Hypertension Clinical Trial
Official title:
An Eight-week Randomised Double-blind Study to Compare the Efficacy and Safety of Telmisartan 80mg Plus Amlodipine 5 mg Fixed-dose Combination vs. Telmisartan 40 mg Plus Amlodipine 5 mg Fixed-dose Combination in Patients With Hypertension
Blood pressure in hypertensive patients is rarely controlled to an optimal level by one drug
alone, often a combination of two or more drugs is essential to achieve a sufficient
antihypertensive effect. Therefore in Japanese Society of Hypertension (JSH) 2009
combination therapy is recommended. In JSH 2009 it is advised to start the combination
therapy at a low dose, and to increase the dosage when the antihypertensive effect is not
sufficient. In the Japanese long-term safety study, 259 patients received the T40/A5 mg
fixed-dose combination (FDC), and after 6 weeks treatment 48 patients of them could not
control their blood pressure (DBP =90) (U09-2494-01). For those patients who cannot control
their blood pressure with T40/A5 mg FDC, a switch to a higher dose such as T80/A5 mg is
recommended.
In the overseas 4x4 factorial design trial, a clinically meaningful difference of the blood
pressure lowering effect between T80/A5 mg free combination and T40/A5 mg free combination
was shown (U07-3503-02). But the sponsor has no data that verifies this difference in
Japanese patients.
Thus, this clinical trial is being conducted to investigate the antihypertensive effect and
safety of high dose T80/A5 mg FDC compared with low dose T40/A5 mg FDC in Japanese patients
with essential hypertension. In this trial, a multi-centre, randomised, double-blind,
double-dummy, active-controlled, parallel group comparison method is employed.
n/a
Allocation: Randomized, Endpoint Classification: Safety/Efficacy Study, Intervention Model: Parallel Assignment, Masking: Double-Blind, Primary Purpose: Treatment
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