HypertensionPhase 3NCT00267943
Open-label Follow-up Trial of Fixed Dose Combination of Telmisartan + Hydrochlorothiazide in Hypertensive Patients
A Phase 3 study testing telmisartan 80 mg + hydrochlorothiazide 25 mg in people with Hypertension, run by Boehringer Ingelheim at 78 sites in 16 countries.
Trial summary
The primary objective is to assess the efficacy and safety of the fixed dose combination of telmisartan 80 mg + hydrochlorothiazide 25 mg (T80/H25) alone or in addition to other antihypertensive therapies during open-label, long-term treatment. Read more about this study
- Who is it for?
- Ages 18 years and older
- Conditions the study is for
- Hypertension
- What is being tested?
- telmisartan 80 mg + hydrochlorothiazide 25 mg
- How many people
- 639 participants
- Where
- 78 sitesin 16 countries
- Study dates
- Jan 2006to Jan 2007
- 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 of preceding trial 502.480.
- Blood pressure not adequately controlled on existing treatment before entry to preceding trial 502.480 (inadequate control defined as seated DBP >= 95 mmHg on one current antihypertensive medication or DBP >= 90 mmHg on two or more current antihypertensive medications).
- Failure to respond to six weeks run-in treatment with T80/H12.5 in preceding trial 502.480. (Failure to respond defined as seated DBP >= 90 mmHg.)
- 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.
- Clinically significant change in ECG reported as adverse event in preceding trial 502.480.
- Any medical condition developing in preceding trial 502.480 that could be worsened by telmisartan/HCTZ (80/25).
- Discontinuation from preceding 502.480 trial for adverse event or any other reason.
- Mean SBP >= 200 mmHg.
Show all 18Show fewer
- 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.
- 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 six months prior to entry to 502.480. 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 the preceding 502.480 trial.
- Any other clinical condition which, in the opinion of the investigator, would not allow safe administration of telmisartan or hydrochlorothiazide.
Trial locations and contacts
78 sites in 16 countries.
78 sites in 16 countries
Netherlands10 sites
Boehringer Ingelheim Investigational Site
Beerzeveld, 7685 PG
Boehringer Ingelheim Investigational Site
Bennebroek, 2121 BB
Boehringer Ingelheim Investigational Site
Ewijk, 6644 CL
Boehringer Ingelheim Investigational Site
Hoogwoud, 1817 BG
Boehringer Ingelheim Investigational Site
Nijverdal, 7441 BN
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
South Africa8 sites
Boehringer Ingelheim Investigational Site
Bellville, 7531
Boehringer Ingelheim Investigational Site
Durban, 4001
Boehringer Ingelheim Investigational Site
Lenasia, 2033
Boehringer Ingelheim Investigational Site
Lenasia South, 2033
Boehringer Ingelheim Investigational Site
Midrand, 1685
Boehringer Ingelheim Investigational Site
Newtown, 2001
Boehringer Ingelheim Investigational Site
Pretoria, 0038
Boehringer Ingelheim Investigational Site
Soweto, 2000
Spain8 sites
Hospital Municipal de Badalona
Badalona, 08911
Hospital de Galdakao
Galdakao / Vizcaya, 48680
Hospital Gral de Jerez de la Frontera
Jerez de La Frontera / Cadiz, 11407
C.A.P. Mosen Cinto Verdaguer
L'Hospitalet de Llobregat / Barcelona, 08902
Hospital Univ. Gregorio Mara?on
Madrid, 28007
C.A.P. Ronda Cerdanya
Mataro / Barcelona, 08303
Hospital de Mostoles - Medicina Interna
Mostoles / Madrid, 28935
Hospital del Conxo
Santiago de Compostela, 15706
Ireland7 sites
Boehringer Ingelheim Investigational Site
Birr
Boehringer Ingelheim Investigational Site
Carrigallen
Boehringer Ingelheim Investigational Site
Dublin
Boehringer Ingelheim Investigational Site
Gorey
Boehringer Ingelheim Investigational Site
Mallow
Boehringer Ingelheim Investigational Site
New Ross
Boehringer Ingelheim Investigational Site
Templeshannon
Denmark5 sites
Boehringer Ingelheim Investigational Site
Birker?d, 3460
Boehringer Ingelheim Investigational Site
Haderslev, DK-6100
Boehringer Ingelheim Investigational Site
Odder, 8300
Boehringer Ingelheim Investigational Site
R?dovre, DK-2600
Boehringer Ingelheim Investigational Site
Vildbjerg, DK-7480
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
Switzerland5 sites
Boehringer Ingelheim Investigational Site
Basel, 4031
Boehringer Ingelheim Investigational Site
Basel, 4051
Boehringer Ingelheim Investigational Site
Bellinzona, 6500
Boehringer Ingelheim Investigational Site
Saint-Imier, 2610
Boehringer Ingelheim Investigational Site
Vezia, 6940
Finland4 sites
Boehringer Ingelheim Investigational Site
Helsinki, FI-00500
Boehringer Ingelheim Investigational Site
Joensuu, FI-80100
Boehringer Ingelheim Investigational Site
Turku, FI-20100
Boehringer Ingelheim Investigational Site
Turku, FI-20520
France4 sites
ALTI
Angers, 49000
Hopital Avicenne
Bobigny, 93000
Mg Recherches
Paris, 75000
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
Norway4 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
South Korea3 sites
Boehringer Ingelheim Investigational Site
Incheon, 405760
Boehringer Ingelheim Investigational Site
Seoul, 134701
Boehringer Ingelheim Investigational Site
Seoul, 152703
Malaysia1 site
Boehringer Ingelheim Investigational Site
Kuching, Sarawak, 93586
About this study
Official title: An Open-label Follow-up Trial of the Efficacy and Safety of Chronic Administration of the Fixed Dose Combination of Telmisartan 80 mg + Hydrochlorothiazide 25 mg Tablets Alone or in Combination With Other Antihypertensive Medications in Patients With Hypertension.
The primary objective is to assess the efficacy and safety of the fixed dose combination of telmisartan 80 mg + hydrochlorothiazide 25 mg (T80/H25) alone or in addition to other antihypertensive therapies during open-label, long-term treatment.
Read the detailed description
Patients with a history of hypertension who completed a preceding trial (number 502.480) within the previous fourteen (14) days will be considered for entry to this long-term open-label trial. All patients will receive 'T80/H25'. Additional antihypertensive therapy will be allowed if the patients' blood pressure is not well controlled. [In the preceding double-blind trial 502.480, patients who failed to respond to the fixed dose combination of telmisartan 80 mg '+' hydrochlorothiazide 12.5 mg (T80/H12.5) were randomised to 'T80/H12.5' or T80H25 for eight weeks.] This is a multi-centre, multinational trial with approximately 80 study centres participating. Only study centres participating in the preceding trial 502.480 can enter patients into this open-label trial. It is anticipated that a maximum of 480 patients will be entered into the trial in seventeen countries. Each trial centre is expected to enter between four and twenty-four patients.
Enrollment of patients into this trial will finish when the last patient completes the preceding trial 502.480. At this time, centres will be notified of the termination of recruitment and will not be authorized to include any further patients.
Patients will visit the clinic one month, three months and six months later for assessment of their blood pressure and general health. Their participation in the study is complete six months after the start of the treatment period.
Study Hypothesis:
No statistical hypothesis will be tested. Descriptive statistics will be used to characterise the effects of treatment with T80/H25 with and without other antihypertensive treatments.
Comparison(s):
The proportion of patients achieving DBP control will be summarised by the total number of patients in the trial as well as by the maximum achieved dose level according to the two categories of T80/H25 alone (T80/H25) and with other antihypertensive medication added (T80/H25/other). An additional sub-group summary by the treatment group in the preceding trial 502.480 (T80/H12.5 and T80/H25) will also be presented.
- Conditions
- Hypertension
- Being tested
- telmisartan 80 mg + hydrochlorothiazide 25 mg
- Medical subject headings
- Hypertension
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
telmisartan 80 mg + hydrochlorothiazide 25 mgDrug
What is being measured
The primary outcome is the main question the study is designed to answer.
Proportion of patients achieving diastolic blood pressure (DBP) control 24 hours after last dose
Measured: at 6 months
Secondary outcomes (17)
Change from baseline in trough seated DBP.
Measured: at 6 months
Change from baseline in trough seated systolic blood pressure (SBP)
Measured: at 6 months
Proportion of patients achieving DBP response (trough seated DBP<90 mmHg or trough seated DBP reduction from baseline ≥10 mmHg)
Measured: at 6 months
Proportion of patients achieving SBP response (trough seated SBP<140 mmHg or trough seated SBP reduction from baseline ≥10 mmHg)
Measured: at 6 months
Proportion of patients achieving SBP response (trough seated SBP<140 mmHg or trough seated SBP reduction from baseline ≥20 mmHg)
Measured: at 6 months
Proportion of patients in the trough seated BP category optimal
Measured: at 6 months
Proportion of patients in the trough seated BP category normal
Measured: at 6 months
Proportion of patients in the trough seated BP category high-normal
Measured: at 6 months
Proportion of patients in the trough seated BP category high
Measured: at 6 months
Proportion of patients requiring additional antihypertensive therapy to achieve DBP control
Measured: at 6 months
Additional reduction in BP by the use of additional antihypertensive therapy
Measured: at 6 months
Time to starting additional antihypertensive therapy
Measured: within 6 months
Incidence and intensity of Adverse events
Measured: 6 month
Physical examinations
Measured: 6 month
Change in laboratory parameters
Measured: 6 month
12-Lead Electrocardiogramm ECG
Measured: 6 month
Vital Signs (pulse rate, SBP, DBP)
Measured: 6 month
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted22 Dec 2005 (estimated)
- Study startJan 2006
- Primary completionJan 2007
- Study completionJan 2007
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Publications (1)Papers the sponsor has linked to this study.
- 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
- Non-randomised
- Intervention model
- Single group
- Masking
- None (open label)
- Enrolment
- 639 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
- NCT00267943
- Sponsor's protocol ID
- 502.491
- Status last verified
- Nov 2013
- First submitted
- 21 Dec 2005
- Last updated
- 13 Nov 2013
- Results posted
- No
Publications
Neldam S, Edwards C. Long-term, open-label evaluation of the safety and efficacy of telmisartan 80 mg/hydrochlorothiazide 25 mg fixed-dose combination alone or with other antihypertensive medication. Expert Opin Pharmacother. 2009 Feb;10(3):345-52. doi: 10.1517/14656560802707937.
PubMed 19191674
Study at a glance
From the registry record, last updated by the sponsor on 13 Nov 2013. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- An Open-label Follow-up Trial of the Efficacy and Safety of Chronic Administration of the Fixed Dose Combination of Telmisartan 80 mg + Hydrochlorothiazide 25 mg Tablets Alone or in Combination With Other Antihypertensive Medications in Patients With Hypertension.
- ClinicalTrials.gov ID
- NCT00267943
- Acronym / sponsor ID
- 502.491
- Conditions
- Hypertension
- Phase
- Phase 3
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 639 participants
- Lead sponsor
- Boehringer IngelheimIndustry (pharma, biotech, devices)
- Study start
- Jan 2006
- Primary completion
- Jan 2007 (actual)
- Study completion
- Jan 2007
- First posted
- 22 Dec 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 is to assess the efficacy and safety of the fixed dose combination of telmisartan 80 mg + hydrochlorothiazide 25 mg (T80/H25) alone or in addition to other antihypertensive therapies during open-label, long-term treatment.
Detailed description
Patients with a history of hypertension who completed a preceding trial (number 502.480) within the previous fourteen (14) days will be considered for entry to this long-term open-label trial. All patients will receive 'T80/H25'. Additional antihypertensive therapy will be allowed if the patients' blood pressure is not well controlled. [In the preceding double-blind trial 502.480, patients who failed to respond to the fixed dose combination of telmisartan 80 mg '+' hydrochlorothiazide 12.5 mg (T80/H12.5) were randomised to 'T80/H12.5' or T80H25 for eight weeks.] This is a multi-centre, multinational trial with approximately 80 study centres participating. Only study centres participating in the preceding trial 502.480 can enter patients into this open-label trial. It is anticipated that a maximum of 480 patients will be entered into the trial in seventeen countries. Each trial centre is expected to enter between four and twenty-four patients.
Enrollment of patients into this trial will finish when the last patient completes the preceding trial 502.480. At this time, centres will be notified of the termination of recruitment and will not be authorized to include any further patients.
Patients will visit the clinic one month, three months and six months later for assessment of their blood pressure and general health. Their participation in the study is complete six months after the start of the treatment period.
Study Hypothesis:
No statistical hypothesis will be tested. Descriptive statistics will be used to characterise the effects of treatment with T80/H25 with and without other antihypertensive treatments.
Comparison(s):
The proportion of patients achieving DBP control will be summarised by the total number of patients in the trial as well as by the maximum achieved dose level according to the two categories of T80/H25 alone (T80/H25) and with other antihypertensive medication added (T80/H25/other). An additional sub-group summary by the treatment group in the preceding trial 502.480 (T80/H12.5 and T80/H25) will also be presented.
Study design
- Primary purpose
- Treatment
- Allocation
- Non-randomised
- Intervention model
- Single group
- Masking
- None (open label)
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 of preceding trial 502.480.
- Blood pressure not adequately controlled on existing treatment before entry to preceding trial 502.480 (inadequate control defined as seated DBP >= 95 mmHg on one current antihypertensive medication or DBP >= 90 mmHg on two or more current antihypertensive medications).
- Failure to respond to six weeks run-in treatment with T80/H12.5 in preceding trial 502.480. (Failure to respond defined as seated DBP >= 90 mmHg.)
- Willing and able to provide written informed consent.
Key exclusion criteria (18 listed)
- Women of child-bearing potential NOT practising acceptable means of birth control, positive serum pregnancy test, breastfeeding.
- Known or suspected secondary hypertension.
- Clinically significant change in ECG reported as adverse event in preceding trial 502.480.
- Any medical condition developing in preceding trial 502.480 that could be worsened by telmisartan/HCTZ (80/25).
- Discontinuation from preceding 502.480 trial for adverse event or any other reason.
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 |
|---|---|---|
| telmisartan 80 mg + hydrochlorothiazide 25 mg | Drug | – |
Primary outcome
Proportion of patients achieving diastolic blood pressure (DBP) control 24 hours after last dose
Time frame: at 6 months
17 secondary outcomes
Change from baseline in trough seated DBP.
Time frame: at 6 months
Change from baseline in trough seated systolic blood pressure (SBP)
Time frame: at 6 months
Proportion of patients achieving DBP response (trough seated DBP<90 mmHg or trough seated DBP reduction from baseline ≥10 mmHg)
Time frame: at 6 months
Proportion of patients achieving SBP response (trough seated SBP<140 mmHg or trough seated SBP reduction from baseline ≥10 mmHg)
Time frame: at 6 months
Proportion of patients achieving SBP response (trough seated SBP<140 mmHg or trough seated SBP reduction from baseline ≥20 mmHg)
Time frame: at 6 months
Proportion of patients in the trough seated BP category optimal
Time frame: at 6 months
Proportion of patients in the trough seated BP category normal
Time frame: at 6 months
Proportion of patients in the trough seated BP category high-normal
Time frame: at 6 months
Proportion of patients in the trough seated BP category high
Time frame: at 6 months
Proportion of patients requiring additional antihypertensive therapy to achieve DBP control
Time frame: at 6 months
Additional reduction in BP by the use of additional antihypertensive therapy
Time frame: at 6 months
Time to starting additional antihypertensive therapy
Time frame: within 6 months
Incidence and intensity of Adverse events
Time frame: 6 month
Physical examinations
Time frame: 6 month
Change in laboratory parameters
Time frame: 6 month
12-Lead Electrocardiogramm ECG
Time frame: 6 month
Vital Signs (pulse rate, SBP, DBP)
Time frame: 6 month
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 13 Nov 2013.
- Derived from this study: PubMed 19191674Neldam S, Edwards C. Long-term, open-label evaluation of the safety and efficacy of telmisartan 80 mg/hydrochlorothiazide 25 mg fixed-dose combination alone or with other antihypertensive medication. Expert Opin Pharmacother. 2009 Feb;10(3):345-52. doi: 10.1517/14656560802707937.
- 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
78 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 telmisartan 80 mg + hydrochlorothiazide 25 mg in people with Hypertension, run by Boehringer Ingelheim at 78 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 18 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 13 Nov 2013. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 78 sites in Netherlands, Germany, South Africa, Spain, Ireland 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?
Proportion of patients achieving diastolic blood pressure (DBP) control 24 hours after last dose (time frame: at 6 months). It is what the study was designed to measure, not a finding.
Where can I read the original study information?
On the ClinicalTrials.gov record for NCT00267943, which also lists 1 linked publication.
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 13 Nov 2013.