Safety and Tolerability of Valsartan in Children 6 to 17 Years of Age
This study is currently recruiting participants.
Verified April 2013 by Novartis
Sponsor:
Novartis Pharmaceuticals
Information provided by (Responsible Party):
Novartis ( Novartis Pharmaceuticals )
ClinicalTrials.gov Identifier:
NCT01365481
First received: May 9, 2011
Last updated: April 2, 2013
Last verified: April 2013
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Purpose
The purpose of this study is to assess the long-term safety and tolerability profile of valsartan and valsartan-based treatments in children with hypertension, with or without chronic kidney disease.
| Condition | Intervention | Phase |
|---|---|---|
|
Hypertension Chronic Kidney Disease |
Drug: Valsartan |
Phase 3 |
| Study Type: | Interventional |
| Study Design: | Allocation: Non-Randomized Endpoint Classification: Safety/Efficacy Study Intervention Model: Single Group Assignment Masking: Open Label Primary Purpose: Treatment |
| Official Title: | A Multicenter, Open-label, 18 Month Study to Evaluate the Long-term Safety and Tolerability of Valsartan in Children 6 to 17 Years of Age With Hypertension and With or Without Chronic Kidney Disease |
Resource links provided by NLM:
Further study details as provided by Novartis:
Primary Outcome Measures:
- To assess the long-term safety and tolerability profile of valsartan in children with hypertension, with or without chronic kidney disease. [ Time Frame: 18 months ] [ Designated as safety issue: Yes ]Adverse events will be summarized by primary system organ class and preferred terms, laboratory data will be summarized for change from baseline, for shift with respect to normal range, and for occurrence of abnormality as appropriate.
Secondary Outcome Measures:
- Blood pressure reduction [ Time Frame: 18 months ] [ Designated as safety issue: No ]Assess change from baseline in mean sitting systolic and mean sitting diastolic blood pressure.
- Blood pressure control [ Time Frame: 18 months ] [ Designated as safety issue: No ]Mean sitting systolic and mean sitting diastolic blood pressure less than the 95th percentile for age, gender and height
- Reduction in proteinuria and eGFR in patients with chronic kidney disease [ Time Frame: 18 months ] [ Designated as safety issue: No ]Urine albumin creatinine reduction >/= 50% from baseline estimated glomerular filtration rate (eGFR) reduction >/=25% from baseline
| Estimated Enrollment: | 150 |
| Study Start Date: | August 2011 |
| Estimated Study Completion Date: | February 2015 |
| Estimated Primary Completion Date: | February 2015 (Final data collection date for primary outcome measure) |
| Arms | Assigned Interventions |
|---|---|
| Experimental: valsartan |
Drug: Valsartan
40/80/160 w2-78:80/160/320mg, oral, by mouth, once daily
|
Eligibility| Ages Eligible for Study: | 6 Years to 17 Years |
| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | No |
Criteria
Inclusion Criteria:
- Documented diagnosis of hypertension
- able to swallow a tablet
- body weight ≥18 kg and ≤160 kg at baseline
- MSSBP must be ≥ 95th percentile and ≤25% above the 95th percentile for age, gender and height.
Exclusion Criteria:
- Any clinically significant physical abnormalities or clinically relevant abnormal laboratory values (other than those relating to renal function) obtained at the screening visit.
- Uncontrolled diabetes mellitus
- Unilateral, bilateral and graft renal artery stenosis
- Current diagnosis of heart failure (New York Heart Association Class II-IV)
- Patients taking any of the following concomitant medications following screening: Renin-angiotensin receptor(RAAS) blockers other than study drug, Lithium, potassium-sparing diuretics, potassium supplements, salt substitutes containing potassium and other substances that may increase potassium levels, Non-steroidal anti-inflammatory drugs (NSAIDS), including selective COX-2 inhibitors, acetylsalicylic acid >3g/day, and non-selective NSAIDs, Antidepressant drugs in the class of Monoamine oxidase (MAO) inhibitors (e.g. phenelzine), Chronic use of stimulant therapy for Attention deficit disorder/attention deficit hyperactivity disorder (ADD/ADHD) -Patients who demonstrate clinically significant ECG abnormalities such as concurrent potentially life threatening arrhythmia or symptomatic arrhythmia and patients with second or third degree heart block without a pacemaker.
- Coarctation of the aorta with a gradient of =30 mmHg
- Previous solid organ transplantation except renal transplantation.
- Patients known to be positive for the human immunodeficiency virus (HIV)
- Any surgical or medical condition which might significantly alter the absorption, distribution, metabolism, or excretion of the study drug
- Known or suspected contraindications to the study drug, including severe hepatic impairment, biliary cirrhosis, cholestasis and history of allergy to ARBs and/or angiotensin-converting enzymes (ACE) and/or Direct Renin Inhibitors (DRIs)
- History of malignancy of any organ system, treated or untreated, within the past 5 years whether or not there is evidence of local recurrence or metastases, with the exception of localized basal cell carcinoma of the skin.
- History or evidence of drug or alcohol abuse within the last 12 months.
- Female patients of child-bearing potential, defined as all female patients physiologically capable of becoming pregnant, unless they are willing to use highly effective contraception during the study
- Pregnant or nursing (lactating) female patients
- Participation in any investigational drug study within 30 days prior to screening or within 5 elimination half-lives of the study drug prior to screening, or whichever is longer.
- History of hypersensitivity to the study drug or to drugs of similar chemical classes.
Other protocol-defined inclusion/exclusion criteria may apply
Contacts and Locations
Please refer to this study by its ClinicalTrials.gov identifier: NCT01365481
Show 45 Study Locations
Contacts
| Contact: Novartis Pharmaceuticals | +41613241111 | |
| Contact: Novartis Pharmaceuticals |
Show 45 Study LocationsSponsors and Collaborators
Novartis Pharmaceuticals
Investigators
| Study Director: | Novartis Pharmaceuticals | Novartis Pharmaceuticals |
More Information
No publications provided
| Responsible Party: | Novartis ( Novartis Pharmaceuticals ) |
| ClinicalTrials.gov Identifier: | NCT01365481 History of Changes |
| Other Study ID Numbers: | CVAL489K2305, 2009-017594-37 |
| Study First Received: | May 9, 2011 |
| Last Updated: | April 2, 2013 |
| Health Authority: | United States: Food and Drug Administration Colombia: INVIMA Instituto Nacional de Vigilancia de Medicamentos y Alimentos Colombia: Institutional Review Board Guatemala: Ministry of Health Finland: Ethics Committee Finland: Ministry of Social Affairs and Health Finland: Finnish Medicines Agency Germany: Ethics Commission Germany: Federal Institute for Drugs and Medical Devices Germany: Federal Ministry of Education and Research Germany: Federal Ministry of Food, Agriculture and Consumer Protection Germany: German Institute of Medical Documentation and Information Germany: Ministry of Health Germany: Paul-Ehrlich-Institut Poland: Office for Registration of Medicinal Products, Medical Devices and Biocidal Products Poland: Ministry of Health Poland: Ministry of Science and Higher Education Romania: Ministry of Public Health Romania: National Medicines Agency Romania: State Institute for Drug Control Philippines: Department of Health Philippines: Bureau of Food and Drugs Singapore: Clinical Trials & Epidemiology Research Unit (CTERU) Singapore: Domain Specific Review Boards Singapore: Health Sciences Authority India: Central Drugs Standard Control Organization India: Department of Atomic Energy India: Drugs Controller General of India India: Indian Council of Medical Research India: Institutional Review Board India: Ministry of Health India: Ministry of Science and Technology India: Science and Engineering Research Council Russia: Ethics Committee Russia: FSI Scientific Center of Expertise of Medical Application Russia: Ministry of Health of the Russian Federation Russia: Pharmacological Committee, Ministry of Health Guatemala: Ministry of Public Health and Social Assistance |
Keywords provided by Novartis:
|
Hypertension, pediatric Hypertension with or without chronic kidney disease |
Additional relevant MeSH terms:
|
Hypertension Kidney Diseases Renal Insufficiency, Chronic Kidney Failure, Chronic Vascular Diseases Cardiovascular Diseases Urologic Diseases Renal Insufficiency |
Valsartan Angiotensin II Type 1 Receptor Blockers Angiotensin Receptor Antagonists Molecular Mechanisms of Pharmacological Action Pharmacologic Actions Antihypertensive Agents Cardiovascular Agents Therapeutic Uses |
ClinicalTrials.gov processed this record on June 18, 2013