Congestive Heart Failure, Hypertension
Conditions
Keywords
Candemore, Atacand, Candesartan cilexetil, Primary Hypertension, Congestive Hypertension
Brief summary
To compare and evaluate the efficacy and safety of Candemore tab. versus Atacand tab. on blood pressure in patients with hypertension diagnosed congestive heart failure
Detailed description
This is an open label, randomized, active drug comparative, Parallel group, Multi-center, phase IV study. Patients receive candemore tablet or atacand tablet. Initial dose is 4mg/day or 8mg/day. Every 2 weeks, patients take double dose if patients blood pressure is measured SBP ≥ 100mmHg and DBP \> 60mmHg. Maximum dose is 16mg/day.
Interventions
* Initial dose : 4mg/day if SBP\<140mmHg and/or DBP\<90mmHg, 8mg/day if SBP≥140mmHg and DBP≥90mmHg * dose escalation : double dose if SBP≥100mmHg and DBP\>60mmHg (maximum dose 16mg/day)
* Initial dose : 4mg/day if SBP\<140mmHg and/or DBP\<90mmHg, 8mg/day if SBP≥140mmHg and DBP≥90mmHg * dose escalation : double dose if SBP≥100mmHg and DBP\>60mmHg (maximum dose 16mg/day)
Sponsors
Study design
Eligibility
Inclusion criteria
* willing and able to provide written informed consent * age 20 years or older * patient with congestive heart failure, taking treatment medicine and NYHA grade II\ III * patient with hypertension, taking treatment medicine or SBP ≥ 140mmHg or DBP ≥ 90mmHg at the screening visit
Exclusion criteria
* Known or suspected secondary hypertension(ex. aortic coactation, primary hyperaldosteronism, renal artery stenosis, pheochromocytoma, cushing syndrome, polycystic renal disease) * blood creatinine level ≥ 2.5mg/dl * blood potassium level \> 5.5mEq/L * blood SGOT, SGPT level ≥ maximum normal range X3 or patient with sever hepatic dysfunction, cholestasis * pregnant or breast-feeding * premenopausal women not using adequate contraception * patient has history about hypersensitivity or taboo of investigational product * patient with lactose intolerance or Lapp lactase deficiency or glucode-galactose malabsorption * administration of other study drugs within 1 month prior to screening * history of ischemic heart disease(ex. angina pectoris, myocardial infarction) within the last 3 months * in investigator's judgement
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Mean sitting Systolic Blood Pressure | After 12 weeks of treatment |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Mean Sitting Diastolic Blood Pressure | After 12 weeks of treatment | — |
| echocardiography | After 12 weeks of treatment | Left Ventricle Volume, Left Ventricle Ejection Fraction, E/E' ration, Peak TR velocity |
| Blood Creatinine and Potssium level | After 4 and 12 weeks of treatment | — |
| NYHA class | After 12 weeks of treatment | — |
Countries
South Korea