Safety and Tolerability and Efficacy of LCZ696 in Japanese Severe Hypertensive Patients
2. oktober 2015 oppdatert av: Novartis Pharmaceuticals
A Multi-center, Open Label Study for Evaluation of the Safety, Tolerability and Efficacy of 8-week Treatment With LCZ696 in Japanese Patients With Severe Hypertension
This study assessed the safety, tolerability, and efficacy of LCZ696 in severe hypertensive Japanese patients
Studieoversikt
Status
Fullført
Forhold
Intervensjon / Behandling
Detaljert beskrivelse
Summaries for treatment-emergent adverse events, serious adverse events and death were provided by the following actual treatment regimen (actual treatment patients received) in addition to all patients: LCZ696 200mg, 400mg, 400mg+other hypertensive medications.
Summaries for others than above were provided by the following treatment regimen (determined by the maximal treatment patients received) in addition to all patients: LCZ696 200mg, 400mg, 400mg+other hypertensive medications.
Studietype
Intervensjonell
Registrering (Faktiske)
35
Fase
- Fase 3
Kontakter og plasseringer
Denne delen inneholder kontaktinformasjon for de som utfører studien, og informasjon om hvor denne studien blir utført.
Studiesteder
-
-
Kanagawa
-
Yokohama-city, Kanagawa, Japan, 231-0023
- Novartis Investigative Site
-
-
Kyoto
-
Kyoto-city, Kyoto, Japan, 606-8507
- Novartis Investigative Site
-
-
Tokyo
-
Bunkyo-ku, Tokyo, Japan, 113-0031
- Novartis Investigative Site
-
Hachioji-city, Tokyo, Japan, 192-0918
- Novartis Investigative Site
-
Minato-ku, Tokyo, Japan, 105-7390
- Novartis Investigative Site
-
Minato-ku, Tokyo, Japan, 108-0075
- Novartis Investigative Site
-
Ota-ku, Tokyo, Japan, 143-0023
- Novartis Investigative Site
-
Shibuya-ku, Tokyo, Japan, 150-0002
- Novartis Investigative Site
-
Shinagawa-ku, Tokyo, Japan, 141-0032
- Novartis Investigative Site
-
-
Deltakelseskriterier
Forskere ser etter personer som passer til en bestemt beskrivelse, kalt kvalifikasjonskriterier. Noen eksempler på disse kriteriene er en persons generelle helsetilstand eller tidligere behandlinger.
Kvalifikasjonskriterier
Alder som er kvalifisert for studier
20 år og eldre (Voksen, Eldre voksen)
Tar imot friske frivillige
Nei
Kjønn som er kvalifisert for studier
Alle
Beskrivelse
Inclusion Criteria:
- Satisfy office msSBP ≥180 mmHg or office msDBP ≥110 mmHg at baseline
Exclusion Criteria:
- Patients show msSBP ≥220 mmHg and/or msDBP ≥120 mmHg
- History of angioedema, drug-related or otherwise, as reported by the patient
- Patients unwilling or not able to discontinue safely the use of current antihypertensive medications during the study, as required by the protocol.
- Patients have significant cardiovascular co-morbidities
- Patients who previously entered a LCZ696 study and had been randomized or enrolled into the active drug treatment epoch.
Other protocol defined inclusion/exclusion criteria may apply.
Studieplan
Denne delen gir detaljer om studieplanen, inkludert hvordan studien er utformet og hva studien måler.
Hvordan er studiet utformet?
Designdetaljer
- Primært formål: Behandling
- Tildeling: Ikke-randomisert
- Intervensjonsmodell: Enkeltgruppeoppdrag
- Masking: Ingen (Open Label)
Våpen og intervensjoner
Deltakergruppe / Arm |
Intervensjon / Behandling |
|---|---|
|
Eksperimentell: LCZ696 200 mg
All participants were started on LCZ696 200 mg once daily on day 1.
Participants who achieved mean sitting diastolic blood pressure (msDBP) of < 100 mmHg and mean sitting systolic blood pressure (msSBP) of < 160 mmHg at week 2 or a msDBP < 90 mmHg and msSBP < 140 mmHg at or after week 4 and for the duration of the study continued at 200 mg LCZ696 once daily.
|
LCZ696 200 mg tablet once daily
2 tablets of LCZ696 200 mg once daily titrated up from 1 tablet of 200 mg once daily
2 tablets of LCZ696 200 mg once daily titrated up from 1 tablet of 200 mg once daily plus other HTN medications
|
|
Eksperimentell: LCZ696 400 mg
All participants were started on LCZ696 200 mg once daily on day 1.
For participants who did not achieve mean sitting diastolic blood pressure (msDBP) of < 100 mmHg and mean sitting systolic blood pressure (msSBP) of < 160 mmHg at week 2 or a msDBP < 90 mmHg and msSBP < 140 mmHg at or after week 4, and did not have any signs of safety concerns, the LCZ696 dose was increased to 400 mg once daily.
|
LCZ696 200 mg tablet once daily
2 tablets of LCZ696 200 mg once daily titrated up from 1 tablet of 200 mg once daily
2 tablets of LCZ696 200 mg once daily titrated up from 1 tablet of 200 mg once daily plus other HTN medications
|
|
Eksperimentell: LCZ696 400 mg plus other hypertension (HTN) medications
All participants were started on LCZ696 200 mg once daily on day 1.
For participants who received LCZ696 400 mg and did not achieve msDBP < 90 mmHg and msSBP < 140 mmHg at or after week 4 and had no signs of safety concerns, another class of antihypertensive drugs (other than Angiotensin II receptor blockers or Angiotensin Converting Enzyme Inhibitor (ACEi) could be added, or the dose of concomitant antihypertensive drugs could be increased as per the package insert.
Participants who received LCZ696 400 mg once daily did not change their dose for the remainder of the study.
|
LCZ696 200 mg tablet once daily
2 tablets of LCZ696 200 mg once daily titrated up from 1 tablet of 200 mg once daily
2 tablets of LCZ696 200 mg once daily titrated up from 1 tablet of 200 mg once daily plus other HTN medications
|
Hva måler studien?
Primære resultatmål
Resultatmål |
Tiltaksbeskrivelse |
Tidsramme |
|---|---|---|
|
Percentage of Participants With Adverse Events (AEs), Serious Adverse Events and Deaths
Tidsramme: Week 8
|
Adverse events, serious adverse events deaths were monitored from screening to week 8.
|
Week 8
|
Sekundære resultatmål
Resultatmål |
Tiltaksbeskrivelse |
Tidsramme |
|---|---|---|
|
Change From Baseline in msSBP and msDBP at Week 8
Tidsramme: Baseline, 8 weeks
|
Sitting BP measurements were performed at screening through the end of study at every visit.
Four separate sitting BP measurements were obtained with a full two-minute interval between measurements.
The 4 measurements were summed and averaged, and then the baseline BP value was subtracted from the average value to get the change from baseline value.
|
Baseline, 8 weeks
|
|
Percentage of Participants With Successful Blood Pressure (BP) Control in msSBP/msDBP at End of Study
Tidsramme: 8 weeks
|
Successful BP control in patients with severe hypertension at the end of study treatment was defined as follows: msSBP/msDBP< 140/90 mmHg.
|
8 weeks
|
|
Percentage of Participants Achieving Successful msSBP Control at End of Study
Tidsramme: 8 weeks
|
Successful msSBP control in patients with severe hypertension at the end of study treatment was defined as msSBP <140 mmHg.
|
8 weeks
|
|
Percentage of Participants Achieving Successful msDBP Control at End of Study
Tidsramme: 8 weeks
|
Successful msDBP control in patients with severe hypertension at the end of study treatment was defined as msDBP < 90 mmHg.
|
8 weeks
|
|
Percentage of Participants With SBP Response at End of Study
Tidsramme: Baseline, 8 weeks
|
SBP response was defined as <140 mmHg or a reduction ≥ 20 mmHg from baseline.
|
Baseline, 8 weeks
|
|
Percentage of Participants With DBP Response at End of Study
Tidsramme: Baseline, 8 weeks
|
DBP response was defined as <90 mmHg or a reduction ≥ 10 mmHg from baseline.
|
Baseline, 8 weeks
|
Samarbeidspartnere og etterforskere
Det er her du vil finne personer og organisasjoner som er involvert i denne studien.
Sponsor
Publikasjoner og nyttige lenker
Den som er ansvarlig for å legge inn informasjon om studien leverer frivillig disse publikasjonene. Disse kan handle om alt relatert til studiet.
Studierekorddatoer
Disse datoene sporer fremdriften for innsending av studieposter og sammendragsresultater til ClinicalTrials.gov. Studieposter og rapporterte resultater gjennomgås av National Library of Medicine (NLM) for å sikre at de oppfyller spesifikke kvalitetskontrollstandarder før de legges ut på det offentlige nettstedet.
Studer hoveddatoer
Studiestart
1. juli 2012
Primær fullføring (Faktiske)
1. februar 2013
Studiet fullført (Faktiske)
1. februar 2013
Datoer for studieregistrering
Først innsendt
18. juli 2012
Først innsendt som oppfylte QC-kriteriene
18. juli 2012
Først lagt ut (Anslag)
20. juli 2012
Oppdateringer av studieposter
Sist oppdatering lagt ut (Anslag)
23. oktober 2015
Siste oppdatering sendt inn som oppfylte QC-kriteriene
2. oktober 2015
Sist bekreftet
1. oktober 2015
Mer informasjon
Begreper knyttet til denne studien
Nøkkelord
Ytterligere relevante MeSH-vilkår
Andre studie-ID-numre
- CLCZ696A1305
Legemiddel- og utstyrsinformasjon, studiedokumenter
Studerer et amerikansk FDA-regulert medikamentprodukt
Nei
Studerer et amerikansk FDA-regulert enhetsprodukt
Nei
produkt produsert i og eksportert fra USA
Nei
Denne informasjonen ble hentet direkte fra nettstedet clinicaltrials.gov uten noen endringer. Hvis du har noen forespørsler om å endre, fjerne eller oppdatere studiedetaljene dine, vennligst kontakt register@clinicaltrials.gov. Så snart en endring er implementert på clinicaltrials.gov, vil denne også bli oppdatert automatisk på nettstedet vårt. .