Phase 3
N=2,492
Safety and Efficacy Study of a Triple Combination Therapy in Subjects With Hypertension
Hypertension
Bottom Line
View on ClinicalTrials.gov: NCT00649389 ↗Enrolled (actual)
2,492
Serious AEs
1.5%
Results posted
Sep 2010
Primary outcome: Primary: Change From Baseline to Week 12 in Seated Diastolic Blood Pressure (SeDBP). — -17.8; -16.5; -14.8; -21.5 mm Hg — p=<0.0001
Study Design & Population
- Study type
- Interventional
- Phase
- Phase 3
- Interventions
- Olmesartan medoxomil (Drug); Amlodipine (Drug); Hydrochlorothiazide (Drug)
- Age
- Adult, Older Adult · 18+ yrs
- Sex
- All
- Sponsor
- Daiichi Sankyo
- Primary completion
- Apr 2009
Outcome Measures
| Outcome | Result | p-value |
|---|---|---|
| PRIMARY Change From Baseline to Week 12 in Seated Diastolic Blood Pressure (SeDBP). |
-17.8; -16.5; -14.8; -21.5 | <0.0001 sig |
| SECONDARY Percentage of Subjects Who Reached Blood Pressure Goal (<140/90 mmHg; <130/80 mmHg for Subjects With Diabetes, Chronic Renal Disease, or Chronic Cardiovascular Disease)by 12 Weeks |
46.0; 46.6; 34.9; 64.3 | <0.0001 sig |
| SECONDARY Change in Mean 24-hour Ambulatory Blood Pressure From Baseline to Week 12 or Early Termination |
-13.9; -14.5; -10.7; -18.0; -23.5; -23.9 | <0.0001 sig |
| SECONDARY Change in Seated Systolic Blood Pressure From Baseline to Week 12 |
-31.1; -31.2; -28.9; -38.1 | <0.0001 sig |
Summary
To determine the effectiveness of four different strength combinations of three approved anti-hypertension therapies (olmesartan medoxomil, amlodipine, and hydrochlorothiazide) for lowering blood pressure.
Eligibility Criteria
Inclusion Criteria
- Demonstrable hypertension defined as mean sitting trough cuff blood pressure ≥ 140/100 mmHg (SeSBP ≥ 140 mmHg and SeDBP ≥ 100mmHg) or mean sitting trough cuff BP ≥ 160/90 mmHg (SeSBP ≥ 160 mmHg and SeDBP ≥ 90mmHg).
- Male or female newly diagnosed hypertensive subjects or currently on hypertension medication.
- Negative urine pregnancy test at screening
- Not lactating
- Do not plan to become pregnant during the study
- Will practice birth control throughout the study by the following: oral or patch contraceptive, injectable or implantable contraceptive medication, intrauterine device, diaphragm or female condom plus spermicide
- Non childbearing potential must be classified by one of the following criteria
- Had a hysterectomy or tubal ligation at least 6 months prior to consent
- Has been postmenopausal for a least 1 year
Exclusion Criteria
- Mean sitting trough cuff DBP 9.0%. Diabetics must have documentation of HbA1c within 6 months of the Screening Visit. Undocumented subjects must have their HbA1c assessed prior to randomization. Note: Subjects with Type I or Type II diabetes controlled with insulin, diet or oral hypoglycemic agents on a stable dose for at least 30 days may be included.
- Evidence of liver disease as indicated by ALT and AST and/or total bilirubin >3 times the upper limit of normal.
- Severe renal insufficiency defined as a creatinine clearance (based on the Cockcroft-Gault formula) of <30 mL/min.
- Clinically significant laboratory elevations at Visit 1 that compromise subject safety, based on the investigator's judgment. Consideration should take into account the potential laboratory effects of the component blinded therapies.
- Positive for any one of the following tests: hepatitis B surface antigen, hepatitis C antibody (confirmed by radio immunobinding assay, RIBA) or HIV antibody (confirmed by western blot assay).
- Subjects with malignancy during the past 2 years excluding squamous cell or basal cell carcinoma of the skin.
- Known allergy to any of the medications used in the study.
- Subjects who require or are taking any concomitant medication, which may interfere with the objectives of the study (Refer to Section 5.2 for a listing of excluded medications).
- Pregnant or lactating females.
- Current history of drug or alcohol abuse.
- A subject with any medical condition, which in the judgment of the Investigator would jeopardize the evaluation of efficacy or safety and/or constitute a significant safety risk to the subject.
Data sourced from ClinicalTrials.gov (NCT00649389). Outcome figures and adverse-event rates are extracted automatically from the registry's posted results and are provided for clinician reference, not as a substitute for the primary publication.