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The primary objective is to compare the extent of reduction of mean Seated Diastolic Blood Pressure (SeDBP) at the end of 8 weeks between each Fixed Dose Combination (FDC), its individual constituents administered as monotherapy and placebo.
The secondary objectives are:
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Placebo | Placebo Comparator | Before randomization (common with other arms): There is an initial washout (placebo run-in) period of 2 weeks for subjects already on anti-hypertensive monotherapy. After randomization: 8 weeks of treatment with placebo once a day. |
|
| Irbesartan 150mg | Active Comparator | Before randomization (common with other arms): There is an initial washout (placebo run-in) period of 2 weeks for subjects already on anti-hypertensive monotherapy. After randomization: 8 weeks of treatment with Irbesartan 150 mg once a day. |
|
| Irbesartan 150 mg / Amlodipine 5 mg | Active Comparator | Before randomization (common with other arms): There is an initial washout (placebo run-in) period of 2 weeks for subjects already on anti-hypertensive monotherapy. After randomization: 8 weeks of treatment with Irbesartan 150 mg / Amlodipine 5 mg once a day. |
|
| Amlodipine | Active Comparator | Before randomization (common with other arms): There is an initial washout (placebo run-in) period of 2 weeks for subjects already on anti-hypertensive monotherapy. After randomization: 8 weeks of treatment with Amlodipine 5 mg once a day. |
|
| Irbesartan 300 mg |
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| IRBESARTAN (SR47436) | Drug | Oral administration of Irbesartan 150mg or 300mg once a day |
|
| Measure | Description | Time Frame |
|---|---|---|
| Difference in mean change in SeDBP between each FDC, its individual constituents administered as monotherapy and placebo | At week 0, week 2, week 4 and week 8 |
| Measure | Description | Time Frame |
|---|---|---|
| Difference in mean change in SeSBP between each FDC, its individual constituents administered as monotherapy and placebo | At week 0, week 2, week 4 and week 8 | |
| Difference in mean change in SeDBP and SeSBP between each FDC, its individual constituents administered as monotherapy and placebo |
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Inclusion criteria:
Subjects with uncomplicated mild to moderate essential hypertension (as per European Society of Cardiology Classification of Hypertension)
Signed written informed consent obtained prior to inclusion in the study.
Subjects willing to adhere to protocol and study requirements during the entire study duration.
Subjects having no abnormalities in general physical examination.
Exclusion criteria:
Subjects who are incapable of giving informed consent for the study.
Subjects with SeDBP > or = 110mmHg and / or SeSBP > or = 180 mmHg measured at Doctor's office during screening or randomization visit
Subjects having a difference of > 8 mmHg between any 2 of the 3 SeDBP measurements either at screening or at randomization.
Subjects who are on any anti-hypertensive therapy and unable to discontinue the anti-hypertensive therapy safely for a period of at least 2 weeks as required by the protocol.
Subjects who cannot be discontinued on medications prohibited by the protocol.
Subjects on combination therapies for treatment of hypertension.
Subjects with known documented secondary hypertension including (but not limited to) hypertension secondary to coarctation of aorta, hyperaldosteronism, unilateral or bilateral renal artery stenosis, Cushing's disease, pheochromocytoma, polycystic kidney disease, etc.
Subjects with known diabetes (Type 1 or Type 2).
Subjects with known documented complications of hypertension including (but not limited to):
Subjects with known severe renal impairment (creatinine clearance < 30 ml/min) calculated using the Cockcroft-Gault equation.
Subjects with hyperkalemia (>5.1mmol/L) and/or hyponatremia (<133mmol/L).
Subjects with known severe hepatic impairment (alanine aminotransferase (ALT) or aspartate aminotransferase (AST) > 3 times the upper limit of normal or history of hepatic encephalopathy, esophageal varices, or portocaval shunt.
Subjects with clinically significant abnormalities on ECG
Subjects with any other clinical condition which, in the opinion of the Investigator, might interfere with administration of Irbesartan or Amlodipine and evaluation of the study objectives.
Subjects with known history of allergy considered due to any of the study drugs or their components, including excipients (lactose) and preservatives.
Subjects with known history of substance abuse (drug or alcohol dependency, alcohol, if not stopped, <20gms per day will be allowed during the study period).
Subjects known positive for HIV 1 or 2 virus.
Subjects with known or suspected impairment of the immune function, and/or receiving immunosuppressive therapy, or having received immunosuppressive therapy within 30 days prior to study entry.
Subjects who have received any other investigational drug within 30 days before inclusion.
Pregnant (demonstrating a positive serum (ß-HCG) pregnancy test at screening visit) or lactating female subjects.
Subjects and partners unwilling to employ adequate contraception during the course of the study.
The above information is not intended to contain all considerations relevant to a patient's potential participation in a clinical trial.
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| Name | Affiliation | Role |
|---|---|---|
| Sanjay Aggarwal, MD | Sanofi | Study Director |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Sanofi-Aventis Administrative Office | Mumbai | India | ||||
| Sanofi-Aventis Administrative Office |
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| ID | Term |
|---|---|
| D006973 | Hypertension |
| ID | Term |
|---|---|
| D014652 | Vascular Diseases |
| D002318 | Cardiovascular Diseases |
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| ID | Term |
|---|---|
| D000077405 | Irbesartan |
| D017311 | Amlodipine |
| ID | Term |
|---|---|
| D001713 | Biphenyl Compounds |
| D001555 | Benzene Derivatives |
| D006841 | Hydrocarbons, Aromatic |
| D006844 | Hydrocarbons, Cyclic |
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| Active Comparator |
Active Comparator: Irbesartan Before randomization (common with other arms): There is an initial washout (placebo run-in) period of 2 weeks for subjects already on anti-hypertensive monotherapy. After randomization: 8 weeks of treatment with Irbesartan 300 mg once a day. |
|
| Irbesartan 300 mg / Amlodipine 5 mg | Active Comparator | Before randomization (common with other arms): There is an initial washout (placebo run-in) period of 2 weeks for subjects already on anti-hypertensive monotherapy. After randomization: 8 weeks of treatment with Irbesartan 300 mg / Amlodipine 5 mg once a day. |
|
| Amlodipine | Drug | Oral administration of Amlodipine 5mg once a day |
|
| Irbesartan / Amlodipine | Drug | Oral administration of Irbesartan 150 mg / Amlodipine 5mg or Irbesartan 300mg / Amlodipine 5mg once a day |
|
| Placebo | Drug | Oral administration of a placebo once a day |
|
| At week 0, week 2, week 4 |
| Makati City |
| Philippines |
| Sanofi-Aventis Administrative Office | Seoul | South Korea |
| Sanofi-Aventis Administrative Office | Taipei | Taiwan |
| D006838 |
| Hydrocarbons |
| D009930 | Organic Chemicals |
| D013141 | Spiro Compounds |
| D013777 | Tetrazoles |
| D001393 | Azoles |
| D006573 | Heterocyclic Compounds, 1-Ring |
| D006571 | Heterocyclic Compounds |
| D011083 | Polycyclic Compounds |
| D004095 | Dihydropyridines |
| D011725 | Pyridines |