- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT01277822
Efficacy of Losartan + Amlodipine Compared to Amlodipine Alone in the Treatment of Uncontrolled High Blood Pressure (MK-0954F-399)
February 7, 2022 updated by: Organon and Co
The 8 Weeks, Multicenter, Randomized, Double-blind, Clinical Study To Evaluate Efficacy Of Treatment With Losartan/Amlodipine 100/5 mg Combination Compared To Amlodipine 10 mg Monotherapy In Hypertensive Patients Who Are Not Appropriately Respond To Amlodipine 5 mg Monotherapy
This study will determine whether using losartan and amlodipine together will be non-inferior in lowering blood pressure than amlodipine alone.
Study Overview
Status
Completed
Conditions
Study Type
Interventional
Enrollment (Actual)
334
Phase
- Phase 4
Participation Criteria
Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.
Eligibility Criteria
Ages Eligible for Study
18 years to 80 years (Adult, Older Adult)
Accepts Healthy Volunteers
No
Genders Eligible for Study
All
Description
Inclusion criteria
Participants with essential hypertension:
- who are on single drug therapy
- who are newly diagnosed and not yet taking any drug therapy, or have not had any drug therapy for at least 2 weeks prior to entering study
- who have blood pressure readings of 90mmHg ≤ MSDBP < 110mmHg and 140mmHg ≤ MSSBP <180mmHg after 2 weeks wash-out for patients on single agent.
Randomization (Visit 3)
After dosing of amlodipine 5mg for 6 weeks, blood pressure readings are:
- 90mmHg ≤ MSDBP < 110mmHg and 140mmHg ≤ MSSBP < 180mmHg.
Exclusion criteria
- Participant with MSDBP ≥ 110mmHg or MSSBP ≥ 180mmHg.
- Participant currently taking ≥ 2 antihypertensive medications (note: fixed-dose combination medicine should be counted as the number of active ingredients).
- Participant with known secondary hypertension of any etiology.
- Participant with malignant hypertension or current evidence of impending or active malignant hypertension, including headache, papilledema, cardiac ischemia, or pulmonary congestion precipitated by elevated blood pressure.
- Participant with known intolerance, contraindication or hypersensitivity to any component of dihydropyridines, angiotensin II receptor blockers.
- Participant showing positive in pregnancy test, lactating woman, or woman who intends to get pregnant during the study period.
Study Plan
This section provides details of the study plan, including how the study is designed and what the study is measuring.
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: Double
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
Experimental: Losartan/amlodipine Treatment Arm
One combination tablet containing 100 mg losartan potassium and 5 mg amlodipine camsylate, orally, once daily, for 8 weeks.
Participants will also receive 2 tablets of placebo for amlodipine 5mg orally, once daily for 8 weeks.
|
One tablet containing 100 mg losartan potassium and 5 mg amlodipine camsylate, orally, once daily, for 8 weeks.
Other Names:
2 tablets containing placebo, orally, once daily, for 8 weeks.
|
Active Comparator: Amlodipine Treatment Arm
2 tablets each containing 5 mg amlodipine, orally, once daily, for 8 weeks.
Participants will also receive 1 tablet of placebo for combination losartan/amlodipine orally, once daily for 8 weeks.
|
One tablet containing placebo, orally, once daily, for 8 weeks.
2 tablets each containing 5 mg amlodipine, orally, once daily, for 8 weeks.
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Change in Mean Sitting Diastolic Blood Pressure (MSDBP) at Week 8
Time Frame: Baseline and Week 8
|
Diastolic blood pressure was assessed at baseline and after 8 weeks of treatment with the participant in a seated position using an auto sphygmomanometer.
Three measurements were performed at 2-minute intervals and the average of the 3 values of was recorded.
|
Baseline and Week 8
|
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Change in Mean Sitting Diastolic Blood Pressure (MSDBP) at Week 4
Time Frame: Baseline and Week 4
|
Diastolic blood pressure was assessed at baseline and after 4 weeks of treatment with the participant in a seated position using an auto sphygmomanometer.
Three measurements were performed at 2-minute intervals and the average of the 3 values of was recorded.
|
Baseline and Week 4
|
Change in Mean Sitting Systolic Blood Pressure (MSSBP) at Week 8
Time Frame: Baseline and Week 8
|
Systolic blood pressure was assessed at baseline and after 8 weeks of treatment with the participant in a seated position using an auto sphygmomanometer.
Three measurements were performed at 2-minute intervals and the average of the 3 values of was recorded.
|
Baseline and Week 8
|
Change in Mean Sitting Systolic Blood Pressure (MSSBP) at Week 4
Time Frame: Baseline and Week 4
|
Systolic blood pressure was assessed at baseline and after 4 weeks of treatment with the participant in a seated position using an auto sphygmomanometer.
Three measurements were performed at 2-minute intervals and the average of the 3 values of was recorded.
|
Baseline and Week 4
|
Percentage of Participants Who Achieve Target Blood Pressure at Week 8
Time Frame: Week 8
|
Participants were evaluated at Week 8 to ascertain if target blood pressure had been obtained.
Criteria for meeting target BP were: sitting diastolic BP (sitDBP) <90mmHg or sitting systolic BP (sitSBP) <140mmHg) or sitDBP change more than 10mmHg from baseline or sitSBP change more than 20mmHg from baseline.
|
Week 8
|
Percentage of Participants Who Achieve Target Blood Pressure at Week 4
Time Frame: Week 4
|
Participants were evaluated at Week 4 to ascertain if target blood pressure had been obtained.
Criteria for meeting target BP were: sitting diastolic BP (sitDBP) <90mmHg or sitting systolic BP (sitSBP) <140mmHg) or sitDBP change more than 10mmHg from baseline or sitSBP change more than 20mmHg from baseline.
|
Week 4
|
Percentage of Participants Who Had Peripheral Edema During the Study
Time Frame: up to 8 weeks
|
A pitting assessment of edema on both legs was performed at baseline and throughout the study.
Participants were assessed in a seated position with both feet extended and the right ankle in a neutral dorsiflexion position.
The index finger was pressed firmly over the bony prominence approximately 3cm proximal to the midpoint of the medial malleolus of the right ankle and will be held for three seconds.
Presence of a residual indentation in the area after releasing pressure on the index finger was considered positive for pitting edema.
|
up to 8 weeks
|
Change From Baseline in Ankle Circumference at Week 8
Time Frame: Baseline and Week 8
|
Each ankle was marked with a semi-permanent marker at approximately 3 cm proximal to the midpoint of the medial malleolus to aid consistency in the performance of the measurements.
Ankle circumference was measured in both ankles at baseline and Week 8 using a tension controlled tape to minimize error.
|
Baseline and Week 8
|
Collaborators and Investigators
This is where you will find people and organizations involved with this study.
Sponsor
Study record dates
These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.
Study Major Dates
Study Start (Actual)
May 30, 2011
Primary Completion (Actual)
April 22, 2013
Study Completion (Actual)
April 22, 2013
Study Registration Dates
First Submitted
January 13, 2011
First Submitted That Met QC Criteria
January 14, 2011
First Posted (Estimate)
January 17, 2011
Study Record Updates
Last Update Posted (Actual)
February 9, 2022
Last Update Submitted That Met QC Criteria
February 7, 2022
Last Verified
February 1, 2022
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
- Anti-Arrhythmia Agents
- 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
- Losartan
Other Study ID Numbers
- 0954F-399
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
Yes
IPD Plan Description
https://www.merck.com/clinical-trials/pdf/ProcedureAccessClinicalTrialData.pdf
Study Data/Documents
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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