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E-Consultancy
10th Aug 2023
Topic: Hypertension/ Diabetes
and Beyond
Dr. P Manohar
MD, DM (Cardiology)
Interventional Cardiologist
Chennai
Our humble beginnings….47 years ago!
RICH LEGACY, PROMISING FUTURE
1st brick in the
foundation laid
by late Mr. J.B.
Mody by
incorporating J.
B. Mody
Chemicals and
Pharmaceutical
s Limited.
1985 1986
2000
2003
2007
2008
2016
2020
2021
Forayed into the
cardiac segment
with the
revolutionary
product
Nicardia.
Iconic
product
Rantac
introduced
Received first
FDA approval for
our Panoli Plant:
T10.
Made a strategic
investment in a
company in
South Africa
called Biotech
Laboratories..
Leading private equity
firm Kohlberg Kravis
Roberts & Co. Inc. (KKR),
acquired a controlling
stake of JBCPL.
Introduced brands in
Russia, that went on
to become leading
OTC products in the
cough and cold
segment.
Got publicly listed
and expanded from
API to Formulation Launched the
product Cilacar
that went on to
become a leading
brand in
cardiology and
nephrology
Received a silver award
from the United States
Pharmacopeia (USP)
for participation in the
Monograph
Development &
Upgradation Program,
and preparation and
distribution of USP
reference substance
Ranked 25th in the Industry
(IQVIA) with 5 brands: Rantac
Metrogyl, Nicardia and Cilacar-T
featuring in top 300 brands of
the Indian pharmaceutical
market.
New therapeutic categories
introduced: Diabetes,
Nephrology, Respiratory,
Virology.
1976
1977
Introduced
the product
Metrogyl,
that went
on to
become the
‘gold
standard’ in
the
industry
Major Breakthrough Steps…
Feb 2022 April 2022 July 2022
4 big pedia brands
Dec 2022
Hypertension
Difficult to
Manage HTN
Resistant HTN
Uncontrolled HTN
Diabetes / HF
Heart Failure
Our products in the entire CV continuum
Dyslipidemia
For Doctors
Advisory
Forums
National
Webinars
Regional
CMEs
Scientific
Conclaves
YouTube
#Shorts
For Patients - Hypertension
UACR Test Kit
Calendarized Packs
Largest in
the world
For internal training purposes only
Lozenges
For internal training purposes
What % of
hypertensive patients present with signs and symptoms of organ
damage, within the early years of being hypertensive?
1. 5-15%
2. 15-25%
3. 25-35%
4. 35-45%
5. More than 45%
Early Onset Hypertension Is Associated with
Hypertensive End-Organ Damage Already by Mid-Life
Hypertension. 2019 August ; 74(2): 305–312.
Our findings suggest that
hypertensive TOD is
robustly associated with
early onset hypertension
already by mid-life
The prevalence of microalbuminuria (MA) among
hypertensives and its relation to the
duration of hypertension – Indian study 150 patients
Kottayam Medical College, Kerala, South India,
between May 2005 and October 2006
Saudi J Kidney Dis Transpl 2008;19(3):411-419
Do you agree that consistently uncontrolled BP > 150mmHg can lead to
and hasten end-organ damage?
1. Yes
2. No
3. May be
In hypertensive patients, how frequently should physicians ask for a
microalbuminuria / UACR testing done?
1. Every 3 months
2. Every 6 months
3. Once every year
What are the outcomes from anti-hypertensive therapy, that are
crucial for a physician in his patients of diabetic hypertension?
1. Molecule’s efficacy in reducing BP numbers
2. Molecule’s capability for end organ protection
3. Both the above outcomes are equally crucial
What are the advantages of selecting Cilnidipine + Telmisartan
combination therapy in diabetic hypertensive patients?
1. Combination therapy helps in greater BP numbers reduction
2. Synergism between molecules is beneficial in reno-protection
3. Different modes of action ensure sustained anti-hypertensive action
Trials for Reno-Protection with Cilnidipine
CARTER
TRIAL
J-Circle
Study
CLEARED
Study
Results suggest that
switching from amlodipine
to cilnidipine results in a
significant reduction in
urinary ACR as well as
significant reduction in uric
acid production. Thus,
cilnidipine is more useful
than amlodipine in
improving albuminuria and
uric acid metabolism in
hypertensive patients with
chronic kidney disease
Cilnidipine had greater anti-
proteinuric effects than
amlodipine in hypertensive
patients who had kidney
disease associated with
significant proteinuria
Combination therapy with
cilnidipine and an ARB
ameliorated urinary albumin
excretion more potently than
ARB monotherapy.
N = 339 N = 70 N = 90
Switching of the treatment from
the L-type CCB to cilnidipine
resulted in significant reduction of
the UAE, whereas switching from
cilnidipine to the L-type CCB
resulted in no significant change
in the UAE. This study
demonstrated that the
antialbuminuric effect of
Cilnidipine, but not the L-type
CCBs, was sustained even in
patients treated for a long time.
Diabetes Res Clin Pract . 2012 Jul;97(1):91-8.; ||| J Clin Hypertens (Greenwich) . 2014 Oct;16(10):746-53. doi: 10.1111/jch.12412. ||| Kidney Int. 2007 Dec;72(12):1543-9. doi: 10.1038/sj.ki.5002623.
In hypertensive patients with SBP > 150mmHg, beginning right away
with combination therapy (like Cilnidipine + Telmisartan) is the
preferred choice
1. Strongly agree
2. Agree
3. Neutral
4. Disagree
5. Strongly Disagree
19
Restores the
podocin and nephrin
expression, protects
the podocytes
Afferent and
Efferent arterioles
(L&N channel
blocking), thus
reduced glomerular
pressure
Inhibits oxidative
stress, Ameliorates
urinary albumin
excretion and
decreases urinary 8-
OHdG and L-FABP
Inhibits the renal
RAS system
Cilnidipine has multiple approaches in reno-protection
J Hypertens. 2010 May; 28(5): 1034–1043.
Hypertens Res. 2012 Nov;35(11):1058-62. doi: 10.1038/hr.2012.96.
Do you find Cilnidipine (10mg) + Telmisartan (40mg) + combination to
be clinically relevant in difficult-to-manage hypertension?
1. Strongly agree
2. Agree
3. Neutral
4. Disagree
5. Strongly disagree
Which of the below clinical benefits have you most frequently seen
with Cilnidipine + Telmisartan combination therapy in your diabetic
hypertensive patients?
1. Reno-protection, reduction in UACR
2. Consistent, reliable and Smooth BP reduction
3. No reflex tachycardia, visibly normalized sympathetic overdrive
4. Minimal pedal edema, well tolerated
5. All of the above
What percentage of young Indian
hypertensive patients (Age less than 50 years) that present with
microalbuminuria in your practice?
1. 10-20%
2. 20-30%
3. 30-40%
4. 40-50%
5. More than 50%
Do you believe that sympathetic over activity in hypertensive patients,
enhances the progression of kidney damage?
1. Strongly agree
2. Agree
3. Neutral
4. Disagree
5. Strongly disagree
ARB + Cilnidipine as an add-on CCB, is one the preferred therapies to
manage sympathetic overactivity in hypertensive patients, thus
improving the overall renal outcomes?
1. Strongly agree
2. Agree
3. Neutral
4. Disagree
5. Strongly disagree
E- Consultancy 10th Aug'23 Dr. P. Manohar.pptx

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E- Consultancy 10th Aug'23 Dr. P. Manohar.pptx

  • 1. E-Consultancy 10th Aug 2023 Topic: Hypertension/ Diabetes and Beyond Dr. P Manohar MD, DM (Cardiology) Interventional Cardiologist Chennai
  • 3. RICH LEGACY, PROMISING FUTURE 1st brick in the foundation laid by late Mr. J.B. Mody by incorporating J. B. Mody Chemicals and Pharmaceutical s Limited. 1985 1986 2000 2003 2007 2008 2016 2020 2021 Forayed into the cardiac segment with the revolutionary product Nicardia. Iconic product Rantac introduced Received first FDA approval for our Panoli Plant: T10. Made a strategic investment in a company in South Africa called Biotech Laboratories.. Leading private equity firm Kohlberg Kravis Roberts & Co. Inc. (KKR), acquired a controlling stake of JBCPL. Introduced brands in Russia, that went on to become leading OTC products in the cough and cold segment. Got publicly listed and expanded from API to Formulation Launched the product Cilacar that went on to become a leading brand in cardiology and nephrology Received a silver award from the United States Pharmacopeia (USP) for participation in the Monograph Development & Upgradation Program, and preparation and distribution of USP reference substance Ranked 25th in the Industry (IQVIA) with 5 brands: Rantac Metrogyl, Nicardia and Cilacar-T featuring in top 300 brands of the Indian pharmaceutical market. New therapeutic categories introduced: Diabetes, Nephrology, Respiratory, Virology. 1976 1977 Introduced the product Metrogyl, that went on to become the ‘gold standard’ in the industry
  • 4. Major Breakthrough Steps… Feb 2022 April 2022 July 2022 4 big pedia brands Dec 2022
  • 5. Hypertension Difficult to Manage HTN Resistant HTN Uncontrolled HTN Diabetes / HF Heart Failure Our products in the entire CV continuum Dyslipidemia
  • 7. For Patients - Hypertension UACR Test Kit Calendarized Packs
  • 8. Largest in the world For internal training purposes only
  • 10. What % of hypertensive patients present with signs and symptoms of organ damage, within the early years of being hypertensive? 1. 5-15% 2. 15-25% 3. 25-35% 4. 35-45% 5. More than 45%
  • 11. Early Onset Hypertension Is Associated with Hypertensive End-Organ Damage Already by Mid-Life Hypertension. 2019 August ; 74(2): 305–312. Our findings suggest that hypertensive TOD is robustly associated with early onset hypertension already by mid-life
  • 12. The prevalence of microalbuminuria (MA) among hypertensives and its relation to the duration of hypertension – Indian study 150 patients Kottayam Medical College, Kerala, South India, between May 2005 and October 2006 Saudi J Kidney Dis Transpl 2008;19(3):411-419
  • 13. Do you agree that consistently uncontrolled BP > 150mmHg can lead to and hasten end-organ damage? 1. Yes 2. No 3. May be
  • 14. In hypertensive patients, how frequently should physicians ask for a microalbuminuria / UACR testing done? 1. Every 3 months 2. Every 6 months 3. Once every year
  • 15. What are the outcomes from anti-hypertensive therapy, that are crucial for a physician in his patients of diabetic hypertension? 1. Molecule’s efficacy in reducing BP numbers 2. Molecule’s capability for end organ protection 3. Both the above outcomes are equally crucial
  • 16. What are the advantages of selecting Cilnidipine + Telmisartan combination therapy in diabetic hypertensive patients? 1. Combination therapy helps in greater BP numbers reduction 2. Synergism between molecules is beneficial in reno-protection 3. Different modes of action ensure sustained anti-hypertensive action
  • 17. Trials for Reno-Protection with Cilnidipine CARTER TRIAL J-Circle Study CLEARED Study Results suggest that switching from amlodipine to cilnidipine results in a significant reduction in urinary ACR as well as significant reduction in uric acid production. Thus, cilnidipine is more useful than amlodipine in improving albuminuria and uric acid metabolism in hypertensive patients with chronic kidney disease Cilnidipine had greater anti- proteinuric effects than amlodipine in hypertensive patients who had kidney disease associated with significant proteinuria Combination therapy with cilnidipine and an ARB ameliorated urinary albumin excretion more potently than ARB monotherapy. N = 339 N = 70 N = 90 Switching of the treatment from the L-type CCB to cilnidipine resulted in significant reduction of the UAE, whereas switching from cilnidipine to the L-type CCB resulted in no significant change in the UAE. This study demonstrated that the antialbuminuric effect of Cilnidipine, but not the L-type CCBs, was sustained even in patients treated for a long time. Diabetes Res Clin Pract . 2012 Jul;97(1):91-8.; ||| J Clin Hypertens (Greenwich) . 2014 Oct;16(10):746-53. doi: 10.1111/jch.12412. ||| Kidney Int. 2007 Dec;72(12):1543-9. doi: 10.1038/sj.ki.5002623.
  • 18. In hypertensive patients with SBP > 150mmHg, beginning right away with combination therapy (like Cilnidipine + Telmisartan) is the preferred choice 1. Strongly agree 2. Agree 3. Neutral 4. Disagree 5. Strongly Disagree
  • 19. 19 Restores the podocin and nephrin expression, protects the podocytes Afferent and Efferent arterioles (L&N channel blocking), thus reduced glomerular pressure Inhibits oxidative stress, Ameliorates urinary albumin excretion and decreases urinary 8- OHdG and L-FABP Inhibits the renal RAS system Cilnidipine has multiple approaches in reno-protection J Hypertens. 2010 May; 28(5): 1034–1043. Hypertens Res. 2012 Nov;35(11):1058-62. doi: 10.1038/hr.2012.96.
  • 20. Do you find Cilnidipine (10mg) + Telmisartan (40mg) + combination to be clinically relevant in difficult-to-manage hypertension? 1. Strongly agree 2. Agree 3. Neutral 4. Disagree 5. Strongly disagree
  • 21. Which of the below clinical benefits have you most frequently seen with Cilnidipine + Telmisartan combination therapy in your diabetic hypertensive patients? 1. Reno-protection, reduction in UACR 2. Consistent, reliable and Smooth BP reduction 3. No reflex tachycardia, visibly normalized sympathetic overdrive 4. Minimal pedal edema, well tolerated 5. All of the above
  • 22. What percentage of young Indian hypertensive patients (Age less than 50 years) that present with microalbuminuria in your practice? 1. 10-20% 2. 20-30% 3. 30-40% 4. 40-50% 5. More than 50%
  • 23. Do you believe that sympathetic over activity in hypertensive patients, enhances the progression of kidney damage? 1. Strongly agree 2. Agree 3. Neutral 4. Disagree 5. Strongly disagree
  • 24. ARB + Cilnidipine as an add-on CCB, is one the preferred therapies to manage sympathetic overactivity in hypertensive patients, thus improving the overall renal outcomes? 1. Strongly agree 2. Agree 3. Neutral 4. Disagree 5. Strongly disagree