Trial Condition(s):

Hypertension

Open-Label Long-Term Safety and Efficacy Study of Fixed Dose Combination of Nifedipine Gastrointestinal Therapeutic System and Candesartan Cilexetil in Subjects with Moderate to Severe Essential Hypertension

Bayer Identifier:

14801

ClinicalTrials.gov Identifier:

NCT01788358

EudraCT Number:

2012-004515-32

EU CT Number:

Not Available

Study Completed

Trial Purpose

This study examines the long term safety and efficacy of the Fixed Dose combination BAY98-7106 (nifedipine plus candesartan primarily at the highest dose in development) in patients with moderate to severe hypertension.
Patients meeting the entry criteria, will receive the Fixed Dose combination for 28 weeks, including 8 weeks with stepwise dose increase up to the high target dose. The first 200 subjects completing 28 weeks will continue treatment for additional 24 weeks (52 weeks in total).
Subjects who do not tolerate an increased dose will be treated at their highest tolerable dose.

Inclusion Criteria
- Subjects must have moderate to severe essential hypertension (Grade 2 or  Grade 3, WHO classifications). At Visit 1, subjects not treated with antihypertensive medications are to have MSSBP of >/= 160 mmHg and < 200 mmHg, as measured by a calibrated electronic BP measuring device. For other subjects who are treated with antihypertensive medication before, they should have MSSBP >/= 160 mmHg and <200 mmHg after wash out.
 - Women of childbearing potential and men must agree to use adequate contraception  other than hormonal contraceptives when sexually active
Exclusion Criteria
- Mean seated systolic blood pressure >/= 200 mmHg and/or mean seated diastolic blood pressure >/= 120 mm/Hg
 - Mean seated diastolic blood pressure < 60 mm/Hg
 - Differences greater than 20 mmHg for systolic blood pressure and 10 mmHg for diastolic blood pressure are present on 3 consecutive blood pressure readings at visit 0 
 - Any history of hypertensive emergency
 - Evidence of secondary hypertension such as coarctation of the aorta, pheochromocytoma, hyperaldosteronism, etc.
 - Cerebrovascular ischemic event (stroke, transient ischemic attack [TIA])within the previous 12 months
 - History of intracerebral hemorrhage or subarachnoid hemorrhage 
 - History of hypertensive retinopathy – known Keith-Wagener Grade III or IV
 - Any history of heart failure, New York Heart Association (NYHA) classification III or IV
 - Severe coronary heart disease as manifest by a history of myocardial infarction or unstable angina in the last 6 months prior to visit 0 
 - Type 1 diabetes mellitus (DM) or poorly controlled Type 2 DM as evidenced by HbA1C of greater than 9% on visit 0.
 - Hyperkalemia: potassium above the upper limit of normal in the laboratory range

Trial Summary

Enrollment Goal
508
Trial Dates
black-arrow
Phase
3
Could I receive a placebo?
No
Products
Nifedipine GITS/Candesartan Cilexetil FDC (BAY98-7106)
Accepts Healthy Volunteers
No

Where to Participate

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Greenville, United States, 29615

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Coral Gables, United States, 33114-4192

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Nashville, United States, 37203

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Salt Lake City, United States, 84121

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Cincinnati, United States, 45224

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Salt Lake City, United States, 84109

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Los Angeles, United States, 90057

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Atlanta, United States, 30338

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Rapid City, United States, 57702

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Valparaiso, United States, 46383

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Newton, United States, 67114

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Wichita, United States, 67205

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New Orleans, United States, 70119

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Auburn, United States, 04240

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Kenosha, United States, 53142

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Dallas, United States, 75230

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Hollywood, United States, 33083

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Hallandale Beach, United States, 33009

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Shelby, United States, 28150

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Tampa, United States, 33606

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Cincinnati, United States, 45245

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Cincinnati, United States, 45246

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Jupiter, United States, 33458

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Carrollton, United States, 75010

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New Tazewell, United States, 37825

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Mt. Pleasant, United States, 29464

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Lexington, United States, 40504

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Jacksonville, United States, 32216

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Beaumont, United States, 77701

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Foley, United States, 36535

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Columbus, United States, 43213

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Carmichael, United States, 95608

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St. Louis, United States, 63141

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San Antonio, United States, 78229

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Elkridge, United States, 21075

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Milford, United States, 06460

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Brockton, United States, 02301

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Spring Valley, United States, 91978

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Bryan, United States, 77802

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Leipzig, Germany, 04103

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Berlin, Germany, 12627

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Bochum, Germany, 44787

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Dresden, Germany

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Frankfurt, Germany, 60313

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Görlitz, Germany, 02826

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Magdeburg, Germany, 39104

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Coventry, United Kingdom, CV6 4DD

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Blackpool, United Kingdom, FY3 7EN

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Bath, United Kingdom, BA3 2UH

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Bury St Edmonds, United Kingdom, IP30 9QU

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Chesterfield, United Kingdom, S40 4AA

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Chorley, United Kingdom, PR7 7NA

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Manchester, United Kingdom, M15 6SX

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Liverpool, United Kingdom, L22 0LG

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Cardiff, United Kingdom, CF14 5GJ

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Birmingham, United Kingdom, B15 2SQ

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Glasgow, United Kingdom, G20 OSP

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Reading, United Kingdom, RG2 0TG

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Newmarket, Canada, L3Y 5G8

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Burlington, Canada, L7M 4Y1

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Burnaby, Canada, V5G 1T4

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Vancouver, Canada, V5Z 1K3

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Langley, Canada, V3A 4H9

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Toronto, Canada, M9V 4B4

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Woodstock, Canada, N4S 4G3

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Brampton, Canada, L6T 0G1

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Sarnia, Canada, N7T 4X3

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London, Canada, N5W 6A2

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Etobicoke, Canada, M8V 3X8

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Stayner, Canada, L0M 1S0

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Toronto, Canada, M4S 1Y2

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Pointe-Claire, Canada, H9R 3J1

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Ste-Foy, Canada, G1W 1S2

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Katowice, Poland, 40-040

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Wroclaw, Poland, 50-088

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Gdynia, Poland, 81-384

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Warszawa, Poland, 01-192

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Deurne, Belgium, 2100

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HAM, Belgium, 3545

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Wetteren, Belgium, 9230

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MOORSEL, Belgium, 9310

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STEENOKKERZEEL, Belgium, 1820

Trial Design