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HypertensionPhase 4NCT00926289

Telmisartan 80mg Plus Hydrochlorothiazide 25mg First Line in Moderate or Severe Hypertension

A Phase 4 study testing Telmisartan and Hydrochlorothiazide in people with Hypertension, run by Boehringer Ingelheim at 106 sites in 8 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

The primary objective of this trial is to demonstrate that the fixed-dose combination of T80/HCTZ25 is superior as first line therapy in reducing seated trough cuff Systolic Blood Pressure(SBP) compared to the monotherapy of T80 in patients with grade 2 or grade 3 hypertension (SBP>=160 mmHg and Diastolic Blood… 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 and Hydrochlorothiazide
Could I receive a placebo?
No, everyone receives an active treatment
How many people
894 participants
Where
106 sitesin 8 countries
Study dates
Jun 2009to Apr 2010
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 18 years and older
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Ability to provide written informed consent in accordance with Good Clinical Practice and local legislation;
  • Age 18 years or older;
  • Patients with grade 2 or grade 3 hypertension as defined SBP>=160 mmHg and DBP>=100 mmHg at randomization
  • Ability to stop any current antihypertensive therapy without unacceptable risk to the patient (Investigator's discretion)

Who cannot join

  • Pre-menopausal women (last menstruation <=1 year prior to signing informed consent) who: a) are not surgically sterile; or b) are nursing, or c) are pregnant, or d) are of childbearing potential and are NOT practicing acceptable methods of birth control, or do NOT plan to continue practicing an acceptable method throughout the trial. The only acceptable methods of birth control are: Intra-Uterine Device (IUD), Oral contraceptives, Implantable or injectable contraceptives, Estrogen patch Hormonal birth control should have been in use for at least three months before the study and continue at least until the next menstrual period after completing the study.
  • Night shift workers who routinely sleep during the daytime and whose work hours include midnight to 4:00 a.m.
  • Known or suspected secondary hypertension (e.g., renal artery stenosis orphaeochromocytoma)
  • Mean in-clinic seated cuff SBP>= 200 mmHg and/or DBP >=120 mmHg
  • Renal dysfunction as defined by the following laboratory parameters: Serum creatinine >3.0 mg/dL (or >265 umol/L) and/or known creatinine clearance of <30 ml/min and/or clinical markers of severe renal impairment.
  • Bilateral renal artery stenosis, renal artery stenosis in a solitary kidney, post-renal transplant patients or patients with only one kidney
Show all 23Show fewer
  • Clinically relevant hypokalemia or hyperkalemia (i.e., <3.5 mmol/L or >5.5 mmol/L, may be rechecked for suspected error in result)
  • Uncorrected sodium or volume depletion
  • Primary aldosteronism.
  • Hereditary fructose intolerance
  • Biliary obstructive disorders (e.g., cholestasis) or hepatic insufficiency
  • Congestive heart failure New York Heart Association functional class Congestive Heart Failure III-IV (Refer to Appendix 10.3)
  • Contra-indication to a placebo run-in period (e.g., stroke with-in the past 6 months, myocardial infarction, cardiac surgery, percutaneous transluminal coronary angioplasty, unstable angina or coronary artery bypass graft within the past 3 months prior to start of run in period)
  • Clinically significant ventricular tachycardia, atrial fibrillation, atrial flutter or other clinically relevant cardiac arrhythmias as determined by the Investigator
  • Hypertrophic obstructive cardiomyopathy, severe obstructive coronary artery disease, aortic stenosis, hemodynamically relevant stenosis of the aortic or mitral valve
  • Patients whose diabetes has not been stable and controlled for at least the past 3 months as defined by an Glycosylated Hemoglobin >=10%
  • Patients who have previously experienced symptoms characteristic of angioedema during treatment with ACE inhibitors or angiotensin-II receptor antagonists
  • History of drug or alcohol dependency within 6 months prior to signing the informed consent form
  • Concomitant administration of any medications known to affect blood pressure, except medications allowed by the protocol
  • Any investigational drug therapy within 1 month of signing the informed consent
  • Known hypersensitivity to any component of the trial drugs (telmisartan, hydrochlorothiazide, or placebo)
  • History of non-compliance or inability to comply with prescribed medications or protocol procedures (less than 80% or more than 120%, especially during run-in)
  • Any other clinical condition which, in the opinion of the investigator, would not allow safe completion of the protocol and safe administration of the trial medication

Trial locations and contacts

106 sites in 8 countries.

106 sites in 8 countries

France28 sites
  • 502.550.3302D Boehringer Ingelheim Investigational Site

    Aigrefeuille S/Maine

  • 502.550.3305I Boehringer Ingelheim Investigational Site

    Aix-en-Provence

  • 502.550.3305G Boehringer Ingelheim Investigational Site

    Aubagne

  • 502.550.3301H Boehringer Ingelheim Investigational Site

    Briollay

  • 502.550.3301K Boehringer Ingelheim Investigational Site

    Cholet

  • 502.550.3302I Boehringer Ingelheim Investigational Site

    Corsept

  • 502.550.3302C Boehringer Ingelheim Investigational Site

    Donges

  • 502.550.3302B Boehringer Ingelheim Investigational Site

    La Montagne

  • 502.550.3306A Boehringer Ingelheim Investigational Site

    Louvigné-de-Bais

  • 502.550.3303A Boehringer Ingelheim Investigational Site

    Marseille

  • 502.550.3303D Boehringer Ingelheim Investigational Site

    Marseille

  • 502.550.3303F Boehringer Ingelheim Investigational Site

    Marseille

  • 502.550.3304A Boehringer Ingelheim Investigational Site

    Marseille

  • 502.550.3304D Boehringer Ingelheim Investigational Site

    Marseille

  • 502.550.3304F Boehringer Ingelheim Investigational Site

    Marseille

  • 502.550.3304J Boehringer Ingelheim Investigational Site

    Marseille

  • 502.550.3305A Boehringer Ingelheim Investigational Site

    Marseille

  • 502.550.3301A Boehringer Ingelheim Investigational Site

    Mûrs-Erigné

  • 502.550.3301I Boehringer Ingelheim Investigational Site

    Mûrs-Erigné

  • 502.550.3302A Boehringer Ingelheim Investigational Site

    Nantes

  • 502.550.3302E Boehringer Ingelheim Investigational Site

    Nantes

  • 502.550.3301E Boehringer Ingelheim Investigational Site

    Parçay-les-Pins

  • 502.550.3303C Boehringer Ingelheim Investigational Site

    Roquevaire

  • 502.550.3302G Boehringer Ingelheim Investigational Site

    Saint Aubin Les Châteaux

  • 502.550.3306F Boehringer Ingelheim Investigational Site

    Saint-Jouan-des-Guérets

  • 502.550.3301F Boehringer Ingelheim Investigational Site

    Segré

  • 502.550.3307A Boehringer Ingelheim Investigational Site

    Thouars

  • 502.550.3301J Boehringer Ingelheim Investigational Site

    Vihiers

Other trials in France

United States18 sites
  • 502.550.01004 Boehringer Ingelheim Investigational Site

    Arlington, Virginia

  • 502.550.01008 Boehringer Ingelheim Investigational Site

    Athens, Alabama

  • 502.550.01016 Boehringer Ingelheim Investigational Site

    Charlotte, North Carolina

  • 502.550.01005 Boehringer Ingelheim Investigational Site

    Cincinnati, Ohio

  • 502.550.01001 Boehringer Ingelheim Investigational Site

    Cleveland, Ohio

  • 502.550.01003 Boehringer Ingelheim Investigational Site

    Colorado Springs, Colorado

  • 502.550.01014 Boehringer Ingelheim Investigational Site

    Fort Lauderdale, Florida

  • 502.550.01007 Boehringer Ingelheim Investigational Site

    Greensboro, North Carolina

  • 502.550.01017 Boehringer Ingelheim Investigational Site

    Houston, Texas

  • 502.550.01020 Boehringer Ingelheim Investigational Site

    Houston, Texas

  • 502.550.01015 Boehringer Ingelheim Investigational Site

    Lomita, California

  • 502.550.01002 Boehringer Ingelheim Investigational Site

    Louisville, Kentucky

  • 502.550.01019 Boehringer Ingelheim Investigational Site

    Mobile, Alabama

  • 502.550.01011 Boehringer Ingelheim Investigational Site

    New Iberia, Louisiana

  • 502.550.01009 Boehringer Ingelheim Investigational Site

    New Orleans, Louisiana

  • 502.550.01018 Boehringer Ingelheim Investigational Site

    Olive Branch, Mississippi

  • 502.550.01012 Boehringer Ingelheim Investigational Site

    San Antonio, Texas

  • 502.550.01006 Boehringer Ingelheim Investigational Site

    St Louis, Missouri

Other trials in United States

South Korea13 sites
  • 502.550.82008 Boehringer Ingelheim Investigational Site

    Cheonan

  • 502.550.82009 Boehringer Ingelheim Investigational Site

    Daegu

  • 502.550.82001 Boehringer Ingelheim Investigational Site

    Goyang

  • 502.550.82003 Boehringer Ingelheim Investigational Site

    Gwangju

  • 502.550.82002 Boehringer Ingelheim Investigational Site

    Seoul

  • 502.550.82005 Boehringer Ingelheim Investigational Site

    Seoul

  • 502.550.82006 Boehringer Ingelheim Investigational Site

    Seoul

  • 502.550.82007 Boehringer Ingelheim Investigational Site

    Seoul

  • 502.550.82011 Boehringer Ingelheim Investigational Site

    Seoul

  • 502.550.82012 Boehringer Ingelheim Investigational Site

    Seoul

  • 502.550.82013 Boehringer Ingelheim Investigational Site

    Seoul

  • 502.550.82004 Boehringer Ingelheim Investigational Site

    Suwon

  • 502.550.82010 Boehringer Ingelheim Investigational Site

    Wŏnju

Other trials in South Korea

Romania11 sites
  • 502.550.40002 Boehringer Ingelheim Investigational Site

    Baia Mare Maramures

  • 502.550.40003 Boehringer Ingelheim Investigational Site

    Brăila

  • 502.550.40001 Boehringer Ingelheim Investigational Site

    Bucharest

  • 502.550.40010 Boehringer Ingelheim Investigational Site

    Bucharest

  • 502.550.40012 Boehringer Ingelheim Investigational Site

    Bucharest

  • 502.550.40009 Boehringer Ingelheim Investigational Site

    Cluj-Napoca

  • 502.550.40011 Boehringer Ingelheim Investigational Site

    Cluj-Napoca

  • 502.550.40006 Boehringer Ingelheim Investigational Site

    Iași

  • 502.550.40004 Boehringer Ingelheim Investigational Site

    Oradea

  • 502.550.40005 Boehringer Ingelheim Investigational Site

    Sibiu

  • 502.550.40008 Boehringer Ingelheim Investigational Site

    Tg. Mures

Other trials in Romania

Bulgaria10 sites
  • 502.550.35901 Boehringer Ingelheim Investigational Site

    Sofia

  • 502.550.35902 Boehringer Ingelheim Investigational Site

    Sofia

  • 502.550.35903 Boehringer Ingelheim Investigational Site

    Sofia

  • 502.550.35904 Boehringer Ingelheim Investigational Site

    Sofia

  • 502.550.35905 Boehringer Ingelheim Investigational Site

    Sofia

  • 502.550.35908 Boehringer Ingelheim Investigational Site

    Sofia

  • 502.550.35909 Boehringer Ingelheim Investigational Site

    Sofia

  • 502.550.35910 Boehringer Ingelheim Investigational Site

    Sofia

  • 502.550.35911 Boehringer Ingelheim Investigational Site

    Sofia

  • 502.550.35906 Boehringer Ingelheim Investigational Site

    Stara Zagora

Other trials in Bulgaria

Russia10 sites
  • 502.550.07001 Boehringer Ingelheim Investigational Site

    Moscow

  • 502.550.07002 Boehringer Ingelheim Investigational Site

    Moscow

  • 502.550.07003 Boehringer Ingelheim Investigational Site

    Moscow

  • 502.550.07004 Boehringer Ingelheim Investigational Site

    Moscow

  • 502.550.07005 Boehringer Ingelheim Investigational Site

    Moscow

  • 502.550.07006 Boehringer Ingelheim Investigational Site

    Moscow

  • 502.550.07007 Boehringer Ingelheim Investigational Site

    Saint Petersburg

  • 502.550.07008 Boehringer Ingelheim Investigational Site

    Saint Petersburg

  • 502.550.07009 Boehringer Ingelheim Investigational Site

    Saint Petersburg

  • 502.550.07010 Boehringer Ingelheim Investigational Site

    Saint Petersburg

Other trials in Russia

China8 sites
  • 502.550.86004 Boehringer Ingelheim Investigational Site

    Changsha

  • 502.550.86003 Boehringer Ingelheim Investigational Site

    Guangzhou, Guangdong Province

  • 502.550.86008 Boehringer Ingelheim Investigational Site

    Qingdao

  • 502.550.86001 Boehringer Ingelheim Investigational Site

    Shanghai

  • 502.550.86002 Boehringer Ingelheim Investigational Site

    Shanghai

  • 502.550.86009 Boehringer Ingelheim Investigational Site

    Shenyang

  • 502.550.86007 Boehringer Ingelheim Investigational Site

    Tianjin

  • 502.550.86010 Boehringer Ingelheim Investigational Site

    Zhengzhou

Other trials in China

Georgia8 sites
  • 502.550.99501 Boehringer Ingelheim Investigational Site

    Tbilisi

  • 502.550.99502 Boehringer Ingelheim Investigational Site

    Tbilisi

  • 502.550.99503 Boehringer Ingelheim Investigational Site

    Tbilisi

  • 502.550.99504 Boehringer Ingelheim Investigational Site

    Tbilisi

  • 502.550.99505 Boehringer Ingelheim Investigational Site

    Tbilisi

  • 502.550.99506 Boehringer Ingelheim Investigational Site

    Tbilisi

  • 502.550.99507 Boehringer Ingelheim Investigational Site

    Tbilisi

  • 502.550.99508 Boehringer Ingelheim Investigational Site

    Tbilisi

Other trials in Georgia

About this study

Official title: A Randomised, Double-blind, Double Dummy, Active Controlled, Parallel Group, Forced Titration Study to Compare the Fixed-dose Combination of Telmisartan 80mg Plus Hydrochlorothiazide 25mg (T80/HCTZ25) Versus Telmisartan 80mg (T80) Monotherapy as First Line Therapy in Patients With Grade 2 or Grade 3 Hypertension (Systolic Blood Pressure (SBP) >=160 mmHg and Diastolic Blood Pressure (DBP) >=100 mmHg)

The primary objective of this trial is to demonstrate that the fixed-dose combination of T80/HCTZ25 is superior as first line therapy in reducing seated trough cuff Systolic Blood Pressure(SBP) compared to the monotherapy of T80 in patients with grade 2 or grade 3 hypertension (SBP>=160 mmHg and Diastolic Blood Pressure(DBP)>=100 mmHg).

Conditions
Hypertension
Being tested
Telmisartan, Hydrochlorothiazide
Medical subject headings
Hypertension

What participants receive

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

  • TelmisartanDrug

    Telmisartan 80mg

  • TelmisartanDrug

    Telmisartan 80mg

  • HydrochlorothiazideDrug

    Hydrochlorothiazide25mg

Study groups in NCT00926289
Study groupRoleWhat they receive
TelmisartanActive comparatorTelmisartan 80 mg
Receives: Drug: Telmisartan
Telmisartan/hydrochlorothiazideExperimentalTelmisartan80mg/Hydrochlorothiazide25mg
Receives: Drug: Telmisartan; Drug: Hydrochlorothiazide

What is being measured

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

  1. Change From Baseline in Mean Seated Trough Cuff Systolic Blood Pressure (SBP) to Week 7

    The SBP value at baseline was subtracted from the SBP value at Week 7.

    Measured: Baseline and Week 7

Secondary outcomes (14)
  1. Change From Baseline in Mean Seated Trough Cuff SBP to Week 5

    The SBP value at baseline was subtracted from the SBP value at Week 5.

    Measured: Baseline and Week 5

  2. Change From Baseline in Mean Seated Trough Cuff SBP to Week 3

    The SBP value at baseline was subtracted from the SBP value at Week 3.

    Measured: Baseline and Week 3

  3. Change From Baseline in Mean Seated Trough Cuff Diastolic Blood Pressure (DBP) to Week 7

    The DBP value at baseline was subtracted from the DBP value at Week 7.

    Measured: Baseline and Week 7

  4. Number of Patients With SBP Control (SBP < 140 mmHg) at Week 7

    SBP control is defined as SBP < 140 mmHg.

    Measured: Week 7 timepoint

  5. Number of Patients With SBP Control (SBP < 140 mmHg) at Week 5

    SBP control is defined as SBP < 140 mmHg

    Measured: Week 5 timepoint

  6. Number of Patients With SBP Control (SBP < 140 mmHg) at Week 3

    SBP control is defined as SBP < 140 mmHg

    Measured: Week 3 timepoint

  7. Number of Patients With DBP Control (DBP < 90 mmHg) at Week 7

    DBP control is defined as DBP<90 mmHg

    Measured: Week 7 timepoint

  8. Number of Patients With DBP Control (DBP < 90 mmHg) at Week 5

    DBP control is defined as DBP<90 mmHg

    Measured: Week 5 timepoint

  9. Number of Patients With DBP Control (DBP < 90 mmHg) at Week 3

    DBP control is defined as DBP<90 mmHg

    Measured: Week 3 timepoint

  10. Number of Patients With Blood Pressure (BP) Control at Week 7

    BP control is defined as SBP<140 mmHg and DBP < 90 mmHg and is adjusted for baseline SBP

    Measured: Week 7 timepoint

  11. Number of Patients With BP Control at Week 7

    BP control is defined as SBP<140 mmHg and DBP < 90 mmHg and is adjusted for baseline DBP

    Measured: Week 7 timepoint

  12. Number of Patients With Systolic Blood Pressure (SBP) Response at Week 7

    SBP response is defined as SBP<140 mmHg or a reduction of >= 15 mmHg

    Measured: Week 7 timepoint

  13. Number of Participants With DBP Response at Week 7

    DBP response is defined as DBP<90 mmHg or a reduction of >= 10 mmHg

    Measured: Week 7 timepoint

  14. BP Categories at Week 7

    BP categories comprise:

    • BP optimal (SBP <120 mmHg and DBP <80 mmHg)
    • BP normal (SBP <130 mmHg and DBP <85 mmHg but not 'optimal')
    • BP high normal (SBP <140 mmHg and DBP <90 mmHg but not 'normal')
    • Grade 1 hypertension (SBP <160 mmHg and DBP <100 mmHg but not 'high normal')
    • Grade 2 hypertension (SBP <180 mmHg and DBP <110 mmHg but not 'Grade 1 hypertension')
    • Grade 3 hypertension (SBP ≥180 mmHg or DBP ≥110 mmHg)

    Measured: Week 7 timepoint

Timeline

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

  1. First posted23 Jun 2009 (estimated)
  2. Study startJun 2009
  3. Primary completionApr 2010

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
Enrolment
894 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT00926289
Sponsor's protocol ID
502.550
Other IDs
2008-007711-32, 2008
Status last verified
Dec 2013
First submitted
22 Jun 2009
Last updated
27 Jun 2014

Publications

  • Zhu DL, Bays H, Gao P, Mattheus M, Voelker B, Ruilope LM. Efficacy and tolerability of initial therapy with single-pill combination telmisartan/hydrochlorothiazide 80/25 mg in patients with grade 2 or 3 hypertension: a multinational, randomized, double-blind, active-controlled trial. Clin Ther. 2012 Jul;34(7):1613-24. doi: 10.1016/j.clinthera.2012.05.007. Epub 2012 Jun 19.

    PubMed 22717420

Questions about this trial

What is this clinical trial studying?

A Phase 4 study testing Telmisartan and Hydrochlorothiazide in people with Hypertension, run by Boehringer Ingelheim at 106 sites in 8 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 4 inclusion and 23 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 27 Jun 2014. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 106 sites in France, United States, South Korea, Romania, Bulgaria and 3 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 24 May 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?

Change From Baseline in Mean Seated Trough Cuff Systolic Blood Pressure (SBP) to Week 7 (time frame: Baseline and Week 7). 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 NCT00926289, 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 27 Jun 2014.

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