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Essential HypertensionPhase 3NCT01237223

Efficacy and Safety of SPA100 (Fixed-dose Combination of Aliskiren/Amlodipine) in Patients With Essential Hypertension

A Phase 3 study testing Aliskiren/Amlodipine 150/2.5 mg, Aliskiren/amlodipine 150/5 mg and Aliskiren 150 mg in people with Essential Hypertension, run by Novartis at 11 sites in Japan.

Completed

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

Official record
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Trial summary

The purpose of the study was to evaluate the efficacy (blood pressure lowering effect) and safety of SPA100 (Fixed-dose Combination of Aliskiren and Amlodipine) in patients with essential hypertension (mean sitting diastolic blood pressure [msDBP] ≥ 95 mmHg and < 110 mmHg and mean sitting systolic blood pressure… Read more about this study

Who is it for?
Ages 20 years and older
Conditions the study is for
Essential Hypertension
What is being tested?
Aliskiren/Amlodipine 150/2.5 mg, Aliskiren/amlodipine 150/5 mg and Aliskiren 150 mg
Type of treatment
Pill or oral medicine
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
1,342 participants
Where
11 sitesJapan
Study dates
Oct 2010to May 2011
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 20 years and older
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Patients with essential hypertension (msDBP ≥ 95 mmHg and < 110 mmHg and msSBP ≥140 mmHg )
  • Outpatients

Who cannot join

  • Severe hypertension (msDBP ≥110 mmHg and/or msSBP ≥ 180 mmHg)
  • History of allergy or hypersensitivity to renin inhibitors, calcium channel blockers
  • History or evidence of a secondary hypertension
  • Other protocol-defined inclusion/exclusion criteria applied

Trial locations and contacts

11 sites in 1 country.

11 sites in 1 country

Japan11 sites
  • Investigative Site

    Aichi

  • Investigative Site

    Ehime

  • Investigative Site

    Fukuoka

  • Investigative Site

    Hokkaido

  • Investigative Site

    Hyōgo

  • Investigative Site

    Kanagawa

  • Investigative Site

    Kyoto

  • Investigative Site

    Okayama

  • Investigative Site

    Osaka

  • Investigative Site

    Saitama

  • Investigative Site

    Tokyo

Other trials in Japan

About this study

Official title: An 8-week Double-blind, Multicenter, Randomized, 6-arm, Placebo-controlled, Parallel-group Study to Evaluate the Efficacy and Safety of SPA100 (Fixed-dose Combination of Aliskiren and Amlodipine) in Patients With Essential Hypertension

The purpose of the study was to evaluate the efficacy (blood pressure lowering effect) and safety of SPA100 (Fixed-dose Combination of Aliskiren and Amlodipine) in patients with essential hypertension (mean sitting diastolic blood pressure [msDBP] ≥ 95 mmHg and < 110 mmHg and mean sitting systolic blood pressure [msSBP] ≥ 140 mmHg ). This study was conducted to support registration of the fixed-dose combination of aliskiren and amlodipine for the treatment of hypertension in Japan.

Being tested
Aliskiren/Amlodipine 150/2.5 mg, Aliskiren/amlodipine 150/5 mg, Aliskiren 150 mg, Amlodipine 2.5 mg, Placebo of Aliskiren
Keywords
Aliskiren, Amlodipine, Essential hypertension
Medical subject headings
Essential Hypertension

What participants receive

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

  • Aliskiren/Amlodipine 150/2.5 mgDrug

    Aliskiren/amlodipine 150/2.5 mg tablet

  • Aliskiren/amlodipine 150/5 mgDrug

    Aliskiren/amlodipine 150/5 mg tablet

  • Aliskiren 150 mgDrug

    Aliskiren 150 mg tablet

  • Amlodipine 2.5 mgDrug

    Amlodipine 2.5 mg capsule

  • Placebo of AliskirenDrug

    Aliskiren placebo tablet

  • Placebo of AmlodipineDrug

    Amlodipine placebo capsule

  • Placebo of Aliskiren/amlodipine 150/2.5 mgDrug

    Aliskiren/amlodipine 150/2.5 mg placebo tablet

  • Placebo of Aliskiren/amlodipine 150/5 mgDrug

    Aliskiren/amlodipine 150/5 mg placebo tablet

Study groups in NCT01237223
Study groupRoleWhat they receive
PlaceboPlacebo comparatorIn order to adequately blind the study, patients were required to take a total of 3 tablets and 2 capsules of study medication throughout the study. In single blind run-in (4 weeks) and double blind treatment period (8 weeks), patients were received matching placebo of aliskiren/amlodipine 150/5 mg tablet, aliskiren/amlodipine 150/2.5 mg tablet, aliskiren 150 mg tablet and two amlodipine 2.5 mg capsules once daily.
Receives: Drug: Placebo of Aliskiren; Drug: Placebo of Amlodipine; Drug: Placebo of Aliskiren/amlodipine 150/2.5 mg; Drug: Placebo of Aliskiren/amlodipine 150/5 mg
Aliskiren 150 mgActive comparatorIn order to adequately blind the study, patients were required to take a total of 3 tablets and 2 capsules of study medication throughout the study. Patients received Aliskiren 150 mg tablet once daily (o.d)+ placebo of two amlodipine 2.5 mg capsule o.d., aliskiren/amlodipine 150/5 mg tablet o.d , aliskiren/amlodipine 150/2.5 mg tablet o.d for 8 weeks of double blind period.
Receives: Drug: Aliskiren 150 mg; Drug: Placebo of Amlodipine; Drug: Placebo of Aliskiren/amlodipine 150/2.5 mg; Drug: Placebo of Aliskiren/amlodipine 150/5 mg
Amlodipine 2.5 mgActive comparatorIn order to adequately blind the study, patients were required to take a total of 3 tablets and 2 capsules of study medication throughout the study. Patients received Amlodipine 2.5 mg capsule once daily (o.d)+ placebo of amlodipine 2.5 mg capsule o.d., Aliskiren 150 mg o.d., aliskiren/amlodipine 150/5 mg tablet o.d , aliskiren/amlodipine 150/2.5 mg tablet o.d for 8 weeks of double blind period.
Receives: Drug: Amlodipine 2.5 mg; Drug: Placebo of Aliskiren; Drug: Placebo of Amlodipine; Drug: Placebo of Aliskiren/amlodipine 150/2.5 mg; Drug: Placebo of Aliskiren/amlodipine 150/5 mg
Amlodipine 5 mgActive comparatorIn order to adequately blind the study, patients were required to take a total of 3 tablets and 2 capsules of study medication throughout the study. Patients received amlodipine 5 mg (two amlodipine 2.5 mg capsules o.d.)+ placebo of aliskiren 150 mg tablet o.d., aliskiren/amlodipine 150/5 mg tablet o.d. , aliskiren/amlodipine 150/2.5 mg tablet o.d. for 8 weeks of double blind period.
Receives: Drug: Amlodipine 2.5 mg; Drug: Placebo of Aliskiren; Drug: Placebo of Aliskiren/amlodipine 150/2.5 mg; Drug: Placebo of Aliskiren/amlodipine 150/5 mg
Aliskiren/amlodipine 150/2.5 mgExperimentalIn order to adequately blind the study, patients were required to take a total of 3 tablets and 2 capsules of study medication throughout the study. Patients received aliskiren/amlodipine 150/2.5 mg tablet o.d. + placebo of two amlodipine 2.5 mg capsules o.d., aliskiren 150 mg tablet o.d., aliskiren/amlodipine 150/5 mg tablet o.d. for 8 weeks of double blind period.
Receives: Drug: Aliskiren/Amlodipine 150/2.5 mg; Drug: Placebo of Aliskiren; Drug: Placebo of Amlodipine; Drug: Placebo of Aliskiren/amlodipine 150/5 mg
Aliskiren/amlodipine 150/5 mgExperimentalIn order to adequately blind the study, patients were required to take a total of 3 tablets and 2 capsules of study medication throughout the study. Patients received aliskiren/amlodipine 150/5 mg tablet o.d. + placebo of two amlodipine 2.5 mg capsules o.d., aliskiren 150 mg tablet o.d., aliskiren/amlodipine 150/2.5 mg tablet o.d. for 8 weeks of double blind period.
Receives: Drug: Aliskiren/amlodipine 150/5 mg; Drug: Placebo of Aliskiren; Drug: Placebo of Amlodipine; Drug: Placebo of Aliskiren/amlodipine 150/2.5 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 Diastolic Blood Pressure (msDBP) to End of Study (Week 8)

    Sitting blood pressure was measured at trough (24 hours ± 2 hours post dose) and recorded at all study visits. At the first study visit, blood pressure was measured in both arms and the arm with highest sitting DBP was found and used for all subsequent readings throughout the study. The repeat sitting measurements were made at 1-2 minute intervals and the mean of these three sitting blood pressure measurements were used as the average sitting blood pressure for that visit. Analysis of covariance (ANCOVA) model contained treatment and region as two factors and baseline as a covariate.

    Measured: Baseline, Week 8

Secondary outcomes (4)
  1. Change From Baseline in Mean Sitting Systolic Blood Pressure (msSBP) to End of Study (Week 8)

    Sitting blood pressure was measured at trough (24 hours ± 2 hours post dose) and recorded at all study visits. At the first study visit, blood pressure was measured in both arms and the arm with highest sitting DBP was found and used for all subsequent readings throughout the study. The repeat sitting measurements were made at 1-2 minute intervals and the mean of these three sitting blood pressure measurements were used as the average sitting blood pressure for that visit. Analysis of covariance (ANCOVA) model contained treatment and region as two factors and baseline as a covariate.

    Measured: Baseline, Week 8

  2. Percentage of Participants Achieving Blood Pressure Control at Endpoint

    Blood pressure control is defined as having as a msDBP < 90 mmHg and a msSBP < 140 mmHg.

    Measured: 8 weeks

  3. Percentage of Participants Achieving a Successful Response Rate

    The response rate was defined as percentage of participants who achieved msDBP < 90 mmHg or its reduction ≥ 10 mmHg from baseline to endpoint.

    Measured: 8 weeks

  4. Number of Participants With Adverse Events, Serious Adverse Events and Death

    Number of patients with adverse events regardless of study drug relationship during the double-blind treatment period were reported. Serious adverse events of double blind period were reported.

    Measured: 8 weeks

Timeline

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

  1. First posted9 Nov 2010 (estimated)
  2. Study startOct 2010
  3. Primary completionMay 2011
  4. Study completionMay 2011

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
Factorial
Masking
Double blind
Who is masked
Participant, Outcomes assessor
Enrolment
1,342 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT01237223
Sponsor's protocol ID
CSPA100A1301
Status last verified
May 2012
First submitted
29 Oct 2010
Last updated
13 Jun 2012
Data monitoring committee
No

Questions about this trial

What is this clinical trial studying?

A Phase 3 study testing Aliskiren/Amlodipine 150/2.5 mg, Aliskiren/amlodipine 150/5 mg and Aliskiren 150 mg in people with Essential Hypertension, run by Novartis at 11 sites in Japan.

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 4 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 13 Jun 2012. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 11 sites in Japan. 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 13 Jun 2012). 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 Diastolic Blood Pressure (msDBP) to End of Study (Week 8) (time frame: Baseline, Week 8). 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 13 Jun 2012.

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