Clinical trial

A Prospective, Multinational, Multicenter Trial to Compare the Effects of Amlodipine/Benazepril to Benazepril and Hydrochlorothiazide Combined on the Reduction of Cardiovascular Morbidity and Mortality in Patients With High Risk Hypertension

Name
CCIB002I2301
Description
A comparison study of two combination drugs, amlodipine/benazepril and benazepril/HCTZ to evaluate the effectiveness of the combination on reducing heart disease and death in a high risk hypertensive population.
Trial arms
Trial start
2003-10-01
Estimated PCD
2008-01-01
Trial end
2008-05-01
Status
Terminated
Phase
Early phase I
Treatment
Benazepril/amlodipine 20/5 mg - Dose Level 1 from Day 1 to Month 1
Benazepril hydrochloride (HCl)/amlodipine besylate 10/5 mg capsules for oral administration once daily.
Arms:
Benazepril/amlodipine
Benazepril/amlodipine 40/5 mg - Dose Level 2 from Month 1 to Month 2
Benazepril hydrochloride (HCl)/amlodipine besylate 20/5 mg capsules for oral administration once daily.
Arms:
Benazepril/amlodipine
Benazepril/amlodipine 40/10 mg - Dose Level 3 from Month 2 to Month 3 and thereafter
Benazepril hydrochloride (HCl)/amlodipine besylate: 40/10 mg capsules for oral administration once daily. Patients titrated to this dose level had the possibility of subsequent free add-on antihypertensive agents after month 3 based on target blood pressure.
Arms:
Benazepril/amlodipine
Benazepril/hydrochlorothiazide 20/12.5 mg - Dose Level 1 from Day 1 to Month 1
Benazepril hydrochloride (HCl)/hydrochlorothiazide (HCTZ) 20/12.5 mg capsules for oral administration once daily.
Arms:
Benazepril/hydrochlorothiazide
Benazepril/hydrochlorothiazide 40/12.5 mg - Dose Level 2 from Month 1 to Month 2
Benazepril hydrochloride (HCl)/hydrochlorothiazide (HCTZ) 40/12.5 mg capsules for oral administration once daily.
Arms:
Benazepril/hydrochlorothiazide
Benazepril/hydrochlorothiazide 40/25 mg - Dose Level 3 from Month 2 to Month 3 and thereafter
Benazepril hydrochloride (HCl)/hydrochlorothiazide (HCTZ) 40/25 mg capsules for oral administration once daily. Patients titrated to this dose level had the possibility of subsequent free add-on antihypertensive agents after month 3 based on target blood pressure.
Arms:
Benazepril/hydrochlorothiazide
Size
11506
Primary endpoint
Time-to-event Analysis of Percentage of Patients With a Composite Cardiovascular (CV) Morbidity or Mortality Event
For each patient, baseline to time of first CV morbidity or mortality event (or last exposure if no event occurred). (Median duration of exposure was 33.4 months. [25th to 75th percentiles: 21 to 41 months.])
Eligibility criteria
Inclusion Criteria: * At least 55 years of age. * Previously untreated or treated hypertension. * For patients \>= 60 years, evidence of at least one CV disease or target organ damage, or for patients 55-59 years evidence of at least two CV diseases or target organ damage from two different organ systems as defined in the protocol. Exclusion Criteria: * Allergy to any of the drugs administered in this trial. * Current angina pectoris (ie, no anginal event requiring NTG within 1 month prior to Visit 1). * Secondary hypertension. * Refractory hypertension defined as SBP \>= 180 mmHg and/or DBP \>= 110 mmHg unresponsive to triple-drug regimens of sympatholytics, diuretics and vasodilators. * History of symptomatic heart failure (NYHA classes II-IV) or ejection fraction \< 40%. * Myocardial infarction, coronary revascularization (CABG or PCI), unstable angina within one month of Visit 1. * Stroke or transient ischemic event (TIA) within 3 months of Visit 1. * Significant obstructive valvular cardiovascular disease or any valvular disease expected to lead to surgery during the course of the study. * Evidence of hepatic disease (AST or ALT values \>= 2 X upper limit of normal). * Impaired renal function (serum creatinine \>= 2.5 mg/dL (221 µmol/L)). * Baseline serum potassium of \> 5.2 meq/L not on potassium supplements. * History of malignancy including leukemia and lymphoma (but not basal cell skin cancer) within the last 5 years. * History of clinically significant auto immune disorders such as Systemic Lupus Erythematosus. * Significant non-cardiovascular illness or condition likely to result in death prior to trial completion, e.g., major organ transplant (life expectancy \<5 years). * Significant cardiovascular disease such as an aortic aneurysm ≥ 6 cm, likely requiring surgical intervention during the course of the study. Other protocol-defined exclusion criteria applied to the study.
Protocol
{'studyType': 'INTERVENTIONAL', 'phases': ['PHASE3'], 'designInfo': {'allocation': 'RANDOMIZED', 'interventionModel': 'PARALLEL', 'primaryPurpose': 'TREATMENT', 'maskingInfo': {'masking': 'DOUBLE', 'whoMasked': ['PARTICIPANT', 'INVESTIGATOR']}}, 'enrollmentInfo': {'count': 11506, 'type': 'ACTUAL'}}
Updated at
2023-10-24

1 organization

3 products

1 indication

Indication
Hypertension
Organization
Novartis