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A Clinical Study to assess the Efficacy and Safety of Combination of Azelnidipine plus Metoprolol Succinate Tablets in the Treatment of Stage 2 Hypertensio

Phase 3
Conditions
Health Condition 1: I159- Secondary hypertension, unspecified
Registration Number
CTRI/2022/07/044173
Lead Sponsor
Akums Drugs Pharmaceuticals Limited
Brief Summary

Not available

Detailed Description

Not available

Recruitment & Eligibility

Status
Open to Recruitment
Sex
Not specified
Target Recruitment
0
Inclusion Criteria

1. Male and non-pregnant, non-lactating female subjects between 18 to 65 years of age (both inclusive).

2. Treatment-Naïve subjects or subjects who are on stable dose of antihypertensive medications from last 4 weeks, with mean sitting systolic blood pressure (msSBP) >= 160 mmHg to < 180 mmHg,

and mean sitting diastolic blood pressure (msDBP) >= 100 mmHg to < 110 mmHg (3 readings will be taken by accredited automated blood pressure machine in sitting position, first reading will be taken after 15 min. rest and subsequent two readings will be taken at the interval of 2 min. each).

3. Female Subjects, of child bearing potential practicing an acceptable method of birth control such as sexual abstinence, intrauterine device IUD, birth control pills, a double-barrier

method, transdermal, injection or implants, non-hormonal or hormonal, condom plus spermicide, diaphragm plus spermicide, or vaginal spermicidal suppository; for the duration of the study as

judged by the investigator(s)/study physician and agree to follow the same should be used during treatment.

OR

Postmenopausal for at least 1 year.

OR

Surgically sterile (bilateral tubal ligation/bilateral oophorectomy/ hysterectomy has been performed on the Subject).

Note: Subjects entering the study who are on hormonal contraceptives must have been on the method for at least 90 days prior to the study and continue the method for the duration of the

study. Subjects who had used hormonal contraception and stopped must have stopped no less than 90 days prior to the study.

4. Subjects who are able to understand and give voluntary, written informed consent to participate in this clinical investigation and from whom written consent has been obtained.

5. Subjects shall be willing and able to understand and comply with the requirements of the study, administer the study medication as

instructed, return for the required treatment period visits, comply with therapy prohibitions, and be able to complete the study.

Exclusion Criteria

1. Suspected hypersensitivity to either of the study medications or any of the ingredients of the formulation.

2. Female subjects who are pregnant or lactating or planning to become pregnant during the study period.

3. Female subjects who are not ready to use acceptable contraceptive methods during the course of study.

4. Female subjects with positive urine pregnancy test at screening.

5. Subjects with secondary or malignant hypertension

6. Subjects with myocardial infarction or cerebrovascular disorder within 3 months before informed consent.

7.Subjects with unstable angina pectoris, severe heart failure (NYHA

class III or IV) and serious arrhythmia (grade II or III atrioventricular block).

8. Subjects with abnormal eGFR ( <60 mL/min/1.73 m2) will be excluded from the study.

9. Subjects with abnormal Liver Function Test with values more than 2.5 times the upper limit of normal.

10.Subjects with Type 1 Diabetes or Type 2 Diabetes Mellitus with HbA1c value greater than 8% will be excluded from the study.

11. Subjects with known case of Oncological Conditions.

12. Subject with any clinically significant laboratory abnormalities at screening visit.

13. Subjects with any other medical condition that might adversely impact the safety of the study participants or confound the study results.

14. Subjects who consume excessive amounts of alcohol, abuse drugs, or have any condition that would compromise compliance with this

protocol.

15. Subjects who have been treated with an investigational drug or investigational device within a period of 4 weeks prior to study

entry.

16. Currently taking prohibited concomitant medications(s) listed and inability/unwillingness to discontinue them for the entire study period.

17. Suspected inability or unwillingness to comply with the study procedures.

Study & Design

Study Type
Interventional
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
Change from baseline in mean sitting systolic blood pressure (msSBP) at the end of study visit (Week 12).Timepoint: Baseline/Visit 2 (Day 1), Visit 3 (week 2), Visit 4 (well 4), Visit 5 (week 8), End of Study/Visit 6 (Week 12)
Secondary Outcome Measures
NameTimeMethod
Change from baseline in Ambulatory Blood Pressure at the end of study/early <br/ ><br>discontinuation visit (Week 12)Timepoint: Baseline/Visit 2 (Day 1), Visit 3 (week 2), Visit 4 (well 4), Visit 5 (week 8), End of Study/Visit 6 (Week 12);Change from baseline in mean sitting diastolic blood pressure (msDBP) at the end of study visit (Week 12)Timepoint: Baseline/Visit 2 (Day 1), Visit 3 (week 2), Visit 4 (well 4), Visit 5 (week 8), End of Study/Visit 6 (Week 12)
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