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A Multicenter, Phase 3 Study to Evaluate the Antihypertensive Efficacy and Safety of Fimasartan(BR-A-657∙K) 30mg Compared to Placebo in Patients With Mild to Moderate Essential Hypertension (fimasartan)

Primary Purpose

Hypertension

Status
Completed
Phase
Phase 3
Locations
Korea, Republic of
Study Type
Interventional
Intervention
Placebo
Valsartan
Fimasartan
Sponsored by
Boryung Pharmaceutical Co., Ltd
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Hypertension focused on measuring Fimasartan

Eligibility Criteria

20 Years - 75 Years (Adult, Older Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria:

  1. Subjects who agreed to participate in this clinical trial and submitted the written informed consent
  2. Subjects aged 20 to 75 years
  3. Essential hypertension patients who are measured more 90mmHg, less than 110mmHg of sitting diastolic blood pressure(SiDBP) at baseline(Day 0)
  4. Subject who considered to understand this clinical trial, be cooperative,and able to be followed-up whole of the clinical trial period

Exclusion Criteria:

  1. Severe hypertension patients: more 110mmHg of mean SiDBP and/or more 185mmHg of mean Sitting systolic blood pressure(SiSBP)
  2. Patients with orthostatic hypotension who has sign and symptom
  3. Patients with secondary hypertension
  4. Patients who are measured the difference of mean blood pressure of one arm under SiDBP 10mmHg or SiSBP 20mmHg at screening and baseline visit
  5. Patients who cannot stop administration of hypertension medication through the clinical trial period, and can take any other hypertension medication except investigational drugs
  6. Patients with significant investigations-abnormal renal function (Creatinine more 1.5 times than upper limit of normal), abnormal liver function(AST, ALT more 2 times than upper limit of normal), severe fatty liver disease needed medication
  7. Patients with clinically significant investigations in laboratory test of screening visit
  8. Patients with surgical and medical disease that is able to be affect to absorption, distribution, metabolism and excretion
  9. Patients with severe insulin dependent or uncontrolled diabetes mellitus (HbA1c>9, regimen change of oral hypoglycemic agent, using insulin)
  10. Patients with severe heart disease, ischemic heart disease within 6 months, peripheral vascular disease, Percutaneous transluminal coronary angiography(PTCA), Coronary artery bypass graft(CABG)
  11. Patients with significant ventricular tachycardia, atrial fibrillation, atrial flutter or other significant arrhythmia
  12. Patients with hypertrophic obstructive cardiomyopathy, severe obstructive coronary artery disease, aortic stenosis, hemodynamically significant aortic valve or mitral valve disease
  13. Patients with severe cerebrovascular disease
  14. Patients with wasting disease, autoimmune disease, connective tissue disease at present and/or previous
  15. Patients with known severe or malignancy retinopathy
  16. Patients with hepatitis B or C or HIV positive reaction
  17. Patients with the medical histories of malignant tumor within 5 years,except local basal cell carcinoma of the skin
  18. Patients who have a story or evidence of alcohol or drug abuse within 2 years
  19. Patients with history of allergic reaction to any angiotensin II antagonist
  20. Patients with any chronic inflammation disease needed to chronic inflammation therapy
  21. Childbearing and breast-feeding women
  22. Female who plan to become pregnancy or have a possibility of pregnancy but don't prevent conception with acknowledged methods
  23. Patients who took medicine within 12 weeks from screening visit or is going on the progress of other clinical trial
  24. Patients with significant investigations-Hypokalemia(Less than 3.5 mmol/L), Hyperkalemia(exceeded 5.5 mmol/L)
  25. Patients with sodium ion or body fluid is deplated and not able to correct
  26. Subject who are judged unsuitable to participate in this clinical trial by investigator

Sites / Locations

  • Severance Hospital

Arms of the Study

Arm 1

Arm 2

Arm 3

Arm Type

Placebo Comparator

Active Comparator

Experimental

Arm Label

Placebo

Valsartan 80mg

Fimasartan 30mg

Arm Description

1 capsule/day of placebo will be orally administered for the study period (8 weeks)

(As reference group) 80mg/day of Valsartan will be orally administered for the study period (8 weeks)

30mg/day of Fimasartan will be orally administered for the study period (8 weeks)

Outcomes

Primary Outcome Measures

the difference of sitting DBP
To compare the difference of sitting DBP between fimasartan 30mg group and placebo group

Secondary Outcome Measures

the difference of sitting DBP
To compare the difference of sitting DBP between fimasartan 30mg group and valsartan 80mg group
the difference of SiDBP
To compare the difference of SiDBP among fimasartan 30mg group, valsartan 80mg and placebo group
the difference of SiSBP
To compare the difference of SiSBP among fimasartan 30mg group, valsartan 80mg and placebo group
the ratio of responder(SiDBP<90mmHg or ΔSiDBP≥10mmHg)
To compare the ratio of responder(SiDBP<90mmHg or ΔSiDBP≥10mmHg) among fimasartan 30mg group, valsartan 80mg and placebo group
the ratio of subjects who get normalized blood pressure(SiDBP<90mmHg & SiSBP<140mmHg)
To compare the ratio of subjects who get normalized blood pressure(SiDBP<90mmHg & SiSBP<140mmHg) among fimasartan 30mg group, valsartan 80mg and placebo group

Full Information

First Posted
August 20, 2012
Last Updated
June 30, 2016
Sponsor
Boryung Pharmaceutical Co., Ltd
Collaborators
Bucheon St. Mary's Hospital, Konyang University Hospital, Korea University Anam Hospital, National Health Insurance Service Ilsan Hospital, Daegu Fatima Hospital, Dong-A University, Soon Chun Hyang University, Asan Medical Center, Gangnam Severance Hospital, Severance Hospital, Ulsan University Hospital, Kangbuk Samsung Hospital, Sejong General Hospital, Ewha Womans University Mokdong Hospital, Jeju National University Hospital, Hallym University Medical Center, Hanyang University
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1. Study Identification

Unique Protocol Identification Number
NCT01672476
Brief Title
A Multicenter, Phase 3 Study to Evaluate the Antihypertensive Efficacy and Safety of Fimasartan(BR-A-657∙K) 30mg Compared to Placebo in Patients With Mild to Moderate Essential Hypertension
Acronym
fimasartan
Official Title
A Randomized, Double-Blind, Multicenter, Phase 3 Study to Evaluate the Antihypertensive Efficacy and Safety of Fimasartan(BR-A-657∙K) 30mg Compared to Placebo in Patients With Mild to Moderate Essential Hypertension
Study Type
Interventional

2. Study Status

Record Verification Date
June 2016
Overall Recruitment Status
Completed
Study Start Date
April 2012 (undefined)
Primary Completion Date
March 2013 (Actual)
Study Completion Date
April 2013 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Boryung Pharmaceutical Co., Ltd
Collaborators
Bucheon St. Mary's Hospital, Konyang University Hospital, Korea University Anam Hospital, National Health Insurance Service Ilsan Hospital, Daegu Fatima Hospital, Dong-A University, Soon Chun Hyang University, Asan Medical Center, Gangnam Severance Hospital, Severance Hospital, Ulsan University Hospital, Kangbuk Samsung Hospital, Sejong General Hospital, Ewha Womans University Mokdong Hospital, Jeju National University Hospital, Hallym University Medical Center, Hanyang University

4. Oversight

Data Monitoring Committee
Yes

5. Study Description

Brief Summary
A Randomized, Double-Blind, Multicenter, phase III Study to Evaluate the Antihypertensive Efficacy and Safety of Fimasartan (BR-A-657·K) 30mg Compared to Placebo in Patients with Mild to Moderate Essential Hypertension
Detailed Description
After subjects have signed informed consent voluntarily, when they are taking hypertension medication, they go through screening period for 7 days including wash-out period. After screening and wash-out period, subjects take the placebo for 14 days (Maximum 21 days), and evaluate their suitability to Inclusion and Exclusion criteria. Patients, who evaluated the proper subject for this clinical trial, are allocated to experimental group (Fimasartan 30mg) or Control group (Placebo group) or Reference group (Valsartan 80mg) randomly at a ratio 2:2:1 and their investigational drugs will be administered daily for the study period (8 weeks). Subjects visit their investigators twice during treatment period, when they take their investigational drugs for 4 weeks, and 8 weeks. The placebo period will be single-blinded and the treatment allocation in this study will be double-blinded.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Hypertension
Keywords
Fimasartan

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 3
Interventional Study Model
Parallel Assignment
Masking
ParticipantInvestigator
Allocation
Randomized
Enrollment
293 (Actual)

8. Arms, Groups, and Interventions

Arm Title
Placebo
Arm Type
Placebo Comparator
Arm Description
1 capsule/day of placebo will be orally administered for the study period (8 weeks)
Arm Title
Valsartan 80mg
Arm Type
Active Comparator
Arm Description
(As reference group) 80mg/day of Valsartan will be orally administered for the study period (8 weeks)
Arm Title
Fimasartan 30mg
Arm Type
Experimental
Arm Description
30mg/day of Fimasartan will be orally administered for the study period (8 weeks)
Intervention Type
Drug
Intervention Name(s)
Placebo
Intervention Description
Placebo
Intervention Type
Drug
Intervention Name(s)
Valsartan
Other Intervention Name(s)
Diovan
Intervention Description
Valsartan 80mg
Intervention Type
Drug
Intervention Name(s)
Fimasartan
Other Intervention Name(s)
Kanarb
Intervention Description
Fimasartan 30mg
Primary Outcome Measure Information:
Title
the difference of sitting DBP
Description
To compare the difference of sitting DBP between fimasartan 30mg group and placebo group
Time Frame
After 8 weeks from baseline visit
Secondary Outcome Measure Information:
Title
the difference of sitting DBP
Description
To compare the difference of sitting DBP between fimasartan 30mg group and valsartan 80mg group
Time Frame
After 8 weeks from baseline visit
Title
the difference of SiDBP
Description
To compare the difference of SiDBP among fimasartan 30mg group, valsartan 80mg and placebo group
Time Frame
After 4 weeks from baseline visit
Title
the difference of SiSBP
Description
To compare the difference of SiSBP among fimasartan 30mg group, valsartan 80mg and placebo group
Time Frame
After 4 weeks and 8 weeks from baseline visit
Title
the ratio of responder(SiDBP<90mmHg or ΔSiDBP≥10mmHg)
Description
To compare the ratio of responder(SiDBP<90mmHg or ΔSiDBP≥10mmHg) among fimasartan 30mg group, valsartan 80mg and placebo group
Time Frame
After 8 weeks from baseline visit
Title
the ratio of subjects who get normalized blood pressure(SiDBP<90mmHg & SiSBP<140mmHg)
Description
To compare the ratio of subjects who get normalized blood pressure(SiDBP<90mmHg & SiSBP<140mmHg) among fimasartan 30mg group, valsartan 80mg and placebo group
Time Frame
After 8 weeks from baseline visit

10. Eligibility

Sex
All
Minimum Age & Unit of Time
20 Years
Maximum Age & Unit of Time
75 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Subjects who agreed to participate in this clinical trial and submitted the written informed consent Subjects aged 20 to 75 years Essential hypertension patients who are measured more 90mmHg, less than 110mmHg of sitting diastolic blood pressure(SiDBP) at baseline(Day 0) Subject who considered to understand this clinical trial, be cooperative,and able to be followed-up whole of the clinical trial period Exclusion Criteria: Severe hypertension patients: more 110mmHg of mean SiDBP and/or more 185mmHg of mean Sitting systolic blood pressure(SiSBP) Patients with orthostatic hypotension who has sign and symptom Patients with secondary hypertension Patients who are measured the difference of mean blood pressure of one arm under SiDBP 10mmHg or SiSBP 20mmHg at screening and baseline visit Patients who cannot stop administration of hypertension medication through the clinical trial period, and can take any other hypertension medication except investigational drugs Patients with significant investigations-abnormal renal function (Creatinine more 1.5 times than upper limit of normal), abnormal liver function(AST, ALT more 2 times than upper limit of normal), severe fatty liver disease needed medication Patients with clinically significant investigations in laboratory test of screening visit Patients with surgical and medical disease that is able to be affect to absorption, distribution, metabolism and excretion Patients with severe insulin dependent or uncontrolled diabetes mellitus (HbA1c>9, regimen change of oral hypoglycemic agent, using insulin) Patients with severe heart disease, ischemic heart disease within 6 months, peripheral vascular disease, Percutaneous transluminal coronary angiography(PTCA), Coronary artery bypass graft(CABG) Patients with significant ventricular tachycardia, atrial fibrillation, atrial flutter or other significant arrhythmia Patients with hypertrophic obstructive cardiomyopathy, severe obstructive coronary artery disease, aortic stenosis, hemodynamically significant aortic valve or mitral valve disease Patients with severe cerebrovascular disease Patients with wasting disease, autoimmune disease, connective tissue disease at present and/or previous Patients with known severe or malignancy retinopathy Patients with hepatitis B or C or HIV positive reaction Patients with the medical histories of malignant tumor within 5 years,except local basal cell carcinoma of the skin Patients who have a story or evidence of alcohol or drug abuse within 2 years Patients with history of allergic reaction to any angiotensin II antagonist Patients with any chronic inflammation disease needed to chronic inflammation therapy Childbearing and breast-feeding women Female who plan to become pregnancy or have a possibility of pregnancy but don't prevent conception with acknowledged methods Patients who took medicine within 12 weeks from screening visit or is going on the progress of other clinical trial Patients with significant investigations-Hypokalemia(Less than 3.5 mmol/L), Hyperkalemia(exceeded 5.5 mmol/L) Patients with sodium ion or body fluid is deplated and not able to correct Subject who are judged unsuitable to participate in this clinical trial by investigator
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Seok Min Kang, M.D., Ph.D.
Organizational Affiliation
Severance Hospital
Official's Role
Principal Investigator
Facility Information:
Facility Name
Severance Hospital
City
Seoul
Country
Korea, Republic of

12. IPD Sharing Statement

Citations:
PubMed Identifier
25092393
Citation
Youn JC, Ihm SH, Bae JH, Park SM, Jeon DW, Jung BC, Park TH, Lee NH, Song JM, Yoon YW, Shin ES, Sung KC, Jung IH, Pyun WB, Joo SJ, Park WJ, Shin JH, Kang SM. Efficacy and safety of 30-mg fimasartan for the treatment of patients with mild to moderate hypertension: an 8-week, multicenter, randomized, double-blind, phase III clinical study. Clin Ther. 2014 Oct 1;36(10):1412-21. doi: 10.1016/j.clinthera.2014.07.004. Epub 2014 Aug 3.
Results Reference
derived

Learn more about this trial

A Multicenter, Phase 3 Study to Evaluate the Antihypertensive Efficacy and Safety of Fimasartan(BR-A-657∙K) 30mg Compared to Placebo in Patients With Mild to Moderate Essential Hypertension

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