moderate essential arterial hypertension MedDRA version: 14.0 Level: LLT Classification code 10015491 Term: Essential hypertension, unspecified System Organ Class: 10047065 - Vascular disorders MedDRA version: 14.0 Level: PT Classification code 10020772 Term: Hypertension System Organ Class: 10047065 - Vascular disorders
Conditions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: male or female patients >= 18 years of age essential hypertension, i. e. systolic office bp >= 140 mmHg for pre-treated patients or >= 160 mmHg for untreated patients at screening visit and >= 160 mmHg at end of wash-out signed IC Are the trial subjects under 18? no Number of subjects for this age range: F.1.2 Adults (18-64 years) yes F.1.2.1 Number of subjects for this age range 80 F.1.3 Elderly (>=65 years) no F.1.3.1 Number of subjects for this age range
Exclusion criteria
Exclusion criteria: • systolic office bp > 180 mm Hg at screening visit • known hypertensive retinopathy GIII or IV • recent ( 8) type II diabetes • chronic heart failure NYHA III or IV • prior stroke or TIA • creatinine clearance = II°) or hypertrophic obstructive cardiomyopathy • concomitant therapy with strong CYP3A4 inhibitors or inductors • african patients • concomitant severe psychiatric condition that might impair proper intake of study medication • life expectancy < 6 months • night shift workers • known other mandatory indication for treatment with antihypertensive medications
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Main Objective: Efficacy in blood pressure reduction and safety of a direct switch from candesarten to a fixed combination of olmesartan and amlodipin.;Secondary Objective: Comparison of evening to morning application of olmesartan 40 mg/amlodipin 10 mg with regard to improving the circadian blood pressure profile and the safety of the fixed combination. ;Primary end point(s): Reduction in systolic day-time mean APBM values after 6 weeks treatment with the fixed combination of 40 mg olmesartan and 10 mg amlodipin as compared to previous monotherapy with candesartant;Timepoint(s) of evaluation of this end point: 6 weeks after switch from candesartan monotherapy to treatment with fixed combination | — |
Secondary
| Measure | Time frame |
|---|---|
| Secondary end point(s): reduction of the ratio of non-dippers/inverted dippers ;Timepoint(s) of evaluation of this end point: 6 weeks after switching from morning to evening intake of the fixed combination of olmesartan 40 mg and amlodipine 10 mg | — |
Countries
Germany
Contacts
IPPMed GmbH