ClinicalTrials.gg
CompletedNCT03666351Updated Sep 15, 2022

Study to Evaluate the Effect on Improvement of LVH by the Control of BP in Hypertension Patients With AV Disease

A Phase 4 interventional study of Amlodipine 5mg and Losartan in Aortic Stenosis, Aortic Regurgitation and Hypertension, sponsored by Hanmi Pharmaceutical Company Limited. Completed at 1 site in Korea, Republic of. Open to participants aged 19 Years to 80 Years. Per ClinicalTrials.gov, last updated 2022-09-15.

Sponsored by Hanmi Pharmaceutical Company Limited · Phase 4, Interventional, and Treatment

Phase
Phase 4
Study type
Interventional
Enrollment
128
Allocation
Randomized
Ages
19 Years to 80 Years
Sex
All
01

Where this study stands

Counted across the records on this site · 2026-11-12

Among 24 studies in Aortic Valve Stenosis with a site in Korea, Republic of — 6 open to participants now, 10 under way, none of them phase 3. Aortic Valve Stenosis · Korea, Republic of.

Enrollment
8th of 12
128 · median 143
Started
2018
with 2 others
Phase 4
8 of 24
2 open now
Registered
13th of 24
by date
Lead sponsor
1 of 24
Hanmi Pharmaceutical Company Limited

Among the 24 studies in Aortic Valve Stenosis with a site in Korea, Republic of, this one is the 8th largest by enrollment of the 12 interventional ones that give a count, is one of 3 that started in 2018, is one of 8 in phase 4, and was the 13th registered.

Aortic Valve Stenosis

1,025 studies on the registry are indexed under Aortic Valve Stenosis; 293 are open to participants now.

This study's enrollment of 128 is close to the median of 126 across 554 interventional studies indexed under Aortic Valve Stenosis.

Browse Aortic Valve Stenosis studies →

Open to participants now

6 of the 24 studies in Aortic Valve Stenosis with a site in Korea, Republic of are open now, in 1 country. Each count lists the studies.

All 6 open studies →

Who these studies take

Of the 209 Aortic Valve Stenosis studies recruiting now, 163 (78%) set no upper age limit and 9 (4%) stop at 75 or younger; 25 take children under 18; 14 take healthy volunteers.

This study: 19 Years to 80 Years · all sexes · no healthy volunteers.

The full table on the hub →
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Watch this landscapeDownload CSVNarrow it in search →With an account: a weekly mail of what changed among 24 studies in Aortic Valve Stenosis with a site in Korea, Republic of, or all of them as a file.
02

Study summary

To compare changes in Left Ventricular Mass (LVM) depending on each blood pressure regulation between the intensive care group and the usual care group for patients with hypertension accompanied by aortic valve disease and evaluate an influence of blood pressure regulation on improvement of left ventricular hypertrophy and its safety

Read the detailed description

1.Primary objectives

  • To evaluate changes from baseline in LVM at V5 (24M)

2.Secondary objectives

  1. To evaluate changes from baseline in LV global longitudinal strain at V5 (24M)
  2. To evaluate changes from baseline in E/E' (E: early diastolic LV inflow velocity, E': early diastolic mitral annulus velocity) at V5 (24M)
  3. To evaluate changes from baseline in LV volumes, a stroke volume index and LV ejection fraction at V5 (24M)
  4. To evaluate a rate of disease progression

    • In case of Aortic stenosis (AS), to evaluate changes from baseline in Aortic Valve Area (AVA), Vmax, Mean Pressure Gradient (PG) and Valvulo-arterial impedance (Zva) at V5 (24M)
    • In case of Aortic regurgitation (AR), to evaluate changes from baseline in Vena contracta at V5 (24M)
  5. To evaluate changes from baseline in blood pressure at V2(6M), V3(12M), V4(18M) and V5(24M)
  6. To evaluate a cumulative incidence rate for each visit time point

    • Death, Cardiovascular(CV) death, Heart Failure(HF), Myocardial Infarction(MI), Hospitalization, Aortic Valve Replacement(AVR)
  7. To evaluate outcomes of adverse events, physical examination, vital signs (pulse) and laboratory tests (hematological examination, blood biochemical examination, urine test and pregnancy test)
03

Conditions studied

  • Aortic Stenosis
  • Aortic Regurgitation
  • Hypertension
  • LVM
  • Left Ventricular Hypertrophy

Keywords

  • Aortic Stenosis
  • Aortic Regurgitation
  • Hypertension
  • LVM
  • Left Ventricular Hypertrophy
04

Who can participate

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

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  1. Male or female aged ≥ 19 years and \< 80 years
  2. Diagnosis of mild-moderate AS or mild-moderate AR
  3. Applicable to 2.0\~3.9 m/s of aortic jet velocity for mild-moderate AS or to 0.2\~0.6 cm of Vena contracta for mild-moderate AR
  4. Diagnosis of hypertension (SBP > 130 mmHg if being treated or SBP > 140 mmHg if being untreated)
  5. For females of ; negative pregnancy test results during the screening period and prior to administration of the product, and agreement on use of medically allowable measures (condom, oral contraceptive pills, injectable or implantable contraceptives, intrauterine devices, birth control patches, etc.) during the study period
  6. Voluntary written consent to taking part in the clinical study and willingness to comply with requirements of the study

Exclusion criteria

Exclusion Criteria:

  1. History of a cardiac valve replacement surgery (replacement surgery of mitral valve, aortic valve or tricuspid valve)
  2. Accompanied by severe mitral regurgitation
  3. Admitted to needing a surgery by the current treatment guidelines
  4. Accompanied by symptoms such as angina pectoris, exertional dyspnea, syncope, etc.
  5. \< 50% of
  6. History of reaction to active ingredients of the product (Amlodipine, Losartan and Chlorthalidone), dihydropyridine derivatives, thiazide drugs and other sulfonamide derivatives or their compositions
  7. Pregnant or breastfeeding
  8. Symptomatic orthostatic hypotension
  9. Severe liver failure or renal failure (\< 30 mL/min of )
  10. Hereditary angioedema or history of angioedema at treatment with ACE inhibitors or angiotensin II receptor blockers
  11. Primary hyperaldosteronism
  12. Genetic problems such as galactose intolerance, Lapp Lapp lactase deficiency or glucose-galactose malabsorption
  13. Anuria
  14. hypokalemia
  15. Hyponatremia or hypercalcemia
  16. Symptomatic hyperuricemia (history of gout or uric acid lithiasis)
  17. Untreated Addison's disease
  18. Appropriately uncontrolled diabetes
  19. Congenital or incurable hypertension
  20. Diagnosis of severe cerebrovascular disorders (stroke, cerebral infarction, cerebral hemorrhage, etc.) within six months prior to the date of ICF obtainment
  21. Wasting disease, disease or connective tissue disease
  22. Diagnosis of malignant tumor within five years prior to the date of ICF obtainment
  23. Administration of another investigational product within four weeks prior to the date of ICF obtainment
  24. For a patient who is taking anticoagulants and thrombolytic agents; considered difficult to keep a stable dosage/regimen by the investigator.
  25. Considered unsuitable to be a subject by the investigator
Terms in these criteria, in plain language(8)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

Childbearing potential

Able to become pregnant: from the first period until menopause, unless permanently unable to through surgery (removal of the womb, or of both ovaries or both fallopian tubes).

Criteria for people of childbearing potential usually ask for a negative pregnancy test and for contraception during the study and for a time after it.

Investigational drug or device

A drug or device being studied in a clinical trial.

It may be new, or already approved and being studied for another use, dose or form. Criteria often leave out people who took part in another study of one within a recent period, commonly 30 days or five half-lives.

Contraception

Ways of preventing pregnancy. “Highly effective” methods fail less than 1% of the time a year when used correctly — for example an IUD or an implant.

Criteria usually say which methods count and how long to keep using them after the last dose, sometimes for male participants too. Some studies accept a partner’s vasectomy if it was confirmed successful and that person is the participant’s only sexual partner.

LVEF (left ventricular ejection fraction)

The share of blood the heart’s main pumping chamber (the left ventricle) pushes out with each beat, measured by an echocardiogram (heart ultrasound) or a MUGA scan. About 50–70% is normal.

Hypersensitivity

An allergy, or another reaction of the immune system, to a substance. “Hypersensitivity to the study drug” means a known allergic reaction to it — not every side effect a medicine can have.

Creatinine clearance (CrCl)

How quickly the kidneys clear creatinine, a waste product, from the blood. A study may estimate it from a blood test with age, weight and sex (often by the Cockcroft–Gault formula), or measure it using blood and urine collected over a set time. Given in mL/min; higher is better.

Relapsed and refractory

Relapsed: the illness came back after treatment had worked. Refractory: it did not respond to treatment, or stopped responding while still on it.

Autoimmune disease

A condition in which the immune system attacks the body’s own tissues, such as rheumatoid arthritis, lupus, psoriasis, type 1 diabetes or inflammatory bowel disease.

Immunotherapy studies often leave out active autoimmune disease, and some name exceptions, such as thyroid disease on replacement hormone. Check the exceptions this study lists.

05

Study design

Phase
Phase 4
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Single (Outcomes assessor)
Enrollment
128 participants (actual)

Study arms

  • Experimental
    The intensive care group

    The intensive care group is targeted at ≤ 130 mmHg of systolic blood pressure, and treatment is done by changing the current treatment to the investigational product. In case of treatment with the investigational product (IP), the IP titration period is total six months. According to an IP titration scheme(Amlodipine 5 mg or Losartan 50 mg -\> Losartan and Amlodipine 5/50 mg -\> Losartan and Amlodipine 5/100 mg -\> Amlodipine/Losartan/Chlorthalidone 5/100/12.5 mg), IP is successively modified until the target blood pressure is reached, and IP will remain the same after the target blood pressure scope for each group is reached. An IP titration interval is decided by the investigator depending on the subject's condition.

    Drug: Amlodipine 5mg · Drug: Losartan · Drug: Losartan and Amlodipine · Drug: Amlodipine/Losartan/Chlorthalidone

  • Experimental
    The usual care group

    The usual care group is targeted at ≤ 140 mmHg of systolic blood pressure, and treatment is done by maintaining the current treatment, adding the investigational product, or changing the current treatment to the investigational product. In case of treatment with the investigational product (IP), the IP titration period is total six months. According to an IP titration scheme(Amlodipine 5 mg or Losartan 50 mg -\> Losartan and Amlodipine 5/50 mg -\> Losartan and Amlodipine 5/100 mg -\> Amlodipine/Losartan/Chlorthalidone 5/100/12.5 mg), IP is successively modified until the target blood pressure is reached, and IP will remain the same after the target blood pressure scope for each group is reached. An IP titration interval is decided by the investigator depending on the subject's condition.

    Drug: Amlodipine 5mg · Drug: Losartan · Drug: Losartan and Amlodipine · Drug: Amlodipine/Losartan/Chlorthalidone · Drug: current treatment

Interventions

  • Amlodipine 5 mg

    Also known as: Amodipin Tab.

  • Losartan Potassium 50 mg

    Also known as: Osartan Tab. 50 mg

  • DrugLosartan and Amlodipine

    Drug pages: Losartan · Amlodipine

    Amlodipine 5 mg/Losartan Potassium 50 mg, Amlodipine 5 mg/Losartan Potassium 100 mg

    Also known as: Amosartan Tab. 5/50 mg, Amosartan Tab. 5/100 mg

  • DrugAmlodipine/Losartan/Chlorthalidone

    Drug pages: Amlodipine · Losartan · Chlorthalidone

    Amlodipine 5 mg/Losartan Potassium 100 mg/Chlorthalidone 12.5 mg

    Also known as: Amosartan Plus Tab. 5/100/12.5 mg

  • Drugcurrent treatment

    treatment is done by maintaining the current treatment

06

What researchers measure

Primary outcomes

  1. To evaluate changes from baseline in Left Ventricular Mass at 24M

    To evaluate changes from baseline in Left Ventricular Mass at 24M

    Time frame: 24 months

Secondary outcomes

  1. Changes from baseline in Left Ventricular global longitudinal strain at 24M

    Changes from baseline in Left Ventricular global longitudinal strain at 24M

    Time frame: 24 months

  2. Changes from baseline in E/E' (E: early diastolic LV inflow velocity, E': early diastolic mitral annulus velocity) at 24M

    Changes from baseline in E/E' (E: early diastolic LV inflow velocity, E': early diastolic mitral annulus velocity) at 24M

    Time frame: 24 months

  3. Changes from baseline in Left Ventricular volumes at 24M

    Changes from baseline in Left Ventricular volumes at 24M

    Time frame: 24 months

  4. Rate of disease progression

    * In case of Aortic Stenosis, to evaluate changes from baseline in Aortic Valve Area, tricuspid regurgitation velocity, Mean Pressure Gradient and Valvulo-arterial impedance at 24M * In case of Aortic Regurgitation, to evaluate changes from baseline in Vena contracta at 24M

    Time frame: 24 months

  5. To evaluate changes from baseline in systolic blood pressure at 6M, 12M, 18M, 24M

    To evaluate changes from baseline in systolic blood pressure at 6M, 12M, 18M, 24M

    Time frame: 6 months, 12 months, 18 months, 24 months

  6. Cumulative incidence rate for each visit time point

    Cumulative incidence rate for each visit time point - Death, Cardiovascular death, Heart Failure, Myocardial Infarction, Hospitalization, Aortic Valve Replacement

    Time frame: 6 months, 12 months, 18 months, 24 months

  7. Changes from baseline in stroke volume index at 24M

    Changes from baseline in stroke volume index at 24M

    Time frame: 24 months

  8. Changes from baseline in Left Ventricular ejection fraction at 24M

    Changes from baseline in Left Ventricular ejection fraction at 24M

    Time frame: 24 months

Other outcomes

  1. Occurrence and frequency of adverse events

    Occurrence and frequency of adverse events

    Time frame: 6 months, 12 months, 18 months, 24 months

07

Study locations

1 site
  • 10 Institutions Including Asan Medical Center
    Seoul, Korea, Republic of
08

References and documents

Publications

  • Saiz LC, Gorricho J, Garjon J, Celaya MC, Erviti J, Leache L. Blood pressure targets for the treatment of people with hypertension and cardiovascular disease. Cochrane Database Syst Rev. 2022 Nov 18;11(11):CD010315. doi: 10.1002/14651858.CD010315.pub5. PubMed 36398903 ↗
  • Saiz LC, Gorricho J, Garjon J, Celaya MC, Erviti J, Leache L. Blood pressure targets for the treatment of people with hypertension and cardiovascular disease. Cochrane Database Syst Rev. 2020 Sep 9;9(9):CD010315. doi: 10.1002/14651858.CD010315.pub4. PubMed 32905623 ↗

Individual participant data

Plan to share: Undecided — De-identified individual participant data

09

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reachedSimilar studies: half by the dot; the band is the middle halfHalf of similar studies reached it by the dot; the band is the middle half, from a quarter to three quarters

Ran from Oct 2018 to primary completion in Jul 2022, 45 months.

Of 24 phase 4 interventional studies under Aortic Valve Stenosis, half reached primary completion within 43 months of starting (the median), counting those still running; a quarter within 26 and three quarters within 70. This study's 45 months is close to that.

How these figures are worked out, and which studies are left out of them.

Registered
Aug 20, 2018
First posted
Sep 11, 2018
StartActual
Oct 18, 2018
Primary completionActual
Jul 25, 2022
CompletionActual
Jul 25, 2022
Last update
Sep 15, 2022
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on Sep 15, 2022, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT03666351
Responsible party
Sponsor
First posted
Sep 11, 2018
Start date
Oct 18, 2018
Primary completion
Jul 25, 2022
Completion
Jul 25, 2022
Last update
Sep 15, 2022

Study contacts

Duk-Hyun Kang
principal investigator · 10 institutions including Asan Medical Center

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 Sep 2022. You cannot join it, but the record below documents what was studied.

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