Title

A Therapeutic Exploratory Clinical Study to Evaluate the Antihypertensive Efficacy of Fimasartan (BR-A-657•K) During 24 Hours in Patients With Mild to Moderate Essential Hypertension
A Randomized, Double-blind, Valsartan-Referenced, Parallel Grouped, Therapeutic Exploratory Clinical Study to Evaluate the Antihypertensive Efficacy of Fimasartan(BR-A-657•K) During 24hours by Dose in Patients With Mild to Moderate Essential Hypertension
  • Phase

    Phase 2
  • Study Type

    Interventional
  • Intervention/Treatment

    fimasartan valsartan ...
  • Study Participants

    92
The purpose of this study is to evaluate the antihypertensive efficacy and safety of Fimasartan (BR-A-657•K) during 24 hours by dose in patients with mild to moderate essential hypertension.
Fimasartan(BR-A-657-K), a selective blocker of AT1 receptor subtype, showed the rapid and potent antihypertensive effect in many hypertensive models. Phase I study, Fimasartan(BR-A-657-K) 20mg ~ 480mg single dosing with healthy subjects, demonstrated that the Fimasartan(BR-A-657-K) was very safe and well tolerated. Another phase I study, Fimasartan(BR-A-657-K) 120mg and 360mg dosing for 7 days, also showed that Fimasartan(BR-A-657-K) was safe and tolerable though one temporal adverse event was observed in high dose.

A Randomized, Double-blind, Valsartan-referenced, Parallel Grouped, Therapeutic Exploratory Clinical Study to Evaluate the Antihypertensive Efficacy of Fimasartan(BR-A-657•K) during 24hoursby dose in Patients with Mild to Moderate Essential Hypertension.

Approximately 90 patients will be enrolled over 12 months in 5 centers nationwide.

After 2 weeks of placebo run-in period, all subjects will be randomized into one of the following 3 groups. Subjects will take test/control drug for 8 weeks of treatment period.

If subjects take any antihypertensive medications before screening, the subjects will have 1 week of wash-out period.

Group I : Fimasartan 60mg group. Group II : Fimasartan 120mg group Group III : Valsartan 80mg group
Study Started
Dec 31
2008
Primary Completion
Aug 31
2009
Study Completion
Aug 31
2009
Results Posted
Feb 13
2018
Last Update
Mar 15
2018

Drug Fimasartan 60 mg group

Fimasartan 60 mg

  • Other names: BR-A-657.K

Drug Fimasartan 120 mg group

Fimasartan 120 mg

  • Other names: BR-A-657.K

Drug Reference (Valsartan 80 mg) group

Reference (Valsartan 80 mg)

  • Other names: Diovan

Fimasartan 1 Experimental

Fimasartan 60 mg group

Fimasartan 2 Experimental

Fimasartan 120 mg group

Valsartan Active Comparator

Reference (Valsartan 80 mg) group

Criteria

Inclusion Criteria:

Mild to moderate essential hypertension : sitting diastolic blood pressure measured at Placebo visit and Baseline are 90~109mmHg inclusive and the difference between sitting diastolic blood pressures measured at Placebo visit and Baseline(Day0) is under 7mmHg.
Subjects who agree to participate in this sudy and give written informed consent
Subjects considered to understand the study, be cooperative, and able to be followed-up until the end of the study

Exclusion Criteria:

The sitting DBP is less than 89mmHg or more than 110mmHg or severe hypertensive patient with sitting systolic blood pressure over 200mmHg Patients with secondary hypertension
Patients with severe renal(Creatinine more 1.5mg/dl), gastrointestinal, hematological or hepatic(AST, ALT more 2 twice more than upper limit of normal)disease etc. which might affect absorption, disposition, metabolism or excretion of the drug
Patients with postural hypotension
Patients with sever insulin dependent diabetes mellitus or uncontrolled diabetes mellitus(HbA1c>9%, regimen change of oral hypoglycemic agents within 12weeks, treated insulin before screening)
Patients with a history of myocardial infarction, severe coronary artery disease or clinically significant heart failure or valvular defect in last 6 months
Patients with consumptive disease, autoimmune disease, connective tissue disease
Patients with a history of type B or C hepatitis
Patients with HIV or hepatitis
Patients with clinically significant laboratory abnormality
Patients receiving any drugs known to affect blood pressure or medical treatments that can influence the blood pressure
Patients with allergy or contraindication to any angiotensin II receptor antagonists
Female of childbearing potential who does not undergo hysterectomy or is not post-menopausal
Patients judged to have a history of alcohol or drug abuse by the investigator
Patients participated other clinical trial 12 weeks before Screening Patients judged to be inappropriate for this study by the investigator with other reasons

Summary

Valsartan: Control

Fimasartan 1

Fimasartan 2

All Events

Event Type Organ System Event Term Fimasartan 1 Fimasartan 2 Valsartan: Control

Mean Change of Diastolic Blood Pressure

24hr Mean change of DBP on Week 8, from Baseline

Fimasartan 1-ITT

-10.15
mmHg (Mean)
Standard Deviation: 5.94

Fimasartan 2-ITT

-7.19
mmHg (Mean)
Standard Deviation: 9.51

Valsartan: Control-ITT

-6.7
mmHg (Mean)
Standard Deviation: 6.61

Total

92
Participants

Age, Continuous

54.09
years (Mean)
Standard Deviation: 8.18

Sex: Female, Male

Overall Study

Fimasartan 1

Fimasartan 2

Valsartan: Control

Drop/Withdrawal Reasons

Valsartan: Control