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TerminatedNCT00547300Updated May 21, 2019Results posted

Study to Evaluate Symptoms in Patients Treated With Nebivolol or Metoprolol Extended-release (ER) for Hypertension

A Phase 3 interventional study of Metoprolol ER and Nebivolol in Hypertension, sponsored by Forest Laboratories. Terminated at 24 sites in United States. Open to participants aged 18 Years to 80 Years. Per ClinicalTrials.gov, last updated 2019-05-21.

Sponsored by Forest Laboratories · Phase 3, Interventional, and Treatment

Phase
Phase 3
Study type
Interventional
Enrollment
49
Allocation
Randomized
Ages
18 Years to 80 Years
Sex
All
01

Study summary

The purpose of this study was to compare the tolerability of nebivolol to metoprolol ER in a general population of patients with mild to moderate hypertension receiving hydrochlorothiazide (HCTZ)

Read the detailed description

This study was an 18-week study to evaluate the tolerability of nebivolol compared to metoprolol ER in outpatients with mild to moderate hypertension taking HCTZ. It is a multi-center, randomized, double blind (DB), active-control, parallel-group study, starting with a 4-week HCTZ run-in phase, followed by a 12-week DB treatment phase. Patients meeting the entry criteria at the end of run-in are randomized to one of two treatment groups, nebivolol or metoprolol ER. Up-titration of dose of study drug will occur if needed during the first 4 weeks of the DB phase, after which there is an 8-week stable-dose period of treatment. A 2-week double-blind withdrawal phase follows, during which tapering off study drug occurs.

02

Conditions studied

  • Hypertension

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Keywords

  • Hypertension
  • Nebivolol
  • Beta blocker
  • Tolerability
03

In context

Hypertension

6,689 studies on the registry are indexed under Hypertension; 964 are open to participants now.

This study's enrollment of 49 is below the median of 90 across 4,994 interventional studies indexed under Hypertension.

Browse Hypertension studies →

Lead sponsor

Forest Laboratories is the lead sponsor of 165 studies on the registry; none are open to participants now.

Of its 6 completed or terminated interventional studies of FDA-regulated products, 6 (100%) have results posted.

Counted across the registry records on this site, refreshed daily.

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Who can participate

Ages eligible
18 Years to 80 Years
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

  • Male or female, ambulatory outpatients
  • History of hypertension being treated with two medications, one of which must be HCTZ and the other of which must not be a beta-blocker or clonidine
  • SBP of 135-155 mm Hg and/or DBP of >85 mm Hg at screening (Visit 1)
  • SBP of 140-165 mm Hg and DBP > 90 mmHg at randomization (Visit 3)

Exclusion criteria

Exclusion Criteria:

  • Treatment with a beta-blocker or clonidine within 6 months of screening (Visit 1)
  • Clinically significant respiratory disease (e.g., bronchial asthma, reactive airways disease, chronic obstructive pulmonary disease)
  • Coronary artery disease requiring treatment with a calcium channel blocker or nitrates
  • Clinically significant cardiovascular disease (e.g., myocardial infarction, cerebrovascular event, significant arrhythmia) within 6 months of screening (Visit 1)
  • History of severe mental illness (including Major Depressive Disorder, psychosis, dementia, bipolar disorder) within 6 months of screening (Visit 1)
  • Use of antipsychotic medication (e.g., dopamine receptor antagonists, serotonin dopamine receptor antagonists) or antidepressants
  • Diabetes mellitus, type I or II
  • Participation in a previous investigational study of nebivolol at any time
  • Receipt of treatment with an investigational study drug within 30 days of screening (Visit 1)
  • History of hypersensitivity to nebivolol, metoprolol ER, other beta-blockers, HCTZ, or other sulfonamide-derived drugs
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Study design

Phase
Phase 3
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Triple (Participant, Investigator, Outcomes assessor)
Enrollment
49 participants (actual)

Study arms

  • Experimental
    Nebivolol

    Nebivolol 5 mg, 10 mg or 20 mg

    Drug: Nebivolol

  • Active comparator
    Metoprolol ER

    Metoprolol ER 50 mg, 100 mg or 200 mg

    Drug: Metoprolol ER

Interventions

  • DrugMetoprolol ER

    Metoprolol ER once daily, oral administration

  • DrugNebivolol

    Nebivolol once daily, oral administration

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What researchers measure

Primary outcomes

  1. Change From Baseline in the Patient Symptoms Questionnaire (PSQ) Derived Score

    The PSQ contained 44 possible symptoms rated from 0 (no discomfort) to 5 (extreme discomfort).

    Time frame: Measurements occured over a 14 week period, from Visit 2 (Week -2) to Visit 10 (Week 12)

Secondary outcomes

  1. Peripheral Blood Pressure (BP)

    Time frame: Measurements occured over a 18 week period, from Visit 1 (Week -4) through Visit 11 (Week 14)

  2. Pulse Rate

    Time frame: Measurements occured over a 18 week period, from Visit 1 (Week -4) through Visit 11 (Week 14)

07

Results

Posted May 21, 2019
Limitations and caveats
Study was terminated early due to administrative reasons. Formal analyses of primary and secondary endpoints were not conducted in this study.

Participant flow

Patient recruitment occurred over a four month period from October 2007 to January 2008 at 39 US sites.

Participant flow — Overall Study
MilestoneNebivololMetoprolol Extended-Release (ER)
Started2526
Completed00
Not completed2526
Withdrew: Study was administratively terminated2524
Withdrew: Did not meet entry criteria02

Outcome measures

PrimaryChange From Baseline in the Patient Symptoms Questionnaire (PSQ) Derived Score

The PSQ contained 44 possible symptoms rated from 0 (no discomfort) to 5 (extreme discomfort).

Time frame:
Measurements occured over a 14 week period, from Visit 2 (Week -2) to Visit 10 (Week 12)

No measurements were reported for this outcome.

SecondaryPeripheral Blood Pressure (BP)
Time frame:
Measurements occured over a 18 week period, from Visit 1 (Week -4) through Visit 11 (Week 14)

No measurements were reported for this outcome.

SecondaryPulse Rate
Time frame:
Measurements occured over a 18 week period, from Visit 1 (Week -4) through Visit 11 (Week 14)

No measurements were reported for this outcome.

Adverse events

Collected over Adverse Event data was collected over a four month period from October 2007 to January 2008.. Non-serious events are listed at a 5% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
Nebivolol0/25 (0%)0/25 (0%)5/25 (20%)
Metoprolol Extended-Release (ER)0/26 (0%)0/26 (0%)3/24 (12.5%)
Most frequent other events
Most frequent other events
EventNebivololMetoprolol Extended-Release (ER)
HeadacheNervous system disorders1/252/24
PainGeneral disorders2/250/24
CoughRespiratory, thoracic and mediastinal disorders2/250/24
RhinorrhoeaRespiratory, thoracic and mediastinal disorders2/250/24
NasopharyngitisInfections and infestations2/251/24

Baseline characteristics

Age, Categorical
Age, Categorical(Participants)NebivololMetoprolol Extended-Release (ER)Total
<=18 years000
Between 18 and 65 years221941
>=65 years358
Age, Continuous
Age, Continuous(years)NebivololMetoprolol Extended-Release (ER)Total
Mean55.0 ± 8.6757.0 ± 9.3256.0 ± 8.95
Sex: Female, Male
Sex: Female, Male(Participants)NebivololMetoprolol Extended-Release (ER)Total
Female131124
Male121325
Region of Enrollment
Region of Enrollment(Participants)NebivololMetoprolol Extended-Release (ER)Total
United States252449
08

Study locations

24 sites
  • Forest Research Institute 014
    Birmingham, Alabama 35205, United States
  • Forest Research Institute 028
    Beverly Hills, California 90211, United States
  • Forest Research Institute 054
    Encinitas, California 92024, United States
  • Forest Research Institute 025
    Roseville, California 95661, United States
  • Forest Research Institute 013
    Tustin, California 92780, United States
  • Forest Research Institute 053
    Vista, California 92083, United States
  • Forest Research Institute 052
    Walnut Creek, California 94598, United States
  • Forest Research Institute 033
    Westlake Village, California 91361, United States
  • Forest Research Institute 010
    DeLand, Florida 32720, United States
  • Forest Research Institute 019
    Holly Hill, Florida 32117, United States
  • Forest Research Institute 036
    Hollywood, Florida 33023, United States
  • Forest Research Institute 007
    Pembroke Pines, Florida 33024, United States
  • Forest Research Institute 009
    Atlanta, Georgia 30338, United States
  • Forest Research Institute 006
    Oxon Hill, Maryland 20745, United States
  • Forest Research Institute 027
    Las Vegas, Nevada 89106, United States
  • Forest Research Institute 050
    Salisbury, North Carolina 28144, United States
  • Forest Research Institute 039
    Wilmington, North Carolina 28401, United States
  • Forest Investigative Site 002
    Charleston, South Carolina 29407, United States
  • Forest Research Institute 032
    Greenville, South Carolina 29615, United States
  • Forest Research Institute 008
    Nashville, Tennessee 37203, United States
  • Forest Research Institute 003
    Carrollton, Texas 75006, United States
  • Forest Research Institute 012
    San Antonio, Texas 78229, United States
  • Forest Research Institute 048
    Sugar Land, Texas 77479, United States
  • Forest Research Institute 040
    Bountiful, Utah 84010, United States
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References and documents

Related links

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Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on May 21, 2019, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
11

Registry details

Key details

Study ID
NCT00547300
Lead sponsor
Forest Laboratories
Collaborators
Mylan Laboratories
Responsible party
Sponsor
First posted
Oct 22, 2007
Start date
Oct 31, 2007
Primary completion
Jan 2, 2008
Completion
Jan 2, 2008
Results posted
May 21, 2019
Last update
May 21, 2019
View the source record on ClinicalTrials.gov ↗

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