single arm study to assess the efficacy and tolerability of fixed dose combination (FDC) of metoprolol and telmisartan (Metosartan) in patients with essential hypertension |