Last updated: 11/07/2018 16:05:22

The COREG And Lisinopril Combination Therapy In Hypertensive Subjects (COSMOS) Trial

GSK study ID
CFD105453
Clinicaltrials.gov ID
EudraCT ID
Not applicable
EU CT Number
Not applicable
Trial status
Completed
Completed
Overview
Eligibility
Locations
Study documents
Results summary
Plain language summaries
Additional information

Trial overview

Official title: A Randomized, Double-Blind, Double-Dummy, Parallel Group, Factorial Design Trial to Assess the Efficacy and Safety of up to Six Weeks Treatment with 20mg, 40mg, or 80mg QD Doses of Carvedilol Controlled Release Formulation (COREG CR) or 10mg, 20mg, or 40mg QD doses of Lisinopril (Zestril) or a Combination of One of the Doses of Each Medication
Trial description: This is a randomized, double-blind, double-dummy, parallel group trial employing 15 cells of a 4x4 factorial design (no placebo)to compare the hypertensive effects in patients with Stage 1 and Stage 2 hypertension of carvedilol (20, 40 or 80 mg daily) alone, lisinopril (10, 20 or 40 mg daily) alone, and all combinations of the doses.
Primary purpose:
Treatment
Trial design:
Parallel Assignment
Masking:
Double (Participant, Investigator)
Allocation:
Randomized
Primary outcomes:

Change from Baseline to Week 6 in 24 Hour (hr) Mean Diastolic Blood Pressure

Timeframe: Baseline, Week 6.

Change from Baseline to Week 6 in Trough Diastolic Blood Pressure

Timeframe: Baseline, Week 6

Secondary outcomes:

Change from Baseline to Week 6 in 24 Hour Mean Systolic Blood Pressure

Timeframe: Baseline, Week 6

Change from Baseline to Week 6 in Trough Systolic Blood Pressure

Timeframe: Baseline, Week 6

Dose-response treatment estimates: Change from Baseline to Week 6 in 24 hour Mean DBP by ABPM (ambulatory blood pressure monitoring)

Timeframe: Baseline, Week 6

Change from Baseline to Week 6 in Trough to Peak Ratios of DBP by 24 hour ABPM (ambulatory blood pressure monitoring)

Timeframe: Baseline, Week 6

Overall description of safety in each treatment group using adverse events, laboratory evaluations, ECG changes, vital sign changes, and withdrawal rates.

Timeframe: Weeks 1 through 48

Change from Baseline to Week 6 in Mean SBP and DBP Measured in Morning by 24 hour ABPM

Timeframe: Morning BP, Baseline, Week 6

Change from Baseline to Week 6 in Mean SBP and DBP Measured in Afternoon by 24hr ABPM

Timeframe: Afternoon BP, Baseline, Week 6

Change from Baseline to Week 6 in Mean SBP and DBP Measured at Night by 24hr ABPM

Timeframe: Night BP, Baseline, Week 6

Change from Baseline to Week 6 in Mean Trough sitting SBP and sitting DBP by Cuff Assessment

Timeframe: Baseline, Week 6

Diastolic responders, defined as ≥ 10 mmHg sitting (s)DBP reduction from Baseline or a sDBP of <90 / 80 millimeters (mm) of mercury (Hg) for non diabetic / diabetic subjects respectively (based on cuff trough measures)

Timeframe: Week 6

Interventions:
Drug: lisinopril
Drug: carvedilol controlled release formulation
Enrollment:
654
Observational study model:
Not applicable
Primary completion date:
2008-22-04
Time perspective:
Not applicable
Clinical publications:
Bakris GL, Iyengar M, Lukas MA, Ordronneau P, Weber M. Effect of Combining Extended Release Carvedilol and Lisinopril in Hypertension: Results of the COSMOS Study. J Clin Hypertens (Greenwich).
Medical condition
Hypertension
Product
carvedilol
Collaborators
Not applicable
Study date(s)
July 2006 to April 2008
Type
Interventional
Phase
3

Participation criteria

Sex
Female & Male
Age
18+ years
Accepts healthy volunteers
No
  • Subject has given signed informed consent.
  • Subject is male or female 18 years of age at the time informed consent is signed.
  • Subject is taking ≥3 antihypertensive medications. (NOTE: A combination drug containing two antihypertensive agents represents two antihypertensive medications [e.g., Hyzaar is losartan potassium AND hydrochlorothiazide, therefore, counts as two antihypertensive medications].)
  • Subject has DBP =90 mmHg (or for diabetic subjects, DBP =80 mmHg) on two antihypertensive medications.

Trial location(s)

Location
Status
Contact us
Contact us
Location
GSK Investigational Site
Temple, Texas, United States, 76502
Status
Study Complete
Location
GSK Investigational Site
Mission Viejo, California, United States, 92691
Status
Study Complete
Location
GSK Investigational Site
Asheville, North Carolina, United States, 28801
Status
Study Complete
Location
GSK Investigational Site
Birmingham, Alabama, United States, 35235
Status
Study Complete
Location
GSK Investigational Site
Johnson City, Tennessee, United States, 37601
Status
Study Complete
Location
GSK Investigational Site
Fountain Valley, California, United States, 92708
Status
Study Complete
Location
GSK Investigational Site
Warminster, Pennsylvania, United States, 18974
Status
Study Complete
Location
GSK Investigational Site
Edison, New Jersey, United States, 08817
Status
Study Complete
Location
GSK Investigational Site
Charlotte, North Carolina, United States, 28211
Status
Terminated/Withdrawn
Location
GSK Investigational Site
Vista, California, United States, 92084
Status
Study Complete
Location
GSK Investigational Site
Sandersville, Georgia, United States, 31082
Status
Terminated/Withdrawn
Location
GSK Investigational Site
Havertown, Pennsylvania, United States, 19083
Status
Study Complete
Location
GSK Investigational Site
High Point, North Carolina, United States, 27262
Status
Study Complete
Location
GSK Investigational Site
Waco, Texas, United States, 76712
Status
Terminated/Withdrawn
Location
GSK Investigational Site
Beverly Hills, California, United States, 90211
Status
Study Complete
Location
GSK Investigational Site
Beaver, Pennsylvania, United States, 15009
Status
Study Complete
Location
GSK Investigational Site
Arlington, Texas, United States, 76014
Status
Study Complete
Location
GSK Investigational Site
San Diego, California, United States, 92117
Status
Study Complete
Location
GSK Investigational Site
Palm Harbor, Florida, United States, 34684
Status
Study Complete
Location
GSK Investigational Site
Hilton Head Island, South Carolina, United States, 29926
Status
Study Complete
Location
GSK Investigational Site
Burbank, California, United States, 91505
Status
Study Complete
Location
GSK Investigational Site
Oklahoma City, Oklahoma, United States, 73103
Status
Study Complete
Location
GSK Investigational Site
Buffalo, New York, United States, 14215
Status
Study Complete
Location
GSK Investigational Site
Chicago, Illinois, United States, 60607
Status
Study Complete
Location
GSK Investigational Site
Springfield, Massachusetts, United States, 01103
Status
Terminated/Withdrawn
Location
GSK Investigational Site
Gilbert, Arizona, United States, 85296
Status
Study Complete
Location
GSK Investigational Site
Scottsdale, Arizona, United States, 85251
Status
Study Complete
Location
GSK Investigational Site
Birmingham, Alabama, United States, 35216
Status
Study Complete
Location
GSK Investigational Site
Manassas, Virginia, United States, 20110
Status
Study Complete
Location
GSK Investigational Site
Melrose Park, Illinois, United States, 60160
Status
Study Complete
Location
GSK Investigational Site
Chester, Virginia, United States, 23836
Status
Study Complete
Location
GSK Investigational Site
Tucson, Arizona, United States, 85741
Status
Study Complete
Location
GSK Investigational Site
Wilmington, Delaware, United States, 19805
Status
Study Complete
Location
GSK Investigational Site
Loma Linda, California, United States, 92354
Status
Study Complete
Location
GSK Investigational Site
Manning, South Carolina, United States, 29102
Status
Study Complete
Location
GSK Investigational Site
Brooklyn, New York, United States, 11203
Status
Study Complete
Location
GSK Investigational Site
Glendale, Arizona, United States, 85308
Status
Study Complete
Location
GSK Investigational Site
Bloomington, Indiana, United States, 47102
Status
Study Complete
Location
GSK Investigational Site
Union, South Carolina, United States, 29309
Status
Study Complete
Location
GSK Investigational Site
Slidell, Louisiana, United States, 70458
Status
Study Complete
Location
GSK Investigational Site
Las Vegas, Nevada, United States, 89016
Status
Study Complete
Location
GSK Investigational Site
Coral Gables, Florida, United States, 33134
Status
Study Complete
Location
GSK Investigational Site
Marietta, Georgia, United States, 30066
Status
Study Complete
Location
GSK Investigational Site
Las Vegas, Nevada, United States, 89119
Status
Study Complete
Location
GSK Investigational Site
Cleveland, Ohio, United States, 44195
Status
Study Complete
Location
GSK Investigational Site
Chicago, Illinois, United States, 60610
Status
Study Complete
Location
GSK Investigational Site
Philadelphia, Pennsylvania, United States, 19154
Status
Study Complete
Location
GSK Investigational Site
Jacksonville, Florida, United States, 32205
Status
Study Complete
Location
GSK Investigational Site
Jacksonville Beach, Florida, United States, 32250
Status
Study Complete
Location
GSK Investigational Site
San Antonio, Texas, United States, 78224
Status
Study Complete
Location
GSK Investigational Site
Tulsa, Oklahoma, United States, 74104
Status
Study Complete
Location
GSK Investigational Site
San Antonio, Texas, United States, 78229
Status
Study Complete
Location
GSK Investigational Site
Phoenix, Arizona, United States, 85023
Status
Study Complete
Location
GSK Investigational Site
Phoenix, Arizona, Arizona, United States, 86106
Status
Study Complete
Location
GSK Investigational Site
Ridgewood, New Jersey, United States, 7450
Status
Study Complete
Location
GSK Investigational Site
Santa Ana, California, United States, 92705
Status
Study Complete
Location
GSK Investigational Site
Little Rock, Arkansas, United States, 72204
Status
Study Complete
Location
GSK Investigational Site
Tonawanda, New York, United States, 14150-1810
Status
Terminated/Withdrawn
Location
GSK Investigational Site
Cleveland, Ohio, United States, 44106
Status
Study Complete
Location
GSK Investigational Site
Anniston, Alabama, United States, 36207
Status
Study Complete
Location
GSK Investigational Site
Spartanburg, South Carolina, United States, 29303
Status
Study Complete
Location
GSK Investigational Site
Muscle Shoals, Alabama, United States, 35662
Status
Study Complete
Location
GSK Investigational Site
O Fallon, Montana, United States, 63366
Status
Study Complete
Location
GSK Investigational Site
Dayton, Ohio, United States, 45406
Status
Study Complete
Location
GSK Investigational Site
Salt Lake City, Utah, United States, 84102
Status
Study Complete
Location
GSK Investigational Site
Pico Rivera, California, United States, 90660
Status
Study Complete
Location
GSK Investigational Site
Missoula, Montana, United States, 59808
Status
Study Complete
Location
GSK Investigational Site
Pembroke Pines, Florida, United States, 33024
Status
Study Complete
Location
GSK Investigational Site
Taylors, South Carolina, United States, 29687
Status
Study Complete
Location
GSK Investigational Site
Raleigh, North Carolina, United States, 27615
Status
Study Complete
Location
GSK Investigational Site
Aurora, Illinois, United States, 60504
Status
Study Complete
Location
GSK Investigational Site
Hollywood, Florida, United States, 33023
Status
Study Complete
Location
GSK Investigational Site
Miami, Florida, United States, 33156
Status
Study Complete
Location
GSK Investigational Site
Nashville, Tennessee, United States, 37203
Status
Study Complete
Location
GSK Investigational Site
Gainesville, Georgia, United States, 30501
Status
Study Complete
Location
GSK Investigational Site
Rancho Cordova, California, United States, 95670
Status
Study Complete
Location
GSK Investigational Site
Wichita, Kansas, United States, 67205
Status
Study Complete
Location
GSK Investigational Site
Greer, South Carolina, United States, 29651
Status
Study Complete
Location
GSK Investigational Site
Taunton, Massachusetts, United States, 02780.
Status
Study Complete
Location
GSK Investigational Site
Houston, Texas, United States, 77081
Status
Study Complete
Location
GSK Investigational Site
Doylestown, Pennsylvania, United States, 18901
Status
Study Complete
Location
GSK Investigational Site
Cherry Hill, New Jersey, United States, 08034
Status
Terminated/Withdrawn
Location
GSK Investigational Site
Fairfax, Virginia, United States, 22030
Status
Study Complete
Location
GSK Investigational Site
San Diego, California, United States, 92128
Status
Study Complete
Location
GSK Investigational Site
Savannah, Georgia, United States, 31406
Status
Study Complete
Location
GSK Investigational Site
Denver, Colorado, United States, 80206
Status
Terminated/Withdrawn
Location
GSK Investigational Site
Tucson, Arizona, United States, 85712
Status
Study Complete
Location
GSK Investigational Site
Charleston, South Carolina, United States, 29403
Status
Terminated/Withdrawn
Location
GSK Investigational Site
Beaufort, South Carolina, United States, 29906
Status
Terminated/Withdrawn
Location
GSK Investigational Site
Leetsdale, Pennsylvania, United States, 15056
Status
Study Complete
Location
GSK Investigational Site
Beuna Park, California, United States, 90620
Status
Study Complete
Location
GSK Investigational Site
Indianapolis, Indiana, United States, 46250
Status
Study Complete
Location
GSK Investigational Site
Columbia, South Carolina, United States, 29201
Status
Study Complete
Location
GSK Investigational Site
Bingham Farms, Michigan, United States, 48025
Status
Study Complete
Location
GSK Investigational Site
Lewinston, New York, United States, 14092
Status
Study Complete
Location
GSK Investigational Site
Austin, Texas, United States, 78705
Status
Study Complete
Location
GSK Investigational Site
Spokane, Washington, United States, 99206
Status
Study Complete
Location
GSK Investigational Site
Sumter, South Carolina, United States, 29150
Status
Terminated/Withdrawn
Location
GSK Investigational Site
Birmingham, Alabama, United States, 35242
Status
Study Complete
Location
GSK Investigational Site
Phoenix, Arizona, United States, 85032
Status
Study Complete
Location
GSK Investigational Site
Simpsonville, South Carolina, United States, 29681
Status
Study Complete
Location
GSK Investigational Site
Birmingham, Alabama, United States, 35215
Status
Study Complete
Location
GSK Investigational Site
Fresno, California, United States, 93703
Status
Study Complete
Location
GSK Investigational Site
Haleyville, Alabama, United States, 35565
Status
Study Complete
Location
GSK Investigational Site
Washington, District of Columbia, United States, 20017
Status
Study Complete
Location
GSK Investigational Site
Omaha, Nebraska, United States, 68131
Status
Study Complete
Location
GSK Investigational Site
Fort Wayne, Indiana, United States, 46804
Status
Study Complete
Location
GSK Investigational Site
Milwaukee, Wisconsin, United States, 53209
Status
Study Complete
Location
GSK Investigational Site
Hialeah, Florida, United States, 33013
Status
Study Complete
Location
GSK Investigational Site
Grand Prairie/Texas, Texas, United States, 5052
Status
Study Complete
Location
GSK Investigational Site
Landsdale, Pennsylvania, United States, 19446
Status
Study Complete
Location
GSK Investigational Site
Chandler, Arizona, United States, 85225
Status
Study Complete
Location
GSK Investigational Site
Murray, Utah, United States, 84107
Status
Terminated/Withdrawn
Location
GSK Investigational Site
Georgetown, Texas, United States, 78626
Status
Study Complete
Location
GSK Investigational Site
Clarksville, Tennessee, United States, 37043
Status
Study Complete
Location
GSK Investigational Site
Selmer, Tennessee, United States, 38375
Status
Terminated/Withdrawn
Location
GSK Investigational Site
Oklahoma City, Oklahoma, United States, 73112
Status
Study Complete
Location
GSK Investigational Site
Mesa, Arizona, United States, 85206
Status
Study Complete
Location
GSK Investigational Site
Tacoma, Washington, United States, 98405
Status
Study Complete
Location
GSK Investigational Site
Albuquerque, New Mexico, United States, 87102
Status
Study Complete
Location
GSK Investigational Site
Ames, Iowa, United States, 50010
Status
Study Complete
Location
GSK Investigational Site
Sugar Land, Texas, United States, 77479
Status
Study Complete
Location
GSK Investigational Site
Avon, Indiana, United States, 46123
Status
Study Complete
Location
GSK Investigational Site
Pembroke Pines, Florida, United States, 33027
Status
Study Complete
Location
GSK Investigational Site
West Palm Beach, Florida, United States, 33409
Status
Study Complete
Location
GSK Investigational Site
Gaffney, South Carolina, United States, 29340
Status
Study Complete
Location
GSK Investigational Site
Las Vegas, Nevada, United States, 89128
Status
Study Complete
Location
GSK Investigational Site
Mobile, Alabama, United States, 36617
Status
Study Complete
Location
GSK Investigational Site
Walnut Creek, California, United States, 94598
Status
Study Complete
Location
GSK Investigational Site
Erie, Pennsylvania, United States, 16504
Status
Study Complete
Location
GSK Investigational Site
Burke, Virginia, United States, 22015
Status
Study Complete
Location
GSK Investigational Site
Scottsdale, Arizona, United States, 85260
Status
Study Complete
Location
GSK Investigational Site
Philadelphia, Pennsylvania, United States, 19152
Status
Study Complete
Location
GSK Investigational Site
Cincinnati, Ohio, United States, 45236
Status
Study Complete
Location
GSK Investigational Site
Brooklyn Center, Minnesota, United States, 55430
Status
Study Complete
Location
GSK Investigational Site
Longview, Texas, United States, 75605
Status
Study Complete
Location
GSK Investigational Site
Carlsbad, California, United States, 92008
Status
Study Complete
Location
GSK Investigational Site
Voorhees, New Jersey, United States, 08043
Status
Study Complete
Location
GSK Investigational Site
Cincinnati, Ohio, United States, 45219
Status
Study Complete
Location
GSK Investigational Site
Colorado Springs, Colorado, United States, 80904
Status
Study Complete
Location
GSK Investigational Site
Sun City, Arizona, United States, 85351
Status
Study Complete
Location
GSK Investigational Site
Sandy, Utah, United States, 84094
Status
Study Complete
Location
GSK Investigational Site
West Chester, Pennsylvania, United States, 19380
Status
Study Complete
Location
GSK Investigational Site
Jackson, Tennessee, United States, 38305
Status
Study Complete
Location
GSK Investigational Site
Eugene, Oregon, United States, 97401
Status
Study Complete
Location
GSK Investigational Site
Arlington, Virginia, United States, 22205
Status
Study Complete
Location
GSK Investigational Site
Sarasota, Florida, United States, 34239
Status
Study Complete
Location
GSK Investigational Site
Miami, Florida, United States, 33169
Status
Study Complete
Location
GSK Investigational Site
Kingston, New York, United States, 12401
Status
Study Complete
Location
GSK Investigational Site
Fargo, North Dakota, United States, 58103
Status
Study Complete
Location
GSK Investigational Site
Searcy, Arkansas, United States, 72143
Status
Study Complete

Study documents

Clinical study report
Available language(s): English
Scientific result summary
Available language(s): English

If you wish to request for full study report, please contact - [email protected]

Results overview

Results posted on ClinicalTrials.gov

Recruitment status
Completed
Actual primary completion date
2008-22-04
Actual study completion date
2008-22-04

Plain language summaries

Plain language summaries of clinical trial results for Phase 2-4 clinical trials that were initiated on or after January 2022 will be posted by GSK within one year following study completion.

Additional information about the trial

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