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HypertensionPhase 3NCT02172040

Study to Evaluate the Effect of Celecoxib on the Efficacy and Safety of Amlodipine in Subjects With Hypertension Requiring Antihypertensive Therapy

A Phase 3 study testing Over-encapsulated 10 mg amlodipine besylate tablet and Over-encapsulated 200 mg celecoxib capsule in people with Hypertension, run by Kitov Pharmaceuticals, Ltd. at 10 sites in United Kingdom.

Completed

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

Official record
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Trial summary

The purpose of this study was to evaluate the effect of celecoxib on the efficacy and safety of amlodipine besylate in subjects with newly diagnosed hypertension requiring antihypertensive therapy. This study was conducted to support a future marketing application for KIT-302. Kitov Pharma Ltd. Read more about this study

Who is it for?
Ages 40 to 75 years
Conditions the study is for
Hypertension
What is being tested?
Over-encapsulated 10 mg amlodipine besylate tablet and Over-encapsulated 200 mg celecoxib capsule
Type of treatment
Pill or oral medicine
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
152 participants
Where
10 sitesUnited Kingdom
Study dates
26 Jun 2014to 19 Nov 2015
Phase
Phase 3
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 40 to 75 years
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Adult 40 to 75 years of age
  • Newly diagnosed hypertension that requires chronic pharmacological therapy. Specifically, the subject must meet both of the following criteria:
  • Resting systolic BP ≥140 mmHg and ≤179 mmHg (where resting is defined as supine for at least 10 minutes with minimal interaction) at Initial Screening Visit
  • SBPday >135 mmHg at Baseline Visit (Day 0)
  • Body Mass Index of 18.5 to 34.9 kg/m2
  • Healthy (other than hypertension) as determined by the Investigator based on medical history, physical examination, vital signs, 12-lead electrocardiogram (ECG), and clinical laboratory tests
Show all 9Show fewer
  • A negative pregnancy test at Screening
  • Both males and women of child bearing potential agree to use adequate contraceptive methods while on study (from Screening through final study visit)
  • Able to comprehend and sign an informed consent form

Who cannot join

  • Resting systolic BP >179 mmHg or a resting diastolic BP >110 mmHg at Screening (where resting is defined as supine for at least 10 minutes with minimal interaction) or SBP24h >169 mmHg or DBP24h >110 mmHg at randomization
  • SBPday ≤135 mmHg at baseline (Day 0)
  • Weight <55 kg
  • Fragile health
  • Evidence of clinically significant findings on screening evaluations (clinical, laboratory, and ECG) which, in the opinion of the Investigator would pose a safety risk or interfere with appropriate interpretation of safety data
  • Current or recent history (within 4 weeks prior to Screening) of a clinically significant bacterial, fungal, or mycobacterial infection
Show all 31Show fewer
  • Current clinically significant viral infection
  • History of malignancy, with the exception of cured basal cell or squamous cell carcinoma of the skin
  • Major surgery within 4 weeks prior to Screening
  • Presence of a malabsorption syndrome possibly affecting drug absorption (e.g., Crohn's disease or chronic pancreatitis)
  • Active peptic ulceration or history of gastrointestinal bleeding
  • History of myocardial infarction, congestive heart failure, or stroke
  • Any current cardiovascular disease
  • History of psychotic disorder
  • History of alcoholism or drug addiction or current alcohol or drug use that, in the opinion of the Investigator, will interfere with the subject's ability to comply with the dosing schedule and study evaluations
  • History of any illicit drug use within one year prior to Screening
  • Positive drug screen at Screening. A positive drug screen for opiates only (with all other drug tests negative) will not be a basis for exclusion if the subject took over-the-counter narcotics as indicated on the product label within 24 hours prior to the drug screen
  • Current treatment or treatment within 30 days prior to first dose of study drugs with another investigational drug or current enrollment in another clinical trial
  • Current treatment or treatment within 30 days prior to first dose of study drugs with an NSAID or systemic corticosteroid
  • Known history of human immunodeficiency virus, hepatitis B, or hepatitis C
  • Known hypersensitivity to amlodipine or celecoxib
  • Known hypersensitivity to the inactive ingredients in the over-encapsulated study drugs
  • Asthma, acute rhinitis, nasal polyps, angioneurotic oedema, urticaria or other allergic type reactions after taking acetylsalicylic acid or NSAIDs including cyclooxygenase-2 inhibitors
  • Subjects who, in the opinion of the Investigator, are unable or unlikely to comply with the dosing schedule and study evaluations
  • Pregnant or lactating
  • Unable to correctly use ambulatory blood pressure monitor after instruction on its use
  • Subjects with Child-Pugh Class B or C cirrhosis;
  • Subjects currently taking a calcium channel blocker for any reason including angina. Subjects will not be withdrawn from these drugs to be enrolled in the trial
  • Creatinine clearance <50 ml/min as estimated by the Cockroft-Gault equation
  • Known cytochrome P450 2C9 poor metabolizer
  • Subjects with allergy or hypersensitivity to sulfonamides

Trial locations and contacts

10 sites in 1 country.

10 sites in 1 country

United Kingdom10 sites
  • Oldfield Surgery

    Bath, North East Somerset, BA2 3HT

  • Celerion

    Belfast, Antrim, BT9 6AD

  • Synexus Midlands Clinical Research Centre

    Birmingham, B15 2SQ

  • Rowden Surgery

    Chippenham, Wiltshire, SN15 2SB

  • Synexus Scotland Clinical Research Centre

    Glasgow, G20 0SP

  • Reading Clinical Research Aspect

    Ledbury, Herefordshire, HR8 2AA

  • Synexus Merseyside Clinical Research Centre

    Liverpool, Merseyside, L22 0LG

  • Barts Health NHS Trust, William Harvey Heart Centre, Barts & The London, Queen Mary School of Medicine and Dentistry, Queen Mary, University of London

    London, EC1M 6BQ

  • The Medicines Evaluation Unit Ltd.

    Manchester, Greater Manchester, M23 9QZ

  • Reading Clinical Research Aspect

    Reading, RG6 6BZ

Other trials in United Kingdom

About this study

Official title: A Prospective Randomized Placebo Controlled Study to Evaluate the Effect of Celecoxib on the Efficacy and Safety of Amlodipine in Subjects With Hypertension Requiring Antihypertensive Therapy

The purpose of this study was to evaluate the effect of celecoxib on the efficacy and safety of amlodipine besylate in subjects with newly diagnosed hypertension requiring antihypertensive therapy.

This study was conducted to support a future marketing application for KIT-302. Kitov Pharma Ltd. (Kitov) is developing KIT-302, an oral fixed combination drug product (FCDP) consisting of the calcium channel blocker amlodipine besylate and the nonsteroidal anti-inflammatory drug (NSAID) celecoxib, as a "convenience reformulation" FCDP to facilitate and improve patient compliance with the once a day (qd) administration of its individual components, amlodipine and celecoxib.

Read more

The formulation of KIT-302 consists of amlodipine besylate and celecoxib co-formulated in a single immediate release tablet. However, for this study, two separate capsules were utilized: one containing a commercial celecoxib capsule (Celebrex®) or matched placebo capsule and one containing a commercial amlodipine besylate tablet (Norvasc®) or matched placebo tablet.

The study hypothesis was that treatment with the amlodipine besylate containing capsule plus the celecoxib containing capsule would reduce blood pressure (BP) in subjects with hypertension with an efficacy that is not substantially inferior to the effect of amlodipine besylate alone (i.e., the amlodipine containing capsule plus the matched placebo for the celecoxib capsule).

The United States (US) Food and Drug Administration (FDA) recently approved KIT-302, under the brand name Consensi® (amlodipine and celecoxib) tablets [New Drug Application (NDA) 210045] for the following indication: "patients for whom treatment with amlodipine for hypertension and celecoxib for osteoarthritis are appropriate. Lowering blood pressure reduces the risk of fatal and nonfatal cardiovascular events, primarily strokes and myocardial infarctions."

Conditions
Hypertension
Being tested
Over-encapsulated 10 mg amlodipine besylate tablet, Matched placebo capsule for over-encapsulated celecoxib capsule, Over-encapsulated 200 mg celecoxib capsule, Matched placebo capsule for over-encapsulated amlodipine besylate tablet
Keywords
High blood pressure, Systolic blood pressure, Diastolic blood pressure, Antihypertensive
Medical subject headings
Hypertension

What participants receive

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

  • Over-encapsulated 10 mg amlodipine besylate tabletDrug

    Also called Norvasc

    Over-encapsulated 10 mg amlodipine besylate tablet once a day for two weeks

  • Matched placebo capsule for over-encapsulated celecoxib capsuleDrug

    Also called Placebo

    Matched placebo capsule for over-encapsulated celecoxib capsule once a day for two weeks

  • Over-encapsulated 200 mg celecoxib capsuleDrug

    Also called Celebrex

    Over-encapsulated 200 mg celecoxib capsule once a day for two weeks

  • Matched placebo capsule for over-encapsulated amlodipine besylate tabletDrug

    Also called Placebo

    Matched placebo capsule for over-encapsulated amlodipine besylate tablet once a day for two weeks

Study groups in NCT02172040
Study groupRoleWhat they receive
Amlodipine+CelecoxibExperimentalOver-encapsulated 10 mg amlodipine besylate tablet + over-encapsulated 200 mg celecoxib capsule once a day for two weeks
Receives: Drug: Over-encapsulated 10 mg amlodipine besylate tablet; Drug: Over-encapsulated 200 mg celecoxib capsule
Amlodipine+PlaceboActive comparatorOver-encapsulated 10 mg amlodipine besylate tablet + matched placebo capsule for over-encapsulated celecoxib capsule once a day for two weeks
Receives: Drug: Over-encapsulated 10 mg amlodipine besylate tablet; Drug: Matched placebo capsule for over-encapsulated celecoxib capsule
Placebo+CelecoxibPlacebo comparatorMatched placebo capsule for over-encapsulated amlodipine besylate tablet + over-encapsulated 200 mg celecoxib capsule once a day for two weeks
Receives: Drug: Over-encapsulated 200 mg celecoxib capsule; Drug: Matched placebo capsule for over-encapsulated amlodipine besylate tablet
Placebo+PlaceboSham comparatorMatched placebo capsule for over-encapsulated amlodipine besylate tablet + matched placebo capsule for over-encapsulated celecoxib capsule once a day for two weeks
Receives: Drug: Matched placebo capsule for over-encapsulated celecoxib capsule; Drug: Matched placebo capsule for over-encapsulated amlodipine besylate tablet

What is being measured

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

  1. Mean Change in Average Daytime (9:00 to 21:00) Ambulatory Systolic Blood Pressure (SBPday) - Primary Endpoint

    Measured: Baseline and 2 weeks

  2. Frequency of Adverse Events (Number of Participants Affected/Number of Participants at Risk)

    Including any untoward medical occurrence in a participant administered study drug, which do not necessarily have a causal relationship with the study drug [i.e., any unfavorable and unintended sign (including an abnormal laboratory finding), symptom, or disease temporally associated with the use of the study drug, whether or not related to the study drug].

    Measured: 1 month

Secondary outcomes (10)
  1. Mean Change in Average 24-hour Ambulatory Systolic Blood Pressure (SBP24h)

    Measured: Baseline and 2 weeks

  2. Mean Change in Average Night-time (01:00 to 06:00) Ambulatory Systolic Blood Pressure (SBPnight)

    Measured: Baseline and 2 weeks

  3. Mean Change in Average 24-hour Ambulatory Diastolic Blood Pressure (DBP24h)

    Measured: Baseline and 2 weeks

  4. Mean Change in Average Daytime (9:00 to 21:00) Ambulatory Diastolic Blood Pressure (DBPday)

    Measured: Baseline and 2 weeks

  5. Mean Change in Average Night-time (01:00 to 06:00) Ambulatory Diastolic Blood Pressure (DBPnight)

    Measured: Baseline and 2 weeks

  6. Mean Non-transformed Amlodipine Plasma Concentration

    Measured: 24 hours post-dose on Day 14

  7. Mean Non-transformed Celecoxib Plasma Concentration

    Measured: 24 hours post-dose on Day 14

  8. Mean Log-transformed Amlodipine Plasma Concentration

    Measured: 24 hours post-dose on Day 14

  9. Mean Log-transformed Celecoxib Plasma Concentration

    Measured: 24 hours post-dose on Day 14

  10. Mean Change in Average Daytime (9:00 to 21:00) Ambulatory Systolic Blood Pressure (SBPday) - Secondary Endpoint

    Measured: Baseline and 2 weeks

Timeline

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

  1. First posted24 Jun 2014 (estimated)
  2. Study start26 Jun 2014
  3. Primary completion19 Nov 2015
  4. Study completion19 Nov 2015

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 3
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Masking
Triple blind
Who is masked
Participant, Investigator, Outcomes assessor
Enrolment
152 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT02172040
Sponsor's protocol ID
KIT-302-03-01
Other IDs
2013-005381-19
Status last verified
Sep 2018
First submitted
20 Jun 2014
Last updated
10 Oct 2018
Data monitoring committee
No

Questions about this trial

What is this clinical trial studying?

A Phase 3 study testing Over-encapsulated 10 mg amlodipine besylate tablet and Over-encapsulated 200 mg celecoxib capsule in people with Hypertension, run by Kitov Pharmaceuticals, Ltd. at 10 sites in United Kingdom.

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 9 inclusion and 31 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 10 Oct 2018. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 10 sites in United Kingdom. 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. Some participants in this study may receive a placebo. 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?

Yes. Results are posted in the registry (first posted 3 Oct 2017). 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?

Mean Change in Average Daytime (9:00 to 21:00) Ambulatory Systolic Blood Pressure (SBPday) - Primary Endpoint (time frame: Baseline and 2 weeks). 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 10 Oct 2018.

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