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Phase 2 Completed N=39 Randomized Treatment

A Study to Evaluate the Safety/Tolerability and Pharmacokinetics of Aliskiren in Hypertensive Pediatric and Adolescent Patients 6-17 Years of Age

Source: ClinicalTrials.gov NCT00834041 ↗
Enrolled (actual)
39
Serious AEs
2.6%
Results posted
May 2011
Primary outcomePrimary: Maximum Plasma Concentration (Cmax) at Day 1 and Day 8 in 6-11 and 12-17 Year Old Patients — 76.8; 393.3; 82.2; 397.1 ng/ml

Summary

This first open-label study in a pediatric population was designed to evaluate aliskiren safety and pharmacokinetics after single and multiple dosing in 6-17 year old children with hypertension.

Outcome Measures

OutcomeResultp-value
PRIMARY
Maximum Plasma Concentration (Cmax) at Day 1 and Day 8 in 6-11 and 12-17 Year Old Patients
76.8; 393.3; 82.2; 397.1; 136.5; 424.3
PRIMARY
Area Under the Plasma Concentration-time Curve (AUC0-τ) in One Dosing Interval (24 h) at Day 1 and Day 8 in 6-11 and 12-17 Year Old Patients
278.3; 1231.0; 403.6; 1959.9; 390.9; 1808.7
PRIMARY
Apparent Plasma Clearance (CL/F) at Day 8 in 6-11 and 12-17 Year Old Patients
9694.0; 3905.4; 5388.1; 3539.0
SECONDARY
Change in Plasma Renin Activity From Baseline on Day 1, Day 8, and Day 9
-1.8; -4.0; -1.8; -3.8; -1.3; -3.5
SECONDARY
Change in Mean Sitting Systolic and Diastolic Blood Pressure (msSBP and msDBP) From Baseline to the End of Treatment (Day 9) in 6-11 and 12-17 Year Old Patients
-4.5; -7.7; -7.6; -7.7; -1.7; 0.0

Eligibility Criteria

Inclusion Criteria

  • Male or female, 6-17 years of age
  • Documented history of hypertension as defined in National High Blood Pressure Education Program Working Group on High Blood Pressure in Children and Adolescents (2004)
  • Must be ≥ 21.0 kg and ≤ 100.0 kg at randomization
  • Able to safely wash out previous antihypertensive therapy for 1-2 weeks

Exclusion Criteria

  • Body weight of 100 kg (220 lbs)
  • Inability to discontinue prior antihypertensive medication as required during the washout period
  • Any clinically significant abnormalities or clinically noteworthy abnormal laboratory values
  • Renal artery stenosis
  • Current diagnosis of heart failure (NYHA Class II-IV)
  • msSBP ≥ 25% above the 95th percentile for age, gender, and height at Visit 2
  • Second or third degree heart block with or without a pacemaker
  • Atrial fibrillation or atrial flutter at Visit 1, or potentially life threatening or any symptomatic arrhythmia during the 12 months prior to Visit 1
  • Evidence of current symptomatic valvular disease

Other protocol-defined inclusion/exclusion criteria applied to the study.

View full record on ClinicalTrials.gov →

Data sourced from ClinicalTrials.gov (NCT00834041). 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.

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