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Efficacy/Safety of Telmisartan/Amlodipine/Rosuvastatin in Hypertensive Patients With Hyperlipidemia

Primary Purpose

Hypertension With Hyperlipidemia

Status
Completed
Phase
Phase 3
Locations
Korea, Republic of
Study Type
Interventional
Intervention
Telmisartan/Amlodipine
Rosuvastatin
Telmisartan
Sponsored by
IlDong Pharmaceutical Co Ltd
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Hypertension With Hyperlipidemia

Eligibility Criteria

19 Years - undefined (Adult, Older Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria:

  1. 19 years old or above
  2. Patients who confirmed essential hypertension with Hyperlipidemia or use of drugs at Visit 1 (sit systolic blood pressure ≥ 140mmHg, LDL-Cholesterol ≥ 100mg/dL)
  3. Patients who can stop the treatment of anti-hypertensive/anti-hyperlipidemic drugs in the opinion of the investigator
  4. Test results showing the following values at screening time (Visit 2) : sit systolic blood pressure >140mmHg
  5. Test results showing the following values at screening time (Visit 2) : 100< LDL-Cholesterol <250
  6. Patients who agreed to participate in the trial

Exclusion Criteria:

  1. Severe hypertension patients(systolic blood pressure ≥ 180 mm Hg or diastolic blood pressure ≥ 110 mm Hg)

    -The change of mean sit systolic blood pressure ≥ 20 mmHg or sit diastolic blood pressure ≥ 10 mmHg on target arm between 1st and 2nd measurement

  2. LDL-Cholesterol > 250 mg/dL or triacylglycerol ≥ 400 mg/dL at screening time(Visit 1)
  3. Patients with postural hypotension who have sign and symptom
  4. Patients with secondary blood pressure(for example,aortic coarctation, hyperaldosteronism, renal artery stenosis, Cushing's syndrome, pheochromocytoma, Polycystic Kidney Diseases)
  5. Patients with congestive heart failure(New York Heart Association class III~IV)
  6. Patients with history of acute coronary syndrome or underwent revascularization (percutaneous transluminal coronary angioplasty or Coronary Artery Bypass Graft surgery ) within 6 months
  7. Patients who have severe ventricular tachycardia, atrial fibrillation, atrial flutter or clinically significant arrhythmia
  8. Causes of hemodynamic disorder or structural heart defect such as valvular heart disease
  9. Patients who have history of cerebrovascular disease as cerebral infarction, cerebral hemorrhage within 6 months prior to study entry
  10. Patients with primary aldosteronism
  11. Patients with severe ocular disorders
  12. Patients with autoimmune disease
  13. Patients with any chronic inflammation disease needed to chronic inflammation therapy
  14. Patients with uncontrolled diabetes Mellitus with HbA1c > 9% or thyroid diseases(TSH ≥ 1.5 X ULN)
  15. Patients who have a history of myopathy or rhabdomyolysis
  16. Patients who have 3 times of upper limit of normal range of muscle enzyme (creatinine kinase, CK)
  17. History of malignant tumor including leukemia, lymphoma within 5 years
  18. Patients with one kidney
  19. Patients with biliary obstructive disorder
  20. Patients with clinically significant electrolyte disturbance
  21. Continued serum potassium concentration abnormal status (<3.5mEq/L or >5.5mEq/L)
  22. Patients with sodium ion or body fluid is depleted and not able to correct
  23. Patients with clinically significant liver/renal disease
  24. Patients with digestive diseases that may affect the absorption or history in gastrointestinal surgery
  25. Patients who are dependent on drugs or alcohol
  26. Pregnancy, breast-feeding, or child-bearing potential Patients
  27. Patients with hypersensitivity to telmisartan or other angiotensin II receptor blockers
  28. Patients with hypersensitivity to Amlodipine or other dihydropyridine drugs
  29. Patients with history of Myotoxicity to other 3-hydroxy-methyl glutaryl-coenzyme A reductase inhibitor or fibrate
  30. Patients who are unable to stop taking prohibited drugs to combination during study period
  31. Patients who have galactose intolerance
  32. Patients taking other clinical trial drugs within 30 days from the time of visit for screening
  33. Patients that is not eligible to participate at the discretion of study investigator

Sites / Locations

  • Korea University Guro Hospital

Arms of the Study

Arm 1

Arm 2

Arm 3

Arm Type

Experimental

Active Comparator

Active Comparator

Arm Label

Telmisartan/Amlodipine+Rosuvastatin

Telmisartan/Amlodipine

Telmisartan +Rosuvastatin

Arm Description

Telmisartan/Amlodipine 40/5mg 2tab., Rosuvastatin 20mg1tab. and Telmisartan placebo 1tab.

Telmisartan/Amlodipine 40/5mg 2tab., Rosuvastatin placebo 1tab. and Telmisartan placebo 1tab.

Telmisartan/Amlodipine placebo 2tab., Rosuvastatin 80mg 1tab. and Telmisartan 20mg 1tab.

Outcomes

Primary Outcome Measures

Percentage of change in LDL-Cholesterol
Telmisartan/Amlodipine/Rosuvastatin versus Telmisartan/Amlodipine
The change of sitting systolic blood pressure
Telmisartan/Amlodipine/Rosuvastatin versus Telmisartan/Rosuvastatin

Secondary Outcome Measures

Percentage of change in LDL-Cholesterol
Percentage of change in HDL-Cholesterol, total Cholesterol, Triglyceride, Apolipoprotein B
The change of HDL-Cholesterol/LDL-Cholesterol ratio
The change of total cholesterol/HDL-Cholesterol ratio
Percentage of patients reaching treatment goals according to National Cholesterol Education Program-Adults Treatment Panel III Guideline
The change of sitting diastolic blood pressure
Percentage of patients reaching treatment goals according to Joint National Committee VIII Guideline

Full Information

First Posted
June 11, 2018
Last Updated
June 20, 2018
Sponsor
IlDong Pharmaceutical Co Ltd
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1. Study Identification

Unique Protocol Identification Number
NCT03566316
Brief Title
Efficacy/Safety of Telmisartan/Amlodipine/Rosuvastatin in Hypertensive Patients With Hyperlipidemia
Official Title
Randomized, Double-blind, Multi-center Phase III Clinical Trial to Evaluate the Efficacy and Safety of Telmisartan/Amlodipine and Rosuvastatin Co-administration in Hypertensive Patients With Hyperlipidemia
Study Type
Interventional

2. Study Status

Record Verification Date
June 2018
Overall Recruitment Status
Completed
Study Start Date
November 24, 2015 (Actual)
Primary Completion Date
June 16, 2017 (Actual)
Study Completion Date
June 16, 2017 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
IlDong Pharmaceutical Co Ltd

4. Oversight

Studies a U.S. FDA-regulated Drug Product
No
Studies a U.S. FDA-regulated Device Product
No
Data Monitoring Committee
No

5. Study Description

Brief Summary
A Randomized, Double-blind, Multi-center Phase III Clinical Trial to Evaluate the Efficacy and Safety of Telmisartan/Amlodipine and Rosuvastatin Co-administration in Hypertensive Patients with Hyperlipidemia

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Hypertension With Hyperlipidemia

7. Study Design

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

8. Arms, Groups, and Interventions

Arm Title
Telmisartan/Amlodipine+Rosuvastatin
Arm Type
Experimental
Arm Description
Telmisartan/Amlodipine 40/5mg 2tab., Rosuvastatin 20mg1tab. and Telmisartan placebo 1tab.
Arm Title
Telmisartan/Amlodipine
Arm Type
Active Comparator
Arm Description
Telmisartan/Amlodipine 40/5mg 2tab., Rosuvastatin placebo 1tab. and Telmisartan placebo 1tab.
Arm Title
Telmisartan +Rosuvastatin
Arm Type
Active Comparator
Arm Description
Telmisartan/Amlodipine placebo 2tab., Rosuvastatin 80mg 1tab. and Telmisartan 20mg 1tab.
Intervention Type
Drug
Intervention Name(s)
Telmisartan/Amlodipine
Intervention Type
Drug
Intervention Name(s)
Rosuvastatin
Intervention Type
Drug
Intervention Name(s)
Telmisartan
Primary Outcome Measure Information:
Title
Percentage of change in LDL-Cholesterol
Description
Telmisartan/Amlodipine/Rosuvastatin versus Telmisartan/Amlodipine
Time Frame
From baseline at week 8
Title
The change of sitting systolic blood pressure
Description
Telmisartan/Amlodipine/Rosuvastatin versus Telmisartan/Rosuvastatin
Time Frame
From baseline at week 8
Secondary Outcome Measure Information:
Title
Percentage of change in LDL-Cholesterol
Time Frame
From baseline at week 4
Title
Percentage of change in HDL-Cholesterol, total Cholesterol, Triglyceride, Apolipoprotein B
Time Frame
From baseline at week 4 and 8
Title
The change of HDL-Cholesterol/LDL-Cholesterol ratio
Time Frame
From baseline at week 4 and 8
Title
The change of total cholesterol/HDL-Cholesterol ratio
Time Frame
From baseline at week 4 and 8
Title
Percentage of patients reaching treatment goals according to National Cholesterol Education Program-Adults Treatment Panel III Guideline
Time Frame
From baseline at week 4 and 8
Title
The change of sitting diastolic blood pressure
Time Frame
From baseline at week 4 and 8
Title
Percentage of patients reaching treatment goals according to Joint National Committee VIII Guideline
Time Frame
From baseline at week 4 and 8

10. Eligibility

Sex
All
Minimum Age & Unit of Time
19 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: 19 years old or above Patients who confirmed essential hypertension with Hyperlipidemia or use of drugs at Visit 1 (sit systolic blood pressure ≥ 140mmHg, LDL-Cholesterol ≥ 100mg/dL) Patients who can stop the treatment of anti-hypertensive/anti-hyperlipidemic drugs in the opinion of the investigator Test results showing the following values at screening time (Visit 2) : sit systolic blood pressure >140mmHg Test results showing the following values at screening time (Visit 2) : 100< LDL-Cholesterol <250 Patients who agreed to participate in the trial Exclusion Criteria: Severe hypertension patients(systolic blood pressure ≥ 180 mm Hg or diastolic blood pressure ≥ 110 mm Hg) -The change of mean sit systolic blood pressure ≥ 20 mmHg or sit diastolic blood pressure ≥ 10 mmHg on target arm between 1st and 2nd measurement LDL-Cholesterol > 250 mg/dL or triacylglycerol ≥ 400 mg/dL at screening time(Visit 1) Patients with postural hypotension who have sign and symptom Patients with secondary blood pressure(for example,aortic coarctation, hyperaldosteronism, renal artery stenosis, Cushing's syndrome, pheochromocytoma, Polycystic Kidney Diseases) Patients with congestive heart failure(New York Heart Association class III~IV) Patients with history of acute coronary syndrome or underwent revascularization (percutaneous transluminal coronary angioplasty or Coronary Artery Bypass Graft surgery ) within 6 months Patients who have severe ventricular tachycardia, atrial fibrillation, atrial flutter or clinically significant arrhythmia Causes of hemodynamic disorder or structural heart defect such as valvular heart disease Patients who have history of cerebrovascular disease as cerebral infarction, cerebral hemorrhage within 6 months prior to study entry Patients with primary aldosteronism Patients with severe ocular disorders Patients with autoimmune disease Patients with any chronic inflammation disease needed to chronic inflammation therapy Patients with uncontrolled diabetes Mellitus with HbA1c > 9% or thyroid diseases(TSH ≥ 1.5 X ULN) Patients who have a history of myopathy or rhabdomyolysis Patients who have 3 times of upper limit of normal range of muscle enzyme (creatinine kinase, CK) History of malignant tumor including leukemia, lymphoma within 5 years Patients with one kidney Patients with biliary obstructive disorder Patients with clinically significant electrolyte disturbance Continued serum potassium concentration abnormal status (<3.5mEq/L or >5.5mEq/L) Patients with sodium ion or body fluid is depleted and not able to correct Patients with clinically significant liver/renal disease Patients with digestive diseases that may affect the absorption or history in gastrointestinal surgery Patients who are dependent on drugs or alcohol Pregnancy, breast-feeding, or child-bearing potential Patients Patients with hypersensitivity to telmisartan or other angiotensin II receptor blockers Patients with hypersensitivity to Amlodipine or other dihydropyridine drugs Patients with history of Myotoxicity to other 3-hydroxy-methyl glutaryl-coenzyme A reductase inhibitor or fibrate Patients who are unable to stop taking prohibited drugs to combination during study period Patients who have galactose intolerance Patients taking other clinical trial drugs within 30 days from the time of visit for screening Patients that is not eligible to participate at the discretion of study investigator
Facility Information:
Facility Name
Korea University Guro Hospital
City
Seoul
Country
Korea, Republic of

12. IPD Sharing Statement

Plan to Share IPD
No
Citations:
PubMed Identifier
30904178
Citation
Kim TS, Rha SW, Kim SY, Park DG, Sung KC, Yoon MH, Kim KH, Lee HC, Kim WS, Kim YJ, Ahn JC, Rhee MY, Cha DH, Yoo BS, Park SH, Yoo KD, Jeon DW, Yoon YW, Cho SK, Oh YS. Efficacy and Tolerability of Telmisartan/Amlodipine and Rosuvastatin Coadministration in Hypertensive Patients with Hyperlipidemia: A Phase III, Multicenter, Randomized, Double-blind Study. Clin Ther. 2019 Apr;41(4):728-741. doi: 10.1016/j.clinthera.2019.02.013. Epub 2019 Mar 21.
Results Reference
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Efficacy/Safety of Telmisartan/Amlodipine/Rosuvastatin in Hypertensive Patients With Hyperlipidemia

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