essential hypertension
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1. Aged >=18 years, male or female. 2. Clinically diagnosed with essential hypertension. 3. Patients who have been treated with 5 mg amlodipine besylate tablets alone for at least 4 weeks prior to randomization, and whose blood pressure is still considered inadequately controlled by the investigator. 4. On the day of randomization, before randomization, mean seated office systolic blood pressure (SBP) >=140 mmHg and <180 mmHg, and mean seated office diastolic blood pressure (DBP) <110 mmHg. 5. Female participants of childbearing potential must agree to use effective contraceptive measures during the study period. 6. Voluntarily participate in the study and provide informed consent.
Exclusion criteria
Exclusion criteria: 1. Secondary hypertension, malignant hypertension, hypertensive emergency, or hypertensive urgency. 2. Patients currently taking aliskiren hemifumarate or expected to require aliskiren hemifumarate during the study period. 3. Patients allergic to the study drugs. 4. Pregnant or suspected pregnant women, as well as breastfeeding women. 5. Patients with bilateral renal artery stenosis or patients with unilateral renal artery stenosis and a single kidney. 6. Patients with hyperkalemia. 7. Patients with severe renal impairment (e.g., eGFR <15 mL/min/1.73 m²). 8. Patients with severe hepatic impairment (e.g., Child-Pugh class C). 9. Patients currently participating in other interventional clinical trials. 10. Any other condition that, in the investigator’s judgment, makes the patient unsuitable for participation in this study.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| msSBP; | — |
Secondary
| Measure | Time frame |
|---|---|
| msDBP;blood pressure control rate(SBP<140mmHg and DBP<90mmHg);blood pressure response rate(SBP<140mmHg or decrease in SBP=20mmHg); | — |
Countries
China
Contacts
Ruijin Hospital of Shanghai JiaoTong University School of Medicine