Essential HypertensionPhase 3NCT02368652
A Study to Evaluate the Efficacy and Safety of Amlodipine Besylate and Candesartan Cilexetil in Essential Hypertension Patient Who Are Not Adequately Controlled With Candesartan Cilexetil Monotherapy
A Phase 3 study testing Candesartan cilexetil 16mg and Amlodipine 10mg, Candesartan cilexetil 16mg in people with Essential Hypertension, run by HK inno.N Corporation at 19 sites in South Korea.
Trial summary
Compare the safety and efficacy of amlodipine besylate and candesartan cilexetil combination therapy on patients of essential hypertension who are not properly controlled by candesartan cilexetil monotherapy. Read more about this study
- Who is it for?
- Ages 19 to 75 years
- Conditions the study is for
- Essential Hypertension
- What is being tested?
- Candesartan cilexetil 16mg and Amlodipine 10mg, Candesartan cilexetil 16mg
- Type of treatment
- Pill or oral medicine
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 181 participants
- Where
- 19 sitesSouth Korea
- Study dates
- Dec 2014to Nov 2015
- Phase
- Phase 3
- Are there results?
- None posted in the registry
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 19 to 75 years
- All sexes
- No healthy volunteers
- Adult, Older adult
Who may be able to join
- Male or female aged ≥ 19 and ≤ 75 years old
- Subject with essential hypertension
- Subject who have voluntarily agreed to participate in the trial and signed the written informed consent form, after having listened to the purpose, method, and effect of the clinical trial
Who cannot join
- Subject who is siDBP ≥ 120 mmHg or siSBP ≥ 200 mmHg at Visit 1 (screening)
- Subject with difference in the mean blood pressure of over 10 mmHg for siDBP or 20 mmHg for siSBP between both arms at the screening visit
- Subject with known or suspected secondary hypertension [Including but not limited to any of the following: renovascular diseases, adrenal medullary and cortical hyperfunctions, coarctation of the aorta, primary hyperaldosteronism, unilateral or bilateral renal artery stenosis, Cushing's syndrome, pheochromo-cytoma, polycystic kidney disease, etc.]
- Subject with symptomatic orthostatic hypotension(a sudden fall in siDBP of at least 10 mmHg or siSBP of at least 20 mmHg after standing compared with blood pressure from the sitting or supin position)
- Subject with type 1 or type 2 diabetes mellitus with poor glucose control (defined as subject on inculin treatment, with HbA1c > 9.0% or with a modification in the oral anti-hyperglycemic medication regiment within the past 12 weeks prior to visit 1)
- Subject with severe heart disease(congestive heart failure(NYHA class 3 or 4), ischemic heart disease within the past 6 months(unstable angina, myocardial infarction), peripheral blood vascula disease, history of Percutaneous Transluminal Coronary Angioplasty or coronary artery bypass grafting)
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- Subject with clinically significant ventricular tachycardia, atrial fibrillation, atrial flutter or other clinically significant arrhythmia
- Subject with hypertrophic obstructive cardiomyopathy, severe obstructive coronary artery disease, aortic stenosis, haemodynamically relevant stenosis of the aortic or mitral valve
- Subject with cardiogenic shock
- Subject with severe cerebrovascular disease (history of stroke, cerebral infraction, or cerebral hemorrhage within the past 6 months)
- Subject with a history of or ongoing wasting disease, autoimmune diseases(rheumatoid arthritis, systemic lupus erythematosus, etc.) or connective tissue disease
- Subject with known moderate or malignant retinopathy (history of retinal signs of hemorrhage, visual impairment, retinal microaneurysm etc. within the past 6 months)
- Subject with any surgical or medical condition of the gastrointestinal tract that might sugnificantly alter the absorption, distribution, metabolism or excretion of the drug
- Subject with a history of malignant tumors including leukemia and lymphoma within the past 5 yesrs(except for localized basal cell carcinoma of the skin)
- Subject with any chronic inflammatory condition needing chronic anti-inflammatory therapy
- Subject with chronic kidney disase on dialysis
- Subject with the following clinically significant laboratory abnormalities:
- AST or ALT > 3 x Upper Limit Normal(ULN)
- Serum Creatinine > 1.5 ULN
- Serum potassium < 3.5 mmol/L or > 5.5mmol/L
- Subject requiring concomitant use of other antihypertensive or contraindicated drugs during the entire study period
- Subject with known or suspected contraindications, including history of allergy or hypersensitivity to ARB or dihydropyridine derivatives
- Subject who have previously experienced symptoms characteristic of angioedema during treatment with ACE inhibitors or ARB
- Pregnant women or lactating mother, women suspected of being pregnant, women who wish to be pregnant during the study or women of child-bearing potential who are not using medically acceptable methods of contraception (oral contraceptinve, intra-uterine device, condom, etc.), except for women with surgical sterilization. Pre-menopausal women who are not surgically sterilized must have a negative pregnancy test result at Visit1 and maintain acceptable methods of contraception throughout the study. preiodic abstinence (eg. symptothermal, calendar, post-ovulation methods), or hormonal contraceptive are not acceptable methods of contraception
- History of drug or alcohol abuse within the past 1 year
- Use of other investigational products within the past 4 weeks
- Subject who are jdged unsuitable to participate in the study in the opinion of the investigator
Trial locations and contacts
19 sites in 1 country.
19 sites in 1 country
South Korea19 sites
Hallym University Sungsim Hospital
Anyang-si
Inje University Busan Baik Hospital
Busan
Inje University Haeundae Baik Hospital
Busan
Yeungnam University Medical Center
Daegu
Chonnam National University Hospital
Gwangju
Inje University Ilsan Baik Hospital
Ilsan
Inha University Hospital
Incheon
Seoul National University Bundang Hospital
Seongnam-si
Asan Medical Center
Seoul
Ewha Womans University Mokdong Hospital
Seoul
Gangbuk Samsung Hospital
Seoul
Korea University Anam Hospital
Seoul
Korea University Guro Hospital
Seoul
Seoul Medical Center
Seoul
Seoul St. Mary's Hospital Catholic University
Seoul
Soonchunhyang University Hospital
Seoul
Yonsei University Severance Hospital
Seoul
Ajou University Hospital
Suwon
Wonju Severance Christian Hospital
Wŏnju
About this study
Official title: A Randomized, Double-blind, Multi-center, Phase III Clinical Trial to Evaluate the Antihypertensive Efficacy and Safety of Amlodipine Besylate and Candesartan Cilexetil Combination in Patients With Essential Hypertension Who Are Not Adequately Controlled With Candesartan Cilexetil Monotherapy
Compare the safety and efficacy of amlodipine besylate and candesartan cilexetil combination therapy on patients of essential hypertension who are not properly controlled by candesartan cilexetil monotherapy.
- Conditions
- Essential Hypertension
- Being tested
- Candesartan cilexetil 16mg, Amlodipine 10mg, Candesartan cilexetil 16mg
- Medical subject headings
- Essential Hypertension
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
Candesartan cilexetil 16mgDrug
Also called Atacand 16mg
Daily oral administration for 8 weeks
Amlodipine 10mg, Candesartan cilexetil 16mgDrug
Also called Norvasc 10mg, Atacand 16mg
Daily oral administration for 8 weeks
| Study group | Role | What they receive |
|---|---|---|
| CC 16mg | Experimental | Candesartan ceilexetil 16mg, once a day for 8 weeks Receives: Drug: Candesartan cilexetil 16mg |
| AML 10mg / CC 16mg | Experimental | Amlodipine 10mg and Candesartan ceilexetil 16mg, once a day for 8 weeks Receives: Drug: Amlodipine 10mg, Candesartan cilexetil 16mg |
What is being measured
The primary outcome is the main question the study is designed to answer.
Change in sitting Diastolic Blood Pressure (siDBP) at week 8 compared to baseline
Measured: Week 8
Secondary outcomes (4)
Change in siDBP at week 4
Measured: Week 4
Change in sitting Systolic Blood Pressure (siSBP) at week 4 and 8
Measured: Week 4 and 8
Proportion of patients achieving ΔsiDBP ≥ 10 mmHg and ΔsiSBP ≥ 20 mmHg after 8 weeks
Measured: Week 8
Proportion of patients achieving siDBP < 90 mmHg and siSBP < 140 mmHg after 8 weeks
Measured: Week 8
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted23 Feb 2015 (estimated)
- Study startDec 2014
- Primary completionNov 2015
- Study completionNov 2015
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Other trials for Essential HypertensionStudies of the same condition, open and under way.
- More trials run by HK inno.N CorporationThe sponsor's other registered studies.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
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
- Quadruple blind
- Who is masked
- Participant, Care provider, Investigator, Outcomes assessor
- Enrolment
- 181 participants (actual)
Sponsor and investigators
- Lead sponsor
- HK inno.N Corporation
- Sponsor type
- Industry (pharma, biotech, devices)
- Responsible party
- Sponsor
- Investigators
- Seungjae Tahk, Principal investigator, Ajou University School of Medicine
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT02368652
- Sponsor's protocol ID
- CJ_CCA_301A
- Status last verified
- May 2023
- First submitted
- 16 Feb 2015
- Last updated
- 6 May 2023
- Results posted
- No
- Data monitoring committee
- No
Study at a glance
From the registry record, last updated by the sponsor on 6 May 2023. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- A Randomized, Double-blind, Multi-center, Phase III Clinical Trial to Evaluate the Antihypertensive Efficacy and Safety of Amlodipine Besylate and Candesartan Cilexetil Combination in Patients With Essential Hypertension Who Are Not Adequately Controlled With Candesartan Cilexetil Monotherapy
- ClinicalTrials.gov ID
- NCT02368652
- Acronym / sponsor ID
- CJ_CCA_301A
- Conditions
- Essential Hypertension
- Phase
- Phase 3
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 181 participants (actual)
- Lead sponsor
- HK inno.N CorporationIndustry (pharma, biotech, devices)
- Study start
- Dec 2014 (actual)
- Primary completion
- Nov 2015 (actual)
- Study completion
- Nov 2015 (actual)
- First posted
- 23 Feb 2015 (estimated)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
Compare the safety and efficacy of amlodipine besylate and candesartan cilexetil combination therapy on patients of essential hypertension who are not properly controlled by candesartan cilexetil monotherapy.
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Quadruple blind (participant, care provider, investigator, outcomes assessor)
- Number of arms
- 2
| Arm | Type | Receives |
|---|---|---|
| CC 16mg | Experimental | Drug: Candesartan cilexetil 16mgCandesartan ceilexetil 16mg, once a day for 8 weeks |
| AML 10mg / CC 16mg | Experimental | Drug: Amlodipine 10mg, Candesartan cilexetil 16mgAmlodipine 10mg and Candesartan ceilexetil 16mg, once a day for 8 weeks |
Who may qualify
- Ages
- 19 to 75 years
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (3 listed)
- Male or female aged ≥ 19 and ≤ 75 years old
- Subject with essential hypertension
- Subject who have voluntarily agreed to participate in the trial and signed the written informed consent form, after having listened to the purpose, method, and effect of the clinical trial
Key exclusion criteria (27 listed)
- Subject who is siDBP ≥ 120 mmHg or siSBP ≥ 200 mmHg at Visit 1 (screening)
- Subject with difference in the mean blood pressure of over 10 mmHg for siDBP or 20 mmHg for siSBP between both arms at the screening visit
- Subject with known or suspected secondary hypertension [Including but not limited to any of the following: renovascular diseases, adrenal medullary and cortical hyperfunctions, coarctation of the aorta, primary hyperaldosteronism, unilateral or bilateral renal artery stenosis, Cushing's syndrome, pheochromo-cytoma, polycystic kidney disease, etc.]
- Subject with symptomatic orthostatic hypotension(a sudden fall in siDBP of at least 10 mmHg or siSBP of at least 20 mmHg after standing compared with blood pressure from the sitting or supin position)
- Subject with type 1 or type 2 diabetes mellitus with poor glucose control (defined as subject on inculin treatment, with HbA1c > 9.0% or with a modification in the oral anti-hyperglycemic medication regiment within the past 12 weeks prior to visit 1)
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| Candesartan cilexetil 16mgAlso: Atacand 16mgDaily oral administration for 8 weeks | Drug | CC 16mg |
| Amlodipine 10mg, Candesartan cilexetil 16mgAlso: Norvasc 10mg, Atacand 16mgDaily oral administration for 8 weeks | Drug | AML 10mg / CC 16mg |
Primary outcome
Change in sitting Diastolic Blood Pressure (siDBP) at week 8 compared to baseline
Time frame: Week 8
4 secondary outcomes
Change in siDBP at week 4
Time frame: Week 4
Change in sitting Systolic Blood Pressure (siSBP) at week 4 and 8
Time frame: Week 4 and 8
Proportion of patients achieving ΔsiDBP ≥ 10 mmHg and ΔsiSBP ≥ 20 mmHg after 8 weeks
Time frame: Week 8
Proportion of patients achieving siDBP < 90 mmHg and siSBP < 140 mmHg after 8 weeks
Time frame: Week 8
Results and safety
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 6 May 2023.
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
Seungjae Tahk principal investigator
Ajou University School of Medicine
19 sites in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 3 study testing Candesartan cilexetil 16mg and Amlodipine 10mg, Candesartan cilexetil 16mg in people with Essential Hypertension, run by HK inno.N Corporation at 19 sites in South Korea.
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 3 inclusion and 27 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 6 May 2023. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 19 sites in South Korea. 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 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?
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
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 in sitting Diastolic Blood Pressure (siDBP) at week 8 compared to baseline (time frame: Week 8). 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 6 May 2023.