Trial Outcomes & Findings for 18 Week Study Evaluating Safety and Efficacy of Olmesartan, Amlodipine, and Hydrochlorothiazide, in Type 2 Diabetics (NCT NCT00654745)

NCT ID: NCT00654745

Last Updated: 2010-07-13

Results Overview

Change from week 0 (baseline) in mean 24-hour Ambulatory Blood Pressure Monitoring (ABPM) Systolic Blood Pressure (SBP) after 12 weeks of active treatment. change = week 12 - week 0.

Recruitment status

COMPLETED

Study phase

PHASE4

Target enrollment

207 participants

Primary outcome timeframe

week 0 - week 12

Results posted on

2010-07-13

Participant Flow

Subjects were recruited at 32 sites in the USA from May 12, 2008 to Jan 2, 2009 and 207 enrolled into the active treatment period. The study population consisted of subjects with controlled type 2 diabetes, not requiring insulin therapy, whose hypertension was newly diagnosed or uncontrolled on antihypertensive monotherapy or combination therapy.

Subjects began washout of anti-hypertensive medications during screening then entered placebo run-in lasting 2-3 weeks. Subjects must meet seated blood pressure (BP) criteria at 2 consecutive qualifying visits during the run-in period and satisfy mean daytime ambulatory BP criteria at baseline, one day prior to the first dose of active study drug.

Participant milestones

Participant milestones
Measure
Amlodipine, Olmesartan Medoxomil, Hydrochlorothiazide
Participants receiving amlodipine + olmesartan medoxomil, if required, + hydrochlorothiazide, if required
Overall Study
STARTED
207
Overall Study
COMPLETED
164
Overall Study
NOT COMPLETED
43

Reasons for withdrawal

Reasons for withdrawal
Measure
Amlodipine, Olmesartan Medoxomil, Hydrochlorothiazide
Participants receiving amlodipine + olmesartan medoxomil, if required, + hydrochlorothiazide, if required
Overall Study
Adverse Event
12
Overall Study
Lost to Follow-up
7
Overall Study
Protocol Violation
11
Overall Study
Withdrawal by Subject
10
Overall Study
poor ABPM, noncompliance, lab MAs
3

Baseline Characteristics

18 Week Study Evaluating Safety and Efficacy of Olmesartan, Amlodipine, and Hydrochlorothiazide, in Type 2 Diabetics

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Aml + Olm + Hctz
n=207 Participants
amlodipine (aml) + olmesartan medoxomil (olm)+ hhdrochlorothiazide (hctz) is total number enrolled. Each group is the number of participants that were titrated to that dosing regimen as per the protocol. The total number of participants of the individual groups does not (and should not) equal the total number enrolled.
Age Continuous
59.1 years
STANDARD_DEVIATION 9.50 • n=5 Participants
Sex: Female, Male
Female
122 Participants
n=5 Participants
Sex: Female, Male
Male
85 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
54 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
153 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
0 Participants
n=5 Participants
Race (NIH/OMB)
American Indian or Alaska Native
1 Participants
n=5 Participants
Race (NIH/OMB)
Asian
8 Participants
n=5 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
1 Participants
n=5 Participants
Race (NIH/OMB)
Black or African American
35 Participants
n=5 Participants
Race (NIH/OMB)
White
162 Participants
n=5 Participants
Race (NIH/OMB)
More than one race
0 Participants
n=5 Participants
Race (NIH/OMB)
Unknown or Not Reported
0 Participants
n=5 Participants
Stage of hypertension
Stage 1
115 participants
n=5 Participants
Stage of hypertension
Stage 2
92 participants
n=5 Participants
Body mass index
32.80 mg/m2
STANDARD_DEVIATION 5.947 • n=5 Participants
Mean 24-hour ambulatory diastolic blood pressure
81.6 mm Hg
STANDARD_DEVIATION 9.76 • n=5 Participants
Mean 24-hour ambulatory systolic blood pressure
144.4 mm Hg
STANDARD_DEVIATION 11.74 • n=5 Participants
Pulse rate
73.75 beats per minute
STANDARD_DEVIATION 11.909 • n=5 Participants
Seated Diastolic Blood Pressure
89.1 mm Hg
STANDARD_DEVIATION 10.13 • n=5 Participants
Seated Systolic Blood Pressure
158.8 mm Hg
STANDARD_DEVIATION 13.14 • n=5 Participants
Years with diabetes
6.44 years
STANDARD_DEVIATION 5.978 • n=5 Participants

PRIMARY outcome

Timeframe: week 0 - week 12

Population: ABPM subjects analysis population included 165 subjects who received at least one dose of active study medication and provided valid ambulatory blood pressure monitoring measurements at baseline and week 12.

Change from week 0 (baseline) in mean 24-hour Ambulatory Blood Pressure Monitoring (ABPM) Systolic Blood Pressure (SBP) after 12 weeks of active treatment. change = week 12 - week 0.

Outcome measures

Outcome measures
Measure
Aml + Olm + Hctz
n=165 Participants
amlodipine + olmesartan medoxomil, if required, + hydrochlorothiazide, if required
Change From Week 0 (Baseline) in Mean 24-hour Ambulatory Blood Pressure Monitoring (ABPM) Systolic Blood Pressure (SBP) After 12 Weeks of Active Treatment
-19.9 mm Hg
Standard Error 0.76

SECONDARY outcome

Timeframe: week 0 - week 12 (24-hour, Daytime, Nighttime, Last 6 hour, Last 4 hour, Last 2 hour)

24-hour mean DBP, Daytime mean DBP, Nighttime mean DBP, Last 6 hour mean DBP, Last 4 hour mean DBP, Last 2 hour mean DBP

Outcome measures

Outcome measures
Measure
Aml + Olm + Hctz
n=165 Participants
amlodipine + olmesartan medoxomil, if required, + hydrochlorothiazide, if required
Change From Week 0 (Baseline) in Mean ABPM Diastolic Blood Pressure (DBP) After 12 Weeks of Active Treatment
24-hour mean DBP change from baseline
-11.2 mm Hg
Standard Error 0.50
Change From Week 0 (Baseline) in Mean ABPM Diastolic Blood Pressure (DBP) After 12 Weeks of Active Treatment
daytime mean DBP change from baseline
-11.7 mm Hg
Standard Error 0.60
Change From Week 0 (Baseline) in Mean ABPM Diastolic Blood Pressure (DBP) After 12 Weeks of Active Treatment
nighttime mean DBP change from baseline
-10.4 mm Hg
Standard Error 0.68
Change From Week 0 (Baseline) in Mean ABPM Diastolic Blood Pressure (DBP) After 12 Weeks of Active Treatment
last 6 hour mean DBP change from baseline
-10.9 mm Hg
Standard Error 0.64
Change From Week 0 (Baseline) in Mean ABPM Diastolic Blood Pressure (DBP) After 12 Weeks of Active Treatment
last 4 hour mean DBP change from baseline
-11.1 mm Hg
Standard Error 0.68
Change From Week 0 (Baseline) in Mean ABPM Diastolic Blood Pressure (DBP) After 12 Weeks of Active Treatment
last 2 hour mean DBP change from baseline
-11.5 mm Hg
Standard Error 0.76

SECONDARY outcome

Timeframe: week 0 - week 12 (24-hour, Daytime, Nighttime, Last 6 hour, Last 4 hour, Last 2 hour)

Daytime mean SBP, Nighttime mean SBP, Last 6 hour mean SBP, Last 4 hour mean SBP, Last 2 hour mean SBP

Outcome measures

Outcome measures
Measure
Aml + Olm + Hctz
n=165 Participants
amlodipine + olmesartan medoxomil, if required, + hydrochlorothiazide, if required
Change From Week 0 (Baseline) in Mean ABPM SBP After 12 Weeks of Active Treatment
daytime mean SBP change from baseline
-20.8 mm Hg
Standard Error 0.92
Change From Week 0 (Baseline) in Mean ABPM SBP After 12 Weeks of Active Treatment
nighttime mean SBP change from baseline
-18.5 mm Hg
Standard Error 0.95
Change From Week 0 (Baseline) in Mean ABPM SBP After 12 Weeks of Active Treatment
last 6 hours mean SBP change from baseline
-18.9 mm Hg
Standard Error 0.93
Change From Week 0 (Baseline) in Mean ABPM SBP After 12 Weeks of Active Treatment
last 4 hours mean SBP change from baseline
-19.1 mm Hg
Standard Error 1.02
Change From Week 0 (Baseline) in Mean ABPM SBP After 12 Weeks of Active Treatment
last 2 hours mean SBP change from baseline
-19.5 mm Hg
Standard Error 1.10

SECONDARY outcome

Timeframe: week 0 - weeks 3, 6, 9, 12, 15, 18

Population: Number of participants changed by week. Week 3 = 201, Week 6 = 192, week 9 = 184, week 12 = 177, week 15 = 172, week 18 = 164.

change in mean SeSBP from week 0 (baseline) to Weeks 3, 6, 9, 12, 15, and 18.

Outcome measures

Outcome measures
Measure
Aml + Olm + Hctz
n=201 Participants
amlodipine + olmesartan medoxomil, if required, + hydrochlorothiazide, if required
Change in Mean Seated Systolic Blood Pressure (SeSBP) From Week 0 (Baseline) After 3, 6, 9, 12, 15, and 18 Weeks
week 6 mean SBP change from baseline
-17.9 mm Hg
Standard Error 0.92
Change in Mean Seated Systolic Blood Pressure (SeSBP) From Week 0 (Baseline) After 3, 6, 9, 12, 15, and 18 Weeks
week 9 mean SBP change from baseline
-20.0 mm Hg
Standard Error 1.10
Change in Mean Seated Systolic Blood Pressure (SeSBP) From Week 0 (Baseline) After 3, 6, 9, 12, 15, and 18 Weeks
week 12 mean SBP change from baseline
-23.7 mm Hg
Standard Error 1.02
Change in Mean Seated Systolic Blood Pressure (SeSBP) From Week 0 (Baseline) After 3, 6, 9, 12, 15, and 18 Weeks
week 3 mean SBP change from baseline
-10.3 mm Hg
Standard Error 0.87
Change in Mean Seated Systolic Blood Pressure (SeSBP) From Week 0 (Baseline) After 3, 6, 9, 12, 15, and 18 Weeks
week 15 mean SBP change from baseline
-28.5 mm Hg
Standard Error 1.16
Change in Mean Seated Systolic Blood Pressure (SeSBP) From Week 0 (Baseline) After 3, 6, 9, 12, 15, and 18 Weeks
week 18 mean SBP change from baseline
-31.1 mm Hg
Standard Error 1.13

SECONDARY outcome

Timeframe: week 0 - weeks 3, 6, 9, 12, 15, 18

Population: Number of participants changed by week. Week 3 = 201, Week 6 = 192, week 9 = 184, week 12 = 177, week 15 = 172, week 18 = 164.

change in mean SeDBP from week 0 (baseline) to Weeks 3, 6, 9, 12, 15, and 18.

Outcome measures

Outcome measures
Measure
Aml + Olm + Hctz
n=201 Participants
amlodipine + olmesartan medoxomil, if required, + hydrochlorothiazide, if required
Change in Mean Seated Diastolic Blood Pressure (SeDBP) From Week 0 (Baseline) After 3, 6, 9, 12, 15, and 18 Weeks
week 12 mean seDBP change from baseline
-11.2 mm Hg
Standard Error 0.64
Change in Mean Seated Diastolic Blood Pressure (SeDBP) From Week 0 (Baseline) After 3, 6, 9, 12, 15, and 18 Weeks
week 15 mean seDBP change from baseline
-14.4 mm Hg
Standard Error 0.66
Change in Mean Seated Diastolic Blood Pressure (SeDBP) From Week 0 (Baseline) After 3, 6, 9, 12, 15, and 18 Weeks
week 18 mean seDBP change from baseline
-15.1 mm Hg
Standard Error 0.72
Change in Mean Seated Diastolic Blood Pressure (SeDBP) From Week 0 (Baseline) After 3, 6, 9, 12, 15, and 18 Weeks
week 3 mean seDBP change from baseline
-4.1 mm Hg
Standard Error 0.50
Change in Mean Seated Diastolic Blood Pressure (SeDBP) From Week 0 (Baseline) After 3, 6, 9, 12, 15, and 18 Weeks
week 6 mean seDBP change from baseline
-8.2 mm Hg
Standard Error 0.60
Change in Mean Seated Diastolic Blood Pressure (SeDBP) From Week 0 (Baseline) After 3, 6, 9, 12, 15, and 18 Weeks
week 9 mean seDBP change from baseline
-9.7 mm Hg
Standard Error 0.64

SECONDARY outcome

Timeframe: week 0 - week 12

number of participants achieving mean 24-hour ambulatory blood pressure thresholds BP\<135/85, BP\<130/80, BP\<125/75, BP\<120/80, SBP\<135, SBP\<130, SBP\<125, SBP\<120, DBP\<85, DBP\<80, DBP\<75 at week 12

Outcome measures

Outcome measures
Measure
Aml + Olm + Hctz
n=165 Participants
amlodipine + olmesartan medoxomil, if required, + hydrochlorothiazide, if required
Number of Participants Achieving Mean 24-hour Ambulatory Blood Pressure Thresholds at Week 12
mean 24-hour BP <120/80
59 participants
Number of Participants Achieving Mean 24-hour Ambulatory Blood Pressure Thresholds at Week 12
mean 24-hour SBP <135
140 participants
Number of Participants Achieving Mean 24-hour Ambulatory Blood Pressure Thresholds at Week 12
mean 24-hour DBP <80
146 participants
Number of Participants Achieving Mean 24-hour Ambulatory Blood Pressure Thresholds at Week 12
mean 24-hour DBP <75
121 participants
Number of Participants Achieving Mean 24-hour Ambulatory Blood Pressure Thresholds at Week 12
mean 24-hour BP <135/85
140 participants
Number of Participants Achieving Mean 24-hour Ambulatory Blood Pressure Thresholds at Week 12
mean 24-hour BP <130/80
116 participants
Number of Participants Achieving Mean 24-hour Ambulatory Blood Pressure Thresholds at Week 12
mean 24-hour BP <125/75
76 participants
Number of Participants Achieving Mean 24-hour Ambulatory Blood Pressure Thresholds at Week 12
mean 24-hour SBP <130
120 participants
Number of Participants Achieving Mean 24-hour Ambulatory Blood Pressure Thresholds at Week 12
mean 24-hour SBP <125
92 participants
Number of Participants Achieving Mean 24-hour Ambulatory Blood Pressure Thresholds at Week 12
mean 24-hour SBP <120
59 participants
Number of Participants Achieving Mean 24-hour Ambulatory Blood Pressure Thresholds at Week 12
mean 24-hour DBP <85
158 participants

SECONDARY outcome

Timeframe: week 0 - week 12

number of participants achieving mean daytime ambulatory blood pressure thresholds BP\<135/85, BP\<130/80, BP\<125/75, BP\<120/80, SBP\<135, SBP\<130, SBP\<125, SBP\<120, DBP\<85, DBP\<80, DBP\<75 at week 12

Outcome measures

Outcome measures
Measure
Aml + Olm + Hctz
n=165 Participants
amlodipine + olmesartan medoxomil, if required, + hydrochlorothiazide, if required
Number of Participants Achieving Mean Daytime Ambulatory Blood Pressure Thresholds at Week 12
mean daytime BP < 135/85
116 participants
Number of Participants Achieving Mean Daytime Ambulatory Blood Pressure Thresholds at Week 12
mean daytime BP < 130/80
83 participants
Number of Participants Achieving Mean Daytime Ambulatory Blood Pressure Thresholds at Week 12
mean daytime BP < 125/75
48 participants
Number of Participants Achieving Mean Daytime Ambulatory Blood Pressure Thresholds at Week 12
mean daytime BP < 120/80
42 participants
Number of Participants Achieving Mean Daytime Ambulatory Blood Pressure Thresholds at Week 12
mean daytime SBP < 135
118 participants
Number of Participants Achieving Mean Daytime Ambulatory Blood Pressure Thresholds at Week 12
mean daytime SBP < 130
94 participants
Number of Participants Achieving Mean Daytime Ambulatory Blood Pressure Thresholds at Week 12
mean daytime SBP < 125
67 participants
Number of Participants Achieving Mean Daytime Ambulatory Blood Pressure Thresholds at Week 12
mean daytime SBP < 120
42 participants
Number of Participants Achieving Mean Daytime Ambulatory Blood Pressure Thresholds at Week 12
mean daytime DBP < 85
151 participants
Number of Participants Achieving Mean Daytime Ambulatory Blood Pressure Thresholds at Week 12
mean daytime DBP < 80
124 participants
Number of Participants Achieving Mean Daytime Ambulatory Blood Pressure Thresholds at Week 12
mean daytime DBP < 75
91 participants

SECONDARY outcome

Timeframe: week 0 - week 12

number of participants achieving mean nighttime ambulatory blood pressure thresholds BP\<135/85, BP\<130/80, BP\<125/75, BP\<120/80, BP\<120/70, SBP\<135, SBP\<130, SBP\<125, SBP\<120, DBP\<85, DBP\<80, DBP\<75, DBP\<70 at week 12

Outcome measures

Outcome measures
Measure
Aml + Olm + Hctz
n=165 Participants
amlodipine + olmesartan medoxomil, if required, + hydrochlorothiazide, if required
Number of Participants Achieving Mean Nighttime Ambulatory Blood Pressure Thresholds at Week 12
mean nighttime SBP < 125
123 participants
Number of Participants Achieving Mean Nighttime Ambulatory Blood Pressure Thresholds at Week 12
mean nighttime SBP < 120
112 participants
Number of Participants Achieving Mean Nighttime Ambulatory Blood Pressure Thresholds at Week 12
mean nighttime DBP < 85
160 participants
Number of Participants Achieving Mean Nighttime Ambulatory Blood Pressure Thresholds at Week 12
mean nighttime DBP < 80
158 participants
Number of Participants Achieving Mean Nighttime Ambulatory Blood Pressure Thresholds at Week 12
mean nighttime DBP < 75
147 participants
Number of Participants Achieving Mean Nighttime Ambulatory Blood Pressure Thresholds at Week 12
mean nighttime DBP < 70
124 participants
Number of Participants Achieving Mean Nighttime Ambulatory Blood Pressure Thresholds at Week 12
mean nighttime BP < 135/85
152 participants
Number of Participants Achieving Mean Nighttime Ambulatory Blood Pressure Thresholds at Week 12
mean nighttime BP < 130/80
137 participants
Number of Participants Achieving Mean Nighttime Ambulatory Blood Pressure Thresholds at Week 12
mean nighttime BP < 125/75
119 participants
Number of Participants Achieving Mean Nighttime Ambulatory Blood Pressure Thresholds at Week 12
mean nighttime BP < 120/80
112 participants
Number of Participants Achieving Mean Nighttime Ambulatory Blood Pressure Thresholds at Week 12
mean nighttime BP < 120/70
101 participants
Number of Participants Achieving Mean Nighttime Ambulatory Blood Pressure Thresholds at Week 12
mean nighttime SBP < 135
154 participants
Number of Participants Achieving Mean Nighttime Ambulatory Blood Pressure Thresholds at Week 12
mean nighttime SBP < 130
139 participants

SECONDARY outcome

Timeframe: week 0 - week 12

number participants achieving mean last 6 hour ambulatory blood pressure thresholds BP\<135/85, BP\<130/80, BP\<125/75, BP\<120/80, SBP\<135, SBP\<130, SBP\<125, SBP\<120, DBP\<85, DBP\<80, DBP\<75 at week 12

Outcome measures

Outcome measures
Measure
Aml + Olm + Hctz
n=165 Participants
amlodipine + olmesartan medoxomil, if required, + hydrochlorothiazide, if required
Number of Participants Achieving Mean Last 6 Hour Ambulatory Blood Pressure Thresholds at Week 12
mean last 6 hour BP < 135/85
135 participants
Number of Participants Achieving Mean Last 6 Hour Ambulatory Blood Pressure Thresholds at Week 12
mean last 6 hour BP < 130/80
124 participants
Number of Participants Achieving Mean Last 6 Hour Ambulatory Blood Pressure Thresholds at Week 12
mean last 6 hour SBP < 120
85 participants
Number of Participants Achieving Mean Last 6 Hour Ambulatory Blood Pressure Thresholds at Week 12
mean last 6 hour DBP < 85
157 participants
Number of Participants Achieving Mean Last 6 Hour Ambulatory Blood Pressure Thresholds at Week 12
mean last 6 hour DBP < 80
146 participants
Number of Participants Achieving Mean Last 6 Hour Ambulatory Blood Pressure Thresholds at Week 12
mean last 6 hour BP < 125/75
101 participants
Number of Participants Achieving Mean Last 6 Hour Ambulatory Blood Pressure Thresholds at Week 12
mean last 6 hour BP < 120/80
85 participants
Number of Participants Achieving Mean Last 6 Hour Ambulatory Blood Pressure Thresholds at Week 12
mean last 6 hour SBP < 135
143 participants
Number of Participants Achieving Mean Last 6 Hour Ambulatory Blood Pressure Thresholds at Week 12
mean last 6 hour SBP < 130
127 participants
Number of Participants Achieving Mean Last 6 Hour Ambulatory Blood Pressure Thresholds at Week 12
mean last 6 hour SBP < 125
108 participants
Number of Participants Achieving Mean Last 6 Hour Ambulatory Blood Pressure Thresholds at Week 12
mean last 6 hour DBP < 75
130 participants

SECONDARY outcome

Timeframe: week 0 - week 12

number of participants achieving mean last 4 hour ambulatory blood pressure thresholds BP\<135/85, BP\<130/80, BP\<125/75, BP\<120/80, SBP\<135, SBP\<130, SBP\<125, SBP\<120, DBP\<85, DBP\<80, DBP\<75 at week 12

Outcome measures

Outcome measures
Measure
Aml + Olm + Hctz
n=165 Participants
amlodipine + olmesartan medoxomil, if required, + hydrochlorothiazide, if required
Number of Participants Achieving Mean Last 4 Hour Ambulatory Blood Pressure Thresholds at Week 12
mean last 4 hour BP < 135/85
129 participants
Number of Participants Achieving Mean Last 4 Hour Ambulatory Blood Pressure Thresholds at Week 12
mean last 4 hour BP < 130/80
107 participants
Number of Participants Achieving Mean Last 4 Hour Ambulatory Blood Pressure Thresholds at Week 12
mean last 4 hour BP < 125/75
92 participants
Number of Participants Achieving Mean Last 4 Hour Ambulatory Blood Pressure Thresholds at Week 12
mean last 4 hour BP < 120/80
72 participants
Number of Participants Achieving Mean Last 4 Hour Ambulatory Blood Pressure Thresholds at Week 12
mean last 4 hour SBP < 135
131 participants
Number of Participants Achieving Mean Last 4 Hour Ambulatory Blood Pressure Thresholds at Week 12
mean last 4 hour SBP < 130
114 participants
Number of Participants Achieving Mean Last 4 Hour Ambulatory Blood Pressure Thresholds at Week 12
mean last 4 hour SBP < 125
102 participants
Number of Participants Achieving Mean Last 4 Hour Ambulatory Blood Pressure Thresholds at Week 12
mean last 4 hour SBP < 120
72 participants
Number of Participants Achieving Mean Last 4 Hour Ambulatory Blood Pressure Thresholds at Week 12
mean last 4 hour DBP < 85
150 participants
Number of Participants Achieving Mean Last 4 Hour Ambulatory Blood Pressure Thresholds at Week 12
mean last 4 hour DBP < 80
137 participants
Number of Participants Achieving Mean Last 4 Hour Ambulatory Blood Pressure Thresholds at Week 12
mean last 4 hour DBP < 75
120 participants

SECONDARY outcome

Timeframe: week 0 - week 12

number of participants achieving mean last 2 hour ambulatory blood pressure thresholds BP\<135/85, BP\<130/80, BP\<125/75, BP\<120/80, SBP\<135, SBP\<130, SBP\<125, SBP\<120, DBP\<85, DBP\<80, DBP\<75 at week 12

Outcome measures

Outcome measures
Measure
Aml + Olm + Hctz
n=165 Participants
amlodipine + olmesartan medoxomil, if required, + hydrochlorothiazide, if required
Number of Participants Achieving Mean Last 2 Hour Ambulatory Blood Pressure Thresholds at Week 12
mean last 2 hour SBP < 120
51 participants
Number of Participants Achieving Mean Last 2 Hour Ambulatory Blood Pressure Thresholds at Week 12
mean last 2 hour DBP < 85
145 participants
Number of Participants Achieving Mean Last 2 Hour Ambulatory Blood Pressure Thresholds at Week 12
mean last 2 hour BP < 135/85
110 participants
Number of Participants Achieving Mean Last 2 Hour Ambulatory Blood Pressure Thresholds at Week 12
mean last 2 hour BP < 130/80
85 participants
Number of Participants Achieving Mean Last 2 Hour Ambulatory Blood Pressure Thresholds at Week 12
mean last 2 hour BP < 125/75
63 participants
Number of Participants Achieving Mean Last 2 Hour Ambulatory Blood Pressure Thresholds at Week 12
mean last 2 hour BP < 120/80
49 participants
Number of Participants Achieving Mean Last 2 Hour Ambulatory Blood Pressure Thresholds at Week 12
mean last 2 hour SBP < 135
115 participants
Number of Participants Achieving Mean Last 2 Hour Ambulatory Blood Pressure Thresholds at Week 12
mean last 2 hour SBP < 130
92 participants
Number of Participants Achieving Mean Last 2 Hour Ambulatory Blood Pressure Thresholds at Week 12
mean last 2 hour SBP < 125
76 participants
Number of Participants Achieving Mean Last 2 Hour Ambulatory Blood Pressure Thresholds at Week 12
mean last 2 hour DBP < 80
125 participants
Number of Participants Achieving Mean Last 2 Hour Ambulatory Blood Pressure Thresholds at Week 12
mean last 2 hour DBP < 75
94 participants

SECONDARY outcome

Timeframe: week 0 - week 3

number of participants achieving seated systolic and diastolic blood pressure thresholds BP\<135/85, BP\<130/80, BP\<125/75, BP\<120/80, SBP\<135, SBP\<130, SBP\<125, SBP\<120, DBP\<85, DBP\<80, DBP\<75 at week 3

Outcome measures

Outcome measures
Measure
Aml + Olm + Hctz
n=201 Participants
amlodipine + olmesartan medoxomil, if required, + hydrochlorothiazide, if required
Number of Participants Achieving Seated Systolic and Diastolic Blood Pressure Thresholds at Week 3
mean BP < 120/80
2 participants
Number of Participants Achieving Seated Systolic and Diastolic Blood Pressure Thresholds at Week 3
mean SBP < 135
41 participants
Number of Participants Achieving Seated Systolic and Diastolic Blood Pressure Thresholds at Week 3
mean SBP < 130
17 participants
Number of Participants Achieving Seated Systolic and Diastolic Blood Pressure Thresholds at Week 3
mean SBP < 125
9 participants
Number of Participants Achieving Seated Systolic and Diastolic Blood Pressure Thresholds at Week 3
mean SBP < 120
2 participants
Number of Participants Achieving Seated Systolic and Diastolic Blood Pressure Thresholds at Week 3
mean DBP < 85
99 participants
Number of Participants Achieving Seated Systolic and Diastolic Blood Pressure Thresholds at Week 3
mean DBP < 80
58 participants
Number of Participants Achieving Seated Systolic and Diastolic Blood Pressure Thresholds at Week 3
mean DBP < 75
29 participants
Number of Participants Achieving Seated Systolic and Diastolic Blood Pressure Thresholds at Week 3
mean BP < 135/85
31 participants
Number of Participants Achieving Seated Systolic and Diastolic Blood Pressure Thresholds at Week 3
mean BP < 130/80
10 participants
Number of Participants Achieving Seated Systolic and Diastolic Blood Pressure Thresholds at Week 3
mean BP < 125/75
4 participants

SECONDARY outcome

Timeframe: week 0 - week 6

number of participants achieving seated systolic and diastolic blood pressure thresholds BP\<135/85, BP\<130/80, BP\<125/75, BP\<120/80, SBP\<135, SBP\<130, SBP\<125, SBP\<120, DBP\<85, DBP\<80, DBP\<75 at week 6

Outcome measures

Outcome measures
Measure
Aml + Olm + Hctz
n=192 Participants
amlodipine + olmesartan medoxomil, if required, + hydrochlorothiazide, if required
Number of Participants Achieving Seated Systolic and Diastolic Blood Pressure Thresholds at Week 6
mean BP < 135/85
61 participants
Number of Participants Achieving Seated Systolic and Diastolic Blood Pressure Thresholds at Week 6
mean BP < 130/80
36 participants
Number of Participants Achieving Seated Systolic and Diastolic Blood Pressure Thresholds at Week 6
mean BP < 125/75
18 participants
Number of Participants Achieving Seated Systolic and Diastolic Blood Pressure Thresholds at Week 6
mean BP < 120/80
13 participants
Number of Participants Achieving Seated Systolic and Diastolic Blood Pressure Thresholds at Week 6
mean SBP < 135
73 participants
Number of Participants Achieving Seated Systolic and Diastolic Blood Pressure Thresholds at Week 6
mean SBP < 130
48 participants
Number of Participants Achieving Seated Systolic and Diastolic Blood Pressure Thresholds at Week 6
mean SBP < 125
31 participants
Number of Participants Achieving Seated Systolic and Diastolic Blood Pressure Thresholds at Week 6
mean SBP < 120
14 participants
Number of Participants Achieving Seated Systolic and Diastolic Blood Pressure Thresholds at Week 6
mean DBP < 85
127 participants
Number of Participants Achieving Seated Systolic and Diastolic Blood Pressure Thresholds at Week 6
mean DBP < 80
91 participants
Number of Participants Achieving Seated Systolic and Diastolic Blood Pressure Thresholds at Week 6
mean DBP < 75
48 participants

SECONDARY outcome

Timeframe: week 0 - week 9

number of participants achieving seated systolic and diastolic blood pressure thresholds BP\<135/85, BP\<130/80, BP\<125/75, BP\<120/80, SBP\<135, SBP\<130, SBP\<125, SBP\<120, DBP\<85, DBP\<80, DBP\<75 at week 9

Outcome measures

Outcome measures
Measure
Aml + Olm + Hctz
n=184 Participants
amlodipine + olmesartan medoxomil, if required, + hydrochlorothiazide, if required
Number of Participants Achieving Seated Systolic and Diastolic Blood Pressure Thresholds at Week 9
mean BP < 135/85
76 participants
Number of Participants Achieving Seated Systolic and Diastolic Blood Pressure Thresholds at Week 9
mean BP < 130/80
47 participants
Number of Participants Achieving Seated Systolic and Diastolic Blood Pressure Thresholds at Week 9
mean BP < 125/75
25 participants
Number of Participants Achieving Seated Systolic and Diastolic Blood Pressure Thresholds at Week 9
mean BP < 120/80
19 participants
Number of Participants Achieving Seated Systolic and Diastolic Blood Pressure Thresholds at Week 9
mean SBP < 135
82 participants
Number of Participants Achieving Seated Systolic and Diastolic Blood Pressure Thresholds at Week 9
mean SBP < 130
61 participants
Number of Participants Achieving Seated Systolic and Diastolic Blood Pressure Thresholds at Week 9
mean SBP < 125
41 participants
Number of Participants Achieving Seated Systolic and Diastolic Blood Pressure Thresholds at Week 9
mean SBP < 120
20 participants
Number of Participants Achieving Seated Systolic and Diastolic Blood Pressure Thresholds at Week 9
mean DBP < 85
132 participants
Number of Participants Achieving Seated Systolic and Diastolic Blood Pressure Thresholds at Week 9
mean DBP < 80
95 participants
Number of Participants Achieving Seated Systolic and Diastolic Blood Pressure Thresholds at Week 9
mean DBP < 75
64 participants

SECONDARY outcome

Timeframe: week 0 - week 12

number of participants achieving seated systolic and diastolic blood pressure thresholds BP\<135/85, BP\<130/80, BP\<125/75, BP\<120/80, SBP\<135, SBP\<130, SBP\<125, SBP\<120, DBP\<85, DBP\<80, DBP\<75 at week 12

Outcome measures

Outcome measures
Measure
Aml + Olm + Hctz
n=177 Participants
amlodipine + olmesartan medoxomil, if required, + hydrochlorothiazide, if required
Number of Participants Achieving Seated Systolic and Diastolic Blood Pressure Thresholds at Week 12
mean BP < 135/85
86 participants
Number of Participants Achieving Seated Systolic and Diastolic Blood Pressure Thresholds at Week 12
mean BP < 125/75
33 participants
Number of Participants Achieving Seated Systolic and Diastolic Blood Pressure Thresholds at Week 12
mean BP < 120/80
28 participants
Number of Participants Achieving Seated Systolic and Diastolic Blood Pressure Thresholds at Week 12
mean SBP < 135
93 participants
Number of Participants Achieving Seated Systolic and Diastolic Blood Pressure Thresholds at Week 12
mean SBP < 130
70 participants
Number of Participants Achieving Seated Systolic and Diastolic Blood Pressure Thresholds at Week 12
mean SBP < 125
46 participants
Number of Participants Achieving Seated Systolic and Diastolic Blood Pressure Thresholds at Week 12
mean SBP < 120
28 participants
Number of Participants Achieving Seated Systolic and Diastolic Blood Pressure Thresholds at Week 12
mean DBP < 85
134 participants
Number of Participants Achieving Seated Systolic and Diastolic Blood Pressure Thresholds at Week 12
mean DBP < 80
105 participants
Number of Participants Achieving Seated Systolic and Diastolic Blood Pressure Thresholds at Week 12
mean DBP < 75
74 participants
Number of Participants Achieving Seated Systolic and Diastolic Blood Pressure Thresholds at Week 12
mean BP < 130/80
61 participants

SECONDARY outcome

Timeframe: week 0 - week 15

number of participants achieving seated systolic and diastolic blood pressure thresholds BP\<135/85, BP\<130/80, BP\<125/75, BP\<120/80, SBP\<135, SBP\<130, SBP\<125, SBP\<120, DBP\<85, DBP\<80, DBP\<75 at week 15

Outcome measures

Outcome measures
Measure
Aml + Olm + Hctz
n=172 Participants
amlodipine + olmesartan medoxomil, if required, + hydrochlorothiazide, if required
Number of Participants Achieving Seated Systolic and Diastolic Blood Pressure Thresholds at Week 15
mean BP < 125/75
51 participants
Number of Participants Achieving Seated Systolic and Diastolic Blood Pressure Thresholds at Week 15
mean BP < 120/80
45 participants
Number of Participants Achieving Seated Systolic and Diastolic Blood Pressure Thresholds at Week 15
mean DBP < 75
96 participants
Number of Participants Achieving Seated Systolic and Diastolic Blood Pressure Thresholds at Week 15
mean BP < 135/85
114 participants
Number of Participants Achieving Seated Systolic and Diastolic Blood Pressure Thresholds at Week 15
mean BP < 130/80
83 participants
Number of Participants Achieving Seated Systolic and Diastolic Blood Pressure Thresholds at Week 15
mean SBP < 135
116 participants
Number of Participants Achieving Seated Systolic and Diastolic Blood Pressure Thresholds at Week 15
mean SBP < 130
95 participants
Number of Participants Achieving Seated Systolic and Diastolic Blood Pressure Thresholds at Week 15
mean SBP < 125
69 participants
Number of Participants Achieving Seated Systolic and Diastolic Blood Pressure Thresholds at Week 15
mean SBP < 120
48 participants
Number of Participants Achieving Seated Systolic and Diastolic Blood Pressure Thresholds at Week 15
mean DBP < 85
153 participants
Number of Participants Achieving Seated Systolic and Diastolic Blood Pressure Thresholds at Week 15
mean DBP < 80
122 participants

SECONDARY outcome

Timeframe: week 0 - week 18

number of participants achieving seated systolic and diastolic blood pressure thresholds BP\<135/85, BP\<130/80, BP\<125/75, BP\<120/80, SBP\<135, SBP\<130, SBP\<125, SBP\<120, DBP\<85, DBP\<80, DBP\<75 at week 18

Outcome measures

Outcome measures
Measure
Aml + Olm + Hctz
n=164 Participants
amlodipine + olmesartan medoxomil, if required, + hydrochlorothiazide, if required
Number of Participants Achieving Seated Systolic and Diastolic Blood Pressure Thresholds at Week 18
mean BP < 135/85
117 participants
Number of Participants Achieving Seated Systolic and Diastolic Blood Pressure Thresholds at Week 18
mean BP < 130/80
87 participants
Number of Participants Achieving Seated Systolic and Diastolic Blood Pressure Thresholds at Week 18
mean BP < 125/75
56 participants
Number of Participants Achieving Seated Systolic and Diastolic Blood Pressure Thresholds at Week 18
mean BP < 120/80
49 participants
Number of Participants Achieving Seated Systolic and Diastolic Blood Pressure Thresholds at Week 18
mean SBP < 135
123 participants
Number of Participants Achieving Seated Systolic and Diastolic Blood Pressure Thresholds at Week 18
mean SBP < 130
101 participants
Number of Participants Achieving Seated Systolic and Diastolic Blood Pressure Thresholds at Week 18
mean SBP < 125
74 participants
Number of Participants Achieving Seated Systolic and Diastolic Blood Pressure Thresholds at Week 18
mean SBP < 120
51 participants
Number of Participants Achieving Seated Systolic and Diastolic Blood Pressure Thresholds at Week 18
mean DBP < 85
147 participants
Number of Participants Achieving Seated Systolic and Diastolic Blood Pressure Thresholds at Week 18
mean DBP < 80
128 participants
Number of Participants Achieving Seated Systolic and Diastolic Blood Pressure Thresholds at Week 18
mean DBP < 75
94 participants

SECONDARY outcome

Timeframe: week 0 - week 12

number of participants achieving mean 24 hour ambulatory systolic and diastolic blood pressure reductions of; SBP reduction \<= 15 mmHg, SBP reduction \> 15 mmHg \& \<= 30 mmHg, SBP reduction \> 30 mmHg \& \<= 45 mmHg, SBP reduction \> 45 mmHg, DBP reduction \<= 10 mmHg, DBP reduction \> 10 mmHg \& \<= 15 mmHg, DBP reduction \> 15 mmHg \& \<= 20 mmHg, DBP reduction \> 20 mmHg at week 12

Outcome measures

Outcome measures
Measure
Aml + Olm + Hctz
n=165 Participants
amlodipine + olmesartan medoxomil, if required, + hydrochlorothiazide, if required
Number of Participants Achieving Mean 24 Hour Ambulatory Systolic and Diastolic Blood Pressure Reductions at Week 12
mean 24-hour SBP reduction =<15 mm Hg
50 participants
Number of Participants Achieving Mean 24 Hour Ambulatory Systolic and Diastolic Blood Pressure Reductions at Week 12
mean 24-hour SBP reduction >15 & =<30 mm Hg
91 participants
Number of Participants Achieving Mean 24 Hour Ambulatory Systolic and Diastolic Blood Pressure Reductions at Week 12
mean 24-hour SBP reduction >30 & =<45 mm Hg
22 participants
Number of Participants Achieving Mean 24 Hour Ambulatory Systolic and Diastolic Blood Pressure Reductions at Week 12
mean 24-hour DBP reduction >15 & =<20 mm Hg
31 participants
Number of Participants Achieving Mean 24 Hour Ambulatory Systolic and Diastolic Blood Pressure Reductions at Week 12
mean 24-hour DBP reduction >20 mm Hg
15 participants
Number of Participants Achieving Mean 24 Hour Ambulatory Systolic and Diastolic Blood Pressure Reductions at Week 12
mean 24-hour SBP reduction >45 mm Hg
2 participants
Number of Participants Achieving Mean 24 Hour Ambulatory Systolic and Diastolic Blood Pressure Reductions at Week 12
mean 24-hour DBP reduction =<10 mm Hg
72 participants
Number of Participants Achieving Mean 24 Hour Ambulatory Systolic and Diastolic Blood Pressure Reductions at Week 12
mean 24-hour DBP reduction >10 & =<15 mm Hg
47 participants

SECONDARY outcome

Timeframe: week 0 - week 12

number of participants achieving mean daytime ambulatory systolic and diastolic blood pressure reductions of; SBP reduction \<= 15 mmHg, SBP reduction \> 15 mmHg \& \<= 30 mmHg, SBP reduction \> 30 mmHg \& \<= 45 mmHg, SBP reduction \> 45 mmHg, DBP reduction \<= 10 mmHg, DBP reduction \> 10 mmHg \& \<= 15 mmHg, DBP reduction \> 15 mmHg \& \<= 20 mmHg, DBP reduction \> 20 mmHg at week 12

Outcome measures

Outcome measures
Measure
Aml + Olm + Hctz
n=165 Participants
amlodipine + olmesartan medoxomil, if required, + hydrochlorothiazide, if required
Number of Participants Achieving Mean Daytime Ambulatory Systolic and Diastolic Blood Pressure Reductions at Week 12
mean daytime SBP reduction =<15 mm Hg
47 participants
Number of Participants Achieving Mean Daytime Ambulatory Systolic and Diastolic Blood Pressure Reductions at Week 12
mean daytime SBP reduction >15 & =<30 mm Hg
84 participants
Number of Participants Achieving Mean Daytime Ambulatory Systolic and Diastolic Blood Pressure Reductions at Week 12
mean daytime DBP reduction =<10 mm Hg
68 participants
Number of Participants Achieving Mean Daytime Ambulatory Systolic and Diastolic Blood Pressure Reductions at Week 12
mean daytime DBP reduction >10 & =<15 mm Hg
41 participants
Number of Participants Achieving Mean Daytime Ambulatory Systolic and Diastolic Blood Pressure Reductions at Week 12
mean daytime DBP reduction >15 & =<20 mm Hg
33 participants
Number of Participants Achieving Mean Daytime Ambulatory Systolic and Diastolic Blood Pressure Reductions at Week 12
mean daytime SBP reduction >30 & =<45 mm Hg
31 participants
Number of Participants Achieving Mean Daytime Ambulatory Systolic and Diastolic Blood Pressure Reductions at Week 12
mean daytime SBP reduction >45 mm Hg
3 participants
Number of Participants Achieving Mean Daytime Ambulatory Systolic and Diastolic Blood Pressure Reductions at Week 12
mean daytime DBP reduction >20 mm Hg
23 participants

SECONDARY outcome

Timeframe: week 0 - week 12

number of participants achieving mean nighttime ambulatory systolic and diastolic blood pressure reductions of; SBP reduction \<= 15 mmHg, SBP reduction \> 15 mmHg \& \<= 30 mmHg, SBP reduction \> 30 mmHg \& \<= 45 mmHg, SBP reduction \> 45 mmHg, DBP reduction \<= 10 mmHg, DBP reduction \> 10 mmHg \& \<= 15 mmHg, DBP reduction \> 15 mmHg \& \<= 20 mmHg, DBP reduction \> 20 mmHg at week 12

Outcome measures

Outcome measures
Measure
Aml + Olm + Hctz
n=165 Participants
amlodipine + olmesartan medoxomil, if required, + hydrochlorothiazide, if required
Number of Participants Achieving Mean Nighttime Ambulatory Systolic and Diastolic Blood Pressure Reductions at Week 12
mean nighttime SBP reduction >15 & =<30 mm Hg
79 participants
Number of Participants Achieving Mean Nighttime Ambulatory Systolic and Diastolic Blood Pressure Reductions at Week 12
mean nighttime SBP reduction >30 & =<45 mm Hg
21 participants
Number of Participants Achieving Mean Nighttime Ambulatory Systolic and Diastolic Blood Pressure Reductions at Week 12
mean nighttime SBP reduction >45 mm Hg
5 participants
Number of Participants Achieving Mean Nighttime Ambulatory Systolic and Diastolic Blood Pressure Reductions at Week 12
mean nighttime DBP reduction =<10 mm Hg
80 participants
Number of Participants Achieving Mean Nighttime Ambulatory Systolic and Diastolic Blood Pressure Reductions at Week 12
mean nighttime SBP reduction =<15 mm Hg
60 participants
Number of Participants Achieving Mean Nighttime Ambulatory Systolic and Diastolic Blood Pressure Reductions at Week 12
mean nighttime SBP reduction >10 & =<15 mm Hg
41 participants
Number of Participants Achieving Mean Nighttime Ambulatory Systolic and Diastolic Blood Pressure Reductions at Week 12
mean nighttime SBP reduction >15 & =<20 mm Hg
21 participants
Number of Participants Achieving Mean Nighttime Ambulatory Systolic and Diastolic Blood Pressure Reductions at Week 12
mean nighttime DBP reduction >20 mm Hg
23 participants

SECONDARY outcome

Timeframe: week 0 - week 12

number of participants achieving mean last 6 hour ambulatory systolic and diastolic blood pressure reductions of; SBP reduction \<= 15 mmHg, SBP reduction \> 15 mmHg \& \<= 30 mmHg, SBP reduction \> 30 mmHg \& \<= 45 mmHg, SBP reduction \> 45 mmHg, DBP reduction \<= 10 mmHg, DBP reduction \> 10 mmHg \& \<= 15 mmHg, DBP reduction \> 15 mmHg \& \<= 20 mmHg, DBP reduction \> 20 mmHg at week 12

Outcome measures

Outcome measures
Measure
Aml + Olm + Hctz
n=165 Participants
amlodipine + olmesartan medoxomil, if required, + hydrochlorothiazide, if required
Number of Participants Achieving Mean Last 6 Hour Ambulatory Systolic and Diastolic Blood Pressure Reductions at Week 12
mean last 6 hour SBP reduction >30 & =<45 mm Hg
23 participants
Number of Participants Achieving Mean Last 6 Hour Ambulatory Systolic and Diastolic Blood Pressure Reductions at Week 12
mean last 6 hour SBP reduction >45 mm Hg
5 participants
Number of Participants Achieving Mean Last 6 Hour Ambulatory Systolic and Diastolic Blood Pressure Reductions at Week 12
mean last 6 hour DBP reduction =<10 mm Hg
76 participants
Number of Participants Achieving Mean Last 6 Hour Ambulatory Systolic and Diastolic Blood Pressure Reductions at Week 12
mean last 6 hour DBP reduction >10 & =<15 mm Hg
41 participants
Number of Participants Achieving Mean Last 6 Hour Ambulatory Systolic and Diastolic Blood Pressure Reductions at Week 12
mean last 6 hour SBP reduction =<15 mm Hg
61 participants
Number of Participants Achieving Mean Last 6 Hour Ambulatory Systolic and Diastolic Blood Pressure Reductions at Week 12
mean last 6 hour SBP reduction >15 & =<30 mm Hg
76 participants
Number of Participants Achieving Mean Last 6 Hour Ambulatory Systolic and Diastolic Blood Pressure Reductions at Week 12
mean last 6 hour DBP reduction >15 & =<20 mm Hg
27 participants
Number of Participants Achieving Mean Last 6 Hour Ambulatory Systolic and Diastolic Blood Pressure Reductions at Week 12
mean last 6 hour DBP reduction >20 mm Hg
21 participants

SECONDARY outcome

Timeframe: week 0 - week 12

number of participants achieving mean last 4 hour ambulatory systolic and diastolic blood pressure reductions of; SBP reduction \<= 15 mmHg, SBP reduction \> 15 mmHg \& \<= 30 mmHg, SBP reduction \> 30 mmHg \& \<= 45 mmHg, SBP reduction \> 45 mmHg, DBP reduction \<= 10 mmHg, DBP reduction \> 10 mmHg \& \<= 15 mmHg, DBP reduction \> 15 mmHg \& \<= 20 mmHg, DBP reduction \> 20 mmHg at week 12

Outcome measures

Outcome measures
Measure
Aml + Olm + Hctz
n=165 Participants
amlodipine + olmesartan medoxomil, if required, + hydrochlorothiazide, if required
Number of Participants Achieving Mean Last 4 Hour Ambulatory Systolic and Diastolic Blood Pressure Reductions
mean last 4 hour SBP reduction >15 & =<30 mm Hg
65 participants
Number of Participants Achieving Mean Last 4 Hour Ambulatory Systolic and Diastolic Blood Pressure Reductions
mean last 4 hour SBP reduction >30 & =<45 mm Hg
28 participants
Number of Participants Achieving Mean Last 4 Hour Ambulatory Systolic and Diastolic Blood Pressure Reductions
mean last 4 hour DBP reduction >15 & =<20 mm Hg
25 participants
Number of Participants Achieving Mean Last 4 Hour Ambulatory Systolic and Diastolic Blood Pressure Reductions
mean last 4 hour DBP reduction >20 mm Hg
28 participants
Number of Participants Achieving Mean Last 4 Hour Ambulatory Systolic and Diastolic Blood Pressure Reductions
mean last 4 hour SBP reduction =<15 mm Hg
67 participants
Number of Participants Achieving Mean Last 4 Hour Ambulatory Systolic and Diastolic Blood Pressure Reductions
mean last 4 hour SBP reduction >45 mm Hg
5 participants
Number of Participants Achieving Mean Last 4 Hour Ambulatory Systolic and Diastolic Blood Pressure Reductions
mean last 4 hour DBP reduction =<10 mm Hg
76 participants
Number of Participants Achieving Mean Last 4 Hour Ambulatory Systolic and Diastolic Blood Pressure Reductions
mean last 4 hour DBP reduction >10 & =<15 mm Hg
36 participants

SECONDARY outcome

Timeframe: week 0 - week 12

number of participants achieving mean last 2 hour ambulatory systolic and diastolic blood pressure reductions of; SBP reduction \<= 15 mmHg, SBP reduction \> 15 mmHg \& \<= 30 mmHg, SBP reduction \> 30 mmHg \& \<= 45 mmHg, SBP reduction \> 45 mmHg, DBP reduction \<= 10 mmHg, DBP reduction \> 10 mmHg \& \<= 15 mmHg, DBP reduction \> 15 mmHg \& \<= 20 mmHg, DBP reduction \> 20 mmHg at week 12

Outcome measures

Outcome measures
Measure
Aml + Olm + Hctz
n=165 Participants
amlodipine + olmesartan medoxomil, if required, + hydrochlorothiazide, if required
Number of Participants Achieving Mean Last 2 Hour Ambulatory Systolic and Diastolic Blood Pressure Reductions at Week 12
mean last 2 hour SBP reduction =<15 mm Hg
63 participants
Number of Participants Achieving Mean Last 2 Hour Ambulatory Systolic and Diastolic Blood Pressure Reductions at Week 12
mean last 2 hour SBP reduction >15 & =<30 mm Hg
62 participants
Number of Participants Achieving Mean Last 2 Hour Ambulatory Systolic and Diastolic Blood Pressure Reductions at Week 12
mean last 2 hour SBP reduction >30 & =<45 mm Hg
35 participants
Number of Participants Achieving Mean Last 2 Hour Ambulatory Systolic and Diastolic Blood Pressure Reductions at Week 12
mean last 2 hour DBP reduction =<10 mm Hg
77 participants
Number of Participants Achieving Mean Last 2 Hour Ambulatory Systolic and Diastolic Blood Pressure Reductions at Week 12
mean last 2 hour DBP reduction >10 & =<15 mm Hg
28 participants
Number of Participants Achieving Mean Last 2 Hour Ambulatory Systolic and Diastolic Blood Pressure Reductions at Week 12
mean last 2 hour DBP reduction >15 & =<20 mm Hg
29 participants
Number of Participants Achieving Mean Last 2 Hour Ambulatory Systolic and Diastolic Blood Pressure Reductions at Week 12
mean last 2 hour SBP reduction >45 mm Hg
5 participants
Number of Participants Achieving Mean Last 2 Hour Ambulatory Systolic and Diastolic Blood Pressure Reductions at Week 12
mean last 2 hour DBP reduction >20 mm Hg
31 participants

SECONDARY outcome

Timeframe: week 0 - week 3

number of participants achieving mean seated systolic and diastolic blood pressure reductions of; SBP reduction \<= 15 mmHg, SBP reduction \> 15 mmHg \& \<= 30 mmHg, SBP reduction \> 30 mmHg \& \<= 45 mmHg, SBP reduction \> 45 mmHg, DBP reduction \<= 10 mmHg, DBP reduction \> 10 mmHg \& \<= 15 mmHg, DBP reduction \> 15 mmHg \& \<= 20 mmHg, DBP reduction \> 20 mmHg at week 3

Outcome measures

Outcome measures
Measure
Aml + Olm + Hctz
n=201 Participants
amlodipine + olmesartan medoxomil, if required, + hydrochlorothiazide, if required
Number of Participants Achieving Mean Seated Systolic and Diastolic Blood Pressure Reductions at Week 3
mean seated SBP reduction =<15 mm Hg
131 participants
Number of Participants Achieving Mean Seated Systolic and Diastolic Blood Pressure Reductions at Week 3
mean seated SBP reduction >15 & =<30 mm Hg
62 participants
Number of Participants Achieving Mean Seated Systolic and Diastolic Blood Pressure Reductions at Week 3
mean seated SBP reduction >30 & =<45 mm Hg
6 participants
Number of Participants Achieving Mean Seated Systolic and Diastolic Blood Pressure Reductions at Week 3
mean seated SBP reduction >45 mm Hg
2 participants
Number of Participants Achieving Mean Seated Systolic and Diastolic Blood Pressure Reductions at Week 3
mean seated DBP reduction =<10 mm Hg
163 participants
Number of Participants Achieving Mean Seated Systolic and Diastolic Blood Pressure Reductions at Week 3
mean seated DBP reduction >10 & =<15 mm Hg
25 participants
Number of Participants Achieving Mean Seated Systolic and Diastolic Blood Pressure Reductions at Week 3
mean seated DBP reduction >15 & =<20 mm Hg
10 participants
Number of Participants Achieving Mean Seated Systolic and Diastolic Blood Pressure Reductions at Week 3
mean seated DBP reduction >20 mm Hg
3 participants

SECONDARY outcome

Timeframe: week 0 - week 6

number of participants achieving mean seated systolic and diastolic blood pressure reductions of; SBP reduction \<= 15 mmHg, SBP reduction \> 15 mmHg \& \<= 30 mmHg, SBP reduction \> 30 mmHg \& \<= 45 mmHg, SBP reduction \> 45 mmHg, DBP reduction \<= 10 mmHg, DBP reduction \> 10 mmHg \& \<= 15 mmHg, DBP reduction \> 15 mmHg \& \<= 20 mmHg, DBP reduction \> 20 mmHg at week 6

Outcome measures

Outcome measures
Measure
Aml + Olm + Hctz
n=192 Participants
amlodipine + olmesartan medoxomil, if required, + hydrochlorothiazide, if required
Number of Participants Achieving Mean Seated Systolic and Diastolic Blood Pressure Reductions at Week 6
mean seated SBP reduction >15 & =<30 mm Hg
90 participants
Number of Participants Achieving Mean Seated Systolic and Diastolic Blood Pressure Reductions at Week 6
mean seated DBP reduction >15 & =<20 mm Hg
24 participants
Number of Participants Achieving Mean Seated Systolic and Diastolic Blood Pressure Reductions at Week 6
mean seated DBP reduction >20 mm Hg
15 participants
Number of Participants Achieving Mean Seated Systolic and Diastolic Blood Pressure Reductions at Week 6
mean seated DBP reduction =<10 mm Hg
120 participants
Number of Participants Achieving Mean Seated Systolic and Diastolic Blood Pressure Reductions at Week 6
mean seated DBP reduction >10 & =<15 mm Hg
33 participants
Number of Participants Achieving Mean Seated Systolic and Diastolic Blood Pressure Reductions at Week 6
mean seated SBP reduction =<15 mm Hg
69 participants
Number of Participants Achieving Mean Seated Systolic and Diastolic Blood Pressure Reductions at Week 6
mean seated SBP reduction >30 & =<45 mm Hg
31 participants
Number of Participants Achieving Mean Seated Systolic and Diastolic Blood Pressure Reductions at Week 6
mean seated SBP reduction >45 mm Hg
2 participants

SECONDARY outcome

Timeframe: week 0 - week 9

number of participants achieving mean seated systolic and diastolic blood pressure reductions of; SBP reduction \<= 15 mmHg, SBP reduction \> 15 mmHg \& \<= 30 mmHg, SBP reduction \> 30 mmHg \& \<= 45 mmHg, SBP reduction \> 45 mmHg, DBP reduction \<= 10 mmHg, DBP reduction \> 10 mmHg \& \<= 15 mmHg, DBP reduction \> 15 mmHg \& \<= 20 mmHg, DBP reduction \> 20 mmHg at week 9

Outcome measures

Outcome measures
Measure
Aml + Olm + Hctz
n=184 Participants
amlodipine + olmesartan medoxomil, if required, + hydrochlorothiazide, if required
Number of Participants Achieving Mean Seated Systolic and Diastolic Blood Pressure Reductions at Week 9
mean seated SBP reduction =<15 mm Hg
72 participants
Number of Participants Achieving Mean Seated Systolic and Diastolic Blood Pressure Reductions at Week 9
mean seated SBP reduction >15 & =<30 mm Hg
69 participants
Number of Participants Achieving Mean Seated Systolic and Diastolic Blood Pressure Reductions at Week 9
mean seated SBP reduction >30 & =<45 mm Hg
34 participants
Number of Participants Achieving Mean Seated Systolic and Diastolic Blood Pressure Reductions at Week 9
mean seated DBP reduction =<10 mm Hg
100 participants
Number of Participants Achieving Mean Seated Systolic and Diastolic Blood Pressure Reductions at Week 9
mean seated DBP reduction >15 & =<20 mm Hg
18 participants
Number of Participants Achieving Mean Seated Systolic and Diastolic Blood Pressure Reductions at Week 9
mean seated SBP reduction >45 mm Hg
9 participants
Number of Participants Achieving Mean Seated Systolic and Diastolic Blood Pressure Reductions at Week 9
mean seated DBP reduction >10 & =<15 mm Hg
43 participants
Number of Participants Achieving Mean Seated Systolic and Diastolic Blood Pressure Reductions at Week 9
mean seated DBP reduction >20 mm Hg
23 participants

SECONDARY outcome

Timeframe: week 0 - week 12

number of participants achieving mean seated systolic and diastolic blood pressure reductions of; SBP reduction \<= 15 mmHg, SBP reduction \> 15 mmHg \& \<= 30 mmHg, SBP reduction \> 30 mmHg \& \<= 45 mmHg, SBP reduction \> 45 mmHg, DBP reduction \<= 10 mmHg, DBP reduction \> 10 mmHg \& \<= 15 mmHg, DBP reduction \> 15 mmHg \& \<= 20 mmHg, DBP reduction \> 20 mmHg at week 12

Outcome measures

Outcome measures
Measure
Aml + Olm + Hctz
n=177 Participants
amlodipine + olmesartan medoxomil, if required, + hydrochlorothiazide, if required
Number of Participants Achieving Mean Seated Systolic and Diastolic Blood Pressure Reductions at Week 12
mean seated SBP reduction >30 & =<45 mm Hg
45 participants
Number of Participants Achieving Mean Seated Systolic and Diastolic Blood Pressure Reductions at Week 12
mean seated DBP reduction >15 & =<20 mm Hg
27 participants
Number of Participants Achieving Mean Seated Systolic and Diastolic Blood Pressure Reductions at Week 12
mean seated DBP reduction >20 mm Hg
23 participants
Number of Participants Achieving Mean Seated Systolic and Diastolic Blood Pressure Reductions at Week 12
mean seated SBP reduction =<15 mm Hg
48 participants
Number of Participants Achieving Mean Seated Systolic and Diastolic Blood Pressure Reductions at Week 12
mean seated SBP reduction >15 & =<30 mm Hg
73 participants
Number of Participants Achieving Mean Seated Systolic and Diastolic Blood Pressure Reductions at Week 12
mean seated SBP reduction >45 mm Hg
11 participants
Number of Participants Achieving Mean Seated Systolic and Diastolic Blood Pressure Reductions at Week 12
mean seated DBP reduction =<10 mm Hg
85 participants
Number of Participants Achieving Mean Seated Systolic and Diastolic Blood Pressure Reductions at Week 12
mean seated DBP reduction >10 & =<15 mm Hg
42 participants

SECONDARY outcome

Timeframe: week 0 - week 15

number of participants achieving mean seated systolic and diastolic blood pressure reductions of; SBP reduction \<= 15 mmHg, SBP reduction \> 15 mmHg \& \<= 30 mmHg, SBP reduction \> 30 mmHg \& \<= 45 mmHg, SBP reduction \> 45 mmHg, DBP reduction \<= 10 mmHg, DBP reduction \> 10 mmHg \& \<= 15 mmHg, DBP reduction \> 15 mmHg \& \<= 20 mmHg, DBP reduction \> 20 mmHg at week 15

Outcome measures

Outcome measures
Measure
Aml + Olm + Hctz
n=172 Participants
amlodipine + olmesartan medoxomil, if required, + hydrochlorothiazide, if required
Number of Participants Achieving Mean Seated Systolic and Diastolic Blood Pressure Reductions at Week 15
mean seated SBP reduction =<15 mm Hg
31 participants
Number of Participants Achieving Mean Seated Systolic and Diastolic Blood Pressure Reductions at Week 15
mean seated SBP reduction >15 & =<30 mm Hg
66 participants
Number of Participants Achieving Mean Seated Systolic and Diastolic Blood Pressure Reductions at Week 15
mean seated SBP reduction >30 & =<45 mm Hg
55 participants
Number of Participants Achieving Mean Seated Systolic and Diastolic Blood Pressure Reductions at Week 15
mean seated SBP reduction >45 mm Hg
20 participants
Number of Participants Achieving Mean Seated Systolic and Diastolic Blood Pressure Reductions at Week 15
mean seated DBP reduction =<10 mm Hg
52 participants
Number of Participants Achieving Mean Seated Systolic and Diastolic Blood Pressure Reductions at Week 15
mean seated DBP reduction >10 & =<15 mm Hg
45 participants
Number of Participants Achieving Mean Seated Systolic and Diastolic Blood Pressure Reductions at Week 15
mean seated DBP reduction >15 & =<20 mm Hg
32 participants
Number of Participants Achieving Mean Seated Systolic and Diastolic Blood Pressure Reductions at Week 15
mean seated DBP reduction >20 mm Hg
43 participants

SECONDARY outcome

Timeframe: week 0 - week 18

number of participants achieving mean seated systolic and diastolic blood pressure reductions of; SBP reduction \<= 15 mmHg, SBP reduction \> 15 mmHg \& \<= 30 mmHg, SBP reduction \> 30 mmHg \& \<= 45 mmHg, SBP reduction \> 45 mmHg, DBP reduction \<= 10 mmHg, DBP reduction \> 10 mmHg \& \<= 15 mmHg, DBP reduction \> 15 mmHg \& \<= 20 mmHg, DBP reduction \> 20 mmHg at week 18

Outcome measures

Outcome measures
Measure
Aml + Olm + Hctz
n=164 Participants
amlodipine + olmesartan medoxomil, if required, + hydrochlorothiazide, if required
Number of Participants Achieving Mean Seated Systolic and Diastolic Blood Pressure Reductions at Week 18
mean seated SBP reduction >30 & =<45 mm Hg
64 participants
Number of Participants Achieving Mean Seated Systolic and Diastolic Blood Pressure Reductions at Week 18
mean seated SBP reduction >45 mm Hg
25 participants
Number of Participants Achieving Mean Seated Systolic and Diastolic Blood Pressure Reductions at Week 18
mean seated DBP reduction =<10 mm Hg
50 participants
Number of Participants Achieving Mean Seated Systolic and Diastolic Blood Pressure Reductions at Week 18
mean seated DBP reduction >10 & =<15 mm Hg
33 participants
Number of Participants Achieving Mean Seated Systolic and Diastolic Blood Pressure Reductions at Week 18
mean seated DBP reduction >15 & =<20 mm Hg
29 participants
Number of Participants Achieving Mean Seated Systolic and Diastolic Blood Pressure Reductions at Week 18
mean seated DBP reduction >20 mm Hg
52 participants
Number of Participants Achieving Mean Seated Systolic and Diastolic Blood Pressure Reductions at Week 18
mean seated SBP reduction =<15 mm Hg
22 participants
Number of Participants Achieving Mean Seated Systolic and Diastolic Blood Pressure Reductions at Week 18
mean seated SBP reduction >15 & =<30 mm Hg
53 participants

Adverse Events

ALL - Aml + Olm + Hctz

Serious events: 4 serious events
Other events: 80 other events
Deaths: 0 deaths

Start - Amlodipine 5 mg

Serious events: 0 serious events
Other events: 16 other events
Deaths: 0 deaths

Titration 1 - Amlodipine 5 mg / Olmesartan 20 mg

Serious events: 0 serious events
Other events: 15 other events
Deaths: 0 deaths

Titration 2 - Amlodipine 5 mg / Olmesartan 40 mg

Serious events: 1 serious events
Other events: 10 other events
Deaths: 0 deaths

Titration 3 - Amlodipine 10 mg / Olmesartan 40 mg

Serious events: 0 serious events
Other events: 21 other events
Deaths: 0 deaths

Titration 4 Amlodipine 10 mg / Olmesartan 40 mg / HCTZ 12.5 mg

Serious events: 1 serious events
Other events: 14 other events
Deaths: 0 deaths

Titration 5 - Amlodipine 10 mg / Olmesartan 40 mg / HCTZ 25 mg

Serious events: 2 serious events
Other events: 4 other events
Deaths: 0 deaths

Serious adverse events

Serious adverse events
Measure
ALL - Aml + Olm + Hctz
n=207 participants at risk
Summary of ALL participants receiving amlodipine + olmesartan medoxomil, if required, + hydrochlorothiazide, if required
Start - Amlodipine 5 mg
n=207 participants at risk
All participants started trial on Amlodipine 5 mg.
Titration 1 - Amlodipine 5 mg / Olmesartan 20 mg
n=195 participants at risk
Participants not meeting blood pressure (BP) goals on previous regimen were titrated to this regimen.
Titration 2 - Amlodipine 5 mg / Olmesartan 40 mg
n=177 participants at risk
Participants not meeting blood pressure (BP) goals on previous regimen were titrated to this regimen.
Titration 3 - Amlodipine 10 mg / Olmesartan 40 mg
n=167 participants at risk
Participants not meeting blood pressure (BP) goals on previous regimen were titrated to this regimen.
Titration 4 Amlodipine 10 mg / Olmesartan 40 mg / HCTZ 12.5 mg
n=146 participants at risk
Participants not meeting blood pressure (BP) goals on previous regimen were titrated to this regimen.
Titration 5 - Amlodipine 10 mg / Olmesartan 40 mg / HCTZ 25 mg
n=101 participants at risk
Participants not meeting blood pressure (BP) goals on previous regimen were titrated to this regimen.
Infections and infestations
pneumonia
0.48%
1/207 • Number of events 1
0.00%
0/207
0.00%
0/195
0.00%
0/177
0.00%
0/167
0.00%
0/146
0.99%
1/101 • Number of events 1
Metabolism and nutrition disorders
hyperkalaemia
0.48%
1/207 • Number of events 1
0.00%
0/207
0.00%
0/195
0.00%
0/177
0.00%
0/167
0.68%
1/146 • Number of events 1
0.00%
0/101
Nervous system disorders
presyncope
0.48%
1/207 • Number of events 1
0.00%
0/207
0.00%
0/195
0.00%
0/177
0.00%
0/167
0.68%
1/146 • Number of events 1
0.00%
0/101
Respiratory, thoracic and mediastinal disorders
chronic obstructive pulmonary disease
0.48%
1/207 • Number of events 1
0.00%
0/207
0.00%
0/195
0.56%
1/177 • Number of events 1
0.00%
0/167
0.00%
0/146
0.99%
1/101 • Number of events 1

Other adverse events

Other adverse events
Measure
ALL - Aml + Olm + Hctz
n=207 participants at risk
Summary of ALL participants receiving amlodipine + olmesartan medoxomil, if required, + hydrochlorothiazide, if required
Start - Amlodipine 5 mg
n=207 participants at risk
All participants started trial on Amlodipine 5 mg.
Titration 1 - Amlodipine 5 mg / Olmesartan 20 mg
n=195 participants at risk
Participants not meeting blood pressure (BP) goals on previous regimen were titrated to this regimen.
Titration 2 - Amlodipine 5 mg / Olmesartan 40 mg
n=177 participants at risk
Participants not meeting blood pressure (BP) goals on previous regimen were titrated to this regimen.
Titration 3 - Amlodipine 10 mg / Olmesartan 40 mg
n=167 participants at risk
Participants not meeting blood pressure (BP) goals on previous regimen were titrated to this regimen.
Titration 4 Amlodipine 10 mg / Olmesartan 40 mg / HCTZ 12.5 mg
n=146 participants at risk
Participants not meeting blood pressure (BP) goals on previous regimen were titrated to this regimen.
Titration 5 - Amlodipine 10 mg / Olmesartan 40 mg / HCTZ 25 mg
n=101 participants at risk
Participants not meeting blood pressure (BP) goals on previous regimen were titrated to this regimen.
Blood and lymphatic system disorders
anaemia
3.4%
7/207 • Number of events 7
0.00%
0/207
0.00%
0/195
0.00%
0/177
2.4%
4/167 • Number of events 4
0.68%
1/146 • Number of events 1
2.0%
2/101 • Number of events 2
General disorders
oedema peripheral
9.7%
20/207 • Number of events 20
3.4%
7/207 • Number of events 7
1.5%
3/195 • Number of events 3
1.1%
2/177 • Number of events 2
4.2%
7/167 • Number of events 7
0.68%
1/146 • Number of events 1
0.00%
0/101
Infections and infestations
upper respiratory tract infection
5.3%
11/207 • Number of events 11
0.00%
0/207
1.0%
2/195 • Number of events 2
1.7%
3/177 • Number of events 3
1.8%
3/167 • Number of events 3
2.1%
3/146 • Number of events 3
0.00%
0/101
Infections and infestations
bronchitis
2.4%
5/207 • Number of events 5
0.48%
1/207 • Number of events 1
1.0%
2/195 • Number of events 2
0.00%
0/177
0.60%
1/167 • Number of events 1
0.68%
1/146 • Number of events 1
0.00%
0/101
Musculoskeletal and connective tissue disorders
pain in extremity
2.4%
5/207 • Number of events 5
0.48%
1/207 • Number of events 1
1.0%
2/195 • Number of events 2
0.56%
1/177 • Number of events 1
0.00%
0/167
0.68%
1/146 • Number of events 1
0.00%
0/101
Musculoskeletal and connective tissue disorders
arthralgia
2.4%
5/207 • Number of events 5
0.48%
1/207 • Number of events 1
1.5%
3/195 • Number of events 3
0.00%
0/177
0.60%
1/167 • Number of events 1
0.00%
0/146
0.00%
0/101
Nervous system disorders
dizziness
5.8%
12/207 • Number of events 12
1.4%
3/207 • Number of events 3
0.51%
1/195 • Number of events 1
1.1%
2/177 • Number of events 2
0.60%
1/167 • Number of events 1
3.4%
5/146 • Number of events 5
0.00%
0/101
Nervous system disorders
headache
2.9%
6/207 • Number of events 6
1.4%
3/207 • Number of events 3
0.00%
0/195
0.00%
0/177
1.2%
2/167 • Number of events 2
0.00%
0/146
0.99%
1/101 • Number of events 1
Respiratory, thoracic and mediastinal disorders
cough
2.4%
5/207 • Number of events 5
0.00%
0/207
0.51%
1/195 • Number of events 1
1.1%
2/177 • Number of events 2
1.2%
2/167 • Number of events 2
0.00%
0/146
0.00%
0/101
Vascular disorders
hypotension
1.9%
4/207 • Number of events 4
0.00%
0/207
0.51%
1/195 • Number of events 1
0.00%
0/177
0.00%
0/167
1.4%
2/146 • Number of events 2
0.99%
1/101 • Number of events 1

Additional Information

James McCarthy

Daiichi Sankyo

Phone: 732-590-3430

Results disclosure agreements

  • Principal investigator is a sponsor employee Sponsor reflects the following restrictive language in the Clinical Study Agreements: "If identified by Daiichi Sankyo Inc. (DSI), any of DSI's confidential information as defined herein shall be deleted. Nothing in this publication section shall be taken as giving DSI any right of editorial control over any publication prepared by the Study Site."
  • Publication restrictions are in place

Restriction type: OTHER