Trial Outcomes & Findings for Efficacy and Safety of the Combination of Aliskiren (300 mg) and Amlodipine (10 mg) Compared to Amlodipine (10 mg) Monotherapy in Patients With Moderate to Severe Hypertension (NCT NCT00841672)

NCT ID: NCT00841672

Last Updated: 2011-07-12

Results Overview

Change in mean sitting systolic blood pressure (msSBP) from baseline to end of study (Week 8)

Recruitment status

COMPLETED

Study phase

PHASE3

Target enrollment

485 participants

Primary outcome timeframe

Baseline to end of study (Week 8)

Results posted on

2011-07-12

Participant Flow

Participant milestones

Participant milestones
Measure
Aliskiren/Amlodipine 300/10 mg Tablet
Aliskiren/amlodipine treatment regimen: At randomization, patients were treated with aliskiren/amlodipine 150/5 mg for one week. For the remaining 7 weeks of the study, patients were force-titrated to receive aliskiren/amlodipine 300/10 mg.
Amlodipine 10 mg Capsule
Amlodipine treatment regimen: At randomization, patients were treated with amlodipine 5 mg for one week. For the remaining 7 weeks of the study, patients were force-titrated to receive amlodipine 10 mg.
Overall Study
STARTED
244
241
Overall Study
COMPLETED
224
209
Overall Study
NOT COMPLETED
20
32

Reasons for withdrawal

Reasons for withdrawal
Measure
Aliskiren/Amlodipine 300/10 mg Tablet
Aliskiren/amlodipine treatment regimen: At randomization, patients were treated with aliskiren/amlodipine 150/5 mg for one week. For the remaining 7 weeks of the study, patients were force-titrated to receive aliskiren/amlodipine 300/10 mg.
Amlodipine 10 mg Capsule
Amlodipine treatment regimen: At randomization, patients were treated with amlodipine 5 mg for one week. For the remaining 7 weeks of the study, patients were force-titrated to receive amlodipine 10 mg.
Overall Study
Adverse Event
7
16
Overall Study
Abnormal test procedure result(s)
0
1
Overall Study
Subject withdrew consent
2
4
Overall Study
Lost to Follow-up
1
1
Overall Study
Administrative problems
9
9
Overall Study
Misrandomized
1
0
Overall Study
Protocol Deviation
0
1

Baseline Characteristics

Efficacy and Safety of the Combination of Aliskiren (300 mg) and Amlodipine (10 mg) Compared to Amlodipine (10 mg) Monotherapy in Patients With Moderate to Severe Hypertension

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Aliskiren/Amlodipine 300/10 mg Tablet
n=244 Participants
Aliskiren/amlodipine treatment regimen: At randomization, patients were treated with aliskiren/amlodipine 150/5 mg for one week. For the remaining 7 weeks of the study, patients were force-titrated to receive aliskiren/amlodipine 300/10 mg.
Amlodipine 10 mg Capsule
n=241 Participants
Amlodipine treatment regimen: At randomization, patients were treated with amlodipine 5 mg for one week. For the remaining 7 weeks of the study, patients were force-titrated to receive amlodipine 10 mg.
Total
n=485 Participants
Total of all reporting groups
Age Continuous
59 years
STANDARD_DEVIATION 10.38 • n=5 Participants
59 years
STANDARD_DEVIATION 10.82 • n=7 Participants
59 years
STANDARD_DEVIATION 10.60 • n=5 Participants
Sex: Female, Male
Female
136 Participants
n=5 Participants
139 Participants
n=7 Participants
275 Participants
n=5 Participants
Sex: Female, Male
Male
108 Participants
n=5 Participants
102 Participants
n=7 Participants
210 Participants
n=5 Participants

PRIMARY outcome

Timeframe: Baseline to end of study (Week 8)

Population: Full Analysis Set - analysis set was the FAS excluding patients from one center due to Good Clinical Practices (GCP) issues

Change in mean sitting systolic blood pressure (msSBP) from baseline to end of study (Week 8)

Outcome measures

Outcome measures
Measure
Aliskiren/Amlodipine 300/10 mg Tablet
n=233 Participants
Aliskiren/amlodipine treatment regimen: At randomization, patients were treated with aliskiren/amlodipine 150/5 mg for one week. For the remaining 7 weeks of the study, patients were force-titrated to receive aliskiren/amlodipine 300/10 mg.
Amlodipine 10 mg Capsule
n=230 Participants
Amlodipine treatment regimen: At randomization, patients were treated with amlodipine 5 mg for one week. For the remaining 7 weeks of the study, patients were force-titrated to receive amlodipine 10 mg.
Mean Sitting Systolic Blood Pressure (msSBP)
-37.72 mm Hg
Standard Error 0.937
-30.63 mm Hg
Standard Error 0.941

SECONDARY outcome

Timeframe: Baseline to end of study (Week 8)

Population: Full Analysis Set - analysis set was the FAS excluding patients from one center due to Good Clinical Practices (GCP) issues

Change in mean sitting diastolic blood pressure (msDBP) from baseline to end of study (Week 8)

Outcome measures

Outcome measures
Measure
Aliskiren/Amlodipine 300/10 mg Tablet
n=233 Participants
Aliskiren/amlodipine treatment regimen: At randomization, patients were treated with aliskiren/amlodipine 150/5 mg for one week. For the remaining 7 weeks of the study, patients were force-titrated to receive aliskiren/amlodipine 300/10 mg.
Amlodipine 10 mg Capsule
n=230 Participants
Amlodipine treatment regimen: At randomization, patients were treated with amlodipine 5 mg for one week. For the remaining 7 weeks of the study, patients were force-titrated to receive amlodipine 10 mg.
Mean Sitting Diastolic Blood Pressure (msDBP)
-16.10 mm Hg
Standard Error 0.557
-12.27 mm Hg
Standard Error 0.559

SECONDARY outcome

Timeframe: Baseline to end of study (Week 8)

Population: Full Analysis Set - analysis set was the FAS excluding patients from one center due to GCP issues

Percentage of patients achieving a mean sitting systolic blood pressure response (msSBP \< 140 mmHg or a reduction =\> 20 mmHg from the baseline) from baseline to end of study (Week 8)

Outcome measures

Outcome measures
Measure
Aliskiren/Amlodipine 300/10 mg Tablet
n=233 Participants
Aliskiren/amlodipine treatment regimen: At randomization, patients were treated with aliskiren/amlodipine 150/5 mg for one week. For the remaining 7 weeks of the study, patients were force-titrated to receive aliskiren/amlodipine 300/10 mg.
Amlodipine 10 mg Capsule
n=230 Participants
Amlodipine treatment regimen: At randomization, patients were treated with amlodipine 5 mg for one week. For the remaining 7 weeks of the study, patients were force-titrated to receive amlodipine 10 mg.
Systolic Blood Pressure Response
88.8 Percentage of participants
79.1 Percentage of participants

SECONDARY outcome

Timeframe: Baseline to end of study (Week 8)

Population: Full Analysis Set - analysis set was the FAS excluding patients from one center due to Good Clinical Practices (GCP) issues All randomized patients who received the study medication. The measurement at Week 8 was used unless it was not available, in which case, the last observation carried forward was used.

Percentage of patients achieving a mean sitting diastolic blood pressure response (msDBP \< 90 mmHg or a reduction ≥ 10 mmHg from the baseline) from baseline to end of study (Week 8)

Outcome measures

Outcome measures
Measure
Aliskiren/Amlodipine 300/10 mg Tablet
n=233 Participants
Aliskiren/amlodipine treatment regimen: At randomization, patients were treated with aliskiren/amlodipine 150/5 mg for one week. For the remaining 7 weeks of the study, patients were force-titrated to receive aliskiren/amlodipine 300/10 mg.
Amlodipine 10 mg Capsule
n=230 Participants
Amlodipine treatment regimen: At randomization, patients were treated with amlodipine 5 mg for one week. For the remaining 7 weeks of the study, patients were force-titrated to receive amlodipine 10 mg.
Diastolic Blood Pressure Response
92.7 Percentage of participants
86.5 Percentage of participants

SECONDARY outcome

Timeframe: End of study (Week 8)

Population: Full Analysis Set - analysis set was the FAS excluding patients from one center due to Good Clinical Practices (GCP) issues

Percentage of patients achieving blood pressure control (msSBP \< 140 mm Hg and msDBP \< 90 mm Hg) at end of study

Outcome measures

Outcome measures
Measure
Aliskiren/Amlodipine 300/10 mg Tablet
n=233 Participants
Aliskiren/amlodipine treatment regimen: At randomization, patients were treated with aliskiren/amlodipine 150/5 mg for one week. For the remaining 7 weeks of the study, patients were force-titrated to receive aliskiren/amlodipine 300/10 mg.
Amlodipine 10 mg Capsule
n=230 Participants
Amlodipine treatment regimen: At randomization, patients were treated with amlodipine 5 mg for one week. For the remaining 7 weeks of the study, patients were force-titrated to receive amlodipine 10 mg.
Blood Pressure Control
67.0 Percentage of participants
49.1 Percentage of participants

Adverse Events

Aliskiren/Amlodipine 300/10 mg Tablet

Serious events: 0 serious events
Other events: 41 other events
Deaths: 0 deaths

Amlodipine 10 mg Capsule

Serious events: 3 serious events
Other events: 56 other events
Deaths: 0 deaths

Serious adverse events

Serious adverse events
Measure
Aliskiren/Amlodipine 300/10 mg Tablet
n=243 participants at risk
Aliskiren/amlodipine treatment regimen: At randomization, patients were treated with aliskiren/amlodipine 150/5 mg for one week. For the remaining 7 weeks of the study, patients were force-titrated to receive aliskiren/amlodipine 300/10 mg.
Amlodipine 10 mg Capsule
n=241 participants at risk
Amlodipine treatment regimen: At randomization, patients were treated with amlodipine 5 mg for one week. For the remaining 7 weeks of the study, patients were force-titrated to receive amlodipine 10 mg.
Blood and lymphatic system disorders
Anaemia
0.00%
0/243
0.41%
1/241
Cardiac disorders
Myocardial infarction
0.00%
0/243
0.41%
1/241
Nervous system disorders
Cerebral infarction
0.00%
0/243
0.41%
1/241
Reproductive system and breast disorders
Adenomyosis
0.00%
0/243
0.41%
1/241
Reproductive system and breast disorders
Dysfunctional uterine bleeding
0.00%
0/243
0.41%
1/241

Other adverse events

Other adverse events
Measure
Aliskiren/Amlodipine 300/10 mg Tablet
n=243 participants at risk
Aliskiren/amlodipine treatment regimen: At randomization, patients were treated with aliskiren/amlodipine 150/5 mg for one week. For the remaining 7 weeks of the study, patients were force-titrated to receive aliskiren/amlodipine 300/10 mg.
Amlodipine 10 mg Capsule
n=241 participants at risk
Amlodipine treatment regimen: At randomization, patients were treated with amlodipine 5 mg for one week. For the remaining 7 weeks of the study, patients were force-titrated to receive amlodipine 10 mg.
General disorders
Oedema peripheral
14.4%
35/243
18.3%
44/241
Nervous system disorders
Headache
3.3%
8/243
5.4%
13/241

Additional Information

Study Director

Novartis Pharmaceuticals

Phone: 862-778-8300

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place

Restriction type: OTHER