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Phase 3 Completed N=200 Randomized Treatment

Fixed Dose Combination of Bisoprolol and Amlodipine in the Treatment of Hypertension

Source: ClinicalTrials.gov NCT01977794 ↗
Enrolled (actual)
200
Serious AEs
1.5%
Results posted
Aug 2016
Primary outcomePrimary: Mean Reduction In Systolic Blood Pressure (SBP) After 18 Weeks of Treatment From Baseline — 150.6; 151.6; -24.7; -25.9 millimeters of mercury (mmHg) — p=<0.001
◆ Published Evidence
Emerging
9citations · ~1 / year
Bisoprolol/amlodipine combination therapy improves blood pressure control in patients with essential hypertension following monotherapy failure.
Current medical research and opinion · 2016 · Likely link

Summary

This is a randomized, comparative Phase 3 trial to investigate the efficacy of fixed dose combination (FDC) of bisoprolol and amlodipine in hypertensive subjects (superiority of FDC over monotherapies).

Linked Publications

  • Bisoprolol/amlodipine combination therapy improves blood pressure control in patients with essential hypertension following monotherapy failure.
    Current medical research and opinion · 2016 · 9 citations · Likely link

Outcome Measures

OutcomeResultp-value
PRIMARY
Mean Reduction In Systolic Blood Pressure (SBP) After 18 Weeks of Treatment From Baseline
150.6; 151.6; -24.7; -25.9 <0.001 sig
SECONDARY
Change From Baseline in Diastolic Blood Pressure (DBP) After 18 Weeks of Treatment
90.5; 92.0; -13.0; -14.0
SECONDARY
Percentage of Subjects With Controlled Blood Pressure
85.6; 80.8; 86.8; 87.9; 86.7; 89.0
SECONDARY
Change From Baseline in Heart Rate (HR) After 18 Weeks of Treatment
73.6; 69.9; -11.5; -6.6
SECONDARY
Number of Subjects With Treatment Emergent Adverse Events (TEAEs), Serious TEAEs, AEs Leading to Discontinuation and AEs Leading to Death
78; 71; 1; 2; 3; 3

Eligibility Criteria

Inclusion Criteria

  • Essential hypertension not controlled at 5 mg bisoprolol or 5 mg amlodipine at least 4 weeks (definition of not controlled: SBP greater than or equal to (>=) 140 millimeter of mercury (mmHg) with or without DBP >= 90 mmHg)
  • Male or female subjects >=18 years of age, without limitation on race
  • Medically accepted effective contraception if procreative potential exists (applicable for both male and female subjects until at least 90 days after the last dose of trial treatment)
  • Subjects who have signed the informed consent form before any trial related assessment

Exclusion Criteria

  • General contraindications of beta-blockers and/or calcium channel blockers
  • Previous and concurrent acute heart failure or during episodes of heart failure decompensation requiring intravenous inotropic therapy
  • Concurrent cardiogenic shock
  • Previous and concurrent second or third degree atrioventricular (AV) block (without a pacemaker)
  • Previous and concurrent sick sinus syndrome
  • Previous and concurrent sinoatrial block
  • Concurrent symptomatic bradycardia
  • Concurrent symptomatic hypotension
  • Previous and concurrent severe bronchial asthma or chronic obstructive pulmonary diseases
  • Previous and concurrent severe peripheral arterial occlusive diseases and Raynaud's syndrome
  • Untreated pheochromocytoma
  • Concurrent metabolic acidosis
  • Known hypersensitivity to bisoprolol, amlodipine, dihydropyridine derivates or to any of the excipients
  • Seated pulse rate less than 60 beats per minute (bpm) at screening
  • Any other anti-hypertensive drugs (other than bisoprolol and amlodipine) are used within 4 weeks prior to the screening visit
  • Use of any enzyme-modifying drugs acting on cytochrome P450 (CYP) 3A4 enzymes via inhibition (such as ketoconazole, itraconazole, ritonavir) or induction (such as rifampicin or hypericum perforatum) within 28 days before Day 1 of the trial
  • Other significant disease that in the Investigator's opinion that would exclude the subject from the trial, such as uncontrolled diabetes mellitus, severe liver and/or kidney dysfunction, decompensated cardiac failure
  • Any other condition or therapy which in the Investigator's opinion would pose a risk to the subject or interfere with the trial objectives
  • Concurrent alcohol and/or drug abuse
  • Known hypersensitivity to the trial treatments
  • Pregnancy and lactation period. All female subjects with reproductive potential must have a negative pregnancy serum test within the 7 days prior to enrollment
  • Known lack of subject compliance
  • Legal incapacity or limited legal capacity
  • Participation in another clinical trial within the previous 30 days
  • Persons directly involved in the execution of the protocol
View full record on ClinicalTrials.gov →

Data sourced from ClinicalTrials.gov (NCT01977794) and the linked publication. 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. Informational only — not medical advice.

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