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Hypertension: Conducting Studies of Drugs to Treat Patients on a Background of Multiple Antihypertensive Drugs Guidance for Industry

DraftCenter for Drug Evaluation and Research07/13/2018

Description

This guidance is intended to clarify the recommended approach for sponsors developing drugs to treat hypertension for patients who are on a background of multiple antihypertensive drugs.

Key Topics

Terms and concepts identified from this document

Scope & Applicability

Product Classes

9
direct vasodilators

possible treatment for hypertension

central alpha agonists

possible treatment for hypertension

alpha blockers

possible treatment for hypertension

aldosterone antagonists

possible treatment for hypertension

calcium channel blockers

commonly recommended drug class for initial therapy

beta blockers

commonly recommended drug class for initial therapy

renin-angiotensin system inhibitors

commonly recommended drug class for initial therapy

diuretics

commonly recommended drug class for initial therapy

antihypertensive drugs

results from controlled trials of antihypertensive drugs; Reduction in Blood Pressure and Cardiovascular Events with Antihypertensive Drugs

Stakeholders

1
sponsor

responsible for justifying omission of studies

Regulatory Context

Regulatory Activities

1
approval

paths to obtain approval of drugs

Document Types

1
labeling

Document where unexpected behaviors might be listed as possible.

Attributes

1
Dose

Product characteristic evaluated alongside name similarity.

Technical Details

Substances

1
Background medications

Medications taken during the study to be described in labeling

Testing Methods

1
placebo-controlled study

demonstrate superiority to placebo in reducing blood pressure

Clinical Concepts

6
myocardial infarction

risk increased by elevated blood pressure

heart failure

risk increased by elevated blood pressure

cardiovascular death

risk increased by elevated blood pressure

stroke

Elevated blood pressure is known to increase the risk of stroke; Prevention of Stroke by Antihypertensive Drug Treatment

resistant hypertension

hypertension not adequately controlled by three or more drugs

hypertension

Indication for drug use

Related MFDS Guidelines

Korean regulatory guidelines covering similar topics

See Also (8)

Hypertension: Conducting Studies of Drugs to Treat Patients on a Background of Multiple Antihypertensive Drugs Guidance for Industry | Guideline Explorer | BioRegHub