Study Evaluating the Efficacy of Nifedipine GITS - Telmisartan Combination in Blood Pressure Control.

NCT ID: NCT00750113

Last Updated: 2014-12-05

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE4

Total Enrollment

405 participants

Study Classification

INTERVENTIONAL

Study Start Date

2007-10-31

Study Completion Date

2009-08-31

Brief Summary

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Patients having uncontrolled or poorly controlled hypertension are at risk of experiencing cardiovascular events such as myocardial infarction or stroke. To reduce this risk an appropriate antihypertensive therapy should allow to reach a target blood pressure of less than 130/80 mmHg in order to maximise cardiovascular protection.The purpose of this study is to evaluate the efficacy in blood pressure control when anti-hypertensive therapy is initiated with a combination of low dose Nifedipine GITS and Telmisartan compared to a regimen starting with monotherapy before adding the other drug.The primary efficacy parameter will be the 24 hour mean systolic Blood Pressure on Ambulatory Blood Pressure Monitoring (ABPM) at 16 weeks of treatment compared to baseline

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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Arm 1

Group Type EXPERIMENTAL

Nifidipine

Intervention Type DRUG

Tablets 20 Mg daily for 4 weeks then combination therapy

Arm 2

Group Type EXPERIMENTAL

Telmisartan

Intervention Type DRUG

Tablets 80 Mg daily for 4 weeks then combination therapy

Arm 3

Group Type EXPERIMENTAL

Nifedipine/Telmisartan

Intervention Type DRUG

2 drugs (20 Mg Nifedipine/80 Mg Telmisartan) Combination therapy since the beginning

Interventions

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Nifidipine

Tablets 20 Mg daily for 4 weeks then combination therapy

Intervention Type DRUG

Telmisartan

Tablets 80 Mg daily for 4 weeks then combination therapy

Intervention Type DRUG

Nifedipine/Telmisartan

2 drugs (20 Mg Nifedipine/80 Mg Telmisartan) Combination therapy since the beginning

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

* Hypertension (office systolic blood pressure \> 135 mmHg), untreated or poorly controlled but stable antihypertensive regimen for \>/= 4 weeks
* Presence of type 2 diabetes mellitus or target organ damage (echocardiographic or electrocardiographic left ventricular hypertrophy or microalbuminuria)
* Presence of a metabolic syndrome, i.e at least two of the following \[(from letter (a) to letter(d)\] in patients with organ damage or at least one of the following \[from letter (b) to letter (d)\] in patients with diabetes mellitus: (a) impaired glucose tolerance (fasting plasma glucose 110 -125 mg/dl) (b )raised serum triglycerides (\>/= 150 mg/dl) or comitant use of statins for this indication(c) low HDL cholesterol (males: \< 40 mg/dl, females: \< 50 mg/dl)(d) waist circumference \>102 cm in men and \>88 cm in women
* Age: 18-75 years
* Negative pregnancy test in females
* Written informed consent

Exclusion Criteria

* Concomitant treatment with AT1-antagonists e.g. losartan, eprosartan, telmisartan) or calcium-antagonists (e.g. amlodipine, felodipine, isradipine, nifedipine, nimodipine).
* Concomitant treatment with any other antihypertensive medication that cannot be safely withdrawn at entry (i.e taken on a stable regimen for \>/= 4 week) and that won't possibly be kept stable over the whole duration of the study.
* Concomitant treatment with known cytochrome P450-3A4 inhibitors (e.g cimetidine, anti-HIV protease inhibitors e.g. ritonavir, azole anti-mycotics eg. Ketoconazole, digoxin, quinidine, tacrolimus) or inducers such as anti-epileptic drugs (eg. phenytoin, carbamazepine and phenobarbitone) or rifampicin
* Concomitant treatment with potassium sparingdiuretics.
* Malignant, severe or labile essential hypertension, orthostatic hypotension
* Cardiovascular shock
* Evidence of secondary form of hypertension, including coarctation of the aorta, hyperaldosteronism, renal artery stenosis or pheochromocytoma
* Myocardial infarction or unstable angina within the previous 12 months
* Severe cardiac valve disease
* Severe rhythm or conduction disorder:
* Cerebrovascular ischaemic event (stroke, transient ischaemic attack) within the previous 12 months
* History of intra-cerebral haemorrhage or sub-arachnoid haemorrhage within the previous 12 months
* Type 1 diabetes mellitus
* Proteinuria (determined by uristix)
* BMI \> 34
* Uncorrected hypokalemia or hyperkalemia, potassium outside the range 3.0 to 5.5 mmol/l
* Sodium depletion and/or hypovolemia
* Gastrointestinal disease resulting in the potential for malabsorption)
* Liver disease or transaminase (AST, ALT) levels \> 3 x the upper limit of normal range.
* Renal failure, creatinine \>2.0 mg/dl
Minimum Eligible Age

18 Years

Maximum Eligible Age

75 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Bayer

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Bayer Study Director

Role: STUDY_DIRECTOR

Bayer

Locations

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Pozzilli, Isernia, Italy

Site Status

Monza, Monza-Brianza, Italy

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Somma Lombardo, Varese, Italy

Site Status

Ancona, , Italy

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Bologna, , Italy

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Brescia, , Italy

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Broni, , Italy

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Catania, , Italy

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Cinisello Balsamo, , Italy

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Ferrara, , Italy

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L’Aquila, , Italy

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Milan, , Italy

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Napoli, , Italy

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Napoli, , Italy

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Novara, , Italy

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Padua, , Italy

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Palermo, , Italy

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Pavia, , Italy

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Perugia, , Italy

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Pisa, , Italy

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Reggio Emilia, , Italy

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Roma, , Italy

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Roma, , Italy

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Roma, , Italy

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Sassari, , Italy

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Siena, , Italy

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Syracuse, , Italy

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Treviso, , Italy

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Trieste, , Italy

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Varese, , Italy

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Venezia, , Italy

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Ferrol, A Coruña, Spain

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Badajoz, Badajoz, Spain

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Badalona, Barcelona, Spain

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Ciudad Real, Ciudad Real, Spain

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Jerez de la Frontera, Cádiz, Spain

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Las Palmas de Gran Canaria, Las Palmas, Spain

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Madrid, Madrid, Spain

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Madrid, Madrid, Spain

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Málaga, Málaga, Spain

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Gijón, Principality of Asturias, Spain

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Benigànim, Valencia, Spain

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Valencia, Valencia, Spain

Site Status

Countries

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Italy Spain

References

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Mancia G, Parati G, Bilo G, Choi J, Kilama MO, Ruilope LM; TALENT investigators. Blood pressure control by the nifedipine GITS-telmisartan combination in patients at high cardiovascular risk: the TALENT study. J Hypertens. 2011 Mar;29(3):600-9. doi: 10.1097/HJH.0b013e328342ef04.

Reference Type RESULT
PMID: 21252701 (View on PubMed)

Related Links

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http://www.clinicaltrialsregister.eu

Click here and search for Bayer Product infromation provided by EMA

Other Identifiers

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2006-006436-22

Identifier Type: EUDRACT_NUMBER

Identifier Source: secondary_id

12313

Identifier Type: -

Identifier Source: org_study_id