Essential HypertensionPhase 3NCT05359068
Study to Evaluate the Efficacy and Safety of SPH3127 In Patients With Mild-moderate Essential Hypertension
A Phase 3 study testing SPH3127 tablet and Valsartan in people with Essential Hypertension, run by Shanghai Pharmaceuticals Holding Co., Ltd at 40 sites in China.
Trial summary
The primary aim of the study is to assess the antihypertensive efficacy of SPH3127 in patients with mild to moderate essential hypertension. Read more about this study
- Who is it for?
- Ages 18 years and older
- Conditions the study is for
- Essential Hypertension
- What is being tested?
- SPH3127 tablet and Valsartan
- Type of treatment
- Pill or oral medicine
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 957 participants
- Where
- 40 sitesChina
- Study dates
- 10 Jun 2021to 26 Dec 2023
- 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 years and older
- All sexes
- No healthy volunteers
- Adult, Older adult
Who may be able to join
- Male or female of age ≥18 years;
- Diagnosed with mild-moderate essential hypertension;
- Participant has understood the study-required procedures, voluntarily signed informed consent.
Who cannot join
- Diagnosed with secondary hypertension, suspected grade 3 hypertension, acute hypertension, or at risk when current antihypertensive therapy discontinued;
- Suffered by severe heart disease within 6 months;
- Suffered by severe cerebrovascular disease within 6 months;
- Suffered by severe or malignant retinopathy;
- Out of controlled diabetes;
- History of malignant tumor;
Show all 11Show fewer
- History of mental disorder;
- Subject is planning or in use of other antihypertensive drugs or other drugs may affect blood pressure during the trial;
- Alcohol or drug abuse;
- Pregnant, lactating women or subject is planning to pregnant within 6 months after the trial;
- Assessed by the investigators as unsuitable for participating in the study.
Trial locations and contacts
40 sites in 1 country.
40 sites in 1 country
China40 sites
The First Affiliated Hospital of Baotou Medical College, Inner Mongolia University of Science and Technology
Baotou, Inner Mongolia, 750306
Beijing Hospital
Beijing, Beijing Municipality, 100005
Beijing Anzhen Hospital, Capital Medical University
Beijing, Beijing Municipality, 100069
Beijing Pinggu Hospital
Beijing, Beijing Municipality, 101299
Cangzhou Central Hospital
Cangzhou, Hebei, 061011
The Third Xiangya Hospital of Central South University
Changsha, Hunan, 410008
XiangYa Hospital CentralSouth University
Changsha, Hunan, 410008
The Second Xiangya Hospital of Central South University
Changsha, Hunan, 410012
West China Hospital,Sichuan University
Chengdu, Sichuan, 610044
Chifeng Municipal Hospital
Chifeng, Inner Mongolia, 024099
Affiliated Hospital of Chongqing Three Gorges Medical College
Chongqing, Chongqing Municipality, 404037
Guangdong Second Provincial General Hospital
Guangzhou, Guangdong, 510310
Guangdong Provincial People's Hospital
Guangzhou, Guangdong, 519041
Affiliated Hangzhou First People's Hospital, Zhejiang University School of Medicine
Hangzhou, Zhejiang, 310003
Zhejiang Provincial people's Hospital
Hangzhou, Zhejiang, 314408
The Affiliated Hospital of Inner Mongolia Medical University
Hohhot, Inner Mongolia
Lanzhou University Second Hospital
Lanzhou, Gansu, 730030
Liuzhou people's Hospital
Liuzhou, Guangxi, 545026
Luoyang Third People's Hospital
Luoyang, Henan, 471002
The Second Affiliated Hospital of Nanjing Medical University
Nanjin, Jiangsu, 210003
The First Affiliated Hospital with Nanjing Medical University
Nanjing, Jiangsu, 210029
Hainan Third People's Hospital
Sanya, Hainan, 571199
Ruijin Hospital, Shanghai Jiaotong University School Of Medicine
Shanghai, Shanghai Municipality, 200025
Shengjing Hospital of China Medical University
Shenyang, Liaoning, 110022
The People's Hospital of Liaoning Province
Shenyang, Liaoning, 110067
The First Hospital of Hebei Medical University
Shijiazhuang, Hebei, 050030
The Third Hospital of Hebei Medical University
Shijiazhuang, Hebei, 050051
Suzhou Municipal Hospital
Suzhou, Jiangsu, 215008
People's Hospital of Tianjin
Tianjin, Tianjin Municipality, 300122
Tianjin Fourth Central Hospital
Tianjin, Tianjin Municipality, 300142
The First Affiliated Hospital of Xinjiang Medical University
Ürümqi, Xinjiang, 830011
Union Hospital, Tongji Medical College, Huazhong University of Science and Technology
Wuhan, Hubei, 430022
Tongji hospital,Tongji Medical college of HUST
Wuhan, Hubei, 430030
The Affiliated Hospital of Xuzhou Medical University
Xuzhou, Jiangsu, 221004
Xuzhou Central Hospital
Xuzhou, Jiangsu, 221009
General Hospital of Ningxia Medical University
Yinchuan, Ningxia, 750003
The First People's Hospital of Yinchuan
Yinchuan, Ningxia, 750003
Yuncheng Central Hospital
Yuncheng, Shanxi, 044099
Henan Provincial People's Hospital
Zhengzhou, Henan, 463599
Affiliated Hospital of Jiangsu University
Zhenjiang, Jiangsu, 210031
About this study
Official title: A Multi-center, Randomized, Double-blind, Double-Dummy, Positive Parallel Controlled Study to Evaluate the Efficacy and Safety in Treatment of Mild-moderate Essential Hypertension
The primary aim of the study is to assess the antihypertensive efficacy of SPH3127 in patients with mild to moderate essential hypertension.
- Conditions
- Essential Hypertension
- Being tested
- SPH3127 tablet, Valsartan
- Medical subject headings
- Essential Hypertension
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
SPH3127 tabletDrug
1 tablet
SPH3127 tabletDrug
2 tablets
SPH3127 tabletDrug
4 tablets
ValsartanDrug
1 valsartan capsule
SPH3127 tabletDrug
2 tablets
ValsartanDrug
1 valsartan capsule
| Study group | Role | What they receive |
|---|---|---|
| Stage 1 Arm A | Experimental | 1 SPH3127 tablet,3 SPH3127 matching placebo tablets, 1 valsartan matching placebo capsule, once daily for 12 weeks. Receives: Drug: SPH3127 tablet |
| Stage 1 Arm B | Experimental | 2 SPH3127 tablets,2 SPH3127 matching placebo tablets, 1 valsartan matching placebo capsule, once daily for 12 weeks. Receives: Drug: SPH3127 tablet |
| Stage 1 Arm C | Experimental | 4 SPH3127 tablets, 1 valsartan matching placebo capsule, once daily for 12 weeks. Receives: Drug: SPH3127 tablet |
| Stage 1 Arm D | Experimental | 4 SPH3127 matching placebo tablets, 1 valsartan capsule, once daily for 12 weeks. Receives: Drug: Valsartan |
| Stage 2 Arm A | Experimental | 2 SPH3127 tablets, 1 valsartan matching placebo capsule, once daily for 12 weeks. Receives: Drug: SPH3127 tablet |
| Stage 2 Arm B | Experimental | 2 SPH3127 matching placebo tablets, 1 valsartan capsule, once daily for 12 weeks. Receives: Drug: Valsartan |
| Stage 3 | Experimental | 2 SPH3127 tablets, once daily for 40 weeks. Receives: Drug: SPH3127 tablet |
What is being measured
The primary outcome is the main question the study is designed to answer.
Change from baseline in mean sitting diastolic blood pressure (msDBP) at week 12
Measured: Measure at week 12 of treatment.
Secondary outcomes (7)
Changes from baseline in mean sitting diastolic blood pressure (msDBP) at week 2, 4, 6, 8 and 10
Measured: Measured at week 2, 4, 6, 8 and 10 of treatment.
Changes from baseline in mean sitting diastolic blood pressure (msSBP) at week 2, 4, 6, 8, 10 and 12.
Measured: Measured at week 2, 4, 6, 8, 10, and 12 of treatment.
Total effective rate at week 2, 4, 6, 8, 10 and 12
Measured: Measured at week 2, 4, 6, 8, 10, and 12 of treatment.
Rate of reaching target blood pressure at week 2, 4, 6, 8, 10 and 12
Measured: Measured at week 2, 4, 6, 8, 10, and 12 of treatment.
Number of subjects with adverse event.
Measured: 12 weeks.
Plasma concentration of SPH3127.
Measured: 12 weeks.
Relationship between SPH3127 exposure and renin inhibition level/efficacy/adverse events
Measured: 12 weeks.
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted3 May 2022
- Study start10 Jun 2021
- Primary completion26 Dec 2023
- Study completion26 Dec 2023
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Publications (1)Papers the sponsor has linked to this study.
- Other trials for Essential HypertensionStudies of the same condition, open and under way.
- More trials run by Shanghai Pharmaceuticals Holding Co., LtdThe 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
- Double blind
- Who is masked
- Participant, Investigator
- Enrolment
- 957 participants (actual)
Sponsor and investigators
- Lead sponsor
- Shanghai Pharmaceuticals Holding Co., Ltd
- Sponsor type
- Industry (pharma, biotech, devices)
- Responsible party
- Sponsor
- Investigators
- Changsheng Ma, Principal investigator, Beijing Anzhen Hospital, Capitcal Medical University
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT05359068
- Sponsor's protocol ID
- SPH3127-301
- Status last verified
- Jun 2023
- First submitted
- 27 Apr 2022
- Last updated
- 7 May 2024
- Results posted
- No
- Data monitoring committee
- No
- FDA-regulated drug
- No
- FDA-regulated device
- No
Publications
Lv Q, Ma C, Wang F, Li L, Xiong G, Li Z, Qu Y, Pang W, Xiao W, Ruan H, Wei L, Liu G, Zhang J, Liu Q, Lin L, Long M, Li H, Yuan H, Liu L, Gao Y, Liu P, Zhang C, Wang Z, Xie J, Wang J, Zhang X, Lu Y, Huang K, Liu M, Chen J, Gao X, Wang D, Ma X, Chen X, Li Y, Zhang Y, Kong X, Chen F, Zhang X, Qi J, Cao Y, Huang Y, Zhang Y, Cui W. Efficacy and Safety of SPH3127 Tablet, a Novel Direct Renin Inhibitor, in Patients with Mild-to-Moderate Essential Hypertension: A Phase III Randomised Trial. Drugs. 2026 Jul;86(7):1121-1132. doi: 10.1007/s40265-026-02315-z. Epub 2026 May 21.
PubMed 42165988
Study at a glance
From the registry record, last updated by the sponsor on 7 May 2024. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- A Multi-center, Randomized, Double-blind, Double-Dummy, Positive Parallel Controlled Study to Evaluate the Efficacy and Safety in Treatment of Mild-moderate Essential Hypertension
- ClinicalTrials.gov ID
- NCT05359068
- Acronym / sponsor ID
- SPH3127-301
- Conditions
- Essential Hypertension
- Phase
- Phase 3
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 957 participants (actual)
- Lead sponsor
- Shanghai Pharmaceuticals Holding Co., LtdIndustry (pharma, biotech, devices)
- Study start
- 10 Jun 2021 (actual)
- Primary completion
- 26 Dec 2023 (actual)
- Study completion
- 26 Dec 2023 (actual)
- First posted
- 3 May 2022 (actual)
- 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.
The primary aim of the study is to assess the antihypertensive efficacy of SPH3127 in patients with mild to moderate essential hypertension.
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Double blind (participant, investigator)
- Number of arms
- 7
| Arm | Type | Receives |
|---|---|---|
| Stage 1 Arm A | Experimental | Drug: SPH3127 tablet1 SPH3127 tablet,3 SPH3127 matching placebo tablets, 1 valsartan matching placebo capsule, once daily for 12 weeks. |
| Stage 1 Arm B | Experimental | Drug: SPH3127 tablet2 SPH3127 tablets,2 SPH3127 matching placebo tablets, 1 valsartan matching placebo capsule, once daily for 12 weeks. |
| Stage 1 Arm C | Experimental | Drug: SPH3127 tablet4 SPH3127 tablets, 1 valsartan matching placebo capsule, once daily for 12 weeks. |
| Stage 1 Arm D | Experimental | Drug: Valsartan4 SPH3127 matching placebo tablets, 1 valsartan capsule, once daily for 12 weeks. |
| Stage 2 Arm A | Experimental | Drug: SPH3127 tablet2 SPH3127 tablets, 1 valsartan matching placebo capsule, once daily for 12 weeks. |
| Stage 2 Arm B | Experimental | Drug: Valsartan2 SPH3127 matching placebo tablets, 1 valsartan capsule, once daily for 12 weeks. |
| Stage 3 | Experimental | Drug: SPH3127 tablet2 SPH3127 tablets, once daily for 40 weeks. |
Who may qualify
- Ages
- 18 years and older
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (3 listed)
- Male or female of age ≥18 years;
- Diagnosed with mild-moderate essential hypertension;
- Participant has understood the study-required procedures, voluntarily signed informed consent.
Key exclusion criteria (11 listed)
- Diagnosed with secondary hypertension, suspected grade 3 hypertension, acute hypertension, or at risk when current antihypertensive therapy discontinued;
- Suffered by severe heart disease within 6 months;
- Suffered by severe cerebrovascular disease within 6 months;
- Suffered by severe or malignant retinopathy;
- Out of controlled diabetes;
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 |
|---|---|---|
| SPH3127 tablet1 tablet | Drug | Stage 1 Arm A |
| SPH3127 tablet2 tablets | Drug | Stage 1 Arm B |
| SPH3127 tablet4 tablets | Drug | Stage 1 Arm C |
| Valsartan1 valsartan capsule | Drug | Stage 1 Arm D |
| SPH3127 tablet2 tablets | Drug | Stage 2 Arm A, Stage 3 |
| Valsartan1 valsartan capsule | Drug | Stage 2 Arm B |
Primary outcome
Change from baseline in mean sitting diastolic blood pressure (msDBP) at week 12
Time frame: Measure at week 12 of treatment.
7 secondary outcomes
Changes from baseline in mean sitting diastolic blood pressure (msDBP) at week 2, 4, 6, 8 and 10
Time frame: Measured at week 2, 4, 6, 8 and 10 of treatment.
Changes from baseline in mean sitting diastolic blood pressure (msSBP) at week 2, 4, 6, 8, 10 and 12.
Time frame: Measured at week 2, 4, 6, 8, 10, and 12 of treatment.
Total effective rate at week 2, 4, 6, 8, 10 and 12
Time frame: Measured at week 2, 4, 6, 8, 10, and 12 of treatment.
Rate of reaching target blood pressure at week 2, 4, 6, 8, 10 and 12
Time frame: Measured at week 2, 4, 6, 8, 10, and 12 of treatment.
Number of subjects with adverse event.
Time frame: 12 weeks.
Plasma concentration of SPH3127.
Time frame: 12 weeks.
Relationship between SPH3127 exposure and renin inhibition level/efficacy/adverse events
Time frame: 12 weeks.
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 7 May 2024.
- Derived from this study: PubMed 42165988Lv Q, Ma C, Wang F, Li L, Xiong G, Li Z, Qu Y, Pang W, Xiao W, Ruan H, Wei L, Liu G, Zhang J, Liu Q, Lin L, Long M, Li H, Yuan H, Liu L, Gao Y, Liu P, Zhang C, Wang Z, Xie J, Wang J, Zhang X, Lu Y, Huang K, Liu M, Chen J, Gao X, Wang D, Ma X, Chen X, Li Y, Zhang Y, Kong X, Chen F, Zhang X, Qi J, Cao Y, Huang Y, Zhang Y, Cui W. Efficacy and Safety of SPH3127 Tablet, a Novel Direct Renin Inhibitor, in Patients with Mild-to-Moderate Essential Hypertension: A Phase III Randomised Trial. Drugs. 2026 Jul;86(7):1121-1132. doi: 10.1007/s40265-026-02315-z. Epub 2026 May 21.
Related trials for Essential Hypertension
Recruiting
The Effect of Self-Acupressure on Blood Pressure, Stress, and Well-Being Levels in Individuals With Hypertension
PRIMARY HYPERTENSION
Active, not recruiting
Smartphone-Guided Paced Breathing and Aerobic Exercise for Essential Hypertension
Essential (Primary) Hypertension
Recruiting
Isometric Resistance Exercise on Accelerated Atherosclerosis in Hypertension
Atherosclerosis Cardiovascular Disease
Not yet recruitingObservational study
A Study to Evaluate the Effectiveness and Safety of S-amlodipine-based Monotherapy and Combination Therapy
Hypertension (HTN), Hypertension
Recruiting
Community Health Worker Support to Lower Blood Pressure After a Pregnancy With High Blood Pressure
Pregnancy-Associated Hypertension, Gestational Hypertension
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.
Changsheng Ma principal investigator
Beijing Anzhen Hospital, Capitcal Medical University
40 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 SPH3127 tablet and Valsartan in people with Essential Hypertension, run by Shanghai Pharmaceuticals Holding Co., Ltd at 40 sites in China.
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 11 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 7 May 2024. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 40 sites in China. 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 from baseline in mean sitting diastolic blood pressure (msDBP) at week 12 (time frame: Measure at week 12 of treatment.). 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 NCT05359068, 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 7 May 2024.