Safety and Efficacy Study of a Triple Combination Therapy in Subjects With Hypertension

NCT ID: NCT00649389

Last Updated: 2019-01-09

Study Results

Results available

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE3

Total Enrollment

2500 participants

Study Classification

INTERVENTIONAL

Study Start Date

2008-05-31

Study Completion Date

2009-12-31

Brief Summary

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To determine the effectiveness of four different strength combinations of three approved anti-hypertension therapies (olmesartan medoxomil, amlodipine, and hydrochlorothiazide) for lowering blood pressure.

Detailed Description

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Conditions

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Hypertension

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

DOUBLE

Participants Investigators

Study Groups

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OM40/AML10

olmesartan medoxomil 40mg and amlodipine 10mg

Group Type EXPERIMENTAL

Olmesartan medoxomil

Intervention Type DRUG

40mg olmesartan medoxomil

Amlodipine

Intervention Type DRUG

Amlodipine 10mg

OM40/HCTZ25

olmesartan medoxomil 40mg and hydrochlorothiazide 25mg

Group Type ACTIVE_COMPARATOR

Olmesartan medoxomil

Intervention Type DRUG

40mg olmesartan medoxomil

Hydrochlorothiazide

Intervention Type DRUG

Hydrochlorothiazide 25mg

AML10/HCTZ25

amlodipine 10mg and hydrochlorothiazide 25mg

Group Type ACTIVE_COMPARATOR

Amlodipine

Intervention Type DRUG

Amlodipine 10mg

Hydrochlorothiazide

Intervention Type DRUG

Hydrochlorothiazide 25mg

OM40/AML10/HCTZ25

olmesartan medoxomil 40mg, amlodipine 10mg, and hydrochlorothiazide 25mg

Group Type ACTIVE_COMPARATOR

Olmesartan medoxomil

Intervention Type DRUG

40mg olmesartan medoxomil

Amlodipine

Intervention Type DRUG

Amlodipine 10mg

Hydrochlorothiazide

Intervention Type DRUG

Hydrochlorothiazide 25mg

Interventions

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Olmesartan medoxomil

40mg olmesartan medoxomil

Intervention Type DRUG

Amlodipine

Amlodipine 10mg

Intervention Type DRUG

Hydrochlorothiazide

Hydrochlorothiazide 25mg

Intervention Type DRUG

Other Intervention Names

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Benicar Norvasc

Eligibility Criteria

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Inclusion Criteria

* Demonstrable hypertension defined as mean sitting trough cuff blood pressure ≥ 140/100 mmHg (SeSBP ≥ 140 mmHg and SeDBP ≥ 100mmHg) or mean sitting trough cuff BP ≥ 160/90 mmHg (SeSBP ≥ 160 mmHg and SeDBP ≥ 90mmHg).
* Male or female newly diagnosed hypertensive subjects or currently on hypertension medication.

* Negative urine pregnancy test at screening
* Not lactating
* Do not plan to become pregnant during the study
* Will practice birth control throughout the study by the following: oral or patch contraceptive, injectable or implantable contraceptive medication, intrauterine device, diaphragm or female condom plus spermicide

* Non childbearing potential must be classified by one of the following criteria
* Had a hysterectomy or tubal ligation at least 6 months prior to consent
* Has been postmenopausal for a least 1 year

Exclusion Criteria

* Mean sitting trough cuff DBP \<90 mmHg or mean sitting trough cuff SBP \<140 mmHg (off antihypertensive medication).
* Subjects with uncontrolled hypertension taking multiple antihypertensive therapies (at the discretion of the investigator).
* Signs or symptoms which could exacerbate the occurrence of hypotension such as volume and salt depletion.
* History of hypertensive encephalopathy, stroke or transient ischemic attack (TIA).
* Participation in another clinical trial involving an investigational drug within one month prior to screening.
* History of myocardial infarction, percutaneous transluminal coronary revascularization, coronary artery bypass graft, and/or unstable angina within the past 6 months.
* Any history of New York Heart Association Class III or IV congestive heart failure (CHF). A history of New York Heart Association Class I or II CHF may be exclusionary at the discretion of the investigator.
* History of secondary hypertension including renal disease, pheochromocytoma, or Cushing's syndrome.
* Uncorrected coarctation of the aorta, bilateral renal artery stenosis, or unilateral renal artery stenosis in a solitary kidney.
* Evidence of symptomatic resting bradycardia.
* Evidence of hemodynamically significant cardiac valvular disease.
* Presence of heart block greater than first degree atrioventricular block, chronic atrial fibrillation or flutter.
* Uncontrolled Type I or Type II diabetes defined as HbA1c \>9.0%. Diabetics must have documentation of HbA1c within 6 months of the Screening Visit. Undocumented subjects must have their HbA1c assessed prior to randomization. Note: Subjects with Type I or Type II diabetes controlled with insulin, diet or oral hypoglycemic agents on a stable dose for at least 30 days may be included.
* Evidence of liver disease as indicated by ALT and AST and/or total bilirubin \>3 times the upper limit of normal.
* Severe renal insufficiency defined as a creatinine clearance (based on the Cockcroft-Gault formula) of \<30 mL/min.
* Clinically significant laboratory elevations at Visit 1 that compromise subject safety, based on the investigator's judgment. Consideration should take into account the potential laboratory effects of the component blinded therapies.
* Positive for any one of the following tests: hepatitis B surface antigen, hepatitis C antibody (confirmed by radio immunobinding assay, RIBA) or HIV antibody (confirmed by western blot assay).
* Subjects with malignancy during the past 2 years excluding squamous cell or basal cell carcinoma of the skin.
* Known allergy to any of the medications used in the study.
* Subjects who require or are taking any concomitant medication, which may interfere with the objectives of the study (Refer to Section 5.2 for a listing of excluded medications).
* Pregnant or lactating females.
* Current history of drug or alcohol abuse.
* A subject with any medical condition, which in the judgment of the Investigator would jeopardize the evaluation of efficacy or safety and/or constitute a significant safety risk to the subject.
Minimum Eligible Age

18 Years

Maximum Eligible Age

80 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Daiichi Sankyo

INDUSTRY

Sponsor Role lead

Responsible Party

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Daiichi Sankyo Inc.

Locations

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Birmingham, Alabama, United States

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Columbiana, Alabama, United States

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Gulf Shores, Alabama, United States

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Hoover, Alabama, United States

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Huntsville, Alabama, United States

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Mobile, Alabama, United States

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Montgomery, Alabama, United States

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Muscle Shoals, Alabama, United States

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Tuscumbia, Alabama, United States

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Chandler, Arizona, United States

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Goodyear, Arizona, United States

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Lake Havasu City, Arizona, United States

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Mesa, Arizona, United States

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Peoria, Arizona, United States

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Phoenix, Arizona, United States

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Scottsdale, Arizona, United States

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Tucson, Arizona, United States

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Hot Springs, Arkansas, United States

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Jonesboro, Arkansas, United States

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Little Rock, Arkansas, United States

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North Little Rock, Arkansas, United States

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Searcy, Arkansas, United States

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Anaheim, California, United States

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Beverly Hills, California, United States

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Buena Park, California, United States

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Burbank, California, United States

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Carmichael, California, United States

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Chino, California, United States

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Chula Vista, California, United States

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Escondido, California, United States

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Greenbrae, California, United States

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Hollywood, California, United States

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Huntington Park, California, United States

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Long Beach, California, United States

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Los Angeles, California, United States

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Los Gatos, California, United States

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Merced, California, United States

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National City, California, United States

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Orange, California, United States

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Roseville, California, United States

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San Diego, California, United States

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San Jose, California, United States

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Santa Ana, California, United States

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Santa Monica, California, United States

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Temecula, California, United States

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West Palm Beach, California, United States

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Westlake Village, California, United States

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Denver, Colorado, United States

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Golden, Colorado, United States

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Pueblo, Colorado, United States

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Wheat Ridge, Colorado, United States

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Danbury, Connecticut, United States

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Milford, Connecticut, United States

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Stamford, Connecticut, United States

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Trumbull, Connecticut, United States

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Waterbury, Connecticut, United States

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Aventura, Florida, United States

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Boynton Beach, Florida, United States

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Bradenton, Florida, United States

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Brooksville, Florida, United States

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Cape Coral, Florida, United States

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Clearwater, Florida, United States

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Coral Gables, Florida, United States

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Crystal River, Florida, United States

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Daytona Beach, Florida, United States

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Deerfield Beach, Florida, United States

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DeLand, Florida, United States

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Delray Beach, Florida, United States

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Dunnellon, Florida, United States

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Fort Myers, Florida, United States

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Hialeah, Florida, United States

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Hollywood, Florida, United States

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Jacksonville, Florida, United States

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Jupiter, Florida, United States

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Kissimmee, Florida, United States

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Largo, Florida, United States

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Merritt Island, Florida, United States

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Miami, Florida, United States

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New Port Richey, Florida, United States

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Ocala, Florida, United States

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Palm Harbor, Florida, United States

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Pembroke Pines, Florida, United States

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Plantation, Florida, United States

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Port Orange, Florida, United States

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Sarasota, Florida, United States

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South Miami, Florida, United States

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St. Petersburg, Florida, United States

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Tampa, Florida, United States

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West Bradenton, Florida, United States

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Atlanta, Georgia, United States

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Augusta, Georgia, United States

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Columbus, Georgia, United States

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Savannah, Georgia, United States

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Suwanee, Georgia, United States

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Waycross, Georgia, United States

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Idaho Falls, Idaho, United States

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Chicago, Illinois, United States

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Gurnee, Illinois, United States

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Libertyville, Illinois, United States

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Evansville, Indiana, United States

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Indianapolis, Indiana, United States

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Newton, Kansas, United States

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Shawnee Mission, Kansas, United States

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Wichita, Kansas, United States

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Madisonville, Kentucky, United States

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Mount Sterling, Kentucky, United States

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Munfordville, Kentucky, United States

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Paducah, Kentucky, United States

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Kenner, Louisiana, United States

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Lake Charles, Louisiana, United States

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Metairie, Louisiana, United States

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New Orleans, Louisiana, United States

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Shreveport, Louisiana, United States

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Baltimore, Maryland, United States

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Elkridge, Maryland, United States

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Oxon Hill, Maryland, United States

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Brockton, Massachusetts, United States

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Haverhill, Massachusetts, United States

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West Yarmouth, Massachusetts, United States

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Benzonia, Michigan, United States

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Clarkston, Michigan, United States

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Paw Paw, Michigan, United States

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Southfield, Michigan, United States

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Traverse City, Michigan, United States

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Waterford, Michigan, United States

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Brooklyn Center, Minnesota, United States

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Chaska, Minnesota, United States

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Saint Paul, Minnesota, United States

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Olive Branch, Mississippi, United States

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Florissant, Missouri, United States

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Kansas City, Missouri, United States

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St Louis, Missouri, United States

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Butte, Montana, United States

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Missoula, Montana, United States

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Broken Bow, Nebraska, United States

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North Platte, Nebraska, United States

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Las Vegas, Nevada, United States

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Berlin, New Jersey, United States

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Elizabeth, New Jersey, United States

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Voorhees Township, New Jersey, United States

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Buffalo, New York, United States

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Manlius, New York, United States

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Mineola, New York, United States

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New York, New York, United States

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Westfield, New York, United States

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Calabash, North Carolina, United States

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Charlotte, North Carolina, United States

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Durham, North Carolina, United States

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Hickory, North Carolina, United States

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High Point, North Carolina, United States

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Raleigh, North Carolina, United States

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Salisbury, North Carolina, United States

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Statesville, North Carolina, United States

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Tabor City, North Carolina, United States

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Winston-Salem, North Carolina, United States

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Fargo, North Dakota, United States

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Austintown, Ohio, United States

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Cincinnati, Ohio, United States

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Cleveland, Ohio, United States

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Columbus, Ohio, United States

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Euclid, Ohio, United States

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Franklin, Ohio, United States

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Kettering, Ohio, United States

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Lyndhurst, Ohio, United States

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Marion, Ohio, United States

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Mount Gilead, Ohio, United States

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Wadsworth, Ohio, United States

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Westlake, Ohio, United States

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Norman, Oklahoma, United States

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Oklahoma City, Oklahoma, United States

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Tulsa, Oklahoma, United States

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Eugene, Oregon, United States

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Medford, Oregon, United States

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Portland, Oregon, United States

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Beaver, Pennsylvania, United States

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Bensalem, Pennsylvania, United States

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Downingtown, Pennsylvania, United States

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Erie, Pennsylvania, United States

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Harleysville, Pennsylvania, United States

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Jenkintown, Pennsylvania, United States

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Jersey Shore, Pennsylvania, United States

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Penndel, Pennsylvania, United States

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Philadelphia, Pennsylvania, United States

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Cranston, Rhode Island, United States

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East Providence, Rhode Island, United States

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Providence, Rhode Island, United States

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Anderson, South Carolina, United States

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Charleston, South Carolina, United States

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Columbia, South Carolina, United States

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Murrells Inlet, South Carolina, United States

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Orangeburg, South Carolina, United States

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Rapid City, South Dakota, United States

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Bristol, Tennessee, United States

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Fayetteville, Tennessee, United States

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Knoxville, Tennessee, United States

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Memphis, Tennessee, United States

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Nashville, Tennessee, United States

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New Tazewell, Tennessee, United States

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Tullahoma, Tennessee, United States

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Austin, Texas, United States

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Bedford, Texas, United States

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Corpus Christi, Texas, United States

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Houston, Texas, United States

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Hurst, Texas, United States

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Lake Jackson, Texas, United States

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Midland, Texas, United States

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Plano, Texas, United States

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Round Rock, Texas, United States

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San Antonio, Texas, United States

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Spring, Texas, United States

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Sugar Land, Texas, United States

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Temple, Texas, United States

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Waco, Texas, United States

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Bountiful, Utah, United States

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Magna, Utah, United States

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Midvale, Utah, United States

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Salt Lake City, Utah, United States

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Sandy City, Utah, United States

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Saratoga Springs, Utah, United States

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West Jordan, Utah, United States

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Norfolk, Virginia, United States

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Richmond, Virginia, United States

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Suffolk, Virginia, United States

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Federal Way, Washington, United States

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Lakewood, Washington, United States

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Tacoma, Washington, United States

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Kenosha, Wisconsin, United States

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Madison, Wisconsin, United States

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Ciales, , Puerto Rico

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Guayama, , Puerto Rico

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Ponce, , Puerto Rico

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Rio Piedras, , Puerto Rico

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Countries

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United States Puerto Rico

References

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Kereiakes DJ, Chrysant SG, Izzo JL Jr, Littlejohn T 3rd, Melino M, Lee J, Fernandez V, Heyrman R. Olmesartan/amlodipine/hydrochlorothiazide in participants with hypertension and diabetes, chronic kidney disease, or chronic cardiovascular disease: a subanalysis of the multicenter, randomized, double-blind, parallel-group TRINITY study. Cardiovasc Diabetol. 2012 Oct 30;11:134. doi: 10.1186/1475-2840-11-134.

Reference Type DERIVED
PMID: 23110471 (View on PubMed)

Chrysant SG, Littlejohn T 3rd, Izzo JL Jr, Kereiakes DJ, Oparil S, Melino M, Lee J, Fernandez V, Heyrman R. Triple-Combination therapy with olmesartan, amlodipine, and hydrochlorothiazide in black and non-black study participants with hypertension: the TRINITY randomized, double-blind, 12-week, parallel-group study. Am J Cardiovasc Drugs. 2012 Aug 1;12(4):233-43. doi: 10.1007/BF03261832.

Reference Type DERIVED
PMID: 22799613 (View on PubMed)

Oparil S, Melino M, Lee J, Fernandez V, Heyrman R. Triple therapy with olmesartan medoxomil, amlodipine besylate, and hydrochlorothiazide in adult patients with hypertension: The TRINITY multicenter, randomized, double-blind, 12-week, parallel-group study. Clin Ther. 2010 Jul;32(7):1252-69. doi: 10.1016/j.clinthera.2010.07.008.

Reference Type DERIVED
PMID: 20678674 (View on PubMed)

Chrysant SG, Oparil S, Melino M, Karki S, Lee J, Heyrman R. Efficacy and safety of long-term treatment with the combination of amlodipine besylate and olmesartan medoxomil in patients with hypertension. J Clin Hypertens (Greenwich). 2009 Sep;11(9):475-82. doi: 10.1111/j.1751-7176.2009.00159.x.

Reference Type DERIVED
PMID: 19751459 (View on PubMed)

Other Identifiers

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CS8635-A-U301

Identifier Type: -

Identifier Source: org_study_id

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