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CompletedNCT04470830Updated Oct 26, 2023

A Study for PMS of AZL-M/CLD FDC in the Treatment of Participants With Essential HTN in South Korea

An observational study in Essential Hypertension, sponsored by Celltrion Pharm, Inc.. Completed at 1 site in Korea, Republic of. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2023-10-26.

Sponsored by Celltrion Pharm, Inc. · Observational

Study type
Observational
Model
Cohort
Time perspective
Prospective
Enrollment
718
Ages
18 Years and older
Sex
All
01

Study summary

The purpose of this study is to evaluate the safety by assessing all serious and non-serious adverse events (AEs), irrespective of relatedness or expectedness, as well as other safety parameters including laboratory values, serious adverse events (SAEs)/serious adverse drug reactions (ADRs), unexpected AEs and ADRs that are not reflected on the precaution in the use, ADRs already known, non-serious ADRs and other safety related information (laboratory values changes, etc).

Read the detailed description

This is a long-term prospective, observational post-marketing surveillance study of azilsartan medoxomil/chlorthalidone FDC in participants with essential hypertension. The study will assess the safety and effectiveness of azilsartan medoxomil/chlorthalidone FDC prescribed as a monotherapy or taken concomitantly with other anti-hypertension therapies in participants whose blood pressure is not properly controlled by azilsartan medoxomil monotherapy or who require administration of multiple drugs in order to reach the target blood pressure in routine clinical settings.

The study will enroll and will consider approximately 600 participants. These participants will be grouped with the ones treated with azilsartan medoximil monotherpy. The data will be prospectively collected, at the centers from medical files and recorded into electronic case report forms (e-CRFs). All the participants will be assigned to a single observational cohort:

  • Participants With Essential Hypertension

The multi-center study will be conducted in South Korea. Data collection will be based on routinely scheduled and emergency visits over the surveillance period, scheduled at Visit 1 (Baseline), Visit 2 (6 weeks), Visit 3 (at least 3 months to 6 months) and Visit 4 (6 months or more up to 9 months) after drug administration. The overall duration of the study will be approximately 5 years. All participants will be followed up for 9 months after drug administration.

02

Conditions studied

  • Essential Hypertension

Keywords

  • Drug Therapy
03

Who can participate

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

Study population

Participants who have administered azilsartan medoxomil/chlorthalidone FDC as an early therapy for participants whose blood pressure is not properly controlled by monotherapy or who require administration of multiple drugs in order to reach the target blood pressure will be observed prospectively.

Inclusion criteria

  1. Has a SBP or DBP >=140 or 90 mmHg, respectively.
  2. Newly prescribed azilsartan medoxomil/chlorthalidone FDC as an early therapy for participants whose blood pressure is not properly controlled by monotherapy with azilsartan medoxomil or who require administration of multiple drugs in order to reach the target blood pressure in participants with stage 2 hypertension.

Exclusion criteria

Exclusion Criteria:

  1. With anuria.
  2. With refractory hypokalemia.
  3. With severe hepatic or renal impairment (estimate glomerular filtration rate [eGFR] \<30 milliliter per minute per 1.73 square meter [mL/min/1.73 m\^2]).
  4. With hyponatremia, hypercalcemia.
  5. With symptomatic hyperuricemia (history of gout and urate stone).
  6. With untreated Addison's disease.
  7. Receiving lithium therapy.
  8. Administrating terfenadine and/or astemizole.
  9. Use of aliskiren in combination with study drug in participants with diabetes or with moderate to severe renal impairment (glomerular filtration rate [GFR] \<60 mL/min/1.73m\^2).
  10. Participating in a clinical trial evaluating a hypertension treatment.
  11. Treated with azilsartan medoxomil / chlorthalidone FDC outside of the locally approved label in South Korea.
04

Study design

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

Groups and cohorts

  • Participants With Essential Hypertension

    Participants diagnosed with essential hypertension who have been treated with azilsartan medoxomil/chlorthalidone FDC as an early therapy for participants whose blood pressure is not properly controlled by monotherapy or who require administration of multiple drugs in order to reach the target blood pressure, will be observed prospectively over a period of 5 years.

05

What researchers measure

Primary outcomes

  1. Percentage of Participants who Experience at Least one AE and SAE

    Time frame: Baseline up to Month 9

Secondary outcomes

  1. Change From Baseline in Blood Pressure Including Systolic Blood Pressure (SBP) and Diastolic Blood Pressure (DBP)

    Blood pressure (SBP and DBP) will be measured in millimeter of mercury (mmHg).

    Time frame: Baseline up to Month 9

  2. Percentage of Participants who Achieve Clinic DBP less than (<) 90 mmHg and/or reduction of Greater than or equal to (>=) 10 mmHg

    Time frame: Baseline up to Month 9

  3. Percentage of Participants who Achieve Clinic SBP <140 mmHg and/or reduction of >=20 mmHg

    Time frame: Baseline up to Month 9

  4. Percentage of Participants who Achieve Both Clinic DBP <90 mmHg and/or Reduction of >=10 mmHg and Clinic SBP <140 mmHg and/or Reduction of >=20 mmHg

    Time frame: Baseline up to Month 9

  5. Change From Baseline in Serum Creatinine Level, Serum Uric Acid Level and Serum Lipid Profile

    Serum creatinine level, serum uric acid level, and serum lipid profile will be measured in milligram per deciliter (mg/dL).

    Time frame: Baseline up to Month 9

  6. Change From Baseline in Blood Potassium Level

    Blood potassium level will be measured in millimole per liter (mmol/L).

    Time frame: Baseline up to Month 9

  7. Change From Baseline in Blood Sodium Profiles

    Blood sodium profiles will be measured in milliequivalent per liter (mEq/L).

    Time frame: Baseline up to Month 9

  8. Final Effectiveness Rate as Assessed by the Investigator

    Effectiveness rate: percentage of participants who achieved effectiveness over total number of assessable effectiveness analysis population, and is calculated as number of effective participants/total number of participants in group, multiplied by 100. Final effectiveness will be assessed based on: Improved (symptoms have improved or it is considered to have had a maintenance effect); Unchanged (no significant change from pre-administration, not considered to have had a maintenance effect); Worsened (symptoms have worsened compared to pre-administration); Unassessable (unable to assess due to grounds such as missing effectiveness variables, follow up loss, etc.). Maintenance effect: cases where the likelihood of worsened symptoms is high with discontinuation of medication, or equivalent effect to existing drugs is sustained when substituted with existing drugs. Effectiveness rate is determined by classifying 'Improved' as "Effective" and 'Unchanged' and 'Worsened' as "Ineffective".

    Time frame: Baseline up to Month 9

06

Study locations

1 site
  • Yeungnam University Medical Center
    Daegu, Gyeongsangbuk-do 42415, Korea, Republic of
07

References and documents

Individual participant data

Plan to share: Yes — Takeda makes patient-level, de-identified data sets and associated documents available for all interventional studies after applicable marketing approvals and commercial availability have been received (or program is completely terminated), an opportunity for the primary publication of the research and final report development has been allowed, and other criteria have been met as set forth in Takeda's Data Sharing Policy (see www.TakedaClinicalTrials.com for details). To obtain access, researchers must submit a legitimate academic research proposal for adjudication by an independent review panel, who will review the scientific merit of the research and the requestor's qualifications and conflict of interest that can result in potential bias. Once approved, qualified researchers who sign a data sharing agreement are provided access to these data in a secure research environment.

No publications or documents are linked to this record.

08

Registry details

Key details

Study ID
NCT04470830
Lead sponsor
Celltrion Pharm, Inc.
Responsible party
Sponsor
First posted
Jul 14, 2020
Start date
Sep 11, 2019
Primary completion
May 25, 2023
Completion
May 25, 2023
Last update
Oct 26, 2023

Oversight

Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
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