- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT00923091
Parallel-Group Comparison of Olmesartan (OLM), Amlodipine (AML) and Hydrochlorothiazid (HCTZ) in Hypertension
Randomised, Double-Blind, Parallel-Group Study Evaluating Efficacy and Safety of Co-Administration of Triple Combinations of Olmesartan Medoxomil, Amlodipine Besylate, and Hydrochlorothiazide Compared With Corresponding Olmesartan - Amlodipine Combination in Subjects With Hypertension
Study Overview
Status
Conditions
Intervention / Treatment
- Drug: olmesartan medoxomil + amlodipine + hydroclororthiazide + placebo
- Drug: Olmesartan medoxomil + amlodipine + hydrochlorothiazide + placebo
- Drug: olmesartan medoxomil + amlodipine + hydroclororthiazide
- Drug: olmesartan medoxomil + amlodipine + hydroclororthiazide
- Drug: olmesartan medoxomil + amlodipine + hydroclororthiazide
- Drug: olmesartan medoxomil + amlodipine
- Drug: olmesartan medoxomil + amlodipine
- Drug: olmesartan medoxomil + amlodipine
Study Type
Enrollment (Actual)
Phase
- Phase 3
Contacts and Locations
Study Locations
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Antwerp, Belgium
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Buizingen, Belgium
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De Pinte, Belgium
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Drongen, Belgium
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Gent, Belgium
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Gilly, Belgium
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Merksem, Belgium
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Mouscron, Belgium
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Tremelo, Belgium
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Wichelen, Belgium
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Burgas, Bulgaria
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Pleven, Bulgaria
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Plovdiv, Bulgaria
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Sofia, Bulgaria
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Stara Zagora, Bulgaria
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Veliko Tarnovo, Bulgaria
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Benatky nad Jizerou, Czechia
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Brodce, Czechia
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Havirov, Czechia
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Jicin, Czechia
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Mlada Boleslav, Czechia
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Moravska Ostrava, Czechia
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Plzen, Czechia
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Prachatice, Czechia
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Praha, Czechia
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Sokolov, Czechia
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Copenhagen, Denmark
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Frederiksberg, Denmark
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Roskilde, Denmark
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Berlin, Germany
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Cloppenburg, Germany
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Delitzsch, Germany
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Dresden, Germany
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Erfurt, Germany
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Essen, Germany
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Hamburg, Germany
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Heidelberg, Germany
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Leipzig, Germany
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Northeim, Germany
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Simmern, Germany
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Wallerfing, Germany
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Wiesbaden, Germany
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Budapest, Hungary
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Debrecen, Hungary
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Hodmezovasarhely, Hungary
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Jaszbereny, Hungary
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Kaposvar, Hungary
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Kecskemet, Hungary
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Oroshaza, Hungary
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Pecs, Hungary
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Szekesfehervar, Hungary
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Veszprem, Hungary
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Zalaegerszeg, Hungary
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Bologna, Italy
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Brescia, Italy
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Chieti, Italy
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Ferrara, Italy
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Foggia, Italy
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Genova, Italy
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Palermo, Italy
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Parma, Italy
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Perugia, Italy
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Pisa, Italy
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Roma, Italy
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Sassari, Italy
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Stradella Pavia, Italy
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Cesis, Latvia
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Daugavpils, Latvia
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Jekabpils, Latvia
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Ogre, Latvia
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Riga, Latvia
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Tukums, Latvia
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Varaklani, Latvia
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Ventspils, Latvia
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Deurne, Netherlands
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Eindhoven, Netherlands
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Lichtenvoorde, Netherlands
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Lieshout, Netherlands
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Rotterdam, Netherlands
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Utrecht, Netherlands
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Bialystok, Poland
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Debica, Poland
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Gdansk, Poland
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Gdynia, Poland
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Jastrzebia Zdroj, Poland
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Krakow, Poland
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Lublin, Poland
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Mielec, Poland
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Opole, Poland
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Szczecin, Poland
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Warsaw, Poland
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Wroclaw, Poland
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Arad, Romania
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Bucharest, Romania
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Craiova, Romania
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Iasi, Romania
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Pitesti, Romania
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Ploiesti, Romania
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Sibiu, Romania
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Suceava, Romania
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Timisoara, Romania
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Barnaul, Russian Federation
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Moscow, Russian Federation
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Novosibirsk, Russian Federation
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Saint Petersburg, Russian Federation
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Tyumen, Russian Federation
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Yaroslavl, Russian Federation
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Banska Bysterica, Slovakia
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Bratilslava, Slovakia
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Nitra, Slovakia
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Povazska Bystrica, Slovakia
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Rimavska Sobota, Slovakia
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Zilina, Slovakia
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Badalona, Spain
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Barcelona, Spain
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Ferrol, Spain
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Lleida, Spain
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Madrid, Spain
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Petrer, Spain
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Salamanca, Spain
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Santiago de Compostela, Spain
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Valencia, Spain
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Dnipropetrovsk, Ukraine
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Donetsk, Ukraine
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Kharkiv, Ukraine
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Kyiv, Ukraine
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Lutsk, Ukraine
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Lviv, Ukraine
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Odesa, Ukraine
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Simferopol, Ukraine
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Vinnytsya, Ukraine
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Zaporizhzhya, Ukraine
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Zhytomyr, Ukraine
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Participation Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Description
Inclusion Criteria:
- Male or female subjects aged 18 years or older.
- Subjects with mean trough seated blood pressure (SeBP) ≥ 160/100 mmHg, (seated systolic blood pressure(SeSBP) ≥ 160 mmHg and seated diastolic blood pressure (SeDBP) ≥ 100 mmHg) at Screening if not currently on antihypertensive medication (newly diagnosed subjects or subjects who are not taking any antihypertensive medication for at least 3 weeks); Or Subjects with mean trough SeBP ≥ 160/100 mmHg, SeSBP ≥ 160 mmHg and SeDBP ≥ 100 mmHg) after washout of prior antihypertensive medication in subjects who discontinued their previous antihypertensive medication.
The difference in mean SeSBP/SeDBP between the visit prior to randomisation and the randomisation visit must be ≤ 20/10 mmHg. Subjects not currently on antihypertensive (HTN) medication may meet this requirement at the screening visit (Visit 1) and the randomization visit (Visit 3). Subjects washing out of HTN medication must meet this requirement at least by Visit 2 (or Visit 2.1, if needed) and Visit 3. All subjects undergoing washout of their prior antihypertensive medication will have the opportunity to re-visit the study sites for additional visits during washout (Visits 2 and 2.1) to assess eligibility for randomisation.
- Subjects freely sign the informed consent form (ICF) after the nature of the study and the disclosure of his/her data has been explained.
- Female subjects of childbearing potential must be using adequate contraception (female of childbearing potential is defined as one who has not been postmenopausal for at least one year, or has not been surgically sterilised, or has not had a hysterectomy at least three months prior to the start of this study [Visit 1]). Adequate contraceptives include hormonal intra-uterine devices, hormonal contraceptives (oral, depot, patch or injectable), and double barrier methods such as condoms or diaphragms with spermicidal gel or foam.
Exclusion Criteria:
- Female subjects of childbearing potential who are pregnant or lactating.
- Subjects with serious disorders which may limit the ability to evaluate the efficacy or safety of the investigational products, including cerebrovascular, cardiovascular, renal, respiratory, hepatic, gastrointestinal, endocrine or metabolic, haematologic or, neurologic, and psychiatric diseases. The same applies for immunocompromised and/or neutropenic subjects.
- Subjects having a history of the following within the last six months: myocardial infarction (MI), unstable angina pectoris, percutaneous coronary intervention, heart failure, hypertensive encephalopathy, cerebrovascular accident (stroke), or transient ischaemic attack.
Subjects with clinically significant abnormal laboratory values at Screening, including subjects with one or more of the following:
- Aspartate aminotransferase (AST) > 3 times upper limit of normal (ULN).
- Alanine aminotransferase (ALT) > 3 times ULN.
- Gamma-glutamyl transferase (GGT) > 3 times ULN.
- Potassium above ULN (unless high value is due to haemolytic blood sample).
- Subjects with secondary hypertension of any aetiology such as renal disease, phaeochromocytoma, or Cushing's syndrome.
- Subjects with contraindication to olmesartan, amlodipine, hydrochlorothiazide, or any of the tablet's excipients.
- Newly diagnosed subjects with a mean trough SeSBP > 200 mmHg or mean trough SeDBP > 115 mmHg or any subjects with bradycardia (heart rate < 50 beats/min at rest documented by mean radial pulse rate [PR] or electrocardiogram [ECG]) at Screening (Visit 1) or immediately before taking Period I study medication (Visit 3).
- Subjects already taking four or more antihypertensive medications.
- Subjects with a mean trough SeSBP > 145 mmHg or mean trough SeDBP > 95 mmHg while taking three antihypertensive medications.
- Subjects with a mean trough SeSBP > 160 mmHg or mean trough SeDBP > 100 mmHg while taking two antihypertensive medications.
- Subjects with a mean trough SeSBP > 180 mmHg or mean trough SeDBP > 110 mmHg while taking one antihypertensive medication.
- Subjects with electrocardiogram evidence of 2nd or 3rd degree atrio ventricular (AV) block, atrial fibrillation, or other cardiac arrhythmia (requiring treatment).
- Subjects with severe heart failure (New York Heart Association stage III-IV), clinically significant aortic or mitral valve stenosis, uncorrected coarctation of the aorta, obstruction of cardiac outflow (obstructive, hypertrophic cardiomyopathy) or symptomatic coronary disease.
- Subjects with clinical evidence of renal disease including reno-vascular occlusive disease, nephrectomy and/or renal transplant, bilateral renal artery stenosis, unilateral renal artery stenosis in a solitary kidney, or severe renal impairment as evidenced by CrCl of < 30 mL/min calculated using the Cockcroft and Gault formula.
- Subjects with clinically relevant hepatic impairment.
- Subjects with biliary obstruction.
- Subjects with uncontrolled Type 1 or Type 2 diabetes defined as HbA1c > 9.0%. Diabetics must have documentation of HbA1c within 6 months of the Screening Visit, or must have their HbA1c assessed prior to randomisation. Note: subjects with Type 1 or Type 2 diabetes controlled with insulin, diet or oral hypoglycaemic agents on a stable dose for at least 30 days may be included.
- Subjects with a history of a wasting disease (e.g. cancer), autoimmune diseases, connective tissue diseases, major allergies or angioneurotic oedema.
- Subjects who require or are taking any concomitant medication which may interfere with the objectives of the study.
- Subjects on beta blockers or calcium channel blockers (CCBs) for both hypertension and either ischemia, post-MI prophylaxis or tachyarrhythmias.
- Subjects with known malabsorption syndromes.
- Subjects with psychiatric or emotional problems, which would invalidate the giving of informed consent or limit the ability of the subject to comply with study requirements.
- Subjects with a history of alcohol and/or drug abuse.
- Subjects who have received any investigational agent within 30 days prior to Screening.
- Subjects who are unwilling or unable to provide informed consent or to participate satisfactorily for the entire study.
- Subjects with malignancy during the past 2 years excluding squamous cell or basal cell carcinoma of the skin.
- Subjects with signs or symptoms which could exacerbate the occurrence of hypotension such as volume and salt depletion.
- Subjects with any medical condition, which in the judgment of the Investigator would jeopardise the evaluation of efficacy or safety and/or constitute a significant safety risk to the subject.
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: Triple
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
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Experimental: olmesartan/amlodipine/hydrochlorothiazide 20mg/5mg/12.5mg
olmesartan medoxomil 20mg / amlodipine besylate 5 mg / hydrochlorothiazide 12.5mg
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One olmesartan medoxomil 20 mg + amlodipine 5 mg combination oral tablet taken once per day.
One hydrochlorothiazide 12.5 mg tablet + one hydrochlorothiazide 12.5 mg placebo tablet taken once per day.
Other Names:
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Experimental: olmesartan/amlodipine/hydrochlorothiazide 40mg/5mg/12.5mg
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One olmesartan medoxomil 40 mg + amlodipine 5 mg combination oral tablet taken once per day.
One hydrochlorothiazide 12.5 mg tablet + one hydrochlorothiazide 12.5 mg placebo tablet taken once per day.
Other Names:
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Experimental: olmesartan/amlodipine/hydrochlorothiazide 40mg/5mg/25mg
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One olmesartan medoxomil 40 mg + amlodipine 5 mg combination oral tablet taken once per day.
Two hydrochlorothiazide 12.5 mg tablets taken once per day.
Other Names:
One olmesartan medoxomil 40 mg + amlodipine 10 mg combination oral tablet taken once per day.
One hydrochlorothiazide 12.5 mg tablet + one hydrochlorothiazide 12.5 mg placebo tablet taken once per day.
Other Names:
One olmesartan medoxomil 40 mg + amlodipine 10 mg combination oral tablet taken once per day.
Two hydrochlorothiazide 12.5 mg tablets taken once per day.
Other Names:
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Experimental: olmesartan/amlodipine/hydrochlorothiazide 40mg/10mg/12.5mg
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One olmesartan medoxomil 40 mg + amlodipine 5 mg combination oral tablet taken once per day.
Two hydrochlorothiazide 12.5 mg tablets taken once per day.
Other Names:
One olmesartan medoxomil 40 mg + amlodipine 10 mg combination oral tablet taken once per day.
One hydrochlorothiazide 12.5 mg tablet + one hydrochlorothiazide 12.5 mg placebo tablet taken once per day.
Other Names:
One olmesartan medoxomil 40 mg + amlodipine 10 mg combination oral tablet taken once per day.
Two hydrochlorothiazide 12.5 mg tablets taken once per day.
Other Names:
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Experimental: olmesartan/amlodipine/hydrochlorothiazide 40mg/10mg/25mg
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One olmesartan medoxomil 40 mg + amlodipine 5 mg combination oral tablet taken once per day.
Two hydrochlorothiazide 12.5 mg tablets taken once per day.
Other Names:
One olmesartan medoxomil 40 mg + amlodipine 10 mg combination oral tablet taken once per day.
One hydrochlorothiazide 12.5 mg tablet + one hydrochlorothiazide 12.5 mg placebo tablet taken once per day.
Other Names:
One olmesartan medoxomil 40 mg + amlodipine 10 mg combination oral tablet taken once per day.
Two hydrochlorothiazide 12.5 mg tablets taken once per day.
Other Names:
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Experimental: olmesartan/amlodipine 20mg/5mg
olmesartan medoxomil 20mg / amlodipine besylate 5mg
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One olmesartan medoxomil 20 mg + amlodipine 5 mg combination oral tablet taken once per day
Other Names:
One olmesartan medoxomil 40 mg + amlodipine 5 mg combination oral tablet taken once per day.
One olmesartan medoxomil 40 mg + amlodipine 10 mg combination oral tablet taken once per day.
Other Names:
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Experimental: olmesartan/amlodipine 40mg/5mg
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One olmesartan medoxomil 20 mg + amlodipine 5 mg combination oral tablet taken once per day
Other Names:
One olmesartan medoxomil 40 mg + amlodipine 5 mg combination oral tablet taken once per day.
One olmesartan medoxomil 40 mg + amlodipine 10 mg combination oral tablet taken once per day.
Other Names:
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Experimental: olmesartan/amlodipine 40mg/10mg
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One olmesartan medoxomil 20 mg + amlodipine 5 mg combination oral tablet taken once per day
Other Names:
One olmesartan medoxomil 40 mg + amlodipine 5 mg combination oral tablet taken once per day.
One olmesartan medoxomil 40 mg + amlodipine 10 mg combination oral tablet taken once per day.
Other Names:
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
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Change in Seated Diastolic Blood Pressure (SeDBP).
Time Frame: Baseline to week 10
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Baseline blood pressure was defined as the average values obtained at the randomization visit and at the visit prior to randomization
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Baseline to week 10
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Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Change in Seated Systolic Blood Pressure (SeDBP).
Time Frame: Baseline to week 10
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Baseline to week 10
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Number of Subjects Reaching Blood Pressure Goal at Week 10
Time Frame: baseline to week 10
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Blood pressure treatment goal was defined as blood pressure <140/90 mmHg or <130/80 mmHg for subjects with diabetes, chronic renal disease, or chronic cardiovascular disease.
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baseline to week 10
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Change in Seated Diastolic Blood Pressure From Week 18 to Week 22
Time Frame: Week 18 to week 22
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Week 18 to week 22
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Change in Seated Systolic Blood Pressure From Week 18 to Week 22
Time Frame: Week 18 to week 22
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Week 18 to week 22
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Number of Subjects Reaching Blood Pressure Goal From Week 18 to Week 22
Time Frame: Week 18 to week 22
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Blood pressure treatment goal was defined as blood pressure <140/90 mmHg or <130/80 mmHg for subjects with diabetes, chronic renal disease, or chronic cardiovascular disease.
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Week 18 to week 22
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Change in Seated Diastolic Blood Pressure From Week 22 to Week 26
Time Frame: Week 22 to week 26
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Week 22 to week 26
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Change in Seated Systolic Blood Pressure From Week 22 to Week 26
Time Frame: Week 22 to week 26
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Week 22 to week 26
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Number of Subjects Reaching Blood Pressure Goal at Week 26
Time Frame: Week 22 to week 26
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Blood pressure treatment goal was defined as blood pressure <140/90 mmHg or <130/80 mmHg for subjects with diabetes, chronic renal disease, or chronic cardiovascular disease.
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Week 22 to week 26
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Change in Seated Systolic Blood Pressure (SeDBP) During Open-Label Period VI (Titration Effect From OM/AML/HCTZ 40/5/25 to 40/10/25.
Time Frame: Week 26 to week 54
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Week 26 to week 54
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Collaborators and Investigators
Sponsor
Publications and helpful links
General Publications
- Marques da Silva P, Haag U, Guest JF, Brazier JE, Soro M. Health-related quality of life impact of a triple combination of olmesartan medoxomil, amlodipine besylate and hydrochlorotiazide in subjects with hypertension. Health Qual Life Outcomes. 2015 Feb 21;13:24. doi: 10.1186/s12955-015-0216-6.
- Volpe M, de la Sierra A, Ammentorp B, Laeis P. Open-label study assessing the long-term efficacy and safety of triple olmesartan/amlodipine/hydrochlorothiazide combination therapy for hypertension. Adv Ther. 2014 May;31(5):561-74. doi: 10.1007/s12325-014-0117-9. Epub 2014 Apr 24.
- Volpe M, Christian Rump L, Ammentorp B, Laeis P. Efficacy and safety of triple antihypertensive therapy with the olmesartan/amlodipine/hydrochlorothiazide combination. Clin Drug Investig. 2012 Oct 1;32(10):649-64. doi: 10.1007/BF03261919.
Study record dates
Study Major Dates
Study Start
Primary Completion (Actual)
Study Completion (Actual)
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (Estimate)
Study Record Updates
Last Update Posted (Actual)
Last Update Submitted That Met QC Criteria
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
- Cardiovascular Diseases
- Vascular Diseases
- Hypertension
- Essential Hypertension
- Physiological Effects of Drugs
- Molecular Mechanisms of Pharmacological Action
- Antihypertensive Agents
- Vasodilator Agents
- Natriuretic Agents
- Membrane Transport Modulators
- Diuretics
- Calcium-Regulating Hormones and Agents
- Calcium Channel Blockers
- Angiotensin II Type 1 Receptor Blockers
- Angiotensin Receptor Antagonists
- Sodium Chloride Symporter Inhibitors
- Amlodipine
- Olmesartan
- Olmesartan Medoxomil
- Hydrochlorothiazide
- Amlodipine Besylate, Olmesartan Medoxomil Drug Combination
Other Study ID Numbers
- CS8635-A-E302
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
IPD Plan Description
IPD Sharing Time Frame
IPD Sharing Access Criteria
IPD Sharing Supporting Information Type
- Study Protocol
- Statistical Analysis Plan (SAP)
- Informed Consent Form (ICF)
- Clinical Study Report (CSR)
- Analytic Code
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
product manufactured in and exported from the U.S.
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
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