Trial Outcomes & Findings for An Open-label, Long-term Study of Telmisartan Plus Amlodipine Fixed-dose Combination (NCT NCT00618774)

NCT ID: NCT00618774

Last Updated: 2014-06-27

Results Overview

An adverse event is defined as any untoward medical occurrence

Recruitment status

COMPLETED

Study phase

PHASE3

Target enrollment

259 participants

Primary outcome timeframe

52 weeks

Results posted on

2014-06-27

Participant Flow

Participant milestones

Participant milestones
Measure
Telmisartan 40 mg Plus Amlodipine 5 mg Fixed-dose Combination
Telmisartan 80 mg Plus Amlodipine 5 mg Fixed-dose Combination
Overall Study
STARTED
211
48
Overall Study
COMPLETED
205
45
Overall Study
NOT COMPLETED
6
3

Reasons for withdrawal

Reasons for withdrawal
Measure
Telmisartan 40 mg Plus Amlodipine 5 mg Fixed-dose Combination
Telmisartan 80 mg Plus Amlodipine 5 mg Fixed-dose Combination
Overall Study
Adverse Event
5
3
Overall Study
Withdrawal by Subject
1
0

Baseline Characteristics

An Open-label, Long-term Study of Telmisartan Plus Amlodipine Fixed-dose Combination

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Telmisartan 40 mg Plus Amlodipine 5 mg Fixed-dose Combination
n=211 Participants
Telmisartan 80 mg Plus Amlodipine 5 mg Fixed-dose Combination
n=48 Participants
Total
n=259 Participants
Total of all reporting groups
Age, Continuous
56.8 Years
STANDARD_DEVIATION 9 • n=5 Participants
51.1 Years
STANDARD_DEVIATION 8 • n=7 Participants
55.8 Years
STANDARD_DEVIATION 9 • n=5 Participants
Sex: Female, Male
Female
50 Participants
n=5 Participants
4 Participants
n=7 Participants
54 Participants
n=5 Participants
Sex: Female, Male
Male
161 Participants
n=5 Participants
44 Participants
n=7 Participants
205 Participants
n=5 Participants

PRIMARY outcome

Timeframe: 52 weeks

Population: Treated set for safety, which was the analysis set including all the patients who had valid measurements after drug administration.

An adverse event is defined as any untoward medical occurrence

Outcome measures

Outcome measures
Measure
Telmisartan 40 mg Plus Amlodipine 5 mg Fixed-dose Combination
n=211 Participants
Telmisartan 80 mg Plus Amlodipine 5 mg Fixed-dose Combination
n=48 Participants
Percentage of Participants Who Experienced Adverse Events
77.3 percentage of participants
77.1 percentage of participants

PRIMARY outcome

Timeframe: First administration of study treatment to 24 hours post last dosing of study treatment.

Population: Treated set

Clinically relevant abnormalities for changes in blood pressure and pulse rate due to position change, seated pulse rate, laboratory parameters and ECG. New abnormal findings or worsening of baseline conditions were reported as adverse events.

Outcome measures

Outcome measures
Measure
Telmisartan 40 mg Plus Amlodipine 5 mg Fixed-dose Combination
n=211 Participants
Telmisartan 80 mg Plus Amlodipine 5 mg Fixed-dose Combination
n=48 Participants
Clinically Relevant Abnormalities for Changes in Blood Pressure and Pulse Rate Due to Position Change, Seated Pulse Rate, Laboratory Parameters and ECG
Blood Pressure Decreased
2 participants
0 participants
Clinically Relevant Abnormalities for Changes in Blood Pressure and Pulse Rate Due to Position Change, Seated Pulse Rate, Laboratory Parameters and ECG
Prostatic specific antigen increased
1 participants
0 participants
Clinically Relevant Abnormalities for Changes in Blood Pressure and Pulse Rate Due to Position Change, Seated Pulse Rate, Laboratory Parameters and ECG
Acute myocardial infarction
0 participants
1 participants
Clinically Relevant Abnormalities for Changes in Blood Pressure and Pulse Rate Due to Position Change, Seated Pulse Rate, Laboratory Parameters and ECG
Arrhythmia
1 participants
0 participants
Clinically Relevant Abnormalities for Changes in Blood Pressure and Pulse Rate Due to Position Change, Seated Pulse Rate, Laboratory Parameters and ECG
Atrial fibrillation
2 participants
0 participants
Clinically Relevant Abnormalities for Changes in Blood Pressure and Pulse Rate Due to Position Change, Seated Pulse Rate, Laboratory Parameters and ECG
Extrasystoles
1 participants
0 participants
Clinically Relevant Abnormalities for Changes in Blood Pressure and Pulse Rate Due to Position Change, Seated Pulse Rate, Laboratory Parameters and ECG
Ventricular extrasystoles
1 participants
0 participants
Clinically Relevant Abnormalities for Changes in Blood Pressure and Pulse Rate Due to Position Change, Seated Pulse Rate, Laboratory Parameters and ECG
Orthostatic hypotension
0 participants
1 participants

SECONDARY outcome

Timeframe: Baseline and week 8

Population: Full analysis set for blood pressure measurements, which was the analysis set including all the patients who had valid measurements at the reference baseline and at one or more time-points after reference baseline.

mean reduction from pseud-baseline (after the washout) in seated diastolic blood pressure

Outcome measures

Outcome measures
Measure
Telmisartan 40 mg Plus Amlodipine 5 mg Fixed-dose Combination
n=207 Participants
Telmisartan 80 mg Plus Amlodipine 5 mg Fixed-dose Combination
n=48 Participants
Change From Baseline in Seated Diastolic Blood Pressure at Week 8
20.81 mmHg
Standard Deviation 6.65
15.75 mmHg
Standard Deviation 6.61

SECONDARY outcome

Timeframe: Baseline and week 8

Population: Full analysis set for blood pressure measurements, which was the analysis set including all the patients who had valid measurements at the reference baseline and at one or more time-points after reference baseline.

mean reduction from pseud-baseline (after the washout) in seated systolic blood pressure

Outcome measures

Outcome measures
Measure
Telmisartan 40 mg Plus Amlodipine 5 mg Fixed-dose Combination
n=207 Participants
Telmisartan 80 mg Plus Amlodipine 5 mg Fixed-dose Combination
n=48 Participants
Change From Baseline in Seated Systolic Blood Pressure at Week 8
33.89 mmHg
Standard Deviation 12.2
26.44 mmHg
Standard Deviation 11.68

SECONDARY outcome

Timeframe: week 8

Population: FAS

Percentage of patients whose DBP \<90 mmHg after 8 weeks of treatment

Outcome measures

Outcome measures
Measure
Telmisartan 40 mg Plus Amlodipine 5 mg Fixed-dose Combination
n=207 Participants
Telmisartan 80 mg Plus Amlodipine 5 mg Fixed-dose Combination
n=48 Participants
Seated DBP Control Rate at Trough After 8 Weeks
91.8 percentage of participants
52.1 percentage of participants

SECONDARY outcome

Timeframe: Week 8

Population: FAS

Percentage of patients whose SBP \<140 mmHg after 8 weeks of treatment

Outcome measures

Outcome measures
Measure
Telmisartan 40 mg Plus Amlodipine 5 mg Fixed-dose Combination
n=207 Participants
Telmisartan 80 mg Plus Amlodipine 5 mg Fixed-dose Combination
n=48 Participants
Seated SBP Control Rate at Trough After 8 Weeks
93.2 percentage of participants
85.4 percentage of participants

SECONDARY outcome

Timeframe: Baseline and week 20 / week 48

Population: Full analysis set for blood pressure measurements, which was the analysis set including all the patients who had valid measurements at the reference baseline and at one or more time-points after reference baseline.

Mean reduction from pseud-baseline (after the washout) in seated diastolic blood pressure

Outcome measures

Outcome measures
Measure
Telmisartan 40 mg Plus Amlodipine 5 mg Fixed-dose Combination
n=207 Participants
Telmisartan 80 mg Plus Amlodipine 5 mg Fixed-dose Combination
n=48 Participants
Change From Baseline in Seated Diastolic Blood Pressure
Week 20
20.67 mmHg
Standard Deviation 7.16
16.36 mmHg
Standard Deviation 5.93
Change From Baseline in Seated Diastolic Blood Pressure
Week 48
21.39 mmHg
Standard Deviation 6.6
17.78 mmHg
Standard Deviation 7.31

SECONDARY outcome

Timeframe: Baseline and week 20 / week 48

Population: Full analysis set for blood pressure measurements, which was the analysis set including all the patients who had valid measurements at the reference baseline and at one or more time-points after reference baseline.

mean reduction from pseud-baseline (after the washout) in seated systolic blood pressure

Outcome measures

Outcome measures
Measure
Telmisartan 40 mg Plus Amlodipine 5 mg Fixed-dose Combination
n=207 Participants
Telmisartan 80 mg Plus Amlodipine 5 mg Fixed-dose Combination
n=48 Participants
Change From Baseline in Seated Systolic Blood Pressure
Week 20
33.73 mmHg
Standard Deviation 12.55
27.18 mmHg
Standard Deviation 11.83
Change From Baseline in Seated Systolic Blood Pressure
Week 48
33.97 mmHg
Standard Deviation 11.75
28.11 mmHg
Standard Deviation 12.78

SECONDARY outcome

Timeframe: 6 months and 12 months

Population: FAS

Percentage of patients whose DBP \<90 mmHg.

Outcome measures

Outcome measures
Measure
Telmisartan 40 mg Plus Amlodipine 5 mg Fixed-dose Combination
n=207 Participants
Telmisartan 80 mg Plus Amlodipine 5 mg Fixed-dose Combination
n=48 Participants
Seated DBP Control Rate at Trough After 6 and 12 Months
Week 20
90.8 percentage of participants
54.2 percentage of participants
Seated DBP Control Rate at Trough After 6 and 12 Months
Week 48
92.8 percentage of participants
66.7 percentage of participants

SECONDARY outcome

Timeframe: 6 months and 12 months

Population: FAS

Percentage of patients whose SBP \<140 mmHg

Outcome measures

Outcome measures
Measure
Telmisartan 40 mg Plus Amlodipine 5 mg Fixed-dose Combination
n=207 Participants
Telmisartan 80 mg Plus Amlodipine 5 mg Fixed-dose Combination
n=48 Participants
Seated SBP Control Rate at Trough After 6 and 12 Months
Week 20
95.7 percentage of participants
89.6 percentage of participants
Seated SBP Control Rate at Trough After 6 and 12 Months
Week 48
93.2 percentage of participants
89.6 percentage of participants

SECONDARY outcome

Timeframe: 6 months and 12 months

Population: FAS

Percentage of patients whose DBP \<90 mmHg or decreased from pseudo-baseline by \>=10 mmHg at 6 months and 12 months

Outcome measures

Outcome measures
Measure
Telmisartan 40 mg Plus Amlodipine 5 mg Fixed-dose Combination
n=207 Participants
Telmisartan 80 mg Plus Amlodipine 5 mg Fixed-dose Combination
n=48 Participants
Seated DBP Response Rate at Trough
Week 20
97.1 percentage of participants
85.4 percentage of participants
Seated DBP Response Rate at Trough
Week 48
98.6 percentage of participants
87.5 percentage of participants

SECONDARY outcome

Timeframe: 6 months and 12 months

Population: FAS

Percentage of patients whose SBP \<140 mmHg or decreased deom pseudo-baseline by \>=20 mmHg after 6 and 12 months

Outcome measures

Outcome measures
Measure
Telmisartan 40 mg Plus Amlodipine 5 mg Fixed-dose Combination
n=207 Participants
Telmisartan 80 mg Plus Amlodipine 5 mg Fixed-dose Combination
n=48 Participants
Seated SBP Response Rate at Trough
Week 20
97.6 percentage of participants
93.8 percentage of participants
Seated SBP Response Rate at Trough
Week 48
97.6 percentage of participants
93.8 percentage of participants

SECONDARY outcome

Timeframe: 6 months and 12 months

Population: FAS

Percentage of patients when classifying their blood pressure measurements into the following classes at 6 and 12 months: Optimal: SBP \<120 mmHg and DBP \<80 mmHg Normal: SBP \>=120 mmHg or DBP \>=80 mmHg and SBP \<130 mmHg or DBP \<85 mmHg High normal: SBP \>=130 mmHg or DBP \>=85 mmHg and SBP \<140 mmHg or DBP \<90 mmHg No: SBP \>=140 mmHg or DBP \>=90 mmHg

Outcome measures

Outcome measures
Measure
Telmisartan 40 mg Plus Amlodipine 5 mg Fixed-dose Combination
n=207 Participants
Telmisartan 80 mg Plus Amlodipine 5 mg Fixed-dose Combination
n=48 Participants
Seated Blood Pressure Normalisation at Trough
Week 20: Optimal
29.5 percentage of participants
4.2 percentage of participants
Seated Blood Pressure Normalisation at Trough
Week 20: Normal
35.3 percentage of participants
18.8 percentage of participants
Seated Blood Pressure Normalisation at Trough
Week 20: High Normal
24.2 percentage of participants
31.3 percentage of participants
Seated Blood Pressure Normalisation at Trough
Week 20: No
11.1 percentage of participants
45.8 percentage of participants
Seated Blood Pressure Normalisation at Trough
Week 48: Optimal
32.4 percentage of participants
6.3 percentage of participants
Seated Blood Pressure Normalisation at Trough
Week 48: Normal
36.2 percentage of participants
18.8 percentage of participants
Seated Blood Pressure Normalisation at Trough
Week 48: High Normal
18.4 percentage of participants
39.6 percentage of participants
Seated Blood Pressure Normalisation at Trough
Week 48: No
13.0 percentage of participants
35.4 percentage of participants

Adverse Events

Telmisartan 40 mg Plus Amlodipine 5 mg Fixed-dose Combination

Serious events: 9 serious events
Other events: 102 other events
Deaths: 0 deaths

Telmisartan 80 mg Plus Amlodipine 5 mg Fixed-dose Combination

Serious events: 3 serious events
Other events: 23 other events
Deaths: 0 deaths

Serious adverse events

Serious adverse events
Measure
Telmisartan 40 mg Plus Amlodipine 5 mg Fixed-dose Combination
n=211 participants at risk
Telmisartan 80 mg Plus Amlodipine 5 mg Fixed-dose Combination
n=48 participants at risk
Gastrointestinal disorders
Inguinal hernia
0.47%
1/211 • While being treated with T20+A5, T40/A5, T80/A5, T40/A5+additional treatment, T80/A5+additional treatment and within 24 hours from the last dosing of any of them.
0.00%
0/48 • While being treated with T20+A5, T40/A5, T80/A5, T40/A5+additional treatment, T80/A5+additional treatment and within 24 hours from the last dosing of any of them.
Investigations
Prostatic specific antigen increased
0.47%
1/211 • While being treated with T20+A5, T40/A5, T80/A5, T40/A5+additional treatment, T80/A5+additional treatment and within 24 hours from the last dosing of any of them.
0.00%
0/48 • While being treated with T20+A5, T40/A5, T80/A5, T40/A5+additional treatment, T80/A5+additional treatment and within 24 hours from the last dosing of any of them.
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Gastric cancer
0.47%
1/211 • While being treated with T20+A5, T40/A5, T80/A5, T40/A5+additional treatment, T80/A5+additional treatment and within 24 hours from the last dosing of any of them.
0.00%
0/48 • While being treated with T20+A5, T40/A5, T80/A5, T40/A5+additional treatment, T80/A5+additional treatment and within 24 hours from the last dosing of any of them.
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Squamous cell carcinoma
0.47%
1/211 • While being treated with T20+A5, T40/A5, T80/A5, T40/A5+additional treatment, T80/A5+additional treatment and within 24 hours from the last dosing of any of them.
0.00%
0/48 • While being treated with T20+A5, T40/A5, T80/A5, T40/A5+additional treatment, T80/A5+additional treatment and within 24 hours from the last dosing of any of them.
Nervous system disorders
Epilepsy
0.47%
1/211 • While being treated with T20+A5, T40/A5, T80/A5, T40/A5+additional treatment, T80/A5+additional treatment and within 24 hours from the last dosing of any of them.
0.00%
0/48 • While being treated with T20+A5, T40/A5, T80/A5, T40/A5+additional treatment, T80/A5+additional treatment and within 24 hours from the last dosing of any of them.
Renal and urinary disorders
Calculus ureteric
0.47%
1/211 • While being treated with T20+A5, T40/A5, T80/A5, T40/A5+additional treatment, T80/A5+additional treatment and within 24 hours from the last dosing of any of them.
0.00%
0/48 • While being treated with T20+A5, T40/A5, T80/A5, T40/A5+additional treatment, T80/A5+additional treatment and within 24 hours from the last dosing of any of them.
Renal and urinary disorders
Renal cyst
0.47%
1/211 • While being treated with T20+A5, T40/A5, T80/A5, T40/A5+additional treatment, T80/A5+additional treatment and within 24 hours from the last dosing of any of them.
0.00%
0/48 • While being treated with T20+A5, T40/A5, T80/A5, T40/A5+additional treatment, T80/A5+additional treatment and within 24 hours from the last dosing of any of them.
Renal and urinary disorders
Renal haemorrhage
0.47%
1/211 • While being treated with T20+A5, T40/A5, T80/A5, T40/A5+additional treatment, T80/A5+additional treatment and within 24 hours from the last dosing of any of them.
0.00%
0/48 • While being treated with T20+A5, T40/A5, T80/A5, T40/A5+additional treatment, T80/A5+additional treatment and within 24 hours from the last dosing of any of them.
Reproductive system and breast disorders
Benign prostatic hyperplasia
0.47%
1/211 • While being treated with T20+A5, T40/A5, T80/A5, T40/A5+additional treatment, T80/A5+additional treatment and within 24 hours from the last dosing of any of them.
0.00%
0/48 • While being treated with T20+A5, T40/A5, T80/A5, T40/A5+additional treatment, T80/A5+additional treatment and within 24 hours from the last dosing of any of them.
Respiratory, thoracic and mediastinal disorders
Pulmonary embolism
0.47%
1/211 • While being treated with T20+A5, T40/A5, T80/A5, T40/A5+additional treatment, T80/A5+additional treatment and within 24 hours from the last dosing of any of them.
0.00%
0/48 • While being treated with T20+A5, T40/A5, T80/A5, T40/A5+additional treatment, T80/A5+additional treatment and within 24 hours from the last dosing of any of them.
Cardiac disorders
Acute myocardial infarction
0.00%
0/211 • While being treated with T20+A5, T40/A5, T80/A5, T40/A5+additional treatment, T80/A5+additional treatment and within 24 hours from the last dosing of any of them.
2.1%
1/48 • While being treated with T20+A5, T40/A5, T80/A5, T40/A5+additional treatment, T80/A5+additional treatment and within 24 hours from the last dosing of any of them.
Injury, poisoning and procedural complications
Clavicle fracture
0.00%
0/211 • While being treated with T20+A5, T40/A5, T80/A5, T40/A5+additional treatment, T80/A5+additional treatment and within 24 hours from the last dosing of any of them.
2.1%
1/48 • While being treated with T20+A5, T40/A5, T80/A5, T40/A5+additional treatment, T80/A5+additional treatment and within 24 hours from the last dosing of any of them.
Nervous system disorders
Cerebral infarction
0.00%
0/211 • While being treated with T20+A5, T40/A5, T80/A5, T40/A5+additional treatment, T80/A5+additional treatment and within 24 hours from the last dosing of any of them.
2.1%
1/48 • While being treated with T20+A5, T40/A5, T80/A5, T40/A5+additional treatment, T80/A5+additional treatment and within 24 hours from the last dosing of any of them.

Other adverse events

Other adverse events
Measure
Telmisartan 40 mg Plus Amlodipine 5 mg Fixed-dose Combination
n=211 participants at risk
Telmisartan 80 mg Plus Amlodipine 5 mg Fixed-dose Combination
n=48 participants at risk
Gastrointestinal disorders
Dental caries
5.7%
12/211 • While being treated with T20+A5, T40/A5, T80/A5, T40/A5+additional treatment, T80/A5+additional treatment and within 24 hours from the last dosing of any of them.
6.2%
3/48 • While being treated with T20+A5, T40/A5, T80/A5, T40/A5+additional treatment, T80/A5+additional treatment and within 24 hours from the last dosing of any of them.
Infections and infestations
Nasopharyngitis
43.1%
91/211 • While being treated with T20+A5, T40/A5, T80/A5, T40/A5+additional treatment, T80/A5+additional treatment and within 24 hours from the last dosing of any of them.
41.7%
20/48 • While being treated with T20+A5, T40/A5, T80/A5, T40/A5+additional treatment, T80/A5+additional treatment and within 24 hours from the last dosing of any of them.
Musculoskeletal and connective tissue disorders
Back pain
8.5%
18/211 • While being treated with T20+A5, T40/A5, T80/A5, T40/A5+additional treatment, T80/A5+additional treatment and within 24 hours from the last dosing of any of them.
4.2%
2/48 • While being treated with T20+A5, T40/A5, T80/A5, T40/A5+additional treatment, T80/A5+additional treatment and within 24 hours from the last dosing of any of them.

Additional Information

Boehringer Ingelheim Call Center

Boehringer Ingelheim Pharmaceuticals

Phone: 1-800-243-0127

Results disclosure agreements

  • Principal investigator is a sponsor employee Any publication of the result of this trial must be consistent with the Boehringer Ingelheim publication policy. The rights of the investigator and of the sponsor with regard to publication of the results of this trial are described in the investigator contract.
  • Publication restrictions are in place

Restriction type: OTHER