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A Study to Evaluate the Efficacy and Safety of Combination Treatment of Fimasartan/Atorvastatin in Patients With Essential Hypertension and Dyslipidemia

NCT03338426 — Phase 3, Completed, 133 participants, Boryung Pharmaceutical Co., Ltd

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A Randomized, Double-blind, Multicenter, Phase III Study to Evaluate the Efficacy and Safety of Combination Treatment of Fimasartan/Atorvastatin in Patients With Essential Hypertension and Dyslipidemia

RegistryNCT03338426, acronym FIESTA
StatusCompleted
PhasePhase 3
Study typeInterventional; randomized, parallel, masking: triple, treatment
Enrollment133 (Actual)
SponsorBoryung Pharmaceutical Co., Ltd (Industry)
ConditionsEssential Hypertension, Dyslipidemia
InterventionsFimasartan 120mg, Atorvastatin 40mg, Placebo for Fimasartan 120mg, Placebo for Atorvastatin 40mg (Drug)
Datesstart 2018-01-15, primary completion 2019-04-22, completion 2019-04-22, first posted 2017-11-09, last updated 2019-11-05
Locations1 site in South Korea

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-Summary

The objective of this clinical study is to evaluate the efficacy and safety by comparing the fimasartan/atorvastatin treatment group to the fimasartan/placebo treatment group and the placebo/atorvastatin treatment group respectively at Week 8 in patients with essential hypertension and dyslipidemia.

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+Arms and interventions

ArmTypeInterventionsDescription
ExperimentalExperimentalDrug: Fimasartan 120mg; Drug: Atorvastatin 40mgCo-administration of a fixed dose combination of Fimasartan 120mg and Atorvastatin 40mg
Active Comparator 1Active comparatorDrug: Fimasartan 120mg; Drug: Placebo for Atorvastatin 40mgCo-administration of Fimasartan 120mg and Placebo for Atorvastatin 40mg
Active Comparator 2Active comparatorDrug: Atorvastatin 40mg; Drug: Placebo for Fimasartan 120mgCo-administration of Atorvastatin 40mg and Placebo for Fimasartan 120mg
  • Fimasartan 120mg (Drug): Fimasartan 120mg will be administrated once daily for 8 weeks treatment period
  • Atorvastatin 40mg (Drug): Atorvastatin 40mg will be administrated once daily for 8 weeks treatment period
  • Placebo for Fimasartan 120mg (Drug): Placebo for Fimasartan 120mg will be administrated once daily for 8 weeks treatment period
  • Placebo for Atorvastatin 40mg (Drug): Placebo for Atorvastatin 40mg will be administrated once daily for 8 weeks treatment period

+Outcome measures

Primary outcomes

  • SiSBP [8weeks from Baseline Visit]: The change in Sitting systolic blood pressure(SiSBP) from baseline in the test group(Fimasartan 120mg/Atorvastatin 40mg) at Week 8 compared to the Active Comparator group 2(Atorvastatin 40mg)
  • LDL-C [8weeks from Baseline Visit]: The change in LDL-C from baseline in the test group at Week 8 compared to the active comparator group 1(fimasartan 120 mg)

Secondary outcomes

  • SiSBP [8weeks from Baseline Visit]: The change in Sitting systolic blood pressure(SiSBP) from baseline in the test group(Fimasartan 120mg/Atorvastatin 40mg) at Week 8 compared to the Active Comparator group 1(Fimasartan 120mg)
  • LDL-C [8weeks from Baseline Visit]: The change in LDL-C from baseline in the test group(Fimasartan 120mg/Atorvastatin 40mg) at Week 8 compared to the Active Comparator group 2(Atorvastatin 40mg)

+Eligibility

Sex: All, ages: 19 Years to 70 Years

Inclusion Criteria:

1. Voluntarily provided a written consent to participate in this clinical study
2. Male or female adults aged 19-70 years
3. Patients must have been confirmed essential hypertension and dyslipidemia at Screening visit (V1)
4. Uncontrolled blood pressure (140 mmHg ≤ mean SiSBP < 180 mmHg) at the pre- baseline visit (V2) after wash-out period
5. Able to understand this study, be cooperative in the execution of the study, and participate in the study until its completion

Exclusion Criteria:

1. Severe hypertension with mean Sitting systolic blood pressure(SiSBP)≥180 mmHg or Sitting diastolic blood pressure(SiDBP) ≥110 mmHg at the screening visit (V1) and the pre-baseline visit (V2), or orthostatic hypotension accompanied by symptoms
2. Difference of Sitting systolic blood pressure(SiSBP) ≥ 20 mmHg and Sitting diastolic blood pressure(SiDBP) ≥ 10 mmHg between Lt and Rt arms for 3 consecutive times at the screening visit (V1)
3. Secondary hypertension patients: Secondary hypertension is not limited to the following diseases; (e.g., renovascular disease, adrenal medullary and cortical hyperfunctions, coarctation of the aorta, hyperaldosteronism, unilateral or bilateral renal artery stenosis, Cushing's syndrome, pheochromocytoma, and polycystic kidney disease)
4. Uncontrolled diabetes mellitus (currently on insulin, or HbA1c >9% at the pre-baseline visit (V2)), or uncontrolled hypothyroidism (TSH ≥1.5 times the upper limit at the pre-baseline visit (V2))
5. Heart disease (heart failure of New York Heart Association (NYHA) class 3 and 4), or ischemic heart disease (angina pectoris, myocardial infarction), peripheral vascular diseasenewly diagnosed within 6 months prior to the screening visit (V1), percutaneous transluminal coronary angioplasty, or coronary artery bypass graft, etc.
6. Clinically significant ventricular tachycardia, atrial fibrillation, atrial flutter; or other arrhythmia conditions that are determined to be clinically significant by the investigator
7. Hypertrophic obstructive cardiomyopathy, severe obstructive coronary artery disease, aortic stenosis, or hemodynamically significant aortic valve stenosis or mitral valve stenosis
8. Cerebrovascular disorder (stroke, cerebral infarction, transient cerebral ischemic attack, cerebral hemorrhage, etc. within 6 months prior to the screening visit (V1)
9. Pregnant or lactating women

+Locations (1)

FacilityCityCountryStatus
Severance HospitalSeoulSouth Korea

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