Trial Outcomes & Findings for 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 NCT01788358)

NCT ID: NCT01788358

Last Updated: 2017-10-24

Results Overview

An adverse event (AE) is any untoward medical occurrence (that is, any unfavorable and unintended sign \[including abnormal laboratory findings\], symptom or disease) in a subject or clinical investigation subject after providing written informed consent for participation in the study. AEs were considered to be treatment-emergent if they had started or worsened after first application of study medication.

Recruitment status

COMPLETED

Study phase

PHASE3

Target enrollment

508 participants

Primary outcome timeframe

From the time of first study drug administration up to Week 28

Results posted on

2017-10-24

Participant Flow

The study was conducted at 70 study centers between 14 February 2013 (first subject first visit) and 1 May 2014 (last subject last visit).

Of 753 subjects screened, 245 subjects were not enrolled, due to screen failure for 215 subjects, consent withdrawal by 23 subjects, protocol violation by 5 subjects, 1 subject was lost to follow-up and recruitment stopped for 1 subject. Remaining 508 subjects were enrolled and received at least 1 treatment with study drug.

Participant milestones

Participant milestones
Measure
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).
Overall Study
STARTED
508
Overall Study
Treated
508
Overall Study
Completed Week 28
417
Overall Study
Entered Extension to Week 52
200
Overall Study
Completed Week 52
193
Overall Study
COMPLETED
410
Overall Study
NOT COMPLETED
98

Reasons for withdrawal

Reasons for withdrawal
Measure
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).
Overall Study
Other
11
Overall Study
Logistical difficulties
1
Overall Study
Lost to Follow-up
5
Overall Study
Protocol Violation
3
Overall Study
Withdrawal by Subject
26
Overall Study
Lack of Efficacy
1
Overall Study
Adverse Event
51

Baseline Characteristics

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

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Nifedipine GITS/Candesartan Cilexetil FDC (BAY98-7106)
n=508 Participants
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).
Age, Continuous
59 years
STANDARD_DEVIATION 10.2 • n=5 Participants
Sex: Female, Male
Female
186 Participants
n=5 Participants
Sex: Female, Male
Male
322 Participants
n=5 Participants
Systolic blood pressure
170.7 millimeter of mercury (mmHg)
STANDARD_DEVIATION 8.9 • n=5 Participants
Diastolic blood pressure
95.6 mmHg
STANDARD_DEVIATION 10.4 • n=5 Participants

PRIMARY outcome

Timeframe: From the time of first study drug administration up to Week 28

Population: Safety Analysis Set (SAF): All the subjects enrolled into the open-label treatment period and took at least one unit of the study medication.

An adverse event (AE) is any untoward medical occurrence (that is, any unfavorable and unintended sign \[including abnormal laboratory findings\], symptom or disease) in a subject or clinical investigation subject after providing written informed consent for participation in the study. AEs were considered to be treatment-emergent if they had started or worsened after first application of study medication.

Outcome measures

Outcome measures
Measure
Nifedipine GITS/Candesartan Cilexetil FDC (BAY98-7106)
n=508 Participants
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).
Number of Subjects With All Treatment-emergent Adverse Events (TEAEs) and Drug-related TEAEs up to Week 28
All TEAEs
390 Subjects
Number of Subjects With All Treatment-emergent Adverse Events (TEAEs) and Drug-related TEAEs up to Week 28
Drug-related TEAEs
230 Subjects

PRIMARY outcome

Timeframe: From the time of first study drug administration up to Week 28

Population: SAF

An AE is any untoward medical occurrence (that is, any unfavorable and unintended sign \[including abnormal laboratory findings\], symptom or disease) in a subject or clinical investigation subject after providing written informed consent for participation in the study. AEs were considered to be treatment-emergent if they had started or worsened after first application of study medication. TEAEs of special interest included the incidence of symptomatic hypotension and the incidence and severity of vasodilatory adverse events (such as oedema, headache, and flushing). Only subjects who had TEAEs of special interest as mild, moderate or severe were reported.

Outcome measures

Outcome measures
Measure
Nifedipine GITS/Candesartan Cilexetil FDC (BAY98-7106)
n=508 Participants
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).
Number of Subjects With Treatment-emergent Adverse Events (TEAEs) of Special Interest up to Week 28
Oedema (mild)
124 Subjects
Number of Subjects With Treatment-emergent Adverse Events (TEAEs) of Special Interest up to Week 28
Oedema (moderate)
54 Subjects
Number of Subjects With Treatment-emergent Adverse Events (TEAEs) of Special Interest up to Week 28
Oedema (severe)
7 Subjects
Number of Subjects With Treatment-emergent Adverse Events (TEAEs) of Special Interest up to Week 28
Headache (mild)
31 Subjects
Number of Subjects With Treatment-emergent Adverse Events (TEAEs) of Special Interest up to Week 28
Headache (moderate)
15 Subjects
Number of Subjects With Treatment-emergent Adverse Events (TEAEs) of Special Interest up to Week 28
Flushing (mild)
3 Subjects
Number of Subjects With Treatment-emergent Adverse Events (TEAEs) of Special Interest up to Week 28
Symptomatic hypotension (mild)
4 Subjects

PRIMARY outcome

Timeframe: From the time of first study drug administration up to Week 52/EOS

Population: SAF

An AE is any untoward medical occurrence (that is, any unfavorable and unintended sign \[including abnormal laboratory findings\], symptom or disease) in a subject or clinical investigation subject after providing written informed consent for participation in the study. AEs were considered to be treatment-emergent if they had started or worsened after first application of study medication.

Outcome measures

Outcome measures
Measure
Nifedipine GITS/Candesartan Cilexetil FDC (BAY98-7106)
n=508 Participants
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).
Number of Subjects With All Treatment-emergent Adverse Events (TEAEs) and Drug-related TEAEs up to Week 52/End of Study (EOS)
All TEAEs
404 Subjects
Number of Subjects With All Treatment-emergent Adverse Events (TEAEs) and Drug-related TEAEs up to Week 52/End of Study (EOS)
Drug-related TEAEs
238 Subjects

PRIMARY outcome

Timeframe: From the time of study treatment up to Week 52/EOS

Population: SAF

An AE is any untoward medical occurrence (that is, any unfavorable and unintended sign \[including abnormal laboratory findings\], symptom or disease) in a subject or clinical investigation subject after providing written informed consent for participation in the study. AEs were considered to be treatment-emergent if they had started or worsened after first application of study medication. TEAEs of special interest included the incidence of symptomatic hypotension and the incidence and severity of vasodilatory adverse events (such as oedema, headache, and flushing). Only subjects who had TEAEs of special interest as mild, moderate or severe were reported.

Outcome measures

Outcome measures
Measure
Nifedipine GITS/Candesartan Cilexetil FDC (BAY98-7106)
n=508 Participants
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).
Number of Subjects With Treatment-emergent Adverse Events (TEAEs) of Special Interest up to Week 52/End of Study (EOS)
Oedema (mild)
131 Subjects
Number of Subjects With Treatment-emergent Adverse Events (TEAEs) of Special Interest up to Week 52/End of Study (EOS)
Oedema (moderate)
56 Subjects
Number of Subjects With Treatment-emergent Adverse Events (TEAEs) of Special Interest up to Week 52/End of Study (EOS)
Oedema(severe)
7 Subjects
Number of Subjects With Treatment-emergent Adverse Events (TEAEs) of Special Interest up to Week 52/End of Study (EOS)
Headache (mild)
31 Subjects
Number of Subjects With Treatment-emergent Adverse Events (TEAEs) of Special Interest up to Week 52/End of Study (EOS)
Headache (moderate)
17 Subjects
Number of Subjects With Treatment-emergent Adverse Events (TEAEs) of Special Interest up to Week 52/End of Study (EOS)
Flushing (mild)
3 Subjects
Number of Subjects With Treatment-emergent Adverse Events (TEAEs) of Special Interest up to Week 52/End of Study (EOS)
Symptomatic hypotension (mild)
4 Subjects

SECONDARY outcome

Timeframe: Baseline (Week 0) up to Week 52/EOS

Population: SAF

Laboratory evaluations of blood and urine samples were performed, including hematology (hematocrit, hemoglobin, red blood cells count, white blood cells count, neutrophils, lymphocytes, monocytes, eosinophils, basophils, platelets), blood chemistry (sodium, potassium, chloride, bicarbonate, uric acid, total protein, albumin, calcium, blood urea nitrogen, creatinine, aspartate transaminase, alanine transaminase, lactate dehydrogenase, gamma glutamyl transferase, alkaline phosphatase, creatine kinase, total bilirubin, direct bilirubin, total cholesterol, low density lipoprotein cholesterol, high density lipoprotein cholesterol, triglycerides, fasting glucose), urinalysis (pH, blood, specific gravity, glucose, protein, cells/sediment). A laboratory test abnormality considered clinically relevant, for example, causing withdrawal by subject, requiring treatment or causing apparent clinical manifestations, or judged relevant by the investigator, were reported as AEs.

Outcome measures

Outcome measures
Measure
Nifedipine GITS/Candesartan Cilexetil FDC (BAY98-7106)
n=508 Participants
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).
Number of Subjects With Clinically Relevant Changes in Laboratory Parameters
0 Subjects

SECONDARY outcome

Timeframe: Baseline (Week 0), Weeks 28 and 52

Population: Modified intention-to-treat analysis set (mITT): All the subjects enrolled into the open-label treatment period and took at least one unit of the study medication.

Outcome measures

Outcome measures
Measure
Nifedipine GITS/Candesartan Cilexetil FDC (BAY98-7106)
n=508 Participants
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).
Change From Baseline In Mean Seated Systolic Blood Pressure (MSSBP) At Weeks 28 And 52
Baseline
170.7 millimeter of mercury (mmHg)
Standard Deviation 8.9 • Interval 8.9 to
Change From Baseline In Mean Seated Systolic Blood Pressure (MSSBP) At Weeks 28 And 52
Change at Week 28
-30.4 millimeter of mercury (mmHg)
Standard Deviation 17.7 • Interval 17.7 to
Change From Baseline In Mean Seated Systolic Blood Pressure (MSSBP) At Weeks 28 And 52
Change at Week 52
-30.1 millimeter of mercury (mmHg)
Standard Deviation 18.4 • Interval 18.4 to

SECONDARY outcome

Timeframe: Baseline (Week 0), Weeks 28 and 52

Population: mITT

Outcome measures

Outcome measures
Measure
Nifedipine GITS/Candesartan Cilexetil FDC (BAY98-7106)
n=508 Participants
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).
Change From Baseline in Mean Seated Diastolic Blood Pressure (MSDBP) at Weeks 28 and 52
Baseline
95.6 millimeter of mercury (mmHg)
Standard Deviation 10.4 • Interval 10.4 to
Change From Baseline in Mean Seated Diastolic Blood Pressure (MSDBP) at Weeks 28 and 52
Change at Week 28
-12.7 millimeter of mercury (mmHg)
Standard Deviation 10.6 • Interval 10.6 to
Change From Baseline in Mean Seated Diastolic Blood Pressure (MSDBP) at Weeks 28 and 52
Change at Week 52
-12.8 millimeter of mercury (mmHg)
Standard Deviation 10.7 • Interval 10.7 to

SECONDARY outcome

Timeframe: Weeks 28 and 52

Population: mITT

Control rate was defined as the percentage of subjects that reached a predetermined blood pressure (BP) target of BP less than (\<) 140/90 mmHg.

Outcome measures

Outcome measures
Measure
Nifedipine GITS/Candesartan Cilexetil FDC (BAY98-7106)
n=508 Participants
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).
Blood Pressure Control Rate at Weeks 28 and 52
Week 28
51.4 percentage of subjects
Blood Pressure Control Rate at Weeks 28 and 52
Week 52
51.6 percentage of subjects

SECONDARY outcome

Timeframe: Weeks 28 and 52

Population: mITT

Response rate was defined as the percentage of subjects who achieved a systolic blood pressure response (MSSBP of \<140 mmHg or a reduction of MSSBP of more than (\>) 20 mmHg from baseline value), or a diastolic blood pressure response (MSDBP of \<90 mmHg or a reduction of MSDBP of \>10 mmHg from baseline value).

Outcome measures

Outcome measures
Measure
Nifedipine GITS/Candesartan Cilexetil FDC (BAY98-7106)
n=508 Participants
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).
Blood Pressure Response Rate at Weeks 28 and 52
Week 28
86.6 percentage of subjects
Blood Pressure Response Rate at Weeks 28 and 52
Week 52
86.2 percentage of subjects

Adverse Events

Nifedipine GITS/Candesartan Cilexetil FDC (BAY98-7106)

Serious events: 15 serious events
Other events: 279 other events
Deaths: 0 deaths

Serious adverse events

Serious adverse events
Measure
Nifedipine GITS/Candesartan Cilexetil FDC (BAY98-7106)
n=508 participants at risk
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).
Blood and lymphatic system disorders
Aplastic anaemia
0.20%
1/508 • Number of events 1 • Treatment Emergent Adverse Events (TEAEs) were collected from the time of first study drug administration up to 7 days after Week 52/EOS
One death reported under SAE happened approximately 6 months after the subject had completed the study due to malignant melanoma of head and neck with metastasis to lung and liver, not related to the treatment.
Cardiac disorders
Acute myocardial infarction
0.20%
1/508 • Number of events 1 • Treatment Emergent Adverse Events (TEAEs) were collected from the time of first study drug administration up to 7 days after Week 52/EOS
One death reported under SAE happened approximately 6 months after the subject had completed the study due to malignant melanoma of head and neck with metastasis to lung and liver, not related to the treatment.
Cardiac disorders
Coronary artery disease
0.20%
1/508 • Number of events 1 • Treatment Emergent Adverse Events (TEAEs) were collected from the time of first study drug administration up to 7 days after Week 52/EOS
One death reported under SAE happened approximately 6 months after the subject had completed the study due to malignant melanoma of head and neck with metastasis to lung and liver, not related to the treatment.
Cardiac disorders
Supraventricular tachycardia
0.20%
1/508 • Number of events 1 • Treatment Emergent Adverse Events (TEAEs) were collected from the time of first study drug administration up to 7 days after Week 52/EOS
One death reported under SAE happened approximately 6 months after the subject had completed the study due to malignant melanoma of head and neck with metastasis to lung and liver, not related to the treatment.
Gastrointestinal disorders
Colitis
0.20%
1/508 • Number of events 1 • Treatment Emergent Adverse Events (TEAEs) were collected from the time of first study drug administration up to 7 days after Week 52/EOS
One death reported under SAE happened approximately 6 months after the subject had completed the study due to malignant melanoma of head and neck with metastasis to lung and liver, not related to the treatment.
General disorders
Chest pain
0.20%
1/508 • Number of events 1 • Treatment Emergent Adverse Events (TEAEs) were collected from the time of first study drug administration up to 7 days after Week 52/EOS
One death reported under SAE happened approximately 6 months after the subject had completed the study due to malignant melanoma of head and neck with metastasis to lung and liver, not related to the treatment.
General disorders
Pyrexia
0.20%
1/508 • Number of events 1 • Treatment Emergent Adverse Events (TEAEs) were collected from the time of first study drug administration up to 7 days after Week 52/EOS
One death reported under SAE happened approximately 6 months after the subject had completed the study due to malignant melanoma of head and neck with metastasis to lung and liver, not related to the treatment.
Infections and infestations
Chronic sinusitis
0.20%
1/508 • Number of events 1 • Treatment Emergent Adverse Events (TEAEs) were collected from the time of first study drug administration up to 7 days after Week 52/EOS
One death reported under SAE happened approximately 6 months after the subject had completed the study due to malignant melanoma of head and neck with metastasis to lung and liver, not related to the treatment.
Injury, poisoning and procedural complications
Ankle fracture
0.20%
1/508 • Number of events 1 • Treatment Emergent Adverse Events (TEAEs) were collected from the time of first study drug administration up to 7 days after Week 52/EOS
One death reported under SAE happened approximately 6 months after the subject had completed the study due to malignant melanoma of head and neck with metastasis to lung and liver, not related to the treatment.
Injury, poisoning and procedural complications
Joint dislocation
0.20%
1/508 • Number of events 2 • Treatment Emergent Adverse Events (TEAEs) were collected from the time of first study drug administration up to 7 days after Week 52/EOS
One death reported under SAE happened approximately 6 months after the subject had completed the study due to malignant melanoma of head and neck with metastasis to lung and liver, not related to the treatment.
Musculoskeletal and connective tissue disorders
Back pain
0.20%
1/508 • Number of events 1 • Treatment Emergent Adverse Events (TEAEs) were collected from the time of first study drug administration up to 7 days after Week 52/EOS
One death reported under SAE happened approximately 6 months after the subject had completed the study due to malignant melanoma of head and neck with metastasis to lung and liver, not related to the treatment.
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Acute myeloid leukaemia
0.20%
1/508 • Number of events 1 • Treatment Emergent Adverse Events (TEAEs) were collected from the time of first study drug administration up to 7 days after Week 52/EOS
One death reported under SAE happened approximately 6 months after the subject had completed the study due to malignant melanoma of head and neck with metastasis to lung and liver, not related to the treatment.
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Malignant melanoma
0.20%
1/508 • Number of events 1 • Treatment Emergent Adverse Events (TEAEs) were collected from the time of first study drug administration up to 7 days after Week 52/EOS
One death reported under SAE happened approximately 6 months after the subject had completed the study due to malignant melanoma of head and neck with metastasis to lung and liver, not related to the treatment.
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Prostate cancer
0.20%
1/508 • Number of events 1 • Treatment Emergent Adverse Events (TEAEs) were collected from the time of first study drug administration up to 7 days after Week 52/EOS
One death reported under SAE happened approximately 6 months after the subject had completed the study due to malignant melanoma of head and neck with metastasis to lung and liver, not related to the treatment.
Nervous system disorders
Syncope
0.20%
1/508 • Number of events 1 • Treatment Emergent Adverse Events (TEAEs) were collected from the time of first study drug administration up to 7 days after Week 52/EOS
One death reported under SAE happened approximately 6 months after the subject had completed the study due to malignant melanoma of head and neck with metastasis to lung and liver, not related to the treatment.

Other adverse events

Other adverse events
Measure
Nifedipine GITS/Candesartan Cilexetil FDC (BAY98-7106)
n=508 participants at risk
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).
General disorders
Fatigue
3.5%
18/508 • Number of events 20 • Treatment Emergent Adverse Events (TEAEs) were collected from the time of first study drug administration up to 7 days after Week 52/EOS
One death reported under SAE happened approximately 6 months after the subject had completed the study due to malignant melanoma of head and neck with metastasis to lung and liver, not related to the treatment.
General disorders
Oedema
10.8%
55/508 • Number of events 80 • Treatment Emergent Adverse Events (TEAEs) were collected from the time of first study drug administration up to 7 days after Week 52/EOS
One death reported under SAE happened approximately 6 months after the subject had completed the study due to malignant melanoma of head and neck with metastasis to lung and liver, not related to the treatment.
General disorders
Oedema peripheral
29.5%
150/508 • Number of events 239 • Treatment Emergent Adverse Events (TEAEs) were collected from the time of first study drug administration up to 7 days after Week 52/EOS
One death reported under SAE happened approximately 6 months after the subject had completed the study due to malignant melanoma of head and neck with metastasis to lung and liver, not related to the treatment.
Infections and infestations
Nasopharyngitis
5.3%
27/508 • Number of events 30 • Treatment Emergent Adverse Events (TEAEs) were collected from the time of first study drug administration up to 7 days after Week 52/EOS
One death reported under SAE happened approximately 6 months after the subject had completed the study due to malignant melanoma of head and neck with metastasis to lung and liver, not related to the treatment.
Infections and infestations
Upper respiratory tract infection
4.9%
25/508 • Number of events 29 • Treatment Emergent Adverse Events (TEAEs) were collected from the time of first study drug administration up to 7 days after Week 52/EOS
One death reported under SAE happened approximately 6 months after the subject had completed the study due to malignant melanoma of head and neck with metastasis to lung and liver, not related to the treatment.
Nervous system disorders
Dizziness
9.3%
47/508 • Number of events 55 • Treatment Emergent Adverse Events (TEAEs) were collected from the time of first study drug administration up to 7 days after Week 52/EOS
One death reported under SAE happened approximately 6 months after the subject had completed the study due to malignant melanoma of head and neck with metastasis to lung and liver, not related to the treatment.
Nervous system disorders
Headache
9.3%
47/508 • Number of events 60 • Treatment Emergent Adverse Events (TEAEs) were collected from the time of first study drug administration up to 7 days after Week 52/EOS
One death reported under SAE happened approximately 6 months after the subject had completed the study due to malignant melanoma of head and neck with metastasis to lung and liver, not related to the treatment.

Additional Information

Therapeutic Area Head

Bayer HealthCare AG

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place

Restriction type: LTE60