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This study will evaluate the effects of nebivolol on glycemic control compared with metoprolol and HCTZ in patients with hypertension and type 2 diabetes mellitus
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| 1 | Experimental |
|
|
| 2 | Active Comparator |
|
|
| 3 | Active Comparator |
|
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Nebivolol | Drug |
|
| Measure | Description | Time Frame |
|---|---|---|
| Change From Baseline in Mean Glycosylated Hemoglobin (HbA1c) at Week 26 | Change from baseline in glycosylated hemoglobin (HbA1c) over 26 weeks, Last Observation Carried Forward. | visit 5(week 0) and visit 14(week 26) |
| Measure | Description | Time Frame |
|---|---|---|
| Change From Baseline in Insulin Resistance Based on Homeostasis Model Assessment of Insulin Resistance (HOMA-IR) | Change from Baseline in Insulin Resistance based on homeostasis model assessment of insulin resistance (HOMA-IR) at week 26, Last Observation Carried Forward (LOCF). The HOMA-IR is the the product of the blood Glucose and Insulin levels, divided by a constant. HOMA-IR is expressed as the following: HOMA-IR = fasting serum insulin (μU/ml) × fasting plasma glucose (mmol/l) / 22.5 |
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INCLUSION CRITERIA:
EXCLUSION CRITERIA:
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| Name | Affiliation | Role |
|---|---|---|
| John Shea, MS | Forest Research Institute, a Subsidiary of Forest Laboratories, Inc. | Study Director |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Forest Investigative Site 15 | Athens | Alabama | 35611 | United States | ||
| Forest Investigative Site 16 |
Placebo washout phase was required for patients currently on any anti-hypertensives at screening exclusive of background ACE inhibitor or ARB before assignment to HCTZ or Metoprolol ER or Nebivolol arms.
Recruitment occured from September 2008 through December 2009 at 69 US sites
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| ID | Title | Description |
|---|---|---|
| FG000 | Nebivolol |
|
| Title | Milestones | Reasons Not Completed | |||||
|---|---|---|---|---|---|---|---|
| Overall Study |
|
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|
|
| Metoprolol ER | Drug |
|
|
| HCTZ | Drug |
|
|
|
| [visit 5(week 0) and visit 14(week 26)] |
| Huntsville |
| Alabama |
| 35801 |
| United States |
| Forest Investigative Site 35 | Bell Gardens | California | 90201 | United States |
| Forest Investigative Site | Buena Park | California | 90620 | United States |
| Forest Investigative Site 54 | Chino | California | 91710 | United States |
| Forest Investigative Site 40 | Fremont | California | 94538 | United States |
| Forest Investigative Site | Palm Springs | California | 92262 | United States |
| Forest Investigative Site | Pomona | California | 91767 | United States |
| Forest Investigative Site 55 | Sacramento | California | 95821 | United States |
| Forest Investigative Site 11 | San Diego | California | 92128 | United States |
| Forest Investigative Site | Santa Monica | California | 90404 | United States |
| Forest Investigative Site | Spring Valley | California | 91978 | United States |
| Forest Investigative Site 49 | Tustin | California | 92780 | United States |
| Forest Investigative Site 47 | Walnut Creek | California | 94598 | United States |
| Forest Investigative Site 61 | Golden | Colorado | 80401 | United States |
| Forest Investigative Site | Wheat Ridge | Colorado | 80033 | United States |
| Forest Investigative Site 3 | Daytona Beach | Florida | 32117 | United States |
| Forest Investigative Site 33 | DeLand | Florida | 32720 | United States |
| Forest Investigative Site 36 | Hollywood | Florida | 33023 | United States |
| Forest Investigative Site 62 | Miami | Florida | 33135 | United States |
| Forest Investigative Site 080 | Miami | Florida | 33169 | United States |
| Forest Investigative Site 59 | Miami | Florida | 33183 | United States |
| Forest Investigative Site 32 | Pembroke Pines | Florida | 33024 | United States |
| Forest Investigative Site 081 | Pembroke Pines | Florida | 33028 | United States |
| Forest Investigative Site 2 | Tamarac | Florida | 33321 | United States |
| Forest Investigative Site | Tampa | Florida | 33612 | United States |
| Forest Investigative Site 19 | West Palm Beach | Florida | 33401 | United States |
| Forest Investigative Site 44 | Atlanta | Georgia | 30312 | United States |
| Forest Investigative Site 5 | Augusta | Georgia | 30904 | United States |
| Forest Investigative Site 56 | Honolulu | Hawaii | 96814 | United States |
| Forest Investigative Site 57 | Meridian | Idaho | 83646 | United States |
| Forest Investigative Site 39 | Chicago | Illinois | 60607 | United States |
| Forest Investigative Site 37 | Wichita | Kansas | 67203 | United States |
| Forest Investigative Site | Baltimore | Maryland | 21204 | United States |
| Forest Investigative Site 20 | Baltimore | Maryland | 21209 | United States |
| Forest Investigative Site 50 | Oxon Hill | Maryland | 20745 | United States |
| Forest Investigative Site 21 | Saint Clair Shores | Michigan | 48081 | United States |
| Forest Investigative Site | Kansas City | Missouri | 64111 | United States |
| Forest Investigative Site | St Louis | Missouri | 63110 | United States |
| Forest Investigative Site | New Hyde Park | New York | 11042 | United States |
| Forest Investigative Site | New York | New York | 10032 | United States |
| Forest Investigative Site 7 | Charlotte | North Carolina | 28211 | United States |
| Forest Investigative Site 45 | Charlotte | North Carolina | 28262 | United States |
| Forest Investigative Site 24 | Morehead City | North Carolina | 28557 | United States |
| Forest Investigative Site 26 | Salisbury | North Carolina | 28144 | United States |
| Forest Investigative Site 18 | Wilmington | North Carolina | 28401 | United States |
| Forest Investigative Site 51 | Centerville | Ohio | 45459 | United States |
| Forest Investigative Site 48 | Cincinnati | Ohio | 45242 | United States |
| Forest Investigative Site 12 | Wadsworth | Ohio | 44281 | United States |
| Forest Investigative Site 17 | Charleston | South Carolina | 29407 | United States |
| Forest Investigative Site 46 | Columbia | South Carolina | 29201 | United States |
| Forest Investigative Site | North Charleston | South Carolina | 29406 | United States |
| Forest Investigative Site | Simpsonville | South Carolina | 29681 | United States |
| Forest Investigative Site 4 | Sioux Falls | South Dakota | 57104 | United States |
| Forest Investigative Site 10 | New Tazewell | Tennessee | 37825 | United States |
| Forest Investigative Site 52 | Corpus Christi | Texas | 78404 | United States |
| Forest Investigative Site 28 | Dallas | Texas | 75390 | United States |
| Forest Investigative Site 38 | Hurst | Texas | 76054 | United States |
| Forest Investigative Site 34 | Salt Lake City | Utah | 84102 | United States |
| Forest Investigative Site | St. George | Utah | 84790 | United States |
| Forest Investigative Site | Norfolk | Virginia | 23502 | United States |
| Forest Investigative Site 31 | Virginia Beach | Virginia | 23452 | United States |
| Forest Investigative Site 41 | Ponce | 00717 | Puerto Rico |
| Forest Investigative Site 60 | Salinas | 00751 | Puerto Rico |
| Forest Investigative Site 29 | Santurce | 00909 | Puerto Rico |
| FG001 |
| Metoprolol ER |
|
| FG002 | Hydrochlorothiazide (HCTZ) |
|
| COMPLETED |
|
| NOT COMPLETED |
|
|
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| ID | Title | Description |
|---|---|---|
| BG000 | Nebivolol |
|
| BG001 | Metoprolol ER |
|
| BG002 | Hydrochlorothiazide (HCTZ) |
|
| BG003 | 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 | Change From Baseline in Mean Glycosylated Hemoglobin (HbA1c) at Week 26 | Change from baseline in glycosylated hemoglobin (HbA1c) over 26 weeks, Last Observation Carried Forward. | Posted | Mean | Standard Deviation | Percentage | visit 5(week 0) and visit 14(week 26) |
|
|
| ||||||||||||||||||||||||||||||||
| Secondary | Change From Baseline in Insulin Resistance Based on Homeostasis Model Assessment of Insulin Resistance (HOMA-IR) | Change from Baseline in Insulin Resistance based on homeostasis model assessment of insulin resistance (HOMA-IR) at week 26, Last Observation Carried Forward (LOCF). The HOMA-IR is the the product of the blood Glucose and Insulin levels, divided by a constant. HOMA-IR is expressed as the following: HOMA-IR = fasting serum insulin (μU/ml) × fasting plasma glucose (mmol/l) / 22.5 | Posted | Mean | Standard Deviation | Unit on a scale | [visit 5(week 0) and visit 14(week 26)] |
|
Adverse Events were reported over a 12-month period, from September 2008 to August 2010.
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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 |
| 2 | 83 | 19 | 83 | ||
| EG001 | Metoprolol ER |
| 3 | 73 | 17 | 73 | ||
| EG002 | Hydrochlorothiazide (HCTZ) |
| 2 | 74 | 17 | 74 |
| Term | Organ System | Source Vocabulary | Assessment Type | Notes | Statistical Information |
|---|---|---|---|---|---|
| Abdominal pain | Gastrointestinal disorders | MedDRA (11.1) | Systematic Assessment |
| |
| Arrhythmia | Cardiac disorders | MedDRA (11.1) | Systematic Assessment |
| |
| Breast cancer metastatic | Neoplasms benign, malignant and unspecified (incl cysts and polyps) | MedDRA (11.1) | Systematic Assessment |
| |
| Cardiomegaly | Cardiac disorders | MedDRA (11.1) | Systematic Assessment |
| |
| Deep vain thrombosis postoperative | Injury, poisoning and procedural complications | MedDRA (11.1) | Systematic Assessment |
| |
| Diverticulitis | Infections and infestations | MedDRA (11.1) | Systematic Assessment |
| |
| Incision site cellulitis | Infections and infestations | MedDRA (11.1) | Systematic Assessment |
| |
| Intervertebral disc degeneration | Musculoskeletal and connective tissue disorders | MedDRA (11.1) | Systematic Assessment |
| |
| Osteoarthritis | Musculoskeletal and connective tissue disorders | MedDRA (11.1) | Systematic Assessment |
| |
| Pneumonia aspiration | Respiratory, thoracic and mediastinal disorders | MedDRA (11.1) | Systematic Assessment |
| |
| Spinal column stenosis | Musculoskeletal and connective tissue disorders | MedDRA (11.1) | Systematic Assessment |
|
| Term | Organ System | Source Vocabulary | Assessment Type | Notes | Statistical Information |
|---|---|---|---|---|---|
| Bradycardia | Cardiac disorders | MedDRA (11.1) | Systematic Assessment |
| |
| Cough | Respiratory, thoracic and mediastinal disorders | MedDRA (11.1) | Systematic Assessment |
| |
| Dizziness | Nervous system disorders | MedDRA (11.1) | Systematic Assessment |
| |
| Fatigue | General disorders | MedDRA (11.1) | Systematic Assessment |
| |
| Headache | Nervous system disorders | MedDRA (11.1) | Systematic Assessment |
| |
| Hyperglycaemia | Metabolism and nutrition disorders | MedDRA (11.1) | Systematic Assessment |
| |
| Nasopharyngitis | Infections and infestations | MedDRA (11.1) | Systematic Assessment |
| |
| Oedema peripheral | General disorders | MedDRA (11.1) | Systematic Assessment |
| |
| Upper Resiratory tract infection | Infections and infestations | MedDRA (11.1) | Systematic Assessment |
|
All data generated in this study will be the property of Forest Research Institute. An integrated clinical and statistical report will be prepared at the completion of the study.
Publication of the results by the Investigator will be subject to mutual agreement between the Investigator and Forest Research Institute.
| 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 |
| D003924 | Diabetes Mellitus, Type 2 |
| D003920 | Diabetes Mellitus |
| ID | Term |
|---|---|
| D014652 | Vascular Diseases |
| D002318 | Cardiovascular Diseases |
| D044882 | Glucose Metabolism Disorders |
| D008659 | Metabolic Diseases |
| D009750 | Nutritional and Metabolic Diseases |
| D004700 | Endocrine System Diseases |
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| ID | Term |
|---|---|
| D000068577 | Nebivolol |
| D008790 | Metoprolol |
| D006852 | Hydrochlorothiazide |
| 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 |
| D050198 | Phenoxypropanolamines |
| D011412 | Propanolamines |
| D020005 | Propanols |
| D002740 | Chlorothiazide |
| D001581 | Benzothiadiazines |
| D013449 | Sulfonamides |
| D013450 | Sulfones |
| D013457 | Sulfur Compounds |
| D049971 | Thiazides |
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| Patients greater than or equal to 65 years of age. |
|
| Male |
|
| Puerto Rico |
|
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|