Trial to Evaluate the Efficacy and Safety of a Combination Therapy of Candesartan and Amlodipine Versus Candesartan Monotherapy in Hypertensive Patients Inadequately Controlled by Candesartan Monotherapy
A Randomized, Double-blind, Multi-center, Phase 3 Trial to Evaluate the Efficacy and Safety of a Combination Therapy of Candesartan and Amlodipine Versus Candesartan Monotherapy in Hypertensive Patients Inadequately Controlled by Candesartan Monotherapy
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Study Type
Study Type
Enrollment (Actual)
Enrollment
Phase
Phase
- Phase 3
Contacts and Locations
Study Locations
-
-
-
Seoul, Korea, Republic of
- Severance Hospital
-
-
Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Description
Inclusion Criteria:
- Age of 19 or above
Inadequately controlled Essential hypertension at Screening
Drug naive or didn't take antihypertensive drug within 2 weeks prior to Visit 1
- Mean sitDBP ≥ 95mmHg on target arm
Taking antihypertensive drug but not controlled
- Mean sitDBP ≥ 90mmHg on target arm
Inadequately controlled after 4 weeks of Candesartan 16mg monotherapy
- Mean sitDBP at Visit 2 ≥ 90mmHg on target arm
- Ability to provide written informed consent
Exclusion Criteria:
- The change of mean sitDBP ≥ 10mmHg or mean sitSBP ≥ 20mmHg on target arm at Visit 1
- Mean sitDBP ≥ 120mmHg or mean sitSBP ≥ 200mmHg on target arm at Visit 1 and Visit 2
- Known to suspected Stage 2 Hypertension(aortic coarctation, Primary hyperaldosteronism, renal artery stenosis, pheochromocytoma)
- Patient with congestive heart failure(NYHA class III, IV)
- Patient with unstable angina pectoris, myocardial infarction, Valvular heart disease, arrhythmia(treatment required) within 3 months
- History of stroke, cerebral hemorrhage within 6 months
- Type I Diabetes mellitus, Type II Diabetes mellitus with HbA1c > 8.5%
- History of severe or malignant retinopathy
- AST/ALT > UNL*3, Serum creatinine > UNL*1.5, K > 5.5mEq/L
- Patient with acute or chronic inflammatory(treatment required) status
- Patient who need to take antihypertensive drug besides Investigational products
- Patient must be treated with medications prohibited for concomitant use during the study period
- History of angioedema related to ACE inhibitor or angiotensin II receptor blockers
- Hypersensitive to Candesartan/Amlodipine
- Patient who are dependent on drugs or alcohol within 6 months
- History of disability to drug ADME, active inflammatory bowel syndrome within 12months, impaired pancreatic function, GI bleeding, obstructions of urinary tract
- Patients treated with other investigational product within 30 days at first time taking the investigational product
- Women with pregnant, breast-feeding
- History of malignant tumor within 5 years
- Not eligible to participate for the study at the discretion of investigator
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: Double
Number of Arms
Arms and Interventions
Participant Group / ArmParticipant Group / Arm |
Intervention / TreatmentIntervention / Treatment |
|---|---|
|
Experimental: Candesartan 16mg + Amlodipine 5mg
Candesartan 16mg + Amlodipine 5mg, po, q.d.
|
|
|
Experimental: Candesartan 16mg + Amlodipine 10mg
Candesartan 16mg + Amlodipine 10mg, po, q.d.
|
|
|
Active Comparator: Candesartan 16mg
Candesartan 16mg, po, q.d.
|
What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Time Frame |
|---|---|
|
The mean change of sitDBP(sitting diastolic blood pressure)
Time Frame: From baseline at week 8
|
From baseline at week 8
|
Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Time Frame |
|---|---|
|
The mean change of sitDBP
Time Frame: From baseline to week 4
|
From baseline to week 4
|
|
The mean change of sitSBP
Time Frame: From baseline to week 4 and 8
|
From baseline to week 4 and 8
|
|
Control rate: Patient achieving sitSBP < 140mmHg and sitDBP < 90mmHg
Time Frame: From baseline to week 8
|
From baseline to week 8
|
|
Response rate: sitSBP reduction ≥ 20mmHg and sitDBP reduction ≥ 10mmHg
Time Frame: From baseline to week 8
|
From baseline to week 8
|
Collaborators and Investigators
Sponsor
Sponsor
Study record dates
Study Major Dates
Study Start (Actual)
Study Start
Primary Completion (Actual)
Primary Completion
Study Completion (Actual)
Study Completion
Study Registration Dates
First Submitted
First Submitted
First Submitted That Met QC Criteria
First Submitted That Met QC Criteria
First Posted (Estimate)
First Posted
Study Record Updates
Last Update Posted (Actual)
Last Update Posted
Last Update Submitted That Met QC Criteria
Last Update Submitted That Met QC Criteria
Last Verified
Last Verified
More Information
Terms related to this study
Keywords
Additional Relevant MeSH Terms
- Cardiovascular Diseases
- Vascular Diseases
- Hypertension
- Physiological Effects of Drugs
- Molecular Mechanisms of Pharmacological Action
- Antihypertensive Agents
- Vasodilator Agents
- Membrane Transport Modulators
- Calcium-Regulating Hormones and Agents
- Calcium Channel Blockers
- Angiotensin II Type 1 Receptor Blockers
- Angiotensin Receptor Antagonists
- Amlodipine
- Candesartan
Other Study ID Numbers
Other Study ID Numbers
- 144HT14020
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