A Phase 2 Dose Selection Trial of Candesartan Cilexetil and Amlodipine Besylate to Treat Essential Hypertension

NCT ID: NCT02059616

Last Updated: 2014-04-30

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

UNKNOWN

Clinical Phase

PHASE2

Total Enrollment

384 participants

Study Classification

INTERVENTIONAL

Study Start Date

2014-02-28

Study Completion Date

2015-12-31

Brief Summary

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The purpose of this study is to explore the optimal dose of fixed-dose combination of candesartan cilexetil and amlodipine besylate by examining the safety and efficacy of the combination therapy compared to each of the monotherapy in patients with essential hypertension.

Detailed Description

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Conditions

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Essential Hypertension

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

QUADRUPLE

Participants Caregivers Investigators Outcome Assessors

Study Groups

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AML 5mg

Amlodipine 5 mg, once a day for 8 weeks

Group Type EXPERIMENTAL

Amlodipine 5mg

Intervention Type DRUG

Daily oral administration for 8 weeks

AML 10mg

Amlodipine 10 mg, once a day for 8 weeks

Group Type EXPERIMENTAL

Amlodipine 10mg

Intervention Type DRUG

Daily oral administration for 8 weeks

CC 8mg

Candesartan Cilexetil 8 mg, once a day for 8 weeks

Group Type EXPERIMENTAL

Candesartan Cilexetil 8mg

Intervention Type DRUG

Daily oral administration for 8 weeks

CC 16mg

Candesartan Cilexetil 16 mg, once a day for 8 weeks

Group Type EXPERIMENTAL

Candesartan cilexetil 16mg

Intervention Type DRUG

Daily oral administration for 8 weeks

AML 5mg/CC 8mg

Amlodipine 5 mg and Candesartan 8 mg, once a day for 8 weeks

Group Type EXPERIMENTAL

Amlodipine 5mg

Intervention Type DRUG

Daily oral administration for 8 weeks

Candesartan Cilexetil 8mg

Intervention Type DRUG

Daily oral administration for 8 weeks

AML 5mg/CC16mg

Amlodipine 5 mg and Candesartan Cilexetil 16 mg, once a day for 8 weeks

Group Type EXPERIMENTAL

Amlodipine 5mg

Intervention Type DRUG

Daily oral administration for 8 weeks

Candesartan cilexetil 16mg

Intervention Type DRUG

Daily oral administration for 8 weeks

AML 10mg/CC 8mg

Amlodipine 10 mg and Candesartan Cilexetil 8 mg, once a day for 8 weeks

Group Type EXPERIMENTAL

Amlodipine 10mg

Intervention Type DRUG

Daily oral administration for 8 weeks

Candesartan Cilexetil 8mg

Intervention Type DRUG

Daily oral administration for 8 weeks

AML 10mg/CC 16mg

Amlodipine 10 mg and Candesartan Cilexetil 16 mg, once a day for 8 weeks

Group Type EXPERIMENTAL

Amlodipine 10mg

Intervention Type DRUG

Daily oral administration for 8 weeks

Candesartan cilexetil 16mg

Intervention Type DRUG

Daily oral administration for 8 weeks

Interventions

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Amlodipine 5mg

Daily oral administration for 8 weeks

Intervention Type DRUG

Amlodipine 10mg

Daily oral administration for 8 weeks

Intervention Type DRUG

Candesartan Cilexetil 8mg

Daily oral administration for 8 weeks

Intervention Type DRUG

Candesartan cilexetil 16mg

Daily oral administration for 8 weeks

Intervention Type DRUG

Other Intervention Names

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Norvasc 5mg Norvasc 10mg Atacand 8mg Atacand 16mg

Eligibility Criteria

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Inclusion Criteria

* Male or female aged ≥ 19 and ≤ 75 years old
* Subject with mild-to-moderate uncomplicated essential hypertension
* Subject who have voluntarily agreed to participate in the trial and signed the written informed consent form, after having listened to the purpose, method, and effect of the clinical trial

Exclusion Criteria

* Subject with severe hypertension (siDBP ≥ 115 mmHg or siSBP ≥ 185 mmHg)
* Subject with difference in the mean blood pressure of over 10mmHg for siDBP or 20mmHg for siSBP between both arms at the screening visit
* Subject with known or suspected secondary hypertension \[including but not limited to any of the following: renovascular hypertension, adrenal medullary and cortical hyperfunction, coarctation of the aorta, primary hyperaldosteronism, unilateral or bilateral renal artery stenosis, Cushing's disease, pheochromocytoma, polycystic kidney disease, etc.\]
* Subject with symptomatic orthostatic hypotension (a sudden fall in siDBP of at least 10 mmHg or siSBP of at least 20 mmHg after standing compared with blood pressure from the sitting or supine position)
* Subject with Type 1 diabetes mellitus OR Type 2 diabetes mellitus with poor glucose control (defined as subject on insulin treatment, with HbA1c \> 9.0%, or with a modification in the oral anti-hyperglycemic medication regiment within the past 12 weeks prior to Visit 1)
* Subject with severe heart disease (Congestive heart failure (NYHA Class III-IV), ischemic heart disease within the past 6 months (unstable angina, myocardial infarction), peripheral vascular disease, history of Percutaneous Transluminal Coronary Angioplasty or Coronary Artery Bypass Grafting)
* Subject with clinically significant ventricular tachycardia, atrial fibrillation, atrial flutter or other clinically significant arrhythmia
* Subject with hypertrophic obstructive cardiomyopathy, severe obstructive coronary artery disease, aortic stenosis, haemodynamically relevant stenosis of the aortic or mitral valve
* Subject with severe cerebrovascular disease (history of stroke, cerebral infarction, or cerebral hemorrhage within the past 6 months)
* Subject with or with a history of wasting disease, autoimmune diseases (rheumatoid arthritis, systemic lupus erythematosus), or connective tissue disease
* Subject with known moderate or malignant retinopathy (history of retinal signs of hemorrhage, visual impairment, retinal microaneurysm, etc. within the past 6 months)
* Subject with the following clinically significant laboratory abnormalities:

* AST or ALT \> 3 x Upper Limit Normal (ULN)
* Serum Creatinine \> 1.5 ULN
* Serum potassium \< 3.5 mmol/L or \> 5.5 mmol/L
* Subject with any surgical or medical condition of the gastrointestinal tract that might significantly alter the absorption, distribution, metabolism or excretion of the drug
* Subject with a history of malignant tumors including leukemia and lymphoma within the past 5 years (except for localized basal cell carcinoma of the skin)
* Subject with any chronic inflammatory condition needing chronic anti-inflammatory therapy
* Subject with chronic kidney disease on dialysis
* Subject with cardiogenic shock
* Subject requiring concomitant use of other antihypertensive or contraindicated drugs during the entire study period
* Subject with known or suspected contraindications, including history of allergy or hypersensitivity to ARB or dihydropyridine derivatives
* Subject who have previously experienced symptoms characteristic of angioedema during treatment with ACE inhibitors or ARB
* Pregnant women, lactating mothers, women suspected of being pregnant, women who wish to be pregnant during the study, or women of child-bearing potential who are not using medically acceptable methods of contraception (oral contraceptive, intra-uterine device, condom, etc.), except for women with surgical sterilization. Pre-menopausal women who are not surgically sterilized must have a negative pregnancy test result at Visit 1 and maintain acceptable methods of contraception throughout the study. Periodic abstinence (eg, symptothermal, calendar, post-ovulation methods), or hormonal contraceptive are not acceptable methods of contraception
* History of drug or alcohol abuse within the past 1 year
* Use of other investigational products within the past 4 weeks
* Subject who are judged unsuitable to participate in the study in the opinion of the investigator
Minimum Eligible Age

19 Years

Maximum Eligible Age

75 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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HK inno.N Corporation

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Seung-Jea Tahk

Role: PRINCIPAL_INVESTIGATOR

Ajou University School of Medicine

Locations

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Seoul National University Bundang Hospital

Bundang, , South Korea

Site Status RECRUITING

Dong-A University Hospital

Busan, , South Korea

Site Status RECRUITING

Yeungnam University Medical Center

Daegu, , South Korea

Site Status RECRUITING

Konyang University Hospital

Daejeon, , South Korea

Site Status RECRUITING

Chonnam National University Hospital

Gwangju, , South Korea

Site Status RECRUITING

Inje University Ilsan Paik Hospital

Ilsan, , South Korea

Site Status RECRUITING

Inha University Hospital

Incheon, , South Korea

Site Status RECRUITING

Hallym University Sacred Heart hospital

Kyungki-do, , South Korea

Site Status RECRUITING

Inje University Haeundae Baik Hospital

Pusan, , South Korea

Site Status RECRUITING

Pusan National University Hospital

Pusan, , South Korea

Site Status RECRUITING

Asan Medical Center

Seoul, , South Korea

Site Status RECRUITING

Ewha Womans University Mokdong Hospital

Seoul, , South Korea

Site Status RECRUITING

Korea University Guro Hospital

Seoul, , South Korea

Site Status RECRUITING

Seoul Medical Center

Seoul, , South Korea

Site Status RECRUITING

Seoul St. Mary's hospital

Seoul, , South Korea

Site Status RECRUITING

Severance Hospital

Seoul, , South Korea

Site Status RECRUITING

Soonchunhyang University Hospital

Seoul, , South Korea

Site Status RECRUITING

Yonsei University Gangnam Severance Hospital

Seoul, , South Korea

Site Status RECRUITING

Ajou University Hospital

Suwon, , South Korea

Site Status RECRUITING

Wonju Severance Christian Hospital

Wŏnju, , South Korea

Site Status RECRUITING

Countries

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South Korea

Central Contacts

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Geun Seog Song, PhD

Role: CONTACT

Phone: 82-2-6740-2440

Email: [email protected]

Eun Ji Kim

Role: CONTACT

Phone: 82-2-6740-2443

Email: [email protected]

Other Identifiers

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CJ_CCA_201

Identifier Type: -

Identifier Source: org_study_id