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HypertensionNCT02336607

The Effects on Blood Pressure Control, Pulse Wave Velocity, as Well as Safety and Tolerability of Felodipine Sustained Release in Chinese Patients.

A study testing Felodipine tablet (Plendil) alone, Felodipine tablet (Plendil)+Hydrochlorothiazide and Felodipine tablet (Plendil)+Metoprolol tablet (Betaloc ZOK) in people with Hypertension, run by AstraZeneca.

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 is to evaluate the effects on blood pressure control, pulse wave velocity, as well as safety and tolerability of felodipine single or combine with other drugs in Chinese Hypertension patients. Read more about this study

Who is it for?
Ages 35 to 79 years
Conditions the study is for
Hypertension
What is being tested?
Felodipine tablet (Plendil) alone, Felodipine tablet (Plendil)+Hydrochlorothiazide and Felodipine tablet (Plendil)+Metoprolol tablet (Betaloc ZOK)
Type of treatment
Pill or oral medicine
Could I receive a placebo?
No, everyone receives an active treatment
How many people
529 participants
Where
No sites listed yet
Study dates
Dec 2005to Aug 2006
Phase
Interventional
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

  • Provision of written informed consent
  • Female or male aged between 35-79 years old
  • Mild to moderate essential hypertension patients who meet any of the following criterias:
  • Newly diagnosed, drug-naive, or without any antihypertension treatment for at least 3 months, moderate essential hypertension patients. (160mmHg mean SiSBP 180mmHg or 100mmHg mean SiDBP 110mmHg)
  • Newly diagnosed, drug-naive, or without any antihypertension treatment for at least 3 months, mild essential hypertension patients (140mmHg mean SiSBP 160mmHg or 90mmHg mean SiDBP 100mmHg) with high or extreme high cardiovascular risk (a)(having 3 or more than 3 risk factors and/or target organ lesion and/or diabetes mellitus).
  • according to Chinese guideline for prevention and treatment of patients with hypertension 2004.
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  • The patients have already received starting dosage of single anti-hypertension drug therapy (exclude the drugs containing felodipine component ), however the blood pressure is not well controlled (140mmHg mean SiSBP 160mmHg or 90mmHg mean SiDBP 100mmHg). After stopping the drug for 5 eliminating half life time, the patients meet any one of the following two:
  • 160mmHg mean SiSBP 180mmHg or 100mmHg mean SiDBP 110mmHg.
  • 140mmHg mean SiSBP 160mmHg or 90mmHg mean SiDBP 100mmHg) with high or extreme high cardiovascular risk* (having 3 or more than 3 risk factors and/or target organ lesion and/or diabetes mellitus).
  • Sitting blood pressure is taken after subjects take a seat to rest for 5 minutes before the next medication.

Who cannot join

  • Any of the following is regarded as a criterion for exclusion from the study:
  • Known or suspected secondary hypertension
  • Resting heart rate is < 55bpm.
  • Sick sinus syndrome
  • Atrioventricular block of first degree (with P-R>0.24seconds), or second or third degree
  • Other clinical significant arrhythmia
Show all 19Show fewer
  • Unstable and/or decompensated congestive heart failure
  • Angina, acute myocardial infarction, percutaneous coronary intervention (PCI), or cardiac surgery
  • Asthma or moderate to severe chronic obstructive pulmonary disease
  • Type 1 diabetes mellitus
  • Gout history
  • Fasting serum glucose of greater than 200 mg/dl (11.1 mmol/L) or type 2 diabetes mellitus needs insulin therapy
  • ALT>3ULN
  • Cr>1.5mg/dl
  • Pregnancy or lactation.
  • Alcohol or drug abuse
  • Known need for other concomitant anti-hypertensive therapy during the study besides the study drug.
  • Known or suspected allergy to investigational drug or non-active ingredients of investigational drugs, known allergy to other blockers, calcium antagonist, diuretics, angiotensin converting enzyme inhibitor or with other contraindications.
  • Suspected white-coat hypertension based on investigator's judgement.

About this study

Official title: A Randomized, Open-label Study to Evaluate the Effects on Blood Pressure Control, Pulse Wave Velocity, as Well as Safety and Tolerability of Felodipine Sustained Release, Alone and in Combination With Metoprolol, Lisinopril or Hydrochlorothiazide, in Chinese Patients With Mild to Moderate Essential Hypertension.

The purpose of this study is to evaluate the effects on blood pressure control, pulse wave velocity, as well as safety and tolerability of felodipine single or combine with other drugs in Chinese Hypertension patients.

Read the detailed description

In this study, investigators will choose male and female subjects aged between 35 and 79 years old with mild to moderate essential hypertension. At first 2 weeks, all patients will use felodipine 5mg daily. If the blood pressure dosen't meet the target (140/90mmHg), they will be randomized into metoprolol, lisinopril or hydrochlorothiazide combination groups for another 4 weeks therapy. After that, if the blood pressure has still not met the target, up-titrate the felodipine into 10mg, followed by a 4 weeks therapy. And if the blood pressure is still not met the target after that, up-titrate the combine drugs into maximum dosage. The whole treatment duration is 14 weeks.

The primary outcome is to evaluate the percentage of subjects reaching blood pressure target (defined as < 140 / 90 mmHg) after 14 weeks treatment with felodipine sustained release in combination with metoprolol, lisinopril or hydrochlorothiazide.

Conditions
Hypertension
Being tested
Felodipine tablet (Plendil) alone, Felodipine tablet (Plendil)+Hydrochlorothiazide, Felodipine tablet (Plendil)+Metoprolol tablet (Betaloc ZOK), Felodipine tablets (Plendil)+Lisinopril (Zestril)
Medical subject headings
Hypertension

What participants receive

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

  • Felodipine tablet (Plendil) aloneDrug

    Felodipine sustained release tablet single drug therapy (1st week- 2nd week) Eligible subjects will first take felodipine tablet 5mg, once daily, orally for 2 weeks. If blood pressure is controlled after 2 weeks, then the subjects will continue the treatment until the end of primary therapy stage (14th week).

  • Felodipine tablet (Plendil)+HydrochlorothiazideDrug

    Step 1: Eligible subjects will first take felodipine tablet 5mg, once daily, orally for 2 weeks.

    If blood pressure is not controlled after 2 weeks, then the subjects will go to Step 2: Felodipine sustained release tablet 5mg once daily combined with hydrochlorothiazide 12.5mg, once daily. If blood pressure is not controlled after 4 weeks, then the subjects will go to Step 3: The dosage of felodipine sustained release tablet will be escalated to 10mg, once daily, while the dosage of the combined drug remains the same. If blood pressure is not controlled after 4 weeks, then the subjects will go to Step 4: The dosage of felodipine sustained release tablet keeps 10mg, once daily, while the dosage of different combined drug is doubled.

  • Felodipine tablet (Plendil)+Metoprolol tablet (Betaloc ZOK)Drug

    Step 1: Eligible subjects will first take felodipine tablet 5mg, once daily, orally for 2 weeks.

    If blood pressure is not controlled after 2 weeks, then the subjects will go to Step 2: Felodipine sustained release tablet 5mg once daily combined with metoprolol succinate prolonged-release tablet (Betaloc ZOK) 47.5mg , once daily. If blood pressure is not controlled after 4 weeks, then the subjects will go to Step 3: The dosage of felodipine sustained release tablet will be escalated to 10mg, once daily, while the dosage of the combined drug remains the same. If blood pressure is not controlled after 4 weeks, then the subjects will go to Step 4: The dosage of felodipine sustained release tablet keeps 10mg, once daily, while the dosage of different combined drug is doubled.

  • Felodipine tablets (Plendil)+Lisinopril (Zestril)Drug

    Step 1: Eligible subjects will first take felodipine tablet 5mg, once daily, orally for 2 weeks.

    If blood pressure is not controlled after 2 weeks, then the subjects will go to Step 2: Felodipine sustained release tablet 5mg once daily combined with Lisinopril (Zestril) 10mg, once daily. If blood pressure is not controlled after 4 weeks, then the subjects will go to Step 3: The dosage of felodipine sustained release tablet will be escalated to 10mg, once daily, while the dosage of the combined drug remains the same. If blood pressure is not controlled after 4 weeks, then the subjects will go to Step 4: The dosage of felodipine sustained release tablet keeps 10mg, once daily, while the dosage of different combined drug is doubled.

Study groups in NCT02336607
Study groupRoleWhat they receive
Felodipine tablet (Plendil)ExperimentalNot described
Receives: Drug: Felodipine tablet (Plendil) alone
Felodipine tablet (Plendil)+Metoprolol tablet (Betaloc ZOK)Active comparatorNot described
Receives: Drug: Felodipine tablet (Plendil)+Metoprolol tablet (Betaloc ZOK)
Felodipine tablets (Plendil)+Lisinopril (Zestril)Active comparatorNot described
Receives: Drug: Felodipine tablets (Plendil)+Lisinopril (Zestril)
Felodipine tablet (Plendil)+HydrochlorothiazideActive comparatorNot described
Receives: Drug: Felodipine tablet (Plendil)+Hydrochlorothiazide

What is being measured

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

  1. The Percentage of Subjects Reaching Blood Pressure Target (Defined as < 140 / 90 mmHg) After 14 Weeks of Felodipine Sustained Release in Combination With Metoprolol, Lisinopril or Hydrochlorothiazide.

    Measured: 14 weeks

Secondary outcomes (11)
  1. The Percentage of Subjects Reaching Blood Pressure Target (Defined as < 140 / 90 mmHg) After 4 Weeks of Felodipine Sustained Release in Combination With Metoprolol, Lisinopril or Hydrochlorothiazide.

    The duration of the combination therapy was 4 weeks. Blood pressure was measured at week 6 of the trial.

    Measured: 4 weeks

  2. The Percentage of Subjects Reaching Blood Pressure Target (Defined as < 140 / 90 mmHg) After 8 Weeks of Felodipine Sustained Release in Combination With Metoprolol, Lisinopril or Hydrochlorothiazide.

    The duration of the combination therapy was 8 weeks. Blood pressure was measured at week 10 of the trial.

    Measured: 8 weeks

  3. The Magnitude of Systolic and Diastolic Blood Pressure Change From Baseline Among All Randomized Subjects After 4 Weeks of Felodipine Sustained Release in Combination With Metoprolol, Lisinopril or Hydrochlorothiazide.

    The duration of the combination therapy was 4 weeks. Blood pressure was measured at week 6 of the trial.

    Measured: 4 weeks

  4. The Magnitude of Systolic and Diastolic Blood Pressure Changes From Baseline Among All Randomized Subjects After 8 Weeks of Felodipine Sustained Release in Combination With Metoprolol, Lisinopril or Hydrochlorothiazide.

    The duration of the combination therapy was 8 weeks. Blood pressure was measured at week 10 of the trial.

    Measured: 8 weeks

  5. The Magnitude of Systolic and Diastolic Blood Pressure Changes From Baseline Among All Randomized Subjects After 12 Weeks of Felodipine Sustained Release in Combination With Metoprolol, Lisinopril or Hydrochlorothiazide.

    The duration of the combination therapy was 12 weeks. Blood pressure was measured at week 14 of the trial.

    Measured: 12 weeks

  6. The Magnitude of Systolic and Diastolic Blood Pressure Changes From Baseline Among the Subjects Who Reached Target at 4 Weeks of Felodipine Sustained Release in Combination With Metoprolol, Lisinopril or Hydrochlorothiazide.

    The duration of the combination therapy was 4 weeks. Blood pressure was measured at week 6 of the trial.

    Measured: 4 weeks

  7. The Magnitude of Systolic and Diastolic Blood Pressure Changes From Baseline Among the Subjects Who Reached Target After 8 Weeks of Felodipine Sustained Release in Combination With Metoprolol, Lisinopril or Hydrochlorothiazide.

    The duration of the combination therapy was 8 weeks. Blood pressure was measured at week 10 of the trial.

    Measured: 8 weeks

  8. The Magnitude of Systolic and Diastolic Blood Pressure Changes From Baseline Among the Subjects Who Reached Target at 12 Weeks of Felodipine Sustained Release in Combination With Metoprolol, Lisinopril or Hydrochlorothiazide.

    The duration of the combination therapy was 12 weeks. Blood pressure was measured at week 14 of the trial.

    Measured: 12 weeks

  9. The Change of Pulse Wave Velocity at 12 Weeks Compare With Baseline Data of Felodipine Sustained Release in Combination With Metoprolol, Lisinopril or Hydrochlorothiazide.

    The duration of the combination therapy was 12 weeks. The change of pulse wave velocity was measured at week 14 of the trial.

    Measured: 12 weeks

  10. The Change of Pulse Wave Velocity From Baseline at 2, 14 Weeks of Felodipine Sustained Release Alone.

    The duration of the combination therapy was 12 weeks. The change of pulse wave velocity was measured at week 14 of the trial.

    Measured: 12 weeks

  11. The Magnitude of Systolic and Diastolic Blood Pressure Changes From Baseline Among the Subjects Who Reached Target at 2 Weeks of Felodipine Sustained Release, Alone

    The duration of the combination therapy was 2 weeks. Blood pressure was measured at week 2 of the trial.

    Measured: 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 posted13 Jan 2015 (estimated)
  2. Study startDec 2005
  3. Primary completionJun 2006
  4. Study completionAug 2006

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 N/A
Allocation
Randomised
Intervention model
Parallel groups
Masking
None (open label)
Enrolment
529 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT02336607
Sponsor's protocol ID
D4385L00001
Status last verified
Mar 2015
First submitted
25 Nov 2014
Last updated
23 Mar 2015

Questions about this trial

What is this clinical trial studying?

A study testing Felodipine tablet (Plendil) alone, Felodipine tablet (Plendil)+Hydrochlorothiazide and Felodipine tablet (Plendil)+Metoprolol tablet (Betaloc ZOK) in people with Hypertension, run by AstraZeneca.

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 10 inclusion and 19 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 23 Mar 2015. Status can change between updates, so confirm with the study contact before making plans.

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.

Are results available for this study?

Yes. Results are posted in the registry (first posted 23 Mar 2015). 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?

The Percentage of Subjects Reaching Blood Pressure Target (Defined as < 140 / 90 mmHg) After 14 Weeks of Felodipine Sustained Release in Combination With Metoprolol, Lisinopril or Hydrochlorothiazide. (time frame: 14 weeks). 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 23 Mar 2015.

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