Hypertension
Conditions
Brief summary
To assess the long term safety and efficacy of telmisartan plus amlodipine FDC in patients with essential hypertension who failed to control their BP with either monotherapy
Interventions
Sponsors
Study design
Eligibility
Inclusion criteria
1. Patients with essential hypertension 2. Outpatient
Exclusion criteria
* Patients whose SBP \>=180 mmHg or DBP \>=110 mmHg at the end of treatment visit of the double-blind treatment period in the non-responder trials * Patients who have met any of the
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Percentage of Participants Who Experienced Adverse Events | 52 weeks | An adverse event is defined as any untoward medical occurrence |
| Clinically Relevant Abnormalities for Changes in Blood Pressure and Pulse Rate Due to Position Change, Seated Pulse Rate, Laboratory Parameters and ECG | First administration of study treatment to 24 hours post last dosing of study treatment. | Clinically relevant abnormalities for changes in blood pressure and pulse rate due to position change, seated pulse rate, laboratory parameters and ECG. New abnormal findings or worsening of baseline conditions were reported as adverse events. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Seated DBP Control Rate at Trough After 8 Weeks | week 8 | Percentage of patients whose DBP \<90 mmHg after 8 weeks of treatment |
| Seated SBP Control Rate at Trough After 8 Weeks | Week 8 | Percentage of patients whose SBP \<140 mmHg after 8 weeks of treatment |
| Change From Baseline in Seated Diastolic Blood Pressure | Baseline and week 20 / week 48 | Mean reduction from pseud-baseline (after the washout) in seated diastolic blood pressure |
| Change From Baseline in Seated Systolic Blood Pressure | Baseline and week 20 / week 48 | mean reduction from pseud-baseline (after the washout) in seated systolic blood pressure |
| Change From Baseline in Seated Diastolic Blood Pressure at Week 8 | Baseline and week 8 | mean reduction from pseud-baseline (after the washout) in seated diastolic blood pressure |
| Seated SBP Control Rate at Trough After 6 and 12 Months | 6 months and 12 months | Percentage of patients whose SBP \<140 mmHg |
| Seated DBP Response Rate at Trough | 6 months and 12 months | Percentage of patients whose DBP \<90 mmHg or decreased from pseudo-baseline by \>=10 mmHg at 6 months and 12 months |
| Seated SBP Response Rate at Trough | 6 months and 12 months | Percentage of patients whose SBP \<140 mmHg or decreased deom pseudo-baseline by \>=20 mmHg after 6 and 12 months |
| Seated Blood Pressure Normalisation at Trough | 6 months and 12 months | Percentage of patients when classifying their blood pressure measurements into the following classes at 6 and 12 months: Optimal: SBP \<120 mmHg and DBP \<80 mmHg Normal: SBP \>=120 mmHg or DBP \>=80 mmHg and SBP \<130 mmHg or DBP \<85 mmHg High normal: SBP \>=130 mmHg or DBP \>=85 mmHg and SBP \<140 mmHg or DBP \<90 mmHg No: SBP \>=140 mmHg or DBP \>=90 mmHg |
| Seated DBP Control Rate at Trough After 6 and 12 Months | 6 months and 12 months | Percentage of patients whose DBP \<90 mmHg. |
| Change From Baseline in Seated Systolic Blood Pressure at Week 8 | Baseline and week 8 | mean reduction from pseud-baseline (after the washout) in seated systolic blood pressure |
Countries
Japan
Participant flow
Participants by arm
| Arm | Count |
|---|---|
| Telmisartan 40 mg Plus Amlodipine 5 mg Fixed-dose Combination | 211 |
| Telmisartan 80 mg Plus Amlodipine 5 mg Fixed-dose Combination | 48 |
| Total | 259 |
Withdrawals & dropouts
| Period | Reason | FG000 | FG001 |
|---|---|---|---|
| Overall Study | Adverse Event | 5 | 3 |
| Overall Study | Withdrawal by Subject | 1 | 0 |
Baseline characteristics
| Characteristic | Telmisartan 40 mg Plus Amlodipine 5 mg Fixed-dose Combination | Telmisartan 80 mg Plus Amlodipine 5 mg Fixed-dose Combination | Total |
|---|---|---|---|
| Age, Continuous | 56.8 Years STANDARD_DEVIATION 9 | 51.1 Years STANDARD_DEVIATION 8 | 55.8 Years STANDARD_DEVIATION 9 |
| Sex: Female, Male Female | 50 Participants | 4 Participants | 54 Participants |
| Sex: Female, Male Male | 161 Participants | 44 Participants | 205 Participants |
Adverse events
| Event type | EG000 affected / at risk | EG001 affected / at risk |
|---|---|---|
| deaths Total, all-cause mortality | — / — | — / — |
| other Total, other adverse events | 102 / 211 | 23 / 48 |
| serious Total, serious adverse events | 9 / 211 | 3 / 48 |
Outcome results
Clinically Relevant Abnormalities for Changes in Blood Pressure and Pulse Rate Due to Position Change, Seated Pulse Rate, Laboratory Parameters and ECG
Clinically relevant abnormalities for changes in blood pressure and pulse rate due to position change, seated pulse rate, laboratory parameters and ECG. New abnormal findings or worsening of baseline conditions were reported as adverse events.
Time frame: First administration of study treatment to 24 hours post last dosing of study treatment.
Population: Treated set
| Arm | Measure | Group | Value (NUMBER) |
|---|---|---|---|
| Telmisartan 40 mg Plus Amlodipine 5 mg Fixed-dose Combination | Clinically Relevant Abnormalities for Changes in Blood Pressure and Pulse Rate Due to Position Change, Seated Pulse Rate, Laboratory Parameters and ECG | Atrial fibrillation | 2 participants |
| Telmisartan 40 mg Plus Amlodipine 5 mg Fixed-dose Combination | Clinically Relevant Abnormalities for Changes in Blood Pressure and Pulse Rate Due to Position Change, Seated Pulse Rate, Laboratory Parameters and ECG | Acute myocardial infarction | 0 participants |
| Telmisartan 40 mg Plus Amlodipine 5 mg Fixed-dose Combination | Clinically Relevant Abnormalities for Changes in Blood Pressure and Pulse Rate Due to Position Change, Seated Pulse Rate, Laboratory Parameters and ECG | Extrasystoles | 1 participants |
| Telmisartan 40 mg Plus Amlodipine 5 mg Fixed-dose Combination | Clinically Relevant Abnormalities for Changes in Blood Pressure and Pulse Rate Due to Position Change, Seated Pulse Rate, Laboratory Parameters and ECG | Blood Pressure Decreased | 2 participants |
| Telmisartan 40 mg Plus Amlodipine 5 mg Fixed-dose Combination | Clinically Relevant Abnormalities for Changes in Blood Pressure and Pulse Rate Due to Position Change, Seated Pulse Rate, Laboratory Parameters and ECG | Ventricular extrasystoles | 1 participants |
| Telmisartan 40 mg Plus Amlodipine 5 mg Fixed-dose Combination | Clinically Relevant Abnormalities for Changes in Blood Pressure and Pulse Rate Due to Position Change, Seated Pulse Rate, Laboratory Parameters and ECG | Arrhythmia | 1 participants |
| Telmisartan 40 mg Plus Amlodipine 5 mg Fixed-dose Combination | Clinically Relevant Abnormalities for Changes in Blood Pressure and Pulse Rate Due to Position Change, Seated Pulse Rate, Laboratory Parameters and ECG | Orthostatic hypotension | 0 participants |
| Telmisartan 40 mg Plus Amlodipine 5 mg Fixed-dose Combination | Clinically Relevant Abnormalities for Changes in Blood Pressure and Pulse Rate Due to Position Change, Seated Pulse Rate, Laboratory Parameters and ECG | Prostatic specific antigen increased | 1 participants |
| Telmisartan 80 mg Plus Amlodipine 5 mg Fixed-dose Combination | Clinically Relevant Abnormalities for Changes in Blood Pressure and Pulse Rate Due to Position Change, Seated Pulse Rate, Laboratory Parameters and ECG | Orthostatic hypotension | 1 participants |
| Telmisartan 80 mg Plus Amlodipine 5 mg Fixed-dose Combination | Clinically Relevant Abnormalities for Changes in Blood Pressure and Pulse Rate Due to Position Change, Seated Pulse Rate, Laboratory Parameters and ECG | Prostatic specific antigen increased | 0 participants |
| Telmisartan 80 mg Plus Amlodipine 5 mg Fixed-dose Combination | Clinically Relevant Abnormalities for Changes in Blood Pressure and Pulse Rate Due to Position Change, Seated Pulse Rate, Laboratory Parameters and ECG | Acute myocardial infarction | 1 participants |
| Telmisartan 80 mg Plus Amlodipine 5 mg Fixed-dose Combination | Clinically Relevant Abnormalities for Changes in Blood Pressure and Pulse Rate Due to Position Change, Seated Pulse Rate, Laboratory Parameters and ECG | Arrhythmia | 0 participants |
| Telmisartan 80 mg Plus Amlodipine 5 mg Fixed-dose Combination | Clinically Relevant Abnormalities for Changes in Blood Pressure and Pulse Rate Due to Position Change, Seated Pulse Rate, Laboratory Parameters and ECG | Atrial fibrillation | 0 participants |
| Telmisartan 80 mg Plus Amlodipine 5 mg Fixed-dose Combination | Clinically Relevant Abnormalities for Changes in Blood Pressure and Pulse Rate Due to Position Change, Seated Pulse Rate, Laboratory Parameters and ECG | Extrasystoles | 0 participants |
| Telmisartan 80 mg Plus Amlodipine 5 mg Fixed-dose Combination | Clinically Relevant Abnormalities for Changes in Blood Pressure and Pulse Rate Due to Position Change, Seated Pulse Rate, Laboratory Parameters and ECG | Ventricular extrasystoles | 0 participants |
| Telmisartan 80 mg Plus Amlodipine 5 mg Fixed-dose Combination | Clinically Relevant Abnormalities for Changes in Blood Pressure and Pulse Rate Due to Position Change, Seated Pulse Rate, Laboratory Parameters and ECG | Blood Pressure Decreased | 0 participants |
Percentage of Participants Who Experienced Adverse Events
An adverse event is defined as any untoward medical occurrence
Time frame: 52 weeks
Population: Treated set for safety, which was the analysis set including all the patients who had valid measurements after drug administration.
| Arm | Measure | Value (NUMBER) |
|---|---|---|
| Telmisartan 40 mg Plus Amlodipine 5 mg Fixed-dose Combination | Percentage of Participants Who Experienced Adverse Events | 77.3 percentage of participants |
| Telmisartan 80 mg Plus Amlodipine 5 mg Fixed-dose Combination | Percentage of Participants Who Experienced Adverse Events | 77.1 percentage of participants |
Change From Baseline in Seated Diastolic Blood Pressure
Mean reduction from pseud-baseline (after the washout) in seated diastolic blood pressure
Time frame: Baseline and week 20 / week 48
Population: Full analysis set for blood pressure measurements, which was the analysis set including all the patients who had valid measurements at the reference baseline and at one or more time-points after reference baseline.
| Arm | Measure | Group | Value (MEAN) | Dispersion |
|---|---|---|---|---|
| Telmisartan 40 mg Plus Amlodipine 5 mg Fixed-dose Combination | Change From Baseline in Seated Diastolic Blood Pressure | Week 20 | 20.67 mmHg | Standard Deviation 7.16 |
| Telmisartan 40 mg Plus Amlodipine 5 mg Fixed-dose Combination | Change From Baseline in Seated Diastolic Blood Pressure | Week 48 | 21.39 mmHg | Standard Deviation 6.6 |
| Telmisartan 80 mg Plus Amlodipine 5 mg Fixed-dose Combination | Change From Baseline in Seated Diastolic Blood Pressure | Week 20 | 16.36 mmHg | Standard Deviation 5.93 |
| Telmisartan 80 mg Plus Amlodipine 5 mg Fixed-dose Combination | Change From Baseline in Seated Diastolic Blood Pressure | Week 48 | 17.78 mmHg | Standard Deviation 7.31 |
Change From Baseline in Seated Diastolic Blood Pressure at Week 8
mean reduction from pseud-baseline (after the washout) in seated diastolic blood pressure
Time frame: Baseline and week 8
Population: Full analysis set for blood pressure measurements, which was the analysis set including all the patients who had valid measurements at the reference baseline and at one or more time-points after reference baseline.
| Arm | Measure | Value (MEAN) | Dispersion |
|---|---|---|---|
| Telmisartan 40 mg Plus Amlodipine 5 mg Fixed-dose Combination | Change From Baseline in Seated Diastolic Blood Pressure at Week 8 | 20.81 mmHg | Standard Deviation 6.65 |
| Telmisartan 80 mg Plus Amlodipine 5 mg Fixed-dose Combination | Change From Baseline in Seated Diastolic Blood Pressure at Week 8 | 15.75 mmHg | Standard Deviation 6.61 |
Change From Baseline in Seated Systolic Blood Pressure
mean reduction from pseud-baseline (after the washout) in seated systolic blood pressure
Time frame: Baseline and week 20 / week 48
Population: Full analysis set for blood pressure measurements, which was the analysis set including all the patients who had valid measurements at the reference baseline and at one or more time-points after reference baseline.
| Arm | Measure | Group | Value (MEAN) | Dispersion |
|---|---|---|---|---|
| Telmisartan 40 mg Plus Amlodipine 5 mg Fixed-dose Combination | Change From Baseline in Seated Systolic Blood Pressure | Week 20 | 33.73 mmHg | Standard Deviation 12.55 |
| Telmisartan 40 mg Plus Amlodipine 5 mg Fixed-dose Combination | Change From Baseline in Seated Systolic Blood Pressure | Week 48 | 33.97 mmHg | Standard Deviation 11.75 |
| Telmisartan 80 mg Plus Amlodipine 5 mg Fixed-dose Combination | Change From Baseline in Seated Systolic Blood Pressure | Week 20 | 27.18 mmHg | Standard Deviation 11.83 |
| Telmisartan 80 mg Plus Amlodipine 5 mg Fixed-dose Combination | Change From Baseline in Seated Systolic Blood Pressure | Week 48 | 28.11 mmHg | Standard Deviation 12.78 |
Change From Baseline in Seated Systolic Blood Pressure at Week 8
mean reduction from pseud-baseline (after the washout) in seated systolic blood pressure
Time frame: Baseline and week 8
Population: Full analysis set for blood pressure measurements, which was the analysis set including all the patients who had valid measurements at the reference baseline and at one or more time-points after reference baseline.
| Arm | Measure | Value (MEAN) | Dispersion |
|---|---|---|---|
| Telmisartan 40 mg Plus Amlodipine 5 mg Fixed-dose Combination | Change From Baseline in Seated Systolic Blood Pressure at Week 8 | 33.89 mmHg | Standard Deviation 12.2 |
| Telmisartan 80 mg Plus Amlodipine 5 mg Fixed-dose Combination | Change From Baseline in Seated Systolic Blood Pressure at Week 8 | 26.44 mmHg | Standard Deviation 11.68 |
Seated Blood Pressure Normalisation at Trough
Percentage of patients when classifying their blood pressure measurements into the following classes at 6 and 12 months: Optimal: SBP \<120 mmHg and DBP \<80 mmHg Normal: SBP \>=120 mmHg or DBP \>=80 mmHg and SBP \<130 mmHg or DBP \<85 mmHg High normal: SBP \>=130 mmHg or DBP \>=85 mmHg and SBP \<140 mmHg or DBP \<90 mmHg No: SBP \>=140 mmHg or DBP \>=90 mmHg
Time frame: 6 months and 12 months
Population: FAS
| Arm | Measure | Group | Value (NUMBER) |
|---|---|---|---|
| Telmisartan 40 mg Plus Amlodipine 5 mg Fixed-dose Combination | Seated Blood Pressure Normalisation at Trough | Week 20: Optimal | 29.5 percentage of participants |
| Telmisartan 40 mg Plus Amlodipine 5 mg Fixed-dose Combination | Seated Blood Pressure Normalisation at Trough | Week 20: Normal | 35.3 percentage of participants |
| Telmisartan 40 mg Plus Amlodipine 5 mg Fixed-dose Combination | Seated Blood Pressure Normalisation at Trough | Week 20: High Normal | 24.2 percentage of participants |
| Telmisartan 40 mg Plus Amlodipine 5 mg Fixed-dose Combination | Seated Blood Pressure Normalisation at Trough | Week 20: No | 11.1 percentage of participants |
| Telmisartan 40 mg Plus Amlodipine 5 mg Fixed-dose Combination | Seated Blood Pressure Normalisation at Trough | Week 48: Optimal | 32.4 percentage of participants |
| Telmisartan 40 mg Plus Amlodipine 5 mg Fixed-dose Combination | Seated Blood Pressure Normalisation at Trough | Week 48: Normal | 36.2 percentage of participants |
| Telmisartan 40 mg Plus Amlodipine 5 mg Fixed-dose Combination | Seated Blood Pressure Normalisation at Trough | Week 48: High Normal | 18.4 percentage of participants |
| Telmisartan 40 mg Plus Amlodipine 5 mg Fixed-dose Combination | Seated Blood Pressure Normalisation at Trough | Week 48: No | 13.0 percentage of participants |
| Telmisartan 80 mg Plus Amlodipine 5 mg Fixed-dose Combination | Seated Blood Pressure Normalisation at Trough | Week 48: No | 35.4 percentage of participants |
| Telmisartan 80 mg Plus Amlodipine 5 mg Fixed-dose Combination | Seated Blood Pressure Normalisation at Trough | Week 20: Optimal | 4.2 percentage of participants |
| Telmisartan 80 mg Plus Amlodipine 5 mg Fixed-dose Combination | Seated Blood Pressure Normalisation at Trough | Week 48: Optimal | 6.3 percentage of participants |
| Telmisartan 80 mg Plus Amlodipine 5 mg Fixed-dose Combination | Seated Blood Pressure Normalisation at Trough | Week 20: Normal | 18.8 percentage of participants |
| Telmisartan 80 mg Plus Amlodipine 5 mg Fixed-dose Combination | Seated Blood Pressure Normalisation at Trough | Week 48: High Normal | 39.6 percentage of participants |
| Telmisartan 80 mg Plus Amlodipine 5 mg Fixed-dose Combination | Seated Blood Pressure Normalisation at Trough | Week 20: High Normal | 31.3 percentage of participants |
| Telmisartan 80 mg Plus Amlodipine 5 mg Fixed-dose Combination | Seated Blood Pressure Normalisation at Trough | Week 48: Normal | 18.8 percentage of participants |
| Telmisartan 80 mg Plus Amlodipine 5 mg Fixed-dose Combination | Seated Blood Pressure Normalisation at Trough | Week 20: No | 45.8 percentage of participants |
Seated DBP Control Rate at Trough After 6 and 12 Months
Percentage of patients whose DBP \<90 mmHg.
Time frame: 6 months and 12 months
Population: FAS
| Arm | Measure | Group | Value (NUMBER) |
|---|---|---|---|
| Telmisartan 40 mg Plus Amlodipine 5 mg Fixed-dose Combination | Seated DBP Control Rate at Trough After 6 and 12 Months | Week 20 | 90.8 percentage of participants |
| Telmisartan 40 mg Plus Amlodipine 5 mg Fixed-dose Combination | Seated DBP Control Rate at Trough After 6 and 12 Months | Week 48 | 92.8 percentage of participants |
| Telmisartan 80 mg Plus Amlodipine 5 mg Fixed-dose Combination | Seated DBP Control Rate at Trough After 6 and 12 Months | Week 20 | 54.2 percentage of participants |
| Telmisartan 80 mg Plus Amlodipine 5 mg Fixed-dose Combination | Seated DBP Control Rate at Trough After 6 and 12 Months | Week 48 | 66.7 percentage of participants |
Seated DBP Control Rate at Trough After 8 Weeks
Percentage of patients whose DBP \<90 mmHg after 8 weeks of treatment
Time frame: week 8
Population: FAS
| Arm | Measure | Value (NUMBER) |
|---|---|---|
| Telmisartan 40 mg Plus Amlodipine 5 mg Fixed-dose Combination | Seated DBP Control Rate at Trough After 8 Weeks | 91.8 percentage of participants |
| Telmisartan 80 mg Plus Amlodipine 5 mg Fixed-dose Combination | Seated DBP Control Rate at Trough After 8 Weeks | 52.1 percentage of participants |
Seated DBP Response Rate at Trough
Percentage of patients whose DBP \<90 mmHg or decreased from pseudo-baseline by \>=10 mmHg at 6 months and 12 months
Time frame: 6 months and 12 months
Population: FAS
| Arm | Measure | Group | Value (NUMBER) |
|---|---|---|---|
| Telmisartan 40 mg Plus Amlodipine 5 mg Fixed-dose Combination | Seated DBP Response Rate at Trough | Week 20 | 97.1 percentage of participants |
| Telmisartan 40 mg Plus Amlodipine 5 mg Fixed-dose Combination | Seated DBP Response Rate at Trough | Week 48 | 98.6 percentage of participants |
| Telmisartan 80 mg Plus Amlodipine 5 mg Fixed-dose Combination | Seated DBP Response Rate at Trough | Week 48 | 87.5 percentage of participants |
| Telmisartan 80 mg Plus Amlodipine 5 mg Fixed-dose Combination | Seated DBP Response Rate at Trough | Week 20 | 85.4 percentage of participants |
Seated SBP Control Rate at Trough After 6 and 12 Months
Percentage of patients whose SBP \<140 mmHg
Time frame: 6 months and 12 months
Population: FAS
| Arm | Measure | Group | Value (NUMBER) |
|---|---|---|---|
| Telmisartan 40 mg Plus Amlodipine 5 mg Fixed-dose Combination | Seated SBP Control Rate at Trough After 6 and 12 Months | Week 20 | 95.7 percentage of participants |
| Telmisartan 40 mg Plus Amlodipine 5 mg Fixed-dose Combination | Seated SBP Control Rate at Trough After 6 and 12 Months | Week 48 | 93.2 percentage of participants |
| Telmisartan 80 mg Plus Amlodipine 5 mg Fixed-dose Combination | Seated SBP Control Rate at Trough After 6 and 12 Months | Week 20 | 89.6 percentage of participants |
| Telmisartan 80 mg Plus Amlodipine 5 mg Fixed-dose Combination | Seated SBP Control Rate at Trough After 6 and 12 Months | Week 48 | 89.6 percentage of participants |
Seated SBP Control Rate at Trough After 8 Weeks
Percentage of patients whose SBP \<140 mmHg after 8 weeks of treatment
Time frame: Week 8
Population: FAS
| Arm | Measure | Value (NUMBER) |
|---|---|---|
| Telmisartan 40 mg Plus Amlodipine 5 mg Fixed-dose Combination | Seated SBP Control Rate at Trough After 8 Weeks | 93.2 percentage of participants |
| Telmisartan 80 mg Plus Amlodipine 5 mg Fixed-dose Combination | Seated SBP Control Rate at Trough After 8 Weeks | 85.4 percentage of participants |
Seated SBP Response Rate at Trough
Percentage of patients whose SBP \<140 mmHg or decreased deom pseudo-baseline by \>=20 mmHg after 6 and 12 months
Time frame: 6 months and 12 months
Population: FAS
| Arm | Measure | Group | Value (NUMBER) |
|---|---|---|---|
| Telmisartan 40 mg Plus Amlodipine 5 mg Fixed-dose Combination | Seated SBP Response Rate at Trough | Week 20 | 97.6 percentage of participants |
| Telmisartan 40 mg Plus Amlodipine 5 mg Fixed-dose Combination | Seated SBP Response Rate at Trough | Week 48 | 97.6 percentage of participants |
| Telmisartan 80 mg Plus Amlodipine 5 mg Fixed-dose Combination | Seated SBP Response Rate at Trough | Week 20 | 93.8 percentage of participants |
| Telmisartan 80 mg Plus Amlodipine 5 mg Fixed-dose Combination | Seated SBP Response Rate at Trough | Week 48 | 93.8 percentage of participants |