A Randomized, Comparative Trial of Concor AM, a Fixed Dose Combination of Bisoprolol and Amlodipine, on the Treatment of Essential Hypertensive Patients Whose Blood Pressure is Not Well Controlled by Monotherapy of Bisoprolol 5mg or Amlodipine 5mg
试验速览
- 阶段
- 3 期
- 状态
- 已完成
- 入组人数
- 200
- 试验地点
- 1
- 主要终点
- Mean Reduction In Systolic Blood Pressure (SBP) After 18 Weeks of Treatment From Baseline
研究概览
简要总结
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).
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Treatment
- 盲法
- None
入排标准
- 年龄范围
- 18 Years 至 —(Adult, Older Adult)
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •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
排除标准
- •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
研究组 & 干预措施
Bisoprolol failed group
Subjects who failed monotherapy with bisoprolol 5 milligram (mg) before trial inclusion will be randomized to bisoprolol failed group to receive Bisoprolol/Amlodipine FDC tablet
干预措施: Bisoprolol/Amlodipine (Bisoprolol failed group) (Drug)
Amlodipine failed group
Subjects who failed monotherapy with amlodipine 5 mg before trial inclusion will be randomized to amlodipine failed group to receive Bisoprolol/Amlodipine FDC tablet.
干预措施: Bisoprolol/Amlodipine (Amlodipine failed group) (Drug)
结局指标
主要结局
Mean Reduction In Systolic Blood Pressure (SBP) After 18 Weeks of Treatment From Baseline
时间窗: Baseline, Week 18
Baseline was defined as the latest SBP under monotherapy.
次要结局
- Percentage of Subjects With Controlled Blood Pressure(Baseline up to Week 18)
- Change From Baseline in Heart Rate (HR) After 18 Weeks of Treatment(Baseline, Week 18)
- Change From Baseline in Diastolic Blood Pressure (DBP) After 18 Weeks of Treatment(Baseline, Week 18)
- Number of Subjects With Treatment Emergent Adverse Events (TEAEs), Serious TEAEs, AEs Leading to Discontinuation and AEs Leading to Death(Baseline up to Day 127 (end of trial))
