Telmisartan/Amlodipine (80/5) vs. Telmisartan/Amlodipine (40/5) vs. Amlodipine 10 or 5 in Resistant Hypertension
Condition: Hypertension
MeSH terms: Hypertension
Intervention: fixed dose combination of telmisartan+amlodipine; amlodipine
Intervention MeSH terms: Amlodipine; Telmisartan; Telmisartan amlodipine combination
Phase: Phase 3
Study type: Interventional
Primary purpose: Treatment
Intervention model: Parallel Assignment
Enrollment: 1098.0
Sex: All
Minimum age: 18 Years
Healthy volunteers: No

Summary:

      The primary objectives of this trial are (a) to demonstrate that the fixed-dose combination
      T40/A5 or the fixed-dose combination T80/A5 is superior in reducing blood pressure at eight
      weeks compared with A5 (b) to demonstrate that the fixed-dose combination T40/A5 or the
      fixed-dose combination T80/A5 is not inferior in reducing blood pressure at eight weeks
      compared with A10 and (c) to demonstrate that the incidence of oedema on the fixed-dose
      combination T40/A5 pooled with the fixed-dose combination T80/A5 is superior (less oedema) to
      A10 in patients who fail to respond adequately to six weeks treatment with A5.
    

Eligibility criteria:

        Inclusion Criteria:

          1. patients aged at least 18 years at the date of signing the consent form

          2. diagnosis of essential hypertension and blood pressure not adequately controlled
             before enrolment in the study

          3. failure to respond adequately to six weeks treatment with amlodipine 5 mg monotherapy

          4. able to stop any current antihypertensive therapy without unacceptable risk to the
             patient (Investigator's decision)

          5. willing and able to provide written informed consent (in accordance with Good Clinical
             Practice and local legislation).

        Exclusion Criteria:

          1. are not practising acceptable means of birth control or do not plan to continue using
             acceptable means of birth control throughout the study and do not agree to submit to
             pregnancy testing during participation in the trial. Acceptable methods of birth
             control include the transdermal patch, oral, implantable or injectable contraceptives,
             sexual abstinence and vasectomised partner.

          2. known or suspected secondary hypertension

          3. mean seated systolic blood pressure (SBP) over 200 mmHg and/or mean seated diastolic
             blood pressure (DBP) over 120 mmHg at Visit 1 or 2 or mean seated SBP over 180 mmHg
             and/or mean seated DBP over 120 mmHg at the end of the run-in period (Visit 3)

          4. any clinically significant hepatic impairment (e.g. clinically significant
             cholestasis, biliary obstructive disorder or hepatic insufficiency)

          5. severe renal impairment (e.g. serum creatinine >3.0 mg/dL or >265 mcmol/L, known
             creatinine clearance <30mL/min or clinical markers of severe renal impairment)

          6. bilateral renal artery stenosis or renal artery stenosis in a solitary kidney or
             post-renal transplant

          7. clinically relevant hyperkalaemia

          8. uncorrected volume or sodium depletion.

          9. primary aldosteronism.

         10. hereditary fructose or lactose intolerance