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This study will assess blood pressure reduction with nebivolol or placebo in patients taking lisinopril or losartan.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Nebivolol | Active Comparator | Nebivolol 5 mg, 5 mg nontrade tablets, oral administration Nebivolol 10 mg, 10 mg nontrade tablets, oral administration Nebivolol 20 mg, 20 mg nontrade tablets, oral administration Nebivolol 40 mg (two 20 mg nontrade tablets), oral administration |
|
| Placebo | Placebo Comparator | Matching placebo tablets, oral administration |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| nebivolol | Drug | Encapsulated Nebivolol 5mg, 10mg, 20mg, or 40mg total daily dosage, oral administration once daily Lisinopril 10mg, 20mg total daily dosage, oral administration Losartan 50mg, 100mg total daily dosage, oral administration |
| Measure | Description | Time Frame |
|---|---|---|
| Mean Seated Trough Cuff Systolic Blood Pressure (SBP) at Week 12 | Change from Baseline in Mean Seated Trough Cuff Systolic Blood Pressure (SBP) at Week 12, Last Observation Carried Forward (LOCF). | From baseline Visit 5 (Week 0) to Visit 10 (Week 12) |
| Measure | Description | Time Frame |
|---|---|---|
| Mean Seated Trough Cuff Diastolic Blood Pressure (DBP) at Week 12 | Change from Baseline in Mean Seated Trough Cuff Diastolic Blood Pressure (DBP) at Week 12, Last Observation Carried Forward (LOCF). | From baseline Visit 5 (Week 0) to Visit 10 (Week 12) |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Manfred Stapff, MD, PhD | Forest Research Institute, a subsidiary of Forest Laboratories, Inc. | Study Director |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Forest Investigative Site 070 | Gulf Shores | Alabama | 36535 | United States | ||
| Forest Investigative Site 092 |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 23519546 | Derived | Weiss RJ, Stapff M, Lin Y. Placebo effect and efficacy of nebivolol in patients with hypertension not controlled with lisinopril or losartan: a phase IV, randomized, placebo-controlled trial. Am J Cardiovasc Drugs. 2013 Apr;13(2):129-40. doi: 10.1007/s40256-013-0010-y. |
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Placebo washout phase was required for patients currently on anti-hypertensives at screening followed by a losartan or lisinopril run-in phase before assignment to Placebo or Nebivolol arms. Patients who were untreated at screening started the study at the open-label lead-in phase.
Recruitment occured from August 2008 through November 2009 at 76 US sites.
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| ID | Title | Description |
|---|---|---|
| FG000 | Nebivolol | Nebivolol 5 mg, 5 mg nontrade tablets, oral administration Nebivolol 10 mg, 10 mg nontrade tablets, oral administration Nebivolol 20 mg, 20 mg nontrade tablets, oral administration Nebivolol 40 mg (two 20 mg nontrade tablets), oral administration |
| FG001 | Placebo |
| Title | Milestones | Reasons Not Completed | |||||
|---|---|---|---|---|---|---|---|
| Overall Study |
|
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|
| Placebo | Drug | Lisinopril 10mg, 20mg total daily dosage, oral administration Losartan 50mg, 100mg total daily dosage, oral administration |
|
|
| Huntsville |
| Alabama |
| 35801 |
| United States |
| Forest Investigative Site 058 | Mesa | Arizona | 85206 | United States |
| Forest Investigative Site 059 | Tempe | Arizona | 85282 | United States |
| Forest Investigative Site 024 | Anaheim | California | 92801 | United States |
| Forest Investigative Site 012 | Bell Gardens | California | 90201 | United States |
| Forest Investigative Site 026 | Chino | California | 91710 | United States |
| Forest Investigative Site 083 | Costa Mesa | California | 92626 | United States |
| Forest Investigative Site 030 | Los Angeles | California | 90057 | United States |
| Forest Investigative Site 053 | Orange | California | 92868 | United States |
| Forest Investigative Site 077 | Riverside | California | 92506 | United States |
| Forest Investigative Site 034 | Sacramento | California | 95816 | United States |
| Forest Investigative Site 028 | Sacramento | California | 95831 | United States |
| Forest Investigative Site 048 | San Bernardino | California | 92404 | United States |
| Forest Investigative Site 075 | Santa Ana | California | 92705 | United States |
| Forest Investigative Site 087 | Santa Ana | California | 92705 | United States |
| Forest Investigative Site 090 | Temecula | California | 92591 | United States |
| Forest Investigative Site 010 | Tustin | California | 92780 | United States |
| Forest Investigative Site 001 | Westlake Village | California | 91361 | United States |
| Forest Investigative Site 061 | Wheat Ridge | Colorado | 80033 | United States |
| Forest Investigative Site 046 | Brooksville | Florida | 34613 | United States |
| Forest Investigative Site 015 | DeLand | Florida | 32720 | United States |
| Forest Investigative Site 035 | Fort Lauderdale | Florida | 33306 | United States |
| Forest Investigative Site 009 | Hialeah | Florida | 33012 | United States |
| Forest Investigative Site 039 | Hollywood | Florida | 33021 | United States |
| Forest Investigative Site 044 | Jacksonville | Florida | 32223 | United States |
| Forest Investigative Site 002 | Miami | Florida | 33135 | United States |
| Forest Investigative Site 085 | Miami | Florida | 33143 | United States |
| Forest Investigative Site 091 | Miami | Florida | 33144 | United States |
| Forest Investigative Site 013 | Miami | Florida | 33169 | United States |
| Forest Investigative Site 052 | Miami | Florida | 33186 | United States |
| Forest Investigative Site 049 | Orlando | Florida | 32806 | United States |
| Forest Investigative Site 065 | Pembroke Pines | Florida | 33024 | United States |
| Forest Investigative Site 041 | Tampa | Florida | 33603 | United States |
| Forest Investigative Site 029 | Atlanta | Georgia | 30338 | United States |
| Forest Investigative Site 068 | Decatur | Georgia | 30034 | United States |
| Forest Investigative Site 050 | Addison | Illinois | 60101 | United States |
| Forest Investigative Site 025 | Chicago | Illinois | 60607 | United States |
| Forest Investigative Site 057 | Chicago | Illinois | 60611 | United States |
| Forest Investigative Site 076 | Joliet | Illinois | 60435 | United States |
| Forest Investigative Site 014 | Orland Park | Illinois | 60467 | United States |
| Forest Investigative Site 079 | Overland Park | Kansas | 66215 | United States |
| Forest Investigative Site 037 | Auburn | Maine | 04210 | United States |
| Forest Investigative Site 045 | Biddeford | Maine | 04005 | United States |
| Forest Investigative Site 003 | Oxon Hill | Maryland | 20745 | United States |
| Forest Investigative Site 060 | Prince Frederick | Maryland | 20678 | United States |
| Forest Investigative Site 042 | Reisterstown | Maryland | 21136 | United States |
| Forest Investigative Site 023 | Brockton | Massachusetts | 02301 | United States |
| Forest Investigative Site 066 | Brockton | Massachusetts | 02301 | United States |
| Forest Investigative Site 040 | Saint Clair Shores | Michigan | 48081 | United States |
| Forest Investigative Site 067 | Rolling Fork | Mississippi | 39159 | United States |
| Forest Investigative Site 051 | Edison | New Jersey | 08817 | United States |
| Forest Investigative Site 088 | New York | New York | 10010 | United States |
| Forest Investigative Site 086 | Syracuse | New York | 13210 | United States |
| Forest Investigative Site 006 | Cary | North Carolina | 27518 | United States |
| Forest Investigative Site 022 | Charlotte | North Carolina | 28209 | United States |
| Forest Investigative Site 064 | Harrisburg | North Carolina | 28075 | United States |
| Forest Investigative Site 071 | Raleigh | North Carolina | 27612 | United States |
| Forest Investigative Site 017 | Wilmington | North Carolina | 28401 | United States |
| Forest Investigative Site 055 | Fargo | North Dakota | 58104 | United States |
| Forest Investigative Site 007 | Cincinnati | Ohio | 45219 | United States |
| Forest Investigative Site 054 | Cleveland | Ohio | 44122 | United States |
| Forest Investigative Site 056 | Perrysburg | Ohio | 43551 | United States |
| Forest Investigative Site 080 | Ashland | Oregon | 97520 | United States |
| Forest Investigative Site 033 | Eugene | Oregon | 97404 | United States |
| Forest Investigative Site 081 | Harleysville | Pennsylvania | 19438 | United States |
| Forest Investigative Site 004 | Greenville | South Carolina | 29615 | United States |
| Forest Investigative Site 031 | Mt. Pleasant | South Carolina | 29464 | United States |
| Forest Investigative Site 018 | Cleveland | Tennessee | 37312 | United States |
| Forest Investigative Site 043 | Memphis | Tennessee | 38819 | United States |
| Forest Investigative Site 032 | Nashville | Tennessee | 37203 | United States |
| Forest Investigative Site 008 | Corpus Christi | Texas | 78404 | United States |
| Forest Investigative Site 063 | San Antonio | Texas | 78205 | United States |
| Forest Investigative Site 062 | San Antonio | Texas | 78209 | United States |
| Forest Investigative Site 016 | Richmond | Virginia | 23294 | United States |
Matching placebo tablets, oral administration |
| COMPLETED |
|
| NOT COMPLETED |
|
|
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| ID | Title | Description |
|---|---|---|
| BG000 | Nebivolol | Nebivolol 5 mg, 5 mg nontrade tablets, oral administration Nebivolol 10 mg, 10 mg nontrade tablets, oral administration Nebivolol 20 mg, 20 mg nontrade tablets, oral administration Nebivolol 40 mg (two 20 mg nontrade tablets), oral administration |
| BG001 | Placebo | Matching placebo tablets, oral administration |
| BG002 | Total | Total of all reporting groups |
| Units | Counts |
|---|---|
| Participants |
|
| Title | Description | Population Description | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Denominator Units Selected | Denominators | Classes | ||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Age Continuous | Mean | Standard Deviation | years |
| |||||||||||||||
| Age, Customized | Number | Participants |
| ||||||||||||||||
| Sex: Female, Male | Count of Participants | Participants |
| ||||||||||||||||
| Region of Enrollment | Number | participants |
|
| Type | Title | Description | Population Description | Reporting Status | Anticipated Posting Date | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Time Frame | Units Analyzed | Denominator Units Selected | Arm/Group Information | Denominators | Classes | Analyses | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Primary | Mean Seated Trough Cuff Systolic Blood Pressure (SBP) at Week 12 | Change from Baseline in Mean Seated Trough Cuff Systolic Blood Pressure (SBP) at Week 12, Last Observation Carried Forward (LOCF). | Posted | Mean | Standard Deviation | mmHG | From baseline Visit 5 (Week 0) to Visit 10 (Week 12) |
|
|
| |||||||||||||||||||||||||||||
| Secondary | Mean Seated Trough Cuff Diastolic Blood Pressure (DBP) at Week 12 | Change from Baseline in Mean Seated Trough Cuff Diastolic Blood Pressure (DBP) at Week 12, Last Observation Carried Forward (LOCF). | Posted | Mean | Standard Deviation | mmHG | From baseline Visit 5 (Week 0) to Visit 10 (Week 12) |
|
|
Adverse event data was collected for a period of 21 months, from August 2008 to May 2010.
3 additional patients had a Serious Adverse Event(SAE), 1 instance of Coronary Artery Stenosis during the single-blind washout phase(SBWP), 1 instance of Myocardial Infarction during the open-label lead-in phase and 1 instance of deep vein thrombosis during the SBWP. The first 2 patients were not randomized. The 3rd patient was assigned placebo.
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| ID | Title | Description | Deaths (Affected) | Deaths (At Risk) | Serious Events (Affected) | Serious Events (At Risk) | Other Events (Affected) | Other Events (At Risk) |
|---|---|---|---|---|---|---|---|---|
| EG000 | Nebivolol | Nebivolol 5 mg, 5 mg nontrade tablets, oral administration Nebivolol 10 mg, 10 mg nontrade tablets, oral administration Nebivolol 20 mg, 20 mg nontrade tablets, oral administration Nebivolol 40 mg (two 20 mg nontrade tablets), oral administration | 1 | 258 | 0 | 258 | ||
| EG001 | Placebo | Matching placebo tablets, oral administration | 3 | 233 | 0 | 233 |
| Term | Organ System | Source Vocabulary | Assessment Type | Notes | Statistical Information |
|---|---|---|---|---|---|
| Angioedema | Skin and subcutaneous tissue disorders | MedDRA (12.1) | Systematic Assessment |
| |
| Non-cardiac chest pain | General disorders | MedDRA (12.1) | Systematic Assessment |
| |
| Cellulitis | Infections and infestations | MedDRA (12.1) | Systematic Assessment |
| |
| Acute pancreatitis | Infections and infestations | MedDRA (12.1) | Systematic Assessment |
| |
| Anxiety | Psychiatric disorders | MedDRA (12.1) | Systematic Assessment |
|
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Sponsor can review results communications prior to public release & can embargo communications re: results for 60 days from time submitted to sponsor for review. PI shall not disclose sponsor's confidential information. Upon sponsor's request, PI shall delete any proprietary info & shall not include raw data in the publication. On sponsor's request, PI shall delay submission for any pub while sponsor files patent applications. Any publication will give recognition to Sponsor's support.
| Title | Organization | Phone | Extension | |
|---|---|---|---|---|
| Noah Rosenberg , MD, Exec. Dir, Clin Dev, Cardiovascular and Metabolism | Forest Laboratories, Inc. | 2014278000 | 2133 | noah.rosenberg@frx.com |
| ID | Term |
|---|---|
| D006973 | Hypertension |
| ID | Term |
|---|---|
| D014652 | Vascular Diseases |
| D002318 | Cardiovascular Diseases |
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| ID | Term |
|---|---|
| D000068577 | Nebivolol |
| D017706 | Lisinopril |
| ID | Term |
|---|---|
| D004983 | Ethanolamines |
| D000605 | Amino Alcohols |
| D000438 | Alcohols |
| D009930 | Organic Chemicals |
| D000588 | Amines |
| D001578 | Benzopyrans |
| D011714 | Pyrans |
| D006573 | Heterocyclic Compounds, 1-Ring |
| D006571 | Heterocyclic Compounds |
| D006574 | Heterocyclic Compounds, 2-Ring |
| D000072471 | Heterocyclic Compounds, Fused-Ring |
| D004151 | Dipeptides |
| D009842 | Oligopeptides |
| D010455 | Peptides |
| D000602 | Amino Acids, Peptides, and Proteins |
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| ≥65 years |
|
| Male |
|
|