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DORADO-AC - Optimized Doses of Darusentan as Compared to an Active Control in Resistant Hypertension

Phase 3
Completed
Conditions
Hypertension
Interventions
Registration Number
NCT00389779
Lead Sponsor
Gilead Sciences
Brief Summary

This is a randomized, double-blind, placebo- and active-controlled study of a new experimental drug called darusentan. Darusentan is not currently approved by the United States Food and Drug Administration (FDA), which means that a doctor cannot prescribe this drug. The purpose of this study is to determine if darusentan is effective in reducing systolic and diastolic hypertension despite treatment with full doses of three or more antihypertensive drugs, including a diuretic. Subjects will be randomized to darusentan (optimized dose), an active comparator, or placebo, administered orally. The treatment period for this trial is 14 weeks.

Detailed Description

Not available

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
849
Inclusion Criteria

Not provided

Exclusion Criteria

Not provided

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
DarusentanDarusentan PlaceboPlacebo to match darusentan for 2-week placebo run-in period, followed by darusentan capsules titrated to an optimal dose of 50 mg, 100 mg, or 300 mg administered orally once daily for 14 weeks
GuanfacineGuanfacinePlacebo to match darusentan for 2-week placebo run-in period, followed by guanfacine 1 mg capsules administered orally once daily for 14 weeks
GuanfacineDarusentan PlaceboPlacebo to match darusentan for 2-week placebo run-in period, followed by guanfacine 1 mg capsules administered orally once daily for 14 weeks
Darusentan PlaceboDarusentan PlaceboPlacebo to match darusentan for 2-week placebo run-in period, followed by placebo to match darusentan administered orally once daily for 14 weeks
DarusentanDarusentanPlacebo to match darusentan for 2-week placebo run-in period, followed by darusentan capsules titrated to an optimal dose of 50 mg, 100 mg, or 300 mg administered orally once daily for 14 weeks
Primary Outcome Measures
NameTimeMethod
Change from baseline in trough sitting systolic and diastolic blood pressure measured by sphygmomanometryBaseline to Week 14
Secondary Outcome Measures
NameTimeMethod
Percentage of subjects reaching systolic blood pressure goal after 14 weeks of treatmentWeek 14
Change from baseline in mean 24-hour systolic and diastolic blood pressure measured by ambulatory blood pressure monitoring (ABPM)Baseline to Week 14
Change from baseline in estimated glomerular filtration rate (eGFR)Baseline to Week 14

Trial Locations

Locations (145)

Alabama Internal Medicine, PC

🇺🇸

Birmingham, Alabama, United States

Greystone Medical Research, LLC

🇺🇸

Birmingham, Alabama, United States

The Heart Center, PC

🇺🇸

Huntsville, Alabama, United States

Mulberry Medical Associates, PC

🇺🇸

Montgomery, Alabama, United States

Arizona Center for Clinical Research

🇺🇸

Glendale, Arizona, United States

Cardiovascular Consultants, Ltd.

🇺🇸

Glendale, Arizona, United States

Lovelace Scientific Resources, Inc

🇺🇸

Phoenix, Arizona, United States

Cochise Clinical Research

🇺🇸

Sierra Vista, Arizona, United States

Southwest Heart

🇺🇸

Tucson, Arizona, United States

HealthFirst Physician of AR, PA dba Convenient Care Clinic

🇺🇸

Hot Springs, Arkansas, United States

Scroll for more (135 remaining)
Alabama Internal Medicine, PC
🇺🇸Birmingham, Alabama, United States

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