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| Study Type: | Interventional |
|---|---|
| Study Design: | Allocation: Randomized; Endpoint Classification: Safety/Efficacy Study; Intervention Model: Parallel Assignment; Masking: Double Blind (Subject, Caregiver, Investigator, Outcomes Assessor); Primary Purpose: Treatment |
| Condition: |
Hypertension |
| Interventions: |
Drug: Azilsartan medoxomil and chlorthalidone Drug: Chlorthalidone |
Participant Flow
| Key information relevant to the recruitment process for the overall study, such as dates of the recruitment period and locations |
|---|
| Participants enrolled at 74 investigative sites in Argentina, Chile, Mexico, Peru and the United States from 07 September 2007 to 05 March 2009. |
| Significant events and approaches for the overall study following participant enrollment, but prior to group assignment |
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| Participants with uncontrolled essential hypertension were enrolled in one of three, once-daily (QD) treatment groups. |
| Description | |
|---|---|
| Azilsartan Medoxomil 40 mg QD and Chlorthalidone 25 mg QD | Azilsartan medoxomil 40 mg, tablets, orally, once daily and chlorthalidone 25 mg, tablets, orally, once daily for up to 6 weeks. |
| Azilsartan Medoxomil 80 mg QD and Chlorthalidone 25 mg QD | Azilsartan medoxomil 80 mg, tablets, orally, once daily and chlorthalidone 25 mg, tablets, orally, once daily for up to 6 weeks. |
| Chlorthalidone 25 mg QD | Chlorthalidone 25 mg, tablets, orally, once daily for up to 6 weeks. |
| Azilsartan Medoxomil 40 mg QD and Chlorthalidone 25 mg QD | Azilsartan Medoxomil 80 mg QD and Chlorthalidone 25 mg QD | Chlorthalidone 25 mg QD | |
|---|---|---|---|
| STARTED | 185 | 182 | 184 |
| COMPLETED | 169 | 158 | 168 |
| NOT COMPLETED | 16 | 24 | 16 |
| Adverse Event | 9 | 9 | 6 |
| Protocol Violation | 2 | 3 | 0 |
| Lost to Follow-up | 1 | 4 | 1 |
| Withdrawal by Subject | 2 | 5 | 3 |
| Lack of Efficacy | 1 | 2 | 2 |
| Other | 1 | 1 | 4 |
Baseline Characteristics
| Description | |
|---|---|
| Azilsartan Medoxomil 40 mg QD and Chlorthalidone 25 mg QD | Azilsartan medoxomil 40 mg, tablets, orally, once daily and chlorthalidone 25 mg, tablets, orally, once daily for up to 6 weeks. |
| Azilsartan Medoxomil 80 mg QD and Chlorthalidone 25 mg QD | Azilsartan medoxomil 80 mg, tablets, orally, once daily and chlorthalidone 25 mg, tablets, orally, once daily for up to 6 weeks. |
| Chlorthalidone 25 mg QD | Chlorthalidone 25 mg, tablets, orally, once daily for up to 6 weeks. |
| Azilsartan Medoxomil 40 mg QD and Chlorthalidone 25 mg QD | Azilsartan Medoxomil 80 mg QD and Chlorthalidone 25 mg QD | Chlorthalidone 25 mg QD | Total | |
|---|---|---|---|---|
|
Number of Participants
[units: participants] |
185 | 182 | 184 | 551 |
|
Age
[units: participants] |
||||
| <45 years | 21 | 15 | 16 | 52 |
| Between 45 and 64 years | 114 | 110 | 113 | 337 |
| ≥65 years | 50 | 57 | 55 | 162 |
|
Gender
[units: participants] |
||||
| Female | 96 | 88 | 82 | 266 |
| Male | 89 | 94 | 102 | 285 |
Outcome Measures
| 1. Primary: | Change From Baseline in the 24-hour Mean Systolic Blood Pressure Measured by Ambulatory Blood Pressure Monitoring. [ Time Frame: Baseline and Week 6. ] |
| 2. Secondary: | Change From Baseline in Mean Trough Clinic Sitting Systolic Blood Pressure. [ Time Frame: Baseline and Week 6. ] |
| 3. Secondary: | Change From Baseline in the 24-hour Mean Diastolic Blood Pressure Measured by Ambulatory Blood Pressure Monitoring. [ Time Frame: Baseline and Week 6. ] |
| 4. Secondary: | Change From Baseline in Mean Trough Clinic Sitting Diastolic Blood Pressure. [ Time Frame: Baseline and Week 6. ] |
| 5. Secondary: | Change From Baseline in Daytime (6am to 10 pm) Mean Systolic Blood Pressure Measured by Ambulatory Blood Pressure Monitoring. [ Time Frame: Baseline and Week 6. ] |
| 6. Secondary: | Change From Baseline in Daytime (6am to 10 pm) Mean Diastolic Blood Pressure Measured by Ambulatory Blood Pressure Monitoring. [ Time Frame: Baseline and Week 6. ] |
| 7. Secondary: | Change From Baseline in the Nighttime (12 am to 6 am) Mean Systolic Blood Pressure Measured by Ambulatory Blood Pressure Monitoring. [ Time Frame: Baseline and Week 6. ] |
| 8. Secondary: | Change From Baseline in the Nighttime (12 am to 6 am) Mean Diastolic Blood Pressure Measured by Ambulatory Blood Pressure Monitoring. [ Time Frame: Baseline and Week 6. ] |
| 9. Secondary: | Change From Baseline in the 12-hour Mean Systolic Blood Pressure Measured by Ambulatory Blood Pressure Monitoring. [ Time Frame: Baseline and Week 6. ] |
| 10. Secondary: | Change From Baseline in the 12-hour Mean Diastolic Blood Pressure Measured by Ambulatory Blood Pressure Monitoring. [ Time Frame: Baseline and Week 6. ] |
| 11. Secondary: | Change From Baseline in the Trough (22-24-hr) Mean Systolic Blood Pressure Measured by Ambulatory Blood Pressure Monitoring. [ Time Frame: Baseline and Week 6. ] |
| 12. Secondary: | Change From Baseline in the Trough (22-24-hr) Mean Diastolic Blood Pressure Measured by Ambulatory Blood Pressure Monitoring. [ Time Frame: Baseline and Week 6. ] |
| 13. Secondary: | Percentage of Participants Who Achieve a Clinic Systolic Blood Pressure Response, Defined as < 140 mm Hg and/or Reduction From Baseline ≥ 20 mm Hg [ Time Frame: Baseline and Week 6. ] |
| 14. Secondary: | Percentage of Participants Who Achieve a Clinic Diastolic Blood Pressure Response, Defined as < 90 mm Hg and/or Reduction From Baseline ≥ 10 mm Hg [ Time Frame: Baseline and Week 6. ] |
| 15. Secondary: | Percentage of Participants Who Achieve Both a Clinic Diastolic and Systolic Blood Pressure Response. [ Time Frame: Baseline and Week 6. ] |
More Information
| Principal Investigators are NOT employed by the organization sponsoring the study. | ||||||
| There IS an agreement between Principal Investigators and the Sponsor (or its agents) that restricts the PI's rights to discuss or publish trial results after the trial is completed. | ||||||
The agreement is:
|
| Limitations of the study, such as early termination leading to small numbers of participants analyzed and technical problems with measurement leading to unreliable or uninterpretable data |
|---|
| No text entered. |
| Responsible Party: | Sr. VP, Clinical Science, Takeda Global Research & Development Center, Inc. |
| ClinicalTrials.gov Identifier: | NCT00591773 History of Changes |
| Other Study ID Numbers: | 01-05-TL-491-009, U1111-1113-9040 |
| Study First Received: | December 27, 2007 |
| Results First Received: | March 24, 2011 |
| Last Updated: | March 24, 2011 |
| Health Authority: | United States: Food and Drug Administration |