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A comparison of a single-pill combination of perindopril/indapamide/amlodipine/bisoprolol with perindopril, indapamide and amlodipine in patients with essential hypertension whose blood pressure remains high on perindopril, indapamide and amlodipine treatment.

Evaluation of the clinical efficacy and safety of perindopril 10 mg/indapamide 2.5 mg/amlodipine 5 or 10 mg/bisoprolol 5 mg in single-pill combination after 8 weeks of treatment versus the free combination of perindopril 10 mg, indapamide 2.5 mg and amlodipine 5 or 10 mg in patients with uncontrolled essential hypertension. An international, multicentre, randomised, double-blind, 16-week study.

Status
Active, not recruiting
Phases
Phase 3
Study type
Interventional
Source
EU CTR
Registry ID
EUCTR2020-004891-16-PL
Enrollment
968
Registered
2021-09-22
Start date
2021-10-20
Completion date
Unknown
Last updated
2024-01-15

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Hypertension MedDRA version: 20.0 Level: PT Classification code 10020772 Term: Hypertension System Organ Class: 10047065 - Vascular disorders

Interventions

Trade Name: COVERSYL® Pharmaceutical Form: Capsule, hard INN or Proposed INN: PERINDOPRIL ARGININE Concentration unit: mg milligram(s) Concentration type: equal Concentration number: 10- Trade Name:

Sponsors

Institut de Recherches Internationales Servier
Lead Sponsor

Eligibility

Sex/Gender
All

Inclusion criteria

Inclusion criteria: 1. Essential hypertension in moderate to high cardiovascular risk patients treated with 3 antihypertensive drugs, including a diuretic, at the optimal tolerated doses for at least 1 month prior to the visit. 2. Without change in antihypertensive therapy within the month prior to the visit. 3. Office sitting SBP = 140 mmHg at selection visits. 4. Patients for whom the addition of a beta-blocker is considered as the best therapeutic alternative according to the investigator. 5. A recent (=65 years) yes F.1.3.1 Number of subjects for this age range 152

Exclusion criteria

Exclusion criteria: 1. Pregnant and lactating women 2. No willing to refrain from consuming grapefruit and all beverages containing grapefruit during the study 3. Contra-indications to treatment with perindopril, indapamide, amlodipine or bisoprolol including known hypersensitivity / history of intolerance to perindopril, indapamide, amlodipine, bisoprolol or any excipient 4. Apparent or suspected secondary hypertension 5. Any history or known severe disease likely to interfere with the conduct of the study or history of mental or psychiatric disorder 6. Non-recovered pancreatic diseases 7. Current treatment with beta-blockers. Past history of beta-blocker treatment is authorised assuming that beta-blockers have been stopped, according to each beta-blocker wash-out period, to avoid any rebound effect at the time of selection 8. Current potassium supplementation 9. Requirement for any treatment that may affect hypertension for reason other than to treat hypertension and which cannot be discontinued at selection 10. Laboratory clinically significant abnormal values at ASS2 or W000 visit

Design outcomes

Primary

MeasureTime frame
Main Objective: Demonstration of the superiority of the S05179 Single-Pill Combination (SPC) over the tritherapy on the lowering of office sitting SBP after 8 weeks of treatment. ;Secondary Objective: - Demonstrate the superiority of of the S05179 SPC over the tritherapy on the lowering of ambulatory systolic blood pressure (SBP) over the entire 24-hour period (from 24h-ABPM) after 8 weeks of treatment. - Assess the efficacy of the S05179 SPC versus the tritherapy on the lowering of other sitting office blood pressure (BP) parameters after 8 weeks of treatment. - Assess the efficacy of the S05179 SPC versus the tritherapy on the lowering of 24h-ABPM parameters after 8 weeks of treatment. - Assess the efficacy of the S05179 SPC versus the tritherapy on the lowering of home blood pressure monitoring parameters after 8 weeks of treatment.;Primary end point(s): Office sitting SBP;Timepoint(s) of evaluation of this end point: Change from W000 to W008

Secondary

MeasureTime frame
Secondary end point(s): - Mean ambulatory SBP over the 24h-period - Diastolic Blood Pressure (DBP), Mean Arterial Pressure and Pulse Pressure (PP). - Blood pressure control, blood pressure target, Response to the antihypertensive therapy - Ambulatory SBP and DBP measurements, Mean HR, Mean PP, Normalisation - Mean Home Diastolic Blood Pressure and Home Blood Pressure Monitoring, Mean home PP, Normalisation;Timepoint(s) of evaluation of this end point: - Change from W000 to W008 - Change from W000 to W008 - Proportion of patients at W008 - Description at W000 and W008 - Description at W000 and W008

Countries

Argentina, Armenia, Belarus, Brazil, Bulgaria, Croatia, Czechia, Czech Republic, Hungary, Italy, Kazakhstan, Latvia, Lithuania, Poland, Portugal, Romania, Russian Federation, Slovakia, Ukraine

Contacts

Public ContactClinical Studies Department

Institut de Recherches Internationales Servier

clinicaltrials@servier.com+33 1 55724366

Outcome results

None listed

Source: EU CTR (via WHO ICTRP) · Data processed: Feb 4, 2026