Open-Label Long-Term Safety and Efficacy Study of Fixed Dose Combination of Nifedipine Gastrointestinal Therapeutic System and Candesartan Cilexetil in Subjects With Moderate to Severe Essential Hypertension

NCT ID: NCT01788358

Last Updated: 2017-10-24

Study Results

Results available

Outcome measurements, participant flow, baseline characteristics, and adverse events have been published for this study.

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE3

Total Enrollment

508 participants

Study Classification

INTERVENTIONAL

Study Start Date

2013-02-14

Study Completion Date

2014-05-01

Brief Summary

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This study examines the long term safety and efficacy of the Fixed Dose combination BAY98-7106 (nifedipine plus candesartan primarily at the highest dose in development) in patients with moderate to severe hypertension.

Patients meeting the entry criteria, will receive the Fixed Dose combination for 28 weeks, including 8 weeks with stepwise dose increase up to the high target dose. The first 200 subjects completing 28 weeks will continue treatment for additional 24 weeks (52 weeks in total).

Subjects who do not tolerate an increased dose will be treated at their highest tolerable dose.

Detailed Description

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Conditions

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Hypertension

Keywords

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Drug combination Nifedipine GITS Candesartan Cilexetil Hypertension Combination therapy

Study Design

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Allocation Method

NA

Intervention Model

SINGLE_GROUP

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Nifedipine GITS/Candesartan Cilexetil FDC (BAY98-7106)

Subjects received nifedipine gastrointestinal therapeutic system (GITS) / candesartan cilexetil fixed dose combination (FDC) (BAY98-7106) tablet orally, once daily in the morning of Visit 1 (Week 0) for 28 or 52 weeks. The starting dose (30/8 milligram \[mg\] or 30/16 mg) was determined based on local practice and clinical judgment by the investigator. Based on the experience of symptomatic and asymptomatic hypotension, peripheral edema or significant tolerability, the doses were up-titrated to the highest target dose (60/32 mg).

Group Type EXPERIMENTAL

Nifedipine GITS/Candesartan Cilexetil FDC(BAY98-7106)

Intervention Type DRUG

Nifedipine GITS/Candesartan Cilexetil FDC(BAY98-7106), tablet, 30/8 mg, orally once daily

Nifedipine GITS/Candesartan Cilexetil FDC(BAY98-7106)

Intervention Type DRUG

Nifedipine GITS/Candesartan Cilexetil FDC(BAY98-7106), tablet, 30/16 mg, orally once daily

Nifedipine GITS/Candesartan Cilexetil FDC(BAY98-7106)

Intervention Type DRUG

Nifedipine GITS/Candesartan Cilexetil FDC(BAY98-7106), tablet, 60/16 mg, orally once daily

Nifedipine GITS/Candesartan Cilexetil FDC(BAY98-7106)

Intervention Type DRUG

Nifedipine GITS/Candesartan Cilexetil FDC(BAY98-7106), tablet, 60/32 mg, orally once daily

Interventions

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Nifedipine GITS/Candesartan Cilexetil FDC(BAY98-7106)

Nifedipine GITS/Candesartan Cilexetil FDC(BAY98-7106), tablet, 30/8 mg, orally once daily

Intervention Type DRUG

Nifedipine GITS/Candesartan Cilexetil FDC(BAY98-7106)

Nifedipine GITS/Candesartan Cilexetil FDC(BAY98-7106), tablet, 30/16 mg, orally once daily

Intervention Type DRUG

Nifedipine GITS/Candesartan Cilexetil FDC(BAY98-7106)

Nifedipine GITS/Candesartan Cilexetil FDC(BAY98-7106), tablet, 60/16 mg, orally once daily

Intervention Type DRUG

Nifedipine GITS/Candesartan Cilexetil FDC(BAY98-7106)

Nifedipine GITS/Candesartan Cilexetil FDC(BAY98-7106), tablet, 60/32 mg, orally once daily

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

* Subjects must have moderate to severe essential hypertension (Grade 2 or Grade 3, WHO classifications). At Visit 1, subjects not treated with antihypertensive medications are to have MSSBP of \>/= 160 mmHg and \< 200 mmHg, as measured by a calibrated electronic BP measuring device. For other subjects who are treated with antihypertensive medication before, they should have MSSBP \>/= 160 mmHg and \<200 mmHg after wash out.
* Women of childbearing potential and men must agree to use adequate contraception other than hormonal contraceptives when sexually active

Exclusion Criteria

* Mean seated systolic blood pressure \>/= 200 mmHg and/or mean seated diastolic blood pressure \>/= 120 mm/Hg
* Mean seated diastolic blood pressure \< 60 mm/Hg
* Differences greater than 20 mmHg for systolic blood pressure and 10 mmHg for diastolic blood pressure are present on 3 consecutive blood pressure readings at visit 0
* Any history of hypertensive emergency
* Evidence of secondary hypertension such as coarctation of the aorta, pheochromocytoma, hyperaldosteronism, etc.
* Cerebrovascular ischemic event (stroke, transient ischemic attack \[TIA\])within the previous 12 months
* History of intracerebral hemorrhage or subarachnoid hemorrhage
* History of hypertensive retinopathy - known Keith-Wagener Grade III or IV
* Any history of heart failure, New York Heart Association (NYHA) classification III or IV
* Severe coronary heart disease as manifest by a history of myocardial infarction or unstable angina in the last 6 months prior to visit 0
* Type 1 diabetes mellitus (DM) or poorly controlled Type 2 DM as evidenced by HbA1C of greater than 9% on visit 0.
* Hyperkalemia: potassium above the upper limit of normal in the laboratory range
Minimum Eligible Age

18 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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Foley, Alabama, United States

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Carmichael, California, United States

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Los Angeles, California, United States

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Spring Valley, California, United States

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Milford, Connecticut, United States

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Coral Gables, Florida, United States

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Hallandale, 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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Tampa, Florida, United States

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Atlanta, Georgia, United States

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Valparaiso, Indiana, United States

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Newton, Kansas, United States

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Wichita, Kansas, United States

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Lexington, Kentucky, United States

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New Orleans, Louisiana, United States

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Auburn, Maine, United States

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Elkridge, Maryland, United States

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Brockton, Massachusetts, United States

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St Louis, Missouri, United States

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Shelby, North Carolina, United States

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Cincinnati, Ohio, United States

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Cincinnati, Ohio, United States

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Cincinnati, Ohio, United States

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Columbus, Ohio, United States

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Greenville, South Carolina, United States

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Mt. Pleasant, South Carolina, United States

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Rapid City, South Dakota, United States

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Nashville, Tennessee, United States

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New Tazewell, Tennessee, United States

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Beaumont, Texas, United States

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Bryan, Texas, United States

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Carrollton, Texas, United States

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Dallas, Texas, United States

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San Antonio, Texas, United States

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Salt Lake City, Utah, United States

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Salt Lake City, Utah, United States

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Kenosha, Wisconsin, United States

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Moorsel, Oost-Vlaanderen, Belgium

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Wetteren, Oost-Vlaanderen, Belgium

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Steenokkerzeel, Vlaams Brabant, Belgium

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Deurne, , Belgium

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Ham, , Belgium

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Burnaby, British Columbia, Canada

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Langley, British Columbia, Canada

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Vancouver, British Columbia, Canada

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Brampton, Ontario, Canada

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Burlington, Ontario, Canada

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Etobicoke, Ontario, Canada

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London, Ontario, Canada

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Newmarket, Ontario, Canada

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Sarnia, Ontario, Canada

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Stayner, Ontario, Canada

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Toronto, Ontario, Canada

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Toronto, Ontario, Canada

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Woodstock, Ontario, Canada

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Pointe-Claire, Quebec, Canada

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Ste-Foy, Quebec, Canada

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Frankfurt am Main, Hesse, Germany

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Bochum, North Rhine-Westphalia, Germany

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Görlitz, Saxony, Germany

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Leipzig, Saxony, Germany

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Magdeburg, Saxony-Anhalt, Germany

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Berlin, , Germany

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Dresden, , Germany

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Gdynia, , Poland

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Katowice, , Poland

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Warsaw, , Poland

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Wroclaw, , Poland

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Reading, Berkshire, United Kingdom

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Chesterfield, Derbyshire, United Kingdom

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Blackpool, Lancashire, United Kingdom

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Bath, Somerset, United Kingdom

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Bury Saint Edmonds, Suffolk, United Kingdom

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Coventry, Warwickshire, United Kingdom

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Birmingham, West Midlands, United Kingdom

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Cardiff, , United Kingdom

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Chorley, , United Kingdom

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Glasgow, , United Kingdom

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Liverpool, , United Kingdom

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Manchester, , United Kingdom

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Countries

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United States Belgium Canada Germany Poland United Kingdom

Related Links

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http://www.clinicaltrialsregister.eu/

Click here to find information about studies related to Bayer Healthcare products conducted in Europe

Other Identifiers

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2012-004515-32

Identifier Type: EUDRACT_NUMBER

Identifier Source: secondary_id

14801

Identifier Type: -

Identifier Source: org_study_id