AzTrials
AzTrials

DyslipidemiaPhase 4TOGETHERNCT00412113

A Multi-Risk Factor Strategy vs a Guideline-Based Approach in Achieving Blood Pressure and Lipid Goals in Hypertensives at Extra Risk

A Phase 4 study testing Amlodipine besylate and Amlodipine besylate/atorvastatin calcium single pill combination in people with Dyslipidemia and Hypertension, run by Pfizer's Upjohn has merged with Mylan to form Viatris Inc. at 51 sites in United States.

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

The purpose of this study is to investigate whether an aggressive multi-risk factor management strategy (Caduet plus therapeutic lifestyle changes (TLC) regimen) will result in greater percentage of patients achieving blood pressure and low density lipoprotein cholesterol (LDL-C) goals compared with a Joint National… Read more about this study

Who is it for?
Ages 21 years and older
Conditions the study is for
Dyslipidemia, Hypertension
What is being tested?
Amlodipine besylate and 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
245 participants
Where
51 sitesUnited States
Study dates
Jan 2007to Apr 2008
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 21 years and older
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Subjects with diagnosed hypertension receiving treatment with Norvasc 5 or 10 mg and who also have 3 additional cardiovascular risk factors, including dyslipidemia.

Who cannot join

  • Subjects who are taking the following prohibited medications within 14 days of screening: lipid-lowering therapy, calcium channel blocker other then Norvasc, >3 antihypertensive agents (including Norvasc)
  • Subjects that have not been on a stable dose of Norvasc for at least 4 weeks
  • Subjects with a history of coronary heart disease, stroke, or Pulmonary Vascular Disease (PVD)

Trial locations and contacts

51 sites in 1 country.

51 sites in 1 country

United States51 sites
  • Pfizer Investigational Site

    Auburn, Maine, 04210

  • Pfizer Investigational Site

    Augusta, Georgia, 30904

  • Pfizer Investigational Site

    Belvidere, New Jersey, 07823

  • Pfizer Investigational Site

    Bensalem, Pennsylvania, 19020

  • Pfizer Investigational Site

    Birmingham, Alabama, 35209

  • Pfizer Investigational Site

    Birmingham, Alabama, 35216

  • Pfizer Investigational Site

    Birmingham, Alabama, 35234

  • Pfizer Investigational Site

    Bridgewater, New Jersey, 08807

  • Pfizer Investigational Site

    Bristol, Tennessee, 37620

  • Pfizer Investigational Site

    Brooklyn, New York, 11229

  • Pfizer Investigational Site

    Buffalo, New York, 14209

  • Pfizer Investigational Site

    Chesapeake, Virginia, 23320

  • Pfizer Investigational Site

    Chesterfield, Missouri, 63017

  • Pfizer Investigational Site

    Cincinnati, Ohio, 45219

  • Pfizer Investigational Site

    Cincinnati, Ohio, 45242

  • Pfizer Investigational Site

    Clifton, New Jersey, 07013

  • Pfizer Investigational Site

    Dallas, Texas, 75235

  • Pfizer Investigational Site

    Elizabeth, New Jersey, 07202

  • Pfizer Investigational Site

    Erlanger, Kentucky, 41018

  • Pfizer Investigational Site

    Florissant, Missouri, 63031

  • Pfizer Investigational Site

    Gainesville, Florida, 32605

  • Pfizer Investigational Site

    Garden Grove, California, 92843

  • Pfizer Investigational Site

    Goose Creek, South Carolina, 29445

  • Pfizer Investigational Site

    Henderson, Nevada, 89014

  • Pfizer Investigational Site

    Henderson, Nevada, 89015

  • Pfizer Investigational Site

    Hillsborough, New Jersey, 08844

  • Pfizer Investigational Site

    Houston, Texas, 77030-2324

  • Pfizer Investigational Site

    Kingsport, Tennessee, 37660

  • Pfizer Investigational Site

    Kissimmee, Florida, 34741

  • Pfizer Investigational Site

    Lansdale, Pennsylvania, 19446

  • Pfizer Investigational Site

    Melbourne, Florida, 32935

  • Pfizer Investigational Site

    Mesa, Arizona, 85206

  • Pfizer Investigational Site

    Miami, Florida, 33176

  • Pfizer Investigational Site

    Minneapolis, Minnesota, 55404

  • Pfizer Investigational Site

    Mission Viejo, California, 92692

  • Pfizer Investigational Site

    Mt. Pleasant, South Carolina, 29464

  • Pfizer Investigational Site

    Oklahoma City, Oklahoma, 73103

  • Pfizer Investigational Site

    Omaha, Nebraska, 68116-2004

  • Pfizer Investigational Site

    Philadelphia, Pennsylvania, 19146

  • Pfizer Investigational Site

    Plano, Texas, 75093

  • Pfizer Investigational Site

    Providence, Rhode Island, 02904

  • Pfizer Investigational Site

    Rancho Santa Margarita, California, 92688

  • Pfizer Investigational Site

    Safety Harbor, Florida, 34695

  • Pfizer Investigational Site

    San Antonio, Texas, 78238

  • Pfizer Investigational Site

    South Bend, Indiana, 46601

  • Pfizer Investigational Site

    St. Petersburg, Florida, 33701

  • Pfizer Investigational Site

    Torrance, California, 90502

  • Pfizer Investigational Site

    Trenton, New Jersey, 08618

  • Pfizer Investigational Site

    Tucker, Georgia, 30084

  • Pfizer Investigational Site

    Tulsa, Oklahoma, 74136

  • Pfizer Investigational Site

    Warren, Michigan, 48091

Other trials in United States

About this study

Official title: A 6-Week, Prospective, Randomized, Double-Blind, Double-Dummy Phase IV Clinical Trial Designed to Evaluate the Efficacy of an Aggressive Multi-Risk Factor Management Strategy With Caduet (A3841045) Versus a Guideline-Based Approach in Achieving Blood Pressure and Lipid Goals in Hypertensive Subjects With Additional Risk Factors.

The purpose of this study is to investigate whether an aggressive multi-risk factor management strategy (Caduet plus therapeutic lifestyle changes (TLC) regimen) will result in greater percentage of patients achieving blood pressure and low density lipoprotein cholesterol (LDL-C) goals compared with a Joint National Committee 7/ National Cholesterol Education Program Adult Treatment Panel III (JNC 7/NCEP ATP III) guideline-based approach (Norvasc plus TLC regimen) after 6 weeks of treatment in primary prevention subjects with hypertension and additional risk factors, including dyslipidemia.

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

What participants receive

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

  • Amlodipine besylateDrug

    Amlodipine besylate 5 mg

  • Amlodipine besylate/atorvastatin calcium single pill combinationDrug

    Amlodipine/atorvastatin single pill combination 10/20 mg

  • Amlodipine besylateDrug

    Amlodipine besylate 10 mg

  • Amlodipine besylate/atorvastatin calcium single pill combinationDrug

    Amlodipine/atorvastatin single pill combination 5/20 mg

Study groups in NCT00412113
Study groupRoleWhat they receive
Norvasc 5 mgActive comparatorBlinded amlodipine 5 mg and amlodipine/atorvastatin single pill combination 5/20 mg placebo dosed once daily for 6 weeks.
Receives: Drug: Amlodipine besylate
Caduet 10/20mgExperimentalBlinded amlodipine/atorvastatin single pill combination 10/20 mg dosed once daily for 6 weeks and amlodipine besylate 10 mg placebo.
Receives: Drug: Amlodipine besylate/atorvastatin calcium single pill combination
Norvasc 10 mgActive comparatorBlinded amlodipine 19 mg and amlodipine/atorvastatin single pill combination 10/20 mg placebo dosed once daily for 6 weeks.
Receives: Drug: Amlodipine besylate
Caduet 5/20mgExperimentalBlinded amlodipine/atorvastatin single pill combination 5/20 mg and amlodipine besylate 5 mg placebo dosed once daily for 6 weeks .
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. Subjects With Blood Pressure (BP) <140/90 Millimeters of Mercury (mmHg) and Low Density Lipoprotein Cholesterol (LDL-C) <100 Milligrams Per Deciliter(mg/dL) at Week 6

    Number of subjects reaching dual goal of systolic blood pressure <140 millimeters of mercury (mmHg) and diastolic blood pressue of <90 mmHg and low density lipoprotein-cholesterol(LDL-C) <100 milligrams per deciliter(mg/dL)

    Measured: Week 6

  2. Change From Baseline to Week 6 in Framingham Predicted Absolute 10-year Risk

    Framingham prediction of absolute 10-year risk of Coronary Heart Disease (CHD) outcomes (myocardial infarction [MI] or CHD death) are calculations based on total point score (range less than negative 3 [best] to greater than or equal to 14 [worst] for men; less than or equal to negative 2 [best] and greater than or equal to 17 [worst] for women) of subject age, sex, current blood pressure treatment status, current smoking status, total cholesterol, high-density lipoprotein cholesterol, and systolic blood pressure calculated at Week 6. Mean at observation minus mean at baseline.

    Measured: Week 6, baseline

Secondary outcomes (22)
  1. Subjects With Blood Pressure of <140/90 mmHg and LDL-C <100 mg/dL at Week 4

    Subjects achieving both the Joint National Committee on Prevention, Detection, Evaluation, and Treatment of High Blood Pressure (JNC)-7 blood pressure goal of <140/90 mmHg and the National Cholesterol Education Program Adult Treatment Panel (NCEP/ATP) III Update low density lipoprotein-cholesterol (LDL-C) goal <100 mg/dL at Week 4.

    Measured: Week 4

  2. Subjects With BP <140/90 mmHg and LDL-C <130 mg/dL at Week 4.

    Subjects achieving both JNC-7 blood pressure goal of <140/90 mmHg and NCEP/ATP III LDL-C goal <130 mg/dL at Week 4.

    Measured: Week 4

  3. Subjects With BP <140/90 mmHg and LDL-C <130 mg/dL at Week 6.

    Subjects achieving both JNC-7 blood pressure goal of <140/90 mmHg and NCEP/ATP III LDL-C goal <130 mg/dL at Week 6.

    Measured: Week 6

  4. Subjects With LDL-C < 100 mg/dL at Week 4

    Subjects Who achieve a goal of LDL-C < 100 mg/dL at Week 4.

    Measured: Week 4

  5. Subjects With LDL-C < 100 mg/dL at Week 6

    Subjects Who achieve a goal of LDL-C < 100 mg/dL at Week 6.

    Measured: Week 6

  6. Subjects With BP < 140/90 mmHg at Week 4

    Subjects achieving BP goal of <140/90 mmHg at week 4

    Measured: Week 4

  7. Subjects With BP < 140/90 mmHg at Week 6

    Subjects achieving BP goal of <140/90 mmHg at week 6

    Measured: Week 6

  8. Change From Baseline to Week 4 in Systolic Blood Pressure (SBP).

    Mean at observation minus mean at baseline

    Measured: Week 4, baseline

  9. Change From Baseline to Week 4 in Diastolic Blood Pressure (DBP)

    Mean at observation minus mean at baseline

    Measured: Week 4, baseline

  10. Change From Baseline to Week 4 in Pulse Rate

    Mean at observation minus mean at baseline measured in beats per minute (bpm).

    Measured: Week 4, baseline

  11. Change From Baseline to Week 6 in Systolic Blood Pressure (SBP)

    Mean change at observation minus mean baseline.

    Measured: Week 6, baseline

  12. Change From Baseline to Week 6 in Diastolic Blood Pressue (DBP)

    Change from mean at observation minus mean at baseline

    Measured: Week 6, baseline

  13. Change From Baseline to Week 6 in Pulse Rate

    Mean at observation minus mean at baseline

    Measured: Week 6, baseline

  14. Change From Baseline in LDL at Week 4.

    Change: mean of observation minus mean at baseline.

    Measured: Week 4, baseline

  15. Change From Baseline in High Density Lipoprotein (HDL) at Week 4.

    Mean change at observation minus baseline.

    Measured: Week 4, baseline

  16. Change in Total Cholesterol (TC) From Baseline to Week 4.

    Mean change at observation minus baseline.

    Measured: Week 4, baseline

  17. Change From Baseline in Triglycerides (TG) to Week 4.

    Mean change at observation minus baseline

    Measured: Week 4, baseline

  18. Change From Baseline in LDL at Week 6.

    Mean change at observation minus baseline.

    Measured: Week 6, baseline

  19. Change From Baseline in HDL at Week 6.

    Mean change at observation minus baseline.

    Measured: Week 6, baseline

  20. Change From Baseline in Total Cholesterol (TC) to Week 6.

    Mean change at observation minus baseline.

    Measured: Week 6, baseline

  21. Change From Baseline in Triglycerides (TG) at Week 6.

    Mean change at observation minus mean baseline.

    Measured: Week 6 , baseline

  22. Change From Baseline to Week 4 in Framingham Predicted Absolute 10-year Risk.

    Framingham prediction of absolute 10-year risk of CHD outcomes (MI or CHD death) are calculations based on total point score (range less than negative 3 [best] to greater than or equal to 14 [worst] for men; less than or equal to negative 2 [best] and greater than or equal to 17 [worst] for women) of subject age, sex, current blood pressure treatment status, current smoking status, total cholesterol, high-density lipoprotein cholesterol and systolic blood pressure calculated at Week 4. Mean at observation minus mean at baseline.

    Measured: Week 4, baseline

Timeline

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

  1. First posted15 Dec 2006 (estimated)
  2. Study startJan 2007
  3. Primary completionApr 2008
  4. Study completionApr 2008

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
Double blind
Who is masked
Participant, Investigator
Enrolment
245 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT00412113
Sponsor's protocol ID
A3841045
Acronym
TOGETHER
Status last verified
Jan 2021
First submitted
13 Dec 2006
Last updated
11 Feb 2021
Data monitoring committee
No

Questions about this trial

What is this clinical trial studying?

A Phase 4 study testing Amlodipine besylate and Amlodipine besylate/atorvastatin calcium single pill combination in people with Dyslipidemia and Hypertension, run by Pfizer's Upjohn has merged with Mylan to form Viatris Inc. at 51 sites in United States.

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 3 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 11 Feb 2021. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 51 sites in United States. 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 6 Nov 2009). 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?

Subjects With Blood Pressure (BP) <140/90 Millimeters of Mercury (mmHg) and Low Density Lipoprotein Cholesterol (LDL-C) <100 Milligrams Per Deciliter(mg/dL) at Week 6 (time frame: Week 6). The study lists 2 primary outcomes in all. 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 11 Feb 2021.

Free account

Keep searching with a free account

You’ve used your 3 free searches for this session. Log in or create a free AzTrials account to keep searching clinical trials and save the ones you want to follow.

Create a free accountLog in