Phase 3
Completed N=901
A Safety and Efficacy Trial of Aliskiren 150mg , 300 mg Compared to Ramipril 5mg, 10mg in the Elderly
Source: ClinicalTrials.gov NCT00368277 ↗Enrolled (actual)
901
Serious AEs
6.9%
Results posted
Mar 2011
Primary outcomePrimary: Change From Baseline in Mean Sitting Systolic Blood Pressure to Week 12 — -13.96; -11.64 mm Hg
Summary
Evaluate the systolic blood pressure lowering effect of aliskiren 150mg and 300mg compared to ramipril 5mg and 10mg in elderly patients with essential systolic hypertension.
Outcome Measures
| Outcome | Result | p-value |
|---|---|---|
| PRIMARY Change From Baseline in Mean Sitting Systolic Blood Pressure to Week 12 |
-13.96; -11.64 | — |
| SECONDARY Percentage of Patients With Cough |
3.1; 9.9; 4.4; 14.2 | — |
| SECONDARY Percentage of Patients Achieving Blood Pressure Control at Weeks 12 and 36 Endpoints |
46.3; 39.3; 65.6; 57.5 | — |
| SECONDARY Change From Baseline in the Mean Sitting Diastolic Blood Pressure to Week 36 |
-8.24; -7.02 | — |
Eligibility Criteria
Inclusion Criteria
- Male or female outpatients ≥ 65 years old.
- Patients with essential hypertension with an msSBP ≥ 140 mmHg and < 180 mmHg, and msDBP < 110 mmHg at Visits 2 and 3. (Visit 201 was deleted by the Administrative Changes document.)
- Patients must have had a difference in msSBP of ≤ 20 mmHg between Visit 3 and the visit immediately prior to Visit 3.
- Patients who were eligible and able to participate in the study, and who consented to do so after the purpose and nature of the investigation had been explained to them (written informed consent).
Exclusion Criteria
- History of renal artery stenosis.
- Known Keith-Wagener grade III or IV hypertensive retinopathy.
- History of hypertensive encephalopathy.
- Current diagnosis of heart failure (New York Heart Association Class III-IV).
- History of transient ischemic cerebral attack or cerebrovascular accident within 6 months.
- History of myocardial infarction, bypass surgery, or any percutaneous coronary intervention within 6 months.
- Current unstable angina pectoris. Patients on a stable dose of oral or topical nitrates or beta blockers for angina were acceptable.
- Concurrent potentially life threatening arrhythmia or symptomatic arrhythmia.
- Clinically significant valvular heart disease.
- Concurrent use of any antihypersensitive medications except a stable dose 3 months prior to visit 1 of alpha adrenergic blockers for benign prostatic hypertrophy (e.g., Flomax for BPH), beta blockers for angina, or beta blockers ophthalmic preparations.
Data sourced from ClinicalTrials.gov (NCT00368277). Outcome figures and adverse-event rates are extracted automatically from the registry's posted results and are provided for clinician reference, not as a substitute for the primary publication. Informational only — not medical advice.