To compare the efficacy and safety of two dose adjustment regimens (i.e. weight-based and non-weight-based) for the treatment of Chinese hypertensive emergency patients.
This study is a prospective, multi-center, open-label, randomized and controlled study. Subjects are selected from hypertensive emergency patients with a BP (Blood Pressure) of \>180/120mmHg (SBP/DBP) and accompany with end target organ damage. All subjects are randomized into two groups receiving the Nicardipine Injection: Control Group (at a weight-based dose adjustment, i.e. according to the current Package Insert approved by SFDA) and Study Group (at a non-weight-based dose adjustment, i.e. according to the Package Insert approved by FDA). Patients meet the inclusion/exclusion criteria are randomly allocated at 1:1 proportion to Control Group and Study Group. Before the treatment, investigators should define the target BP value for every subject according to different illness state, According to the BP, the dose of Nicardipine Injection is adjusted through different methods until reaching of target BP value. After reaching target BP value or 60min after the dosing initiation, BP and pulse rate are measured every 5\~15min for 2h. Two to six hours after dosing, BP should be controlled at 160/100\~110mmHg, and the maintenance dose is determined by the investigators according to the illness state.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
NONE
Enrollment
163
IV
Unnamed facility
Beijing, Beijing Municipality, China
Unnamed facility
Shijiazhuang, Hebei, China
Unnamed facility
Harbin, Heilongjiang, China
Unnamed facility
Ürümqi, Xinjiang, China
Unnamed facility
Wuhan, China
Percentage of patients with target BP
The target BP value is defined by investigators for every subject according to different illness state
Time frame: After 60 minutes of the treatment
Blood pressure after the 6 hour treatment
Time frame: At 6 hours
The time to get target BP
The target BP value is defined by investigators for every subject according to different illness state
Time frame: Within 2 hours after treatment
Safety assessed by the incidence of adverse events, vital signs and labo tests
Time frame: For 6 hours
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