A Study to Evaluate the Efficacy and Safety of Amlodipine Besylate and Candesartan Cilexetil in Essential Hypertension Patient Who Are Not Adequately Controlled With Amlodipine Besylate Monotherapy

A Randomized, Double-blind, Multi-center, Phase III Clinical Trial to Evaluate the Antihypertensive Efficacy and Safety of Amlodipine Besylate and Candesartan Cilexetil Combination in Patients With Essential Hypertension Who Are Not Adequately Controlled With Amlodipine Besylate Monotherapy

Compare the safety and efficacy of amlodipine besylate and candesartan cilexetil combination therapy on patients of essential hypertension who are not properly controlled by amlodipine besylate monotherapy.

Study Overview

• Status: Completed
• Conditions: Essential Hypertension
• Intervention / Treatment: Drug: Amlodipine 5mg; Drug: Amlodipine 5mg, Candesartan cilexetil 16mg; Drug: Amlodipine 10mg, Candesartan cilexetil 16mg

• Study Type: Interventional
• Enrollment (Actual): 180
• Phase: Phase 3

Contacts and Locations

• Study Contact: Name: Geunsuk Song; Phone Number: +82-2-6740-2440; Email: kssong1212@cj.net
• Study Contact Backup: Name: Eunji Kim; Phone Number: +82-2-6740-2443; Email: keunji@cj.net

Study Locations

• Korea, Republic of
  • Anyang-si, Korea, Republic of
    • Hallym University Sungsim Hospital
  • Busan, Korea, Republic of
    • Inje University Busan Baik Hospital
  • Busan, Korea, Republic of
    • Inje University Haeundae Baik Hospital
  • Daegu, Korea, Republic of
    • Yeungnam University Medical Center
  • Gwangju, Korea, Republic of
    • Chonnam National University Hospital
  • Ilsan, Korea, Republic of
    • Inje University Ilsan Baik Hospital
  • Incheon, Korea, Republic of
    • Inha University Hospital
  • Seongnam-si, Korea, Republic of
    • Seoul National University Bundang Hospital
  • Seoul, Korea, Republic of
    • Asan Medical Center
  • Seoul, Korea, Republic of
    • Ewha Womans University Mokdong Hospital
  • Seoul, Korea, Republic of
    • Yonsei University Severance Hospital
  • Seoul, Korea, Republic of
    • Korea University Guro Hospital
  • Seoul, Korea, Republic of
    • Korea University Anam Hospital
  • Seoul, Korea, Republic of
    • Seoul Medical Center
  • Seoul, Korea, Republic of
    • Soonchunhyang University Hospital
  • Seoul, Korea, Republic of
    • Gangbuk Samsung Hospital
  • Seoul, Korea, Republic of
    • Seoul St. Mary's Hospital Catholic University
  • Suwon, Korea, Republic of
    • Ajou University Hospital
  • Wonju, Korea, Republic of
    • Wonju Severance Christian Hospital

Participation Criteria

Eligibility Criteria

• Ages Eligible for Study: 17 years to 73 years (Adult, Older Adult)
• Accepts Healthy Volunteers: No

Description

Inclusion Criteria:

• Male or female aged ≥ 19 and ≤ 75 years old
• Subject with essential hypertension
• Subject who have voluntarily agreed to participate in the trial and signed the written informed consent form, after having listened to the purpose, method, and effect of the clinical trial

Exclusion Criteria:

• Subject who is siDBP ≥ 120 mmHg or siSBP ≥ 200 mmHg at Visit 1 (screening)
• Subject with difference in the mean blood pressure of over 10 mmHg for siDBP or 20 mmHg for siSBP between both arms at the screening visit
• Subject with known or suspected secondary hypertension [Including but not limited to any of the following: renovascular diseases, adrenal medullary and cortical hyperfunctions, coarctation of the aorta, primary hyperaldosteronism, unilateral or bilateral renal artery stenosis, Cushing's syndrome, pheochromo-cytoma, polycystic kidney disease, etc.]
• Subject with symptomatic orthostatic hypotension(a sudden fall in siDBP of at least 10 mmHg or siSBP of at least 20 mmHg after standing compared with blood pressure from the sitting or supin position)
• Subject with type 1 or type 2 diabetes mellitus with poor glucose control (defined as subject on inculin treatment, with HbA1c > 9.0% or with a modification in the oral anti-hyperglycemic medication regiment within the past 12 weeks prior to visit 1)
• Subject with severe heart disease(congestive heart failure(NYHA class 3 or 4), ischemic heart disease within the past 6 months(unstable angina, myocardial infarction), peripheral blood vascula disease, history of Percutaneous Transluminal Coronary Angioplasty or coronary artery bypass grafting)
• Subject with clinically significant ventricular tachycardia, atrial fibrillation, atrial flutter or other clinically significant arrhythmia
• Subject with hypertrophic obstructive cardiomyopathy, severe obstructive coronary artery disease, aortic stenosis, haemodynamically relevant stenosis of the aortic or mitral valve
• Subject with cardiogenic shock
• Subject with severe cerebrovascular disease (history of stroke, cerebral infraction, or cerebral hemorrhage within the past 6 months)
• Subject with a history of or ongoing wasting disease, autoimmune diseases(rheumatoid arthritis, systemic lupus erythematosus, etc.) or connective tissue disease
• Subject with known moderate or malignant retinopathy (history of retinal signs of hemorrhage, visual impairment, retinal microaneurysm etc. within the past 6 months)
• Subject with any surgical or medical condition of the gastrointestinal tract that might sugnificantly alter the absorption, distribution, metabolism or excretion of the drug
• Subject with a history of malignant tumors including leukemia and lymphoma within the past 5 yesrs(except for localized basal cell carcinoma of the skin)
• Subject with any chronic inflammatory condition needing chronic anti-inflammatory therapy
• Subject with chronic kidney disase on dialysis

• Subject with the following clinically significant laboratory abnormalities:

  • AST or ALT > 3 x Upper Limit Normal(ULN)
  • Serum Creatinine > 1.5 ULN
  • Serum potassium < 3.5 mmol/L or > 5.5mmol/L
• Subject requiring concomitant use of other antihypertensive or contraindicated drugs during the entire study period
• Subject with known or suspected contraindications, including history of allergy or hypersensitivity to ARB or dihydropyridine derivatives
• Subject who have previously experienced symptoms characteristic of angioedema during treatment with ACE inhibitors or ARB
• Pregnant women or lactating mother, women suspected of being pregnant, women who wish to be pregnant during the study or women of child-bearing potential who are not using medically acceptable methods of contraception (oral contraceptinve, intra-uterine device, condom, etc.), except for women with surgical sterilization. Pre-menopausal women who are not surgically sterilized must have a negative pregnancy test result at Visit1 and maintain acceptable methods of contraception throughout the study. preiodic abstinence (eg. symptothermal, calendar, post-ovulation methods), or hormonal contraceptive are not acceptable methods of contraception
• History of drug or alcohol abuse within the past 1 year
• Use of other investigational products within the past 4 weeks
• Subject who are jdged unsuitable to participate in the study in the opinion of the investigator

Study Plan

How is the study designed?

Design Details

• Primary Purpose: Treatment
• Allocation: Randomized
• Interventional Model: Parallel Assignment
• Masking: Quadruple

Number of Arms

3

Arms and Interventions

Participant Group / Arm	Intervention / Treatment
Experimental: AML 5mg; - Amlodipine 5mg, once a day for 8 weeks	Drug: Amlodipine 5mg; - Daily oral administration for 8 weeks; Other Names: Novarsc 5mg
Experimental: AML 5mg / CC 16mg; - Amlodipine 5mg and Candesartan cilexetil 16mg, once a day for 8 weeks	Drug: Amlodipine 5mg, Candesartan cilexetil 16mg; - Daily oral administration Amlodipine 5mg for 8 weeks; Other Names: Novarsc 5mg, Atacand 16mg
Experimental: AML 10mg / CC 16mg; - After 8 weeks of treatment period, Amlodipine 10mg and Candesartan ceilexetil 16mg, once a day for 8 weeks	Drug: Amlodipine 10mg, Candesartan cilexetil 16mg; - After 8 weeks of administration, Amlodipine 10mg and Candesartan cilexetil 16mg once a day for 8 weeks; Other Names: Novarsc 10mg, Atacand 16mg

What is the study measuring?

Primary Outcome Measures

Outcome Measure	Time Frame
Change in sitting Diastolic Blood Pressure (siDBP) at week 8 compared to baseline	Week 8

Secondary Outcome Measures

Outcome Measure	Time Frame
Change in siDBP at week 4	Week 4
Change in sitting Systolic Blood Pressure (siSBP) at week 4 and 8	Week 4 and 8
Proportion of patients achieving ΔsiDBP ≥ 10 mmHg and ΔsiSBP ≥ 20 mmHg after 8 weeks	Week 8
Proportion of patients achieving siDBP < 90 mmHg and siSBP < 140 mmHg after 8 weeks	Week 8

Collaborators and Investigators

• Sponsor: HK inno.N Corporation
• Investigators: Principal Investigator: Seungjea Tahk, Ajou University School of Medicine

Study record dates

Study Major Dates

• Study Start (Actual): December 1, 2014
• Primary Completion (Actual): November 1, 2015
• Study Completion (Actual): November 1, 2016

Study Registration Dates

• First Submitted: February 16, 2015
• First Submitted That Met QC Criteria: February 16, 2015
• First Posted (Estimate): February 23, 2015

Study Record Updates

• Last Update Posted (Estimate): May 5, 2023
• Last Update Submitted That Met QC Criteria: May 3, 2023
• Last Verified: May 1, 2023

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; Membrane Transport Modulators; Calcium-Regulating Hormones and Agents; Calcium Channel Blockers; Angiotensin II Type 1 Receptor Blockers; Angiotensin Receptor Antagonists; Amlodipine; Candesartan; Candesartan cilexetil
• Other Study ID Numbers: CJ_CCA_301B