Trial Outcomes & Findings for Efficacy and Safety of Azilsartan Medoxomil in Participants With Essential Hypertension (NCT NCT00696241)

NCT ID: NCT00696241

Last Updated: 2011-07-29

Results Overview

The change in 24-hour mean systolic blood pressure measured at week 6 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.

Recruitment status

COMPLETED

Study phase

PHASE3

Target enrollment

1275 participants

Primary outcome timeframe

Baseline and Week 6.

Results posted on

2011-07-29

Participant Flow

Participants enrolled at 147 investigative sites in Argentina, Mexico, Peru and the United States from 25 June 2007 to 08 October 2008.

Participants with essential hypertension were enrolled in one of five, once-daily (QD) treatment groups.

Participant milestones

Participant milestones
Measure
Azilsartan Medoxomil 20 mg QD
Azilsartan medoxomil 20 mg, tablets, orally, once daily for up to 6 weeks.
Azilsartan Medoxomil 40 mg QD
Azilsartan medoxomil 40 mg, tablets, orally, once daily for up to 6 weeks.
Azilsartan Medoxomil 80 mg QD
Azilsartan medoxomil 80 mg, tablets, orally, once daily for up to 6 weeks.
Olmesartan 40 mg QD
Olmesartan 40 mg, tablets, orally, once daily for up to 6 weeks.
Placebo QD
Placebo-matching tablets, orally, once daily for up to 6 weeks.
Overall Study
STARTED
283
283
285
282
142
Overall Study
COMPLETED
259
261
261
268
130
Overall Study
NOT COMPLETED
24
22
24
14
12

Reasons for withdrawal

Reasons for withdrawal
Measure
Azilsartan Medoxomil 20 mg QD
Azilsartan medoxomil 20 mg, tablets, orally, once daily for up to 6 weeks.
Azilsartan Medoxomil 40 mg QD
Azilsartan medoxomil 40 mg, tablets, orally, once daily for up to 6 weeks.
Azilsartan Medoxomil 80 mg QD
Azilsartan medoxomil 80 mg, tablets, orally, once daily for up to 6 weeks.
Olmesartan 40 mg QD
Olmesartan 40 mg, tablets, orally, once daily for up to 6 weeks.
Placebo QD
Placebo-matching tablets, orally, once daily for up to 6 weeks.
Overall Study
Adverse Event
11
3
6
4
5
Overall Study
Protocol Violation
1
1
2
0
3
Overall Study
Lost to Follow-up
1
4
1
2
0
Overall Study
Withdrawal by Subject
4
8
6
1
0
Overall Study
Lack of Efficacy
1
5
4
5
3
Overall Study
Other
6
1
5
2
1

Baseline Characteristics

Efficacy and Safety of Azilsartan Medoxomil in Participants With Essential Hypertension

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Azilsartan Medoxomil 20 mg QD
n=283 Participants
Azilsartan medoxomil 20 mg, tablets, orally, once daily for up to 6 weeks.
Azilsartan Medoxomil 40 mg QD
n=283 Participants
Azilsartan medoxomil 40 mg, tablets, orally, once daily for up to 6 weeks.
Azilsartan Medoxomil 80 mg QD
n=285 Participants
Azilsartan medoxomil 80 mg, tablets, orally, once daily for up to 6 weeks.
Olmesartan 40 mg QD
n=282 Participants
Olmesartan 40 mg, tablets, orally, once daily for up to 6 weeks.
Placebo QD
n=142 Participants
Placebo-matching tablets, orally, once daily for up to 6 weeks.
Total
n=1275 Participants
Total of all reporting groups
Age Categorical
<45 years
32 participants
n=5 Participants
29 participants
n=7 Participants
37 participants
n=5 Participants
32 participants
n=4 Participants
11 participants
n=21 Participants
141 participants
n=8 Participants
Age Categorical
Between 45 and 64 years
173 participants
n=5 Participants
187 participants
n=7 Participants
161 participants
n=5 Participants
153 participants
n=4 Participants
84 participants
n=21 Participants
758 participants
n=8 Participants
Age Categorical
≥65 years
78 participants
n=5 Participants
67 participants
n=7 Participants
87 participants
n=5 Participants
97 participants
n=4 Participants
47 participants
n=21 Participants
376 participants
n=8 Participants
Sex: Female, Male
Female
150 Participants
n=5 Participants
141 Participants
n=7 Participants
136 Participants
n=5 Participants
142 Participants
n=4 Participants
66 Participants
n=21 Participants
635 Participants
n=8 Participants
Sex: Female, Male
Male
133 Participants
n=5 Participants
142 Participants
n=7 Participants
149 Participants
n=5 Participants
140 Participants
n=4 Participants
76 Participants
n=21 Participants
640 Participants
n=8 Participants

PRIMARY outcome

Timeframe: Baseline and Week 6.

Population: Full analysis set with last observation carried forward.

The change in 24-hour mean systolic blood pressure measured at week 6 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.

Outcome measures

Outcome measures
Measure
Azilsartan Medoxomil 20 mg QD
n=241 Participants
Azilsartan medoxomil 20 mg, tablets, orally, once daily for up to 6 weeks.
Azilsartan Medoxomil 40 mg QD
n=244 Participants
Azilsartan medoxomil 40 mg, tablets, orally, once daily for up to 6 weeks.
Azilsartan Medoxomil 80 mg QD
n=243 Participants
Azilsartan medoxomil 80 mg, tablets, orally, once daily for up to 6 weeks.
Olmesartan 40 mg QD
n=250 Participants
Olmesartan 40 mg, tablets, orally, once daily for up to 6 weeks.
Placebo QD
n=120 Participants
Placebo-matching tablets, orally, once daily for up to 6 weeks.
Change From Baseline in the 24-hour Mean Systolic Blood Pressure Measured by Ambulatory Blood Pressure Monitoring.
-12.15 mmHg
Standard Error 0.709
-13.48 mmHg
Standard Error 0.704
-14.62 mmHg
Standard Error 0.706
-12.56 mmHg
Standard Error 0.696
-1.40 mmHg
Standard Error 1.004

SECONDARY outcome

Timeframe: Baseline and Week 6.

Population: Full analysis set with last observation carried forward.

The change in mean trough clinic sitting systolic blood pressure measured at final visit or week 6 relative to baseline.

Outcome measures

Outcome measures
Measure
Azilsartan Medoxomil 20 mg QD
n=274 Participants
Azilsartan medoxomil 20 mg, tablets, orally, once daily for up to 6 weeks.
Azilsartan Medoxomil 40 mg QD
n=276 Participants
Azilsartan medoxomil 40 mg, tablets, orally, once daily for up to 6 weeks.
Azilsartan Medoxomil 80 mg QD
n=279 Participants
Azilsartan medoxomil 80 mg, tablets, orally, once daily for up to 6 weeks.
Olmesartan 40 mg QD
n=280 Participants
Olmesartan 40 mg, tablets, orally, once daily for up to 6 weeks.
Placebo QD
n=140 Participants
Placebo-matching tablets, orally, once daily for up to 6 weeks.
Change From Baseline in Mean Trough Clinic Sitting Systolic Blood Pressure
-14.28 mmHg
Standard Error 0.956
-14.47 mmHg
Standard Error 0.952
-17.58 mmHg
Standard Error 0.947
-14.87 mmHg
Standard Error 0.945
-2.06 mmHg
Standard Error 1.337

SECONDARY outcome

Timeframe: Baseline and Week 6.

Population: Full analysis set with last observation carried forward.

The change in 24-hour mean diastolic blood pressure measured at week 6 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.

Outcome measures

Outcome measures
Measure
Azilsartan Medoxomil 20 mg QD
n=241 Participants
Azilsartan medoxomil 20 mg, tablets, orally, once daily for up to 6 weeks.
Azilsartan Medoxomil 40 mg QD
n=244 Participants
Azilsartan medoxomil 40 mg, tablets, orally, once daily for up to 6 weeks.
Azilsartan Medoxomil 80 mg QD
n=243 Participants
Azilsartan medoxomil 80 mg, tablets, orally, once daily for up to 6 weeks.
Olmesartan 40 mg QD
n=250 Participants
Olmesartan 40 mg, tablets, orally, once daily for up to 6 weeks.
Placebo QD
n=120 Participants
Placebo-matching tablets, orally, once daily for up to 6 weeks.
Change From Baseline in the 24-hour Mean Diastolic Blood Pressure Measured by Ambulatory Blood Pressure Monitoring.
-7.47 mmHg
Standard Error 0.458
-8.38 mmHg
Standard Error 0.455
-8.61 mmHg
Standard Error 0.456
-7.74 mmHg
Standard Error 0.449
-0.69 mmHg
Standard Error 0.649

SECONDARY outcome

Timeframe: Baseline and Week 6.

Population: Full analysis set with last observation carried forward.

The change in mean trough clinic sitting diastolic blood pressure measured at final visit or week 6 relative to baseline.

Outcome measures

Outcome measures
Measure
Azilsartan Medoxomil 20 mg QD
n=274 Participants
Azilsartan medoxomil 20 mg, tablets, orally, once daily for up to 6 weeks.
Azilsartan Medoxomil 40 mg QD
n=276 Participants
Azilsartan medoxomil 40 mg, tablets, orally, once daily for up to 6 weeks.
Azilsartan Medoxomil 80 mg QD
n=279 Participants
Azilsartan medoxomil 80 mg, tablets, orally, once daily for up to 6 weeks.
Olmesartan 40 mg QD
n=280 Participants
Olmesartan 40 mg, tablets, orally, once daily for up to 6 weeks.
Placebo QD
n=140 Participants
Placebo-matching tablets, orally, once daily for up to 6 weeks.
Change From Baseline in Mean Trough Clinic Sitting Diastolic Blood Pressure
-6.82 mmHg
Standard Error 0.535
-6.86 mmHg
Standard Error 0.533
-8.42 mmHg
Standard Error 0.530
-6.91 mmHg
Standard Error 0.529
0.21 mmHg
Standard Error 0.749

SECONDARY outcome

Timeframe: Baseline and Week 6.

Population: Full analysis set with last observation carried forward.

The change in daytime (6am to 10pm) mean systolic blood pressure measured at week 6 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.

Outcome measures

Outcome measures
Measure
Azilsartan Medoxomil 20 mg QD
n=241 Participants
Azilsartan medoxomil 20 mg, tablets, orally, once daily for up to 6 weeks.
Azilsartan Medoxomil 40 mg QD
n=244 Participants
Azilsartan medoxomil 40 mg, tablets, orally, once daily for up to 6 weeks.
Azilsartan Medoxomil 80 mg QD
n=243 Participants
Azilsartan medoxomil 80 mg, tablets, orally, once daily for up to 6 weeks.
Olmesartan 40 mg QD
n=250 Participants
Olmesartan 40 mg, tablets, orally, once daily for up to 6 weeks.
Placebo QD
n=120 Participants
Placebo-matching tablets, orally, once daily for up to 6 weeks.
Change From Baseline in Daytime (6am to 10 pm) Mean Systolic Blood Pressure Measured by Ambulatory Blood Pressure Monitoring.
-12.57 mmHg
Standard Error 0.751
-13.75 mmHg
Standard Error 0.746
-14.96 mmHg
Standard Error 0.747
-12.73 mmHg
Standard Error 0.737
-1.54 mmHg
Standard Error 1.064

SECONDARY outcome

Timeframe: Baseline and Week 6.

Population: Full analysis set with last observation carried forward.

The change in daytime (6am to 10pm) mean diastolic blood pressure measured at week 6 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.

Outcome measures

Outcome measures
Measure
Azilsartan Medoxomil 20 mg QD
n=241 Participants
Azilsartan medoxomil 20 mg, tablets, orally, once daily for up to 6 weeks.
Azilsartan Medoxomil 40 mg QD
n=244 Participants
Azilsartan medoxomil 40 mg, tablets, orally, once daily for up to 6 weeks.
Azilsartan Medoxomil 80 mg QD
n=243 Participants
Azilsartan medoxomil 80 mg, tablets, orally, once daily for up to 6 weeks.
Olmesartan 40 mg QD
n=250 Participants
Olmesartan 40 mg, tablets, orally, once daily for up to 6 weeks.
Placebo QD
n=120 Participants
Placebo-matching tablets, orally, once daily for up to 6 weeks.
Change From Baseline in Daytime (6am to 10 pm) Mean Diastolic Blood Pressure Measured by Ambulatory Blood Pressure Monitoring.
-7.71 mmHg
Standard Error 0.490
-8.43 mmHg
Standard Error 0.487
-8.87 mmHg
Standard Error 0.488
-7.82 mmHg
Standard Error 0.481
-0.59 mmHg
Standard Error 0.695

SECONDARY outcome

Timeframe: Baseline and Week 6.

Population: Full analysis set with last observation carried forward.

The change in nighttime (12am to 6am) mean systolic blood pressure measured at week 6 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.

Outcome measures

Outcome measures
Measure
Azilsartan Medoxomil 20 mg QD
n=241 Participants
Azilsartan medoxomil 20 mg, tablets, orally, once daily for up to 6 weeks.
Azilsartan Medoxomil 40 mg QD
n=244 Participants
Azilsartan medoxomil 40 mg, tablets, orally, once daily for up to 6 weeks.
Azilsartan Medoxomil 80 mg QD
n=243 Participants
Azilsartan medoxomil 80 mg, tablets, orally, once daily for up to 6 weeks.
Olmesartan 40 mg QD
n=250 Participants
Olmesartan 40 mg, tablets, orally, once daily for up to 6 weeks.
Placebo QD
n=120 Participants
Placebo-matching tablets, orally, once daily for up to 6 weeks.
Change From Baseline in the Nighttime (12 am to 6 am) Mean Systolic Blood Pressure Measured by Ambulatory Blood Pressure Monitoring.
-11.10 mmHg
Standard Error 0.781
-12.39 mmHg
Standard Error 0.775
-13.35 mmHg
Standard Error 0.777
-12.13 mmHg
Standard Error 0.766
-0.97 mmHg
Standard Error 1.105

SECONDARY outcome

Timeframe: Baseline and Week 6.

Population: Full analysis set with last observation carried forward.

The change in nighttime (12am to 6am) mean diastolic blood pressure measured at week 6 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.

Outcome measures

Outcome measures
Measure
Azilsartan Medoxomil 20 mg QD
n=241 Participants
Azilsartan medoxomil 20 mg, tablets, orally, once daily for up to 6 weeks.
Azilsartan Medoxomil 40 mg QD
n=244 Participants
Azilsartan medoxomil 40 mg, tablets, orally, once daily for up to 6 weeks.
Azilsartan Medoxomil 80 mg QD
n=243 Participants
Azilsartan medoxomil 80 mg, tablets, orally, once daily for up to 6 weeks.
Olmesartan 40 mg QD
n=250 Participants
Olmesartan 40 mg, tablets, orally, once daily for up to 6 weeks.
Placebo QD
n=120 Participants
Placebo-matching tablets, orally, once daily for up to 6 weeks.
Change From Baseline in the Nighttime (12 am to 6 am) Mean Diastolic Blood Pressure Measured by Ambulatory Blood Pressure Monitoring.
-6.98 mmHg
Standard Error 0.533
-7.90 mmHg
Standard Error 0.530
-7.79 mmHg
Standard Error 0.531
-7.62 mmHg
Standard Error 0.523
-0.96 mmHg
Standard Error 0.755

SECONDARY outcome

Timeframe: Baseline and Week 6.

Population: Full analysis set with last observation carried forward.

The change in the 12-hour mean systolic blood pressure measured at week 6 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 in the first 12 hours after dosing.

Outcome measures

Outcome measures
Measure
Azilsartan Medoxomil 20 mg QD
n=241 Participants
Azilsartan medoxomil 20 mg, tablets, orally, once daily for up to 6 weeks.
Azilsartan Medoxomil 40 mg QD
n=244 Participants
Azilsartan medoxomil 40 mg, tablets, orally, once daily for up to 6 weeks.
Azilsartan Medoxomil 80 mg QD
n=243 Participants
Azilsartan medoxomil 80 mg, tablets, orally, once daily for up to 6 weeks.
Olmesartan 40 mg QD
n=250 Participants
Olmesartan 40 mg, tablets, orally, once daily for up to 6 weeks.
Placebo QD
n=120 Participants
Placebo-matching tablets, orally, once daily for up to 6 weeks.
Change From Baseline in the 12-hour Mean Systolic Blood Pressure Measured by Ambulatory Blood Pressure Monitoring
-12.72 mmHg
Standard Error 0.795
-14.05 mmHg
Standard Error 0.790
-15.18 mmHg
Standard Error 0.791
-13.07 mmHg
Standard Error 0.780
-1.36 mmHg
Standard Error 1.126

SECONDARY outcome

Timeframe: Baseline and Week 6.

Population: Full analysis set with last observation carried forward.

The change in the 12-hour mean diastolic blood pressure measured at week 6 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 in the first 12 hours after dosing.

Outcome measures

Outcome measures
Measure
Azilsartan Medoxomil 20 mg QD
n=241 Participants
Azilsartan medoxomil 20 mg, tablets, orally, once daily for up to 6 weeks.
Azilsartan Medoxomil 40 mg QD
n=244 Participants
Azilsartan medoxomil 40 mg, tablets, orally, once daily for up to 6 weeks.
Azilsartan Medoxomil 80 mg QD
n=243 Participants
Azilsartan medoxomil 80 mg, tablets, orally, once daily for up to 6 weeks.
Olmesartan 40 mg QD
n=250 Participants
Olmesartan 40 mg, tablets, orally, once daily for up to 6 weeks.
Placebo QD
n=120 Participants
Placebo-matching tablets, orally, once daily for up to 6 weeks.
Change From Baseline in the 12-hour Mean Diastolic Blood Pressure Measured by Ambulatory Blood Pressure Monitoring
-7.72 mmHg
Standard Error 0.519
-8.63 mmHg
Standard Error 0.516
-8.88 mmHg
Standard Error 0.517
-7.86 mmHg
Standard Error 0.510
-0.47 mmHg
Standard Error 0.736

SECONDARY outcome

Timeframe: Baseline and Week 6.

Population: Full analysis set with last observation carried forward.

The change in trough mean systolic blood pressure measured at week 6 relative to baseline. Ambulatory blood pressure monitoring measures blood pressure at regular intervals throughout the day and night. The trough mean is the average of all measurements recorded from 22 to 24 hours after dosing.

Outcome measures

Outcome measures
Measure
Azilsartan Medoxomil 20 mg QD
n=241 Participants
Azilsartan medoxomil 20 mg, tablets, orally, once daily for up to 6 weeks.
Azilsartan Medoxomil 40 mg QD
n=244 Participants
Azilsartan medoxomil 40 mg, tablets, orally, once daily for up to 6 weeks.
Azilsartan Medoxomil 80 mg QD
n=242 Participants
Azilsartan medoxomil 80 mg, tablets, orally, once daily for up to 6 weeks.
Olmesartan 40 mg QD
n=250 Participants
Olmesartan 40 mg, tablets, orally, once daily for up to 6 weeks.
Placebo QD
n=120 Participants
Placebo-matching tablets, orally, once daily for up to 6 weeks.
Change From Baseline in the Trough (22-24-hr) Mean Systolic Blood Pressure Measured by Ambulatory Blood Pressure Monitoring.
-12.15 mmHg
Standard Error 0.864
-12.39 mmHg
Standard Error 0.858
-13.42 mmHg
Standard Error 0.862
-11.10 mmHg
Standard Error 0.848
-1.21 mmHg
Standard Error 1.224

SECONDARY outcome

Timeframe: Baseline and Week 6.

Population: Full analysis set with last observation carried forward.

The change in trough mean diastolic blood pressure measured at week 6 relative to baseline. Ambulatory blood pressure monitoring measures blood pressure at regular intervals throughout the day and night. The trough mean is the average of all measurements recorded from 22 to 24 hours after dosing.

Outcome measures

Outcome measures
Measure
Azilsartan Medoxomil 20 mg QD
n=241 Participants
Azilsartan medoxomil 20 mg, tablets, orally, once daily for up to 6 weeks.
Azilsartan Medoxomil 40 mg QD
n=244 Participants
Azilsartan medoxomil 40 mg, tablets, orally, once daily for up to 6 weeks.
Azilsartan Medoxomil 80 mg QD
n=242 Participants
Azilsartan medoxomil 80 mg, tablets, orally, once daily for up to 6 weeks.
Olmesartan 40 mg QD
n=250 Participants
Olmesartan 40 mg, tablets, orally, once daily for up to 6 weeks.
Placebo QD
n=120 Participants
Placebo-matching tablets, orally, once daily for up to 6 weeks.
Change From Baseline in the Trough (22-24-hr) Mean Diastolic Blood Pressure Measured by Ambulatory Blood Pressure Monitoring.
-7.96 mmHg
Standard Error 0.614
-7.93 mmHg
Standard Error 0.610
-8.68 mmHg
Standard Error 0.612
-7.56 mmHg
Standard Error 0.603
-1.12 mmHg
Standard Error 0.870

SECONDARY outcome

Timeframe: Baseline and Week 6.

Population: Full analysis set with last observation carried forward.

Percentage of participants who achieve a clinic systolic blood pressure response measured at week 6, defined as less than 140 mm Hg and/or reduction from baseline of greater than or equal to 20 mm Hg. Systolic blood pressure is the arithmetic mean of the 3 trough sitting systolic blood pressure measurements.

Outcome measures

Outcome measures
Measure
Azilsartan Medoxomil 20 mg QD
n=274 Participants
Azilsartan medoxomil 20 mg, tablets, orally, once daily for up to 6 weeks.
Azilsartan Medoxomil 40 mg QD
n=276 Participants
Azilsartan medoxomil 40 mg, tablets, orally, once daily for up to 6 weeks.
Azilsartan Medoxomil 80 mg QD
n=279 Participants
Azilsartan medoxomil 80 mg, tablets, orally, once daily for up to 6 weeks.
Olmesartan 40 mg QD
n=281 Participants
Olmesartan 40 mg, tablets, orally, once daily for up to 6 weeks.
Placebo QD
n=140 Participants
Placebo-matching tablets, orally, once daily for up to 6 weeks.
Percentage of Participants Who Achieve a Clinic Systolic Blood Pressure Response, Defined as < 140 mm Hg and/or Reduction From Baseline ≥ 20 mm Hg
47.8 percentage of participants
50.4 percentage of participants
56.6 percentage of participants
53.2 percentage of participants
17.1 percentage of participants

SECONDARY outcome

Timeframe: Baseline and Week 6.

Population: Full analysis set with last observation carried forward.

Percentage of participants who achieve a clinic diastolic blood pressure response measured at week 6, defined as less than 90 mm Hg and/or reduction from baseline of greater than or equal to 10 mm Hg. Diastolic blood pressure is the arithmetic mean of the 3 trough sitting diastolic blood pressure measurements.

Outcome measures

Outcome measures
Measure
Azilsartan Medoxomil 20 mg QD
n=274 Participants
Azilsartan medoxomil 20 mg, tablets, orally, once daily for up to 6 weeks.
Azilsartan Medoxomil 40 mg QD
n=276 Participants
Azilsartan medoxomil 40 mg, tablets, orally, once daily for up to 6 weeks.
Azilsartan Medoxomil 80 mg QD
n=279 Participants
Azilsartan medoxomil 80 mg, tablets, orally, once daily for up to 6 weeks.
Olmesartan 40 mg QD
n=281 Participants
Olmesartan 40 mg, tablets, orally, once daily for up to 6 weeks.
Placebo QD
n=140 Participants
Placebo-matching tablets, orally, once daily for up to 6 weeks.
Percentage of Participants Who Achieve a Clinic Diastolic Blood Pressure Response, Defined as < 90 mm Hg and/or Reduction From Baseline ≥ 10 mm Hg
67.5 percentage of participants
71.0 percentage of participants
73.5 percentage of participants
73.9 percentage of participants
47.9 percentage of participants

SECONDARY outcome

Timeframe: Baseline and Week 6.

Population: Full analysis set with last observation carried forward.

Percentage of participants who achieve both a clinic diastolic and systolic blood pressure response measured at week 6, defined as less than 90 mm Hg and/or reduction from baseline of greater than or equal to 10 mm Hg AND less than 140 mm Hg and/or reduction from baseline of greater than or equal to 20 mm Hg. Diastolic and systolic blood pressure is based on the arithmetic mean of the 3 sitting blood pressure measurements.

Outcome measures

Outcome measures
Measure
Azilsartan Medoxomil 20 mg QD
n=274 Participants
Azilsartan medoxomil 20 mg, tablets, orally, once daily for up to 6 weeks.
Azilsartan Medoxomil 40 mg QD
n=276 Participants
Azilsartan medoxomil 40 mg, tablets, orally, once daily for up to 6 weeks.
Azilsartan Medoxomil 80 mg QD
n=279 Participants
Azilsartan medoxomil 80 mg, tablets, orally, once daily for up to 6 weeks.
Olmesartan 40 mg QD
n=281 Participants
Olmesartan 40 mg, tablets, orally, once daily for up to 6 weeks.
Placebo QD
n=140 Participants
Placebo-matching tablets, orally, once daily for up to 6 weeks.
Percentage of Participants Who Achieve Both a Clinic Diastolic and Systolic Blood Pressure Response
42.7 percentage of participants
45.3 percentage of participants
52.0 percentage of participants
47.5 percentage of participants
14.3 percentage of participants

Adverse Events

Azilsartan Medoxomil 20 mg QD

Serious events: 8 serious events
Other events: 23 other events
Deaths: 0 deaths

Azilsartan Medoxomil 40 mg QD

Serious events: 0 serious events
Other events: 19 other events
Deaths: 0 deaths

Azilsartan Medoxomil 80 mg QD

Serious events: 1 serious events
Other events: 32 other events
Deaths: 0 deaths

Olmesartan 40 mg QD

Serious events: 2 serious events
Other events: 18 other events
Deaths: 0 deaths

Placebo QD

Serious events: 3 serious events
Other events: 13 other events
Deaths: 0 deaths

Serious adverse events

Serious adverse events
Measure
Azilsartan Medoxomil 20 mg QD
n=283 participants at risk
Azilsartan medoxomil 20 mg, tablets, orally, once daily for up to 6 weeks.
Azilsartan Medoxomil 40 mg QD
n=281 participants at risk
Azilsartan medoxomil 40 mg, tablets, orally, once daily for up to 6 weeks.
Azilsartan Medoxomil 80 mg QD
n=284 participants at risk
Azilsartan medoxomil 80 mg, tablets, orally, once daily for up to 6 weeks.
Olmesartan 40 mg QD
n=282 participants at risk
Olmesartan 40 mg, tablets, orally, once daily for up to 6 weeks.
Placebo QD
n=142 participants at risk
Placebo-matching tablets, orally, once daily for up to 6 weeks.
Nervous system disorders
Ischaemic stroke
0.35%
1/283 • Treatment-emergent adverse events are adverse events that started after the first dose of double-blind study drug and no more than 14 days (or 30 days for a serious adverse event) after the last dose of double-blind study drug.
At each visit the investigator had to document any occurrence of adverse events and abnormal laboratory findings. Any event spontaneously reported by the participant or observed by the investigator was recorded, irrespective of the relation to study treatment.
0.00%
0/281 • Treatment-emergent adverse events are adverse events that started after the first dose of double-blind study drug and no more than 14 days (or 30 days for a serious adverse event) after the last dose of double-blind study drug.
At each visit the investigator had to document any occurrence of adverse events and abnormal laboratory findings. Any event spontaneously reported by the participant or observed by the investigator was recorded, irrespective of the relation to study treatment.
0.00%
0/284 • Treatment-emergent adverse events are adverse events that started after the first dose of double-blind study drug and no more than 14 days (or 30 days for a serious adverse event) after the last dose of double-blind study drug.
At each visit the investigator had to document any occurrence of adverse events and abnormal laboratory findings. Any event spontaneously reported by the participant or observed by the investigator was recorded, irrespective of the relation to study treatment.
0.00%
0/282 • Treatment-emergent adverse events are adverse events that started after the first dose of double-blind study drug and no more than 14 days (or 30 days for a serious adverse event) after the last dose of double-blind study drug.
At each visit the investigator had to document any occurrence of adverse events and abnormal laboratory findings. Any event spontaneously reported by the participant or observed by the investigator was recorded, irrespective of the relation to study treatment.
0.00%
0/142 • Treatment-emergent adverse events are adverse events that started after the first dose of double-blind study drug and no more than 14 days (or 30 days for a serious adverse event) after the last dose of double-blind study drug.
At each visit the investigator had to document any occurrence of adverse events and abnormal laboratory findings. Any event spontaneously reported by the participant or observed by the investigator was recorded, irrespective of the relation to study treatment.
Nervous system disorders
Transient ischaemic attack
0.00%
0/283 • Treatment-emergent adverse events are adverse events that started after the first dose of double-blind study drug and no more than 14 days (or 30 days for a serious adverse event) after the last dose of double-blind study drug.
At each visit the investigator had to document any occurrence of adverse events and abnormal laboratory findings. Any event spontaneously reported by the participant or observed by the investigator was recorded, irrespective of the relation to study treatment.
0.00%
0/281 • Treatment-emergent adverse events are adverse events that started after the first dose of double-blind study drug and no more than 14 days (or 30 days for a serious adverse event) after the last dose of double-blind study drug.
At each visit the investigator had to document any occurrence of adverse events and abnormal laboratory findings. Any event spontaneously reported by the participant or observed by the investigator was recorded, irrespective of the relation to study treatment.
0.35%
1/284 • Treatment-emergent adverse events are adverse events that started after the first dose of double-blind study drug and no more than 14 days (or 30 days for a serious adverse event) after the last dose of double-blind study drug.
At each visit the investigator had to document any occurrence of adverse events and abnormal laboratory findings. Any event spontaneously reported by the participant or observed by the investigator was recorded, irrespective of the relation to study treatment.
0.00%
0/282 • Treatment-emergent adverse events are adverse events that started after the first dose of double-blind study drug and no more than 14 days (or 30 days for a serious adverse event) after the last dose of double-blind study drug.
At each visit the investigator had to document any occurrence of adverse events and abnormal laboratory findings. Any event spontaneously reported by the participant or observed by the investigator was recorded, irrespective of the relation to study treatment.
0.00%
0/142 • Treatment-emergent adverse events are adverse events that started after the first dose of double-blind study drug and no more than 14 days (or 30 days for a serious adverse event) after the last dose of double-blind study drug.
At each visit the investigator had to document any occurrence of adverse events and abnormal laboratory findings. Any event spontaneously reported by the participant or observed by the investigator was recorded, irrespective of the relation to study treatment.
Cardiac disorders
Atrial fibrillation
0.35%
1/283 • Treatment-emergent adverse events are adverse events that started after the first dose of double-blind study drug and no more than 14 days (or 30 days for a serious adverse event) after the last dose of double-blind study drug.
At each visit the investigator had to document any occurrence of adverse events and abnormal laboratory findings. Any event spontaneously reported by the participant or observed by the investigator was recorded, irrespective of the relation to study treatment.
0.00%
0/281 • Treatment-emergent adverse events are adverse events that started after the first dose of double-blind study drug and no more than 14 days (or 30 days for a serious adverse event) after the last dose of double-blind study drug.
At each visit the investigator had to document any occurrence of adverse events and abnormal laboratory findings. Any event spontaneously reported by the participant or observed by the investigator was recorded, irrespective of the relation to study treatment.
0.00%
0/284 • Treatment-emergent adverse events are adverse events that started after the first dose of double-blind study drug and no more than 14 days (or 30 days for a serious adverse event) after the last dose of double-blind study drug.
At each visit the investigator had to document any occurrence of adverse events and abnormal laboratory findings. Any event spontaneously reported by the participant or observed by the investigator was recorded, irrespective of the relation to study treatment.
0.00%
0/282 • Treatment-emergent adverse events are adverse events that started after the first dose of double-blind study drug and no more than 14 days (or 30 days for a serious adverse event) after the last dose of double-blind study drug.
At each visit the investigator had to document any occurrence of adverse events and abnormal laboratory findings. Any event spontaneously reported by the participant or observed by the investigator was recorded, irrespective of the relation to study treatment.
0.00%
0/142 • Treatment-emergent adverse events are adverse events that started after the first dose of double-blind study drug and no more than 14 days (or 30 days for a serious adverse event) after the last dose of double-blind study drug.
At each visit the investigator had to document any occurrence of adverse events and abnormal laboratory findings. Any event spontaneously reported by the participant or observed by the investigator was recorded, irrespective of the relation to study treatment.
Cardiac disorders
Coronary artery disease
0.00%
0/283 • Treatment-emergent adverse events are adverse events that started after the first dose of double-blind study drug and no more than 14 days (or 30 days for a serious adverse event) after the last dose of double-blind study drug.
At each visit the investigator had to document any occurrence of adverse events and abnormal laboratory findings. Any event spontaneously reported by the participant or observed by the investigator was recorded, irrespective of the relation to study treatment.
0.00%
0/281 • Treatment-emergent adverse events are adverse events that started after the first dose of double-blind study drug and no more than 14 days (or 30 days for a serious adverse event) after the last dose of double-blind study drug.
At each visit the investigator had to document any occurrence of adverse events and abnormal laboratory findings. Any event spontaneously reported by the participant or observed by the investigator was recorded, irrespective of the relation to study treatment.
0.00%
0/284 • Treatment-emergent adverse events are adverse events that started after the first dose of double-blind study drug and no more than 14 days (or 30 days for a serious adverse event) after the last dose of double-blind study drug.
At each visit the investigator had to document any occurrence of adverse events and abnormal laboratory findings. Any event spontaneously reported by the participant or observed by the investigator was recorded, irrespective of the relation to study treatment.
0.00%
0/282 • Treatment-emergent adverse events are adverse events that started after the first dose of double-blind study drug and no more than 14 days (or 30 days for a serious adverse event) after the last dose of double-blind study drug.
At each visit the investigator had to document any occurrence of adverse events and abnormal laboratory findings. Any event spontaneously reported by the participant or observed by the investigator was recorded, irrespective of the relation to study treatment.
0.70%
1/142 • Treatment-emergent adverse events are adverse events that started after the first dose of double-blind study drug and no more than 14 days (or 30 days for a serious adverse event) after the last dose of double-blind study drug.
At each visit the investigator had to document any occurrence of adverse events and abnormal laboratory findings. Any event spontaneously reported by the participant or observed by the investigator was recorded, irrespective of the relation to study treatment.
Cardiac disorders
Myocardial infarction
0.35%
1/283 • Treatment-emergent adverse events are adverse events that started after the first dose of double-blind study drug and no more than 14 days (or 30 days for a serious adverse event) after the last dose of double-blind study drug.
At each visit the investigator had to document any occurrence of adverse events and abnormal laboratory findings. Any event spontaneously reported by the participant or observed by the investigator was recorded, irrespective of the relation to study treatment.
0.00%
0/281 • Treatment-emergent adverse events are adverse events that started after the first dose of double-blind study drug and no more than 14 days (or 30 days for a serious adverse event) after the last dose of double-blind study drug.
At each visit the investigator had to document any occurrence of adverse events and abnormal laboratory findings. Any event spontaneously reported by the participant or observed by the investigator was recorded, irrespective of the relation to study treatment.
0.00%
0/284 • Treatment-emergent adverse events are adverse events that started after the first dose of double-blind study drug and no more than 14 days (or 30 days for a serious adverse event) after the last dose of double-blind study drug.
At each visit the investigator had to document any occurrence of adverse events and abnormal laboratory findings. Any event spontaneously reported by the participant or observed by the investigator was recorded, irrespective of the relation to study treatment.
0.00%
0/282 • Treatment-emergent adverse events are adverse events that started after the first dose of double-blind study drug and no more than 14 days (or 30 days for a serious adverse event) after the last dose of double-blind study drug.
At each visit the investigator had to document any occurrence of adverse events and abnormal laboratory findings. Any event spontaneously reported by the participant or observed by the investigator was recorded, irrespective of the relation to study treatment.
0.00%
0/142 • Treatment-emergent adverse events are adverse events that started after the first dose of double-blind study drug and no more than 14 days (or 30 days for a serious adverse event) after the last dose of double-blind study drug.
At each visit the investigator had to document any occurrence of adverse events and abnormal laboratory findings. Any event spontaneously reported by the participant or observed by the investigator was recorded, irrespective of the relation to study treatment.
Gastrointestinal disorders
Gastrointestinal haemorrhage
0.00%
0/283 • Treatment-emergent adverse events are adverse events that started after the first dose of double-blind study drug and no more than 14 days (or 30 days for a serious adverse event) after the last dose of double-blind study drug.
At each visit the investigator had to document any occurrence of adverse events and abnormal laboratory findings. Any event spontaneously reported by the participant or observed by the investigator was recorded, irrespective of the relation to study treatment.
0.00%
0/281 • Treatment-emergent adverse events are adverse events that started after the first dose of double-blind study drug and no more than 14 days (or 30 days for a serious adverse event) after the last dose of double-blind study drug.
At each visit the investigator had to document any occurrence of adverse events and abnormal laboratory findings. Any event spontaneously reported by the participant or observed by the investigator was recorded, irrespective of the relation to study treatment.
0.00%
0/284 • Treatment-emergent adverse events are adverse events that started after the first dose of double-blind study drug and no more than 14 days (or 30 days for a serious adverse event) after the last dose of double-blind study drug.
At each visit the investigator had to document any occurrence of adverse events and abnormal laboratory findings. Any event spontaneously reported by the participant or observed by the investigator was recorded, irrespective of the relation to study treatment.
0.00%
0/282 • Treatment-emergent adverse events are adverse events that started after the first dose of double-blind study drug and no more than 14 days (or 30 days for a serious adverse event) after the last dose of double-blind study drug.
At each visit the investigator had to document any occurrence of adverse events and abnormal laboratory findings. Any event spontaneously reported by the participant or observed by the investigator was recorded, irrespective of the relation to study treatment.
0.00%
0/142 • Treatment-emergent adverse events are adverse events that started after the first dose of double-blind study drug and no more than 14 days (or 30 days for a serious adverse event) after the last dose of double-blind study drug.
At each visit the investigator had to document any occurrence of adverse events and abnormal laboratory findings. Any event spontaneously reported by the participant or observed by the investigator was recorded, irrespective of the relation to study treatment.
Gastrointestinal disorders
Inguinal hernia
0.00%
0/283 • Treatment-emergent adverse events are adverse events that started after the first dose of double-blind study drug and no more than 14 days (or 30 days for a serious adverse event) after the last dose of double-blind study drug.
At each visit the investigator had to document any occurrence of adverse events and abnormal laboratory findings. Any event spontaneously reported by the participant or observed by the investigator was recorded, irrespective of the relation to study treatment.
0.00%
0/281 • Treatment-emergent adverse events are adverse events that started after the first dose of double-blind study drug and no more than 14 days (or 30 days for a serious adverse event) after the last dose of double-blind study drug.
At each visit the investigator had to document any occurrence of adverse events and abnormal laboratory findings. Any event spontaneously reported by the participant or observed by the investigator was recorded, irrespective of the relation to study treatment.
0.00%
0/284 • Treatment-emergent adverse events are adverse events that started after the first dose of double-blind study drug and no more than 14 days (or 30 days for a serious adverse event) after the last dose of double-blind study drug.
At each visit the investigator had to document any occurrence of adverse events and abnormal laboratory findings. Any event spontaneously reported by the participant or observed by the investigator was recorded, irrespective of the relation to study treatment.
0.35%
1/282 • Treatment-emergent adverse events are adverse events that started after the first dose of double-blind study drug and no more than 14 days (or 30 days for a serious adverse event) after the last dose of double-blind study drug.
At each visit the investigator had to document any occurrence of adverse events and abnormal laboratory findings. Any event spontaneously reported by the participant or observed by the investigator was recorded, irrespective of the relation to study treatment.
0.00%
0/142 • Treatment-emergent adverse events are adverse events that started after the first dose of double-blind study drug and no more than 14 days (or 30 days for a serious adverse event) after the last dose of double-blind study drug.
At each visit the investigator had to document any occurrence of adverse events and abnormal laboratory findings. Any event spontaneously reported by the participant or observed by the investigator was recorded, irrespective of the relation to study treatment.
General disorders
Chest pain
0.00%
0/283 • Treatment-emergent adverse events are adverse events that started after the first dose of double-blind study drug and no more than 14 days (or 30 days for a serious adverse event) after the last dose of double-blind study drug.
At each visit the investigator had to document any occurrence of adverse events and abnormal laboratory findings. Any event spontaneously reported by the participant or observed by the investigator was recorded, irrespective of the relation to study treatment.
0.00%
0/281 • Treatment-emergent adverse events are adverse events that started after the first dose of double-blind study drug and no more than 14 days (or 30 days for a serious adverse event) after the last dose of double-blind study drug.
At each visit the investigator had to document any occurrence of adverse events and abnormal laboratory findings. Any event spontaneously reported by the participant or observed by the investigator was recorded, irrespective of the relation to study treatment.
0.00%
0/284 • Treatment-emergent adverse events are adverse events that started after the first dose of double-blind study drug and no more than 14 days (or 30 days for a serious adverse event) after the last dose of double-blind study drug.
At each visit the investigator had to document any occurrence of adverse events and abnormal laboratory findings. Any event spontaneously reported by the participant or observed by the investigator was recorded, irrespective of the relation to study treatment.
0.00%
0/282 • Treatment-emergent adverse events are adverse events that started after the first dose of double-blind study drug and no more than 14 days (or 30 days for a serious adverse event) after the last dose of double-blind study drug.
At each visit the investigator had to document any occurrence of adverse events and abnormal laboratory findings. Any event spontaneously reported by the participant or observed by the investigator was recorded, irrespective of the relation to study treatment.
0.70%
1/142 • Treatment-emergent adverse events are adverse events that started after the first dose of double-blind study drug and no more than 14 days (or 30 days for a serious adverse event) after the last dose of double-blind study drug.
At each visit the investigator had to document any occurrence of adverse events and abnormal laboratory findings. Any event spontaneously reported by the participant or observed by the investigator was recorded, irrespective of the relation to study treatment.
Hepatobiliary disorders
Cholecystitis chronic
0.00%
0/283 • Treatment-emergent adverse events are adverse events that started after the first dose of double-blind study drug and no more than 14 days (or 30 days for a serious adverse event) after the last dose of double-blind study drug.
At each visit the investigator had to document any occurrence of adverse events and abnormal laboratory findings. Any event spontaneously reported by the participant or observed by the investigator was recorded, irrespective of the relation to study treatment.
0.00%
0/281 • Treatment-emergent adverse events are adverse events that started after the first dose of double-blind study drug and no more than 14 days (or 30 days for a serious adverse event) after the last dose of double-blind study drug.
At each visit the investigator had to document any occurrence of adverse events and abnormal laboratory findings. Any event spontaneously reported by the participant or observed by the investigator was recorded, irrespective of the relation to study treatment.
0.00%
0/284 • Treatment-emergent adverse events are adverse events that started after the first dose of double-blind study drug and no more than 14 days (or 30 days for a serious adverse event) after the last dose of double-blind study drug.
At each visit the investigator had to document any occurrence of adverse events and abnormal laboratory findings. Any event spontaneously reported by the participant or observed by the investigator was recorded, irrespective of the relation to study treatment.
0.35%
1/282 • Treatment-emergent adverse events are adverse events that started after the first dose of double-blind study drug and no more than 14 days (or 30 days for a serious adverse event) after the last dose of double-blind study drug.
At each visit the investigator had to document any occurrence of adverse events and abnormal laboratory findings. Any event spontaneously reported by the participant or observed by the investigator was recorded, irrespective of the relation to study treatment.
0.00%
0/142 • Treatment-emergent adverse events are adverse events that started after the first dose of double-blind study drug and no more than 14 days (or 30 days for a serious adverse event) after the last dose of double-blind study drug.
At each visit the investigator had to document any occurrence of adverse events and abnormal laboratory findings. Any event spontaneously reported by the participant or observed by the investigator was recorded, irrespective of the relation to study treatment.
Infections and infestations
Cellulitis
0.35%
1/283 • Treatment-emergent adverse events are adverse events that started after the first dose of double-blind study drug and no more than 14 days (or 30 days for a serious adverse event) after the last dose of double-blind study drug.
At each visit the investigator had to document any occurrence of adverse events and abnormal laboratory findings. Any event spontaneously reported by the participant or observed by the investigator was recorded, irrespective of the relation to study treatment.
0.00%
0/281 • Treatment-emergent adverse events are adverse events that started after the first dose of double-blind study drug and no more than 14 days (or 30 days for a serious adverse event) after the last dose of double-blind study drug.
At each visit the investigator had to document any occurrence of adverse events and abnormal laboratory findings. Any event spontaneously reported by the participant or observed by the investigator was recorded, irrespective of the relation to study treatment.
0.00%
0/284 • Treatment-emergent adverse events are adverse events that started after the first dose of double-blind study drug and no more than 14 days (or 30 days for a serious adverse event) after the last dose of double-blind study drug.
At each visit the investigator had to document any occurrence of adverse events and abnormal laboratory findings. Any event spontaneously reported by the participant or observed by the investigator was recorded, irrespective of the relation to study treatment.
0.00%
0/282 • Treatment-emergent adverse events are adverse events that started after the first dose of double-blind study drug and no more than 14 days (or 30 days for a serious adverse event) after the last dose of double-blind study drug.
At each visit the investigator had to document any occurrence of adverse events and abnormal laboratory findings. Any event spontaneously reported by the participant or observed by the investigator was recorded, irrespective of the relation to study treatment.
0.00%
0/142 • Treatment-emergent adverse events are adverse events that started after the first dose of double-blind study drug and no more than 14 days (or 30 days for a serious adverse event) after the last dose of double-blind study drug.
At each visit the investigator had to document any occurrence of adverse events and abnormal laboratory findings. Any event spontaneously reported by the participant or observed by the investigator was recorded, irrespective of the relation to study treatment.
Infections and infestations
Lower respiratory tract infection
0.35%
1/283 • Treatment-emergent adverse events are adverse events that started after the first dose of double-blind study drug and no more than 14 days (or 30 days for a serious adverse event) after the last dose of double-blind study drug.
At each visit the investigator had to document any occurrence of adverse events and abnormal laboratory findings. Any event spontaneously reported by the participant or observed by the investigator was recorded, irrespective of the relation to study treatment.
0.00%
0/281 • Treatment-emergent adverse events are adverse events that started after the first dose of double-blind study drug and no more than 14 days (or 30 days for a serious adverse event) after the last dose of double-blind study drug.
At each visit the investigator had to document any occurrence of adverse events and abnormal laboratory findings. Any event spontaneously reported by the participant or observed by the investigator was recorded, irrespective of the relation to study treatment.
0.00%
0/284 • Treatment-emergent adverse events are adverse events that started after the first dose of double-blind study drug and no more than 14 days (or 30 days for a serious adverse event) after the last dose of double-blind study drug.
At each visit the investigator had to document any occurrence of adverse events and abnormal laboratory findings. Any event spontaneously reported by the participant or observed by the investigator was recorded, irrespective of the relation to study treatment.
0.00%
0/282 • Treatment-emergent adverse events are adverse events that started after the first dose of double-blind study drug and no more than 14 days (or 30 days for a serious adverse event) after the last dose of double-blind study drug.
At each visit the investigator had to document any occurrence of adverse events and abnormal laboratory findings. Any event spontaneously reported by the participant or observed by the investigator was recorded, irrespective of the relation to study treatment.
0.00%
0/142 • Treatment-emergent adverse events are adverse events that started after the first dose of double-blind study drug and no more than 14 days (or 30 days for a serious adverse event) after the last dose of double-blind study drug.
At each visit the investigator had to document any occurrence of adverse events and abnormal laboratory findings. Any event spontaneously reported by the participant or observed by the investigator was recorded, irrespective of the relation to study treatment.
Infections and infestations
Pneumonia
0.35%
1/283 • Treatment-emergent adverse events are adverse events that started after the first dose of double-blind study drug and no more than 14 days (or 30 days for a serious adverse event) after the last dose of double-blind study drug.
At each visit the investigator had to document any occurrence of adverse events and abnormal laboratory findings. Any event spontaneously reported by the participant or observed by the investigator was recorded, irrespective of the relation to study treatment.
0.00%
0/281 • Treatment-emergent adverse events are adverse events that started after the first dose of double-blind study drug and no more than 14 days (or 30 days for a serious adverse event) after the last dose of double-blind study drug.
At each visit the investigator had to document any occurrence of adverse events and abnormal laboratory findings. Any event spontaneously reported by the participant or observed by the investigator was recorded, irrespective of the relation to study treatment.
0.00%
0/284 • Treatment-emergent adverse events are adverse events that started after the first dose of double-blind study drug and no more than 14 days (or 30 days for a serious adverse event) after the last dose of double-blind study drug.
At each visit the investigator had to document any occurrence of adverse events and abnormal laboratory findings. Any event spontaneously reported by the participant or observed by the investigator was recorded, irrespective of the relation to study treatment.
0.00%
0/282 • Treatment-emergent adverse events are adverse events that started after the first dose of double-blind study drug and no more than 14 days (or 30 days for a serious adverse event) after the last dose of double-blind study drug.
At each visit the investigator had to document any occurrence of adverse events and abnormal laboratory findings. Any event spontaneously reported by the participant or observed by the investigator was recorded, irrespective of the relation to study treatment.
0.00%
0/142 • Treatment-emergent adverse events are adverse events that started after the first dose of double-blind study drug and no more than 14 days (or 30 days for a serious adverse event) after the last dose of double-blind study drug.
At each visit the investigator had to document any occurrence of adverse events and abnormal laboratory findings. Any event spontaneously reported by the participant or observed by the investigator was recorded, irrespective of the relation to study treatment.
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Myelodysplastic syndrome
0.35%
1/283 • Treatment-emergent adverse events are adverse events that started after the first dose of double-blind study drug and no more than 14 days (or 30 days for a serious adverse event) after the last dose of double-blind study drug.
At each visit the investigator had to document any occurrence of adverse events and abnormal laboratory findings. Any event spontaneously reported by the participant or observed by the investigator was recorded, irrespective of the relation to study treatment.
0.00%
0/281 • Treatment-emergent adverse events are adverse events that started after the first dose of double-blind study drug and no more than 14 days (or 30 days for a serious adverse event) after the last dose of double-blind study drug.
At each visit the investigator had to document any occurrence of adverse events and abnormal laboratory findings. Any event spontaneously reported by the participant or observed by the investigator was recorded, irrespective of the relation to study treatment.
0.00%
0/284 • Treatment-emergent adverse events are adverse events that started after the first dose of double-blind study drug and no more than 14 days (or 30 days for a serious adverse event) after the last dose of double-blind study drug.
At each visit the investigator had to document any occurrence of adverse events and abnormal laboratory findings. Any event spontaneously reported by the participant or observed by the investigator was recorded, irrespective of the relation to study treatment.
0.00%
0/282 • Treatment-emergent adverse events are adverse events that started after the first dose of double-blind study drug and no more than 14 days (or 30 days for a serious adverse event) after the last dose of double-blind study drug.
At each visit the investigator had to document any occurrence of adverse events and abnormal laboratory findings. Any event spontaneously reported by the participant or observed by the investigator was recorded, irrespective of the relation to study treatment.
0.00%
0/142 • Treatment-emergent adverse events are adverse events that started after the first dose of double-blind study drug and no more than 14 days (or 30 days for a serious adverse event) after the last dose of double-blind study drug.
At each visit the investigator had to document any occurrence of adverse events and abnormal laboratory findings. Any event spontaneously reported by the participant or observed by the investigator was recorded, irrespective of the relation to study treatment.
Nervous system disorders
Epilepsy
0.35%
1/283 • Treatment-emergent adverse events are adverse events that started after the first dose of double-blind study drug and no more than 14 days (or 30 days for a serious adverse event) after the last dose of double-blind study drug.
At each visit the investigator had to document any occurrence of adverse events and abnormal laboratory findings. Any event spontaneously reported by the participant or observed by the investigator was recorded, irrespective of the relation to study treatment.
0.00%
0/281 • Treatment-emergent adverse events are adverse events that started after the first dose of double-blind study drug and no more than 14 days (or 30 days for a serious adverse event) after the last dose of double-blind study drug.
At each visit the investigator had to document any occurrence of adverse events and abnormal laboratory findings. Any event spontaneously reported by the participant or observed by the investigator was recorded, irrespective of the relation to study treatment.
0.00%
0/284 • Treatment-emergent adverse events are adverse events that started after the first dose of double-blind study drug and no more than 14 days (or 30 days for a serious adverse event) after the last dose of double-blind study drug.
At each visit the investigator had to document any occurrence of adverse events and abnormal laboratory findings. Any event spontaneously reported by the participant or observed by the investigator was recorded, irrespective of the relation to study treatment.
0.00%
0/282 • Treatment-emergent adverse events are adverse events that started after the first dose of double-blind study drug and no more than 14 days (or 30 days for a serious adverse event) after the last dose of double-blind study drug.
At each visit the investigator had to document any occurrence of adverse events and abnormal laboratory findings. Any event spontaneously reported by the participant or observed by the investigator was recorded, irrespective of the relation to study treatment.
0.00%
0/142 • Treatment-emergent adverse events are adverse events that started after the first dose of double-blind study drug and no more than 14 days (or 30 days for a serious adverse event) after the last dose of double-blind study drug.
At each visit the investigator had to document any occurrence of adverse events and abnormal laboratory findings. Any event spontaneously reported by the participant or observed by the investigator was recorded, irrespective of the relation to study treatment.
Respiratory, thoracic and mediastinal disorders
Status asthmaticus
0.35%
1/283 • Treatment-emergent adverse events are adverse events that started after the first dose of double-blind study drug and no more than 14 days (or 30 days for a serious adverse event) after the last dose of double-blind study drug.
At each visit the investigator had to document any occurrence of adverse events and abnormal laboratory findings. Any event spontaneously reported by the participant or observed by the investigator was recorded, irrespective of the relation to study treatment.
0.00%
0/281 • Treatment-emergent adverse events are adverse events that started after the first dose of double-blind study drug and no more than 14 days (or 30 days for a serious adverse event) after the last dose of double-blind study drug.
At each visit the investigator had to document any occurrence of adverse events and abnormal laboratory findings. Any event spontaneously reported by the participant or observed by the investigator was recorded, irrespective of the relation to study treatment.
0.00%
0/284 • Treatment-emergent adverse events are adverse events that started after the first dose of double-blind study drug and no more than 14 days (or 30 days for a serious adverse event) after the last dose of double-blind study drug.
At each visit the investigator had to document any occurrence of adverse events and abnormal laboratory findings. Any event spontaneously reported by the participant or observed by the investigator was recorded, irrespective of the relation to study treatment.
0.00%
0/282 • Treatment-emergent adverse events are adverse events that started after the first dose of double-blind study drug and no more than 14 days (or 30 days for a serious adverse event) after the last dose of double-blind study drug.
At each visit the investigator had to document any occurrence of adverse events and abnormal laboratory findings. Any event spontaneously reported by the participant or observed by the investigator was recorded, irrespective of the relation to study treatment.
0.00%
0/142 • Treatment-emergent adverse events are adverse events that started after the first dose of double-blind study drug and no more than 14 days (or 30 days for a serious adverse event) after the last dose of double-blind study drug.
At each visit the investigator had to document any occurrence of adverse events and abnormal laboratory findings. Any event spontaneously reported by the participant or observed by the investigator was recorded, irrespective of the relation to study treatment.
Vascular disorders
Ischaemia
0.00%
0/283 • Treatment-emergent adverse events are adverse events that started after the first dose of double-blind study drug and no more than 14 days (or 30 days for a serious adverse event) after the last dose of double-blind study drug.
At each visit the investigator had to document any occurrence of adverse events and abnormal laboratory findings. Any event spontaneously reported by the participant or observed by the investigator was recorded, irrespective of the relation to study treatment.
0.00%
0/281 • Treatment-emergent adverse events are adverse events that started after the first dose of double-blind study drug and no more than 14 days (or 30 days for a serious adverse event) after the last dose of double-blind study drug.
At each visit the investigator had to document any occurrence of adverse events and abnormal laboratory findings. Any event spontaneously reported by the participant or observed by the investigator was recorded, irrespective of the relation to study treatment.
0.00%
0/284 • Treatment-emergent adverse events are adverse events that started after the first dose of double-blind study drug and no more than 14 days (or 30 days for a serious adverse event) after the last dose of double-blind study drug.
At each visit the investigator had to document any occurrence of adverse events and abnormal laboratory findings. Any event spontaneously reported by the participant or observed by the investigator was recorded, irrespective of the relation to study treatment.
0.00%
0/282 • Treatment-emergent adverse events are adverse events that started after the first dose of double-blind study drug and no more than 14 days (or 30 days for a serious adverse event) after the last dose of double-blind study drug.
At each visit the investigator had to document any occurrence of adverse events and abnormal laboratory findings. Any event spontaneously reported by the participant or observed by the investigator was recorded, irrespective of the relation to study treatment.
0.70%
1/142 • Treatment-emergent adverse events are adverse events that started after the first dose of double-blind study drug and no more than 14 days (or 30 days for a serious adverse event) after the last dose of double-blind study drug.
At each visit the investigator had to document any occurrence of adverse events and abnormal laboratory findings. Any event spontaneously reported by the participant or observed by the investigator was recorded, irrespective of the relation to study treatment.
Vascular disorders
Shock
0.35%
1/283 • Treatment-emergent adverse events are adverse events that started after the first dose of double-blind study drug and no more than 14 days (or 30 days for a serious adverse event) after the last dose of double-blind study drug.
At each visit the investigator had to document any occurrence of adverse events and abnormal laboratory findings. Any event spontaneously reported by the participant or observed by the investigator was recorded, irrespective of the relation to study treatment.
0.00%
0/281 • Treatment-emergent adverse events are adverse events that started after the first dose of double-blind study drug and no more than 14 days (or 30 days for a serious adverse event) after the last dose of double-blind study drug.
At each visit the investigator had to document any occurrence of adverse events and abnormal laboratory findings. Any event spontaneously reported by the participant or observed by the investigator was recorded, irrespective of the relation to study treatment.
0.00%
0/284 • Treatment-emergent adverse events are adverse events that started after the first dose of double-blind study drug and no more than 14 days (or 30 days for a serious adverse event) after the last dose of double-blind study drug.
At each visit the investigator had to document any occurrence of adverse events and abnormal laboratory findings. Any event spontaneously reported by the participant or observed by the investigator was recorded, irrespective of the relation to study treatment.
0.00%
0/282 • Treatment-emergent adverse events are adverse events that started after the first dose of double-blind study drug and no more than 14 days (or 30 days for a serious adverse event) after the last dose of double-blind study drug.
At each visit the investigator had to document any occurrence of adverse events and abnormal laboratory findings. Any event spontaneously reported by the participant or observed by the investigator was recorded, irrespective of the relation to study treatment.
0.00%
0/142 • Treatment-emergent adverse events are adverse events that started after the first dose of double-blind study drug and no more than 14 days (or 30 days for a serious adverse event) after the last dose of double-blind study drug.
At each visit the investigator had to document any occurrence of adverse events and abnormal laboratory findings. Any event spontaneously reported by the participant or observed by the investigator was recorded, irrespective of the relation to study treatment.

Other adverse events

Other adverse events
Measure
Azilsartan Medoxomil 20 mg QD
n=283 participants at risk
Azilsartan medoxomil 20 mg, tablets, orally, once daily for up to 6 weeks.
Azilsartan Medoxomil 40 mg QD
n=281 participants at risk
Azilsartan medoxomil 40 mg, tablets, orally, once daily for up to 6 weeks.
Azilsartan Medoxomil 80 mg QD
n=284 participants at risk
Azilsartan medoxomil 80 mg, tablets, orally, once daily for up to 6 weeks.
Olmesartan 40 mg QD
n=282 participants at risk
Olmesartan 40 mg, tablets, orally, once daily for up to 6 weeks.
Placebo QD
n=142 participants at risk
Placebo-matching tablets, orally, once daily for up to 6 weeks.
Nervous system disorders
Headache
4.6%
13/283 • Treatment-emergent adverse events are adverse events that started after the first dose of double-blind study drug and no more than 14 days (or 30 days for a serious adverse event) after the last dose of double-blind study drug.
At each visit the investigator had to document any occurrence of adverse events and abnormal laboratory findings. Any event spontaneously reported by the participant or observed by the investigator was recorded, irrespective of the relation to study treatment.
3.2%
9/281 • Treatment-emergent adverse events are adverse events that started after the first dose of double-blind study drug and no more than 14 days (or 30 days for a serious adverse event) after the last dose of double-blind study drug.
At each visit the investigator had to document any occurrence of adverse events and abnormal laboratory findings. Any event spontaneously reported by the participant or observed by the investigator was recorded, irrespective of the relation to study treatment.
5.6%
16/284 • Treatment-emergent adverse events are adverse events that started after the first dose of double-blind study drug and no more than 14 days (or 30 days for a serious adverse event) after the last dose of double-blind study drug.
At each visit the investigator had to document any occurrence of adverse events and abnormal laboratory findings. Any event spontaneously reported by the participant or observed by the investigator was recorded, irrespective of the relation to study treatment.
3.2%
9/282 • Treatment-emergent adverse events are adverse events that started after the first dose of double-blind study drug and no more than 14 days (or 30 days for a serious adverse event) after the last dose of double-blind study drug.
At each visit the investigator had to document any occurrence of adverse events and abnormal laboratory findings. Any event spontaneously reported by the participant or observed by the investigator was recorded, irrespective of the relation to study treatment.
7.0%
10/142 • Treatment-emergent adverse events are adverse events that started after the first dose of double-blind study drug and no more than 14 days (or 30 days for a serious adverse event) after the last dose of double-blind study drug.
At each visit the investigator had to document any occurrence of adverse events and abnormal laboratory findings. Any event spontaneously reported by the participant or observed by the investigator was recorded, irrespective of the relation to study treatment.
Metabolism and nutrition disorders
Dyslipidemia
3.5%
10/283 • Treatment-emergent adverse events are adverse events that started after the first dose of double-blind study drug and no more than 14 days (or 30 days for a serious adverse event) after the last dose of double-blind study drug.
At each visit the investigator had to document any occurrence of adverse events and abnormal laboratory findings. Any event spontaneously reported by the participant or observed by the investigator was recorded, irrespective of the relation to study treatment.
3.9%
11/281 • Treatment-emergent adverse events are adverse events that started after the first dose of double-blind study drug and no more than 14 days (or 30 days for a serious adverse event) after the last dose of double-blind study drug.
At each visit the investigator had to document any occurrence of adverse events and abnormal laboratory findings. Any event spontaneously reported by the participant or observed by the investigator was recorded, irrespective of the relation to study treatment.
5.6%
16/284 • Treatment-emergent adverse events are adverse events that started after the first dose of double-blind study drug and no more than 14 days (or 30 days for a serious adverse event) after the last dose of double-blind study drug.
At each visit the investigator had to document any occurrence of adverse events and abnormal laboratory findings. Any event spontaneously reported by the participant or observed by the investigator was recorded, irrespective of the relation to study treatment.
3.5%
10/282 • Treatment-emergent adverse events are adverse events that started after the first dose of double-blind study drug and no more than 14 days (or 30 days for a serious adverse event) after the last dose of double-blind study drug.
At each visit the investigator had to document any occurrence of adverse events and abnormal laboratory findings. Any event spontaneously reported by the participant or observed by the investigator was recorded, irrespective of the relation to study treatment.
2.1%
3/142 • Treatment-emergent adverse events are adverse events that started after the first dose of double-blind study drug and no more than 14 days (or 30 days for a serious adverse event) after the last dose of double-blind study drug.
At each visit the investigator had to document any occurrence of adverse events and abnormal laboratory findings. Any event spontaneously reported by the participant or observed by the investigator was recorded, irrespective of the relation to study treatment.

Additional Information

Sr. VP, Clinical Science

Takeda Global Research and Development Center, Inc.

Phone: 800-778-2860

Results disclosure agreements

  • Principal investigator is a sponsor employee No publication related to study results will be published prior to publication of a multi-center report submitted for publication within 18 months after conclusion or termination of a study at all study sites. Results publications will be submitted to sponsor for review 60 days in advance of publication. Sponsor can require removal of confidential information unrelated to study results. Sponsor can embargo a proposed publication for another 60 days to preserve intellectual property.
  • Publication restrictions are in place

Restriction type: OTHER