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CTRI Number  CTRI/2015/01/005359 [Registered on: 06/01/2015] Trial Registered Prospectively
Last Modified On: 24/12/2019
Post Graduate Thesis  No 
Type of Trial  Interventional 
Type of Study   Drug 
Study Design  Other 
Public Title of Study   Clinical trial to evaluate the Efficacy and Tolerability of Efonidipine in the treatment of Hypertension 
Scientific Title of Study   A Multicentric, Prospective, Double blind, Randomized, Comparative Clinical trial to evaluate the Efficacy and Tolerability of Efonidipine in the treatment of Hypertension 
Trial Acronym   
Secondary IDs if Any  
Secondary ID  Identifier 
ZUV/CARD/EFON/04/2011 Version No 1 Date 7th May 2013  Protocol Number 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Dr Girish Rajadhyaksha 
Designation  Principle Inestigator 
Affiliation  B. Y. L. Nair Charitable Hospital  
Address  Department of Medicine, 104 College Building, B. Y. L. Nair Charitable Hospital Mumbai-

Mumbai
MAHARASHTRA
400008
India 
Phone    
Fax    
Email  girishraj63@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Dr Bhupesh Dewan 
Designation  Director Medical Services 
Affiliation  Zuventus Healthcare Ltd 
Address  Office no 5119 D wing 5th floor Oberoi Garden Estates Chandivali Andheri east

Mumbai (Suburban)
MAHARASHTRA
400072
India 
Phone    
Fax    
Email  bhupesh.dewan@zuventus.com  
 
Details of Contact Person
Public Query
 
Name  Dr Bhupesh Dewan 
Designation  Director Medical Services 
Affiliation  Zuventus Healthcare Ltd 
Address  Office no 5119 D wing 5th floor Oberoi Garden Estates Chandivali Andheri east

Mumbai (Suburban)
MAHARASHTRA
400072
India 
Phone    
Fax    
Email  bhupesh.dewan@zuventus.com  
 
Source of Monetary or Material Support  
Zuventus Healthcare Ltd 
 
Primary Sponsor  
Name  Zuventus Healthcare Ltd 
Address  Office no 5119 D wing 5th Floor Oberoi Garden Estates Chandivali Andheri East 
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 = 12  
Name of Principal Investigator  Name of Site  Site Address  Phone/Fax/Email 
Dr Girish Rajadhyaksha  B. Y. L. Nair Charitable Hospital   Department of medicine B. Y. L. Nair Charitable Hospital Mumbai-400008
Mumbai
MAHARASHTRA 
9821695349

girishraj63@gmail.com 
Dr Nakul Sinha  Divine Heart and Multispeciality Hospital, Lucknow  Divine Heart and Multispeciality Hospital, Viraj Khand Institutional Area - 5, Gomti Nagar, Lucknow, Uttar Pradesh 226010
Lucknow
UTTAR PRADESH 
9919002760

sinha.nakul@gmail.com 
Dr Mrunalini Motlag  Indira Gandhi Government Medical College and Hospital  Department of medicine Indira Gandhi Government Medical College and Hospital, Nagpur
Nagpur
MAHARASHTRA 
9960031486

drvandanabadar@yahoo.co.in 
Dr Gouranga Sarkar  Institute of Post Graduate Medical Education & Research , Kolkata  Institute of Post Graduate Medical Education & Research 244, AJ.C. Bose Road, Kolkata- 700020.
Kolkata
WEST BENGAL 
9830165760

drgsmed@gmail.com 
Dr Srinivas Reddy  King George Hospital Andhra Medical College, Visakhapatnam  Department of Medicine, King George Hospital, Andhra Medical College, Visakhapatnam-530002, Andhra Pradesh, India.
Visakhapatnam
ANDHRA PRADESH 
9703157774

bioexperts21@gmail.com 
Dr Jitendra Kodilkar  MVP Samajs Dr. Vasantrao Pawar Medical College, Hospital & Research Centre  MVP Samajs Dr. Vasantrao Pawar Medical College, Hospital & Research Centre, department of medicine, Adgao, Nasik
Nashik
MAHARASHTRA 
9890314681

jitendrakodilkar@gmail.com 
Dr Akula Siva Prasad  Nizam Institute of Medical Sciences  Panjagutta. Landmark Near GVK Mall Punjagutta, Hyderabad Andhra Pradesh, 500082
Hyderabad
ANDHRA PRADESH 
9989732529

akulasivaprasad@gmail.com 
Dr Sanjay Sharma  Omega Hospital, Mangalore  Omega Hospital , Kankanady Bypass Road, Mahaveera Circle, Kankanady, Mangaluru, Karnataka 575002
Dakshina Kannada
KARNATAKA 
9910335590

sanju078@yahoo.co.uk 
Dr BLN Prasad  Rajiv Gandhi Institute of Medical Sciences  Rajiv Gandhi Institute of Medical Sciences Hudco Colony, Balaga, Srikakulam, Andhra Pradesh 532001
Srikakulam
ANDHRA PRADESH 
9848211931

amcmedicine@hotmail.com 
Dr Aditya Kapoor  Sanjay Gandhi Post Graduate Institute of Medical Sciences  Department of Cardiology Sanjay Gandhi Post Graduate Institute of Medical Sciences Lucknow
Lucknow
UTTAR PRADESH 
5222668079

akapoor65@gmail.com 
Dr Atul Patil  Shree Saibaba Heart Institute and Research Centre, Nashik  Shree Saibaba Heart Institute and Research Center, Near Kalidas Kala Mandir,Shalimar, Nashik
Nashik
MAHARASHTRA 
7507305533

dratpatil@gmail.com 
Dr Sharath Annam  Sunshine Hospital  Department of Cardiology Behind Paradise Hotel,Penderghast Road, Opposite Parsi Dharamsala, Secunderabad,pin-500003
Hyderabad
ANDHRA PRADESH 
91040646363

cardogh@gmail.com 
 
Details of Ethics Committee
Modification(s)  
No of Ethics Committees= 10  
Name of Committee  Approval Status 
Institutional Ethics Committee Dr. Vasantrao Pawar Medical College, Hospital & Research Centre  Approved 
Institutional Ethics Committee of Topiwala National Medical College and B.Y.L.Nair Charitable Hospital  Approved 
Institutional Ethics Committee Sunshine Hospital  Approved 
Institutional Ethics Committee, Divine Heart and Multispeciality Hospital, Lucknow  Approved 
Institutional Ethics Committee, King George Hospital  Approved 
Institutional Ethics Committee, NIMS  Approved 
Institutional Ethics Committee, RIMS  Approved 
IPGME and R Research Oversight Committee  Approved 
Omega Ethics Committee  Approved 
Shree Saibaba Ethics Committee  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Approved/Obtained 
 
Health Condition / Problems Studied
Modification(s)  
Health Type  Condition 
Patients  (1) ICD-10 Condition: I10||Essential (primary) hypertension,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Comparator Agent  Amlodipine  Amlodipine 5 mg orally o.d. for 4 weeks 
Intervention  Efonidipine  Efonidipine 40 mg orally o.d. for 4 weeks 
 
Inclusion Criteria  
Age From  18.00 Year(s)
Age To  65.00 Year(s)
Gender  Both 
Details  1.Patients aged 18 to 65 years
2.Patients with stage 1 hypertension as per Joint National Committee on Prevention, Detection, Evaluation and Treatment of High Blood Pressure (JNC VII)
3.Patients with heart rate > 83 beats/min
4.Patients ready to sign informed consent
 
 
ExclusionCriteria 
Details  1.Patients with severe hypertension with sitting systolic BP ≥ 180 mm Hg
2.Patients with history of stroke or myocardial infarction in the previous 6 months
3.Patients with congestive heart failure, sick sinus syndrome or sinus bradycardia (< 50 beats/min)
4.Patients with second- or third-degree atrioventricular block
5.Patients with documented hypersensitivity to dihydropyridine CCBs
6.Patients with hepatic disease with aspartate aminotransferase (AST) or alanine aminotransferase (ALT) > 2 times the upper normal limit
7.Patients with renal disease with a serum creatinine concentration > 2.0 mg/dL
8.Patients with uncontrolled diabetes, (hemoglobin A1C > 9%), renal artery stenosis, or secondary hypertension
9.Pregnant women or nursing mothers
10.Females with child bearing potential (considerations relate to choice of contraception, planning for pregnancy and overall obstetric care during pregnancy)
11.Patients with history of alcohol dependence, alcohol abuse or drug abuse
12.Patients with history of chronic smoking (more than 10 units per day of cigarettes, bidis, or any other form)
13.Patients scheduled for surgery anytime during the study
14.Patient receiving some other drug during the study besides that in the protocol that could possibly alter the bio availability of the drug
15.The patient previously been participated in any other clinical trial within the last month
 
 
Method of Generating Random Sequence   Computer generated randomization 
Method of Concealment   Pre-numbered or coded identical Containers 
Blinding/Masking   Double Blind Double Dummy 
Primary Outcome  
Outcome  TimePoints 
•Proportion of patients achieving JNC VII target BP of 140/90 mm Hg by the end of treatment
•Proportion of patients achieving heart rate 83 beats per minute by the end of treatment (as per Framingham Heart Study)
 
28 Days 
 
Secondary Outcome  
Outcome  TimePoints 
•Proportion of patients achieving JNC VII target BP of 140/90 mm Hg after 2 weeks of therapy
 
28 Days 
•Proportion of patients achieving heart rate 83 beats per minute after 2 weeks of therapy
 
28 Days 
•Symptom relief: Defined as the absence of the clinical symptom of dyspnea and palpitations after 4 weeks of therapy
 
28 Days 
Adverse events observed during the treatment period  28 Days 
 
Target Sample Size   Total Sample Size="200"
Sample Size from India="200" 
Final Enrollment numbers achieved (Total)= "200"
Final Enrollment numbers achieved (India)="200" 
Phase of Trial   Phase 3 
Date of First Enrollment (India)   30/01/2015 
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="1"
Months="0"
Days="0" 
Recruitment Status of Trial (Global)
Modification(s)  
Not Applicable 
Recruitment Status of Trial (India)  Completed 
Publication Details
Modification(s)  
Dewan B, Wani V. A Comparative Clinical Trial of Efonidipine and Amlodipine in Management of Stage-I Hypertension: A Randomized, Double-Blind Study in Indian Population. Journal of Advances in Medicine and Medical Research. 2018 Oct 12:1-2. 
Individual Participant Data (IPD) Sharing Statement

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

Brief Summary   A Multicentric, Prospective, Double blind, Randomized, Comparative Clinical trial to evaluate the Efficacy and Tolerability of 

Efonidipine in the treatment of Hypertension

The aim of the study is to establish non-inferiority of Efonidipine hydrochloride when compared with Amlodipine in the management of hypertension

Primary Objective

  • To assess the efficacy of Efonidipine 40 mg given once a day orally in alleviating symptoms of hypertension

Secondary Objective

  • To evaluate the safety & tolerability of the investigational drug in Indian patients.
  • To evaluate patient compliance
 
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