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Phase 4 N=532 Randomized Double-blind Treatment

Aliskiren Plus HCTZ Compared to Aliskiren in Metabolic Syndrome Patients With Stage 2 Systolic Hypertension

Hypertension

Enrolled (actual)
532
Serious AEs
1.3%
Results posted
Jan 2011
Primary outcome: Primary: Change From Baseline to Week 8 in Mean Sitting Systolic Blood Pressure (msSBP) — -30.38; -20.15 mm Hg

Study Design & Population

Study type
Interventional
Phase
Phase 4
Interventions
Aliskiren (Drug); Hydrochlorothiazide (Drug)
Age
Adult, Older Adult · 18+ yrs
Sex
All
Sponsor
Novartis
Primary completion
Dec 2009

Outcome Measures

OutcomeResultp-value
PRIMARY
Change From Baseline to Week 8 in Mean Sitting Systolic Blood Pressure (msSBP)
-30.38; -20.15
SECONDARY
Change From Baseline to Week 8 in Mean Sitting Diastolic Blood Pressure (msDBP)
-11.26; -6.90
SECONDARY
Percentage of Participants With Blood Pressure Response at Week 8
78.4; 55.2
SECONDARY
Percentage of Patients Achieving Blood Pressure Control at Week 8
58.7; 34.5
SECONDARY
Change From Baseline to Week 8 in Pulse Pressure
-18.96; -13.33

Summary

The purpose of the study is to evaluate the blood pressure lowering effect and safety of aliskiren in combination with Hydrochlorothiazide (HCTZ) compared to aliskiren monotherapy when given to metabolic syndrome patients with stage 2 systolic hypertension (mean sitting systolic blood pressure [msSBP] ≥ 160 mm Hg and < 200 mm Hg).

Eligibility Criteria

Inclusion Criteria

  • Patients who are eligible and able to participate in the study, and who give written informed consent before any assessment is performed.
  • Male or female outpatients ≥ 18 years old.
  • Patients with stage 2 systolic hypertension. Patients must have a msSBP ≥160 mmHg and than 102 cm for men and > 88 cm for women)
  • Current triglycerides ≥ 150 mg/dL or medical treatment for this condition.
  • Current HDL- Cholesterol 100 mg/dL and <126 mg/dL

Exclusion Criteria

  • Office blood pressure measured by cuff (msDBP ≥ 110 mmHg and or msSBP ≥ 200 mmHg) at any visit.
  • Use of other investigational drugs at the time of enrollment, or within 30 days or 5 half-lives of enrollment, whichever is longer.
  • Use of aliskiren and/or a fixed dose combination of aliskiren HCTZ or participation in a clinical trial that had aliskiren and/or aliskiren HCTZ as treatment within 30 days of Visit 1.
  • History of hypersensitivity to any of the medications or to drugs belonging to a similar therapeutic class (diuretics or renin inhibitors) as the study drugs.
  • History or evidence of secondary form of hypertension.
  • Refractory hypertension, defined as unresponsive to triple drug therapy at the maximum dose of each drug, one of which must be a diuretic, and not at blood pressure goal (140/90mmHg). Therapy with a fixed dose combination of two active substances represent two drugs.
  • Patients on 4 or more antihypertensive medications.
View full record on ClinicalTrials.gov →

Data sourced from ClinicalTrials.gov (NCT00797316). 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.

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