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HypertensionPhase 2/3NCT00151775

Assessment of Efficacy and Safety of Olmesartan Medoxomil in Children and Adolescent Patients With High Blood Pressure

A Phase 2/3 study testing olmesartan medoxomil in people with Hypertension, run by Daiichi Sankyo at 65 sites in 11 countries.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
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Trial summary

This study assesses the efficacy and safety of olmesartan medoxomil in children ages 1-16 with high blood pressure. After a 5-week blinded treatment period of up to 5 weeks participants can continue to take olmesartan medoxomil (OM) for up to an additional 46 weeks. Read more about this study

Who is it for?
Ages 1 year to 16 years
Conditions the study is for
Hypertension
What is being tested?
olmesartan medoxomil
Type of treatment
Pill or oral medicine
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
362 participants
Where
65 sitesin 11 countries
Study dates
May 2005to Sep 2008
Phase
Phase 2/3
Are there results?
Yes, posted in the registrySummary in the doctors' view

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 1 year to 16 years
  • All sexes
  • No healthy volunteers
  • Child

Who may be able to join

  • The patient's seated systolic BP (SeSBP) will be greater than or equal to 95th percentile for gender and height-for- age, or greater than or equal to 90th percentile if the patient is diabetic, or has glomerular kidney disease, or has a family history of hypertension.
  • Negative for hepatitis B and C
  • Negative for HIV

Who cannot join

  • Patient should not have serious other conditions that could interfere with the analysis of the results or that could interfere with the well-being of the patient in the trial.
  • Known sensitivity to olmesartan medoxomil
  • Taking prohibited medication
  • Consumed greater than 180 mg of caffeine daily
  • Malignant hypertension
  • History of congestive heart failure, cardiomyopathy, or obstructive valve disease
  • Renal transplant within the previous 6 months
  • Severe nephritic syndrome not in remission

Trial locations and contacts

65 sites in 11 countries.

65 sites in 11 countries

United States28 sites
  • Study site

    Baltimore, Maryland

  • Study site

    Beaumont, Texas

  • Study site

    Beverly Hills, California

  • Study site

    Birmingham, Alabama

  • Study site

    Charlottesville, Virginia

  • Study site

    Cincinnati, Ohio

  • Study site

    Dayton, Ohio

  • Study site

    Decatur, Georgia

  • Study site

    Fresno, California

  • Study site

    Grand Rapids, Michigan

  • Study site

    Hackensack, New Jersey

  • Study site

    Honolulu, Hawaii

  • Study site

    Houston, Texas

  • Study site

    Jacksonville, Florida

  • Study site

    Kinston, North Carolina

  • Study site

    Las Vegas, Nevada

  • Study site

    Little Rock, Arkansas

  • Study site

    Los Angeles, California, 90049

  • Study site

    Miami, Florida

  • Study site

    New Brunswick, New Jersey

  • Study site

    New Orleans, Louisiana

  • Study site

    Orlando, Florida

  • Study site

    Park Ridge, Illinois

  • Study site

    Phoenix, Arizona, 85013

  • Study site

    Portland, Oregon

  • Study site

    Shreveport, Louisiana

  • Study site

    Tampa, Florida, 33647

  • Study site

    Washington D.C., District of Columbia

Other trials in United States

South Africa10 sites
  • Study site

    Bloemfontein, 9300

  • Study site

    Cape Town, 7764

  • Study site

    Durban, KZ-Natal

  • Study site

    E Cape

  • Study site

    Eastern Cape, 5200

  • Study site

    Park Town, Gauteng

  • Study site

    Pietermaritzburg, KZ-Natal

  • Study site

    Potchefstroom, Northwest

  • Study site

    Pretoria, Gauteng

  • Study site

    Western Cape, 7130

Other trials in South Africa

India9 sites
  • Study site

    Ahmedabad, Gujarat

  • Study site

    Chandigarh

  • Study site

    Hyderabad, 500 033

  • Study site

    Lucknow, Uttar Prad

  • Study site

    Mangalore, Karna

  • Study site

    New Delhi, 110 029

  • Study site

    Tamil Nadu

  • Study site

    Trivandrum, Kerala

  • Study site

    Vellore, Karna

Other trials in India

Argentina5 sites
  • Study site

    Bahía Blanca

  • Study site

    Buenos Aires

  • Study site

    Capital Federal

  • Study site

    Mar del Plata

  • Study site

    San Miguel de Tucumán, TUC

Other trials in Argentina

Brazil5 sites
  • Study site

    Campinas

  • Study site

    Curitiba

  • Study site

    Porto Alegre

  • Study site

    Recife

  • Study site

    São Paulo

Other trials in Brazil

Colombia2 sites
  • Study site

    Bogotá

  • Study site

    Cali-Valle

Other trials in Colombia

Zambia2 sites
  • Study site

    Kitwe

  • Study site

    Lusaka

Other trials in Zambia

Chile1 site
  • Study site

    Santiago

Other trials in Chile

Kenya1 site
  • Study site

    Nairobi

Other trials in Kenya

Peru1 site
  • Study site

    Lima

Other trials in Peru

Uganda1 site
  • Study site

    Kampala

Other trials in Uganda

About this study

Official title: Dose-ranging Study to Evaluate the Safety and Efficacy of Olmesartan Medoxomil in Children and Adolescents With Hypertension

This study assesses the efficacy and safety of olmesartan medoxomil in children ages 1-16 with high blood pressure. After a 5-week blinded treatment period of up to 5 weeks participants can continue to take olmesartan medoxomil (OM) for up to an additional 46 weeks.

Read the detailed description

This was a randomized, multicenter, double-blind, parallel-group, prospective dose-ranging study in subjects 1 to 16 years of age with hypertension. Subjects were enrolled into 1 of 3 cohorts based on age and race. Subjects 6 to 16 years of age were enrolled into Cohort A. Subjects enrolled into Cohort A were stratified by age with approximately half aged 6 to 12 years and the remainder aged 13 to 16 years. Approximately 15% of the subjects in Cohort A were to be Black or of African descent. When a minimum of 28 Black subjects were randomized into Cohort A, enrollment in Cohort B was started. Black subjects only, 6 to 16 years of age, were enrolled into Cohort B. For Cohorts A and B body weight of any patient was >=20Kg. Seated systolic blood pressure (SeSBP) was >=95th percentile for gender and height-for-age, or >=90th percentile if the patient is diabetic, or has glomerular kidney disease, or has a family history of hypertension. Patients with symptomatic hypertension requiring immediate established therapy, or who are above 2 standard deviations (SD) above the 99th percentile did not participate in the study.

Subjects 1 to 5 years of age were enrolled into Cohort C regardless of race. Body weight of any patient was >=5Kg. SeSBP was >=95th percentile for gender and height-for-age, or >=90th percentile if the patient is diabetic, or has glomerular kidney disease, or has a family history of hypertension. Patients on stable doses of concomitant antihypertensive agents including calcium channel blockers and/or diuretics only are permitted to enroll. Patients with symptomatic hypertension requiring immediate established therapy, or who are above 2 SD above the 99th percentile did not participate in the study.

The study comprised four periods. Period I was a wash-out period from Week -1 to randomization. Subjects were randomized to treatment sequences carried through the remainder of the study. Period II was a three-week, double-blind, dose-ranging period for Cohorts A and B, beginning at Day 1 and ending at the end of Week 3. In Cohorts A and B, subjects received either low-dose or high-dose olmesartan (OM) once daily. In Cohort C, Period II was an open-label OM treatment period where all subjects received 0.3 mg/kg OM per day. Period III was a double-blind, placebo-controlled withdrawal period beginning at Week 4 and ending after 1 or 2 weeks, depending on the seated blood pressure measurement at each weekly study visit. Subjects either continued their Period II OM regimen or switched to placebo based on the initial randomization scheme. Period IV was a 46-week open-label extension period.

Conditions
Hypertension
Being tested
olmesartan medoxomil, placebo
Keywords
Treatment of hypertension or high blood pressure in children ages 1-16 years.
Medical subject headings
Hypertension

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • olmesartan medoxomilDrug

    Also called Benicar (olmesartan medoxomil)

    Cohorts A and B: 2.5mg to 40mg olmesartan, as a suspension (depending on weight), once daily. Tablets were used to prepare a suspension.

    Cohort C: 0.3mg/kg olmesartan ,as a suspension, once daily

  • placeboDrug

    Cohorts A, B, C: placebo, once daily

  • olmesartan medoxomilDrug

    Also called Benicar (olmesartan medoxomil)

    Cohorts A and B: Open label olmesartan medoxomil suspension or tablets 10mg - 40 mg. Tablets were used to prepare the suspension or were given directly.

    Cohort C: Open label olmesartan medoxomil suspension 0.3 mg/kg - 0.6 mg/kg

Study groups in NCT00151775
Study groupRoleWhat they receive
Period 2ExperimentalFor Cohorts A and B, olmesartan medoxomil suspension 2.5 mg to 40 mg in patients 6-16 years old, depending on weight. For Cohort C, olmesartan medoxomil suspension 0.3 mg/kg to in patients 1-5 years old.
Receives: Drug: olmesartan medoxomil
Period 3ExperimentalCohorts A, B, C - olmesartan medoxomil suspension or placebo taken once daily. Olmesartan medoxomil dose continued as in previous period.
Receives: Drug: olmesartan medoxomil; Drug: placebo
Period 4ExperimentalCohorts A and B: Open label olmesartan medoxomil suspension or tablets 10mg - 40 mg Cohort C: Open label olmesartan medoxomil suspension 0.3 mg/kg - 0.6 mg/kg
Receives: Drug: olmesartan medoxomil

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Least Squares Mean Change From Baseline in Seated Systolic Blood Pressure to the End of Period 2 (3 Weeks)

    The efficacy dose response change in trough seated systolic blood pressure (both non-weight adjusted and weight adjusted results) from baseline to the end of the dose-ranging period (Period 2). Non-weight adjusted dose was the fixed olmesartan medoxomil dose; weight adjusted dose calculated mg of olmesartan medoxomil per kg of weight at baseline.

    Measured: Day 0 to 3 weeks

  2. Mean Change From Baseline in Seated Systolic and Diastolic Blood Pressure Measurements to the End of Period 2 (3 Weeks)

    Mean change from baseline to the end of the dose ranging period in systolic and diastolic blood pressure readings for Cohort A, Cohort B and Cohorts A+B combined.

    Measured: Day 0 (baseline) to 3 weeks

Secondary outcomes (4)
  1. Mean Change From Period 3 Baseline in Seated Systolic and Diastolic Blood Pressure Measurements to the End of Period 3

    Mean change from period 3 baseline (completion of the dose adjustment period and prior to starting the treatment of period 3) to the end of period 3 (double-blind placebo-controlled period) in seated systolic and diastolic blood pressure readings for Cohort A, Cohort B and Cohorts A+B combined.

    Measured: Week 3 (period 3 baseline) to week 5 (end of Period 3)

  2. Mean Change From Period 3 Baseline in Seated Systolic and Diastolic Blood Pressure Measurements to the End of Period 3

    Mean change from period 3 baseline (completion of the dose adjustment period and prior to starting the treatment of period 3) to the end of period 3 (double-blind placebo-controlled period) in seated systolic and diastolic blood pressure readings for Cohort C.

    Measured: Week 3 (period 3 baseline) to week 5 (end of Period 3)

  3. Mean Change From Baseline in Seated Systolic and Diastolic Blood Pressure Measurements to the End of Period 4 (End of Study)

    Mean change from baseline to the end of the open label Period 4 in seated systolic and diastolic blood pressure readings for Cohort A, Cohort B and Cohorts A+B combined.

    Measured: Day 0 to week 51 (end of study)

  4. Mean Change From Baseline in Seated Systolic and Diastolic Blood Pressure Measurements to the End of Period 4 (End of Study)

    Mean change from baseline to the end of the open label Period 4 in seated systolic and diastolic blood pressure readings for Cohort C.

    Measured: Day 0 to week 51 week (end of study)

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted9 Sep 2005 (estimated)
  2. Study startMay 2005
  3. Primary completionSep 2008
  4. Study completionSep 2008

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase 2/3
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Masking
Double blind
Who is masked
Participant, Investigator
Enrolment
362 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT00151775
Sponsor's protocol ID
CS0866-A-U301
Status last verified
May 2016
First submitted
7 Sep 2005
Last updated
30 Jun 2016

Questions about this trial

What is this clinical trial studying?

A Phase 2/3 study testing olmesartan medoxomil in people with Hypertension, run by Daiichi Sankyo at 65 sites in 11 countries.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 3 inclusion and 8 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: finished, as of the sponsor's last update on 30 Jun 2016. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 65 sites in United States, South Africa, India, Argentina, Brazil and 6 more countries. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

What does this combined phase mean?

Phase 2 studies give the treatment to a larger group to see whether it has the intended effect and to keep checking safety.

Phase 3 studies compare the treatment with the current standard treatment or a placebo in a large group, to confirm how well it works and watch for side effects.

Not every study follows the same path, and some studies (observational studies, device studies) have no phase.

Are results available for this study?

Yes. Results are posted in the registry (first posted 2 Apr 2010). A summary is in the For doctors view, and the full results are on ClinicalTrials.gov.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Least Squares Mean Change From Baseline in Seated Systolic Blood Pressure to the End of Period 2 (3 Weeks) (time frame: Day 0 to 3 weeks). The study lists 2 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 30 Jun 2016.

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