S-amlodipine+Chlorthalidone vs S-amlodipine+Telmisartan in Hypertension

NCT ID: NCT03226340

Last Updated: 2017-07-21

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

PHASE4

Total Enrollment

170 participants

Study Classification

INTERVENTIONAL

Study Start Date

2015-12-02

Study Completion Date

2018-03-31

Brief Summary

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Evaluation of the Efficacy and Safety of S-amlodipine+Chlorthalidone Combination Therapy and S-amlodipine+Telmisartan Combination Therapy in Hypertensive Patients Inadequately Controlled With CCB(Calcium Channel Blocker) Monotherapy

Detailed Description

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The aim of this study is to verify the difference at week 12 from the baseline value in the average variation of diastolic blood pressure (sitDBP) of the study group in which S-amlodipine / Chlorthalidone combination therapy is to be used in patients with essential hypertension who did not adequately respond to monotherapy of amlodipine or S-amlodipine, compared to the control group, in which a combination therapy of S-amlodipine / telmisartan is to be used.

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

NONE

Study Groups

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S-amlodipine + Chlorthalidone

patients will receive S-amlodipine 2.5mg + Chlorthalidone 25mg p.o. once a day for 12 weeks.

Group Type EXPERIMENTAL

S-amlodipine 2.5mg + Chlorthalidone 25mg

Intervention Type DRUG

patients will receive S-amlodipine 2.5mg + Chlorthalidone 25mg p.o. once a day for 12 weeks.

S-amlodipine + Telmisartan

patients will receive S-amlodipine 2.5mg + Telmisartan 40mg p.o. once a day for 12 weeks.

Group Type ACTIVE_COMPARATOR

S-amlodipine 2.5mg + Telmisartan 40mg

Intervention Type DRUG

patients will receive S-amlodipine 2.5mg + Telmisartan 40mg p.o. once a day for 12 weeks.

Interventions

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S-amlodipine 2.5mg + Chlorthalidone 25mg

patients will receive S-amlodipine 2.5mg + Chlorthalidone 25mg p.o. once a day for 12 weeks.

Intervention Type DRUG

S-amlodipine 2.5mg + Telmisartan 40mg

patients will receive S-amlodipine 2.5mg + Telmisartan 40mg p.o. once a day for 12 weeks.

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

1. Men and women with essential hypertension who were aged 19 years or older and younger than 80 years
2. Patients who have been treated with amlodipine or S-amlodipine monotherapy for more than 2 weeks immediately before visit 1 (screening)
3. Visit 1 (screening) reference mean blood pressure measured three times in the arm is greater than sit DBP 90 mmHg
4. Those who have voluntarily agreed in writing to participate in the trial

Exclusion Criteria

1. Patients with a history of secondary hypertension and all those with suspected secondary hypertension (including, but not limited to, coarctation of the aorta, primary aldosteronism, renal artery stenosis, Cushing's syndrome, chromium-rich cell tumor, polycystic kidney disease, etc.)
2. Patients with a mean SBP of 200 mmHg or more or a sit DBP of 110 mmHg or more at visit 1.
3. When the blood pressure was measured three times in the reference arm of visit 1 (screening), the difference between the highest lowest sit SBP was 20 mmHg or higher and the difference between the highest lowest sit DBP was 10 mmHg or higher.
4. An uncontrolled diabetic patient(HbA1c≥9.0%)
5. In addition to antihypertensive drugs, drugs that may affect blood pressure( Systemic steroids, Thyroid hormones, Oral contraceptives, antipsychotic drugs, NSAIDs, sympathomimetics, immunosuppressants, etc.) have been continuously administered for more than 12 weeks prior to visit 1 (screening)
6. Patients who are expected to take antihypertensive drugs other than clinical drugs during the trial
7. Patients with orthostatic hypotension with symptoms
8. Patients with a history of malignant tumors including leukemia and lymphoma within the past 5 years
9. Patients with a history of autoimmune diseases such as chronic joint rheumatism and systemic lupus erythematosus
10. Those who have a history of hypersensitivity to the amlodipine nicotinate or other chlortalidone or telmisartan drug
11. Patients with clinically significant renal • hepatic disease such as those on dialysis, cirrhosis, biliary obstruction, hepatic failure, or those who have the following findings on visit 1 (screening)

* ALanine Transaminase or ASpartate Transaminase is more than 3 times the normal upper limit
* Total bilirubin more than twice the normal upper limit
* More than twice the Blood Urea Nitrogen normal upper limit
* Alkaline Phosphatase More than twice the normal upper limit - Creatinine Clearance Less than 10 mL / min
12. Within the last 6 months, patients who have received the following diseases or treatments and whose clinical judgment is meaningful to the researcher

* Severe heart disease (heart failure New York Heart Association class III and IV), ischemic heart disease, peripheral vascular disease, hemodynamically significant valve stenosis, arrhythmia, etc
* Patients with severe cerebrovascular disorders (stroke, cerebral infarction, cerebral hemorrhage, etc.)
13. Shock patient
14. Patients with clinical history of alcohol or substance abuse
15. Patients with potential pregnancy or breastfeeding

* In the case of pregnant women, if the negative is not confirmed during pregnancy test
* Women who did not consent to contraception in a medically acceptable way during the trial
* Medically acceptable contraceptive methods: use condoms, injectable or injectable contraceptives, intrauterine contraceptive device, etc.
16. If the tester judges that the participation in the clinical trial is not legal or mental character
17. Clinical studies with other clinical trial drugs within 4 weeks prior to screening patients with experience
Minimum Eligible Age

19 Years

Maximum Eligible Age

79 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Hanlim Pharm. Co., Ltd.

INDUSTRY

Sponsor Role collaborator

Seoul National University Bundang Hospital

OTHER

Sponsor Role lead

Responsible Party

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Dong-Ju Choi

Professor, MD, PhD

Responsibility Role PRINCIPAL_INVESTIGATOR

Locations

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Hallym University Medical Center

Anyang, Dongan-gu, South Korea

Site Status RECRUITING

Kyung Hee University Hospital

Seoul, Dongdaemun-gu, South Korea

Site Status RECRUITING

Hallym University Medical Center

Seoul, Gangdong-gu,, South Korea

Site Status RECRUITING

Samsung Medical Center

Seoul, Gangnam-Gu, South Korea

Site Status RECRUITING

Korea Univ. Guro Hospital

Seoul, Guro, South Korea

Site Status RECRUITING

Seoul National University Hospital

Seoul, Jongno-gu, South Korea

Site Status RECRUITING

Hanyang University Medical Center

Seoul, Seongdong-gu, South Korea

Site Status RECRUITING

Asan Medical Center

Seoul, Songpa-gu, South Korea

Site Status RECRUITING

Ajou Univ. Medical Center

Suwon, Yeong-tong, South Korea

Site Status RECRUITING

Seoul National University Bundang Hospital

Seongnam, , South Korea

Site Status RECRUITING

Countries

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South Korea

Facility Contacts

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Sang-Ho Jo

Role: primary

82-31-380-3722

Soo-Joong Kim

Role: primary

82-2-958-8180

Kyoo-Rok Han

Role: primary

82-2-2224-2405

Sung-Ji Park

Role: primary

82-2-3410-0887

Eung-ju Kim, MD,PhD

Role: primary

82-8-2626-3022

Hyun-Jai Cho

Role: primary

82-2-2072-3931

Jin-Ho Shin

Role: primary

82-2-2290-8308

Jong-Min Song

Role: primary

82-2-3010-3158

Joon-han Shin, MD,PhD

Role: primary

82-31-219-5710

Dong-Ju Choi, MD, PhD

Role: primary

82-31-787-7007

Jin Joo Park, MD

Role: backup

82-31-787 ext. 7074

References

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Jo SH, Park SJ, Kim EJ, Kim SJ, Cho HJ, Song JM, Shin J, Park JJ, Shin JH, Han KR, Choi DJ. S-amlodipine plus chlorthalidone vs. S-amlodipine plus telmisartan in hypertensive patients unresponsive to amlodipine monotherapy: study protocol for a randomized controlled trial. Trials. 2018 Jun 20;19(1):324. doi: 10.1186/s13063-018-2636-1.

Reference Type DERIVED
PMID: 29925421 (View on PubMed)

Other Identifiers

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HL_LDN_504

Identifier Type: -

Identifier Source: org_study_id

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