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CompletedNCT03194633ADRENALUpdated Jul 9, 2021

Effectiveness and Tolerability of Long-Acting Nifedipine Gastrointestinal Therapeutic System in Chronic Kidney Disease With Uncontrolled Hypertension Patients, a Prospective, Multicenter, Observational Study

An observational study in Hypertension, sponsored by Bayer. Completed at 1 site in China. Open to participants aged 18 Years to 70 Years. Per ClinicalTrials.gov, last updated 2021-07-09.

Sponsored by Bayer · Observational

Study type
Observational
Model
Cohort
Time perspective
Prospective
Enrollment
871
Ages
18 Years to 70 Years
Sex
All
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Study summary

Chronic kidney disease (CKD) and hypertension are two closely related common chronic diseases that have serious implications to human health. Hypertension is a major cause for progression of renal disease and a risk factor for cardiovascular disease (CVD). Control of Blood Pressure (BP) to target is now considered to be the main goal in the treatment of patients with CKD.

In clinical practice, it is difficult for CKD patients with hypertension to achieve systolic BP (SBP) or diastolic BP (DBP) goal; oftentimes, calcium channel blocker (CCB) class of drugs, for example, nifedipine gastrointestinal therapeutic system (GITS), is used in such patients. Previous data have demonstrated nifedipine to be having a significant dose-response relationship; that is, nifedipine 60 mg provided better BP reduction than 30 mg. However, there are limited studies that have evaluated the efficacy and tolerability of nifedipine GITS 60 mg in Chinese CKD patients with hypertension. Hereby, the objective of this study was to evaluate the effectiveness and tolerability of nifedipine GITS 60 mg treatment in a large cohort of CKD patients with uncontrolled hypertension.

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Conditions studied

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In context

Kidney Diseases

3,840 studies on the registry are indexed under Kidney Diseases; 500 are open to participants now.

This study's enrollment of 871 is above the median of 192 across 1,033 observational studies indexed under Kidney Diseases.

Browse Kidney Diseases 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.

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Who can participate

Ages eligible
18 Years to 70 Years
Sexes eligible
All
Accepts healthy volunteers
No
Sampling method
Non-probability sample

Study population

Patients who are prescribed 60-mg nifedipine GITS (once per day) and meet the inclusion/exclusion criteria will be enrolled into the study.

Inclusion criteria

  • Male and female patients aged 18-70 years
  • Patients diagnosed with CKD (Estimated Glomerular Filtration Rate (eGFR) >15 mL/min/1.73 m*2) and hypertension without dialysis/replacement therapy
  • Patients with uncontrolled hypertension (office SBP ≥140 mmHg and DBP ≥ 80 mmHg) who have received Renin-Angiotensin System Inhibitors (RASI) treatment or have not received RASI treatment because of any contraindications
  • Patients who haven't received nifedipine GITS 60 mg (once per day) previously
  • Patients for whom the decision to initiate treatment with nifedipine GITS 60 mg was made as per the investigator's routine treatment practice
  • Signed informed consent
  • No participation in an investigational program with interventions outside of routine clinical practice

Exclusion criteria

Exclusion Criteria:

  • Have a contraindication to nifedipine GITS according to the approved prescribing information
  • Patients participating in an investigational program with interventions outside of routine clinical practice
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Study design

Observational model
Cohort
Time perspective
Prospective
Enrollment
871 participants (actual)
Patient registry
No

Groups and cohorts

  • Nifedipine controlled-release tablets(Nifedipine GITS, ADALAT, BAYA1040)

    Male and female patients with a diagnosis of CKD and hypertension (age, 18-70 years) was enrolled.

    Drug: Nifedipine controlled-release tablets(Nifedipine GITS, ADALAT, BAYA1040)

Interventions

  • DrugNifedipine controlled-release tablets(Nifedipine GITS, ADALAT, BAYA1040)

    Nifedipine GITS 60 mg (once per day)

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What researchers measure

Primary outcomes

  1. Change in office systolic blood pressure from baseline to week 12

    Change in office systolic blood pressure from baseline to week 12

    Time frame: At week 12

Secondary outcomes

  1. Change in office diastolic blood pressure from baseline to week 12

    Change in office diastolic blood pressure from baseline to week 12

    Time frame: At week 12

  2. Change in systolic blood pressure and diastolic blood pressure from baseline to week 12 according to baseline SBP stratification

    Change in systolic blood pressure and diastolic blood pressure from baseline to week 12 according to baseline SBP stratification, stratified by two subgroups baseline, SBP 140-160 mmHg and ≥ 160 mmHg

    Time frame: At week 12

  3. Change in systolic blood pressure and diastolic blood pressure from baseline to week 12 at different stages of Chronic Kidney Disease

    Change in systolic blood pressure and diastolic blood pressure from baseline to week 12 at different stages of Chronic Kidney Disease, stage 1 to stage 5

    Time frame: At week 12

  4. Systolic blood pressure and diastolic blood pressure control rate at week 12

    Systolic blood pressure and diastolic blood pressure control rate at week 12

    Time frame: At week 12

  5. Number of participants with adverse events and serious adverse events

    Time frame: At week 12

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Study locations

1 site
  • Many Locations
    Multiple Locations, China
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References and documents

Publications

  • Lv R, Chen J, Wang H, Wang J, Cheng H, Li R, Li W, Zhang T, Wei L, Chen Q, Huang J, Yu F, Shen S, Wu H, Liu C, Hong F, Liu J, Zhang X, Xiao H, Song W. Effectiveness and Tolerability of Nifedipine GITS in Patients with Chronic Kidney Disease and Uncontrolled Hypertension: A Prospective, Multicenter, Observational Study (ADRENAL). Adv Ther. 2021 Sep;38(9):4771-4785. doi: 10.1007/s12325-021-01850-3. Epub 2021 Jul 30. PubMed 34331258 ↗
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Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Jul 9, 2021, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
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Registry details

Key details

Study ID
NCT03194633
Lead sponsor
Bayer
Responsible party
Sponsor
First posted
Jun 21, 2017
Start date
Jul 10, 2017
Primary completion
May 14, 2020
Completion
Aug 28, 2020
Last update
Jul 9, 2021

Study contacts

Bayer Study Director
study director · Bayer

Oversight

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

Not currently enrolling

This study is completed, as verified in Jul 2021. You cannot join it, but the record below documents what was studied.

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