Type 2 Diabetes MellitusPhase 3ALTITUDENCT00549757
Aliskiren Trial in Type 2 Diabetes Using Cardiovascular and Renal Disease Endpoints (Core and Extension Phases)
A Phase 3 study testing Aliskiren in people with Type 2 Diabetes Mellitus and Cardiovascular Disease, run by Novartis Pharmaceuticals at 776 sites in 37 countries.
Trial summary
The purpose of this study was to determine whether, in patients with type 2 diabetes and pre-existing disease of the heart and the circulatory system and/or the kidney, aliskiren at a target dose of 300 mg once daily (compared to placebo), on top of conventional treatment, reduces death and disease caused by the… Read more about this study
- Who is it for?
- Ages 35 years and older
- Conditions the study is for
- Type 2 Diabetes Mellitus, Cardiovascular Disease
- What is being tested?
- Aliskiren
- Type of treatment
- Pill or oral medicine
- Could I receive a placebo?
- Yes, some participants may receive a placebo
- How many people
- 8,606 participants
- Where
- 776 sitesin 37 countries
- Study dates
- Oct 2007to Feb 2013
- Phase
- Phase 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 35 years and older
- All sexes
- No healthy volunteers
- Adult, Older adult
Who may be able to join
- Type 2 diabetes and at least one of the following:
- Macroalbuminuria and an eGFR ≥30 mL/min/1.73 m2
- Microalbuminuria and a reduced kidney function (eGFR eGFR ≥30 and <60 mL/min/1.73 m2)
- A history of CV disease (previous MI, previous stroke, heart failure, coronary artery disease, history of percutaneous coronary intervention, angiography proven stenosis ≥50% in at least one coronary artery and a reduced kidney function (eGFR ≥30 and <60 mL/min/1.73 m2)
- Concomitant treatment should follow national guidelines and must include either an Angiotensin-converting-enzyme-inhibitor (ACEi) or an Angiotensin-receptor-blocker (ARB) but not both.
Who cannot join
- Type 1 diabetes mellitus
- Cardiovascular event or procedure ≤ 3 months prior to Visit 1
- Unstable serum creatinine
- Hypertension: Mean sitting systolic blood pressure (msSBP) ≥ 135 and < 170 mmHg or Mean sitting diastolic blood pressure (msDBP) ≥ 85 and < 110 mmHg unless treated with at least 3 anti-hypertensive medications
- Hypertension msSBP ≥ 170 or msDBP ≥ 110 mmHg
- Baseline Serum Potassium > 5.0 mmol/L
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- Patients who are treated with two renin-angiotensin-aldosterone-system-blockers
- Patients with NYHA class III or IV heart failure
- Known renal artery stenosis
- Previous randomization into the AVOID trial (CSPP100C2201)
- Aliskiren or aliskiren containing fixed combination products must not be used
- Other protocol-defined inclusion/exclusion criteria applied
Trial locations and contacts
776 sites in 37 countries.
776 sites in 37 countries
United States118 sites
Novartis Investigative Site
Aiken, South Carolina, 29801
Novartis Investigative Site
Albany, New York, 12206
Novartis Investigative Site
Albuquerque, New Mexico, 87106
Novartis Investigative Site
Alexandria, Virginia, 22304-2315
Novartis Investigative Site
Allentown, Pennsylvania, 18103
Novartis Investigative Site
Amarillo, Texas, 79106
Novartis Investigative Site
Ann Arbor, Michigan, 48109
Novartis Investigative Site
Appleton, Wisconsin, 54911
Novartis Investigative Site
Atlanta, Georgia, 30309
Novartis Investigative Site
Augusta, Georgia, 30904
Novartis Investigative Site
Augusta, Georgia, 30909
Novartis Investigative Site
Austin, Texas, 78731
Novartis Investigative Site
Aventura, Florida, 33180
Novartis Investigative Site
Baltimore, Maryland, 21204
Novartis Investigative Site
Belzoni, Mississippi, 39038
Novartis Investigative Site
Bennington, Vermont, 05201
Novartis Investigative Site
Birmingham, Alabama, 35209
Novartis Investigative Site
Birmingham, Alabama, 35235
Novartis Investigative Site
Boca Raton, Florida, 33433
Novartis Investigative Site
Bridgeport, Connecticut, 06610
Novartis Investigative Site
Burke, Virginia, 22015
Novartis Investigative Site
Burlingame, California, 94010
Novartis Investigative Site
Burlington, Massachusetts, 01803
Novartis Investigative Site
Burlington, Vermont, 05401
Novartis Investigative Site
Champaign, Illinois, 61820
Novartis Investigative Site
Charleston, South Carolina, 29425
Novartis Investigative Site
Charleston, West Virginia, 25301
Novartis Investigative Site
Cincinnati, Ohio, 45236
Novartis Investigative Site
Cleveland, Ohio, 44115
Novartis Investigative Site
Collierville, Tennessee, 38017
Novartis Investigative Site
Columbia, South Carolina, 29201
Novartis Investigative Site
Cumming, Georgia, 30041
Novartis Investigative Site
Dallas, Texas, 75226
Novartis Investigative Site
Dallas, Texas, 75231
Novartis Investigative Site
Dallas, Texas, 75235
Novartis Investigative Site
Dallas, Texas, 75390
Novartis Investigative Site
Denver, Colorado, 80209
Novartis Investigative Site
Detroit, Michigan, 48202
Novartis Investigative Site
Detroit, Michigan, 48236
Novartis Investigative Site
Dover, New Hampshire, 03820-2403
Novartis Investigative Site
Fayetteville, Arkansas, 72703
Novartis Investigative Site
Fort Lauderdale, Florida, 33311
Novartis Investigative Site
Fremont, Nebraska, 68025
Novartis Investigative Site
Fullerton, California, 92835
Novartis Investigative Site
Greenville, South Carolina, 29605
Novartis Investigative Site
Gulfport, Mississippi, 39501
Novartis Investigative Site
Haverhill, Massachusetts, 01830
Novartis Investigative Site
Hollywood, Florida, 33021
Novartis Investigative Site
Honolulu, Hawaii, 96813
Novartis Investigative Site
Honolulu, Hawaii, 96814
Novartis Investigative Site
Houston, Texas, 77030
Novartis Investigative Site
Huntington Beach, California, 92648
Novartis Investigative Site
Huntsville, Alabama, 35801
Novartis Investigative Site
Irving, Texas, 75039
Novartis Investigative Site
Jackson, Mississippi, 39209
Novartis Investigative Site
Jacksonville, Florida, 32204
Novartis Investigative Site
Jacksonville, Florida, 32205
Novartis Investigative Site
Jacksonville, Florida, 32209
Novartis Investigative Site
Jacksonville, Florida, 32216
Novartis Investigative Site
Jamaica Plain, Massachusetts, 02130
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Kalamazoo, Michigan, 49048
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Lake Zurich, Illinois, 60047
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Lancaster, Pennsylvania, 17604
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Lansdale, Pennsylvania, 19446
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Lauderdale Lakes, Florida, 33313
Novartis Investigative Site
Livonia, Michigan, 48154
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Louisville, Kentucky, 40202
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Lyndhurst, Ohio, 44124
Novartis Investigative Site
McAllen, Texas, 78501
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Melrose Park, Pennsylvania, 19027
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Metairie, Louisiana, 70006
Novartis Investigative Site
Minneapolis, Minnesota, 55404
Novartis Investigative Site
Minneapolis, Minnesota, 55455
Novartis Investigative Site
Mobile, Alabama, 36608
Novartis Investigative Site
Mobile, Alabama, 36617
Novartis Investigative Site
Montgomery, Alabama, 36106
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Muscle Shoals, Alabama, 35662
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Natick, Massachusetts, 01760
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Norman, Oklahoma, 73069
Novartis Investigative Site
North Dartmouth, Massachusetts, 02747
Novartis Investigative Site
North Richland Hills, Texas, 76180
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Oakland, California, 94609
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Oklahoma City, Oklahoma, 73112
Novartis Investigative Site
Omaha, Nebraska, 68131
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Orangeburg, South Carolina, 29115
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Pasadena, California, 91101
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Pensacola, Florida, 32504
Novartis Investigative Site
Peoria, Arizona, 85381
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Peoria, Illinois, 61615
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Philadelphia, Pennsylvania, 19138
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Phoenix, Arizona, 85032
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Plano, Texas, 75024
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Plantation, Florida, 33324
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Princeton Junction, New Jersey, 08550
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Renton, Washington, 98055
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Riverside, California, 92501
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Rochester, New York, 14607
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Saint Louis Park, Minnesota, 55416
Novartis Investigative Site
San Antonio, Texas, 78207
Novartis Investigative Site
San Antonio, Texas, 78218
Novartis Investigative Site
San Antonio, Texas, 78229-4801
Novartis Investigative Site
Slidell, Louisiana, 70458
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Spring Valley, California, 91978-1522
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Springfield, Missouri, 65807
Novartis Investigative Site
St Louis, Missouri, 63110-1093
Novartis Investigative Site
St Louis, Missouri, 63141
Novartis Investigative Site
Temple, Texas, 76508-0002
Novartis Investigative Site
Topeka, Kansas, 66606
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Torrance, California, 90502
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Tucson, Arizona, 85712
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Tucson, Arizona, 85741
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Tulsa, Oklahoma, 74133
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Walnut Creek, California, 94598
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Waltham, Massachusetts, 02154
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Warwick, Rhode Island, 02886
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West Palm Beach, Florida, 33401
Novartis Investigative Site
Worcester, Massachusetts, 01609
Novartis Investigative Site
Wyomissing, Pennsylvania, 19610
Spain65 sites
Novartis Investigative Site
A Coruña, Galicia, 15010
Novartis Investigative Site
Alaquàs, Valencia, 46970
Novartis Investigative Site
Alcázar de San Juan, Castille-La Mancha, 13600
Novartis Investigative Site
Alcorcón, Madrid, 28922
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Alfaro, La Rioja, 26540
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Alicante, Valencia, 03004
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Alzira, Valencia, 46600
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Aranda de Duero, Castille and León, 09400
Novartis Investigative Site
Arganda, Madrid, 28500
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Barcelona, Catalonia, 08025
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Barcelona, Catalonia, 08905
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Begonte, Galicia, 27373
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Benidorm, Valencia, 03550
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Cadiz, Andalusia, 11010
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Civdad Real, Madrid, 13002
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Donostia / San Sebastian, Basque Country, 20014
Novartis Investigative Site
El Puerto de Santa María, Andalusia, 11500
Novartis Investigative Site
Ferrol, Galicia, 15405
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Girona, Catalonia, 17007
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Granada, Andalusia, 18014
Novartis Investigative Site
Hospitalet de Llbregat, 08902
Novartis Investigative Site
Jerez de la Frontera, Andalusia, 11407
Novartis Investigative Site
L'Hospitalet de Llobregat, Barcelona, 08907
Novartis Investigative Site
L'Hospitalet de Llobregat
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La Pobla Llarga, Catalonia, 46670
Novartis Investigative Site
Llança, Catalonia, 17490
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Logroño, La Rioja, 26005
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Madrid, Madrid, 28034
Novartis Investigative Site
Madrid, Madrid, 28035
Novartis Investigative Site
Madrid, Madrid, 28040
Novartis Investigative Site
Madrid, Madrid, 28041
Novartis Investigative Site
Madrid, Madrid, 28046
Novartis Investigative Site
Madrid, Madrid, 28770
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Málaga, Andalusia, 29010
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Málaga, Andalusia, 29018
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Manresa, Catalonia, 08240
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Mérida, Extremadura, 06800
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Miranda de Ebro, Castille and León, 09200
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Mollet del Vallès, Catalonia, 08100
Novartis Investigative Site
Murcia, Madrid, 30007
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Oviedo, Principality of Asturias, 33006
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Oviedo, Principality of Asturias, 33008
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Oviedo, Principality of Asturias, 33010
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Palma de Mallorca, Balearic Islands
Novartis Investigative Site
Plentzia, Basque Country, 48620
Novartis Investigative Site
Pontevedra, Galicia, 36071
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Port de Sagunt, Valencia, 46520
Novartis Investigative Site
Quart de Poblet, Valencia, 46930
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Rubí, Catalonia, 08191
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Sabadell, Barcelona, 08208
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Sanlúcar de Barrameda, Andalusia, 11540
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Santa Coloma de Gramanet, Catalonia, 08923
Novartis Investigative Site
Santiago de Compostela, Galicia, 15706
Novartis Investigative Site
Seville, Andalusia, 41009
Novartis Investigative Site
Tàrrega, Catalonia, 25300
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Valencia, Valencia, 46010
Novartis Investigative Site
Valencia, Valencia, 46011
Novartis Investigative Site
Valencia, Valencia, 46014
Novartis Investigative Site
Valencia, Valencia, 46017
Novartis Investigative Site
Valencia, Valencia, 46019
Novartis Investigative Site
Vic, Catalonia, 08500
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Vigo, Galicia, 36200
Novartis Investigative Site
Villabona, Basque Country, 20150
Novartis Investigative Site
Xixona, Valencia, 03100
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Zumarraga, Basque Country, 20700
Italy56 sites
Novartis Investigative Site
Arenzano, GE, 16011
Novartis Investigative Site
Belluno, BL, 32100
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Bergamo, BG, 24128
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Bologna, BO, 40138
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Campobasso, CB, 86100
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Caserta, CE, 81100
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Casorate Primo, PV, 27022
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Catanzaro, CZ, 88100
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Cava de' Tirreni, SA, 84013
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Chieti, CH, 66100
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Cona, FE, 44100
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Cosenza, CS, 87100
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Cuneo, CN, 12100
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Florence, FI, 50134
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Foggia, FG, 71100
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Genova, GE, 16132
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Isernia, 86170
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L’Aquila, AQ, 67100
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Lecco, LC, 23900
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Mercato San Severino, SA, 84085
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Milan, MI, 20123
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Milan, MI, 20132
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Milan, MI, 20146
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Milan, MI, 20157
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Monza, MB, 20900
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Naples, 80131
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Olbia, SS, 07026
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Palermo, PA, 90127
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Parma, PR, 43100
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Passirana Di Rho, MI, 20017
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Pavia, PV, 27100
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Perugia, PG, 06100
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Pisa, PI, 56124
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Pisa, PI, 56126
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Pordenone, PN, 33170
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Pozzilli, IS, 86077
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Ravenna, RA, 48100
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Roma, RM, 00122
Novartis Investigative Site
Roma, RM, 00133
Novartis Investigative Site
Roma, RM, 00157
Novartis Investigative Site
Roma, RM, 00161
Novartis Investigative Site
Roma, RM, 00163
Novartis Investigative Site
Roma, RM, 00186
Novartis Investigative Site
Roma, RM, 00189
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Salerno, SA, 84125
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San Daniele del Friuli, UD, 33038
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Sassari, SS, 07100
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Siena, SI, 53100
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Stradella, PV, 27049
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Torino, TO, 10126
Novartis Investigative Site
Torino, TO, 10128
Novartis Investigative Site
Torino, TO, 10154
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Udine, UD, 33100
Novartis Investigative Site
Venezia, VE, 30174
Novartis Investigative Site
Verona, VR, 37126
Novartis Investigative Site
Vittorio Veneto, TV, 31029
Germany50 sites
Novartis Investigative Site
Aschaffenburg, 63739
Novartis Investigative Site
Aschaffenburg, 63741
Novartis Investigative Site
Aßlar, 35614
Novartis Investigative Site
Bad Oeynhausen, 32545
Novartis Investigative Site
Barsinghausen, 30890
Novartis Investigative Site
Bensheim, 64625
Novartis Investigative Site
Berlin, 13055
Novartis Investigative Site
Berlin, 13597
Novartis Investigative Site
Berlin, 14193
Novartis Investigative Site
Bonn, 53105
Novartis Investigative Site
Bottrop, 46242
Novartis Investigative Site
Bremen, 28277
Novartis Investigative Site
Bretten, 75015
Novartis Investigative Site
Cloppenburg, 49661
Novartis Investigative Site
Dippoldiswalde, 01744
Novartis Investigative Site
Dresden, 01127
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Dresden, 01307
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Düsseldorf, 40210
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Essen, 45127
Novartis Investigative Site
Essen, 45134
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Essen, 45138
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Fuldatal, 34233
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Göttingen, 37075
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Hagen, 58095
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Hamburg, 22335
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Hamburg, 22393
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Hanover, 30625
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Heidelberg, 69120
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Heilbronn, 74072
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Heilbronn, 74076
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Ingelheim, 55218
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Jena, 07743
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Kassel, 34117
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Krefeld, 47798
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Magdeburg, 39120
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Mainz, 55131
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Messkirch, 88605
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Muehldorf Am Inn, 84453
Novartis Investigative Site
Neuwied, 56564
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Offenbach, 63065
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Rehburg-Loccum, 31547
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Riesa, 01587
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Saint Ingbert - Oberwuerzbach, 66386
Novartis Investigative Site
Schauenburg-Elgershausen, 34270
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Schwabenheim, 55270
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Ursensollen, 92289
Novartis Investigative Site
Wetter, 58300
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Wiehl, 51674
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Wiesbaden, 65183
Novartis Investigative Site
Würzburg, 97072
China45 sites
Novartis Investigative Site
Beijing, Beijing Municipality, 100044
Novartis Investigative Site
Beijing, Beijing Municipality, 100083
Novartis Investigative Site
Beijing, Beijing Municipality, 100730
Novartis Investigative Site
Beijing, 100028
Novartis Investigative Site
Beijing, 100029
Novartis Investigative Site
Beijing, 100034
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Beijing, 100088
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Beijing, 100176
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Beijing
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Changsha, Hunan, 410008
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Changsha, Hunan, 410011
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Chengdu, Sichuan, 610041
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Chengdu, 610072
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Chongqing, Chongqing Municipality, 400016
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Chongqing, Chongqing Municipality
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Chongqing, 400038
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Dalian, Liaoning, 116011
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Dalian
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Fuzhou, Fujian, 350025
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Guangzhou, Guangdong, 510180
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Guangzhou, 510000
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Hangzhou, Zhejiang, 310003
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Hangzhou, Zhejiang, 310009
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Hangzhou, Zhejiang, 310013
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Hangzhou, Zhejiang, 310016
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Harbin, Heilongjiang, 150001
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Harbin, Heilongjiang, 150086
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Kunming, Yunnan, 650101
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Nanjing, Jiangsu, 210006
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Nanjing, Jiangsu, 210008
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Nanjing, Jiangsu, 210009
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Nanjing, Jiangsu, 210029
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Qingdao, Shandong, 266011
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Shanghai, 200003
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Shanghai, 200025
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Shanghai, 200031
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Shanghai, 200233
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Shenyang, Liaoning, 110003
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Shijiazhuang, Hebei, 050051
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Suzhou, Jiangsu, 215004
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Tianjin, 300052
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Tianjin, 300142
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Wuhan, Hubei, 430030
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Xi’an, Shanxi, 710032
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Xi’an, Shanxi, 710061
Japan36 sites
Novartis Investigative Site
Aira, Kagoshima-ken, 899-5431
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Asahi, Chiba, 289-2511
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Asahikawa, Hokkaido, 078-8211
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Bunkyo-ku, Tokyo, 113-8655
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Chuo-ku, Tokyo, 103-0002
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Isehara, Kanagawa, 259-1131
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Kasuga, Fukuoka, 816-0864
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Kawasaki, Kanagawa, 210-0852
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Kitakyushu, Fukuoka, 800-0296
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Kōriyama, Fukushima, 963-8851
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Kyoto, Kyoto, 612-8555
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Kyoto, Kyoto, 615-0035
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Nagoya, Aichi-ken, 451-8511
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Nagoya, Aichi-ken, 455-8530
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Nagoya, Aichi-ken, 460-0001
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Nagoya, Aichi-ken, 462-0802
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Nagoya, Aichi-ken, 462-0825
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Ohtsu-city, Shiga, 520-2192
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Ōita, Oita Prefecture, 870-0039
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Ōita, Oita Prefecture, 870-0192
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Okayama, Okayama-ken, 700-8558
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Okayama, Okayama-ken, 701-1192
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Sapporo, Hokkaido, 003-0023
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Sapporo, Hokkaido, 060-0033
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Sapporo, Hokkaido, 060-8648
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Sendai, Miyagi, 980-8574
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Shimizu, Shizuoka, 411-8611
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Suwa, Nagano, 392-8510
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Takamatsu, Kagawa-ken, 7600076
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Takaoka, Toyama, 933-0955
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Takatsuki, Osaka, 569-1096
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Tokorozawa, Saitama, 351-1151
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Toride, Ibaraki, 302-0022
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Toyonaka, Osaka, 561-0871
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Yao, Osaka, 581-0011
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Yatsushiro, Kumamoto, 866-8660
Canada35 sites
Novartis Investigative Site
Bay Roberts, Newfoundland and Labrador, A0A 1G0
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Brampton, Ontario, L6Z 4N5
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Burlington, Ontario, L7M 4Y1
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Cambridge, Ontario, N1R 6V6
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Courtice, Ontario, L1E 3C3
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Edmonton, Alberta, T5J 3N4
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Edmonton, Alberta, T5N 3Y6
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Etobicoke, Ontario, M9R 4E1
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Greenfield Park, Quebec, J4V 2H1
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London, Ontario, N6A 4G5
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Mirabel, Quebec, J7J 2K8
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Montreal, Quebec, H1T 2M4
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North Bay, Ontario, P1B 2H3
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Oakville, Ontario, L6H 3P1
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Oshawa, Ontario, L1J 2K1
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Ottawa, Ontario, K1H 7W9
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Ouest-Montreal, H2W1R7
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Pointe-Claire, Quebec, H9R 4S3
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Québec, Quebec, G1G 3Y8
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Sainte-Foy, Quebec, G1V 4G5
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Netherlands32 sites
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Alkmaar, 1851 JD
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Argentina29 sites
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Buenos Aires, Buenos Aires, C1405BCH
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Caba, Buenos Aires, 1428
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Córdoba, Córdoba Province, 5000
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United Kingdom25 sites
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Cardiff, CF14 4XN
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Belgium22 sites
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Brussels, 9100
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Charleroi, 6000
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India20 sites
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Bangalore, 560 034
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Banglaore, Karnataka, 560038
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Chennai, Tamil Nadu, 600013
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Chennai, 600010
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Chennai, 600086
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Hyderabad, Andhra Pradesh, 500012
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Hyderabad, Andhra Pradesh, India, 500034
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Hyderabad, 500 063
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New Delhi, 110 029
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Brazil17 sites
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Belém, Pará, 66073-000
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Campinas, São Paulo, 13060-904
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Fortaleza, Ceará, 60430-370
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Juiz de Fora, Minas Gerais, 36036-110
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Marília, São Paulo, 17519-030
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Porto Alegre, Rio Grande do Sul, 90020-090
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São José do Rio Preto, São Paulo, 15090-000
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São Paulo, São Paulo, 04023-900
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São Paulo, São Paulo, 05403-000
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Slovakia17 sites
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Banksa Bystrica, SK 97 517
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Bratislava, 812 72
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Bratislava, 81369
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Bratislava, 833 48
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Bratislava, 851 07
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Košice, Slovak Republic, 040 22
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Košice, 040 01
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Ľubochňa, SK 03491
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Lučenec, 98439
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Martin, Slovakia, 03601
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Hungary16 sites
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Budapest, H-1032
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Debrecen, 4004
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Debrecen, 4032
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Gyula, 5703
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South Korea16 sites
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Daejeon, 301-747
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Incheon, 400-712
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Seoul, Korea, 110 744
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Seoul, Korea, 120-752
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Seoul, Korea, 135-710
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Seoul, 135-720
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Seoul, 136 705
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Seoul, 137-701
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Seoul, 152-703
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Seoul, 156-707
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Taegu, 700 - 721
Switzerland15 sites
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Ascona
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Bern, 3010
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Bolligen, Switzerland, 3065
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Estavayer-le-Lac, CH, 1470
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Fribourg, 1700
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Lugano, 6903
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Renens, 1020
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Winterthur, Switzerland, 8400
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Zurich, 8091
Norway13 sites
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Bergen, 5013
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Fredrikstad, Norway, 1607
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Hønefoss, 3515
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Oslo, 0160
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Skedsmokorset, 2020
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Skien, Norway, 3722
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Portugal13 sites
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Coimbra, Portugal, 3000-075
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Lisbon, Portugal, 1495-005
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Lisbon, 1169-024
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Lisbon, 1649-035
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Matosinhos Municipality, 4454-509
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Santarém, 2000-153
France12 sites
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Bondy, 93143
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Paris, 75877
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Greece12 sites
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Alexandroupoli, Greece, GR 68 100
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Athens, Greece, GR 115 21
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Athens, Greece, GR 115 27
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Athens, Greece, GR 11527
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Athens, GR 115 22
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Athens
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Athens - GR, 10676
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Ioannina, GR 45500
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Pátrai, 26500
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Piraeurs, GR 184 54
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Thessaloniki, Greece, 57001
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Thessaloniki, Greece, GR 546 39
Finland11 sites
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Helsinki, 00250
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OYS, FIN-90029
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Valkeakoski, 37600
Czechia10 sites
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Pardubice, 53002
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Písek, 397 01
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Prague, Czech Republic, 128 02
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Prague, 128 08
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Prague 4 - Krc, 14059
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Denmark10 sites
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Copenhagen NV, Denmark, DK-2400
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Frederiksberg, DK-2000
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Gentofte Municipality, DK-2820
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Roskilde, Denmark, DK-4000
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South Africa10 sites
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Gauteng
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Johannesburg, 2196
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Port Elizabeth, 6001
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Pretoria, 0002
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Somerset West, Western Cape, 7130
Taiwan10 sites
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Taichung, Taiwan, 40705
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Taichung
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Taichung County
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Taipei, Taiwan, 114
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Taipei, Taiwan
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Taipei, 10002
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Yungkang, Tainan, 710
Austria9 sites
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Bregenz, A-6900
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Feldkirch, 6807
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Graz, 8036
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Salzburg, A-5020
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Vienna, Austria, A-1220
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Vienna, 1030
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Vienna, 1090
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Vienna, A-1130
Sweden8 sites
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Gothenburg, SE-412 55
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Helsingborg, 251 87
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Karlstad, 651 85
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Malmö, 21152
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Rättvik, 79530
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Stenstorp, SE-521 60
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Uppsala, 751 85
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Varberg, s-432 81
Venezuela8 sites
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Caracas, Distrito Federal, 1010
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Caracas, Distrito Federal, 1020
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Caracas, Distrito Federal, 1040
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Caracas, Distrito Federal, 1080-A
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Caracas, Distrito Federal, 1100
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Caracas, Miranda, 1060
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Puerto Ordaz and San Felix, Bolívar, 8050
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Valencia, Carabobo, 2001
Turkey (Türkiye)7 sites
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Altunizade, 34662
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Ankara, Turkey, 06590
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Ankara, 06100
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Gaziantep, 27070
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Izmir, 35040
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Izmir, 35340
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Kocaeli, 41380
Peru6 sites
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Bellavista, Lima region, Callao 02
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Lima Cercado, Lima region, 01
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San Borja, Lima region, 41
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San Martín de Porres, Lima region, 31
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Santiago de Surco, Lima region, 33
Singapore5 sites
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Singapore, Singapore, 168752
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Singapore, Singapore, 169608
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Singapore, Singapore, 308433
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Singapore, 119074
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Singapore, 159964
Colombia4 sites
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Bogotá
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Cali
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Florida Blanca
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Medellín
Guatemala4 sites
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Guatemala City, Departamento de Guatemala, 01001
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Guatemala City, Departamento de Guatemala, 01010
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Guatemala City, Departamento de Guatemala, 01011
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Guatemala City, Departamento de Guatemala, 01015
Lithuania4 sites
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Kaunas, 50009
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Klaipėda, 92304
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Vilnius, LT-08661
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Vilnius
Thailand4 sites
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Bangkok, 10330
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Bangkok, 10400
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Bangkok, 10700
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Chiang Mai, 50200
Puerto Rico2 sites
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Ponce, 00716
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Ponce, 00733-1471
About this study
Official title: A Randomized, Double-blind, Placebo-controlled, Parallel Group Study to Determine Whether, in Patients With Type 2 Diabetes at High Risk for Cardiovascular and Renal Events, Aliskiren, on Top of Conventional Treatment, Reduces Cardiovascular and Renal Morbidity and Mortality
The purpose of this study was to determine whether, in patients with type 2 diabetes and pre-existing disease of the heart and the circulatory system and/or the kidney, aliskiren at a target dose of 300 mg once daily (compared to placebo), on top of conventional treatment, reduces death and disease caused by the heart, the circulatory system and the kidney.
AMENDMENT 4 RATIONALE (MARCH 2012) :
Protocol amendment 4 served to address the data monitoring committee recommendation dated 14 Dec 2011 to discontinue study treatment in all participating patients. It also addressed the subsequent Health Authorities request to implement a 12 month safety follow-up period (actual duration was 9 months in average) post study drug discontinuation.
- Conditions
- Type 2 Diabetes Mellitus, Cardiovascular Disease
- Being tested
- Aliskiren, Placebo
- Keywords
- Type 2 diabetes mellitus, renal morbidity and mortality, cardiovascular disease, micro-albuminuria, macro-albuminuria, RAAS, renin inhibitor, Reduced estimated glomerular filtration rate
- Medical subject headings
- Diabetes Mellitus, Type 2, Cardiovascular Diseases
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
AliskirenDrug
Aliskiren 150 mg film-coated tablets
PlaceboDrug
Placebo to match aliskiren 150 mg film-coated tablets
| Study group | Role | What they receive |
|---|---|---|
| Aliskiren | Experimental | In Core (Double Blind) phase, Aliskiren 150 mg once daily (o.d.) for 4 weeks; then patient was uptitrated to 300 mg o.d. at Visit 5/Week 4 (or 150 mg o.d. if patient could not tolerate target dose of study drug). Visits took place at 1, 4 , 5, 8 and 12 weeks after randomization (Visit 3/Week 0). Subsequent visits were planned every three months until end of core phase.
With the recommendation of Data Monitoring Committee (DMC), after discontinuation of study drug, a follow up was added as Extension Phase (9 months in average) with no active treatment Receives: Drug: Aliskiren |
| Placebo | Placebo comparator | In Core (Double Blind) phase, placebo to match aliskiren 150 mg once daily (o.d.) for 4 weeks; from Visit 5/Week 4 placebo to match aliskiren 300 mg o.d. (or placebo to match aliskiren 150 mg if patient could not tolerate target dose of study drug). Visits took place 1, 4 , 5, 8 and 12 weeks after randomization (Visit 3/Week 0). Subsequent visits were planned every three months until end of core phase.
With the recommendation of Data Monitoring Committee (DMC), after discontinuation of study drug, a follow up was added as Extension Phase (9 months in average) with no active treatment. Receives: Drug: Placebo |
What is being measured
The primary outcome is the main question the study is designed to answer.
Percentage of Participants With Occurrence of Primary Composite Endpoint (Core : Active Treatment Phase)
Occurrence was defined as the first event of the following composite primary endpoint:
- Cardiovascular (CV) death
- Resuscitated sudden death
- Non-fatal myocardial infarction (MI)
- Non-fatal stroke
- Unplanned hospitalization for heart failure (HF)
- Onset of end-stage renal disease (ESRD) or death due to renal failure. Onset of ESRD was defined as initiation of dialysis, renal transplantation, or a serum creatinine concentration above 6.0 mg/dL (530 μmol/L), sustained for at least a month.
- Doubling of baseline serum creatinine concentration, sustained for at least one month. To fulfill the endpoint, the serum creatinine concentration had to be above the upper limit of normal for men and women according to the central laboratory. The upper limit of normal for men is 1.20 mg/dL and for women is 0.91 mg/dL.
Measured: Time from randomization to the first event (Maximum 50 months)
Percentage of Participants With Cardiovascular (CV) Death (Core: Active Treatment Phase)
Measured: Time from randomization to the first event (Maximum 50 months)
Percentage of Participants With Resuscitated Sudden Death (Core: Active Treatment Phase)
Resuscitated sudden death was adjudicated when a subject experiences sudden death or cardiac arrest and is successfully resuscitated by cardioversion, defibrillation or cardiopulmonary resuscitation with a meaningful recovery of consciousness. This definition excludes known transient losses of consciousness such as seizure or vasovagal episodes that do not reflect significant cardiac dysfunction.
Measured: Time from randomization to the first event (Maximum 50 Months)
Percentage of Participants With Fatal/Non-fatal Myocardial Infarction (MI) (Core: Active Treatment Phase)
Measured: Time from randomization to the first event (Maximum 50 Months)
Percentage of Participants With Fatal/Non-fatal Stroke (Core: Active Treatment Phase)
Measured: Time from randomization to the first event (Maximum 50 Months)
Percentage of Participants With Onset of End-stage Renal Disease (ESRD) (Core: Active Treatment Phase)
ESRD is defined as initiation of dialysis, renal transplantation, or a serum creatinine concentration above 6.0 mg/dL (530 µmol per liter) or renal death
Measured: Time from randomization to the first event (Maximum 50 Months)
Percentage of Participants With Doubling of Baseline Serum Creatinine Concentration, Sustained for at Least One Month (Core: Active Treatment Phase)
To fulfill the endpoint, the serum creatinine concentration had to be above the upper limit of normal for men and women according to the central laboratory. The upper limit of normal for men is 1.20 mg/dL and for women is 0.91 mg/dL.
Measured: Time from randomization to the first event (Maximum 50 Months)
Percentage of Participants With Unplanned Hospitalization for Heart Failure (Core: Active Treatment Phase)
Measured: Time from randomization to the first event (Maximum 50 Months)
Percentage of Participants With All Cause Mortality (Core: Active Treatment Phase)
Measured: Time from randomization to the first event (Maximum 50 months)
Percentage of Participants With Occurrence of Primary Composite Endpoint (Extension Phase)
Occurrence was defined as the first event of the following composite primary endpoint:
- Cardiovascular (CV) death
- Resuscitated sudden death
- Non-fatal myocardial infarction (MI)
- Non-fatal stroke
- Unplanned hospitalization for heart failure (HF)
- Onset of end-stage renal disease (ESRD) or death due to renal failure. Onset of ESRD was defined as initiation of dialysis, renal transplantation, or a serum creatinine concentration above 6.0 mg/dL (530 μmol/L), sustained for at least a month.
- Doubling of baseline serum creatinine concentration, sustained for at least one month. To fulfill the endpoint, the serum creatinine concentration had to be above the upper limit of normal for men and women according to the central laboratory. The upper limit of normal for men is 1.20 mg/dL and for women is 0.91 mg/dL.
Measured: From cut-off date (20Dec2011/End of Treatment (EOT) ) to the first event after cut-off date (9 months in average)
Percentage of Participants With Cardiovascular (CV) Death (Extension Phase)
Measured: from cut-off date (20Dec2011/End of Treatment (EOT) ) to the first event after cut-off date (9 months in average)
Percentage of Participants With Resuscitated Sudden Death (Extension Phase)
Measured: From cut-off date (20Dec2011/End of Treatment (EOT) ) to the first event after cut-off date (9 months in average)
Percentage of Participants Fatal/Non-fatal Myocardial Infarction (MI) (Extension Phase)
Measured: From cut-off date (20Dec2011/End of Treatment (EOT) ) to the first event after cut-off date (9 month in average)
Percentage of Participants With Fatal/Non-fatal Stroke (Extension Phase)
Measured: From cut-off date (20Dec2011/End of Treatment (EOT) ) to the first event after cut-off date (9 months in average)
Percentage of Participants With Onset of End-stage Renal Disease (ESRD) (Extension Phase)
ESRD is defined as initiation of dialysis, renal transplantation, or a serum creatinine concentration above 6.0 mg/dL (530 µmol per liter) or renal death
Measured: From cut-off date (20Dec2011/End of Treatment (EOT) ) to the first event after cut-off date (9 months in average)
Percentage of Participants Doubling of Baseline Serum Creatinine Concentration, Sustained for at Least One Month (Extension Phase)
To fulfill the endpoint, the serum creatinine concentration had to be above the upper limit of normal for men and women according to the central laboratory. The upper limit of normal for men is 1.20 mg/dL and for women is 0.91 mg/dL.
Measured: From cut-off date (20Dec2011/End of Treatment (EOT) ) to the first event after cut-off date (9 months in average)
Percentage of Participants With Unplanned Hospitalization for Heart Failure (Extension Phase)
Measured: From cut-off date (20Dec2011/End of Treatment (EOT) ) to the first event after cut-off date (9 months in average)
Percentage of Participants With All Cause Mortality (Extension Phase)
Measured: from cut-off date (20Dec2011/End of Treatment (EOT) ) to the first event after cut-off date (9 months in average)
Secondary outcomes (4)
Percentage of Participants With Occurrence of Secondary Cardiovascular Composite Endpoint (Core: Active Treatment Phase)
Occurrence was defined as the first event of the following secondary cardiovascular composite endpoint:
- Cardiovascular (CV) death
- Resuscitated sudden death
- Non-fatal myocardial infarction (MI)
- Non-fatal stroke
- Unplanned hospitalization for heart failure (HF)
Measured: Time from randomization to the first event (Maximum 50 months)
Percentage of Participants With Occurrence of Secondary Renal Composite Endpoint (Core: Active Treatment Phase)
Occurrence was defined as the first event of the following secondary renal composite endpoint:
- Onset of end-stage renal disease (ESRD) or death due to renal failure. Onset of ESRD was defined as initiation of dialysis, renal transplantation, or a serum creatinine concentration above 6.0 mg/dL (530 μmol/L), sustained for at least a month.
- Doubling of baseline serum creatinine concentration, sustained for at least one month. To fulfill the endpoint, the serum creatinine concentration had to be above the upper limit of normal for men and women according to the central laboratory.The upper limit of normal for men is 1.20 mg/dL and for women is 0.91 mg/dL.
Measured: Time from randomization to the first event (Maximum 50 months)
Percentage of Participants With Occurrence of Secondary Cardiovascular Composite Endpoint (Extension Phase)
Occurrence was defined as the first event of the following secondary cardiovascular composite endpoint:
- Cardiovascular (CV) death
- Resuscitated sudden death
- Non-fatal myocardial infarction (MI)
- Non-fatal stroke
- Unplanned hospitalization for heart failure (HF)
Measured: From cut-off date (20Dec2011/End of Treatment (EOT) ) to the first event after cut-off date (9 months in average)
Percentage of Participants With Occurrence of Secondary Renal Composite Endpoint (Extension Phase)
Occurrence was defined as the first event of the following secondary renal composite endpoint:
- Onset of end-stage renal disease (ESRD) or death due to renal failure. Onset of ESRD was defined as initiation of dialysis, renal transplantation, or a serum creatinine concentration above 6.0 mg/dL (530 μmol/L), sustained for at least a month.
- Doubling of baseline serum creatinine concentration, sustained for at least one month. To fulfill the endpoint, the serum creatinine concentration had to be above the upper limit of normal for men and women according to the central laboratory. The upper limit of normal for men is 1.20 mg/dL and for women is 0.91 mg/dL.
Measured: From cut-off date (20Dec2011/End of Treatment (EOT) ) to the first event after cut-off date (9 months in average)
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted26 Oct 2007 (estimated)
- Study startOct 2007
- Primary completionFeb 2013
- Study completionFeb 2013
Why it stopped: Lack of benefit and safety concern
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Posted resultsParticipant flow, outcome measures and adverse events reported by the sponsor.
- Publications (6)Papers the sponsor has linked to this study.
- Other trials for Type 2 Diabetes MellitusStudies of the same condition, open and under way.
- More trials run by Novartis PharmaceuticalsThe sponsor's other registered studies.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
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 3
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Double blind
- Who is masked
- Participant, Investigator
- Enrolment
- 8,606 participants (actual)
Sponsor and investigators
- Lead sponsor
- Novartis Pharmaceuticals
- Sponsor type
- Industry (pharma, biotech, devices)
- Responsible party
- Sponsor
- Investigators
- Novartis Pharmaceuticals, Study director, Novartis PharmaceuticalsNovartis, Study chair, Novartis
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT00549757
- Sponsor's protocol ID
- CSPP100E2337
- Other IDs
- 2007-000860-25
- Acronym
- ALTITUDE
- Status last verified
- Apr 2014
- First submitted
- 24 Oct 2007
- Last updated
- 21 Apr 2014
- Results posted
- Yes, on ClinicalTrials.gov
Publications
Jongs N, Gasparyan SB, Frison L, Schloemer P, Brinker M, Little DJ, Heerspink HJL. Use of eGFR Slope Thresholds as End Point Components in a Kidney Disease Progression Hierarchical Composite End Point. J Am Soc Nephrol. 2025 Dec 1;36(12):2421-2430. doi: 10.1681/ASN.0000000766. Epub 2025 Jun 17.
PubMed 40526444Heerspink HJL, Jongs N, Schloemer P, Little DJ, Brinker M, Tasto C, Karpefors M, Wheeler DC, Bakris G, Perkovic V, Nkulikiyinka R, Rossert J, Gasparyan SB. Development and Validation of a New Hierarchical Composite End Point for Clinical Trials of Kidney Disease Progression. J Am Soc Nephrol. 2023 Dec 1;34(12):2025-2038. doi: 10.1681/ASN.0000000000000243. Epub 2023 Oct 24.
PubMed 37872654Malachias MVB, Jhund PS, Claggett BL, Wijkman MO, Bentley-Lewis R, Chaturvedi N, Desai AS, Haffner SM, Parving HH, Prescott MF, Solomon SD, De Zeeuw D, McMurray JJV, Pfeffer MA. NT-proBNP by Itself Predicts Death and Cardiovascular Events in High-Risk Patients With Type 2 Diabetes Mellitus. J Am Heart Assoc. 2020 Oct 20;9(19):e017462. doi: 10.1161/JAHA.120.017462. Epub 2020 Sep 23.
PubMed 32964800Heerspink HJ, Persson F, Brenner BM, Chaturvedi N, Brunel P, McMurray JJ, Desai AS, Solomon SD, Pfeffer MA, Parving HH, de Zeeuw D. Renal outcomes with aliskiren in patients with type 2 diabetes: a prespecified secondary analysis of the ALTITUDE randomised controlled trial. Lancet Diabetes Endocrinol. 2016 Apr;4(4):309-17. doi: 10.1016/S2213-8587(15)00469-6. Epub 2016 Jan 14.
PubMed 26774608Parving HH, Brenner BM, McMurray JJ, de Zeeuw D, Haffner SM, Solomon SD, Chaturvedi N, Persson F, Desai AS, Nicolaides M, Richard A, Xiang Z, Brunel P, Pfeffer MA; ALTITUDE Investigators. Cardiorenal end points in a trial of aliskiren for type 2 diabetes. N Engl J Med. 2012 Dec 6;367(23):2204-13. doi: 10.1056/NEJMoa1208799. Epub 2012 Nov 3.
PubMed 23121378Lambers Heerspink HJ, Perkovic V, de Zeeuw D. Renal and cardio-protective effects of direct renin inhibition: a systematic literature review. J Hypertens. 2009 Dec;27(12):2321-31. doi: 10.1097/HJH.0b013e3283310f92.
PubMed 19727007
Study at a glance
From the registry record, last updated by the sponsor on 21 Apr 2014. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- A Randomized, Double-blind, Placebo-controlled, Parallel Group Study to Determine Whether, in Patients With Type 2 Diabetes at High Risk for Cardiovascular and Renal Events, Aliskiren, on Top of Conventional Treatment, Reduces Cardiovascular and Renal Morbidity and Mortality
- ClinicalTrials.gov ID
- NCT00549757
- Acronym / sponsor ID
- ALTITUDE / CSPP100E2337
- Conditions
- Type 2 Diabetes Mellitus, Cardiovascular Disease
- Keywords
- Type 2 diabetes mellitus, renal morbidity and mortality, cardiovascular disease, micro-albuminuria, macro-albuminuria, RAAS, renin inhibitor, Reduced estimated glomerular filtration rate
- Phase
- Phase 3
- Study type
- Interventional
- Recruitment status
- TerminatedReason stopped: Lack of benefit and safety concern
- Enrolment
- 8,606 participants (actual)
- Lead sponsor
- Novartis PharmaceuticalsIndustry (pharma, biotech, devices)
- Study start
- Oct 2007
- Primary completion
- Feb 2013 (actual)
- Study completion
- Feb 2013 (actual)
- First posted
- 26 Oct 2007 (estimated)
- Results
- Posted 18 Mar 2014
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
The purpose of this study was to determine whether, in patients with type 2 diabetes and pre-existing disease of the heart and the circulatory system and/or the kidney, aliskiren at a target dose of 300 mg once daily (compared to placebo), on top of conventional treatment, reduces death and disease caused by the heart, the circulatory system and the kidney.
AMENDMENT 4 RATIONALE (MARCH 2012) :
Protocol amendment 4 served to address the data monitoring committee recommendation dated 14 Dec 2011 to discontinue study treatment in all participating patients. It also addressed the subsequent Health Authorities request to implement a 12 month safety follow-up period (actual duration was 9 months in average) post study drug discontinuation.
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Double blind (participant, investigator)
- Number of arms
- 2
| Arm | Type | Receives |
|---|---|---|
| Aliskiren | Experimental | Drug: AliskirenIn Core (Double Blind) phase, Aliskiren 150 mg once daily (o.d.) for 4 weeks; then patient was uptitrated to 300 mg o.d. at Visit 5/Week 4 (or 150 mg o.d. if patient could not tolerate target dose of study drug). Visits took place at 1, 4 , 5, 8 and 12 weeks after randomization (Visit 3/Week 0). Subsequent visits were planned every three months until end of core phase. With the recommendation of Data Monitoring Committee (DMC), after discontinuation of study drug, a follow up was added as Extension Phase (9 months in average) with no active treatment |
| Placebo | Placebo comparator | Drug: PlaceboIn Core (Double Blind) phase, placebo to match aliskiren 150 mg once daily (o.d.) for 4 weeks; from Visit 5/Week 4 placebo to match aliskiren 300 mg o.d. (or placebo to match aliskiren 150 mg if patient could not tolerate target dose of study drug). Visits took place 1, 4 , 5, 8 and 12 weeks after randomization (Visit 3/Week 0). Subsequent visits were planned every three months until end of core phase. With the recommendation of Data Monitoring Committee (DMC), after discontinuation of study drug, a follow up was added as Extension Phase (9 months in average) with no active treatment. |
Who may qualify
- Ages
- 35 years and older
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (5 listed)
- Type 2 diabetes and at least one of the following:
- Concomitant treatment should follow national guidelines and must include either an Angiotensin-converting-enzyme-inhibitor (ACEi) or an Angiotensin-receptor-blocker (ARB) but not both.
Key exclusion criteria (12 listed)
- Type 1 diabetes mellitus
- Cardiovascular event or procedure ≤ 3 months prior to Visit 1
- Unstable serum creatinine
- Hypertension: Mean sitting systolic blood pressure (msSBP) ≥ 135 and < 170 mmHg or Mean sitting diastolic blood pressure (msDBP) ≥ 85 and < 110 mmHg unless treated with at least 3 anti-hypertensive medications
- Hypertension msSBP ≥ 170 or msDBP ≥ 110 mmHg
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| AliskirenAliskiren 150 mg film-coated tablets | Drug | Aliskiren |
| PlaceboPlacebo to match aliskiren 150 mg film-coated tablets | Drug | Placebo |
Primary outcome
Percentage of Participants With Occurrence of Primary Composite Endpoint (Core : Active Treatment Phase)
Time frame: Time from randomization to the first event (Maximum 50 months)
Occurrence was defined as the first event of the following composite primary endpoint: * Cardiovascular (CV) death * Resuscitated sudden death * Non-fatal myocardial infarction (MI) * Non-fatal stroke * Unplanned hospitalization for heart failure (HF) * Onset of end-stage renal disease (ESRD) or death due to renal failure. Onset of ESRD was defined as initiation of dialysis, renal transplantation, or a serum creatinine concentration above 6.0 mg/dL (530 μmol/L), sustained for at least a month. * Doubling of baseline serum creatinine concentration, sustained for at least one month. To fulfill the endpoint, the serum creatinine concentration had to be above the upper limit of normal for men and women according to the central laboratory. The upper limit of normal for men is 1.20 mg/dL and for women is 0.91 mg/dL.
Percentage of Participants With Cardiovascular (CV) Death (Core: Active Treatment Phase)
Time frame: Time from randomization to the first event (Maximum 50 months)
Percentage of Participants With Resuscitated Sudden Death (Core: Active Treatment Phase)
Time frame: Time from randomization to the first event (Maximum 50 Months)
Resuscitated sudden death was adjudicated when a subject experiences sudden death or cardiac arrest and is successfully resuscitated by cardioversion, defibrillation or cardiopulmonary resuscitation with a meaningful recovery of consciousness. This definition excludes known transient losses of consciousness such as seizure or vasovagal episodes that do not reflect significant cardiac dysfunction.
Percentage of Participants With Fatal/Non-fatal Myocardial Infarction (MI) (Core: Active Treatment Phase)
Time frame: Time from randomization to the first event (Maximum 50 Months)
Percentage of Participants With Fatal/Non-fatal Stroke (Core: Active Treatment Phase)
Time frame: Time from randomization to the first event (Maximum 50 Months)
Percentage of Participants With Onset of End-stage Renal Disease (ESRD) (Core: Active Treatment Phase)
Time frame: Time from randomization to the first event (Maximum 50 Months)
ESRD is defined as initiation of dialysis, renal transplantation, or a serum creatinine concentration above 6.0 mg/dL (530 µmol per liter) or renal death
Percentage of Participants With Doubling of Baseline Serum Creatinine Concentration, Sustained for at Least One Month (Core: Active Treatment Phase)
Time frame: Time from randomization to the first event (Maximum 50 Months)
To fulfill the endpoint, the serum creatinine concentration had to be above the upper limit of normal for men and women according to the central laboratory. The upper limit of normal for men is 1.20 mg/dL and for women is 0.91 mg/dL.
Percentage of Participants With Unplanned Hospitalization for Heart Failure (Core: Active Treatment Phase)
Time frame: Time from randomization to the first event (Maximum 50 Months)
Percentage of Participants With All Cause Mortality (Core: Active Treatment Phase)
Time frame: Time from randomization to the first event (Maximum 50 months)
Percentage of Participants With Occurrence of Primary Composite Endpoint (Extension Phase)
Time frame: From cut-off date (20Dec2011/End of Treatment (EOT) ) to the first event after cut-off date (9 months in average)
Occurrence was defined as the first event of the following composite primary endpoint: * Cardiovascular (CV) death * Resuscitated sudden death * Non-fatal myocardial infarction (MI) * Non-fatal stroke * Unplanned hospitalization for heart failure (HF) * Onset of end-stage renal disease (ESRD) or death due to renal failure. Onset of ESRD was defined as initiation of dialysis, renal transplantation, or a serum creatinine concentration above 6.0 mg/dL (530 μmol/L), sustained for at least a month. * Doubling of baseline serum creatinine concentration, sustained for at least one month. To fulfill the endpoint, the serum creatinine concentration had to be above the upper limit of normal for men and women according to the central laboratory. The upper limit of normal for men is 1.20 mg/dL and for women is 0.91 mg/dL.
Percentage of Participants With Cardiovascular (CV) Death (Extension Phase)
Time frame: from cut-off date (20Dec2011/End of Treatment (EOT) ) to the first event after cut-off date (9 months in average)
Percentage of Participants With Resuscitated Sudden Death (Extension Phase)
Time frame: From cut-off date (20Dec2011/End of Treatment (EOT) ) to the first event after cut-off date (9 months in average)
Percentage of Participants Fatal/Non-fatal Myocardial Infarction (MI) (Extension Phase)
Time frame: From cut-off date (20Dec2011/End of Treatment (EOT) ) to the first event after cut-off date (9 month in average)
Percentage of Participants With Fatal/Non-fatal Stroke (Extension Phase)
Time frame: From cut-off date (20Dec2011/End of Treatment (EOT) ) to the first event after cut-off date (9 months in average)
Percentage of Participants With Onset of End-stage Renal Disease (ESRD) (Extension Phase)
Time frame: From cut-off date (20Dec2011/End of Treatment (EOT) ) to the first event after cut-off date (9 months in average)
ESRD is defined as initiation of dialysis, renal transplantation, or a serum creatinine concentration above 6.0 mg/dL (530 µmol per liter) or renal death
Percentage of Participants Doubling of Baseline Serum Creatinine Concentration, Sustained for at Least One Month (Extension Phase)
Time frame: From cut-off date (20Dec2011/End of Treatment (EOT) ) to the first event after cut-off date (9 months in average)
To fulfill the endpoint, the serum creatinine concentration had to be above the upper limit of normal for men and women according to the central laboratory. The upper limit of normal for men is 1.20 mg/dL and for women is 0.91 mg/dL.
Percentage of Participants With Unplanned Hospitalization for Heart Failure (Extension Phase)
Time frame: From cut-off date (20Dec2011/End of Treatment (EOT) ) to the first event after cut-off date (9 months in average)
Percentage of Participants With All Cause Mortality (Extension Phase)
Time frame: from cut-off date (20Dec2011/End of Treatment (EOT) ) to the first event after cut-off date (9 months in average)
4 secondary outcomes
Percentage of Participants With Occurrence of Secondary Cardiovascular Composite Endpoint (Core: Active Treatment Phase)
Time frame: Time from randomization to the first event (Maximum 50 months)
Percentage of Participants With Occurrence of Secondary Renal Composite Endpoint (Core: Active Treatment Phase)
Time frame: Time from randomization to the first event (Maximum 50 months)
Percentage of Participants With Occurrence of Secondary Cardiovascular Composite Endpoint (Extension Phase)
Time frame: From cut-off date (20Dec2011/End of Treatment (EOT) ) to the first event after cut-off date (9 months in average)
Percentage of Participants With Occurrence of Secondary Renal Composite Endpoint (Extension Phase)
Time frame: From cut-off date (20Dec2011/End of Treatment (EOT) ) to the first event after cut-off date (9 months in average)
Results and safety
Loading the posted results from ClinicalTrials.gov…
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 21 Apr 2014.
- Posted resultsParticipant flow, baseline, all outcome measures and adverse events.
- Derived from this study: PubMed 40526444Jongs N, Gasparyan SB, Frison L, Schloemer P, Brinker M, Little DJ, Heerspink HJL. Use of eGFR Slope Thresholds as End Point Components in a Kidney Disease Progression Hierarchical Composite End Point. J Am Soc Nephrol. 2025 Dec 1;36(12):2421-2430. doi: 10.1681/ASN.0000000766. Epub 2025 Jun 17.
- Derived from this study: PubMed 37872654Heerspink HJL, Jongs N, Schloemer P, Little DJ, Brinker M, Tasto C, Karpefors M, Wheeler DC, Bakris G, Perkovic V, Nkulikiyinka R, Rossert J, Gasparyan SB. Development and Validation of a New Hierarchical Composite End Point for Clinical Trials of Kidney Disease Progression. J Am Soc Nephrol. 2023 Dec 1;34(12):2025-2038. doi: 10.1681/ASN.0000000000000243. Epub 2023 Oct 24.
- Derived from this study: PubMed 32964800Malachias MVB, Jhund PS, Claggett BL, Wijkman MO, Bentley-Lewis R, Chaturvedi N, Desai AS, Haffner SM, Parving HH, Prescott MF, Solomon SD, De Zeeuw D, McMurray JJV, Pfeffer MA. NT-proBNP by Itself Predicts Death and Cardiovascular Events in High-Risk Patients With Type 2 Diabetes Mellitus. J Am Heart Assoc. 2020 Oct 20;9(19):e017462. doi: 10.1161/JAHA.120.017462. Epub 2020 Sep 23.
- Derived from this study: PubMed 26774608Heerspink HJ, Persson F, Brenner BM, Chaturvedi N, Brunel P, McMurray JJ, Desai AS, Solomon SD, Pfeffer MA, Parving HH, de Zeeuw D. Renal outcomes with aliskiren in patients with type 2 diabetes: a prespecified secondary analysis of the ALTITUDE randomised controlled trial. Lancet Diabetes Endocrinol. 2016 Apr;4(4):309-17. doi: 10.1016/S2213-8587(15)00469-6. Epub 2016 Jan 14.
- Derived from this study: PubMed 23121378Parving HH, Brenner BM, McMurray JJ, de Zeeuw D, Haffner SM, Solomon SD, Chaturvedi N, Persson F, Desai AS, Nicolaides M, Richard A, Xiang Z, Brunel P, Pfeffer MA; ALTITUDE Investigators. Cardiorenal end points in a trial of aliskiren for type 2 diabetes. N Engl J Med. 2012 Dec 6;367(23):2204-13. doi: 10.1056/NEJMoa1208799. Epub 2012 Nov 3.
- Derived from this study: PubMed 19727007Lambers Heerspink HJ, Perkovic V, de Zeeuw D. Renal and cardio-protective effects of direct renin inhibition: a systematic literature review. J Hypertens. 2009 Dec;27(12):2321-31. doi: 10.1097/HJH.0b013e3283310f92.
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
Novartis Pharmaceuticals study director
Novartis Pharmaceuticals
Novartis study chair
Novartis
776 sites in 37 countries: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 3 study testing Aliskiren in people with Type 2 Diabetes Mellitus and Cardiovascular Disease, run by Novartis Pharmaceuticals at 776 sites in 37 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 5 inclusion and 12 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: stopped early, as of the sponsor's last update on 21 Apr 2014. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 776 sites in United States, Spain, Italy, Germany, China and 32 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. Some participants in this study may receive a placebo. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
What does this phase mean?
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 18 Mar 2014). 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?
Percentage of Participants With Occurrence of Primary Composite Endpoint (Core : Active Treatment Phase) (time frame: Time from randomization to the first event (Maximum 50 months)). The study lists 18 primary outcomes in all. It is what the study was designed to measure, not a finding.
Where can I read the original study information?
On the ClinicalTrials.gov record for NCT00549757, which also lists 6 linked publications.
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 21 Apr 2014.