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临床试验/EUCTR2017-001596-23-SI
EUCTR2017-001596-23-SI进行中(未招募)1 期

Fixed-Dose Combination of Perindopril/Amlodipine (Amlessa®) and Fixed-Dose Combination of Perindopril/Indapamide /Amlodipine (Co-Amlessa®) - Contribution to Management in newly diagnosed and uncontrolled hypertensive patients (PRECIOUS study)

Krka, d.d., Novo mesto0 个研究点目标入组 461 人开始时间: 2017年12月5日最近更新:
相关药物

试验速览

阶段
1 期
状态
进行中(未招募)
入组人数
461

研究概览

简要总结

暂无简介。

研究设计

研究类型
Interventional clinical trial of medicinal product

入排标准

性别
All

入选标准

  • Patients with essential arterial hypertension.*
  • Men and women aged = 18 years.
  • Written informed consent.
  • Ability to adhere to study protocol.
  • *Additional inclusion criteria for Amlessa®:
  • Patients with essential arterial hypertension:
  • o Naïve patients with systolic blood pressure (SBP) from 150 mmHg or higher AND/OR diastolic blood pressure (DBP) from 95 mmHg or higher (SBP = 150 AND/OR DBP = 90 mmHg for patients with type 2 diabetes mellitus)
  • o Uncontrolled patients on antihypertensive monotherapy with SBP from 140 mmHg or higher AND/OR DBP from 90 mmHg or higher (SBP = 140 AND/OR DBP = 85 mmHg for patients with type 2 diabetes mellitus).
  • o Uncontrolled patients on dual antihypertensive therapy (either in monoforms or FDC) with SBP from 140 mmHg or higher AND/OR DBP from 90 mmHg or higher (SBP = 140 AND/OR DBP = 85 mmHg for patients with type 2 diabetes mellitus).
  • *Additional inclusion criteria for Co-Amlessa®:
  • Patients with essential arterial hypertension (AH):
  • o Uncontrolled patients on dual antihypertensive therapy (either in monoforms or FDC, including perindopril+amlodipine combination) with SBP from 140 mmHg or higher AND/OR DBP from 90 mmHg or higher (SBP = 140 AND/OR DBP = 85 mmHg for patients with type 2 diabetes mellitus).
  • o Uncontrolled patients on triple antihypertensive therapy (either in monoforms or FDC) with SBP from 140 mmHg or higher AND/OR DBP from 90 mmHg or higher (SBP = 140 AND/OR DBP = 85 mmHg for patients with type 2 diabetes mellitus).
  • Are the trial subjects under 18? no
  • Number of subjects for this age range:
  • F.1.2 Adults (18-64 years) yes
  • F.1.2.1 Number of subjects for this age range 285
  • F.1.3 Elderly (>=65 years) yes
  • F.1.3.1 Number of subjects for this age range 285

排除标准

  • History of adverse reactions or hypersensitivity associated with the use of the active substances, or any other components of the Investigational medicinal products (IMPs) used in the trial.
  • Hereditary/idiopathic angioedema.
  • Known secondary AH (e.g. pheochromocytoma, primary aldosteronism, renal artery stenosis)
  • Office measured Systolic blood pressure =200 mmHg
  • Unstable angina pectoris.
  • Acute heart failure and heart failure NYHA IV.
  • Antihypertensive drugs used for other indication than AH (e.g. tachyarrhythmia, glaucoma) less than 3 months before the study or in changed dosages less than 3 months before the study
  • Severe liver impairment OR biliary cirrhosis OR cholestasis OR hepatic encephalopathy
  • Renal dysfunction - GFR <60 ml/min (bilateral renal artery stenosis, renal artery stenosis in a solitary kidney, patients with only 1 kidney, or post-renal transplant patients, dialysis patients
  • Any of the following clinically relevant laboratory or ECG findings
  • - significant anaemia with haemoglobin less than 100 g/l,
  • - serum AST and/or ALT and/or ALP and/or GammaGT of more than 3 x ULN (upper limit of normal)
  • - hyperkalaemia (serum potassium of more than 5 mmol/l)
  • - A-V block grade 2 or 3
  • - ECG signs of acute ischemia
  • Concurrent therapy with:
  • o aliskiren-containing products (in patients with diabetes mellitus or renal impairment)
  • o Estramustine
  • o Any not allowed” medication(s) listed in Study protocol section 6.2
  • Bradycardia with heart rate less than 50/min.
  • Female patients who are pregnant, planning to become pregnant.
  • Breastfeeding female patients.
  • Any significant acute condition (severe infection, exacerbation or uncontrolled phase of a chronic disease, major trauma, major surgery) within 30 days prior to screening visit.
  • Pathological clinical states (e.g. malignant diseases, excessive alcohol consumption, drug abuse or drug addiction, psychiatric conditions) or any life-threatening illness.
  • Patients currently participating in another clinical trial.
  • Patient’s refusal to participate with the investigator.
  • Normal average 24-hour SBP and DBP obtained by ABPM (<130/80 mmHg at baseline).
  • Severe orthostatic hypotension.
  • Patients to whom ß-blocker therapy cannot be discountinued in one day.
  • Previous or current therapy with perindopril and amlodipine and indapamide taken concomitantly all together as 3 separate tablets or as a fixed-dose combination.
  • In Amlessa® arm patients on previous or current therapy with perindopril and amlodipine taken concomitantly all together as 2 separate tablets or as a fixed-dose combination. (this exclusion criterion does not apply to Co-Amlessa® arm).

研究者

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