Efficacy and Safety of Azilsartan Medoxomil Used in Combination With Metformin in Participants With Hypertension and Diabetes
A Randomized, Double-Blind, Phase 3b Proof-of-Concept Study to Evaluate the Efficacy and Safety of TAK-491 Compared to Placebo When Used in Combination With Metformin in Subjects With Hypertension and Type 2 Diabetes
Studienübersicht
Status
Status
Bedingungen
Bedingungen
Intervention / Behandlung
Intervention / Behandlung
Detaillierte Beschreibung
Studientyp
Studientyp
Einschreibung (Tatsächlich)
Einschreibung
Phase
Phase
- Phase 3
Kontakte und Standorte
Studienorte
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Alabama
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Birmingham, Alabama, Vereinigte Staaten
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Arizona
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Green Valley, Arizona, Vereinigte Staaten
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Tempe, Arizona, Vereinigte Staaten
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Tucson, Arizona, Vereinigte Staaten
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California
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Buena Park, California, Vereinigte Staaten
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Hawaiian Gardens, California, Vereinigte Staaten
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Norwalk, California, Vereinigte Staaten
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Paramount, California, Vereinigte Staaten
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Rancho Cucamonga, California, Vereinigte Staaten
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Sacramento, California, Vereinigte Staaten
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San Diego, California, Vereinigte Staaten
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Tustin, California, Vereinigte Staaten
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Colorado
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Denver, Colorado, Vereinigte Staaten
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Florida
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Bradenton, Florida, Vereinigte Staaten
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Brooksville, Florida, Vereinigte Staaten
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Hallandale Beach, Florida, Vereinigte Staaten
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Jupiter, Florida, Vereinigte Staaten
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Miami, Florida, Vereinigte Staaten
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Orlando, Florida, Vereinigte Staaten
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Pembroke Pines, Florida, Vereinigte Staaten
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St Petersburg, Florida, Vereinigte Staaten
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Tampa, Florida, Vereinigte Staaten
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Winter Park, Florida, Vereinigte Staaten
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Georgia
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Roswell, Georgia, Vereinigte Staaten
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Illinois
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Chicago, Illinois, Vereinigte Staaten
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Evergreen Park, Illinois, Vereinigte Staaten
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Gurnee, Illinois, Vereinigte Staaten
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Indiana
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Avon, Indiana, Vereinigte Staaten
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Greenfield, Indiana, Vereinigte Staaten
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Kentucky
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Lexington, Kentucky, Vereinigte Staaten
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Paducah, Kentucky, Vereinigte Staaten
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Maryland
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Baltimore, Maryland, Vereinigte Staaten
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Missouri
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Columbia, Missouri, Vereinigte Staaten
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Nebraska
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Omaha, Nebraska, Vereinigte Staaten
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Nevada
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Las Vegas, Nevada, Vereinigte Staaten
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New Jersey
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Margate, New Jersey, Vereinigte Staaten
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New Mexico
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Albuquerque, New Mexico, Vereinigte Staaten
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New York
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Brooklyn, New York, Vereinigte Staaten
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North Carolina
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Calabash, North Carolina, Vereinigte Staaten
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Greensboro, North Carolina, Vereinigte Staaten
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Lenoir, North Carolina, Vereinigte Staaten
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Morehead City, North Carolina, Vereinigte Staaten
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Salisbury, North Carolina, Vereinigte Staaten
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Wilmington, North Carolina, Vereinigte Staaten
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Winston-Salem, North Carolina, Vereinigte Staaten
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Ohio
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Centerville, Ohio, Vereinigte Staaten
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Cincinnati, Ohio, Vereinigte Staaten
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Oklahoma
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Oklahoma City, Oklahoma, Vereinigte Staaten
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Pennsylvania
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Downingtown, Pennsylvania, Vereinigte Staaten
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Fleetwood, Pennsylvania, Vereinigte Staaten
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Reading, Pennsylvania, Vereinigte Staaten
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Rhode Island
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Providence, Rhode Island, Vereinigte Staaten
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South Carolina
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Anderson, South Carolina, Vereinigte Staaten
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Tennessee
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Chattanooga, Tennessee, Vereinigte Staaten
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Kingsport, Tennessee, Vereinigte Staaten
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Nashville, Tennessee, Vereinigte Staaten
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Texas
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Dallas, Texas, Vereinigte Staaten
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Houston, Texas, Vereinigte Staaten
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Irving, Texas, Vereinigte Staaten
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North Richland Hills, Texas, Vereinigte Staaten
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Pearland, Texas, Vereinigte Staaten
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San Antonio, Texas, Vereinigte Staaten
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Utah
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Salt Lake City, Utah, Vereinigte Staaten
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Virginia
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Burke, Virginia, Vereinigte Staaten
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Manassas, Virginia, Vereinigte Staaten
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Richmond, Virginia, Vereinigte Staaten
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Virginia Beach, Virginia, Vereinigte Staaten
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Wisconsin
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Wauwatosa, Wisconsin, Vereinigte Staaten
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Teilnahmekriterien
Zulassungskriterien
Zulassungskriterien
Studienberechtigtes Alter
Akzeptiert gesunde Freiwillige
Studienberechtigte Geschlechter
Beschreibung
Inclusion Criteria:
- Was male or female and ≥18 years.
- Had type 2 diabetes mellitus with HbA1c of ≥7.5 to ≤9.5% at Screening.
- Was treated with metformin alone (no treatment with any antidiabetic agents other than metformin within the 3 months prior to Screening) and was experiencing inadequate glycemic control. The participant should have received metformin monotherapy for ≥8 weeks prior to Screening at a stable dose ≥1500 mg). Participants with a maximum tolerated dose (MTD) that was documented to be less than 1500 mg of metformin could also be enrolled if this dose had been stable for 8 weeks prior to Screening.
- Was treated with antihypertensive therapy and had a mean, trough, sitting clinic systolic blood pressure (SBP) ≥135 and < 160 mm Hg on Day -1 (after washout of prior antihypertensive therapy) or the participant had not received antihypertensive treatment within 28 days before Screening and had a mean sitting clinic SBP ≥135 and < 160 mm Hg at the Screening Visit and on Day -1.
- Had clinical laboratory evaluations (including clinical chemistry, hematology, and complete urinalysis) within the reference range for the testing laboratory or results that were deemed not clinically significant in this participant population for inclusion in this study, by the investigator.
Exclusion Criteria:
- Had a mean, trough, sitting clinic diastolic blood pressure (DBP) ≥ 100 mm Hg at Day -1.
- Had type 1 or poorly controlled type 2 diabetes mellitus (HbA1c >9.5%) at Screening.
- Was taking or expected to take an excluded medication.
- Had a history of myocardial infarction, heart failure, unstable angina, coronary artery bypass graft, percutaneous coronary intervention, hypertensive encephalopathy, cerebrovascular accident, or transient ischemic attack.
- Had clinically significant cardiac conduction defects (for example, 3rd degree atrioventricular block, left bundle branch block, sick sinus syndrome, atrial fibrillation).
- Had hemodynamically significant left ventricular outflow obstruction due to aortic valvular disease.
- Had secondary hypertension of any etiology (e.g., renovascular disease, pheochromocytoma, Cushing's syndrome).
- Had renal dysfunction defined as estimated glomerular filtration rate (eGFR) <60 mL/min/1.73 m2 at Screening.
- Had albuminuria defined as >200 mg/g at Screening.
- Had known or suspected unilateral or bilateral renal artery stenosis.
- Had unexplained microhematuria ≥3 RBCs/HPF or macrohematuria at Screening and confirmed on repeat testing.
- Treatment with antidiabetic agents (sulfonylureas, glucagon-like peptide-1 (GLP-1) analogues, dipeptidyl peptidase-4 (DPP-4) inhibitors, glinides, thiazolidinediones (TZDs), and/or insulin) other than metformin during the 3 months prior to Screening.
- Had hyperkalemia as defined by central laboratory normal reference range at Screening.
Studienplan
Wie ist die Studie aufgebaut?
Designdetails
- Hauptzweck: Behandlung
- Zuteilung: Zufällig
- Interventionsmodell: Parallele Zuordnung
- Maskierung: Vervierfachen
Anzahl der Arme
Waffen und Interventionen
Teilnehmergruppe / ArmTeilnehmergruppe / Arm |
Intervention / BehandlungIntervention / Behandlung |
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Placebo-Komparator: Placebo QD
Azilsartan medoxomil placebo-matching tablets, orally, once daily for up to 24 weeks.
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Experimental: Azilsartan Medoxomil 40 mg QD
Azilsartan medoxomil 40 mg, tablets, orally, once daily for up to 24 weeks.
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Andere Namen:
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Experimental: Azilsartan Medoxomil 80 mg QD
Azilsartan medoxomil 80 mg, tablets, orally, once daily for up to 24 weeks.
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Andere Namen:
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Was misst die Studie?
Primäre Ergebnismessungen
Primäre Ergebnismessungen
Ergebnis Maßnahme |
Maßnahmenbeschreibung |
Zeitfenster |
|---|---|---|
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Change From Baseline in Trough Sitting Clinic Systolic Blood Pressure
Zeitfenster: Baseline and Week 8
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The change in trough systolic blood pressure measured at week 8 relative to baseline.
The trough is the average of the non-missing values of the 3 serial trough sitting systolic blood pressure measurements.
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Baseline and Week 8
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Sekundäre Ergebnismessungen
Sekundäre Ergebnismessungen
Ergebnis Maßnahme |
Maßnahmenbeschreibung |
Zeitfenster |
|---|---|---|
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Change From Baseline in Glycosylated Hemoglobin (HbA1c)
Zeitfenster: Baseline and Week 24
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The change in the value of glycosylated hemoglobin (the concentration of glucose bound to hemoglobin as a percent of the absolute maximum that can be bound) collected at week 24 relative to baseline.
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Baseline and Week 24
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Change From Baseline in Trough Sitting Clinic Diastolic Blood Pressure
Zeitfenster: Baseline and Week 8
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The change in trough diastolic blood pressure measured at week 8 relative to baseline.
The trough is the average of the non-missing values of the 3 serial trough sitting diastolic blood pressure measurements.
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Baseline and Week 8
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Change From Baseline in the 24-hour Mean Systolic Blood Pressure, as Measured by Ambulatory Blood Pressure Monitoring
Zeitfenster: Baseline and Week 8
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The change in 24-hour mean systolic blood pressure measured at week 8 relative to baseline.
Ambulatory blood pressure monitoring measures blood pressure at regular intervals throughout the day and night.
The 24-hour mean is the average of all measurements recorded for 24 hours after dosing.
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Baseline and Week 8
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Change From Baseline in the 24-hour Mean Diastolic Blood Pressure, as Measured by Ambulatory Blood Pressure Monitoring
Zeitfenster: Baseline and Week 8
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The change in 24-hour mean diastolic blood pressure measured at week 8 relative to baseline.
Ambulatory blood pressure monitoring measures blood pressure at regular intervals throughout the day and night.
The 24-hour mean is the average of all measurements recorded for 24 hours after dosing.
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Baseline and Week 8
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Change From Baseline in the Mean Daytime (6 AM to 10 PM) Systolic Blood Pressure, as Measured by Ambulatory Blood Pressure Monitoring
Zeitfenster: Baseline and Week 8
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The change in daytime (6am to 10pm) mean systolic blood pressure measured week 8 relative to baseline.
Ambulatory blood pressure monitoring measures blood pressure at regular intervals throughout the day and night.
Daytime mean is the average of all measurements recorded between the hours of 6 am and 10 pm.
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Baseline and Week 8
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Change From Baseline in the Mean Daytime (6 AM to 10 PM) Diastolic Blood Pressure, as Measured by Ambulatory Blood Pressure Monitoring
Zeitfenster: Baseline and Week 8
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The change in daytime (6am to 10pm) mean diastolic blood pressure measured at week 8 relative to baseline.
Ambulatory blood pressure monitoring measures blood pressure at regular intervals throughout the day and night.
Daytime mean is the average of all measurements recorded between the hours of 6 am and 10 pm.
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Baseline and Week 8
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Change From Baseline in the Mean Nighttime (12 AM to 6 AM) Systolic Blood Pressure, as Measured by Ambulatory Blood Pressure Monitoring
Zeitfenster: Baseline and Week 8
|
The change in nighttime (12am to 6am) mean systolic blood pressure measured at week 8 relative to baseline.
Ambulatory blood pressure monitoring measures blood pressure at regular intervals throughout the day and night.
Nighttime mean is the average of all measurements recorded between the hours of 12 am and 6 am.
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Baseline and Week 8
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Change From Baseline in the Mean Nighttime (12 AM to 6 AM) Diastolic Blood Pressure, as Measured by Ambulatory Blood Pressure Monitoring
Zeitfenster: Baseline and Week 8
|
The change in nighttime (12am to 6am) mean diastolic blood pressure measured at week 8 relative to baseline.
Ambulatory blood pressure monitoring measures blood pressure at regular intervals throughout the day and night.
Nighttime mean is the average of all measurements recorded between the hours of 12 am and 6 am.
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Baseline and Week 8
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Change From Baseline in the 12-hr Mean Systolic Blood Pressure Measured by Ambulatory Blood Pressure Monitoring
Zeitfenster: Baseline and Week 8
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The change in 12-hour mean systolic blood pressure measured at week 8 relative to baseline.
Ambulatory blood pressure monitoring measures blood pressure at regular intervals throughout the day and night.
The 12-hour mean is the average of all measurements recorded during the first 12 hours after dosing.
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Baseline and Week 8
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Change From Baseline in the 12-hr Mean Diastolic Blood Pressure Measured by Ambulatory Blood Pressure Monitoring
Zeitfenster: Baseline and Week 8
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The change in 12-hour mean systolic blood pressure measured at week 8 relative to baseline.
Ambulatory blood pressure monitoring measures blood pressure at regular intervals throughout the day and night.
The 12-hour mean is the average of all measurements recorded during the first 12 hours after dosing.
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Baseline and Week 8
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Change From Baseline in the Trough (22 to 24 Hours After Dosing) Systolic Blood Pressure as Measured by Ambulatory Blood Pressure Monitoring
Zeitfenster: Baseline and Week 8
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The change in trough systolic blood pressure measured at week 8 relative to baseline.
Ambulatory blood pressure monitoring measures blood pressure at regular intervals throughout the day and night.
The trough is the average of all measurements recorded from 22 to 24 hours after dosing.
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Baseline and Week 8
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Change From Baseline in the Trough (22 to 24 Hours After Dosing) Diastolic Blood Pressure as Measured by Ambulatory Blood Pressure Monitoring
Zeitfenster: Baseline and Week 8
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The change in trough diastolic blood pressure measured at week 8 relative to baseline.
Ambulatory blood pressure monitoring measures blood pressure at regular intervals throughout the day and night.
The trough is the average of all measurements recorded from 22 to 24 hours after dosing.
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Baseline and Week 8
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Percentage of Participants Requiring Rescue Glycemic Therapy
Zeitfenster: 24 Weeks
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Percentage of participants requiring rescue glycemic therapy during study.
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24 Weeks
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Time to First Glycemic Rescue
Zeitfenster: 24 Weeks
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The time to the first instance of participants requiring glycemic rescue during study.
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24 Weeks
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Change From Baseline in HbA1c
Zeitfenster: Baseline and Weeks 2, 4, 6, 8, 12, 16 and 20
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The change in the value of glycosylated hemoglobin (the concentration of glucose bound to hemoglobin as a percent of the absolute maximum that can be bound) collected at each week indicated relative to baseline.
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Baseline and Weeks 2, 4, 6, 8, 12, 16 and 20
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Change From Baseline in Fasting Plasma Glucose
Zeitfenster: Baseline and Weeks 2, 4, 6, 8, 12, 16, 20, and 24
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The change between the fasting plasma glucose value collected at each week indicated relative to baseline.
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Baseline and Weeks 2, 4, 6, 8, 12, 16, 20, and 24
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Change From Baseline to Week 6 and Week 24 in 2h Glucose During Oral Glucose Tolerance Testing (OGTT)
Zeitfenster: Baseline and Weeks 6 and 24
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The change between the glucose value collected at weeks 6 and 24 relative to baseline.
Oral glucose tolerance test measures glucose, insulin, C-peptide, insulin/glucose ratio, and glucagon through blood samples drawn at 0, 30, 60, and 120 minutes following consumption of a 75 g glucose beverage.
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Baseline and Weeks 6 and 24
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Change From Baseline to Week 6 and Week 24 in the Area Under the Plasma Concentration-time Curve (AUC) for Glucose During OGTT
Zeitfenster: Baseline and Weeks 6 and 24
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The change between the AUC for glucose at weeks 6 and 24 relative to baseline.
AUC will be calculated based on measurements at 0, 30, 60 and 120 minutes.
Oral glucose tolerance test measures glucose, insulin, C-peptide, insulin/glucose ratio, and glucagon through blood samples drawn at 0, 30, 60, and 120 minutes following consumption of a 75 g glucose beverage.
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Baseline and Weeks 6 and 24
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Change From Baseline to Week 6 and Week 24 in AUC for Insulin During OGTT
Zeitfenster: Baseline and Weeks 6 and 24
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The change between the AUC for insulin at weeks 6 and 24 relative to baseline.
AUC will be calculated based on measurements at 0, 30, 60 and 120 minutes.
Oral glucose tolerance test measures glucose, insulin, C-peptide, insulin/glucose ratio, and glucagon through blood samples drawn at 0, 30, 60, and 120 minutes following consumption of a 75 g glucose beverage.
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Baseline and Weeks 6 and 24
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Change From Baseline to Week 6 and Week 24 in AUC for C-peptide During OGTT
Zeitfenster: Baseline and Weeks 6 and 24
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The change between the AUC for C-peptide at weeks 6 and 24 relative to baseline.
AUC will be calculated based on measurements at 0, 30, 60 and 120 minutes.
Oral glucose tolerance test measures glucose, insulin, C-peptide, insulin/glucose ratio, and glucagon through blood samples drawn at 0, 30, 60, and 120 minutes following consumption of a 75 g glucose beverage.
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Baseline and Weeks 6 and 24
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Change From Baseline to Week 6 and Week 24 in AUC for Insulin/Glucose Ratio During OGTT
Zeitfenster: Baseline and Weeks 6 and 24
|
The change between the AUC for insulin/glucose ratio at weeks 6 and 24 relative to baseline.
AUC will be calculated based on measurements at 0, 30, 60 and 120 minutes.
Oral glucose tolerance test measures glucose, insulin, C-peptide, insulin/glucose ratio, and glucagon through blood samples drawn at 0, 30, 60, and 120 minutes following consumption of a 75 g glucose beverage.
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Baseline and Weeks 6 and 24
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Change From Baseline to Week 6 and Week 24 in AUC for Glucagon During OGTT
Zeitfenster: Baseline and Weeks 6 and 24
|
The change between the AUC for glucagon at weeks 6 and 24 relative to baseline.
AUC will be calculated based on measurements at 0, 30, 60 and 120 minutes.
Oral glucose tolerance test measures glucose, insulin, C-peptide, insulin/glucose ratio, and glucagon through blood samples drawn at 0, 30, 60, and 120 minutes following consumption of a 75 g glucose beverage.
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Baseline and Weeks 6 and 24
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Mitarbeiter und Ermittler
Sponsor
Sponsor
Ermittler
Ermittler
- Studienleiter: Director, Clinical Science, Takeda
Studienaufzeichnungsdaten
Haupttermine studieren
Studienbeginn
Studienbeginn
Primärer Abschluss (Tatsächlich)
Primärer Abschluss
Studienabschluss (Tatsächlich)
Studienabschluss
Studienanmeldedaten
Zuerst eingereicht
Zuerst eingereicht
Zuerst eingereicht, das die QC-Kriterien erfüllt hat
Zuerst eingereicht, das die QC-Kriterien erfüllt hat
Zuerst gepostet (Schätzen)
Zuerst gepostet
Studienaufzeichnungsaktualisierungen
Letztes Update gepostet (Schätzen)
Letztes Update gepostet
Letztes eingereichtes Update, das die QC-Kriterien erfüllt
Letztes eingereichtes Update, das die QC-Kriterien erfüllt
Zuletzt verifiziert
Zuletzt verifiziert
Mehr Informationen
Begriffe im Zusammenhang mit dieser Studie
Schlüsselwörter
Zusätzliche relevante MeSH-Bedingungen
- Herz-Kreislauf-Erkrankungen
- Gefäßerkrankungen
- Störungen des Glukosestoffwechsels
- Stoffwechselerkrankungen
- Erkrankungen des endokrinen Systems
- Hypertonie
- Diabetes Mellitus
- Molekulare Mechanismen der pharmakologischen Wirkung
- Angiotensin-II-Typ-1-Rezeptorblocker
- Angiotensin-Rezeptor-Antagonisten
- Azilsartanmedoxomil
Andere Studien-ID-Nummern
Andere Studien-ID-Nummern
- TAK-491_304
- U1111-1125-1197 (Registrierungskennung: WHO)
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