AzTrials
AzTrials

HypertensionPhase 4CRUCIALNCT00407537

Caduet vs Usual Care in Subjects With Hypertension and Additional Risk Factors

A Phase 4 study testing Amlodipine besylate/atorvastatin calcium single pill combination in people with Hypertension and Hypercholesterolemia, run by Pfizer's Upjohn has merged with Mylan to form Viatris Inc. at 125 sites in 20 countries.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
Search all trials

Trial summary

To investigate whether a Caduet based treatment strategy might result in greater reduction in total cardiovascular risk as compared to usual care in subjects with hypertension and additional risk factors. Read more about this study

Who is it for?
Ages 35 to 79 years
Conditions the study is for
Hypertension, Hypercholesterolemia
What is being tested?
Amlodipine besylate/atorvastatin calcium single pill combination
Type of treatment
Pill or oral medicine
Could I receive a placebo?
No, everyone receives an active treatment
How many people
1,531 participants
Where
125 sitesin 20 countries
Study dates
Mar 2007to Oct 2009
Phase
Phase 4
Are there results?
Yes, posted in the registrySummary in the doctors' view

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 35 to 79 years
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Hypertension with three additional risks factors (for example: smoking, type 2 diabetes, family history of early heart disease, history of stroke, age over 55 (men) and 65 (women)

Who cannot join

  • Subjects currently receiving a statin or stopped statin within 6 months prior to enrollment.
  • Subjects with a history of myocardial infarction and subjects with coronary bypass graft or intra-coronary interventions.

Trial locations and contacts

125 sites in 20 countries.

125 sites in 20 countries

South Korea19 sites
  • Pfizer Investigational Site

    Busan, 602-715

  • Pfizer Investigational Site

    Busan, 614-735

  • Pfizer Investigational Site

    Daegu, 700-712

  • Pfizer Investigational Site

    Daegu, 705-718

  • Pfizer Investigational Site

    Daejeon, 301-721

  • Pfizer Investigational Site

    Gwangju

  • Pfizer Investigational Site

    Incheon, 405-760

  • Pfizer Investigational Site

    Seongnam-si, Gyeonggi-do, 463-707

  • Pfizer Investigational Site

    Seoul, 110-744

  • Pfizer Investigational Site

    Seoul, 135-710

  • Pfizer Investigational Site

    Seoul, 135-720

  • Pfizer Investigational Site

    Seoul, 136-705

  • Pfizer Investigational Site

    Seoul, 137-040

  • Pfizer Investigational Site

    Seoul, 138-736

  • Pfizer Investigational Site

    Seoul, 150-713

  • Pfizer Investigational Site

    Seoul, 152-703

  • Pfizer Investigational Site

    Seoul

  • Pfizer Investigational Site

    Suwon, 443-721

  • Pfizer Investigational Site

    Wŏnju, Gangwon-do, 220-701

Other trials in South Korea

Russia13 sites
  • Pfizer Investigational Site

    Moscow, 101953

  • Pfizer Investigational Site

    Moscow, 1117292

  • Pfizer Investigational Site

    Moscow, 115093

  • Pfizer Investigational Site

    Moscow, 117485

  • Pfizer Investigational Site

    Saint Petersburg, 190000

  • Pfizer Investigational Site

    Saint Petersburg, 192242

  • Pfizer Investigational Site

    Saint Petersburg, 194291

  • Pfizer Investigational Site

    Saint Petersburg, 195067

  • Pfizer Investigational Site

    Saint Petersburg, 196084

  • Pfizer Investigational Site

    Saint Petersburg, 199106

  • Pfizer Investigational Site

    Smolensk, 214018

  • Pfizer Investigational Site

    Volgograd, 400008

  • Pfizer Investigational Site

    Voronezh, 394053

Other trials in Russia

Czechia12 sites
  • Pfizer Investigational Site

    Brno, 656 91

  • Pfizer Investigational Site

    Klatovy, 339 01

  • Pfizer Investigational Site

    Kralupy nad Vltavou, 278 01

  • Pfizer Investigational Site

    Lanškroun, 563 01

  • Pfizer Investigational Site

    Olomouc, 779 00

  • Pfizer Investigational Site

    Pelhřimov, 393 01

  • Pfizer Investigational Site

    Prague, 141 00

  • Pfizer Investigational Site

    Prague, 186 00

  • Pfizer Investigational Site

    Průhonice, 252 43

  • Pfizer Investigational Site

    Ústí nad Labem, 400 07

  • Pfizer Investigational Site

    Vratimov, 739 32

  • Pfizer Investigational Site

    Zlín, 763 02

Other trials in Czechia

Croatia10 sites
  • Pfizer Investigational Site

    Breznički Hum, 42225

  • Pfizer Investigational Site

    Čakovec, 40000

  • Pfizer Investigational Site

    Crikvenica, 51260

  • Pfizer Investigational Site

    Karlovac, 47000

  • Pfizer Investigational Site

    Rijeka, 51000

  • Pfizer Investigational Site

    Špišić-Bukovica, 33404

  • Pfizer Investigational Site

    Split, 21000

  • Pfizer Investigational Site

    Sveti Križ Začretje, 49223

  • Pfizer Investigational Site

    Varaždin, 42000

  • Pfizer Investigational Site

    Zagreb, 10000

Other trials in Croatia

Mexico9 sites
  • Pfizer Investigational Site

    Durango, 34078

  • Pfizer Investigational Site

    Guadalajara, Jalisco, 44200

  • Pfizer Investigational Site

    Guadalajara, Jalisco, 44340

  • Pfizer Investigational Site

    Mexico City, Mexico City, 02720

  • Pfizer Investigational Site

    Mexico City, Mexico City, 07300

  • Pfizer Investigational Site

    Mexico City, Mexico City, 09220

  • Pfizer Investigational Site

    Mexico City, Mexico City, 10700

  • Pfizer Investigational Site

    San Luis Potosí City, 78200

  • Pfizer Investigational Site

    Toluca, State of Mexico, 50010

Other trials in Mexico

Taiwan9 sites
  • Pfizer Investigational Site

    Kaohsiung City, 807

  • Pfizer Investigational Site

    Kaohsiung City, 833

  • Pfizer Investigational Site

    Taichung, 402

  • Pfizer Investigational Site

    Taichung, 407

  • Pfizer Investigational Site

    Tainan, 704

  • Pfizer Investigational Site

    Tainan, 710

  • Pfizer Investigational Site

    Taipei, 100

  • Pfizer Investigational Site

    Taipei, 112

  • Pfizer Investigational Site

    Taipei, 231

Other trials in Taiwan

Indonesia8 sites
  • Pfizer Investigational Site

    Bandung, 40161

  • Pfizer Investigational Site

    Cilandak, Jakarta Selatan, 12430

  • Pfizer Investigational Site

    Jakarta, 10430

  • Pfizer Investigational Site

    Jakarta, 11420

  • Pfizer Investigational Site

    Semarang, 50231

  • Pfizer Investigational Site

    Surabaya, 60286

  • Pfizer Investigational Site

    Tangerang, 15224

  • Pfizer Investigational Site

    Tanggerang, 15811

Other trials in Indonesia

Turkey (Türkiye)8 sites
  • Pfizer Investigational Site

    Ankara, 06100

  • Pfizer Investigational Site

    Ankara, 06600

  • Pfizer Investigational Site

    Istanbul, 34087

  • Pfizer Investigational Site

    Istanbul, 34098

  • Pfizer Investigational Site

    Istanbul, 34296

  • Pfizer Investigational Site

    Istanbul, 34390

  • Pfizer Investigational Site

    Izmir, 35340

  • Pfizer Investigational Site

    Izmir, 35360

Other trials in Turkey (Türkiye)

Malaysia7 sites
  • Pfizer Investigational Site

    Batu Caves, Selangor, 68100

  • Pfizer Investigational Site

    Butterworth, 13000

  • Pfizer Investigational Site

    Kuala Lumpur, 57000

  • Pfizer Investigational Site

    Kuala Lumpur, 59100

  • Pfizer Investigational Site

    Kuala Pilah, Negeri Sembilan, 72000

  • Pfizer Investigational Site

    Petaling Jaya, Selangor, 47301

  • Pfizer Investigational Site

    Seremban, Negeri Sembilan, 70300

Other trials in Malaysia

Philippines5 sites
  • Pfizer Investigational Site

    Makati City, 1218

  • Pfizer Investigational Site

    Manila, 1000

  • Pfizer Investigational Site

    Marikina City

  • Pfizer Investigational Site

    Quezon City, 1101

  • Pfizer Investigational Site

    San Juan City, National Capital Region

Other trials in Philippines

Venezuela4 sites
  • Pfizer Investigational Site

    Caracas, Dtto Capital/Municipio Libertador, 1050

  • Pfizer Investigational Site

    Caracas, Dtto Capital/Municipio Libertador, 1053

  • Pfizer Investigational Site

    Naguanagua/Valencia, Carabobo, 2001

  • Pfizer Investigational Site

    Valencia, Carabobo, 2001

Other trials in Venezuela

Costa Rica3 sites
  • Pfizer Investigational Site

    Desamparados, Provincia de San José

  • Pfizer Investigational Site

    Heredia

  • Pfizer Investigational Site

    San José

Other trials in Costa Rica

Dominican Republic3 sites
  • Pfizer Investigational Site

    San Cristobal

  • Pfizer Investigational Site

    Santo Domingo, 4966

  • Pfizer Investigational Site

    Santo Domingo

Other trials in Dominican Republic

Jordan3 sites
  • Pfizer Investigational Site

    Amman, 11181

  • Pfizer Investigational Site

    Amman, 11942

  • Pfizer Investigational Site

    Irbid, 22110

Other trials in Jordan

Thailand3 sites
  • Pfizer Investigational Site

    Bangkok, 10330

  • Pfizer Investigational Site

    Rajthevee, Bangkok, 10400

  • Pfizer Investigational Site

    Saimai, Bangkok, 10220

Other trials in Thailand

United Arab Emirates3 sites
  • Pfizer Investigational Site

    Abu Dhabi

  • Pfizer Investigational Site

    Al Ain City

  • Pfizer Investigational Site

    Dubai

Other trials in United Arab Emirates

Kuwait2 sites
  • Pfizer Investigational Site

    Kuwait City

  • Pfizer Investigational Site

    Sasat, 13110

Other trials in Kuwait

Lebanon2 sites
  • Pfizer Investigational Site

    Beirut

  • Pfizer Investigational Site

    Byblos

Other trials in Lebanon

Panama1 site
  • Pfizer Investigational Site

    Panama City

Other trials in Panama

Saudi Arabia1 site
  • Pfizer Investigational Site

    Riyadh, Riyadh 11426

Other trials in Saudi Arabia

About this study

Official title: A Cluster Randomized Trial On Cardiovascular Risk Factor Management: Caduet Versus Usual Care In Subjects With Hypertension And Additional Cardiovascular Risk Factors In Clinical Practice

To investigate whether a Caduet based treatment strategy might result in greater reduction in total cardiovascular risk as compared to usual care in subjects with hypertension and additional risk factors.

Being tested
Amlodipine besylate/atorvastatin calcium single pill combination
Medical subject headings
Hypertension, Hypercholesterolemia

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • Amlodipine besylate/atorvastatin calcium single pill combinationDrug

    Open label amlodipine besylate/atorvastatin calcium single pill combination at multiple doses: 5/10, 10/10, 5/20, 10/20 mg prescribed at the investigator's discretion

Study groups in NCT00407537
Study groupRoleWhat they receive
CaduetExperimentalOpen label caduet added to usual care regimen followed by investigators.
Receives: Drug: Amlodipine besylate/atorvastatin calcium single pill combination

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Framingham 10-year Risk of Total Coronary Heart Disease (CHD) at Month 12

    Framingham prediction of 10-year risk of CHD: Gender-specific prediction equations formulated to predict CHD risk according to age, diabetes, smoking, blood pressure categories, and total cholesterol and low density lipoprotein (LDL) cholesterol categories. The coefficients were used to derive the score calculated at the end of study treatment (Month 12).

    Measured: Baseline, Month 12

Secondary outcomes (21)
  1. Framingham 10-year Risk of Total CHD at Month 4

    Framingham prediction of 10-year risk of CHD: Gender-specific prediction equations formulated to predict CHD risk according to age, diabetes, smoking, blood pressure categories, and total cholesterol and low density lipoprotein (LDL) cholesterol categories. The coefficients were used to derive the score calculated after 4 months of treatment (Month 4).

    Measured: Baseline, Month 4

  2. European Systematic COronary Risk Evaluation (SCORE) 10-year Risk of Fatal Cardiovascular Disease (CVD) at Month 12

    European SCORE: designed to measure cardiovascular disease mortality; computed using age, gender, whether a person lives in a low risk or high risk region, measured total cholesterol, measured HDL cholesterol, systolic blood pressure, and current smoking status. The coefficients were used to derive the score calculated after 12 months of study treatment (Month 12).

    Measured: Baseline, Month 12

  3. European SCORE 10-year Risk of Fatal CVD at Month 4

    European SCORE: designed to measure cardiovascular disease mortality; computed using age, gender, whether a person lives in a low risk or high risk region, measured total cholesterol, measured HDL cholesterol, systolic blood pressure, and current smoking status. The coefficients were used to derive the score calculated after 4 months of study treatment (Month 4).

    Measured: Baseline, Month 4

  4. Framingham 10-year Risk of Stroke at Month 12

    Stroke risk calculated from the Framingham risk for CVD (CHD, stroke, intermittent claudication, congestive heart failure) multiplied by a gender-specific "calibration factor" for the stroke component risk. Coefficients were used to derive the score calculated at the end of study treatment (Month 12).

    Measured: Baseline, Month 12

  5. Framingham 10-year Risk of Stroke at Month 4

    Stroke risk calculated from the Framingham risk for CVD (CHD, stroke, intermittent claudication, congestive heart failure) multiplied by a gender-specific "calibration factor" for the stroke component risk. Coefficients were used to derive the score calculated at the end of study treatment (Month 12).

    Measured: Baseline, Month 4

  6. Change From Baseline in Framingham 10-year Risk of Developing Total CHD

    Framingham prediction of 10-year risk of CHD: Gender-specific prediction equations formulated to predict CHD risk according to age, diabetes, smoking, blood pressure categories, and total cholesterol and low density lipoprotein (LDL) cholesterol categories. Change from baseline calculated as mean at observation minus mean at Baseline.

    Measured: Baseline, Month 4, Month 12

  7. Change From Baseline European SCORE 10-year Risk of Developing Fatal CVD

    European SCORE: designed to measure cardiovascular disease mortality; computed using age, gender, whether a person lives in a low risk or high risk region, measured total cholesterol, measured HDL cholesterol, systolic blood pressure, and current smoking status. Change from baseline calculated as mean at observation minus mean at Baseline.

    Measured: Baseline, Month 4, Month 12

  8. Mean Systolic and Diastolic Blood Pressure at Month 4

    Measured: Month 4

  9. Mean Systolic and Diastolic Blood Pressure at Month 12

    Measured: Month 12

  10. Change From Baseline in Systolic Blood Pressure (SBP) at Month 4

    Measured: Baseline, Month 4

  11. Change From Baseline in Diastolic Blood Pressure (DBP) at Month 4

    Measured: Baseline, Month 4

  12. Change From Baseline in SBP at Month 12

    Measured: Baseline, Month 12

  13. Change From Baseline in DBP at Month 12

    Measured: Baseline, Month 12

  14. Mean Lipid Parameters at Month 4

    Mean Total Cholesterol (TC), Low Density Lipoprotein (LDL), High Density Lipoprotein (HDL), and Triglyceride blood concentrations.

    Measured: Month 4

  15. Mean Lipid Parameters at Month 12

    Mean Total Cholesterol (TC), Low Density Lipoprotein (LDL), High Density Lipoprotein (HDL), and Triglyceride blood concentrations.

    Measured: Month 12

  16. Change From Baseline in Lipid Parameters at Month 4

    Mean Total Cholesterol (TC), Low Density Lipoprotein (LDL), High Density Lipoprotein (HDL), and Triglyceride blood concentrations. Change from baseline measured as mean at Month 4 minus mean at Baseline.

    Measured: Baseline, Month 4

  17. Change From Baseline in Lipid Parameters at Month 12

    Mean Total Cholesterol (TC), Low Density Lipoprotein (LDL), High Density Lipoprotein (HDL), and Triglyceride blood concentrations.

    Measured: Baseline, Month 12

  18. Percentage of Participants at Conventional Treatment Goals According to Global and Local Guidelines for Blood Pressure at 4 and 12 Months

    Goals set at <140/90 mmHg according to the seventh Joint National Committee (JNC) on prevention, detection, evaluation, and treatment of high blood pressure and <140/90 mm Hg or <130/80 mm Hg for diabetics ccording to the European Society of Cardiology (ESC) guidelines.

    Measured: Month 4, Month 12

  19. Percentage of Participants at Conventional Treatment Goals According to Global and Local Guidelines for LDL at 4 and 12 Months

    Goal set at <100 mg/dL according to the United States (US) National Cholesterol Education Program Adult Treatment Panel 3 and at <80 mg/dL according to the European (EU) Society of Cardiology guidelines.

    Measured: Month 4, Month 12

  20. Number of Participants With Lipid and Antihypertensive Treatments Used at 4 and 12 Months

    Treatments indicative of prescribed medications other than study provided Caduet.

    Measured: Month 4, Month 12

  21. Number of Participants With Increase of Treatment Dosages After 4 Months.

    Treatments indicative of prescribed medications other than study provided Caduet.

    Measured: Month 4

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted5 Dec 2006 (estimated)
  2. Study startMar 2007
  3. Primary completionOct 2009
  4. Study completionOct 2009

Resources

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 4
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Masking
None (open label)
Enrolment
1,531 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT00407537
Sponsor's protocol ID
A3841047
Acronym
CRUCIAL
Status last verified
Jan 2021
First submitted
1 Dec 2006
Last updated
28 Jan 2021
Data monitoring committee
No

Publications

  • Cho EJ, Kim JH, Sutradhar S, Yunis C, Westergaard M; CRUCIAL Trial Investigators. Proactive multifactorial intervention strategy reduces the risk of cardiovascular disease estimated with region-specific risk assessment models in Pacific Asian patients participating in the CRUCIAL trial. J Korean Med Sci. 2013 Dec;28(12):1741-8. doi: 10.3346/jkms.2013.28.12.1741. Epub 2013 Nov 26.

    PubMed 24339703
  • Hradec J, Zamorano J, Sutradhar S. Post hoc analysis of the Cluster Randomized Usual Care versus Caduet Investigation Assessing Long-term risk (CRUCIAL) trial. Curr Med Res Opin. 2013 Jun;29(6):589-96. doi: 10.1185/03007995.2013.783795. Epub 2013 Apr 3.

    PubMed 23464930
  • Kim JH, Zamorano J, Erdine S, Pavia A, Al-Khadra A, Sutradhar S, Yunis C; CR UCIAL Investigators. Proactive cardiovascular risk management versus usual care in patients with and without diabetes mellitus: CRUCIAL trial subanalysis. Postgrad Med. 2012 Jul;124(4):41-53. doi: 10.3810/pgm.2012.07.2565.

    PubMed 22913893
  • Zamorano J, Erdine S, Pavia A, Kim JH, Al-Khadra A, Westergaard M, Sutradhar S, Yunis C; CRUCIAL Investigators. Proactive multiple cardiovascular risk factor management compared with usual care in patients with hypertension and additional risk factors: the CRUCIAL trial. Curr Med Res Opin. 2011 Apr;27(4):821-33. doi: 10.1185/03007995.2011.555754. Epub 2011 Feb 10.

    PubMed 21306285

Questions about this trial

What is this clinical trial studying?

A Phase 4 study testing Amlodipine besylate/atorvastatin calcium single pill combination in people with Hypertension and Hypercholesterolemia, run by Pfizer's Upjohn has merged with Mylan to form Viatris Inc. at 125 sites in 20 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 1 inclusion and 2 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 Jan 2021. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 125 sites in South Korea, Russia, Czechia, Croatia, Mexico and 15 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 4 studies take place after a treatment is approved, to learn more about its long-term benefits and risks in everyday use.

Not every study follows the same path, and some studies (observational studies, device studies) have no phase.

Are results available for this study?

Yes. Results are posted in the registry (first posted 11 Nov 2011). A summary is in the For doctors view, and the full results are on ClinicalTrials.gov.

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?

Framingham 10-year Risk of Total Coronary Heart Disease (CHD) at Month 12 (time frame: Baseline, Month 12). 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 NCT00407537, which also lists 4 linked publications.

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 Jan 2021.

Free account

Log in to keep searching

You’ve used your 3 free searches. AzTrials is free: log in or create a free account to keep searching clinical trials and save the ones you want to follow.

Create a free accountLog in