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General Information

Tribenzor is a three-in-one fixed dose combination of olmesartan medoxomil (which blocks angiotensin II receptors), amlodipine (which inhibits the entrance of calcium into the blood vessel walls), and hydrochlorothiazide (a diuretic which reduces water volume in the blood), for hypertension.

Tribenzor was specifically approved for the treatment of hypertension.

Tribenzor is supplied as a tablet for oral administration. The following dose combinations were approved:
20 /5 /12.5 mg
40 /5 /12.5 mg
40 /5 /25 mg
40 /10 /12.5 mg
40 /10 /25 mg
The recommended dose is once daily. Dosage may be increased after 2 weeks. The maximum recommended dose of Tribenzor is 40/10/25 mg.

Clinical Results

FDA Approval
The FDA approval of Tribenzor was based on a double-blind, active-controlled study in 2,492 hypertensive patients. The subjects received received triple therapy: olmesartan medoxomil/amlodipine/hydrochlorothiazide 40/10/25 mg, or one of the following dual therapies: olmesartan medoxomil/amlodipine 40/10 mg, olmesartan medoxomil/hydrochlorothiazide 40/25 mg or amlodipine/hydrochlorothiazide 10/25 mg. Each subject was randomized to one of the three dual therapy combinations for two to four weeks. They were then randomized to continue on the dual therapy they were receiving or to receive triple therapy. After 8 weeks of treatment, the triple combination therapy produced greater reductions in both systolic and diastolic blood pressures (p< 0.0001) compared to each of the three dual combination therapies. A total of 440 subjects participated in an ambulatory blood pressure monitoring portion of the study. Over the 24-hour period, there was a greater reduction in diastolic and systolic ambulatory blood pressure for the triple therapy compared to each of the dual combination therapies.