Aliskiren in Combination With Losartan Compared to Losartan on the Regression of Left Ventricular Hypertrophy in Overweight Patients With Essential Hypertension

NCT ID: NCT00219141

Last Updated: 2011-05-26

Study Results

Results available

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE3

Total Enrollment

460 participants

Study Classification

INTERVENTIONAL

Study Start Date

2005-10-31

Study Completion Date

2007-11-30

Brief Summary

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To compare the efficacy and safety of aliskiren in combination with losartan compared to losartan on the regression of the increased size of the left ventricle in overweight patients with high blood pressure.

Detailed Description

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Conditions

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Hypertension Left Ventricular Hypertrophy Overweight

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

DOUBLE

Participants Investigators

Study Groups

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Aliskiren 300 mg

Patients in this arm initially received 150 mg of aliskiren for two weeks and were then force-titrated up to 300 mg of aliskiren where they remained for 34 weeks. In order to adequately blind the study, patients were required to take a total of 2 tablets and 1 capsule of study medication or placebo per day. In the first 2 weeks, patients took 1 tablet of aliskiren 150 mg, 1 tablet of aliskiren 150 mg placebo, and 1 capsule of losartan placebo. In the remaining 34 weeks, patients took 2 tablets of aliskiren 150 mg and 1 capsule of losartan placebo. Each dose was to be taken by mouth with water at approximately 8:00 AM, except on the morning of study visit when the dose was taken after all procedures and assessments had been completed.

Group Type EXPERIMENTAL

Aliskiren 150/300 mg

Intervention Type DRUG

Aliskiren 150 mg tablets

Aliskiren placebo

Intervention Type DRUG

Aliskiren 150 mg placebo tablet

Losartan 50/100 mg placebo

Intervention Type DRUG

Losartan 50/100 mg placebo capsules

Losartan 100 mg

Patients in this arm initially received 50 mg of losartan for two weeks and were then force-titrated up to 100 mg of losartan where they remained for 34 weeks. In order to adequately blind the study, patients were required to take a total of 2 tablets and 1 capsule of study medication or placebo per day. In the first 2 weeks, patients took 2 tablets of aliskiren 150 mg placebo and 1 capsule of losartan 50 mg. In the remaining 34 weeks, patients took 2 tablets of aliskiren 150 mg placebo and 1 capsule of losartan 100 mg. Each dose was to be taken by mouth with water at approximately 8:00 AM, except on the morning of study visit when the dose was taken after all procedures and assessments had been completed.

Group Type ACTIVE_COMPARATOR

Losartan 50/100 mg

Intervention Type DRUG

Losartan 50 or 100 mg capsules

Aliskiren placebo

Intervention Type DRUG

Aliskiren 150 mg placebo tablet

Aliskiren/losartan 300/100 mg

Patients in this arm initially received 150 mg of aliskiren in combination with 50 mg of losartan for two weeks and were then force-titrated up to 300 mg of aliskiren in combination with 100 mg of losartan where they remained for 34 weeks. In order to adequately blind the study, patients were required to take a total of 2 tablets and 1 capsule of study medication or placebo per day. In the first 2 weeks, patients took 1 tablet of aliskiren 150 mg, 1 tablet of aliskiren 150 mg placebo, and 1 capsule of losartan 50 mg. In the remaining 34 weeks, patients took 2 tablets of aliskiren 150 mg and 1 capsule of losartan 100 mg. Each dose was to be taken by mouth with water at approximately 8:00 AM, except on the morning of study visit when the dose was taken after all procedures and assessments had been completed.

Group Type EXPERIMENTAL

Aliskiren 150/300 mg

Intervention Type DRUG

Aliskiren 150 mg tablets

Losartan 50/100 mg

Intervention Type DRUG

Losartan 50 or 100 mg capsules

Aliskiren placebo

Intervention Type DRUG

Aliskiren 150 mg placebo tablet

Interventions

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Aliskiren 150/300 mg

Aliskiren 150 mg tablets

Intervention Type DRUG

Losartan 50/100 mg

Losartan 50 or 100 mg capsules

Intervention Type DRUG

Aliskiren placebo

Aliskiren 150 mg placebo tablet

Intervention Type DRUG

Losartan 50/100 mg placebo

Losartan 50/100 mg placebo capsules

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

* Patients with essential hypertension
* Patients with a BMI \> 25 kg/m2
* Patients with LVH (LVWT ≥ 1.3 cm) confirmed by the ECHO

Exclusion Criteria

* Patients treated with an ACE or an ARB within 3 months of study entry (Study Visit 1) who are unable or unwilling to undergo the 3 month washout period.
* Patients treated with an ACE and ARB combination at study entry.
* Known secondary hypertension of any etiology (e.g., uncorrected renal artery stenosis).
Minimum Eligible Age

18 Years

Maximum Eligible Age

80 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Novartis Pharmaceuticals

INDUSTRY

Sponsor Role lead

Responsible Party

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External Affairs

Principal Investigators

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Novartis Pharmaceuticals

Role: STUDY_DIRECTOR

Novartis Pharmaceuticals

Locations

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Novartis Pharmaceuticals

East Hanover, New Jersey, United States

Site Status

sites in Argentina

Argentina, , Argentina

Site Status

sites in Colombia

Colombia, , Colombia

Site Status

sites in Finland

Finland, , Finland

Site Status

sites in Germany

Germany, , Germany

Site Status

sites in Italy

Italy, , Italy

Site Status

sites in Russia

Russia, , Russia

Site Status

sites in Spain

Spain, , Spain

Site Status

sites in Sweden

Sweden, , Sweden

Site Status

Countries

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United States Argentina Colombia Finland Germany Italy Russia Spain Sweden

References

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Wang GM, Li LJ, Fan L, Xu M, Tang WL, Wright JM. Renin inhibitors versus angiotensin receptor blockers for primary hypertension. Cochrane Database Syst Rev. 2025 Feb 27;2(2):CD012570. doi: 10.1002/14651858.CD012570.pub2.

Reference Type DERIVED
PMID: 40013543 (View on PubMed)

Pouleur AC, Uno H, Prescott MF, Desai A, Appelbaum E, Lukashevich V, Smith BA, Dahlof B, Solomon SD; ALLAY Investigators. Suppression of aldosterone mediates regression of left ventricular hypertrophy in patients with hypertension. J Renin Angiotensin Aldosterone Syst. 2011 Dec;12(4):483-90. doi: 10.1177/1470320311414453. Epub 2011 Jul 11.

Reference Type DERIVED
PMID: 21746765 (View on PubMed)

Other Identifiers

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CSPP100A2316

Identifier Type: -

Identifier Source: org_study_id

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