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Dose Ranging Study of TBC3711 in Resistant Hypertension
This study has been terminated.
( Sponsor decision to terminate study, not due to safety reasons. )
First Received: January 4, 2006   Last Updated: July 8, 2008   History of Changes
Sponsored by: Encysive Pharmaceuticals
Information provided by: Encysive Pharmaceuticals
ClinicalTrials.gov Identifier: NCT00272961
  Purpose

The purpose of this study is to determine the safe and effective dose of TBC3711 in subjects with resistant hypertension.


Condition Intervention Phase
Hypertension
Drug: TBC3711
Drug: Placebo
Phase II

Study Type: Interventional
Study Design: Treatment, Randomized, Double Blind (Subject, Investigator), Parallel Assignment, Safety/Efficacy Study
Official Title: A Phase 2, Multi-Center, Randomized, Double-Blind, Placebo-Controlled, Dose Ranging Study of TBC3711 in Subjects With Resistant Hypertension

Resource links provided by NLM:


Further study details as provided by Encysive Pharmaceuticals:

Primary Outcome Measures:
  • Safety [ Time Frame: 12 Weeks ]

Secondary Outcome Measures:
  • Systolic blood pressure [ Time Frame: 12 Weeks ]
  • Diastolic blood pressure [ Time Frame: 12 Weeks ]

Estimated Enrollment: 165
Study Start Date: March 2007
Estimated Study Completion Date: August 2008
Estimated Primary Completion Date: August 2008 (Final data collection date for primary outcome measure)
Arms Assigned Interventions
1: Placebo Comparator
Placebo, once daily for 10 weeks.
Drug: Placebo
Once daily for 10 weeks
2: Experimental
10 mg
Drug: TBC3711
Once daily oral doses of 10, 50, 100 or 200 mg for 10 weeks.
3: Experimental
50 mg once daily for 10 weeks.
Drug: TBC3711
Once daily oral doses of 10, 50, 100 or 200 mg for 10 weeks.
4: Experimental
100 mg
Drug: TBC3711
Once daily oral doses of 10, 50, 100 or 200 mg for 10 weeks.
5: Experimental
200 mg
Drug: TBC3711
Once daily oral doses of 10, 50, 100 or 200 mg for 10 weeks.

Detailed Description:

This is a Phase 2, multi-center, randomized, double-blind, placebo-controlled, dose ranging study of TBC3711 given orally to subjects with resistant hypertension.

Resistant hypertension patients enrolled in the study will be randomized to one of four double-blind TBC3711 treatment arms or a placebo arm. Each arm will consist of approximately 30 patients. All study arms will receive once-daily doses of either TBC3711 or placebo. TBC3711 or placebo will be given concomitantly with each patient's current anti-hypertensive regimen.

  Eligibility

Ages Eligible for Study:   18 Years and older
Genders Eligible for Study:   Both
Accepts Healthy Volunteers:   No
Criteria

Inclusion Criteria:

  • ≥ 18 years of age
  • A diagnosis of resistant hypertension, defined as failure of concomitant use of 3 or more different anti-hypertensive agents including a diuretic to lower systolic blood pressure (SBP) to <140/90 mmHg or <130 mmHg for diabetics. Sitting blood pressure (BP) average at Screening must be ≥ 140 mmHg for non-diabetics or ≥ 130 mmHg for diabetics.
  • A stable anti-hypertensive regimen at full or therapeutic doses for at least 30 days prior to Baseline. If any compound in the subject's anti-hypertensive therapy is considered to be at a therapeutic dose, it must be supported with documentation of the rationale for not increasing the compound's maximum prescribed dose.
  • Females of childbearing potential must be using two forms of medically acceptable contraception (at least one barrier method) and have a negative pregnancy test at Screening and monthly thereafter. Women who are surgically sterile or those who are post-menopausal for at least 2 years are not considered to be of childbearing potential.
  • Signed, written informed consent.

Exclusion Criteria:

  • Sustained blood pressure of ≥ 180/120 mmHg
  • Anticipated need for anti-hypertensive regimen adjustment during the length of the trial
  • Planned weight loss, dietary program adjustment or initiation of an exercise program during the course of the study
  • Required use of thigh cuffs for accurate blood pressure readings
  • A diagnosis of acute or chronic liver disease including hepatitis B (with evidence of recent infection and/or active virus replication) and hepatitis C
  • Aspartate aminotransferase (AST) or alanine aminotransferase (ALT) > the upper limit of normal
  • Chronic renal insufficiency, defined by an estimated glomerular filtration rate (GFR) < 30 ml per minute, or the requirement for dialysis
  • Uncontrolled diabetes, defined by a Screening HgA1c > 9%
  • Known syncopal disorder or orthostatic hypotension as defined by a ≥ 20 mmHg decrease in standing SBP as compared to sitting SBP at Screening or ≥ 10 mmHg decrease in standing DBP as compared to sitting DPB at Screening
  • Occurrence of a cardiovascular event (myocardial infarction, stroke, transient ischemic attack, coronary or peripheral artery revascularization including coronary artery bypass grafting or angioplasty) within 6 months of Baseline
  • A current diagnosis of heart failure
  • Known to be positive for human immunodeficiency virus (HIV)
  • Previous failure with an endothelin receptor antagonist due to safety or efficacy
  • Chronic treatment with non-steroidal anti-inflammatory drugs (e.g., indomethacin, ibuprofen, piroxicam) or oral decongestants. As needed use of these medications, defined as treatment for no more than 3 consecutive days, is permitted.
  • Treatment with any of the following medications: appetite suppressants containing vasoactive compounds (e.g., phenylpropanolamine HCl, ephedrine, pseudoephedrine, oxymetazoline HCl), warfarin, vitamin K antagonists, cholestyramine, rifampin, cyclosporine, erythropoietin, anabolic steroids, corticosteroids, tricyclic antidepressants (low doses up to 50 mg are permitted for sleep aide), recreational drugs or illicit substances
  • Regular alcohol intake of greater than 14 units/week (a unit is defined as 12 ounces of beer, 4 ounces of wine, or 1 ounce of ≥ 50-proof hard liquor)
  • Donation or significant loss of blood (greater than or equal to 480 mL) within 30 days or plasma within 14 days of Baseline
  • Currently pregnant or breastfeeding
  • Use of investigational agents within 30 days of Baseline
  • Night shift worker
  Contacts and Locations
Please refer to this study by its ClinicalTrials.gov identifier: NCT00272961

Locations
United States, Alabama
The University of Alabama - Birmingham
Birmingham, Alabama, United States, 35294
Mobile Diagnostic Center
Mobile, Alabama, United States, 36608
United States, District of Columbia
Department of Veteran Affairs Medical Center
Washington, District of Columbia, United States, 20422
United States, Georgia
Southern Clinical Research and Management (SCRAM)
Augusta, Georgia, United States, 30904
Cardiac Disease Specialist
Atlanta, Georgia, United States, 30309
United States, Louisiana
Northwest Louisiana Nephrology Associates
Shreveport, Louisiana, United States, 71101
United States, New York
The Endocrine Group, LLP
Albany, New York, United States, 12206
Capital Cardiology Associates
Troy, New York, United States, 12180
United States, South Carolina
Hillcrest Clinical Research
Simpsonville, South Carolina, United States, 29681
United States, Tennessee
Stern Cardiovascular Center
Germantown, Tennessee, United States, 38138
United States, Texas
Punzi Medical Center
Carrollton, Texas, United States, 75006
United States, Virginia
Medical College of Virginia of Virginia Commonwealth University
Richmond, Virginia, United States, 23298
United States, Washington
Scribner Kidney Center
Seattle, Washington, United States, 98133
Sponsors and Collaborators
Encysive Pharmaceuticals
Investigators
Study Director: Ed Parsley, DO Encysive Pharmaceuticals
  More Information

No publications provided

Study ID Numbers: GRH01
Study First Received: January 4, 2006
Last Updated: July 8, 2008
ClinicalTrials.gov Identifier: NCT00272961     History of Changes
Health Authority: United States: Food and Drug Administration

Keywords provided by Encysive Pharmaceuticals:
Hypertension
Resistant Hypertension

Study placed in the following topic categories:
Vascular Diseases
Hypertension

Additional relevant MeSH terms:
Vascular Diseases
Cardiovascular Diseases
Hypertension

ClinicalTrials.gov processed this record on September 01, 2009