A Trial of HRS-1780 in Participants With Uncontrolled Hypertension or Resistant Hypertension.
A Multicenter, Randomized, Double-blind, Placebo-controlled Phase II/III Clinical Trial to Evaluate the Efficacy and Safety of HRS-1780 in Participants With Uncontrolled Hypertension or Resistant Hypertension.
Panoramica dello studio
Stato
Stato
Condizioni
Condizioni
Intervento / Trattamento
Intervento / Trattamento
Tipo di studio
Tipo di studio
Iscrizione (Stimato)
Iscrizione
Fase
Fase
- Fase 2
- Fase 3
Contatti e Sedi
Contatto studio
Contatto studio
- Nome: Xue Dong
- Numero di telefono: 13511659605
- Email: xue.dong@hengrui.com
Backup dei contatti dello studio
- Nome: Ru Lin
- Numero di telefono: 15521381683
- Email: ru.lin.rl7@hengrui.com
Luoghi di studio
-
-
Chongqing Municipality
-
Chongqing, Chongqing Municipality, Cina, 400042
- Army Characteristic Medical Center of the People's Liberation Army
-
Investigatore principale:
- Chunyu Zeng
-
-
Shanghai Municipality
-
Shanghai, Shanghai Municipality, Cina, 200080
- Zhongshan hospital, Fudan university
-
Investigatore principale:
- Xiaoqiang Ding
-
-
Criteri di partecipazione
Criteri di ammissibilità
Criteri di ammissibilità
Età idonea allo studio
- Adulto
- Adulto più anziano
Accetta volontari sani
Descrizione
Inclusion Criteria:
- Male or female, aged ≥ 18 and < 80 years ;
- Mean trough seated SBP ≥ 140 mmHg and < 170 mmHg at both screening and randomization visits.
Meet one of the following two criteria:
- Meet the criteria for uncontrolled hypertension;
- Meet the criteria for resistant hypertension;
- Serum potassium ≥ 3.5 mmol/L and ≤ 5.0 mmol/L ;
- Voluntarily sign the ICF prior to the study;
- Have no plan for fertility from the time of signing the ICF until 4 weeks after the last dose.
Exclusion Criteria:
- Mean trough seated DBP ≥ 110 mmHg at randomization.
- Have a known secondary cause of hypertension, including but not limited to: renal artery stenosis, coarctation of the aorta, uncontrolled or untreated hyperthyroidism/hypothyroidism, pheochromocytoma, or Cushing's syndrome.
- History of adrenal insufficiency at screening.
- Presence of severe structural heart disease at screening, including severe valvular heart disease, hypertrophic cardiomyopathy, dilated cardiomyopathy, rheumatic heart disease, or congenital heart disease.
- Presence of persistent atrial fibrillation or any arrhythmia requiring treatment at screening; or resting heart rate < 45 bpm or > 110 bpm.
- New York Heart Association (NYHA) Class III-IV heart failure at screening.
- Undergone CT angiography (CTA) or colonoscopy within 1 month prior to screening.
- Undergone percutaneous coronary intervention (PCI) or coronary artery bypass grafting (CABG) within 6 months prior to screening, or plan to undergo PCI, CABG, carotid or peripheral artery revascularization during the study period.
- History of stroke, acute coronary syndrome, hypertensive encephalopathy, or hospitalization for heart failure within 6 months prior to screening.
- Within 6 months prior to screening, presence of clinically significant diseases in the following systems that, in the investigator's judgment, may interfere with the study results or pose additional risk to the administration of the investigational product, including but not limited to: respiratory, digestive, endocrine, immune, urinary, hematologic, neurologic, or psychiatric disorders.
- History of malignancy within 5 years prior to screening.
- Use of strong inhibitors/inducers of cytochrome P450 3A4 (CYP3A4) within 1 week prior to screening ,or moderate inhibitors/inducers.
- Use of mineralocorticoid receptor antagonists (MRAs) and/or potassium-sparing diuretics (e.g., spironolactone, eplerenone, finerenone, amiloride, triamterene, etc.) within 4 weeks prior to randomization.
- Use of aldosterone synthase inhibitors (ASIs) within 4 weeks prior to randomization.
- Concomitant use of angiotensin-converting enzyme inhibitors (ACEIs) and angiotensin II receptor blockers (ARBs) within 4 weeks prior to randomization.
- Treatment with potassium binders within 2 months prior to screening.
Presence of any of the following laboratory abnormalities:
- eGFR < 45 mL/min/1.73 m² ;
- HbA1c > 10.5%;
- Serum sodium < 135.0 mmol/L;
- ALT ≥ 3 × ULN;
- AST ≥ 3 × ULN;
- Total bilirubin ≥ 2 × ULN.
- Body mass index (BMI) > 35 kg/m².
- Run-in period placebo compliance < 80% or > 120% at randomization.
- Known or suspected allergy to MRAs, the investigational product, or any of its excipients.
- Treatment with any other investigational product within 90 days or 5 half-lives prior to screening .
- Women of childbearing potential (WOCBP) who are pregnant, breastfeeding, plan to become pregnant during the study, or are unable to use highly effective contraceptive measures; or male participants who are unable to use highly effective contraceptive measures.
- Occupation or working schedule requiring regular night shifts or similar circumstances that may interfere with study procedures.
- Any other condition that, in the investigator's judgment, may compromise participant safety or interfere with the assessment of study results.
Piano di studio
Come è strutturato lo studio?
Dettagli di progettazione
- Scopo principale: Trattamento
- Assegnazione: Randomizzato
- Modello interventistico: Assegnazione parallela
- Mascheramento: Quadruplicare
Numero di armi
Armi e interventi
Gruppo di partecipanti / ArmGruppo di partecipanti / Arm |
Intervento / TrattamentoIntervento / Trattamento |
|---|---|
|
Sperimentale: Treatment group A: HRS-1780 tablet Dose 1
|
HRS-1780 tablet Dose 1
HRS-1780 tablet Dose 2
HRS-1780 tablet Dose 3
|
|
Sperimentale: Treatment group B: HRS-1780 tablet Dose 2
|
HRS-1780 tablet Dose 1
HRS-1780 tablet Dose 2
HRS-1780 tablet Dose 3
|
|
Sperimentale: Treatment group C: HRS-1780 tablet Dose 3
|
HRS-1780 tablet Dose 1
HRS-1780 tablet Dose 2
HRS-1780 tablet Dose 3
|
|
Comparatore placebo: Treatment group D: HRS-1780 tablet placebo
|
HRS-1780 tablet placebo
|
Cosa sta misurando lo studio?
Misure di risultato primarie
Misure di risultato primarie
Misura del risultato |
Lasso di tempo |
|---|---|
|
Change from baseline in trough seated SBP at Week 12
Lasso di tempo: baseline and Week 12
|
baseline and Week 12
|
Misure di risultato secondarie
Misure di risultato secondarie
Misura del risultato |
Lasso di tempo |
|---|---|
|
Change from baseline in trough seated DBP at Week 12
Lasso di tempo: baseline and Week 12
|
baseline and Week 12
|
|
Change from baseline in trough seated SBP at Week 8
Lasso di tempo: baseline and Week 8
|
baseline and Week 8
|
|
Proportion of participants achieving trough seated blood pressure < 140/90 mmHg at Week 12
Lasso di tempo: Week 12
|
Week 12
|
|
Proportion of participants achieving trough seated SBP < 130 mmHg at Week 12
Lasso di tempo: Week 12
|
Week 12
|
|
Change from baseline in 24-hour ambulatory blood pressure monitoring (ABPM) mean SBP at Week 12
Lasso di tempo: baseline and Week 12
|
baseline and Week 12
|
|
Change from baseline in daytime and nighttime mean SBP measured by 24-hour ABPM at Week 12
Lasso di tempo: baseline and Week 12
|
baseline and Week 12
|
|
Change from baseline in daytime and nighttime mean DBP measured by 24-hour ABPM at Week 12
Lasso di tempo: baseline and Week 12
|
baseline and Week 12
|
|
Change from randomized withdrawal baseline (Week 44) in trough seated SBP at Week 52
Lasso di tempo: Week 44 and Week 52
|
Week 44 and Week 52
|
|
Proportion of participants with eGFR decline ≥ 30% during the treatment period
Lasso di tempo: baseline and treatment period
|
baseline and treatment period
|
|
Proportion of participants with serum potassium > 6.0 mmol/L during the treatment period
Lasso di tempo: treatment period
|
treatment period
|
|
Change from baseline in 24-hour ambulatory blood pressure monitoring (ABPM) mean DBP at Week 12
Lasso di tempo: baseline and Week 12
|
baseline and Week 12
|
|
Proportion of participants with serum potassium > 5.5 mmol/L and ≤ 6.0 mmol/L during the treatment period
Lasso di tempo: treatment period
|
treatment period
|
Collaboratori e investigatori
Sponsor
Sponsor
Studiare le date dei record
Studia le date principali
Inizio studio (Stimato)
Inizio studio
Completamento primario (Stimato)
Completamento primario
Completamento dello studio (Stimato)
Completamento dello studio
Date di iscrizione allo studio
Primo inviato
Primo inviato
Primo inviato che soddisfa i criteri di controllo qualità
Primo inviato che soddisfa i criteri di controllo qualità
Primo Inserito (Effettivo)
Primo Inserito
Aggiornamenti dei record di studio
Ultimo aggiornamento pubblicato (Effettivo)
Ultimo aggiornamento pubblicato
Ultimo aggiornamento inviato che soddisfa i criteri QC
Ultimo aggiornamento inviato che soddisfa i criteri QC
Ultimo verificato
Ultimo verificato
Maggiori informazioni
Termini relativi a questo studio
Altri numeri di identificazione dello studio
Altri numeri di identificazione dello studio
- HRS-1780-302
Piano per i dati dei singoli partecipanti (IPD)
Hai intenzione di condividere i dati dei singoli partecipanti (IPD)?
Informazioni su farmaci e dispositivi, documenti di studio
Studia un prodotto farmaceutico regolamentato dalla FDA degli Stati Uniti
Studia un dispositivo regolamentato dalla FDA degli Stati Uniti
Queste informazioni sono state recuperate direttamente dal sito web clinicaltrials.gov senza alcuna modifica. In caso di richieste di modifica, rimozione o aggiornamento dei dettagli dello studio, contattare register@clinicaltrials.gov. Non appena verrà implementata una modifica su clinicaltrials.gov, questa verrà aggiornata automaticamente anche sul nostro sito web .