moderate hypertension 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 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 • parallel participation in other clinical trials
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Main Objective: Efficacy in blood significantly improved blood pressure reduction after six weeks treatment with a fixed combination of olmesartan 40 mg and amlodipine 10 mg as compared to monotherapy with 32 mg candesartan and safety of sequential therapy change via 6 weeks monotherapy with olmesartan;Secondary Objective: Comparison of OBDM and ABPM values with regard to achieving target bp values. Distribution of patients over different ABPM dipping regimes.;Primary end point(s): Reduction in systolic daytime mean ABDM values after six weeks therapy with a fixed combination of olmesartan 40 mg and amlodipine 10 mg compared to previous monotherapy with candesartan;Timepoint(s) of evaluation of this end point: After 6 weeks monotherapy with olmesartan followed by six weeks under therapy with the fixed combination. | — |
Secondary
| Measure | Time frame |
|---|---|
| Secondary end point(s): Reduction of systolic/diastolic office blood pressure and mean values (night-time and 24 h for systolic bp and day-time, night-time and 24 h for diastolic bp) after therapy change from candesartan to a fixed combination of olmesartan 40 mg and amlodipine 10 mg. Comparison of office bp and ABPM measurements with regard to achieving the target bp values (<140/90 mmHg for OBPM; < 135/85 mmHg for mean day-time ABPM value).;Timepoint(s) of evaluation of this end point: After 6 weeks monotherapy with olmesartan followed by six weeks under therapy with the fixed combination. | — |
Countries
Germany
Contacts
IPPMed GmbH