Efficacy, Safety and Pharmacodynamic/Pharmacokinetic Study of Fimasartan (BR-A-657•K)

Essential Hypertension Clinical Trial

— Fimasartan  

Official title:

Randomized, Double Blind, Placebo Controlled, Parallel Group Study to Evaluate the Antihypertensive Efficacy, Safety, Tolerability, and Pharmacodynamic/Pharmacokinetic Profiles After 4 Weeks of Oral Administration of Fimasartan(BR-A-657) at 20-180mg in Patients With Essential Hypertension

Clinical Trial Details — Status: Completed

Administrative data

• NCT number: NCT00937651
• Other study ID #: A657-BR-CT-201
• Status: Completed
• Phase: Phase 2
• First received: July 10, 2009
• Last updated: July 10, 2009
• Start date: April 2005
• Est. completion date: June 2006

Study information

• Verified date: July 2009
• Source: Boryung Pharmaceutical Co., Ltd
• Contact: n/a
• Is FDA regulated: No
• Health authority: South Korea: Korea Food and Drug Administration (KFDA)
• Study type: Interventional

Clinical Trial Summary

Study objective:

1. To evaluate the antihypertensive efficacy, safety and tolerability of the drug after the oral administration of BR-A-657•K at 20~180mg for 4 weeks to patients with essential hypertension.

2. To review the pharmacokinetic profile after the multiple administration and the pharmacodynamic profile regarding the renin-angiotensin system, after the oral administration of BR-A-657•K at 20~180mg for 4 weeks to patients with essential hypertension.

3. To determine the dose for the clinical study at the next phase by analyzing the relationship between the antihypertensive efficacy and pharmacokinetic • pharmacodynamic results.

Description:

Fimasartan (BR-A-657-K), a selective blocker of AT1 receptor subtype, showed the rapid and potent antihypertensive effect in many hypertensive models. Phase I study, Fimasartan (BR-A-657-K) 20mg ~ 480mg single dosing with healthy subjects, demonstrated that the Fimasartan (BR-A-657-K) was very safe and well tolerated. Another phase I study, Fimasartan (BR-A-657-K) 120mg and 360mg dosing for 7 days, also showed that Fimasartan (BR-A-657-K) was safe and tolerable though one temporal adverse event was observed in high dose.

A randomized, double-blind, placebo-controlled, parallel grouped, clinical study will be conducted to evaluate the antihypertensive efficacy and tolerability and to determine adequate antihypertensive dosage of Fimasartan(BR-A-657-K) in patients with mild to moderate essential hypertension.

Approximately 60 patients will be enrolled over 12 months in Seoul National University Hospital.

After 2 weeks of placebo run-in period, all subjects will be randomized into one of the following 5 groups. Subjects will take test drug/placebo for 28 days of treatment period. If subjects take any antihypertensive medications before screening, the subjects will have 1 week of wash-out period.

Group I : Placebo, Group II : Fimasartan 20 mg, Group III: Fimasartan 60 mg, Group IV :

Fimasartan 180 mg

Recruitment information / eligibility

• Status: Completed
• Enrollment: 81
• Est. completion date: June 2006
• Est. primary completion date: June 2006
• Accepts healthy volunteers: No
• Gender: Both
• Age group: 18 Years to 65 Years

Eligibility

Inclusion Criteria:

• Adult men and women, aged 18 - 65

• Patients with mild to moderate essential hypertension: On both screening and Day -1 visit, mean sitting DBP should be = 95mmHg and = 114mmHg, and ?DBP on Day -14 and Day -1 should be within 7 mmHg

• Patients who gave their consent to participate in this study and signed the written informed consent form

• Patients who have understood the study, and been judged to be cooperative and able to participate in the study until the study completion date

Exclusion Criteria:

1. Women of childbearing potential who have not received the hysterectomy or men who are not willing to use birth control measures.

2. Patients whose sitting DBP is < 95mmHg or = 115mmHg. Patients with severe hypertension whose SBP is =200mmHg

3. Patients with secondary hypertension

4. Patients with severe renal disease, gastrointestinal disorder, hematologic disorder, liver disease, etc. that can affect the absorption, distribution, metabolism and excretion of drugs

5. Patients with symptoms of orthostatic hypotension

6. Patients with severe insulin dependent diabetes or uncontrolled diabetes

7. Patients who suffered myocardial infarction or serious coronary arterial disease over the past 6 months or patients with clinically significant congestive heart failure or valvular heart disease

8. Patients with consumption disease, autoimmune disease, or connective tissue disease

9. Patients with the history of type B hepatitis or type C hepatitis

10. Patients with HIV infection or hepatitis

11. Patients with clinically significant abnormal laboratory test findings

12. Patients on any drug treatment that might affect the blood pressure

13. Patients with allergy or contraindication to angiotensin II-receptor antagonists

14. Patients with current or suspected alcohol addiction or history of drug abuse

15. Patients whose mean weight lies out of the range of -15% ~ +35%, based on the Modified Metropolitan Life Insurance table

16. Patients who are not eligible as subjects of the study, as determined by the principal investigator or a sub-investigator

Study Design

Allocation: Randomized, Endpoint Classification: Safety/Efficacy Study, Intervention Model: Parallel Assignment, Masking: Double Blind (Subject, Caregiver, Investigator), Primary Purpose: Treatment

Related Conditions & MeSH terms

• Essential Hypertension
• Hypertension

Intervention

Drug:
• Placebo
Placebo
• Fimasartan (BR-A-657•K) 20 mg
Fimasartan 20 mg, 1 tablet + placebo, 2 tablets
• Fimasartan (BR-A-657•K) 60 mg
Fimasartan 20 mg, 1 tablet + 40 mg, 1 tablet + placebo 1 tablet
• Fimasartan (BR-A-657•K) 180 mg
Fimasartan 20 mg, 1 tablet + 80 mg, 1 tablet + 80 mg 1 tablet

Locations

Country	Name	City	State
n/a

Sponsors (1)

Lead Sponsor	Collaborator
Boryung Pharmaceutical Co., Ltd

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	the level of sitting diastolic blood pressure reduction		Day -1 vs Day 27	Yes
Secondary	the level of sitting systolic blood pressure reduction, mean blood pressure (MBP), 24-hr day-time, night-time SBP and DBP, T/P ratio based on the 24-hr Ambulatory Blood Pressure Monitoring		Day -1 vs Day 27	Yes