Hypertension Clinical Trial
Official title:
Double-blind, Randomized, Parallel-group, Dose Ranging, Multicenter Study to Evaluate the Efficacy and Safety of 2.5, 10, 35 and 50 mg AVE 7688 Once Daily, Using 100 mg Losartan-potassium Once Daily as Calibrator, for 12 Months Treatment, in Patients With Mild to Moderate Hypertension
The primary objective is to assess the antihypertensive efficacy of 4 different AVE 7688
doses on the change from baseline in trough diastolic blood pressure at the end of week 12.
The secondary objectives are:
- To assess the antihypertensive efficacy of 4 different AVE 7688 doses on the change
from baseline in trough systolic blood pressure at the end of week 12
- To compare the percentages of responders after 12 week of treatment
- To evaluate the long term safety and tolerability of AVE 7688 with particular attention
to angioedema
This study is a prospective multi-center, randomized, double-blind, active-controlled
parallel-group, dose ranging study with 5 treatment groups (AVE7688 at 4 different dosages,
and losartan-potassium 100 mg). There will be 3 study phases: placebo lead-in, treatment,
and follow-up.
During the placebo lead-in phase (duration 3 to 4 weeks), patients will discontinue
concomitant treatment with any antihypertensive or vasodilating agents and will receive
single-blind placebo until randomization. Patients who meet the inclusion and exclusion
criteria will be randomized to receive once-daily oral doses of either 2.5, 10, 35 or 50 mg
AVE7688, or 100 mg losartan-potassium.
The treatment phase will consist of two parts: an efficacy evaluation period, with a 2 week
titration period (from randomization to week 2, visit T1 to visit T3) up to 12 weeks,
followed by a long-term safety evaluation period until the end of week 52. Antihypertensive
treatment such as diuretics, beta blockers or calcium channel blockers can be introduced or
re-introduced if indicated during the long term safety evaluation period but angiotensin
converting enzyme inhibitors (ACE-I) or angiotensin receptor blockers (ARBs) are not
permitted.
An additional visit (visit F1) will occur two weeks after the last dose of study medication.
;
Allocation: Randomized, Endpoint Classification: Safety/Efficacy Study, Intervention Model: Parallel Assignment, Masking: Double Blind (Subject, Investigator), Primary Purpose: Treatment
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