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Amlodipine- reference

Phase 3

Hypertension | Small molecule | Cardiovascular |Pfizer, Inc.|Last Updated: Feb 11, 2021

Target and mechanism

ModalitySmall molecule

Also known as Amlodipine - reference, Amlodipine

Success Probability

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Market & Valuation

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Trial Design

RandomizedDouble-BlindACTIVE_CONTROLLED
Total Trials5
Total Enrollment3,679

FDA Designations

No designations recorded

Clinical trial landscape

Amlodipine- reference · 8 trials · 6 indications

Phase 3 5Phase 1 3
NCT00530946A Randomized Study To Evaluate Efficacy And Safety Of A Fixed Combination Therapy Of Amlodipine And AtorvastatinHypertension
COMPLETED165 Analytics
NCT00415623A Comparative Study Between Amlodipine 10mg And 5mg With Hypertension For Whom 5mg Is InsufficientHypertension
COMPLETED305 Analytics
NCT00330785Open Label Study Assessing Effectiveness Of Amlodipine/Atorvastatin In Subjects With Hypertension and DyslipidaemiaHypertension
COMPLETED1,250 Analytics
NCT00143234Amlodipine/Atorvastatin Combination to Reduce the Health Risk of High Blood Pressure and High Cholesterol LevelsHypertension
COMPLETED1,825 Analytics
NCT00443456Long Term Study Of Amlodipine 10mg With Hypertension For Whom Amlodipine 5mg Is InsufficientHypertension
COMPLETED134 Analytics
PHASE3COMPLETED
A Randomized Study To Evaluate Efficacy And Safety Of A Fixed Combination Therapy Of Amlodipine And Atorvastatin
HypertensionUnlock trial analytics
PHASE3COMPLETED
A Comparative Study Between Amlodipine 10mg And 5mg With Hypertension For Whom 5mg Is Insufficient
HypertensionUnlock trial analytics
PHASE3COMPLETED
Open Label Study Assessing Effectiveness Of Amlodipine/Atorvastatin In Subjects With Hypertension and Dyslipidaemia
HypertensionUnlock trial analytics
PHASE3COMPLETED
Amlodipine/Atorvastatin Combination to Reduce the Health Risk of High Blood Pressure and High Cholesterol Levels
HypertensionUnlock trial analytics
PHASE3COMPLETED
Long Term Study Of Amlodipine 10mg With Hypertension For Whom Amlodipine 5mg Is Insufficient
HypertensionUnlock trial analytics

Study Endpoints

Primary Endpoints

Change in Systolic Blood Pressure
8 weeks

Value at Week 8 minus value at baseline

Percent Change in Low Density Lipoprotein-Cholesterol
8 weeks

Percent of "value at Week 8 minus value at baseline" over value at baseline

Change in Systolic Blood Pressure (SBP) From Baseline to Week 8
Baseline to Week 8

Mean change in the trough SBP

To evaluate the number of patients who reach target blood pressure (BP) and
LDL-C targets as defined by their governing guidelines.
To evaluate the efficacy of amlodipine/atorvastatin therapy by assessing the percentage of intent-to-treat subjects achieving both BP and lipid treatment goals (JNC VII and NCEP ATP III)
Change in Systolic Blood Pressure From Baseline of the Preceding Study
Week 0, 8 weeks, 10 weeks, 12 weeks, 16 weeks, 20 weeks, 24 weeks, 28 weeks, 32 weeks, 36 weeks, 40 weeks, 44 weeks, 48 weeks and 52 weeks

Value at each observation time point minus value at Week 0 (Week 0 was defined as baseline of the preceding study A0531085: NCT00415623.)

Change in Systolic Blood Pressure From Baseline of This Long-term Study
Week 8, 10 weeks, 12 weeks, 16 weeks, 20 weeks, 24 weeks, 28 weeks, 32 weeks, 36 weeks, 40 weeks, 44 weeks, 48 weeks and 52 weeks

Value at each observation time point minus value at Week 8 (Week 8 was defined as baseline of this long-term study A0531086: NCT00443456.)

Change in Diastolic Blood Pressure From Baseline of the Preceding Study
Week 0, 8 weeks, 10 weeks, 12 weeks, 16 weeks, 20 weeks, 24 weeks, 28 weeks, 32 weeks, 36 weeks, 40 weeks, 44 weeks, 48 weeks and 52 weeks

Value at each observation time point minus value at Week 0 (Week 0 was defined as baseline of the preceding study A0531085: NCT00415623.)

Change in Diastolic Blood Pressure From Baseline of This Long-term Study
Week 8, 10 weeks, 12 weeks, 16 weeks, 20 weeks, 24 weeks, 28 weeks, 32 weeks, 36 weeks, 40 weeks, 44 weeks, 48 weeks and 52 weeks

Value at each observation time point minus value at Week 8 (Week 8 was defined as baseline of this long-term study A0531086: NCT00443456.)

Number of Subjects Whose Blood Pressure Reached Target Blood Pressure Reduction Value
8 weeks, 10 weeks, 12 weeks, 16 weeks, 20 weeks, 24 weeks, 28 weeks, 32 weeks, 36 weeks, 40 weeks, 44 weeks, 48 weeks and 52 weeks

Target blood pressure reduction value in accordance with Japanese Society of Hypertension Guidelines for the Management of Hypertension 2004: For \<= 64 years old: systolic blood pressure below 130 mmHg and diastolic blood pressure below 85 mmHg; For \>= 65 years old: systolic blood pressure below 140 mmHg and diastolic blood pressure below 90 mmHg

Number of Subjects Whose Blood Pressure Reached Target Blood Pressure Reduction Value and Systolic Blood Pressure Had Decreased by 10 mmHg or More From Baseline in the Preceding Study
8 weeks, 10 weeks, 12 weeks, 16 weeks, 20 weeks, 24 weeks, 28 weeks, 32 weeks, 36 weeks, 40 weeks, 44 weeks, 48 weeks and 52 weeks

Target blood pressure reduction value in accordance with Japanese Society of Hypertension Guidelines for the Management of Hypertension 2004: For \<= 64 years old: systolic blood pressure below 130 mmHg and diastolic blood pressure below 85 mmHg; For \>= 65 years old: systolic blood pressure below 140 mmHg and diastolic blood pressure below 90 mmHg

Area Under the Curve From Time Zero to Extrapolated Infinite Time [AUC (0-∞)]
0, 1, 2, 3, 4, 6, 8, 10, 12, 14, 16, 24, 36, 48, 72, 96, 120, and 168 hours post dose

AUC (0-∞) = Area under the plasma concentration versus time curve (AUC) from time zero (pre-dose) to extrapolated infinite time (0-∞). It is obtained from AUC (0-t) plus AUC (t-∞).

AUC From Time Zero to Last Quantifiable Concentration (AUClast)
0, 1, 2, 3, 4, 6, 8, 10, 12, 14, 16, 24, 36, 48, 72, 96, 120, and 168 hours post dose

Area under the plasma concentration-time curve from time zero (pre-dose) to the time of the last measurable concentration (AUClast).

Maximum Observed Plasma Concentration (Cmax)
0, 1, 2, 3, 4, 6, 8, 10, 12, 14, 16, 24, 36, 48, 72, 96, 120, and 168 hours post dose
Area Under the Curve From Time Zero to Last Quantifiable Concentration (AUClast)
0, 1, 2, 3, 4, 6, 8, 10, 12, 14, 16, 24, 36, 48, 72, 96, 120 and 168 hours post dose

Area under the plasma concentration-time curve from time zero (pre-dose) to the time of the last measurable concentration (AUClast).

Area Under the Concentration-Time Curve From Zero Time Until the Last Sampling Time (AUCt)
prior to dosing, 2, 4, 6, 8, 10, 12, 16, 24, 48, 72, 96, 120 and 144 hours post dose

Area under the concentration-time curve from zero time until the last sampling time

Secondary Endpoints

Change in Systolic Blood Pressure From Baseline to Each Observation Point
2 weeks, 4 weeks, and 8 weeks
Change in Diastolic Blood Pressure From Baseline to Each Observation Point
2 weeks, 4 weeks , and 8 weeks
Percent Change in Low Density Lipoprotein-Cholesterol From Baseline to Each Observation Point
2 weeks, 4 weeks , and 8 weeks
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Study Design & Arms

AllocationRANDOMIZED
MaskingNONE
ModelPARALLEL
PurposeTREATMENT

Treatment Arms

ArmTypeDescription
CI-1038 2.5mg/5mgACTIVE_COMPARATOR -
CI-1038 2.5mg/10mgACTIVE_COMPARATOR -
CI-1038 5mg/5mgACTIVE_COMPARATOR -
CI-1038 5mg/10mgACTIVE_COMPARATOR -
Amlodipine 5mgACTIVE_COMPARATOR -
Amlodipine 10mgEXPERIMENTAL -
SingleEXPERIMENTAL -
treatment A - reference w/ waterACTIVE_COMPARATOR -
Treatment B - ODT (test) w/ waterEXPERIMENTAL -
Treatment C - ODT (test) w/o waterEXPERIMENTAL -
Treatment B - ODT (test) w/o waterEXPERIMENTAL -
Cohort 1EXPERIMENTAL24 subjects (12 subjects per sequence) will receive treatment A) one 5 mg amlodipine 3rd OD tablet (test) with water and treatment B) one 5 mg amlodipine 2nd OD tablet (reference) with water.
Cohort 2ACTIVE_COMPARATOR24 subjects (12 subjects per sequence) will receive treatment C) one 5 mg amlodipine 3rd OD tablet (test) without water, and treatment D) one 5 mg amlodipine 2nd OD tablet (reference) without water

Interventions

NameTypeDescription
Amlodipine 2.5mg/Atorvastatin 5mgDRUGSingle pill combination, dosed once daily for 8 weeks
Amlodipine 2.5mg/Atorvastatin 10mgDRUGSingle pill combination, dosed once daily for 8 weeks
Amlodipine 5mg/Atorvastatin 5mgDRUGSingle pill combination, dosed once daily for 8 weeks
Amlodipine 5mg/Atorvastatin 10mgDRUGSingle pill combination, dosed once daily for 8 weeks
AmlodipineDRUGAmlodipine 5mg/ day
Amlodipine/AtorvastatinDRUG -
Amlodipine/atorvastatin single pillDRUG -
Amlodipine - referenceDRUG10 mg tablet, single dose, with water
Amlodipine ODT - testDRUG10 mg orally disintegrating tablet (ODT), single dose, with water
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Eligibility Criteria

Age Range20 Years to 79 Years
SexALL
Healthy VolunteersNo
Study Sites17

Inclusion Criteria: * The out-patient with concurrent hypertension and hyper-LDL-cholesterolemia is a male or female \>=20 to \<80 years of age at Visit 1. * The SBP at Visit 4 (Week -1) and Visit 5 (Week 0) is continuously SBP \>=140 mmHg and \<180 mmHg, * LDL-C \>=140 mg/dL and \<250 mg/dL at Vis...

Countries:JapanCanadaUnited KingdomArgentinaAustraliaBrazilChileGuatemalaHong KongIndiaIndonesiaIsraelJordanKuwaitLebanonMalaysiaMexicoMoroccoPakistanPeruPhilippinesSaudi ArabiaSingaporeSouth AfricaSouth KoreaTaiwanThailandTunisiaTurkey (Türkiye)United Arab Emirates
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