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An Open-label, Long-term Study of Telmisartan Plus Amlodipine Fixed-dose Combination

An Open-label, Long-term Study of Telmisartan Plus Amlodipine Fixed-dose Combination

Status
Completed
Phases
Phase 3
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT00618774
Enrollment
259
Registered
2008-02-20
Start date
2008-01-31
Completion date
Unknown
Last updated
2014-06-27

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

Conditions

Hypertension

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

DRUGtelmisartan40/amlodipine5
DRUGtelmisartan80/amlodipine5

Sponsors

Boehringer Ingelheim
Lead SponsorINDUSTRY

Study design

Intervention model
PARALLEL
Primary purpose
TREATMENT

Eligibility

Sex/Gender
ALL
Age
20 Years to No maximum
Healthy volunteers
No

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

MeasureTime frameDescription
Percentage of Participants Who Experienced Adverse Events52 weeksAn 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 ECGFirst 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

MeasureTime frameDescription
Seated DBP Control Rate at Trough After 8 Weeksweek 8Percentage of patients whose DBP \<90 mmHg after 8 weeks of treatment
Seated SBP Control Rate at Trough After 8 WeeksWeek 8Percentage of patients whose SBP \<140 mmHg after 8 weeks of treatment
Change From Baseline in Seated Diastolic Blood PressureBaseline and week 20 / week 48Mean reduction from pseud-baseline (after the washout) in seated diastolic blood pressure
Change From Baseline in Seated Systolic Blood PressureBaseline and week 20 / week 48mean reduction from pseud-baseline (after the washout) in seated systolic blood pressure
Change From Baseline in Seated Diastolic Blood Pressure at Week 8Baseline and week 8mean reduction from pseud-baseline (after the washout) in seated diastolic blood pressure
Seated SBP Control Rate at Trough After 6 and 12 Months6 months and 12 monthsPercentage of patients whose SBP \<140 mmHg
Seated DBP Response Rate at Trough6 months and 12 monthsPercentage 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 Trough6 months and 12 monthsPercentage of patients whose SBP \<140 mmHg or decreased deom pseudo-baseline by \>=20 mmHg after 6 and 12 months
Seated Blood Pressure Normalisation at Trough6 months and 12 monthsPercentage 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 Months6 months and 12 monthsPercentage of patients whose DBP \<90 mmHg.
Change From Baseline in Seated Systolic Blood Pressure at Week 8Baseline and week 8mean reduction from pseud-baseline (after the washout) in seated systolic blood pressure

Countries

Japan

Participant flow

Participants by arm

ArmCount
Telmisartan 40 mg Plus Amlodipine 5 mg Fixed-dose Combination211
Telmisartan 80 mg Plus Amlodipine 5 mg Fixed-dose Combination48
Total259

Withdrawals & dropouts

PeriodReasonFG000FG001
Overall StudyAdverse Event53
Overall StudyWithdrawal by Subject10

Baseline characteristics

CharacteristicTelmisartan 40 mg Plus Amlodipine 5 mg Fixed-dose CombinationTelmisartan 80 mg Plus Amlodipine 5 mg Fixed-dose CombinationTotal
Age, Continuous56.8 Years
STANDARD_DEVIATION 9
51.1 Years
STANDARD_DEVIATION 8
55.8 Years
STANDARD_DEVIATION 9
Sex: Female, Male
Female
50 Participants4 Participants54 Participants
Sex: Female, Male
Male
161 Participants44 Participants205 Participants

Adverse events

Event typeEG000
affected / at risk
EG001
affected / at risk
deaths
Total, all-cause mortality
— / —— / —
other
Total, other adverse events
102 / 21123 / 48
serious
Total, serious adverse events
9 / 2113 / 48

Outcome results

Primary

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

ArmMeasureGroupValue (NUMBER)
Telmisartan 40 mg Plus Amlodipine 5 mg Fixed-dose CombinationClinically Relevant Abnormalities for Changes in Blood Pressure and Pulse Rate Due to Position Change, Seated Pulse Rate, Laboratory Parameters and ECGAtrial fibrillation2 participants
Telmisartan 40 mg Plus Amlodipine 5 mg Fixed-dose CombinationClinically Relevant Abnormalities for Changes in Blood Pressure and Pulse Rate Due to Position Change, Seated Pulse Rate, Laboratory Parameters and ECGAcute myocardial infarction0 participants
Telmisartan 40 mg Plus Amlodipine 5 mg Fixed-dose CombinationClinically Relevant Abnormalities for Changes in Blood Pressure and Pulse Rate Due to Position Change, Seated Pulse Rate, Laboratory Parameters and ECGExtrasystoles1 participants
Telmisartan 40 mg Plus Amlodipine 5 mg Fixed-dose CombinationClinically Relevant Abnormalities for Changes in Blood Pressure and Pulse Rate Due to Position Change, Seated Pulse Rate, Laboratory Parameters and ECGBlood Pressure Decreased2 participants
Telmisartan 40 mg Plus Amlodipine 5 mg Fixed-dose CombinationClinically Relevant Abnormalities for Changes in Blood Pressure and Pulse Rate Due to Position Change, Seated Pulse Rate, Laboratory Parameters and ECGVentricular extrasystoles1 participants
Telmisartan 40 mg Plus Amlodipine 5 mg Fixed-dose CombinationClinically Relevant Abnormalities for Changes in Blood Pressure and Pulse Rate Due to Position Change, Seated Pulse Rate, Laboratory Parameters and ECGArrhythmia1 participants
Telmisartan 40 mg Plus Amlodipine 5 mg Fixed-dose CombinationClinically Relevant Abnormalities for Changes in Blood Pressure and Pulse Rate Due to Position Change, Seated Pulse Rate, Laboratory Parameters and ECGOrthostatic hypotension0 participants
Telmisartan 40 mg Plus Amlodipine 5 mg Fixed-dose CombinationClinically Relevant Abnormalities for Changes in Blood Pressure and Pulse Rate Due to Position Change, Seated Pulse Rate, Laboratory Parameters and ECGProstatic specific antigen increased1 participants
Telmisartan 80 mg Plus Amlodipine 5 mg Fixed-dose CombinationClinically Relevant Abnormalities for Changes in Blood Pressure and Pulse Rate Due to Position Change, Seated Pulse Rate, Laboratory Parameters and ECGOrthostatic hypotension1 participants
Telmisartan 80 mg Plus Amlodipine 5 mg Fixed-dose CombinationClinically Relevant Abnormalities for Changes in Blood Pressure and Pulse Rate Due to Position Change, Seated Pulse Rate, Laboratory Parameters and ECGProstatic specific antigen increased0 participants
Telmisartan 80 mg Plus Amlodipine 5 mg Fixed-dose CombinationClinically Relevant Abnormalities for Changes in Blood Pressure and Pulse Rate Due to Position Change, Seated Pulse Rate, Laboratory Parameters and ECGAcute myocardial infarction1 participants
Telmisartan 80 mg Plus Amlodipine 5 mg Fixed-dose CombinationClinically Relevant Abnormalities for Changes in Blood Pressure and Pulse Rate Due to Position Change, Seated Pulse Rate, Laboratory Parameters and ECGArrhythmia0 participants
Telmisartan 80 mg Plus Amlodipine 5 mg Fixed-dose CombinationClinically Relevant Abnormalities for Changes in Blood Pressure and Pulse Rate Due to Position Change, Seated Pulse Rate, Laboratory Parameters and ECGAtrial fibrillation0 participants
Telmisartan 80 mg Plus Amlodipine 5 mg Fixed-dose CombinationClinically Relevant Abnormalities for Changes in Blood Pressure and Pulse Rate Due to Position Change, Seated Pulse Rate, Laboratory Parameters and ECGExtrasystoles0 participants
Telmisartan 80 mg Plus Amlodipine 5 mg Fixed-dose CombinationClinically Relevant Abnormalities for Changes in Blood Pressure and Pulse Rate Due to Position Change, Seated Pulse Rate, Laboratory Parameters and ECGVentricular extrasystoles0 participants
Telmisartan 80 mg Plus Amlodipine 5 mg Fixed-dose CombinationClinically Relevant Abnormalities for Changes in Blood Pressure and Pulse Rate Due to Position Change, Seated Pulse Rate, Laboratory Parameters and ECGBlood Pressure Decreased0 participants
Primary

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.

ArmMeasureValue (NUMBER)
Telmisartan 40 mg Plus Amlodipine 5 mg Fixed-dose CombinationPercentage of Participants Who Experienced Adverse Events77.3 percentage of participants
Telmisartan 80 mg Plus Amlodipine 5 mg Fixed-dose CombinationPercentage of Participants Who Experienced Adverse Events77.1 percentage of participants
Secondary

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.

ArmMeasureGroupValue (MEAN)Dispersion
Telmisartan 40 mg Plus Amlodipine 5 mg Fixed-dose CombinationChange From Baseline in Seated Diastolic Blood PressureWeek 2020.67 mmHgStandard Deviation 7.16
Telmisartan 40 mg Plus Amlodipine 5 mg Fixed-dose CombinationChange From Baseline in Seated Diastolic Blood PressureWeek 4821.39 mmHgStandard Deviation 6.6
Telmisartan 80 mg Plus Amlodipine 5 mg Fixed-dose CombinationChange From Baseline in Seated Diastolic Blood PressureWeek 2016.36 mmHgStandard Deviation 5.93
Telmisartan 80 mg Plus Amlodipine 5 mg Fixed-dose CombinationChange From Baseline in Seated Diastolic Blood PressureWeek 4817.78 mmHgStandard Deviation 7.31
Secondary

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.

ArmMeasureValue (MEAN)Dispersion
Telmisartan 40 mg Plus Amlodipine 5 mg Fixed-dose CombinationChange From Baseline in Seated Diastolic Blood Pressure at Week 820.81 mmHgStandard Deviation 6.65
Telmisartan 80 mg Plus Amlodipine 5 mg Fixed-dose CombinationChange From Baseline in Seated Diastolic Blood Pressure at Week 815.75 mmHgStandard Deviation 6.61
Secondary

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.

ArmMeasureGroupValue (MEAN)Dispersion
Telmisartan 40 mg Plus Amlodipine 5 mg Fixed-dose CombinationChange From Baseline in Seated Systolic Blood PressureWeek 2033.73 mmHgStandard Deviation 12.55
Telmisartan 40 mg Plus Amlodipine 5 mg Fixed-dose CombinationChange From Baseline in Seated Systolic Blood PressureWeek 4833.97 mmHgStandard Deviation 11.75
Telmisartan 80 mg Plus Amlodipine 5 mg Fixed-dose CombinationChange From Baseline in Seated Systolic Blood PressureWeek 2027.18 mmHgStandard Deviation 11.83
Telmisartan 80 mg Plus Amlodipine 5 mg Fixed-dose CombinationChange From Baseline in Seated Systolic Blood PressureWeek 4828.11 mmHgStandard Deviation 12.78
Secondary

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.

ArmMeasureValue (MEAN)Dispersion
Telmisartan 40 mg Plus Amlodipine 5 mg Fixed-dose CombinationChange From Baseline in Seated Systolic Blood Pressure at Week 833.89 mmHgStandard Deviation 12.2
Telmisartan 80 mg Plus Amlodipine 5 mg Fixed-dose CombinationChange From Baseline in Seated Systolic Blood Pressure at Week 826.44 mmHgStandard Deviation 11.68
Secondary

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

ArmMeasureGroupValue (NUMBER)
Telmisartan 40 mg Plus Amlodipine 5 mg Fixed-dose CombinationSeated Blood Pressure Normalisation at TroughWeek 20: Optimal29.5 percentage of participants
Telmisartan 40 mg Plus Amlodipine 5 mg Fixed-dose CombinationSeated Blood Pressure Normalisation at TroughWeek 20: Normal35.3 percentage of participants
Telmisartan 40 mg Plus Amlodipine 5 mg Fixed-dose CombinationSeated Blood Pressure Normalisation at TroughWeek 20: High Normal24.2 percentage of participants
Telmisartan 40 mg Plus Amlodipine 5 mg Fixed-dose CombinationSeated Blood Pressure Normalisation at TroughWeek 20: No11.1 percentage of participants
Telmisartan 40 mg Plus Amlodipine 5 mg Fixed-dose CombinationSeated Blood Pressure Normalisation at TroughWeek 48: Optimal32.4 percentage of participants
Telmisartan 40 mg Plus Amlodipine 5 mg Fixed-dose CombinationSeated Blood Pressure Normalisation at TroughWeek 48: Normal36.2 percentage of participants
Telmisartan 40 mg Plus Amlodipine 5 mg Fixed-dose CombinationSeated Blood Pressure Normalisation at TroughWeek 48: High Normal18.4 percentage of participants
Telmisartan 40 mg Plus Amlodipine 5 mg Fixed-dose CombinationSeated Blood Pressure Normalisation at TroughWeek 48: No13.0 percentage of participants
Telmisartan 80 mg Plus Amlodipine 5 mg Fixed-dose CombinationSeated Blood Pressure Normalisation at TroughWeek 48: No35.4 percentage of participants
Telmisartan 80 mg Plus Amlodipine 5 mg Fixed-dose CombinationSeated Blood Pressure Normalisation at TroughWeek 20: Optimal4.2 percentage of participants
Telmisartan 80 mg Plus Amlodipine 5 mg Fixed-dose CombinationSeated Blood Pressure Normalisation at TroughWeek 48: Optimal6.3 percentage of participants
Telmisartan 80 mg Plus Amlodipine 5 mg Fixed-dose CombinationSeated Blood Pressure Normalisation at TroughWeek 20: Normal18.8 percentage of participants
Telmisartan 80 mg Plus Amlodipine 5 mg Fixed-dose CombinationSeated Blood Pressure Normalisation at TroughWeek 48: High Normal39.6 percentage of participants
Telmisartan 80 mg Plus Amlodipine 5 mg Fixed-dose CombinationSeated Blood Pressure Normalisation at TroughWeek 20: High Normal31.3 percentage of participants
Telmisartan 80 mg Plus Amlodipine 5 mg Fixed-dose CombinationSeated Blood Pressure Normalisation at TroughWeek 48: Normal18.8 percentage of participants
Telmisartan 80 mg Plus Amlodipine 5 mg Fixed-dose CombinationSeated Blood Pressure Normalisation at TroughWeek 20: No45.8 percentage of participants
Secondary

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

ArmMeasureGroupValue (NUMBER)
Telmisartan 40 mg Plus Amlodipine 5 mg Fixed-dose CombinationSeated DBP Control Rate at Trough After 6 and 12 MonthsWeek 2090.8 percentage of participants
Telmisartan 40 mg Plus Amlodipine 5 mg Fixed-dose CombinationSeated DBP Control Rate at Trough After 6 and 12 MonthsWeek 4892.8 percentage of participants
Telmisartan 80 mg Plus Amlodipine 5 mg Fixed-dose CombinationSeated DBP Control Rate at Trough After 6 and 12 MonthsWeek 2054.2 percentage of participants
Telmisartan 80 mg Plus Amlodipine 5 mg Fixed-dose CombinationSeated DBP Control Rate at Trough After 6 and 12 MonthsWeek 4866.7 percentage of participants
Secondary

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

ArmMeasureValue (NUMBER)
Telmisartan 40 mg Plus Amlodipine 5 mg Fixed-dose CombinationSeated DBP Control Rate at Trough After 8 Weeks91.8 percentage of participants
Telmisartan 80 mg Plus Amlodipine 5 mg Fixed-dose CombinationSeated DBP Control Rate at Trough After 8 Weeks52.1 percentage of participants
Secondary

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

ArmMeasureGroupValue (NUMBER)
Telmisartan 40 mg Plus Amlodipine 5 mg Fixed-dose CombinationSeated DBP Response Rate at TroughWeek 2097.1 percentage of participants
Telmisartan 40 mg Plus Amlodipine 5 mg Fixed-dose CombinationSeated DBP Response Rate at TroughWeek 4898.6 percentage of participants
Telmisartan 80 mg Plus Amlodipine 5 mg Fixed-dose CombinationSeated DBP Response Rate at TroughWeek 4887.5 percentage of participants
Telmisartan 80 mg Plus Amlodipine 5 mg Fixed-dose CombinationSeated DBP Response Rate at TroughWeek 2085.4 percentage of participants
Secondary

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

ArmMeasureGroupValue (NUMBER)
Telmisartan 40 mg Plus Amlodipine 5 mg Fixed-dose CombinationSeated SBP Control Rate at Trough After 6 and 12 MonthsWeek 2095.7 percentage of participants
Telmisartan 40 mg Plus Amlodipine 5 mg Fixed-dose CombinationSeated SBP Control Rate at Trough After 6 and 12 MonthsWeek 4893.2 percentage of participants
Telmisartan 80 mg Plus Amlodipine 5 mg Fixed-dose CombinationSeated SBP Control Rate at Trough After 6 and 12 MonthsWeek 2089.6 percentage of participants
Telmisartan 80 mg Plus Amlodipine 5 mg Fixed-dose CombinationSeated SBP Control Rate at Trough After 6 and 12 MonthsWeek 4889.6 percentage of participants
Secondary

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

ArmMeasureValue (NUMBER)
Telmisartan 40 mg Plus Amlodipine 5 mg Fixed-dose CombinationSeated SBP Control Rate at Trough After 8 Weeks93.2 percentage of participants
Telmisartan 80 mg Plus Amlodipine 5 mg Fixed-dose CombinationSeated SBP Control Rate at Trough After 8 Weeks85.4 percentage of participants
Secondary

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

ArmMeasureGroupValue (NUMBER)
Telmisartan 40 mg Plus Amlodipine 5 mg Fixed-dose CombinationSeated SBP Response Rate at TroughWeek 2097.6 percentage of participants
Telmisartan 40 mg Plus Amlodipine 5 mg Fixed-dose CombinationSeated SBP Response Rate at TroughWeek 4897.6 percentage of participants
Telmisartan 80 mg Plus Amlodipine 5 mg Fixed-dose CombinationSeated SBP Response Rate at TroughWeek 2093.8 percentage of participants
Telmisartan 80 mg Plus Amlodipine 5 mg Fixed-dose CombinationSeated SBP Response Rate at TroughWeek 4893.8 percentage of participants

Source: ClinicalTrials.gov · Data processed: Feb 4, 2026