Phase 2
N=524
A Study to Evaluate Efficacy and Safety of LCI699 in Participants With Essential Hypertension
Essential Hypertension
Bottom Line
View on ClinicalTrials.gov: NCT00758524 ↗Enrolled (actual)
524
Serious AEs
0.2%
Results posted
Jul 2021
Primary outcome: Primary: Core Period: Change From Baseline in Mean Sitting Diastolic Blood Pressure (MSDBP) at Week 8 Last Observation Carried Forward (LOCF), as Measured by Office Blood Pressure (OBP) — -4.47; -5.50; -7.11; -4.25 mm Hg
Study Design & Population
- Study type
- Interventional
- Phase
- Phase 2
- Interventions
- LCI699 (Drug); Eplerenone (Drug); LCI699-matching Placebo (Drug); Eplerenone-matching Placebo (Drug)
- Age
- Adult, Older Adult · 18+ yrs
- Sex
- All
- Sponsor
- Novartis Pharmaceuticals
- Primary completion
- Jul 2009
Outcome Measures
| Outcome | Result | p-value |
|---|---|---|
| PRIMARY Core Period: Change From Baseline in Mean Sitting Diastolic Blood Pressure (MSDBP) at Week 8 Last Observation Carried Forward (LOCF), as Measured by Office Blood Pressure (OBP) |
-4.47; -5.50; -7.11; -4.25; -7.49; -3.22 | — |
| SECONDARY Core Period: Change From Baseline in Mean Sitting Systolic Blood Pressure (MSSBP) at Week 8 LOCF, as Measured by OBP |
-9.00; -10.69; -11.93; -9.10; -13.31; -2.93 | — |
| SECONDARY Core Period: Number of Participants With Adverse Event (AEs), Serious Adverse Events (SAEs), and Deaths |
23; 22; 24; 27; 26; 23 | — |
| SECONDARY Core Period: Dose Response Relationship of LCI699 as Measured by Change From Baseline in MSDBP at Week 8 |
-4.47; -5.50; -7.11; -4.25 | — |
| SECONDARY Core Period: Dose Response Relationship of LCI699 as Measured by Change From Baseline in MSSBP at Week 8 |
-9.00; -10.69; -11.93; -9.10 | — |
| SECONDARY Core Period: Change From Baseline in Mean 24 Hour Ambulatory SBP at Week 8 as Measured by Ambulatory Blood Pressure Monitoring (ABPM) |
-7.15; -4.90; -7.73; -6.18; -10.52; 1.11 | — |
| SECONDARY Core Period: Change From Baseline in Mean 24 Hour Ambulatory DBP at Week 8, as Measured by ABPM |
-4.03; -2.44; -4.96; -2.75; -6.03; 1.03 | — |
| SECONDARY Core Period: Trough to Hour Ratio for Change From Baseline in 24-hour Mean Ambulatory DBP at Week 8 |
3.91; 2.95; 0.27; 3.87; 0.17; 7.11 | — |
| SECONDARY Core Period: Trough to Hour Ratio for Change From Baseline in 24-hour Mean Ambulatory SBP at Week 8 |
-0.54; 0.09; -4.51; -1.42; -5.33; 8.23 | — |
| SECONDARY Core Period: Change From Baseline in Plasma Aldosterone Levels at Week 8 |
-21.5; -20.0; -9.9; -47.5; 277.1; -28.8 | — |
| SECONDARY Core Period: Percentage of Participants With a MSDBP Response and MSDBP Control at Week 8 LOCF |
39.1; 34.1; 50.0; 34.4; 48.8; 27.6 | — |
| SECONDARY Core Period: Percentage of Participants With a MSSBP Response and MSSBP Control at Week 8 LOCF |
39.1; 37.6; 48.8; 34.4; 52.4; 17.1 | — |
| SECONDARY Core Period: Change From Baseline in Plasma Cortisol Levels by Adrenocorticotropic Hormone (ACTH) Stimulation Test |
729.20; 692.74; 604.46; 609.21; 802.32; 822.65 | — |
| SECONDARY Withdrawal Period: Change From Week 8 to Week 9 in MSDBP at Week 9, as Measured by OBP |
0.5; 0.5; 1.6; -0.2; -0.5; 2.5 | — |
| SECONDARY Withdrawal Period: Change From Week 8 to Week 9 in MSSBP at Week 9 as Measured by OBP |
0.3; 3.3; 0.5; 2.5; 0.4; 5.3 | — |
Summary
This study was a proof-of-efficacy, dose finding study of LCI699 in participants with mild-to-moderate uncomplicated essential hypertension in order to assess the blood pressure (BP) lowering effect, safety and tolerability of LCI699 as compared to placebo and eplerenone.
Eligibility Criteria
Inclusion Criteria
- Males and non-fertile females.
- 18-75 years inclusive.
- Participants with mild-to-moderate uncomplicated essential hypertension.
Exclusion Criteria
- All women of child bearing potential.
- Female participants on hormone replacement therapy.
- Severe hypertension.
- History or evidence of a secondary form of hypertension.
- Known moderate or malignant retinopathy.
- History of angina pectoris, myocardial infarction, coronary bypass surgery,ischemic heart disease, surgical or percutaneous arterial intervention of any kind (coronary, carotid or peripheral vessels), stroke, transient ischemic attack (TIA), carotid artery stenosis, aortic aneurysm or peripheral arterial disease.
- Type 1 or type 2 diabetes mellitus.
- Clinically significant valvular heart disease.
- Congestive heart failure (New York Heart Association [NYHA] class II-IV).
- Cardiac electrical abnormalities indicating significant risk of safety for participant taking part in the study.
- History of malignancy of any organ system, treated or untreated, within the past 5 years.
- Liver disease such as cirrhosis or chronic active hepatitis.
- Any surgical or medical conditions that may significantly alter the absorption, distribution, metabolism or excretion of any drug substance
- Any surgical or medical conditions, not identified in the protocol that in the opinion of the investigator or the monitor, place the participant at higher risk from his/her participation in the study, or is likely to prevent the participant from complying with the requirements of the study or completing the trial period.
- Participant unwilling or not able to discontinue safely the use of current antihypertensive medications during the study period
- Any contraindication or history of hypersensitivity to any of the study drugs or to drugs with similar chemical structures.
- Chronic oral or parenteral corticosteroid treatment.
- Treatment with potassium supplement or potassium sparing diuretics.
- Treatment with potent cytochrome P450 3A4 (CYP3A4) inhibitors during the study period.
- Use of other investigational drugs at Visit 1, or within 30 days or 5 half-lives of Visit 1, whichever is longer, unless local health authority guidelines mandate a longer period.
- Serum potassium > 5.2 milliequivalents per liter (mEq/L) or 2 times the upper limit of the normal range (ULN) at Visit 1.
- Bilirubin (total) > 1.5 x ULN at Visit 1.
- Modification of diet in renal disease estimated glomerular filtration rate (MDRD eGFR) < 60 milliliters per minute (ml/min)/1.73 m^2 at Visit 1.
- Other clinically significant laboratory abnormalities, confirmed by repeat measurements, at Visit 1.
- History of active substance abuse (including alcohol).
- Participants with night-shift employment.
Data sourced from ClinicalTrials.gov (NCT00758524). 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.