Safety and Efficacy Study of LHW090 in Resistant Hypertension Patients
A Randomized, Sponsor Open, Site and Subject Double Blind, Parallel Group, Placebo-controlled Study to Evaluate the Safety and Efficacy of LHW090 After 4 Weeks Treatment in Patients With Resistant Hypertension
연구 개요
상태
상태
정황
정황
개입 / 치료
개입 / 치료
연구 유형
연구 유형
등록 (실제)
등록
단계
단계
- 2 단계
연락처 및 위치
연구 장소
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Meibergdreef 9, 네덜란드, 1105 AZ
- Novartis Investigative Site
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Gentofte, 덴마크, DK 2820
- Novartis Investigative Site
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Berlin, 독일, 10098
- Novartis Investigative Site
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Duesseldorf, 독일, 40225
- Novartis Investigative Site
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Hannover, 독일, 30625
- Novartis Investigative Site
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Homburg, 독일, 66421
- Novartis Investigative Site
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Alabama
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Birmingham, Alabama, 미국, 35294
- Novartis Investigative Site
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California
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North Hollywood, California, 미국, 91606
- Novartis Investigative Site
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Florida
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Atlantis, Florida, 미국, 33462
- Novartis Investigative Site
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Daytona Beach, Florida, 미국, 32117
- Novartis Investigative Site
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Jacksonville, Florida, 미국, 32216
- Novartis Investigative Site
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Hawaii
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Honolulu, Hawaii, 미국, 96814
- Novartis Investigative Site
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Tennessee
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Knoxville, Tennessee, 미국, 37920
- Novartis Investigative Site
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Basel, 스위스, 4031
- Novartis Investigative Site
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Lausanne, 스위스, 1011
- Novartis Investigative Site
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Paris, 프랑스, 75015
- Novartis Investigative Site
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참여기준
자격 기준
자격 기준
공부할 수 있는 나이
건강한 자원 봉사자를 받아들입니다
연구 대상 성별
설명
Inclusion Criteria:
- Male and female patients, age 40 to 85 years inclusive.
- • Patients with uncontrolled hypertension (here defined as having a mean daytime systolic BP ≥ 135 mmHg by ABPM at screening) despite treatment with a stable (at least 1 month) regimen that includes an optimal dose of an ARB plus a diuretic plus at least one additional class of anti-hypertensive medication.
For the purposes of this trial, optimal doses of anti-hypertensive medications are defined as:
- the highest dose listed in the clinical practice guideline from the American Society for Hypertension and the International Society for Hypertension or
- the highest allowable prescribed dose per the manufacturer's label or
- the highest dose tolerated by an individual patient or
- the highest dose appropriate for an individual patient in the judgment of the Investigator
- Subjects must weigh at least 45 kg to participate in the study and must have a body mass index (BMI) within the range of 18-38 kg/m^2.
Exclusion Criteria:
- Patients with an estimated GFR <60 ml/min/1.73m^2.
- Use of angiotensin converting enzyme inhibitors (ACE-inhibitors). Note: Patients who discontinue their ACE-inhibitor and substitute with an angiotensin receptor blocker may be eligible to be re-screened provided their anti-hypertensive regimen has been stable for at least 1 month. Any substitutions or changes to a patient's anti-hypertensive regimen should be done under the guidance of the patient's treating physician.
- Severe hypertension as defined by systolic blood pressure ≥180 mmHg or diastolic blood pressure ≥110 mmHg at screening.
- A history of secondary hypertension of any etiology including but not limited to unilateral or bilateral renal artery stenosis, polycystic kidney disease, coarctation of the aorta, primary hyperaldosteronism, Cushing's disease, pheochromocytoma, and drug-induced hypertension.
- Known current significant left ventricular outflow obstruction, such as obstructive hypertrophic cardiomyopathy or significant severe valvular disease on prior or current echocardiogram).
- A history of known moderate or malignant retinopathy defined as moderate (retinal signs of hemorrhage), microaneurysms, cotton-wool spots, hard exudates, or a combination thereof) or malignant (signs of moderate retinopathy plus swelling of the optic disk). Patients with a stable ophthalmologic history in the past 6 months are eligible.
- To facilitate ABPM assessment, an upper arm circumference greater than 42 cm.
- History within the previous 6 months of myocardial infarction, coronary artery bypass graft (CABG), percutaneous coronary intervention (PCI), hypertensive encephalopathy, stroke, or transient ischemic attack (TIA).
Pregnant or nursing (lactating) women, where pregnancy is defined as the state of a female after conception and until the termination of gestation, confirmed by a positive hCG laboratory test.
• Women of child-bearing potential
공부 계획
연구는 어떻게 설계됩니까?
디자인 세부사항
- 주 목적: 치료
- 할당: 무작위
- 중재 모델: 병렬 할당
- 마스킹: 삼루타
팔의 수
무기와 개입
참가자 그룹 / 팔참가자 그룹 / 팔 |
개입 / 치료개입 / 치료 |
|---|---|
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실험적: LHW090 100 mg
LHW090 100 mg once daily for 28 days
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Capsule - oral dose
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실험적: LHW090 200 mg
LHW090 200 mg once daily for 28 days
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Capsule - oral dose
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위약 비교기: Placebo
Matching placebo to LHW090 oral dose for 28 days
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Capsule - oral dose
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연구는 무엇을 측정합니까?
주요 결과 측정
주요 결과 측정
결과 측정 |
측정값 설명 |
기간 |
|---|---|---|
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Number of Participants With Reported Adverse Events (AEs), Serious Adverse Events (SAEs) and Deaths
기간: 6 months
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Number of participants with AEs, SAEs and deaths were assessed.
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6 months
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Change From Baseline in Mean Daytime Blood Pressure
기간: Baseline, day 27
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Change in the 12 hour average of systolic blood pressure (SBP) measured by ambulatory blood pressure was defined as the 12 hour daytime average SBP on Day 28 minus the 12 hour daytime average SBP on Day -1.
monitoring (ABPM).
A negative change from baseline indicates improvement.
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Baseline, day 27
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2차 결과 측정
2차 결과 측정
결과 측정 |
측정값 설명 |
기간 |
|---|---|---|
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Pharmacokinetics of LHW090/LHV527 in Plasma: Observe Maximum Plasma Concentration Following LHW090 at Steady State in Patients (Cmax)
기간: Within 60 min prior to dosing, post dose: +/- 5 min up to 3 hrs, +/- 10 min from ≥3 hrs up to 12 hrs on Day 1 and Day 28
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Blood samples were collected to assess Cmax.
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Within 60 min prior to dosing, post dose: +/- 5 min up to 3 hrs, +/- 10 min from ≥3 hrs up to 12 hrs on Day 1 and Day 28
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Pharmacokinetics of LHW090/LHV527 in Plasma: Time to Reach the Maximum Concentration After Administration of LHW090 (Tmax)
기간: Within 60 min prior to dosing, post dose: +/- 5 min up to 3 hrs, +/- 10 min from ≥3 hrs up to 12 hrs on Day 1 and Day 28
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Blood samples were collected to assess Tmax.
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Within 60 min prior to dosing, post dose: +/- 5 min up to 3 hrs, +/- 10 min from ≥3 hrs up to 12 hrs on Day 1 and Day 28
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Pharmacokinetics of LHW090/LHV527 in Plasma: Area Under the Plasma Concentration-time Curve From Time Zero to the Time of Last Quantifiable Concentration (AUClast)
기간: Within 60 min prior to dosing, post dose: +/- 5 min up to 3 hrs, +/- 10 min from ≥3 hrs up to 12 hrs on Day 1 and Day 28
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Blood samples were collected to assess AUClast.
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Within 60 min prior to dosing, post dose: +/- 5 min up to 3 hrs, +/- 10 min from ≥3 hrs up to 12 hrs on Day 1 and Day 28
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Pharmacokinetics of LHW090/LHV527 in Plasma: Last Measurable Plasma Concentration (Clast)
기간: Within 60 min prior to dosing, post dose: +/- 5 min up to 3 hrs, +/- 10 min from ≥3 hrs up to 12 hrs on Day 1 and Day 28
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Blood samples were collected to assess Clast.
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Within 60 min prior to dosing, post dose: +/- 5 min up to 3 hrs, +/- 10 min from ≥3 hrs up to 12 hrs on Day 1 and Day 28
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Pharmacokinetics of LHW090/LHV527 in Plasma:Tlast
기간: Within 60 min prior to dosing, post dose: +/- 5 min up to 3 hrs, +/- 10 min from ≥3 hrs up to 12 hrs on Day 1 and Day 28
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Blood samples were collected to assess Tlast.
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Within 60 min prior to dosing, post dose: +/- 5 min up to 3 hrs, +/- 10 min from ≥3 hrs up to 12 hrs on Day 1 and Day 28
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공동 작업자 및 조사자
간행물 및 유용한 링크
연구 기록 날짜
연구 주요 날짜
연구 시작 (실제)
연구 시작
기본 완료 (실제)
기본 완료
연구 완료 (실제)
연구 완료
연구 등록 날짜
최초 제출
최초 제출
QC 기준을 충족하는 최초 제출
QC 기준을 충족하는 최초 제출
처음 게시됨 (추정)
처음 게시됨
연구 기록 업데이트
마지막 업데이트 게시됨 (실제)
마지막 업데이트 게시됨
QC 기준을 충족하는 마지막 업데이트 제출
QC 기준을 충족하는 마지막 업데이트 제출
마지막으로 확인됨
마지막으로 확인됨
추가 정보
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