AzTrials
AzTrials

Hypertension, EssentialPhase 3FIRME-1NCT02466490

Efficacy and Safety of Fimasartan Alone or Combined With HCTZ in Mexican Patients With Essential Hypertension

A Phase 3 study testing Fimasartan and Fimasartan; Hydrochlorothiazide in people with Hypertension, Essential, run by Stendhal Americas, S.A. at 13 sites in Mexico.

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

Fimasartan (FMS) is an AT1 receptor antagonist indicated for once a day administration, currently approved for the treatment of essential hypertension in Corea and Mexico. As the safety and efficacy of FMS was initially demonstrated in Korea only, it was necessary to address the potential for ethnic factors to have an… Read more about this study

Who is it for?
Ages 18 to 70 years
Conditions the study is for
Hypertension, Essential
What is being tested?
Fimasartan and Fimasartan; Hydrochlorothiazide
Type of treatment
Pill or oral medicine
Could I receive a placebo?
No, everyone receives an active treatment
How many people
272 participants
Where
13 sitesMexico
Study dates
Apr 2013to Feb 2014
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 18 to 70 years
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Ability to understand the study subject information and to voluntarily grant their informed consent.
  • Men or women, 18 to 70 years old.
  • With grade 1 or 2 essential arterial hypertension based on a sitting diastolic blood pressure (DBP) ≥90 mmHg and ≤109 mmHg (MEXICAN OFFICIAL NORM 030-SSA).
  • Trustworthiness and willingness to attend all the study follow-up visits , according to the investigator's judgment.
  • Patients already on antihypertensive therapy, not adequately controlled and that, according to the investigator's judgment, could be safely submitted to a two-week washout period.

Who cannot join

  • Severe hypertension (Grade 3), with SBP≥180 mmHg and/or DBP≥110 mmHg, according to OFFICIAL MEXICAN NORM NOM 030-SSA criteria.
  • Secondary hypertension.
  • Impossibility to safely undergo a two week washout period from previous treatment prior to assignment to the study treatment, if applicable and according to the principal investigator´s judgment.
  • Systemic diseases such as renal dysfunction (creatinine ≥1.5 time above the upper limit of the reference range), gastrointestinal disorders, hematological disorders or liver dysfunction (AST y/o ALT ≥1.5 times the upper limit of the reference range), capable to affect the absorption, distribution, metabolism and excretion of the study drug.
  • Non-controlled diabetes mellitus (HbA1c>9%)
  • Morbid obesity (BMI≥40 kg/m2)
Show all 16Show fewer
  • Myocardial infarction or severe coronary artery disease or clinically significant congestive heart failure, within the six months prior to the screening visit.
  • Auto-immune or connective tissue disease.
  • Evidence in the medical record of serious infectious diseases such as hepatitis type B or C or a positive HIV test at screening.
  • Clinically significant laboratory test abnormalities, according to the investigator's judgment.
  • Concomitant treatment which might affect blood pressure values.
  • Known allergies or contraindication to the use of angiotensin II receptor antagonists.
  • Pregnancy, breastfeeding or in the case of women with childbearing potential, the rejection to use an effective contraceptive method, according to the investigator's judgment.
  • History of alcohol or addictive substance abuse.
  • Subjects participating in other clinical studies or who have participated in other study within the 6 months prior to screening.
  • Any other reason which in the investigator's opinion might contraindicate the participation of a subject in the study.

Trial locations and contacts

13 sites in 1 country.

13 sites in 1 country

Mexico13 sites
  • Hospital Civil de Guadalajara Fray Antonio Alcalde

    Guadalajara, Jalisco, 44100

  • Unidad de Investigación Clínica Cardiometabólica de Occidente

    Guadalajara, Jalisco, 44140

  • Centro Universitario de Ciencias de la Salud, Universidad de Guadalajara

    Guadalajara, Jalisco, 44340

  • Icle S.C.

    Guadalajara, Jalisco, 44600

  • Núcleo Médico La Paz

    Guadalajara, Jalisco, 44860

  • Instituto Jalisciense de Investigación en Diabetes y Obesidad S. C.

    Guadalajara, Jalsico, 44600

  • Hospital de Jesús IAP

    México, D.f., 06090

  • Hospital General de Ticomán

    México, D.f., 07330

  • Cardiolink Clintrials

    Monterrey, Nuevo León, 64060

  • Centro de Estudios Clínicos y Especialidades Médicas

    Monterrey, Nuevo León, 64620

  • Hospital Dr. Ignacio Morones Prieto

    San Luis Potosí City, San Luis Potosí, 78240

  • Centro Médico Exel

    Tijuana, Estado de Baja California, 22010

  • Hospital Dr. Ángel Leaño

    Zapopan, Jalisco, 45157

Other trials in Mexico

About this study

Official title: A 24-week Trial of the Effectiveness and Safety of Fimasartan 60 mg Alone as Initial Treatment and Its Randomized Escalation to Fimasartan 120 mg or Fimasartan 60 mg/HCTZ 12.5 mg in Mexican Patients With Grade 1 and 2 Essential Hypertension

Fimasartan (FMS) is an AT1 receptor antagonist indicated for once a day administration, currently approved for the treatment of essential hypertension in Corea and Mexico. As the safety and efficacy of FMS was initially demonstrated in Korea only, it was necessary to address the potential for ethnic factors to have an effect on the drug´s efficacy and safety in the Mexican population. To address this need, a cohort of 272 Mexican subjects with grades 1-2 essential hypertension were sequentially treated on a treat to target basis (target: sitting Diastolic Blood Pressure (sDBP) <90 mmHg) with 60 mg FMS once a day (8 weeks), either 120 mg FMS or 60 mg FMS+12.5 mg HCTZ once a day (randomized 4 week treatment period) and 120 mg FMS once a day (during 12 weeks) for a total treatment period of 24 weeks.

Read the detailed description

This was a prospective, open, multicentre, 24 week study of subjects with grade 1-2 essential hypertension eligible, according to the participating investigator's clinical judgement, to initial monotherapy.

Consenting, eligible subjects at 13 Mexican participating centers were initially assigned to monotherapy with 60 mg FMS once a day. At treatment week 8, those subjects with a sDBP ≥90 mmHg were randomized to either 120 mg FMS or to 60 mg FMS + 12.5 mg hydrochlorothiazide (HCTZ) once a day during 4 weeks. At treatment week 12, all non-responding subjects were finally assigned to 120 mg FMS + 12.5 mg HCTZ for the remaining 12 weeks of the planned 24 week treatment period. At treatment weeks 8 and 12, those subjects with a sDBP < 90 mmHg remained on their assigned treatment for the rest of the study.

This cohort study was designed to collect information on treatment effect (blood pressure changes from baseline/reference time and treatment response rates), and safety (i.e., incidence and characterization of clinical, laboratory and ECG adverse events); accordingly, subjects were assessed at treatment weeks 4, 8, 12, 16, 20 and 24 in terms of vital signs, clinical laboratory safety parameters, concomitant medications and adverse events. 12-lead ECG recordings were obtained from all subjects both at screening and at treatment week 24 and a subset of 11 subjects underwent both baseline and treatment week 8 24-hour ABPM recordings.

Being tested
Fimasartan, Fimasartan; Hydrochlorothiazide
Medical subject headings
Essential Hypertension

What participants receive

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

  • FimasartanDrug

    Also called Arakhor, Kanarb

    Fimasartan tablets

  • Fimasartan; HydrochlorothiazideDrug

    Also called Diarakhor, Kanarb plus

    Fimasartan plus hydrochlorothiazide fixed dose combination tablets

Study groups in NCT02466490
Study groupRoleWhat they receive
Fimasartan 60 mg TabletsExperimentalFMS 60 mg tablets once a day during the initial 8 treatment weeks of the study
Receives: Drug: Fimasartan
Fimasartan 120 mg TabletsActive comparatorFMS 120 mg tablets once a day during 4 weeks (treatment weeks 8 to 12)
Receives: Drug: Fimasartan
Fimasartan; Hydrochlorothiazide 60/12.5Active comparatorFMS 60 mg + HCTZ 12.5 mg tablets (fixed dose combination) once a day during 4 weeks (treatment weeks 8 to 12)
Receives: Drug: Fimasartan; Hydrochlorothiazide
Fimasartan; Hydrochlorothiazide 120/12.5ExperimentalFMS 120 mg + HCTZ 12.5 mg tablets (fixed dose combination) once a day during 12 weeks (treatment weeks 12 to 24)
Receives: Drug: Fimasartan; Hydrochlorothiazide

What is being measured

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

  1. Blood Pressure Change From Baseline

    Treatment Week 8 mean sDBP and sitting Systolic Blood Pressure (SBP) changes from baseline (all study subjects treated with 60 mg FMS once a day)

    Measured: Baseline to Treatment Week 8

Secondary outcomes (6)
  1. Blood Pressure Change from Week 8

    Treatment Week 12 mean sDBP and sSBP changes from week 8 on subjects randomized to either 120 mg FMS or 60 mg FMS + 12.5 mg HCTZ once a day

    Measured: Treatment Week 8 to Treatment Week 12

  2. Week 8 Treatment Response Rate

    Proportion of subjects with sDBP < 90 mmHg at treatment week 8 (all subjects treated with 60 mg FMS once a day)

    Measured: Baseline to Treatment Week 8

  3. Week 12 Treatment Response Rate

    Proportion of subjects with sDBP < 90 mmHg at treatment week 12 (subjects randomized to either 120 mg FMS or 60 mg FMS + 12.5 mg HCTZ once a day)

    Measured: Treatment Weeks 8 to 12

  4. Blood Pressure Change from Week 12

    Treatment Week 24 mean sDBP and sSBP changes from treatment week 12 (subjects assigned at treatment week 12 to 120 mg FMS + 12.5 mg HCTZ

    Measured: Treatment Weeks 12 to 24

  5. Week 24 Treatment Response Rate

    Proportion of non-responding subjects assigned at treatment week 12 to 120 mg FMS + 12.5 mg HCTZ with sDBP < 90 mmHg at Treatment Week 24

    Measured: Treatment Weeks 12 to 24

  6. Adverse Event Incidence

    Incidence and characterization of clinical, laboratory and ECG adverse events observed in all subjects assigned to treatment in the study receiving at least one dose of the study medications

    Measured: Baseline to Treatment Week 24

Timeline

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

  1. First posted9 Jun 2015 (estimated)
  2. Study startApr 2013
  3. Primary completionFeb 2014
  4. Study completionFeb 2014

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
None (open label)
Enrolment
272 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT02466490
Sponsor's protocol ID
FIMA-MEX-12-01
Acronym
FIRME-1
Status last verified
Jun 2015
First submitted
3 Jun 2015
Last updated
9 Jun 2015
Results posted
No
Data monitoring committee
No

Publications

  • Lee H, Yang HM, Lee HY, Kim JJ, Choi DJ, Seung KB, Jeon ES, Ha JW, Rim SJ, Park JB, Shin JH, Oh BH. Efficacy and tolerability of once-daily oral fimasartan 20 to 240 mg/d in Korean Patients with hypertension: findings from Two Phase II, randomized, double-blind, placebo-controlled studies. Clin Ther. 2012 Jun;34(6):1273-89. doi: 10.1016/j.clinthera.2012.04.021. Epub 2012 May 17.

    PubMed 22608107
  • Lee SE, Kim YJ, Lee HY, Yang HM, Park CG, Kim JJ, Kim SK, Rhee MY, Oh BH; Investigators. Efficacy and tolerability of fimasartan, a new angiotensin receptor blocker, compared with losartan (50/100 mg): a 12-week, phase III, multicenter, prospective, randomized, double-blind, parallel-group, dose escalation clinical trial with an optional 12-week extension phase in adult Korean patients with mild-to-moderate hypertension. Clin Ther. 2012 Mar;34(3):552-568, 568.e1-9. doi: 10.1016/j.clinthera.2012.01.024. Epub 2012 Mar 3.

    PubMed 22381711
  • Lee H, Kim KS, Chae SC, Jeong MH, Kim DS, Oh BH. Ambulatory blood pressure response to once-daily fimasartan: an 8-week, multicenter, randomized, double-blind, active-comparator, parallel-group study in Korean patients with mild to moderate essential hypertension. Clin Ther. 2013 Sep;35(9):1337-49. doi: 10.1016/j.clinthera.2013.06.021. Epub 2013 Aug 7.

    PubMed 23932463
  • Park JB, Sung KC, Kang SM, Cho EJ. Safety and efficacy of fimasartan in patients with arterial hypertension (Safe-KanArb study): an open-label observational study. Am J Cardiovasc Drugs. 2013 Feb;13(1):47-56. doi: 10.1007/s40256-013-0004-9.

    PubMed 23344912
  • Chi YH, Lee H, Paik SH, Lee JH, Yoo BW, Kim JH, Tan HK, Kim SL. Safety, tolerability, pharmacokinetics, and pharmacodynamics of fimasartan following single and repeated oral administration in the fasted and fed states in healthy subjects. Am J Cardiovasc Drugs. 2011 Oct 1;11(5):335-46. doi: 10.2165/11593840-000000000-00000.

    PubMed 21910510
  • Madamanchi NR, Vendrov A, Runge MS. Oxidative stress and vascular disease. Arterioscler Thromb Vasc Biol. 2005 Jan;25(1):29-38. doi: 10.1161/01.ATV.0000150649.39934.13. Epub 2004 Nov 11.

    PubMed 15539615

Questions about this trial

What is this clinical trial studying?

A Phase 3 study testing Fimasartan and Fimasartan; Hydrochlorothiazide in people with Hypertension, Essential, run by Stendhal Americas, S.A. at 13 sites in Mexico.

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 5 inclusion and 16 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 9 Jun 2015. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 13 sites in Mexico. 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?

Blood Pressure Change From Baseline (time frame: Baseline to Treatment Week 8). 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 NCT02466490, which also lists 6 linked publications.

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 9 Jun 2015.

Free account

Log in to keep searching

You’ve used your 3 free searches. AzTrials is free: log in or create a free account to keep searching clinical trials and save the ones you want to follow.

Create a free accountLog in