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A Phase 3 Study to Evaluate and Compare the Efficacy and Safety of AZM and AML Combined and Alone in Mild-to-moderate Essential Hypertensive Subjects

Primary Purpose

Essential Hypertension

Status
Not yet recruiting
Phase
Phase 3
Locations
Study Type
Interventional
Intervention
AZM X mg + AML Y mg
AZM X mg + AML Y' mg
AZM X' mg + AML Y mg
AZM X' mg + AML Y' mg
AZM X mg
AZM X' mg
AML Y mg
AML Y' mg
Sponsored by
Celltrion
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Essential Hypertension

Eligibility Criteria

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

Inclusion Criteria:

  • Subjects voluntarily agree to participate in the trial and signed the written ICF, after listening to the purpose, method, and effect of clinical trial
  • Male or female adult subjects (Legal minimum age of adult requirement is country specific, and requirement of current country specific regulations will be applied) below the age of 75 years, inclusive
  • Subjects with mild-to-moderate essential hypertension
  • Subjects who are capable of understanding and complying with protocol requirements

Exclusion Criteria:

  • Subjects who have msitSBP >180 mmHg or msitDBP >110 mmHg; Subjects who have difference in the blood pressure between 3 measurements (confirmed by a second set of three measurements; 3 sitting systolic BP (sitSBP) measurements differing by more than 20 mmHg or 3 sitting diastolic BP (sitDBP) measurements differing by more than 10 mmHg)
  • Secondary hypertension, Symptomatic orthostatic hypotension
  • Clinically significant Electrocardiogram (ECG) abnormalities, Severe heart disease, Clinically significant ventricular tachycardia, atrial fibrillation, atrial flutter or other clinically significant arrhythmia, Hypertrophic obstructive cardiomyopathy, severe obstructive coronary artery disease, aortic stenosis, hemodynamically relevant stenosis of the aortic or mitral valve
  • Severe cerebrovascular disease, Known moderate or malignant retinopathy within the past 6 months; History of unexplained syncope within the prior 2 years, or a known syncopal disorder
  • Significant thyroid disease, Type 1 or 2 diabetes mellitus with poor glucose control, Wasting disease, Autoimmune diseases, Connective tissue disease
  • Subjects who have clinically significant laboratory abnormalities : creatinine clearance < 30 mL/min, serum creatinine > 2 mg/dL or > 200 μmol/L, serum potassium <3.5 mmol/L or > 5.5mmol/L, alanine aminotransferase or aspartate aminotransferase > 3 × upper limit normal (ULN)
  • Any surgical or medical condition of the gastrointestinal tract that might significantly alter the absorption, distribution, metabolism, or excretion of the drug
  • Positive for HIV, HCV Ab, and/or HBsAg
  • History of drug or alcohol abuse within the past 1 year
  • Subjects who are pregnant or lactating women, women suspected of being pregnant, women who wish to be pregnant during the study, or women of child-bearing potential who are not using medically acceptable methods of contraception
  • Any chronic inflammatory condition needing chronic anti-inflammatory therapy, A known hypersensitivity to any main excipients and components of the investigational drugs or other drugs in the same class, Subjects who have previously experienced symptoms characteristic of angioedema during treatment with angiotensin-converting enzyme inhibitors or angiotensin II subtype 1 receptor blocker
  • Subjects who have received any investigational product within 90 days prior to screening or is currently participating in another investigational study
  • Subjects who are required to take excluded medications at any point during the study

Sites / Locations

    Arms of the Study

    Arm 1

    Arm 2

    Arm 3

    Arm 4

    Arm 5

    Arm 6

    Arm 7

    Arm 8

    Arm Type

    Active Comparator

    Active Comparator

    Active Comparator

    Active Comparator

    Active Comparator

    Active Comparator

    Active Comparator

    Active Comparator

    Arm Label

    AZM Xmg

    AZM X'mg

    AML Ymg

    AML Y'mg

    AZM/AML X/Ymg

    AZM/AML X'/Ymg

    AZM/AML X/Y'mg

    AZM/AML X'/Y'mg

    Arm Description

    1. AZM Xmg (4 weeks) Non-responder -> AZM Xmg (8 weeks)

    1. AZM X'mg (4 weeks) Non-responder -> AZM X'mg (8 weeks)

    1. AML Ymg (4 weeks) Non-responder -> AML Ymg (8 weeks)

    1. AML Y'mg (4 weeks) Non-responder -> AML Y'mg (8 weeks)

    AZM Xmg (4 weeks) Non-responder -> AZM Xmg + AML Ymg (8 weeks) AML Ymg (4 weeks) Non-responder -> AZM Xmg + AML Ymg (8 weeks)

    AZM X'mg (4 weeks) Non-responder -> AZM X'mg + AML Ymg (8 weeks) AML Ymg (4 weeks) Non-responder -> AZM X'mg + AML Ymg (8 weeks)

    AZM Xmg (4 weeks) Non-responder -> AZM Xmg + AML Y'mg (8 weeks) AML Y'mg (4 weeks) Non-responder -> AZM Xmg + AML Y'mg (8 weeks)

    AZM X'mg (4 weeks) Non-responder -> AZM X'mg + AML Y'mg (8 weeks) AML Y'mg (4 weeks) Non-responder -> AZM X'mg + AML Y'mg (8 weeks)

    Outcomes

    Primary Outcome Measures

    msitSBP
    msitSBP change from baseline

    Secondary Outcome Measures

    msitDBP
    msitDBP change from baseline
    msitSBP
    msitSBP change from baseline
    msitDBP
    msitDBP change from baseline
    Proportion of subjects achieving msitSBP < 140 mmHg and/or ΔmsitSBP ≥ 20 mmHg
    Proportion of subjects achieving msitDBP < 90 mmHg and/or ΔmsitDBP ≥ 10 mmHg

    Full Information

    First Posted
    May 18, 2022
    Last Updated
    May 25, 2022
    Sponsor
    Celltrion
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    1. Study Identification

    Unique Protocol Identification Number
    NCT05385770
    Brief Title
    A Phase 3 Study to Evaluate and Compare the Efficacy and Safety of AZM and AML Combined and Alone in Mild-to-moderate Essential Hypertensive Subjects
    Official Title
    A Multicentre, Randomized, Double-blind Study to Evaluate and Compare the Efficacy and Safety of 8-week Treatment With AZM and AML Combined and Alone in Mild-to-moderate Essential Hypertensive Subjects
    Study Type
    Interventional

    2. Study Status

    Record Verification Date
    May 2022
    Overall Recruitment Status
    Not yet recruiting
    Study Start Date
    May 31, 2022 (Anticipated)
    Primary Completion Date
    July 4, 2023 (Anticipated)
    Study Completion Date
    August 15, 2023 (Anticipated)

    3. Sponsor/Collaborators

    Responsible Party, by Official Title
    Sponsor
    Name of the Sponsor
    Celltrion

    4. Oversight

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

    5. Study Description

    Brief Summary
    This is an 8-week, randomized, double-blind Phase 3, multicentre study to determine the optimal dose of AZM and AML in combination therapy and to compare efficacy and tolerability of the combined therapy to each of the monotherapy in essential hypertensive subjects who are not adequately controlled on AZM and AML monotherapy.

    6. Conditions and Keywords

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

    7. Study Design

    Primary Purpose
    Treatment
    Study Phase
    Phase 3
    Interventional Study Model
    Parallel Assignment
    Masking
    ParticipantCare ProviderInvestigatorOutcomes Assessor
    Masking Description
    Single-blind Run-in period, Double-blind Treatment period
    Allocation
    Randomized
    Enrollment
    852 (Anticipated)

    8. Arms, Groups, and Interventions

    Arm Title
    AZM Xmg
    Arm Type
    Active Comparator
    Arm Description
    1. AZM Xmg (4 weeks) Non-responder -> AZM Xmg (8 weeks)
    Arm Title
    AZM X'mg
    Arm Type
    Active Comparator
    Arm Description
    1. AZM X'mg (4 weeks) Non-responder -> AZM X'mg (8 weeks)
    Arm Title
    AML Ymg
    Arm Type
    Active Comparator
    Arm Description
    1. AML Ymg (4 weeks) Non-responder -> AML Ymg (8 weeks)
    Arm Title
    AML Y'mg
    Arm Type
    Active Comparator
    Arm Description
    1. AML Y'mg (4 weeks) Non-responder -> AML Y'mg (8 weeks)
    Arm Title
    AZM/AML X/Ymg
    Arm Type
    Active Comparator
    Arm Description
    AZM Xmg (4 weeks) Non-responder -> AZM Xmg + AML Ymg (8 weeks) AML Ymg (4 weeks) Non-responder -> AZM Xmg + AML Ymg (8 weeks)
    Arm Title
    AZM/AML X'/Ymg
    Arm Type
    Active Comparator
    Arm Description
    AZM X'mg (4 weeks) Non-responder -> AZM X'mg + AML Ymg (8 weeks) AML Ymg (4 weeks) Non-responder -> AZM X'mg + AML Ymg (8 weeks)
    Arm Title
    AZM/AML X/Y'mg
    Arm Type
    Active Comparator
    Arm Description
    AZM Xmg (4 weeks) Non-responder -> AZM Xmg + AML Y'mg (8 weeks) AML Y'mg (4 weeks) Non-responder -> AZM Xmg + AML Y'mg (8 weeks)
    Arm Title
    AZM/AML X'/Y'mg
    Arm Type
    Active Comparator
    Arm Description
    AZM X'mg (4 weeks) Non-responder -> AZM X'mg + AML Y'mg (8 weeks) AML Y'mg (4 weeks) Non-responder -> AZM X'mg + AML Y'mg (8 weeks)
    Intervention Type
    Drug
    Intervention Name(s)
    AZM X mg + AML Y mg
    Intervention Description
    tablet, single dose, QD, oral administration
    Intervention Type
    Drug
    Intervention Name(s)
    AZM X mg + AML Y' mg
    Intervention Description
    tablet, single dose, QD, oral administration
    Intervention Type
    Drug
    Intervention Name(s)
    AZM X' mg + AML Y mg
    Intervention Description
    tablet, single dose, QD, oral administration
    Intervention Type
    Drug
    Intervention Name(s)
    AZM X' mg + AML Y' mg
    Intervention Description
    tablet, single dose, QD, oral administration
    Intervention Type
    Drug
    Intervention Name(s)
    AZM X mg
    Intervention Description
    tablet, single dose, QD, oral administration
    Intervention Type
    Drug
    Intervention Name(s)
    AZM X' mg
    Intervention Description
    tablet, single dose, QD, oral administration
    Intervention Type
    Drug
    Intervention Name(s)
    AML Y mg
    Intervention Description
    tablet, single dose, QD, oral administration
    Intervention Type
    Drug
    Intervention Name(s)
    AML Y' mg
    Intervention Description
    tablet, single dose, QD, oral administration
    Primary Outcome Measure Information:
    Title
    msitSBP
    Description
    msitSBP change from baseline
    Time Frame
    after 8 weeks of treatment
    Secondary Outcome Measure Information:
    Title
    msitDBP
    Description
    msitDBP change from baseline
    Time Frame
    after 8 weeks of treatment
    Title
    msitSBP
    Description
    msitSBP change from baseline
    Time Frame
    after 4 weeks of treatment
    Title
    msitDBP
    Description
    msitDBP change from baseline
    Time Frame
    after 4 weeks of treatment
    Title
    Proportion of subjects achieving msitSBP < 140 mmHg and/or ΔmsitSBP ≥ 20 mmHg
    Time Frame
    after 4, 8 weeks of treatment
    Title
    Proportion of subjects achieving msitDBP < 90 mmHg and/or ΔmsitDBP ≥ 10 mmHg
    Time Frame
    after 4, 8 weeks of treatment

    10. Eligibility

    Sex
    All
    Minimum Age & Unit of Time
    19 Years
    Maximum Age & Unit of Time
    75 Years
    Accepts Healthy Volunteers
    No
    Eligibility Criteria
    Inclusion Criteria: Subjects voluntarily agree to participate in the trial and signed the written ICF, after listening to the purpose, method, and effect of clinical trial Male or female adult subjects (Legal minimum age of adult requirement is country specific, and requirement of current country specific regulations will be applied) below the age of 75 years, inclusive Subjects with mild-to-moderate essential hypertension Subjects who are capable of understanding and complying with protocol requirements Exclusion Criteria: Subjects who have msitSBP >180 mmHg or msitDBP >110 mmHg; Subjects who have difference in the blood pressure between 3 measurements (confirmed by a second set of three measurements; 3 sitting systolic BP (sitSBP) measurements differing by more than 20 mmHg or 3 sitting diastolic BP (sitDBP) measurements differing by more than 10 mmHg) Secondary hypertension, Symptomatic orthostatic hypotension Clinically significant Electrocardiogram (ECG) abnormalities, Severe heart disease, Clinically significant ventricular tachycardia, atrial fibrillation, atrial flutter or other clinically significant arrhythmia, Hypertrophic obstructive cardiomyopathy, severe obstructive coronary artery disease, aortic stenosis, hemodynamically relevant stenosis of the aortic or mitral valve Severe cerebrovascular disease, Known moderate or malignant retinopathy within the past 6 months; History of unexplained syncope within the prior 2 years, or a known syncopal disorder Significant thyroid disease, Type 1 or 2 diabetes mellitus with poor glucose control, Wasting disease, Autoimmune diseases, Connective tissue disease Subjects who have clinically significant laboratory abnormalities : creatinine clearance < 30 mL/min, serum creatinine > 2 mg/dL or > 200 μmol/L, serum potassium <3.5 mmol/L or > 5.5mmol/L, alanine aminotransferase or aspartate aminotransferase > 3 × upper limit normal (ULN) Any surgical or medical condition of the gastrointestinal tract that might significantly alter the absorption, distribution, metabolism, or excretion of the drug Positive for HIV, HCV Ab, and/or HBsAg History of drug or alcohol abuse within the past 1 year Subjects who are pregnant or lactating women, women suspected of being pregnant, women who wish to be pregnant during the study, or women of child-bearing potential who are not using medically acceptable methods of contraception Any chronic inflammatory condition needing chronic anti-inflammatory therapy, A known hypersensitivity to any main excipients and components of the investigational drugs or other drugs in the same class, Subjects who have previously experienced symptoms characteristic of angioedema during treatment with angiotensin-converting enzyme inhibitors or angiotensin II subtype 1 receptor blocker Subjects who have received any investigational product within 90 days prior to screening or is currently participating in another investigational study Subjects who are required to take excluded medications at any point during the study

    12. IPD Sharing Statement

    Learn more about this trial

    A Phase 3 Study to Evaluate and Compare the Efficacy and Safety of AZM and AML Combined and Alone in Mild-to-moderate Essential Hypertensive Subjects

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