Clinical Trial Result Information

Protocol number:
ML18030
Title of Study:
An open label, randomized, active controlled, multicentre study to assess efficacy and safety of carvedilol versus metoprolol in patients with chronic stable angina pectoris.
Sponsor:
Shanghai Roche Pharmaceutical Ltd
Company division:
Pharmaceutical
Product name:
Dilatrend
Generic name:
carvedilol
Therapeutic area:
  • Angina Pectoris
Clinical study summary:
This trial was prematurely terminated, due to slow recruitment. Clinical trial results, other than safety statements, have not been posted, due to insufficient data.
Study center(s):
10 centers in China.
Phase of development:
III
Objectives:
1) To compare the efficacy of Dilatrend (carvedilol) twice daily and metoprolol twice daily in patients with chronic stable angina pectoris; 2) To study the safety of Dilatrend.
Methodology:
The study duration was 16 weeks (2 weeks screening, 4 weeks low dose treatment, 8 weeks final dose treatment and 2 weeks down titration). After randomization, patients were treated with low dose Dilatrend or metoprolol for 4 weeks. After 4 weeks low dose treatment, patients were titrated to the higher dose. After a further 8 weeks of active treatment study medications were tapered off over the subsequent 2 weeks.
Number of patients (planned/analyzed):
144 planned; 44 enrolled.
Diagnosis and main criteria for inclusion:
Patients ≥18 and ≤70 years of age with chronic stable angina pectoris, and with a positive treadmill exercise test.
Test product, dose and mode of administration or test procedure:
Dilatrend (carvedilol tablet) 25 mg bid for 4 weeks, a maximum of 50 mg bid for 8 weeks, 2 weeks down-titration.
Duration of treatment:
14 weeks.
Reference therapy, dose and mode of administration or reference procedure:
Metoprolol tablet 50 mg bid for 4 weeks, a maximum of 100 mg bid for 8 weeks, 2 weeks down-titration.
Criteria for evaluation (efficacy, safety):
Efficacy: Change of time to onset of 1-mm-ST-segment depression (in referred precordial leads).
Safety: Incidence of adverse events, change in vital signs, laboratory values.
Statistical methods:
Because of the premature termination of the study, there was no evaluation of the primary efficacy parameter. Safety data were evaluated descriptively.
Summary (efficacy, safety, other results):
One patient in the metoprolol group was hospitalized due to acute coronary syndrome; this SAE was not considered related to treatment. No SAE occurred in the Dilatrend group.
Conclusions:
No conclusions can be drawn from this study, due to its early termination.
Date of report:
01.04.2006

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