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HypertensionPhase 3NCT01150357

Safety and Efficacy of Aliskiren in Pediatric Hypertensive Patients 6-17 Years of Age

A Phase 3 study testing Aliskiren (6.25/12.5/25 mg), Aliskiren (37.5/75/150 mg) and Aliskiren (150/300/600 mg) in people with Hypertension, run by Novartis Pharmaceuticals at 48 sites in 9 countries.

Completed

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

Official record
Search all trials

Trial summary

This double-blind 8 week study will evaluate dose response, efficacy (blood pressure lowering effect) and safety of aliskiren in children 6 - 17 years old with hypertension at low, mid and high weight-based doses. Read more about this study

Who is it for?
Ages 6 to 17 years
Conditions the study is for
Hypertension
What is being tested?
Aliskiren (6.25/12.5/25 mg), Aliskiren (37.5/75/150 mg) and Aliskiren (150/300/600 mg)
Type of treatment
Pill or oral medicine
Could I receive a placebo?
No, everyone receives an active treatment
How many people
267 participants
Where
48 sitesin 9 countries
Study dates
Jun 2010to Aug 2014
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 6 to 17 years
  • All sexes
  • No healthy volunteers
  • Child

Who may be able to join

  • Documented diagnosis of hypertension as defined in the NHLBI 4th Report, 2004
  • msSBP (mean of 3 measurements) must be ≥ 95th percentile for age, gender and height, at Visit 2 (randomization) measurement as defined by the NHLBI 4th Report, 2004

Who cannot join

  • Patient receiving immunosuppressant medication (e.g. cyclosporine, MMF, etc) other than oral/topical steroids, for any medical condition
  • Current diagnosis of heart failure (NYHA Class II-IV) or history of cardiomyopathy or obstructive valvular disease
  • msSBP ≥ 25% above the 95th percentile
  • Second or third degree heart block without a pacemaker
  • AST/SGOT or ALT/SGPT >3 times the upper limit of the reference range
  • Total bilirubin > 2 times the upper limit of the reference range
Show all 9Show fewer
  • Creatinine clearance < 30 mL/min/1.73m² (calculated using Modified Schwartz formula to estimate glomerular filtration rate [GFR]), based on the serum creatinine concentration obtained at the screening visit)
  • WBC count < 3000/mm³
  • Other protocol-defined inclusion/exclusion criteria may apply

Trial locations and contacts

48 sites in 9 countries.

48 sites in 9 countries

United States23 sites
  • Novartis Investigative Site

    Amarillo, Texas, 79106

  • Novartis Investigative Site

    Atlanta, Georgia, 30322

  • Novartis Investigative Site

    Birmingham, Alabama, 35294-0006

  • Novartis Investigative Site

    Charleston, South Carolina, 29425

  • Novartis Investigative Site

    Charleston, West Virginia, 25304

  • Novartis Investigative Site

    Columbus, Ohio, 43205

  • Novartis Investigative Site

    Dalton, Georgia, 30721

  • Novartis Investigative Site

    Hackensack, New Jersey, 07601

  • Novartis Investigative Site

    Hattiesburg, Mississippi, 39401

  • Novartis Investigative Site

    Jackson, Mississippi, 39209

  • Novartis Investigative Site

    Lewiston, Idaho, 83501

  • Novartis Investigative Site

    Little Rock, Arkansas, 72202

  • Novartis Investigative Site

    Los Angeles, California, 90048

  • Novartis Investigative Site

    Louisville, Kentucky, 40202

  • Novartis Investigative Site

    New York, New York, 10016

  • Novartis Investigative Site

    Park Ridge, Illinois, 60068

  • Novartis Investigative Site

    Pensacola, Florida, 32504

  • Novartis Investigative Site

    Pittsburgh, Pennsylvania, 15224

  • Novartis Investigative Site

    Portland, Oregon, 97225

  • Novartis Investigative Site

    Portland, Oregon, 97239

  • Novartis Investigative Site

    San Diego, California, 92123

  • Novartis Investigative Site

    Seattle, Washington, 98105

  • Novartis Investigative Site

    Toledo, Ohio, 43606

Other trials in United States

Hungary7 sites
  • Novartis Investigative Site

    Budapest, 1083

  • Novartis Investigative Site

    Budapest, 1131

  • Novartis Investigative Site

    Debrecen, 4032

  • Novartis Investigative Site

    Miskolc, 3529

  • Novartis Investigative Site

    Nyíregyháza, Hungary, 4400

  • Novartis Investigative Site

    Szeged, Hungary, 6725

  • Novartis Investigative Site

    Veszprém, H-8200

Other trials in Hungary

Slovakia6 sites
  • Novartis Investigative Site

    Bratislava, Slovakia, 84103

  • Novartis Investigative Site

    Bratislava, Slovakia, 85107

  • Novartis Investigative Site

    Martin, Slovakia, 03601

  • Novartis Investigative Site

    Myjava, Slovakia, 90701

  • Novartis Investigative Site

    Prešov, Slovakia, 08001

  • Novartis Investigative Site

    Trnava, Slovakia, 91701

Other trials in Slovakia

Belgium4 sites
  • Novartis Investigative Site

    Brussels, 1090

  • Novartis Investigative Site

    Edegem, 2650

  • Novartis Investigative Site

    Ghent, 9000

  • Novartis Investigative Site

    Leuven, 3000

Other trials in Belgium

Turkey (Türkiye)4 sites
  • Novartis Investigative Site

    Ankara, Turkey, 06100

  • Novartis Investigative Site

    Ankara, Turkey, 06490

  • Novartis Investigative Site

    Ankara, Turkey, 06500

  • Novartis Investigative Site

    Izmir, 35340

Other trials in Turkey (Türkiye)

Germany1 site
  • Novartis Investigative Site

    Marburg, 35039

Other trials in Germany

Guatemala1 site
  • Novartis Investigative Site

    Guatemala City, Departamento de Guatemala, 01010

Other trials in Guatemala

Poland1 site
  • Novartis Investigative Site

    Warsaw, 04-154

Other trials in Poland

Puerto Rico1 site
  • Novartis Investigative Site

    San Juan, 00907

Other trials in Puerto Rico

About this study

Official title: A Multicenter, Randomized, Double-blind, 8 Week Study to Evaluate the Dose Response, Efficacy and Safety of Aliskiren in Pediatric Hypertensive Patients 6-17 Years of Age

This double-blind 8 week study will evaluate dose response, efficacy (blood pressure lowering effect) and safety of aliskiren in children 6 - 17 years old with hypertension at low, mid and high weight-based doses. The low dose ranges from 6.25 mg to 25 mg of aliskiren, the mid dose ranges from 37.5 mg to 150 mg of aliskiren and the high dose ranges from 150 mg to 600 mg of aliskiren. This study is being conducted to support monotherapy registration of aliskiren for the treatment of hypertension in children 6-17 years of age.

Conditions
Hypertension
Being tested
Aliskiren (6.25/12.5/25 mg), Aliskiren (37.5/75/150 mg), Aliskiren (150/300/600 mg)
Keywords
Pediatric hypertension, primary hypertension, secondary hypertension
Medical subject headings
Hypertension, Essential Hypertension

What participants receive

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

  • Aliskiren (6.25/12.5/25 mg)Drug

    Aliskiren dispensing capsules containing minitablets (3.125 mg per minitablet). For the low dose arm, participants used one or more of the 6.25 mg capsule (containing 2 minitablets) once daily to reach the body-weight stratified dose of aliskiren.

  • Aliskiren (37.5/75/150 mg)Drug

    Aliskiren dispensing capsules containing minitablets (3.125 mg per minitablet). For the medium dose arm, participants used one or more of the 37.5 mg capsule (containing 12 minitablets) once daily to reach the body- weight stratified dose of aliskiren.

  • Aliskiren (150/300/600 mg)Drug

    Aliskiren dispensing capsules containing minitablets (3.125 mg per minitablet). For the high dose arm, participants used one or more of the 150 mg capsule (containing 48 minitablets) once daily to reach the body- weight stratified dose of aliskiren.

Study groups in NCT01150357
Study groupRoleWhat they receive
Low Dose AliskirenExperimentalParticipants received body-weight stratified dose of aliskiren capsules (6.25/12.5/25 mg) once daily. Participants whose body weight ≥ 20 kilogram (kg) to less than < 50 kg received 6.25 mg; ≥50 kg and < 80 kg received 12.5 mg and ≥ 80 kg and ≤ 150 kg received 25 mg of aliskiren.
Receives: Drug: Aliskiren (6.25/12.5/25 mg)
Mid doseExperimentalParticipants received body-weight stratified dose of aliskiren capsules (37.5/75/150 mg) once daily. Participants whose body weight ≥ 20 kg to < 50 kg received 37.5 mg; ≥50 kg and < 80 kg received 75 mg and ≥ 80 kg and ≤ 150 kg received 150 mg of aliskiren.
Receives: Drug: Aliskiren (37.5/75/150 mg)
High doseExperimentalParticipants received body-weight stratified dose of aliskiren capsules (150/300/600 mg) once daily. Participants whose body weight ≥ 20 kg to < 50 kg received 150 mg; ≥50 kg and < 80 kg received 300 mg and ≥ 80 kg and ≤ 150 kg received 600 mg of aliskiren.
Receives: Drug: Aliskiren (150/300/600 mg)

What is being measured

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

  1. Change From Baseline in Mean Sitting Systolic Blood Pressure (msSBP) at Endpoint (Phase 1)

    Sitting blood pressure was measured using a calibrated standard sphygmomanometer after the participants remained in sitting position for 5 minutes at clinic during the visit. The repeat sitting measurements were made at 1-2 minute intervals and the mean of three sSBP measurements were used as the average sitting office blood pressure for that visit.

    Measured: Baseline to endpoint (Week 4 or Last observation carried forward (LOCF))

  2. Change in Mean Sitting Systolic Blood Pressure (msSBP) From Week 4 to Endpoint (Phase 2)

    Sitting blood pressure was measured using a calibrated standard sphygmomanometer after the participants remained in sitting position for 5 minutes at clinic during the visit. The repeat sitting measurements were made at 1-2 minute intervals and the mean of three sSBP measurements were used as the average sitting office blood pressure for that visit.

    Measured: Week 4 to endpoint (Week 8 or LOCF)

Secondary outcomes (11)
  1. Number of Participants With Adverse Events and Serious Adverse Events From Baseline to Week 4 (Phase 1)

    Adverse events (AEs) were defined as any unfavorable and unintended diagnosis, symptom, sign (including an abnormal laboratory finding), syndrome or disease which either occurs during study, having been absent at baseline, or, if present at baseline, appears to worsen. Serious adverse events (SAEs) were defined as any untoward medical occurrences that result in death, are life threatening, require (or prolong) hospitalization, cause persistent or significant disability/incapacity, result in congenital anomalies or birth defects, or are other conditions which in judgement of investigators represent significant hazards.

    Measured: Baseline up to Week 4

  2. Number of Participants With Adverse Events and Serious Adverse Events From Week 4 to Week 8 (Phase 2)

    AEs were defined as any unfavorable and unintended diagnosis, symptom, sign (including an abnormal laboratory finding), syndrome or disease which either occurs during study, having been absent at baseline, or, if present at baseline, appears to worsen. SAEs were defined as any untoward medical occurrences that result in death, are life threatening, require (or prolong) hospitalization, cause persistent or significant disability/incapacity, result in congenital anomalies or birth defects, or are other conditions which in judgement of investigators represent significant hazards.

    Measured: From Week 4 to Week 8

  3. Change From Baseline in Mean Sitting Diastolic Blood Pressure (msDBP) at Endpoint (Phase 1)

    Sitting blood pressure was measured using a calibrated standard sphygmomanometer after the participants remained in sitting position for 5 minutes at clinic during the visit. The repeat sitting measurements were made at 1-2 minute intervals and the mean of three sDBP measurements were used as the average sitting office blood pressure for that visit.

    Measured: Baseline to endpoint (Week 4 or LOCF)

  4. Change in Mean Sitting Diastolic Blood Pressure (msDBP) From Week 4 to Endpoint (Phase 2)

    Sitting blood pressure was measured using a calibrated standard sphygmomanometer after the participants remained in sitting position for 5 minutes at clinic during the visit. The repeat sitting measurements were made at 1-2 minute intervals and the mean of three sDBP measurements were used as the average sitting office blood pressure for that visit.

    Measured: Week 4 to endpoint (Week 8 or LOCF)

  5. Change From Baseline in Mean Arterial Pressure (MAP) at Endpoint (Phase 1)

    MAP was defined as the average arterial pressure during a single cardiac cycle. The MAP was measured as sum of diastolic blood pressure (DBP) and one third of difference between systolic blood pressure (SBP) and DBP i.e. MAP = DBP+1/3*(SBP-DBP).

    Measured: Baseline to endpoint (Week 4 or LOCF)

  6. Change in Mean Arterial Pressure (MAP) From Week 4 to Endpoint (Phase 2)

    MAP was defined as the average arterial pressure during a single cardiac cycle. The MAP was measured as sum of DBP and one third of difference between SBP and DBP i.e. MAP = DBP+1/3*(SBP-DBP).

    Measured: Week 4 to endpoint (Week 8 or LOCF)

  7. Percentage of Participants Achieving a Positive Treatment Response at Endpoint (Phase 1)

    Treatment responders were defined as participants with msSBP less than 95th percentile (for age, gender and height) or a 7 mmHg decrease in msSBP from the baseline.

    Measured: Baseline to endpoint (Week 4 or LOCF)

  8. Change From Baseline in Mean Ambulatory Systolic and Diastolic Blood Pressure (MASBP and MADBP) at Endpoint (Phase 1)

    Ambulatory Blood Pressure Monitoring (ABPM) was performed over a 24-hour period using an automatic ABPM device to record the blood pressure as per study defined criteria. The participants who were selected for this evaluation wore the ABPM device for 24 hours, returned to the clinic upon completion of the 24-hour monitoring period for removal of device and BP assessments. The ABPM device was pre-set to collect readings every 20 minutes. Mean hourly systolic and diastolic blood pressure were calculated for each participant at post dosing 1 - 24 hours.

    Measured: Baseline to endpoint (Week 4 or LOCF)

  9. Change From Baseline in Mean Ambulatory Systolic Blood Pressure (MASBP) During Day and Night at Week 4 (Phase 1)

    ABPM was performed over a 24-hour period using an automatic ABPM device to record the blood pressure as per study defined criteria. Day time was defined as the average of the hourly means between 6 am and 10 pm while the night time mean was the average of the hourly means between 10 pm and 6 am.

    Measured: Baseline to Week 4

  10. Change From Baseline in Mean Ambulatory Blood Pressure (MABP) in Dipper Participants at Endpoint (Phase 1)

    ABPM was performed over a 24-hour period using an automatic ABPM device to record the blood pressure as per study defined criteria. Dippers were defined as those participants in whom there was a decrease in mean night time (6pm - 6am) ABPM more than or equal to (≥ ) 10% as compared to average daytime (6am -6pm) ABPM.

    Measured: Baseline to endpoint (Week 4 or LOCF)

  11. Change From Baseline in Mean Ambulatory Blood Pressure (MABP) in Non--Dipper Participants at Endpoint (Phase 1)

    ABPM was performed over a 24-hour period using an automatic ABPM device to record the blood pressure as per study defined criteria. Non-dippers were defined as those participants in whom there was a decrease in mean night time ABPM less than 10% as compared to average daytime ABPM.

    Measured: Baseline to endpoint (Week 4 or LOCF)

Timeline

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

  1. First posted24 Jun 2010 (estimated)
  2. Study startJun 2010
  3. Primary completionAug 2014
  4. Study completionAug 2014

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 3
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Masking
Double blind
Who is masked
Participant, Investigator
Enrolment
267 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT01150357
Sponsor's protocol ID
CSPP100A2365
Other IDs
2009-017028-22, 2009
Status last verified
Sep 2015
First submitted
23 Jun 2010
Last updated
15 Oct 2015

Questions about this trial

What is this clinical trial studying?

A Phase 3 study testing Aliskiren (6.25/12.5/25 mg), Aliskiren (37.5/75/150 mg) and Aliskiren (150/300/600 mg) in people with Hypertension, run by Novartis Pharmaceuticals at 48 sites in 9 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 2 inclusion and 9 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 15 Oct 2015. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 48 sites in United States, Hungary, Slovakia, Belgium, Turkey (Türkiye) and 4 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 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 15 Oct 2015). 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?

Change From Baseline in Mean Sitting Systolic Blood Pressure (msSBP) at Endpoint (Phase 1) (time frame: Baseline to endpoint (Week 4 or Last observation carried forward (LOCF))). 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 15 Oct 2015.

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