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HypertensionPhase 2NCT01692301

Study of the Safety and Efficacy of LCZ696 on Arterial Stiffness in Elderly Patients With Hypertension

A Phase 2 study testing LCZ696, Olmesartan and amlodipine in people with Hypertension, run by Novartis Pharmaceuticals at 47 sites in 12 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

The study examined the efficacy of LCZ696 in comparison to the ARB olmesartan on Central Aortic Systolic Blood Pressure (CASP) and other measures of central hemodynamics and arterial stiffness in elderly patients with an elevated systolic blood pressure (SBP) and widened pulse pressure (PP). Read more about this study

Who is it for?
Ages 60 years and older
Conditions the study is for
Hypertension
What is being tested?
LCZ696, Olmesartan and amlodipine
Type of treatment
Pill or oral medicine
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
454 participants
Where
47 sitesin 12 countries
Study dates
Dec 2012to Apr 2015
Phase
Phase 2
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 60 years and older
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Male and female patients ≥ 60 years of age.
  • Patients with essential hypertension, untreated or currently taking antihypertensive therapy.
  • Untreated patients must have an office msSBP ≥150 mmHg and <180 mmHg at Visit 101 and Visit 201 if they are newly diagnosed or have not been treated with antihypertensive drugs for the 4 weeks prior to Visit 1.
  • Treated patients must have an office msSBP ≥140 mmHg and <180 mmHg at Visit 102 (or Visit 103) and msSBP ≥150 mmHg and <180 mmHg at Visit 201 if they have been treated with antihypertensive drugs for the 4 weeks prior to Visit 1.
  • All patients must have pulse pressure >60 mmHg at Visit 201. Pulse pressure is defined as msSBP- msDBP.
  • Patients must have a difference in msSBP within +/-15 mmHg between Visit 201 (randomization) and the visit immediately prior to Visit 201.

Who cannot join

  • Malignant or severe hypertension (grade 3 of WHO classification; msDBP ≥110 mmHg and/or msSBP ≥ 180 mmHg)
  • History of angioedema, drug-related or otherwise.
  • History or evidence of a secondary form of hypertension, including but not limited to any of the following: renal parenchymal hypertension, renovascular hypertension (unilateral or bilateral renal artery stenosis), coarctation of the aorta, primary hyperaldosteronism, Cushing's disease, pheochromocytoma, polycystic kidney disease, and drug-induced hypertension.
  • Transient ischemic cerebral attack (TIA) during the 12 months prior to Visit 1 or any history of stroke.
  • History of myocardial infarction, coronary bypass surgery or any percutaneous coronary intervention (PCI) during the 12 months prior to Visit 1.
  • History of atrial fibrillation or atrial flutter during the 3 months prior to Visit 1, or active atrial fibrillation or atrial flutter on the ECG at screening.

Trial locations and contacts

47 sites in 12 countries.

47 sites in 12 countries

United States11 sites
  • Novartis Investigative Site

    Baltimore, Maryland, 21204

  • Novartis Investigative Site

    Belzoni, Mississippi, 39038

  • Novartis Investigative Site

    Buffalo, New York, 14215

  • Novartis Investigative Site

    Chicago, Illinois, 60607

  • Novartis Investigative Site

    Cincinnati, Ohio, 45224

  • Novartis Investigative Site

    Clearwater, Florida, 33756

  • Novartis Investigative Site

    Houston, Texas, 77081

  • Novartis Investigative Site

    Jackson, Mississippi, 39209

  • Novartis Investigative Site

    Lake Jackson, Texas, 77566

  • Novartis Investigative Site

    Pasadena, Texas, 77504

  • Novartis Investigative Site

    St Louis, Missouri, 63141

Other trials in United States

Spain10 sites
  • Novartis Investigative Site

    A Coruña, Galicia, 15706

  • Novartis Investigative Site

    Barcelona, Catalonia, 08003

  • Novartis Investigative Site

    Barcelona, Catalonia, 08025

  • Novartis Investigative Site

    Centelles, Catalonia, 08540

  • Novartis Investigative Site

    Jerez de la Frontera, Cadiz, 11407

  • Novartis Investigative Site

    Madrid, Madrid, 28034

  • Novartis Investigative Site

    Madrid, Madrid, 28041

  • Novartis Investigative Site

    Port de Sagunt, Valencia, 46520

  • Novartis Investigative Site

    Seville, Andalusia, 41071

  • Novartis Investigative Site

    Terrassa, Catalonia, 08221

Other trials in Spain

Russia6 sites
  • Novartis Investigative Site

    Moscow, 101990

  • Novartis Investigative Site

    Moscow, 117198

  • Novartis Investigative Site

    Moscow, 119992

  • Novartis Investigative Site

    Saint Petersburg, 197022

  • Novartis Investigative Site

    Saint Petersburg, 197341

  • Novartis Investigative Site

    Yaroslavl, 150047

Other trials in Russia

Argentina3 sites
  • Novartis Investigative Site

    Caba, Buenos Aires, C1440AAD

  • Novartis Investigative Site

    Ramos Mejía, Buenos Aires, B1704ETD

  • Novartis Investigative Site

    Rosario, Santa Fe Province, S2000CXH

Other trials in Argentina

Greece3 sites
  • Novartis Investigative Site

    Athens, Athens, 11525

  • Novartis Investigative Site

    Athens, Athens, 11526

  • Novartis Investigative Site

    Thessaloniki, Greece, 54642

Other trials in Greece

Italy3 sites
  • Novartis Investigative Site

    Pisa, PI, 56126

  • Novartis Investigative Site

    San Daniele del Friuli, UD, 33038

  • Novartis Investigative Site

    Treviglio, BG, 24047

Other trials in Italy

Taiwan3 sites
  • Novartis Investigative Site

    Taichung, Taiwan, 40447

  • Novartis Investigative Site

    Taipei, Taiwan, 114

  • Novartis Investigative Site

    Taipei, Taiwan, ROC, 112

Other trials in Taiwan

Colombia2 sites
  • Novartis Investigative Site

    Barranquilla, Atlántico

  • Novartis Investigative Site

    Barranquilla

Other trials in Colombia

Germany2 sites
  • Novartis Investigative Site

    Berlin, 10117

  • Novartis Investigative Site

    Nuremberg, 90471

Other trials in Germany

South Korea2 sites
  • Novartis Investigative Site

    Bucheon-si, Gyeonggi-do, 424-717

  • Novartis Investigative Site

    Seoul, Korea, 110 744

Other trials in South Korea

France1 site
  • Novartis Investigative Site

    Paris, 75015

Other trials in France

Japan1 site
  • Novartis Investigative Site

    Shimotsuke, Tochigi, 329-0498

Other trials in Japan

About this study

Official title: A Randomized, Double-blind 52-week Study to Evaluate the Safety and Efficacy of an LCZ696 Regimen Compared to an Olmesartan Regimen on Arterial Stiffness Through Assessment of Central Blood Pressure in Elderly Patients With Hypertension

The study examined the efficacy of LCZ696 in comparison to the ARB olmesartan on Central Aortic Systolic Blood Pressure (CASP) and other measures of central hemodynamics and arterial stiffness in elderly patients with an elevated systolic blood pressure (SBP) and widened pulse pressure (PP).

Conditions
Hypertension
Being tested
LCZ696, Olmesartan, LCZ696 matching placebo, Olmesartan matching placebo, amlodipine
Keywords
hypertension, elderly, central aortic pulse pressure, central pulse pressure, pulse wave velocity
Medical subject headings
Hypertension

What participants receive

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

  • LCZ696Drug

    Also called sacubitril/valsartan

    200 mg tablet

  • OlmesartanDrug

    20 mg and 40 mg capsules

  • LCZ696 matching placeboDrug

    LCZ696 Matching Placebo tablet

  • Olmesartan matching placeboDrug

    Olmesartan matching placebo capsule

  • amlodipineDrug

    amlodipine 2.5 mg or 5 mg tablets

  • hydrochlorothiazideDrug

    hydrochlorothiazide 6.25mg, 12.5mg, or 25 mg tablets

Study groups in NCT01692301
Study groupRoleWhat they receive
LCZ696 (sacubitril/valsartan)ExperimentalRandomized patients received LCZ696 once daily for four weeks, then they force-titrated to a higher dose at Week 4 and stayed on this dose of LCZ696 once daily for the remainder of the treatment period. At week 12, patients with uncontrolled BP allowed to have amlodipine then hydrochlorothiazide (HCTZ) added at intervals of 4 weeks from Week 12 up to Week 24. To maintain the double dummy, double-blind design, 2 tablets (LCZ696, its matching placebo) and 1 capsule (olmesartan matching placebo) were given during the entire study.
Receives: Drug: LCZ696; Drug: LCZ696 matching placebo; Drug: Olmesartan matching placebo; Drug: amlodipine; Drug: hydrochlorothiazide
OlmesartanActive comparatorRandomized patients received olmesartan once daily for four weeks, then force-titrated to a higher dose at Week 4 and stayed on this dose of olmesartan once daily for the remainder of the treatment period. At week 12, patients with uncontrolled BP allowed to have amlodipine then hydrochlorothiazide (HCTZ) added at intervals of 4 weeks from Week 12 up to Week 24. To maintain the double dummy, double-blind design, 2 tablets (LCZ696 matching placebo) and 1 capsule (olmesartan) were given during the entire study.
Receives: Drug: Olmesartan; Drug: LCZ696 matching placebo; Drug: amlodipine; Drug: hydrochlorothiazide

What is being measured

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

  1. Change From Baseline in Mean Central Aortic Systolic Pressure (CASP) at 12 Weeks

    Central aortic blood pressure was derived from peripheral pressure waveforms recorded noninvasively from the brachial artery using a cuff-based device. This technique uses the brachial pressure and a signal processing algorithm to transform brachial signals into central blood pressure (BP) waveforms. When the aortic pressure waveform was derived, key pulse wave analysis (PWA) parameters, such as CASP was calculated by the system software.

    At the first study visit, the arm with the highest systolic blood pressure (SBP) was used for all subsequent PWA. Brachial PWA measurements were performed on the same arm that the office blood pressures were taken. Two pulse waveform measurements, meeting all quality control criteria were captured at baseline and at week 12 visits.

    Measured: baseline, 12 weeks

Secondary outcomes (10)
  1. Change From Baseline in Mean Central Pulse (CPP) Pressure

    Measured: Baseline, 12 weeks, and 52 weeks

  2. Change From Baseline in Mean Pulse Wave Velocity (PWV)

    Pulse wave velocity recordings were performed on patient while in a supine, face-up position.

    Tonometry was performed on the carotid simultaneously with the cuff inflation over the femoral artery. Two pulse wave velocity measures, meeting all quality control criteria were captured at baseline, week 12 and week 52.

    Measured: baseline, 12 weeks, and 52 weeks

  3. Change From Baseline in Mean Central Aortic Systolic Pressure (CASP) at 52 Weeks

    Central aortic blood pressure was derived from peripheral pressure waveforms recorded noninvasively from the brachial artery using a cuff-based device. This technique uses the brachial pressure and a signal processing algorithm to transform brachial signals into central blood pressure (BP) waveforms. When the aortic pressure waveform was derived, key pulse wave analysis (PWA) parameters, such as CASP was calculated by the system software.

    At the first study visit, the arm with the highest systolic blood pressure (SBP) was used for all subsequent PWA. Brachial PWA measurements were performed on the same arm that the office blood pressures were taken. Two pulse waveform measurements, meeting all quality control criteria were captured at baseline and at week 12 visits.

    Measured: baseline, 52 weeks

  4. Change From Baseline in Mean Sitting Systolic Blood Pressure (msSBP)

    At the first study visit, the patient had his/her blood pressure (BP) measured in both arms; the arm in which the highest sitting SBP was found was used for all subsequent readings throughout the study. At each study visit, after the patient had been sitting for 5 minutes, SBP were measured 3 times using a standard mercury sphygmomanometer and appropriate size cuff. The repeat sitting measurements were made at 1- to 2-minute intervals and the mean of those 3 measurements was used as the average sitting office BP for that visit.

    Measured: baseline, 12 weeks, and 52 weeks

  5. Change From Baseline in Mean Sitting Diastolic Blood Pressure (msDBP)

    At the first study visit, the patient had his/her blood pressure (BP) measured in both arms; the arm in which the highest sitting SBP was found was used for all subsequent readings throughout the study. At each study visit, after the patient had been sitting for 5 minutes, DBP were measured 3 times using a standard mercury sphygmomanometer and appropriate size cuff. The repeat sitting measurements were made at 1- to 2-minute intervals and the mean of those 3 measurements was used as the average sitting office BP for that visit.

    Measured: baseline, 12 weeks, and 52 weeks

  6. Change From Baseline in Mean Sitting Pulse Pressure (msPP)

    Mean sitting pulse pressure for each patient and visit was calculated as the difference between the calculated values of mean sitting systolic blood pressure and mean sitting diastolic blood pressure.

    Measured: baseline, 12 weeks, and 52 weeks

  7. Change From Baseline in Mean Arterial Pressure (MAP)

    Mean arterial pressure (MAP) was calculated from mean sitting systolic BP (msSBP) and mean sitting diastolic BP (msDBP) as (2 * msDBP + msSBP)/3.

    Measured: baseline, 12 weeks, and 52 weeks

  8. Change From Baseline in Mean 24-hour Systolic Blood Pressure (maSBP)

    An Ambulatory Blood Pressure Monitor (ABPM) measured a participant's blood pressure over a 24 hour period using an automated validated monitoring device at baseline, week 12 and at week 52 starting one day before each visit. The 24 hour maSBP was calculated by taking the mean of all ambulatory systolic blood pressure readings for the 24 hour period.

    Measured: Baseline, 12 weeks, and 52 weeks

  9. Change From Baseline in Mean 24-hour Diastolic Blood Pressure (maDBP)

    An Ambulatory Blood Pressure Monitor (ABPM) measured a participant's blood pressure over a 24 hour period using an automated validated monitoring device at baseline, week 12 and at week 52 starting one day before each visit. The 24 hour maDBP was calculated by taking the mean of all ambulatory systolic blood pressure readings for the 24 hour period.

    Measured: Baseline, 12 weeks, and 52 weeks

  10. Change From Baseline in Mean 24-hour Ambulatory Pulse Pressure (maPP)

    Mean 24 hour ambulatory pulse pressure was calculated as the difference between the mean 24 hour systolic and diastolic ambulatory blood pressure in corresponding visits i.e. baseline, week 12 and week 52.

    Measured: Baseline, 12 weeks, and 52 weeks

Timeline

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

  1. First posted25 Sep 2012 (estimated)
  2. Study startDec 2012
  3. Primary completionApr 2015
  4. Study completionApr 2015

Resources

More details

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

Study design
Study type
Interventional
Phase
Phase 2
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Masking
Double blind
Who is masked
Participant, Investigator
Enrolment
454 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT01692301
Sponsor's protocol ID
CLCZ696A2216
Other IDs
2012-002899-14
Status last verified
Mar 2016
First submitted
20 Sep 2012
Last updated
4 May 2016
Data monitoring committee
Yes

Publications

  • Williams B, Cockcroft JR, Kario K, Zappe DH, Cardenas P, Hester A, Brunel P, Zhang J. Rationale and study design of the Prospective comparison of Angiotensin Receptor neprilysin inhibitor with Angiotensin receptor blocker MEasuring arterial sTiffness in the eldERly (PARAMETER) study. BMJ Open. 2014 Feb 4;4(2):e004254. doi: 10.1136/bmjopen-2013-004254.

    PubMed 24496699

Questions about this trial

What is this clinical trial studying?

A Phase 2 study testing LCZ696, Olmesartan and amlodipine in people with Hypertension, run by Novartis Pharmaceuticals at 47 sites in 12 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 6 inclusion and 6 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 4 May 2016. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 47 sites in United States, Spain, Russia, Argentina, Greece and 7 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 2 studies give the treatment to a larger group to see whether it has the intended effect and to keep checking safety.

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 4 May 2016). 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 Central Aortic Systolic Pressure (CASP) at 12 Weeks (time frame: baseline, 12 weeks). 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 NCT01692301, which also lists 1 linked publication.

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 4 May 2016.

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