CClinicalTrials.gg
WithdrawnNCT02047019Updated May 22, 2017

Monotherapy-Controlled Study of Nifedipine Gastrointestinal Therapeutic System and Candesartan Cilexetil in Combination in Subjects With Essential Hypertension Inadequately Controlled on Candesartan Cilexetil

A Phase 3 interventional study of Nifedipine GITS/Candesartan Cilexetil FDC(BAY98-7106) and Nifedipine GITS/Candesartan Cilexetil FDC(BAY98-7106) in Hypertension, sponsored by Bayer. Withdrawn at 8 sites in Italy. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2017-05-22.

Sponsored by Bayer · Phase 3, Interventional, and Treatment

Why this study was withdrawn
GPDC decided to terminate the study
Phase
Phase 3
Study type
Interventional
Enrollment
0
Allocation
Randomized
Ages
18 Years and older
Sex
All
01

Study summary

This study examines the efficacy and safety of the Fixed Dose combination BAY98-7106 (nifedipine plus candesartan) in patients with hypertension, who do not achieve adequate control of blood pressure with candesartane alone.

Patients meeting the entry criteria, will receive candesartan alone 16mg in the first five weeks of the study to assess blood pressure control with candesartan given alone.

Patients with an insufficient therapeutic response to candesartan alone (defined by mean seated systolic blood pressure >/=140 mm/Hg) will enter the next part of the study, and will be randomly assigned to one of 3 treatments ( candesartan alone 16mg, combination nifedipine / candesartan 30/16 mg, combination nifedipine / candesartan 60/16 mg). Neither patient nor the treating physician will know which treatment is given (double-blinded design).This part of the study will last eight weeks.

02

Conditions studied

  • Hypertension

Keywords

  • Drug combination
  • Nifedipine GITS
  • Candesartan Cilexetil
  • Hypertension
  • Combination therapy
03

In context

Hypertension

6,689 studies on the registry are indexed under Hypertension; 965 are open to participants now.

Browse Hypertension studies →

Lead sponsor

Bayer is the lead sponsor of 1,643 studies on the registry; 57 are open to participants now.

Of its 209 completed or terminated interventional studies of FDA-regulated products, 129 (62%) have results posted.

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

04

Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

  • Male and female subjects 18 years or older are eligible.
  • At Visit 0, subjects not treated with antihypertensive medications are to have MSSBP (mean seated systolic blood pressure) of >/= 160 mmHg and \< 200 mmHg, and 24 hours MASBP (mean ambulatory systolic blood pressure) >/= 130 mmHg; those subjects treated with antihypertensive medication are to have MSSBP >/= 150 mmHg and \< 200 mmHg as measured by a calibrated electronic BP measuring device
  • At Visit 3,subject must have MSSBP >/= 140 mmHg before randomization.
  • Women of childbearing potential and men must agree to use adequate contraception other than hormonal contraceptives when sexually active. This applies since signing of the IC (informed consent)form until the last study drug administration.

Exclusion criteria

  • Mean seated systolic blood pressure (MSSBP) >/= 200 mmHg and/or mean seated diastolic blood pressure (MSDBP) >/= 120 mm/Hg
  • Mean seated diastolic blood pressure (MSDBP) \< 60 mm/Hg
  • Differences greater than 20 mmHg for systolic blood pressure (SBP) and 10 mmHg for diastolic blood pressure (DBP) are present on 3 consecutive blood pressure readings at visit 0
  • Evidence of secondary hypertension such as coarctation of the aorta, pheochromocytoma, hyperaldosteronism, etc.
  • Cerebrovascular ischemic event (stroke, transient ischemic attack [TIA]) within the previous 12 months
  • History of hypertensive retinopathy - known Keith-Wagener Grade III or IV. Any history of heart failure, New York Heart Association (NYHA) classification III or IV
  • Severe coronary heart disease as manifest by a history of myocardial infarction or unstable angina in the last 6 months prior to visit 0
  • Clinically significant cardiac valvular disease
  • Subjects with an aortic aneurysm that, in the opinion of the investigator, will be unsuitable to be enrolled in the study.
  • Type 1 diabetes mellitus (DM) or poorly controlled Type 2 DM as evidenced by glycosylated hemoglobin HbA1C of greater than 9% on visit 0
05

Study design

Phase
Phase 3
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Quadruple (Participant, Care provider, Investigator, Outcomes assessor)
Enrollment
0 participants (actual)

Study arms

  • Active comparator
    Candesartan

    Treatment with 1 capsule and 2 tablets once daily in the morning for 8 weeks (Candesartan 16 mg, Placebo combination A, Placebo combination B)

    Drug: Candesartan Cilexetil · Drug: Nifedipine GITS/Candesartan Cilexetil FDC(BAY98-7106) 30/16mg matching placebo · Drug: Nifedipine GITS/Candesartan Cilexetil FDC(BAY98-7106)

  • Experimental
    Nifedipine/Candesartan-30/16

    Treatment with 1 capsule and 2 tablets once daily in the morning for 8 weeks (Candesartan placebo, Placebo combination A, Combination nifedipine / candesartan 30/16 mg)

    Drug: Nifedipine GITS/Candesartan Cilexetil FDC(BAY98-7106) · Drug: Candesartan matching placebo

  • Experimental
    Nifedipine/Candesartan-60/16

    Treatment with 1 capsule and 2 tablets once daily in the morning for 8 weeks (Candesartan placebo, Placebo combination B, Combination nifedipine / candesartan 60/16 mg)

    Drug: Nifedipine GITS/Candesartan Cilexetil FDC(BAY98-7106) · Drug: Candesartan matching placebo · Drug: Nifedipine GITS/Candesartan Cilexetil FDC(BAY98-7106) 30/16mg matching placebo

Interventions

  • DrugNifedipine GITS/Candesartan Cilexetil FDC(BAY98-7106)

    Nifedipine GITS/Candesartan Cilexetil FDC(BAY98-7106), 30/16 mg, tablet, orally, once daily

  • DrugNifedipine GITS/Candesartan Cilexetil FDC(BAY98-7106)

    Nifedipine GITS/Candesartan Cilexetil FDC(BAY98-7106), 60/16 mg, tablet, orally, once daily

  • DrugCandesartan Cilexetil

    Candesartan Cilexetil, 16 mg, capsule, orally, once daily

  • DrugCandesartan matching placebo

    Candesartan matching placebo, capsule, orally, once daily

  • DrugNifedipine GITS/Candesartan Cilexetil FDC(BAY98-7106) 30/16mg matching placebo

    Nifedipine GITS/Candesartan Cilexetil FDC(BAY98-7106) 30/16mg matching placebo, tablet, orally, once daily

  • DrugNifedipine GITS/Candesartan Cilexetil FDC(BAY98-7106)

    Nifedipine GITS/Candesartan Cilexetil FDC(BAY98-7106), 60/16mg matching placebo, tablet, orally, once daily

06

What researchers measure

Primary outcomes

  1. Change in mean seated systolic blood pressure (MSSBP).

    Time frame: From baseline to treatment week 8

Secondary outcomes

  1. Change in mean seated diastolic blood pressure (MSDBP).

    Time frame: From baseline to treatment week 8

  2. Blood pressure Response Rate

    Response rate is defined as the percentage of subjects achieving a systolic blood pressure (SBP) response (MSSBP of \< 140 mmHg or a reduction of MSSBP of \> 20 mm Hg from baseline value), or a diastolic blood pressure (DBP) response (i.e. MSDBP of \< 90 mmHg or a reduction of MSDBP of \> 10 mm Hg from baseline value) after 8 weeks treatment.

    Time frame: Treatment week 8

  3. Blood pressure Control Rate

    Control rate is the percentage of subjects that reach the predetermined blood pressure(BP) target \< 140/90 mmHg. In addition, the percentage of subjects that reach the predetermined BP target \< 140/90 mmHg for subjects without diabetes or chronic renal disorder(baseline estimated glomerular filtration rate(GFR) \< 60 mL/min); \<130/80 mmHg for subjects with diabetes or chronic renal disorder will be provided as well.

    Time frame: Treatment week 8

  4. Mean change in systolic blood pressure and diastolic blood pressure in ambulatory blood pressure monitoring over 24 hours.

    Time frame: Treatment week 8

  5. Number of participants with adverse events as a measure of safety and tolerability.

    Time frame: Treatment week 8

07

Study locations

8 sites
  • Fondazione Università G.D'Annunzio
    Chieti, Abruzzo 66100, Italy
  • A.O.U. di Bologna Policlinico S.Orsola Malpighi
    Bologna, Emilia-Romagna 40138, Italy
  • AAS 3 Friuli Alto Medio Collin
    Udine, Friuli-Venezia Giulia 33038, Italy
  • Fondazione Salvatore Maugeri
    Pavia, Lombardia 27100, Italy
  • IRCCS Ist Neurologico Mediterraneo
    Isernia, Molise 86077, Italy
  • A.O.U. di Sassari
    Sassari, Sardegna 07100, Italy
  • A.O.U. Pisana
    Pisa, Toscana 56126, Italy
  • AULSS 07 Pieve Soligo
    Treviso, Veneto 31029, Italy
08

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on May 22, 2017, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
09

Registry details

Key details

Study ID
NCT02047019
Lead sponsor
Bayer
Responsible party
Sponsor
First posted
Jan 28, 2014
Start date
Dec 1, 2017 (estimated)
Primary completion
Dec 8, 2019 (estimated)
Completion
Dec 8, 2019 (estimated)
Last update
May 22, 2017

Study contacts

Bayer Study Director
study director · Bayer

Oversight

Data monitoring committee
No
FDA-regulated drug
Yes
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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