A Study for Post-marketing Surveillance of Azilsartan Medoxomil/Chlorthalidone Fixed Dose Combination (FDC) in the Treatment of Participants With Essential Hypertension in South Korea

Sponsor
Takeda (Industry)
Overall Status
Recruiting
CT.gov ID
NCT04470830
Collaborator
(none)
600
1
44.4
13.5

Study Details

Study Description

Brief 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).

Condition or Disease Intervention/Treatment Phase

    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.

    Study Design

    Study Type:
    Observational
    Anticipated Enrollment :
    600 participants
    Observational Model:
    Cohort
    Time Perspective:
    Prospective
    Official Title:
    Post-Marketing Surveillance (Usage Results Study) of Azilsartan Medoxomil/Chlorthalidone FDC in the Treatment of Patients With Essential Hypertension in South Korea
    Actual Study Start Date :
    Sep 11, 2019
    Anticipated Primary Completion Date :
    May 25, 2023
    Anticipated Study Completion Date :
    May 25, 2023

    Arms and Interventions

    Arm Intervention/Treatment
    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.

    Outcome Measures

    Primary Outcome Measures

    1. Percentage of Participants who Experience at Least one AE and SAE [Baseline up to Month 9]

    Secondary Outcome Measures

    1. Change From Baseline in Blood Pressure Including Systolic Blood Pressure (SBP) and Diastolic Blood Pressure (DBP) [Baseline up to Month 9]

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

    2. Percentage of Participants who Achieve Clinic DBP less than (<) 90 mmHg and/or reduction of Greater than or equal to (>=) 10 mmHg [Baseline up to Month 9]

    3. Percentage of Participants who Achieve Clinic SBP <140 mmHg and/or reduction of >=20 mmHg [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 [Baseline up to Month 9]

    5. Change From Baseline in Serum Creatinine Level, Serum Uric Acid Level and Serum Lipid Profile [Baseline up to Month 9]

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

    6. Change From Baseline in Blood Potassium Level [Baseline up to Month 9]

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

    7. Change From Baseline in Blood Sodium Profiles [Baseline up to Month 9]

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

    8. Final Effectiveness Rate as Assessed by the Investigator [Baseline up to Month 9]

      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".

    Eligibility Criteria

    Criteria

    Ages Eligible for Study:
    18 Years and Older
    Sexes Eligible for Study:
    All
    Accepts Healthy Volunteers:
    No
    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:
    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.

    Contacts and Locations

    Locations

    Site City State Country Postal Code
    1 Yeungnam University Medical Center Nam-gu Daegu Korea, Republic of 42415

    Sponsors and Collaborators

    • Takeda

    Investigators

    • Study Director: Medical Director, Takeda

    Study Documents (Full-Text)

    None provided.

    More Information

    Publications

    None provided.
    Responsible Party:
    Takeda
    ClinicalTrials.gov Identifier:
    NCT04470830
    Other Study ID Numbers:
    • TAK-491-5001
    • U1111-1252-3527
    First Posted:
    Jul 14, 2020
    Last Update Posted:
    Jul 22, 2020
    Last Verified:
    Jul 1, 2020
    Individual Participant Data (IPD) Sharing Statement:
    Yes
    Plan to Share IPD:
    Yes
    Studies a U.S. FDA-regulated Drug Product:
    No
    Studies a U.S. FDA-regulated Device Product:
    No
    Keywords provided by Takeda
    Additional relevant MeSH terms:

    Study Results

    No Results Posted as of Jul 22, 2020