Efficacy and Safety of Valsartan and Amlodipine in Patients With Essential Hypertension - Full Text View

Sponsor:	Novartis Pharmaceuticals
Information provided by:	Novartis
ClinicalTrials.gov Identifier:	NCT00425373

Purpose

The purpose of this study is to evaluate the safety and efficacy of fixed combination of valsartan (40 mg and 80 mg) and amlodipine (2.5 mg and 5 mg), valsartan and amlodipine alone, and placebo in reducing blood pressure. The study will investigate the dose response relationship for the combinations, monotherapies, and placebo.

Condition	Intervention	Phase
Essential Hypertension	Drug: Valsartan + amlodipine 40/2.5 mg Drug: Valsartan + amlodipine 40/5 mg Drug: Valsartan + amlodipine 80/2.5 mg Drug: Valsartan + amlodipine 80/5 mg Drug: Valsartan 40 mg Drug: Valsartan 80 mg Drug: Amlodipine 2.5 mg Drug: Amlodipine 5 mg Drug: Placebo	Phase II Phase III

Study Type:	Interventional
Study Design:	Allocation: Randomized Endpoint Classification: Safety/Efficacy Study Intervention Model: Factorial Assignment Masking: Double Blind (Subject, Investigator, Outcomes Assessor) Primary Purpose: Treatment
Official Title:	A Multi-center, Randomized, Double-blind, Parallel-group, Placebo-controlled, Factorial Study to Evaluate the Efficacy and Safety of 8-week Treatment With Valsartan (40 and 80 mg) and Amlodipine (2.5 and 5 mg) Combined and Alone in Essential Hypertensive Patients

Resource links provided by NLM:

MedlinePlus related topics: High Blood Pressure

Drug Information available for: Amlodipine Amlodipine besylate Valsartan

U.S. FDA Resources

Further study details as provided by Novartis:

Primary Outcome Measures:

Change in Mean Sitting Diastolic Blood Pressure (MSDBP) From Baseline to End of Study (Week 8) [ Time Frame: Baseline to end of study (Week 8) ] [ Designated as safety issue: No ]
At study entry, blood pressure was measured in both arms using a standard method described in the protocol. The arm with the higher diastolic BP reading was used for the measurements at all subsequent visits. Blood pressure in the sitting position was measured after resting in a seated position for at least 5 minutes. The measurement was repeated a total of 3 times at intervals of 1 to 2 minutes. A negative number indicates lowered blood pressure.

Secondary Outcome Measures:

Change in Mean Sitting Systolic Blood Pressure (MSSBP) From Baseline to End of Study (Week 8) [ Time Frame: Baseline to end of study (Week 8) ] [ Designated as safety issue: No ]
At study entry, blood pressure was measured in both arms using a standard method described in the protocol. The arm with the higher diastolic BP reading was used for the measurements at all subsequent visits. Blood pressure in the sitting position was measured after resting in a seated position for at least 5 minutes. The measurement was repeated a total of 3 times at intervals of 1 to 2 minutes. A negative number indicates lowered blood pressure.
Percentage of Patients Achieving MSDBP < 90 mmHg or a => 10 mm Hg Decrease Compared to Baseline at the End of the Study (Week 8) [ Time Frame: Baseline to end of study (Week 8) ] [ Designated as safety issue: No ]
At study entry, blood pressure was measured in both arms using a standard method described in the protocol. The arm with the higher diastolic BP reading was used for the measurements at all subsequent visits. Blood pressure in the sitting position was measured after resting in a seated position for at least 5 minutes. The measurement was repeated a total of 3 times at intervals of 1 to 2 minutes. A negative number indicates lowered blood pressure.
Percentage of Patients Achieving MSDBP < 90mmHg at the End of the Study (Week 8) [ Time Frame: Baseline to end of study (Week 8) ] [ Designated as safety issue: No ]
At study entry, blood pressure was measured in both arms using a standard method described in the protocol. The arm with the higher diastolic BP reading was used for the measurements at all subsequent visits. Blood pressure in the sitting position was measured after resting in a seated position for at least 5 minutes. The measurement was repeated a total of 3 times at intervals of 1 to 2 minutes. A negative number indicates lowered blood pressure.
Percentage of Patients Achieving MSDBP < 90 mm Hg and MSSBP < 140 mm Hg at the End of the Study (Week 8) [ Time Frame: Baseline to end of study (Week 8) ] [ Designated as safety issue: No ]
At study entry, blood pressure was measured in both arms using a standard method described in the protocol. The arm with the higher diastolic BP reading was used for the measurements at all subsequent visits. Blood pressure in the sitting position was measured after resting in a seated position for at least 5 minutes. The measurement was repeated a total of 3 times at intervals of 1 to 2 minutes. A negative number indicates lowered blood pressure.

Enrollment:	1474
Study Start Date:	November 2006
Study Completion Date:	March 2008
Primary Completion Date:	March 2008 (Final data collection date for primary outcome measure)

Arms	Assigned Interventions
Experimental: Valsartan + amlodipine 40/2.5 mg	Drug: Valsartan + amlodipine 40/2.5 mg Valsartan + amlodipine 40/2.5 mg tablet plus 3 tablet and 2 capsule placebos taken once daily
Experimental: Valsartan + amlodipine 40/5 mg	Drug: Valsartan + amlodipine 40/5 mg Valsartan + amlodipine 40/5mg tablet plus 3 tablet and 2 capsule placebos taken once daily
Experimental: Valsartan + amlodipine 80/2.5 mg	Drug: Valsartan + amlodipine 80/2.5 mg Valsartan + amlodipine 80/2.5 mg tablet plus 3 tablet and 2 capsule placebos taken once daily
Experimental: Valsartan + amlodipine 80/5 mg	Drug: Valsartan + amlodipine 80/5 mg Valsartan + amlodipine 80/5mg tablet plus 3 tablet and 2 capsule placebos taken once daily
Active Comparator: Valsartan 40 mg	Drug: Valsartan 40 mg Valsartan 40 mg tablet plus 3 tablet and 2 capsule placebos taken once daily
Active Comparator: Valsartan 80 mg	Drug: Valsartan 80 mg Valsartan 80 mg tablet plus 3 tablet and 2 capsule placebos taken once daily
Active Comparator: Amlodipine 2.5 mg	Drug: Amlodipine 2.5 mg Amlodipine 2.5 mg capsule plus 4 tablet and 1 capsule placebos taken once daily
Active Comparator: Amlodipine 5 mg	Drug: Amlodipine 5 mg Amlodipine 5 mg capsule plus 4 tablet and 1 capsule placebos taken once daily
Placebo Comparator: Placebo	Drug: Placebo 4 tablet and 2 capsule placebos taken once daily

Eligibility

Ages Eligible for Study:	20 Years to 80 Years
Genders Eligible for Study:	Both
Accepts Healthy Volunteers:	No

Criteria

Inclusion criteria

Patients with essential hypertension measured by electronic hemodynamometer. - - Patients must satisfy the following criteria.
1. MSDBP <110 mmHg and MSSBP <180 mmHg at Visit 1
2. MSDBP ≥ 90 mmHg and < 110 mmHg and MSSBP < 180 mmHg at Visit 2
3. MSDBP ≥ 95 mmHg and < 110 mmHg and MSSBP < 180 mmHg at Visit 3
4. The absolute difference in MSDBP between Visit 2 and 3 is ≤ 10 mmHg
Male or female outpatients.
Aged => 20 and =< 80 years (at the time of signing informed consent).
Patients who have written informed consent to participate in this study.

Exclusion criteria

Pregnant women, nursing (lactating) mothers, women suspected of being pregnant, or women who wish to be pregnant during the study, women of child-bearing potential.
Patients with secondary hypertension or suspected of having secondary hypertension.
Patients with a history of malignant hypertension.
Patients with an inability to completely discontinue all prior antihypertensive medications safely for a period of 12 weeks as required by the protocol.
Patients with or with a history of any of the following diseases or signs: Cardiac disease, renal disease, cerebrovascular disorder
Patients with a clinically significant allergy (asthma on pharmacotherapy, multi-drug allergy, or drug-induced or food-induced anaphylactic reactions).
Patients hypersensitive to AII receptor antagonists, calcium channel blockers or dihydropyridine derivatives.
Known moderate or malignant retinopathy.
Patients with or with a history of pancreatitis. Patients with pancreatic injury, or evidence of impaired pancreatic function/injury within 12 months of Visit 1.
Patients with any surgical or medical condition which might significantly alter the absorption, distribution, metabolism, or excretion of any drug.
Patients with volume depletion based on the investigator's or subinvestigator's clinical judgment using vital signs, skin turgor, moistness of mucous membrane and laboratory values.
Patients who are found to have low Na and K (Na <130 mEq/L, K <3.3mEq/L) or high in these parameters (Na ≥ 152 mEq/L, K ≥ 5.2 mEq/L) by laboratory tests at Visit 1.
Patients with type I diabetes mellitus on treatment with insulin, or patients with type II diabetes with poor glucose control defined as a glycosylated hemoglobin (HbA1c) > 8.0% at Visit 1.
Patients with or with a history of malignant tumors including leukemia and lymphoma, treated or untreated, within the past 5 years of Visit 1 whether or not there is evidence of local recurrence or metastases (except for localized basal cell carcinoma of the skin).
Patients with any severe, life-threatening disease within the past 5 years. Patients with a history of autoimmune diseases such as rheumatoid arthritis and systemic lupus erythematosus.
Any surgical or medical condition, which in the opinion of the investigator or subinvestigator, place the patient at higher risk from his/her participation in the study, or are likely to prevent the patient from complying with the requirement of the study or completing the trial period.
Patients who have with or with a history of drug or alcohol abuse within the last 2 years of Visit 1. Patients who have received other investigational product within 12 weeks of Visit 1.
Any chronic inflammatory condition needing chronic anti-inflammatory drug therapy.
Persons directly involved in the execution of this study.
Patients who are considered unlikely to comply with the requirements specified in the protocol by the investigator or subinvestigator.

Contacts and Locations

Please refer to this study by its ClinicalTrials.gov identifier: NCT00425373

Locations

Japan
Novartis Pharmaceuticals
Tokyo, Japan, 11111

Sponsors and Collaborators

Novartis Pharmaceuticals

Investigators

Study Chair:

Novartis Japan

Sponsor GmbH

More Information

No publications provided

Responsible Party:	Study Director, Novartis Pharmaceuticals
ClinicalTrials.gov Identifier:	NCT00425373 History of Changes
Other Study ID Numbers:	CVAA489A1301
Study First Received:	January 22, 2007
Results First Received:	January 12, 2011
Last Updated:	April 20, 2011
Health Authority:	Japan: Ministry of Health, Labor and Welfare

Keywords provided by Novartis:

Hypertension, Valsartan, Amlodipine, high blood pressure

Additional relevant MeSH terms:

Hypertension
Vascular Diseases
Cardiovascular Diseases
Amlodipine
Valsartan
Amlodipine, valsartan drug combination
Calcium Channel Blockers
Membrane Transport Modulators

Molecular Mechanisms of Pharmacological Action
Pharmacologic Actions
Cardiovascular Agents
Therapeutic Uses
Vasodilator Agents
Antihypertensive Agents
Angiotensin II Type 1 Receptor Blockers
Angiotensin Receptor Antagonists

ClinicalTrials.gov processed this record on February 12, 2012