Study of the Glycemic Effects of Nebivolol Compared With Metoprolol and HCTZ in Diabetic Hypertensive Patients

NCT ID: NCT00744237

Last Updated: 2011-07-29

Study Results

Results available

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE4

Total Enrollment

231 participants

Study Classification

INTERVENTIONAL

Study Start Date

2008-08-31

Brief Summary

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This study will evaluate the effects of nebivolol on glycemic control compared with metoprolol and HCTZ in patients with hypertension and type 2 diabetes mellitus

Detailed Description

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Conditions

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Hypertension Type 2 Diabetes Mellitus

Keywords

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nebivolol Bystolic ™ Hypertension Diabetes

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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1

* Nebivolol 5 mg (overencapsulated 5-mg marketed tablet), oral administration
* Nebivolol 10 mg (overencapsulated 10-mg marketed tablet), oral administration
* Nebivolol 20 mg (overencapsulated 20-mg marketed tablet) oral administration
* Nebivolol 40 mg (two overencapsulated 20-mg tablets) oral administration
* Open-label amlodipine may be given

Group Type EXPERIMENTAL

Nebivolol

Intervention Type DRUG

* Nebivolol 5 mg (overencapsulated 5-mg marketed tablet), oral administration
* Nebivolol 10 mg (overencapsulated 10-mg marketed tablet), oral administration
* Nebivolol 20 mg (overencapsulated 20-mg marketed tablet) oral administration
* Nebivolol 40 mg (two overencapsulated 20-mg tablets) oral administration

2

* Metoprolol ER 50 mg (overencapsulated 50-mg tablet) oral administration
* Metoprolol ER 100 mg (two overencapsulated 50-mg tablets) oral administration
* Metoprolol ER 200 mg (overencapsulated 200-mg tablet) oral administration
* Metoprolol ER 400 mg (two overencapsulated 200-mg tablets) oral administration
* Open-label amlodipine may be given

Group Type ACTIVE_COMPARATOR

Metoprolol ER

Intervention Type DRUG

* Metoprolol ER 50 mg (overencapsulated 50-mg tablet) oral administration
* Metoprolol ER 100 mg (two overencapsulated 50-mg tablets) oral administration
* Metoprolol ER 200 mg (overencapsulated 200-mg tablet) oral administration
* Metoprolol ER 400 mg (two overencapsulated 200-mg tablets) oral administration

3

* HCTZ 12.5 mg (overencapsulated 12.5 capsule), oral administration
* HCTZ 25 mg (two capsules, overencapsulated 12.5-mg capsules), oral administration
* Open-label amlodipine may be given

Group Type ACTIVE_COMPARATOR

HCTZ

Intervention Type DRUG

* HCTZ 12.5 mg (overencapsulated 12.5 capsule), oral administration
* HCTZ 25 mg (two capsules, overencapsulated 12.5-mg capsules), oral administration

Interventions

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Nebivolol

* Nebivolol 5 mg (overencapsulated 5-mg marketed tablet), oral administration
* Nebivolol 10 mg (overencapsulated 10-mg marketed tablet), oral administration
* Nebivolol 20 mg (overencapsulated 20-mg marketed tablet) oral administration
* Nebivolol 40 mg (two overencapsulated 20-mg tablets) oral administration

Intervention Type DRUG

Metoprolol ER

* Metoprolol ER 50 mg (overencapsulated 50-mg tablet) oral administration
* Metoprolol ER 100 mg (two overencapsulated 50-mg tablets) oral administration
* Metoprolol ER 200 mg (overencapsulated 200-mg tablet) oral administration
* Metoprolol ER 400 mg (two overencapsulated 200-mg tablets) oral administration

Intervention Type DRUG

HCTZ

* HCTZ 12.5 mg (overencapsulated 12.5 capsule), oral administration
* HCTZ 25 mg (two capsules, overencapsulated 12.5-mg capsules), oral administration

Intervention Type DRUG

Other Intervention Names

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Bystolic (TM) Hydrochlorothorazide

Eligibility Criteria

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Inclusion Criteria

* Male or female, 18-85 years of age
* Blood pressure in the range of 130 to 179/80 to 109 mmHg
* Currently using either an ACE inhibitor or an ARB alone or (an ACE inhibitor or an ARB and up to two other drugs for treatment of high blood pressure). (Patients may be on both an ACE inhibitor and ARB, but would need to be taken off one.)
* Stable medication regimen for high blood pressure for at least one month prior to screening
* Stable type 2 diabetes mellitus for at least 3 months prior to screening that is controlled by any or all of the following: diet and antidiabetic medications that may include fixed-dose insulin
* HgbA1c 6.5 to 8.5% (This is measured at the screening visit)

Exclusion Criteria

* Use of any beta blocker within one month prior to screening
* Use of clonidine within 3 months prior to screening
* Diagnosis of hyperthyroidism as evidenced by abnormal lab markers
* Any disorder requiring the intermittent or chronic use of systemic corticosteroids
* Diagnosis of hyperthyroidism as determined by lab markers done at screening
* Active liver disease as determined by lab markers
* Kidney impairment; estimated GFR \< 60 mL/min/1.73 m2
* History of heart attack, clinically significant arrhythmia, unstable angina, coronary angioplasty/bypass surgery, stroke, or TIA in 3 months prior to screening
* Chronic heart failure
* Drug or alcohol abuse within 2 years prior to screening
* History of sensitivity to any beta blocker, HCTZ, sulfa drug, or calcium channel blocker
* Participation in another research study within 30 days prior to screening
Minimum Eligible Age

18 Years

Maximum Eligible Age

85 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Forest Laboratories

INDUSTRY

Sponsor Role lead

Responsible Party

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Forest Research Institute, a Subsidiary of Forest Laboratories Inc.

Principal Investigators

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John Shea, MS

Role: STUDY_DIRECTOR

Forest Research Institute, a Subsidiary of Forest Laboratories, Inc.

Locations

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Forest Investigative Site 15

Athens, Alabama, United States

Site Status

Forest Investigative Site 16

Huntsville, Alabama, United States

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Forest Investigative Site 35

Bell Gardens, California, United States

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Forest Investigative Site

Buena Park, California, United States

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Forest Investigative Site 54

Chino, California, United States

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Forest Investigative Site 40

Fremont, California, United States

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Forest Investigative Site

Palm Springs, California, United States

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Forest Investigative Site

Pomona, California, United States

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Forest Investigative Site 55

Sacramento, California, United States

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Forest Investigative Site 11

San Diego, California, United States

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Forest Investigative Site

Santa Monica, California, United States

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Forest Investigative Site

Spring Valley, California, United States

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Forest Investigative Site 49

Tustin, California, United States

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Forest Investigative Site 47

Walnut Creek, California, United States

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Forest Investigative Site 61

Golden, Colorado, United States

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Forest Investigative Site

Wheat Ridge, Colorado, United States

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Forest Investigative Site 3

Daytona Beach, Florida, United States

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Forest Investigative Site 33

DeLand, Florida, United States

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Forest Investigative Site 36

Hollywood, Florida, United States

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Forest Investigative Site 62

Miami, Florida, United States

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Forest Investigative Site 080

Miami, Florida, United States

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Forest Investigative Site 59

Miami, Florida, United States

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Forest Investigative Site 32

Pembroke Pines, Florida, United States

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Forest Investigative Site 081

Pembroke Pines, Florida, United States

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Forest Investigative Site 2

Tamarac, Florida, United States

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Forest Investigative Site

Tampa, Florida, United States

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Forest Investigative Site 19

West Palm Beach, Florida, United States

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Forest Investigative Site 44

Atlanta, Georgia, United States

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Forest Investigative Site 5

Augusta, Georgia, United States

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Forest Investigative Site 56

Honolulu, Hawaii, United States

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Forest Investigative Site 57

Meridian, Idaho, United States

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Forest Investigative Site 39

Chicago, Illinois, United States

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Forest Investigative Site 37

Wichita, Kansas, United States

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Forest Investigative Site

Baltimore, Maryland, United States

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Forest Investigative Site 20

Baltimore, Maryland, United States

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Forest Investigative Site 50

Oxon Hill, Maryland, United States

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Forest Investigative Site 21

Saint Clair Shores, Michigan, United States

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Forest Investigative Site

Kansas City, Missouri, United States

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Forest Investigative Site

St Louis, Missouri, United States

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Forest Investigative Site

New Hyde Park, New York, United States

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Forest Investigative Site

New York, New York, United States

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Forest Investigative Site 7

Charlotte, North Carolina, United States

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Forest Investigative Site 45

Charlotte, North Carolina, United States

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Forest Investigative Site 24

Morehead City, North Carolina, United States

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Forest Investigative Site 26

Salisbury, North Carolina, United States

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Forest Investigative Site 18

Wilmington, North Carolina, United States

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Forest Investigative Site 51

Centerville, Ohio, United States

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Forest Investigative Site 48

Cincinnati, Ohio, United States

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Forest Investigative Site 12

Wadsworth, Ohio, United States

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Forest Investigative Site 17

Charleston, South Carolina, United States

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Forest Investigative Site 46

Columbia, South Carolina, United States

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Forest Investigative Site

North Charleston, South Carolina, United States

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Forest Investigative Site

Simpsonville, South Carolina, United States

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Forest Investigative Site 4

Sioux Falls, South Dakota, United States

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Forest Investigative Site 10

New Tazewell, Tennessee, United States

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Forest Investigative Site 52

Corpus Christi, Texas, United States

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Forest Investigative Site 28

Dallas, Texas, United States

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Forest Investigative Site 38

Hurst, Texas, United States

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Forest Investigative Site 34

Salt Lake City, Utah, United States

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Forest Investigative Site

St. George, Utah, United States

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Forest Investigative Site

Norfolk, Virginia, United States

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Forest Investigative Site 31

Virginia Beach, Virginia, United States

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Forest Investigative Site 41

Ponce, , Puerto Rico

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Forest Investigative Site 60

Salinas, , Puerto Rico

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Forest Investigative Site 29

Santurce, , Puerto Rico

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Countries

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United States Puerto Rico

Other Identifiers

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NEB-MD-19

Identifier Type: -

Identifier Source: org_study_id