HypertensionPhase 3NCT00239369
Telmisartan80/HCTZ25 Versus Telmisartan80/HCTZ12.5 in Hypertension Not Responding to Telmisartan80/HCTZ12.5
A Phase 3 study testing Fixed dose combination telmisartan 80 mg + HCTZ 25 mg and Fixed dose combination telmisartan 80 mg + HCTZ 12.5 mg in people with Hypertension, run by Boehringer Ingelheim at 84 sites in 16 countries.
Trial summary
The primary objective of this trial is to demonstrate that a fixed dose combination of telmisartan 80 mg plus hydrochlorothiazide 25 mg (T80/H25) is superior in reducing blood pressure after eight weeks compared with a fixed dose combination of telmisartan 80 mg plus hydrochlorothiazide 12.5 mg (T80/H12.5) in patients… Read more about this study
- Who is it for?
- Ages 18 years and older
- Conditions the study is for
- Hypertension
- What is being tested?
- Fixed dose combination telmisartan 80 mg + HCTZ 25 mg and Fixed dose combination telmisartan 80 mg + HCTZ 12.5 mg
- How many people
- 713 participants
- Where
- 84 sitesin 16 countries
- Study dates
- Oct 2005to Aug 2006
- Phase
- Phase 3
- Are there results?
- None posted in the registry
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 18 years and older
- All sexes
- No healthy volunteers
- Adult, Older adult
Who may be able to join
- Essential hypertension.
- Currently taking between one and three antihypertensive medications at a stable dose for at least four weeks before Visit 1.
- Blood pressure not adequately controlled on existing treatment before entry (inadequate control defined as seated DBP >= 95 mmHg on one current antihypertensive medication or DBP >= 90 mmHg on two or more current antihypertensive medication(s).
- Failure to respond to six weeks treatment with T80/H12.5. (Failure to respond defined as seated DBP >= 90 mmHg at six weeks. This criterion will be assessed at Visit 3.)
- Willing and able to provide written informed consent.
Who cannot join
- Women of child-bearing potential NOT practising acceptable means of birth control, positive serum pregnancy test, breastfeeding.
- Known or suspected secondary hypertension.
- Mean SBP >= 200 mmHg.
- Severe hepatic or renal impairment.
- Bilateral renal artery stenosis (or in a solitary kidney), post-renal transplant or only one functioning kidney.
- Clinically relevant hypokalaemia or hyperkalaemia.
Show all 16Show fewer
- Uncorrected volume or sodium depletion, primary aldosteronism.
- Hereditary fructose intolerance.
- Previous symptoms of angioedema after ACE inhibitors or angiotensin-II receptor antagonists.
- Drug or alcohol dependency within the previous six months.
- Administration of any medication known to affect blood pressure.
- Concurrent participation in another clinical trial or any investigational therapy.
- Hypertrophic obstructive cardiomyopathy, hemodynamically relevant stenosis of the aortic or mitral valve.
- Allergic hypersensitivity to any component of the formulations under investigation.
- Concomitant therapy with lithium, cholestyramine or colestipol resins. non-compliance with study medication (less than 80% or more than 120%) during th e run-in treatment period.
- Any other clinical condition which, in the opinion of the investigator, would not allow safe administration of telmisartan or hydrochlorothiazide.
Trial locations and contacts
84 sites in 16 countries.
84 sites in 16 countries
Netherlands10 sites
Boehringer Ingelheim Investigational Site
Bennebroek, 2121 BB
Boehringer Ingelheim Investigational Site
Ewijk, 6644 CL
Boehringer Ingelheim Investigational Site
Helmond, 5704 CM
Boehringer Ingelheim Investigational Site
Hoogwoud, 1817 BG
Boehringer Ingelheim Investigational Site
Nijverdal, 7442 LS
Boehringer Ingelheim Investigational Site
Oude Pekela, 9665 AR
Boehringer Ingelheim Investigational Site
Oude Pekela, 9665 BJ
Boehringer Ingelheim Investigational Site
Rijswijk, 2281 AK
Boehringer Ingelheim Investigational Site
Roelofarendsveen, 2371 RB
Boehringer Ingelheim Investigational Site
Rotterdam, 3082 DC
Germany8 sites
Boehringer Ingelheim Investigational Site
Ellefeld, 08236
Boehringer Ingelheim Investigational Site
Flörsheim, 65439
Boehringer Ingelheim Investigational Site
Frankfurt am Main, 60323
Boehringer Ingelheim Investigational Site
Haag, 83527
Boehringer Ingelheim Investigational Site
Ingelheim, 55218
Boehringer Ingelheim Investigational Site
Nuremberg, 90402
Boehringer Ingelheim Investigational Site
Rodgau-Dudenhofen, 63110
Boehringer Ingelheim Investigational Site
Unterschneidheim, 73485
Ireland8 sites
Boehringer Ingelheim Investigational Site
Birr
Boehringer Ingelheim Investigational Site
Carrigallen
Boehringer Ingelheim Investigational Site
Dublin
Boehringer Ingelheim Investigational Site
Enniscorthy
Boehringer Ingelheim Investigational Site
Gorey
Boehringer Ingelheim Investigational Site
Mallow
Boehringer Ingelheim Investigational Site
New Ross
Boehringer Ingelheim Investigational Site
Toomyvara
South Africa8 sites
Boehringer Ingelheim Investigational Site
Bellville, 7531
Boehringer Ingelheim Investigational Site
Durban, 4091
Boehringer Ingelheim Investigational Site
Johannesburg, 2001
Boehringer Ingelheim Investigational Site
Johannesburg, 2013
Boehringer Ingelheim Investigational Site
Lenasia, 2033
Boehringer Ingelheim Investigational Site
Lenasia South, 2033
Boehringer Ingelheim Investigational Site
Midrand, 1685
Boehringer Ingelheim Investigational Site
Pretoria, 0038
Spain8 sites
Hospital Municipal de Badalona
Badalona / Barcelona, 08911
Hospital de Galdakao
Galdakao / Vizcaya, 48680
Hospital Gral. Jerez de la Frontera
Jerez de La Frontera / Cadiz, 11407
C.A.P. Mosen Cinto Verdaguer
L'Hospitalet de Llobregat / Barcelona, 08902
Hospital Universitario Gregorio Mara?on
Madrid, 28007
C.A.P. Ronda Cerdanya
Mataro (Barcelona), 08303
Hospital General de Mostoles - Medicina Interna
Mostoles / Madrid, 28935
Hospital del Conxo
Santiago de Compostela, 15706
Switzerland6 sites
Boehringer Ingelheim Investigational Site
Basel, 4031
Boehringer Ingelheim Investigational Site
Basel, 4051
Boehringer Ingelheim Investigational Site
Basel, 4052
Boehringer Ingelheim Investigational Site
Bellinzona, 6500
Boehringer Ingelheim Investigational Site
Saint-Imier, 2610
Boehringer Ingelheim Investigational Site
Vezia, 6943
Denmark5 sites
Boehringer Ingelheim Investigational Site
Birker?d, 3460
Boehringer Ingelheim Investigational Site
Haderslev, DK-6100
Boehringer Ingelheim Investigational Site
Odder, DK-8300
Boehringer Ingelheim Investigational Site
R?dovre, DK-2610
Boehringer Ingelheim Investigational Site
Vildbjerg, DK-7480
Finland5 sites
Boehringer Ingelheim Investigational Site
Helsinki, FI-00500
Boehringer Ingelheim Investigational Site
Joensuu, FI-80100
Boehringer Ingelheim Investigational Site
Kokkola, FI-67200
Boehringer Ingelheim Investigational Site
Turku, FI-20100
Boehringer Ingelheim Investigational Site
Turku, FI-20520
Norway5 sites
Boehringer Ingelheim Investigational Site
Elverum, N-2408
Boehringer Ingelheim Investigational Site
Moelv, N-2391
Boehringer Ingelheim Investigational Site
Oslo, N-0369
Boehringer Ingelheim Investigational Site
Skedsmokorset, N-2020
Boehringer Ingelheim Investigational Site
Tolvsr?d, N-3153
Sweden5 sites
Boehringer Ingelheim Investigational Site
Eksjö, 575 36
Boehringer Ingelheim Investigational Site
Karlstad, 651 85
Boehringer Ingelheim Investigational Site
Karlstad, 652 24
Boehringer Ingelheim Investigational Site
Uddevalla, 451 40
Boehringer Ingelheim Investigational Site
Uppsala, 751 25
France4 sites
ALTI
Angers, 49000
ALTI
Angers, 49100
Hopital Avicenne
Bobigny, 93000
Mg Recherches
Paris, 75015
Italy4 sites
Ospedale Arnaboldi
Broni (PV), 27043
Azienda Ospedaliera Universita di Ferrara
Ferrara, 44100
IRCCS San Raffaele
Roma, 00163
Ospedale Civile
Vittorio Veneto (TV), 31029
South Korea3 sites
Boehringer Ingelheim Investigational Site
Incheon, 405760
Boehringer Ingelheim Investigational Site
Seoul, 134701
Boehringer Ingelheim Investigational Site
Seoul, 152703
Taiwan3 sites
Boehringer Ingelheim Investigational Site
Taipei, 104
Boehringer Ingelheim Investigational Site
Taipei, 112
Boehringer Ingelheim Investigational Site
Taipei
Malaysia1 site
Boehringer Ingelheim Investigational Site
Kuching, Sarawak, 93586
About this study
Official title: A Prospective Randomised Study to Compare a Fixed Dose Combination of Telmisartan 80 mg Plus Hydrochlorothiazide 25 mg With a Fixed Dose Combination of Telmisartan 80 mg Plus Hydrochlorothiazide 12.5 mg in Patients With Uncontrolled Hypertension Who Fail to Respond Adequately to Treatment With a Fixed Dose Combination of Telmisartan 80 mg Plus Hydrochlorothiazide 12.5 mg
The primary objective of this trial is to demonstrate that a fixed dose combination of telmisartan 80 mg plus hydrochlorothiazide 25 mg (T80/H25) is superior in reducing blood pressure after eight weeks compared with a fixed dose combination of telmisartan 80 mg plus hydrochlorothiazide 12.5 mg (T80/H12.5) in patients who fail to respond to six weeks treatment with T80/H12.5.
Read the detailed description
Adult patients with high blood pressure who are currently taking one, two or three blood pressure treatments will be asked to take part in the study. It is expected that about 1,600 patients in seventeen countries will enter the screening part of the study and approximately 480 of these patients will be allocated to double-blind randomised study treatment. The study will last for approximately fifteen weeks. Patients will visit the study doctor five times for assessment. After informed consent, patients will start a screening period for four to ten days. During the screening period, patients must take their usual blood pressure treatment but will stop this by the date of the next visit. If the patient is suitable for this study, they will then start run-in treatment period with telmisartan 80 mg plus hydrochlorothiazide 12.5 mg (T80/H12.5) taken as a single tablet once per day for approximately six weeks.
At the end of the run-in treatment period, if the diastolic blood pressure (DBP) is below 90 mmHg, the patient will not proceed as their blood pressure is already controlled by T80/H12.5. If the DBP is 90 mmHg or greater they will start the randomised study treatment period and be randomly allocated to double-blind treatment with either telmisartan 80 mg plus hydrochlorothiazide 25 mg(T80/H25) or T80/H12.5 taken as a single tablet once per day for eight weeks. They will also receive a placebo tablet (a dummy tablet which contains no active ingredient) every day.
They will visit the clinic four weeks and eight weeks later for assessment of their blood pressure and general health. Their participation in the study is complete eight weeks after the start of the randomised treatment period.
Study Hypothesis:
The trial hypothesis is that the reduction in seated trough DBP (i.e., seated trough DBP at the end of the randomised treatment period compared with the seated trough DBP at the start of the randomised treatment period) will be greater in the T80/H25 group compared with the T80/H12.5 group.
Comparison(s):
The efficacy and safety of the two trial treatments (T80/H25 versus T80/H12.5) will be compared. Trough blood pressure is the blood pressure 24 hours after the last dose of trial medication.
- Conditions
- Hypertension
- Being tested
- Fixed dose combination telmisartan 80 mg + HCTZ 25 mg, Fixed dose combination telmisartan 80 mg + HCTZ 12.5 mg
- Medical subject headings
- Hypertension
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
Fixed dose combination telmisartan 80 mg + HCTZ 25 mgDrug
Fixed dose combination telmisartan 80 mg + HCTZ 12.5 mgDrug
What is being measured
The primary outcome is the main question the study is designed to answer.
Change from baseline in trough seated DBP
Measured: 8 weeks
Secondary outcomes (7)
Change from baseline in trough seated SBP
Measured: 8 weeks
Change from baseline in trough standing DBP and SBP
Measured: 8 weeks
The proportion of patients achieving DBP control (trough seated DBP<90 mmHg).
Measured: 8 weeks
The proportion of patients achieving DBP response (trough seated DBP<90 mmHg or trough seated DBP reduction from baseline ≥10 mmHg).
Measured: 8 weeks
The proportion of patients achieving SBP response (trough seated SBP<140 mmHg or trough seated SBP reduction from baseline ≥10 mmHg).
Measured: 8 weeks
The proportion of patients achieving SBP response (trough seated SBP<140 mmHg or trough seated SBP reduction from baseline ≥20 mmHg)
Measured: 8 weeks
The proportion of patients in trough seated BP categories: opt.: SBP<120 mmHg and DBP<80 mmHg., norm.: SBP<130 mmHg and DBP<85 mmHg and not optimal, high-normal: SBP<140 mmHg and DBP<90 mmHg and not optimal or normal, high: SBP ≥140 mmHg or DBP ≥90 mmHg
Measured: 8 weeks
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted17 Oct 2005 (estimated)
- Study startOct 2005
- Primary completionAug 2006
- Study completionAug 2006
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Other trials for HypertensionStudies of the same condition, open and under way.
- More trials run by Boehringer IngelheimThe sponsor's other registered studies.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Interventional
- Phase
- Phase 3
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Double blind
- Enrolment
- 713 participants
Sponsor and investigators
- Lead sponsor
- Boehringer Ingelheim
- Sponsor type
- Industry (pharma, biotech, devices)
- Investigators
- Boehringer Ingelheim Study Coordinator, Study chair, BIL UK / Ireland
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT00239369
- Sponsor's protocol ID
- 502.480
- Status last verified
- Dec 2017
- First submitted
- 13 Oct 2005
- Last updated
- 28 Dec 2017
- Results posted
- No
Study at a glance
From the registry record, last updated by the sponsor on 28 Dec 2017. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- A Prospective Randomised Study to Compare a Fixed Dose Combination of Telmisartan 80 mg Plus Hydrochlorothiazide 25 mg With a Fixed Dose Combination of Telmisartan 80 mg Plus Hydrochlorothiazide 12.5 mg in Patients With Uncontrolled Hypertension Who Fail to Respond Adequately to Treatment With a Fixed Dose Combination of Telmisartan 80 mg Plus Hydrochlorothiazide 12.5 mg
- ClinicalTrials.gov ID
- NCT00239369
- Acronym / sponsor ID
- 502.480
- Conditions
- Hypertension
- Phase
- Phase 3
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 713 participants
- Lead sponsor
- Boehringer IngelheimIndustry (pharma, biotech, devices)
- Study start
- Oct 2005
- Primary completion
- Aug 2006 (actual)
- Study completion
- Aug 2006
- First posted
- 17 Oct 2005 (estimated)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
The primary objective of this trial is to demonstrate that a fixed dose combination of telmisartan 80 mg plus hydrochlorothiazide 25 mg (T80/H25) is superior in reducing blood pressure after eight weeks compared with a fixed dose combination of telmisartan 80 mg plus hydrochlorothiazide 12.5 mg (T80/H12.5) in patients who fail to respond to six weeks treatment with T80/H12.5.
Detailed description
Adult patients with high blood pressure who are currently taking one, two or three blood pressure treatments will be asked to take part in the study. It is expected that about 1,600 patients in seventeen countries will enter the screening part of the study and approximately 480 of these patients will be allocated to double-blind randomised study treatment. The study will last for approximately fifteen weeks. Patients will visit the study doctor five times for assessment. After informed consent, patients will start a screening period for four to ten days. During the screening period, patients must take their usual blood pressure treatment but will stop this by the date of the next visit. If the patient is suitable for this study, they will then start run-in treatment period with telmisartan 80 mg plus hydrochlorothiazide 12.5 mg (T80/H12.5) taken as a single tablet once per day for approximately six weeks.
At the end of the run-in treatment period, if the diastolic blood pressure (DBP) is below 90 mmHg, the patient will not proceed as their blood pressure is already controlled by T80/H12.5. If the DBP is 90 mmHg or greater they will start the randomised study treatment period and be randomly allocated to double-blind treatment with either telmisartan 80 mg plus hydrochlorothiazide 25 mg(T80/H25) or T80/H12.5 taken as a single tablet once per day for eight weeks. They will also receive a placebo tablet (a dummy tablet which contains no active ingredient) every day.
They will visit the clinic four weeks and eight weeks later for assessment of their blood pressure and general health. Their participation in the study is complete eight weeks after the start of the randomised treatment period.
Study Hypothesis:
The trial hypothesis is that the reduction in seated trough DBP (i.e., seated trough DBP at the end of the randomised treatment period compared with the seated trough DBP at the start of the randomised treatment period) will be greater in the T80/H25 group compared with the T80/H12.5 group.
Comparison(s):
The efficacy and safety of the two trial treatments (T80/H25 versus T80/H12.5) will be compared. Trough blood pressure is the blood pressure 24 hours after the last dose of trial medication.
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Double blind
Who may qualify
- Ages
- 18 years and older
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (5 listed)
- Essential hypertension.
- Currently taking between one and three antihypertensive medications at a stable dose for at least four weeks before Visit 1.
- Blood pressure not adequately controlled on existing treatment before entry (inadequate control defined as seated DBP >= 95 mmHg on one current antihypertensive medication or DBP >= 90 mmHg on two or more current antihypertensive medication(s).
- Failure to respond to six weeks treatment with T80/H12.5. (Failure to respond defined as seated DBP >= 90 mmHg at six weeks. This criterion will be assessed at Visit 3.)
- Willing and able to provide written informed consent.
Key exclusion criteria (16 listed)
- Women of child-bearing potential NOT practising acceptable means of birth control, positive serum pregnancy test, breastfeeding.
- Known or suspected secondary hypertension.
- Mean SBP >= 200 mmHg.
- Severe hepatic or renal impairment.
- Bilateral renal artery stenosis (or in a solitary kidney), post-renal transplant or only one functioning kidney.
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| Fixed dose combination telmisartan 80 mg + HCTZ 25 mg | Drug | – |
| Fixed dose combination telmisartan 80 mg + HCTZ 12.5 mg | Drug | – |
Primary outcome
Change from baseline in trough seated DBP
Time frame: 8 weeks
7 secondary outcomes
Change from baseline in trough seated SBP
Time frame: 8 weeks
Change from baseline in trough standing DBP and SBP
Time frame: 8 weeks
The proportion of patients achieving DBP control (trough seated DBP<90 mmHg).
Time frame: 8 weeks
The proportion of patients achieving DBP response (trough seated DBP<90 mmHg or trough seated DBP reduction from baseline ≥10 mmHg).
Time frame: 8 weeks
The proportion of patients achieving SBP response (trough seated SBP<140 mmHg or trough seated SBP reduction from baseline ≥10 mmHg).
Time frame: 8 weeks
The proportion of patients achieving SBP response (trough seated SBP<140 mmHg or trough seated SBP reduction from baseline ≥20 mmHg)
Time frame: 8 weeks
The proportion of patients in trough seated BP categories: opt.: SBP<120 mmHg and DBP<80 mmHg., norm.: SBP<130 mmHg and DBP<85 mmHg and not optimal, high-normal: SBP<140 mmHg and DBP<90 mmHg and not optimal or normal, high: SBP ≥140 mmHg or DBP ≥90 mmHg
Time frame: 8 weeks
Results and safety
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 28 Dec 2017.
- Related InfoLink provided by the sponsor.
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
Boehringer Ingelheim Study Coordinator study chair
BIL UK / Ireland
84 sites in 16 countries: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 3 study testing Fixed dose combination telmisartan 80 mg + HCTZ 25 mg and Fixed dose combination telmisartan 80 mg + HCTZ 12.5 mg in people with Hypertension, run by Boehringer Ingelheim at 84 sites in 16 countries.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 5 inclusion and 16 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: finished, as of the sponsor's last update on 28 Dec 2017. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 84 sites in Netherlands, Germany, Ireland, South Africa, Spain and 11 more countries. Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
What does this phase mean?
Phase 3 studies compare the treatment with the current standard treatment or a placebo in a large group, to confirm how well it works and watch for side effects.
Not every study follows the same path, and some studies (observational studies, device studies) have no phase.
Are results available for this study?
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
How can a doctor refer a patient or contact the research team?
The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Change from baseline in trough seated DBP (time frame: 8 weeks). It is what the study was designed to measure, not a finding.
Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 28 Dec 2017.