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To compare the efficacy and safety of two dose adjustment regimens (i.e. weight-based and non-weight-based) for the treatment of Chinese hypertensive emergency patients.
This study is a prospective, multi-center, open-label, randomized and controlled study. Subjects are selected from hypertensive emergency patients with a BP (Blood Pressure) of >180/120mmHg (SBP/DBP) and accompany with end target organ damage. All subjects are randomized into two groups receiving the Nicardipine Injection: Control Group (at a weight-based dose adjustment, i.e. according to the current Package Insert approved by SFDA) and Study Group (at a non-weight-based dose adjustment, i.e. according to the Package Insert approved by FDA).
Patients meet the inclusion/exclusion criteria are randomly allocated at 1:1 proportion to Control Group and Study Group. Before the treatment, investigators should define the target BP value for every subject according to different illness state, According to the BP, the dose of Nicardipine Injection is adjusted through different methods until reaching of target BP value. After reaching target BP value or 60min after the dosing initiation, BP and pulse rate are measured every 5~15min for 2h. Two to six hours after dosing, BP should be controlled at 160/100~110mmHg, and the maintenance dose is determined by the investigators according to the illness state.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Weight-based adjustment group | Active Comparator | Dosage regimen according to the current Package Insert approved by SFDA |
|
| Non-weight-based adjustment group | Experimental | Dosage regimen according to the Package Insert approved by FDA |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Perdipine injection | Drug | IV |
|
| Measure | Description | Time Frame |
|---|---|---|
| Percentage of patients with target BP | The target BP value is defined by investigators for every subject according to different illness state | After 60 minutes of the treatment |
| Measure | Description | Time Frame |
|---|---|---|
| Blood pressure after the 6 hour treatment | At 6 hours | |
| The time to get target BP | The target BP value is defined by investigators for every subject according to different illness state | Within 2 hours after treatment |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Medical Director | Astellas Pharma Inc | Study Director |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Beijing | Beijing Municipality | 100005 | China | |||
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| Label | URL |
|---|---|
| Link to results on Astellas Clinical Study Results Web site | View source |
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| ID | Term |
|---|---|
| D006973 | Hypertension |
| ID | Term |
|---|---|
| D014652 | Vascular Diseases |
| D002318 | Cardiovascular Diseases |
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| ID | Term |
|---|---|
| D009529 | Nicardipine |
| ID | Term |
|---|---|
| D004095 | Dihydropyridines |
| D011725 | Pyridines |
| D006573 | Heterocyclic Compounds, 1-Ring |
| D006571 | Heterocyclic Compounds |
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| Safety assessed by the incidence of adverse events, vital signs and labo tests | For 6 hours |
| Shijiazhuang |
| Hebei |
| 050000 |
| China |
| Harbin | Heilongjiang | 150086 | China |
| Ürümqi | Xinjiang | 830001 | China |
| Wuhan | 430050 | China |