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Nifedipine GITS

Phase 3

Hypertension | Small molecule | Cardiovascular |Bayer AG|Last Updated: Oct 24, 2017

Target and mechanism

ModalitySmall molecule

Also known as Nifedipine GITS (Adalat LA, BAYA1040)

Success Probability

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Market & Valuation

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Trial Design

UNCONTROLLED
Total Trials1
Total Enrollment508

FDA Designations

No designations recorded

Clinical trial landscape

Nifedipine GITS · 2 trials · 2 indications

Phase 3 1Phase 2 1
NCT01788358Open-Label Long-Term Safety and Efficacy Study of Fixed Dose Combination of Nifedipine Gastrointestinal Therapeutic System and Candesartan Cilexetil in Subjects With Moderate to Severe Essential HypertensionHypertension
COMPLETED508 Analytics
PHASE3COMPLETED
Open-Label Long-Term Safety and Efficacy Study of Fixed Dose Combination of Nifedipine Gastrointestinal Therapeutic System and Candesartan Cilexetil in Subjects With Moderate to Severe Essential Hypertension
HypertensionUnlock trial analytics

Study Endpoints

Primary Endpoints

Number of Subjects With All Treatment-emergent Adverse Events (TEAEs) and Drug-related TEAEs up to Week 28
From the time of first study drug administration up to Week 28

An adverse event (AE) is any untoward medical occurrence (that is, any unfavorable and unintended sign \[including abnormal laboratory findings\], symptom or disease) in a subject or clinical investigation subject after providing written informed consent for participation in the study. AEs were considered to be treatment-emergent if they had started or worsened after first application of study medication.

Number of Subjects With Treatment-emergent Adverse Events (TEAEs) of Special Interest up to Week 28
From the time of first study drug administration up to Week 28

An AE is any untoward medical occurrence (that is, any unfavorable and unintended sign \[including abnormal laboratory findings\], symptom or disease) in a subject or clinical investigation subject after providing written informed consent for participation in the study. AEs were considered to be treatment-emergent if they had started or worsened after first application of study medication. TEAEs of special interest included the incidence of symptomatic hypotension and the incidence and severity of vasodilatory adverse events (such as oedema, headache, and flushing). Only subjects who had TEAEs of special interest as mild, moderate or severe were reported.

Number of Subjects With All Treatment-emergent Adverse Events (TEAEs) and Drug-related TEAEs up to Week 52/End of Study (EOS)
From the time of first study drug administration up to Week 52/EOS

An AE is any untoward medical occurrence (that is, any unfavorable and unintended sign \[including abnormal laboratory findings\], symptom or disease) in a subject or clinical investigation subject after providing written informed consent for participation in the study. AEs were considered to be treatment-emergent if they had started or worsened after first application of study medication.

Number of Subjects With Treatment-emergent Adverse Events (TEAEs) of Special Interest up to Week 52/End of Study (EOS)
From the time of study treatment up to Week 52/EOS

An AE is any untoward medical occurrence (that is, any unfavorable and unintended sign \[including abnormal laboratory findings\], symptom or disease) in a subject or clinical investigation subject after providing written informed consent for participation in the study. AEs were considered to be treatment-emergent if they had started or worsened after first application of study medication. TEAEs of special interest included the incidence of symptomatic hypotension and the incidence and severity of vasodilatory adverse events (such as oedema, headache, and flushing). Only subjects who had TEAEs of special interest as mild, moderate or severe were reported.

The primary efficacy variable is the change from baseline in mean seated diastolic blood pressure (MSDBP) at Week 8
Baseline taken at Visit 1; primary outcome variable assesed at 8 weeks

Secondary Endpoints

Number of Subjects With Clinically Relevant Changes in Laboratory Parameters
Baseline (Week 0) up to Week 52/EOS
Change From Baseline In Mean Seated Systolic Blood Pressure (MSSBP) At Weeks 28 And 52
Baseline (Week 0), Weeks 28 and 52
Change From Baseline in Mean Seated Diastolic Blood Pressure (MSDBP) at Weeks 28 and 52
Baseline (Week 0), Weeks 28 and 52
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Study Design & Arms

AllocationNA
MaskingNONE
ModelSINGLE_GROUP
PurposeTREATMENT

Treatment Arms

ArmTypeDescription
Nifedipine GITS/Candesartan Cilexetil FDC (BAY98-7106)EXPERIMENTALSubjects received nifedipine gastrointestinal therapeutic system (GITS) / candesartan cilexetil fixed dose combination (FDC) (BAY98-7106) tablet orally, once daily in the morning of Visit 1 (Week 0) for 28 or 52 weeks. The starting dose (30/8 milligram \[mg\] or 30/16 mg) was determined based on local practice and clinical judgment by the investigator. Based on the experience of symptomatic and asymptomatic hypotension, peripheral edema or significant tolerability, the doses were up-titrated to the highest target dose (60/32 mg).
Nifedipine GITS 20 mgEXPERIMENTALSubjects received 20 mg of nifedipine GITS (single tablet) monotherapy once daily for 8 weeks along with 2 placebo tablets and 1 placebo capsule
Nifedipine GITS 30 mgEXPERIMENTALSubjects received 30 mg of nifedipine GITS (single tablet) monotherapy once daily for 8 weeks along with 2 placebo tablets and 1 placebo capsule
Nifedipine GITS 60 mgEXPERIMENTALSubjects received 60 mg of nifedipine GITS (single tablet) monotherapy once daily for 8 weeks along with 2 placebo tablets and 1 placebo capsule
Candesartan cilexetil 4 mgEXPERIMENTALSubjects received 4 mg of candesartan cilexetil (single capsule) monotherapy once daily for 8 weeks along with 3 placebo tablets
Candesartan cilexetil 8 mgEXPERIMENTALSubjects received 8 mg of candesartan cilexetil (single capsule) monotherapy once daily for 8 weeks along with 3 placebo tablets
Candesartan cilexetil 16 mgEXPERIMENTALSubjects received 16 mg of candesartan cilexetil (single capsule) monotherapy once daily for 8 weeks along with 3 placebo tablets
Candesartan cilexetil 32 mgEXPERIMENTALSubjects received 32 mg of candesartan cilexetil (single capsule) monotherapy once daily for 8 weeks along with 3 placebo tablets
Nifedipine/candesartan 20/4 mgEXPERIMENTALSubjects received the combination of 20 mg of nifedipine GITS/4 mg of candesartan cilexetil once daily for 8 weeks along with 2 placebo tablets
Nifedipine/candesartan 20/8 mgEXPERIMENTALSubjects received the combination of 20 mg of nifedipine GITS/8 mg of candesartan cilexetil once daily for 8 weeks along with 2 placebo tablets
Nifedipine/candesartan 20/16 mgEXPERIMENTALSubjects received the combination of 20 mg of nifedipine GITS/16 mg of candesartan cilexetil once daily for 8 weeks along with 2 placebo tablets
Nifedipine/candesartan 30/8 mgEXPERIMENTALSubjects received the combination of 30 mg of nifedipine GITS/8 mg of candesartan cilexetil once daily for 8 weeks along with 2 placebo tablets
Nifedipine/candesartan 30/16 mgEXPERIMENTALSubjects received the combination of 30 mg of nifedipine GITS/16 mg of candesartan cilexetil once daily for 8 weeks along with 2 placebo tablets
Nifedipine/candesartan 30/32 mgEXPERIMENTALSubjects received the combination of 30 mg of nifedipine GITS/32 mg of candesartan cilexetil once daily for 8 weeks along with 2 placebo tablets
Nifedipine/candesartan 60/16 mgEXPERIMENTALSubjects received the combination of 60 mg of nifedipine GITS/16 mg of candesartan cilexetil once daily for 8 weeks along with 2 placebo tablets
Nifedipine/candesartan 60/32 mgEXPERIMENTALSubjects received the combination of 60 mg of nifedipine GITS/32 mg of candesartan cilexetil once daily for 8 weeks along with 2 placebo tablets
PlaceboPLACEBO_COMPARATORSubjects received placebo (3 tablets and 1 capsule) once daily for 8 weeks

Interventions

NameTypeDescription
Nifedipine GITS/Candesartan Cilexetil FDC(BAY98-7106)DRUGNifedipine GITS/Candesartan Cilexetil FDC(BAY98-7106), tablet, 30/8 mg, orally once daily
Candesartan cilexetil (Atacand), 4 mgDRUG4 mg of candesartan as capsule
Candesartan cilexetil (Atacand), 8 mgDRUG8 mg candesartan as capsule
Nifedipine GITS (Adalat, BAYA1040), 20 mgDRUG20 mg nifedipine as tablet
Nifedipine GITS (Adalat, BAYA1040), 30 mgDRUG30 mg nifedipine as tablet
Nifedipine GITS (Adalat, BAYA1040), 60 mgDRUG60 mg nifedipine as tablet
PlaceboDRUG3 different placebo tablets corresponding nifedipine doses and 1 placebo capsule corresponding to candesartan doses
Candesartan cilexetil (Atacand), 16 mgDRUG16 mg of candesartan as capsule
Candesartan cilexetil (Atacand), 32 mgDRUG32 mg of candesartan as capsule
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Eligibility Criteria

Age Range18 Years to N/A
SexALL
Healthy VolunteersNo
Study Sites82

Inclusion Criteria: * Subjects must have moderate to severe essential hypertension (Grade 2 or Grade 3, WHO classifications). At Visit 1, subjects not treated with antihypertensive medications are to have MSSBP of \>/= 160 mmHg and \< 200 mmHg, as measured by a calibrated electronic BP measuring de...

Countries:United StatesBelgiumCanadaGermanyPolandUnited KingdomArgentinaBrazilItalyLithuaniaRussiaSouth AfricaSouth KoreaSpainUkraine
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