Trial Outcomes & Findings for A Study to Evaluate the Effectiveness and Safety of a Fixed Dose Combination of Azilsartan Medoxomil and Chlorthalidone in Patients With High Blood Pressure Who do Not Achieve Target Blood Pressure Following Treatment With Azilsartan Medoxomil Alone (NCT NCT01456169)

NCT ID: NCT01456169

Last Updated: 2014-04-23

Results Overview

The change between trough systolic blood pressure measured at final visit or Week 8 relative to baseline. Systolic blood pressure is the arithmetic mean of the 3 trough sitting systolic blood pressure measurements.

Recruitment status

COMPLETED

Study phase

PHASE3

Target enrollment

507 participants

Primary outcome timeframe

Baseline (of the double-blind treatment period) and Week 8

Results posted on

2014-04-23

Participant Flow

A total of 1754 patients were screened at 125 investigative sites in Bulgaria, Estonia, France, Germany, Hungary, Italy, Lithuania, the Netherlands, Poland, Serbia, Slovakia, Spain, Sweden, and the United Kingdom from 31 October 2011 to 24 January 2013.

507 participants entered the azilsartan medoxomil 40 mg Single-Blind Monotherapy Treatment Period and 395 participants were eligible to enter the Double-Blind Treatment Period and were randomly assigned to 1 of 3 active treatment arms.

Participant milestones

Participant milestones
Measure
Azilsartan Medoxomil 40 mg
Azilsartan medoxomil 40 mg and chlorthalidone placebo combination tablets, orally, once daily for up to 8 weeks.
Azilsartan Medoxomil + Chlorthalidone 40/12.5 mg
Azilsartan 40 mg and chlorthalidone 12.5 mg combination tablets, orally, once daily for up to 8 weeks.
Azilsartan Medoxomil + Chlorthalidone 40/25 mg
Azilsartan medoxomil 40 mg and chlorthalidone 25 mg combination tablets, orally, once daily for up to 8 weeks.
Overall Study
STARTED
133
127
135
Overall Study
COMPLETED
123
122
123
Overall Study
NOT COMPLETED
10
5
12

Reasons for withdrawal

Reasons for withdrawal
Measure
Azilsartan Medoxomil 40 mg
Azilsartan medoxomil 40 mg and chlorthalidone placebo combination tablets, orally, once daily for up to 8 weeks.
Azilsartan Medoxomil + Chlorthalidone 40/12.5 mg
Azilsartan 40 mg and chlorthalidone 12.5 mg combination tablets, orally, once daily for up to 8 weeks.
Azilsartan Medoxomil + Chlorthalidone 40/25 mg
Azilsartan medoxomil 40 mg and chlorthalidone 25 mg combination tablets, orally, once daily for up to 8 weeks.
Overall Study
Adverse Event
1
2
7
Overall Study
Major Protocol Deviation
3
2
3
Overall Study
Voluntary Withdrawal
3
0
2
Overall Study
Lack of Efficacy
2
0
0
Overall Study
Other
1
1
0

Baseline Characteristics

A Study to Evaluate the Effectiveness and Safety of a Fixed Dose Combination of Azilsartan Medoxomil and Chlorthalidone in Patients With High Blood Pressure Who do Not Achieve Target Blood Pressure Following Treatment With Azilsartan Medoxomil Alone

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Azilsartan Medoxomil 40 mg
n=133 Participants
Azilsartan medoxomil 40 mg and chlorthalidone placebo combination tablets, orally, once daily for up to 8 weeks.
Azilsartan Medoxomil + Chlorthalidone 40/12.5 mg
n=127 Participants
Azilsartan 40 mg and chlorthalidone 12.5 mg combination tablets, orally, once daily for up to 8 weeks.
Azilsartan Medoxomil + Chlorthalidone 40/25 mg
n=135 Participants
Azilsartan medoxomil 40 mg and chlorthalidone 25 mg combination tablets, orally, once daily for up to 8 weeks.
Total
n=395 Participants
Total of all reporting groups
Age, Continuous
57.9 years
STANDARD_DEVIATION 10.18 • n=5 Participants
59.2 years
STANDARD_DEVIATION 10.72 • n=7 Participants
57.7 years
STANDARD_DEVIATION 10.46 • n=5 Participants
58.2 years
STANDARD_DEVIATION 10.45 • n=4 Participants
Age, Customized
< 45 years
13 participants
n=5 Participants
10 participants
n=7 Participants
12 participants
n=5 Participants
35 participants
n=4 Participants
Age, Customized
45 to < 65 years
87 participants
n=5 Participants
79 participants
n=7 Participants
88 participants
n=5 Participants
254 participants
n=4 Participants
Age, Customized
≥ 65 years
33 participants
n=5 Participants
38 participants
n=7 Participants
35 participants
n=5 Participants
106 participants
n=4 Participants
Sex: Female, Male
Female
46 Participants
n=5 Participants
54 Participants
n=7 Participants
44 Participants
n=5 Participants
144 Participants
n=4 Participants
Sex: Female, Male
Male
87 Participants
n=5 Participants
73 Participants
n=7 Participants
91 Participants
n=5 Participants
251 Participants
n=4 Participants
Race/Ethnicity, Customized
American Indian or Alaska Native
1 participants
n=5 Participants
0 participants
n=7 Participants
1 participants
n=5 Participants
2 participants
n=4 Participants
Race/Ethnicity, Customized
Asian
0 participants
n=5 Participants
1 participants
n=7 Participants
0 participants
n=5 Participants
1 participants
n=4 Participants
Race/Ethnicity, Customized
Black or African American
1 participants
n=5 Participants
0 participants
n=7 Participants
0 participants
n=5 Participants
1 participants
n=4 Participants
Race/Ethnicity, Customized
Native Hawaiian or Other Pacific Islander
0 participants
n=5 Participants
0 participants
n=7 Participants
1 participants
n=5 Participants
1 participants
n=4 Participants
Race/Ethnicity, Customized
White
132 participants
n=5 Participants
126 participants
n=7 Participants
134 participants
n=5 Participants
392 participants
n=4 Participants
Race/Ethnicity, Customized
Multiracial
1 participants
n=5 Participants
0 participants
n=7 Participants
1 participants
n=5 Participants
2 participants
n=4 Participants
Region of Enrollment
Bulgaria
11 participants
n=5 Participants
10 participants
n=7 Participants
11 participants
n=5 Participants
32 participants
n=4 Participants
Region of Enrollment
Estonia
18 participants
n=5 Participants
16 participants
n=7 Participants
18 participants
n=5 Participants
52 participants
n=4 Participants
Region of Enrollment
France
2 participants
n=5 Participants
1 participants
n=7 Participants
2 participants
n=5 Participants
5 participants
n=4 Participants
Region of Enrollment
Germany
29 participants
n=5 Participants
29 participants
n=7 Participants
28 participants
n=5 Participants
86 participants
n=4 Participants
Region of Enrollment
Hungary
10 participants
n=5 Participants
9 participants
n=7 Participants
10 participants
n=5 Participants
29 participants
n=4 Participants
Region of Enrollment
Italy
6 participants
n=5 Participants
4 participants
n=7 Participants
5 participants
n=5 Participants
15 participants
n=4 Participants
Region of Enrollment
Lithuania
5 participants
n=5 Participants
4 participants
n=7 Participants
6 participants
n=5 Participants
15 participants
n=4 Participants
Region of Enrollment
Netherlands
4 participants
n=5 Participants
6 participants
n=7 Participants
5 participants
n=5 Participants
15 participants
n=4 Participants
Region of Enrollment
Poland
17 participants
n=5 Participants
18 participants
n=7 Participants
17 participants
n=5 Participants
52 participants
n=4 Participants
Region of Enrollment
Serbia
4 participants
n=5 Participants
3 participants
n=7 Participants
4 participants
n=5 Participants
11 participants
n=4 Participants
Region of Enrollment
Slovakia
24 participants
n=5 Participants
24 participants
n=7 Participants
26 participants
n=5 Participants
74 participants
n=4 Participants
Region of Enrollment
Spain
1 participants
n=5 Participants
1 participants
n=7 Participants
1 participants
n=5 Participants
3 participants
n=4 Participants
Region of Enrollment
Sweden
1 participants
n=5 Participants
2 participants
n=7 Participants
1 participants
n=5 Participants
4 participants
n=4 Participants
Region of Enrollment
United Kingdom
1 participants
n=5 Participants
0 participants
n=7 Participants
1 participants
n=5 Participants
2 participants
n=4 Participants
Weight
87.59 kg
STANDARD_DEVIATION 15.794 • n=5 Participants
86.71 kg
STANDARD_DEVIATION 17.037 • n=7 Participants
87.39 kg
STANDARD_DEVIATION 14.876 • n=5 Participants
87.24 kg
STANDARD_DEVIATION 15.868 • n=4 Participants
Height
171.8 cm
STANDARD_DEVIATION 8.87 • n=5 Participants
170.6 cm
STANDARD_DEVIATION 9.96 • n=7 Participants
172.1 cm
STANDARD_DEVIATION 9.74 • n=5 Participants
171.5 cm
STANDARD_DEVIATION 9.53 • n=4 Participants
Body Mass Index (BMI)
29.63 kg/m^2
STANDARD_DEVIATION 5.066 • n=5 Participants
29.78 kg/m^2
STANDARD_DEVIATION 5.206 • n=7 Participants
29.52 kg/m^2
STANDARD_DEVIATION 4.572 • n=5 Participants
29.64 kg/m^2
STANDARD_DEVIATION 4.937 • n=4 Participants
Smoking Classification
Never smoked
77 participants
n=5 Participants
83 participants
n=7 Participants
77 participants
n=5 Participants
237 participants
n=4 Participants
Smoking Classification
Current smoker
31 participants
n=5 Participants
25 participants
n=7 Participants
30 participants
n=5 Participants
86 participants
n=4 Participants
Smoking Classification
Ex-smoker
25 participants
n=5 Participants
19 participants
n=7 Participants
28 participants
n=5 Participants
72 participants
n=4 Participants
Diabetes Status
Yes
20 participants
n=5 Participants
27 participants
n=7 Participants
20 participants
n=5 Participants
67 participants
n=4 Participants
Diabetes Status
No
113 participants
n=5 Participants
100 participants
n=7 Participants
115 participants
n=5 Participants
328 participants
n=4 Participants
Estimated Glomerular Filtration Rate (eGFR)
84.8 mL/min/1.73 m^2
STANDARD_DEVIATION 16.41 • n=5 Participants
81.5 mL/min/1.73 m^2
STANDARD_DEVIATION 16.25 • n=7 Participants
82.4 mL/min/1.73 m^2
STANDARD_DEVIATION 16.51 • n=5 Participants
82.9 mL/min/1.73 m^2
STANDARD_DEVIATION 16.41 • n=4 Participants
Baseline eGFR Categories (mL/min/1.73 m^2)
30 to < 60 ml/min/1.73 m^2
11 participants
n=5 Participants
10 participants
n=7 Participants
11 participants
n=5 Participants
32 participants
n=4 Participants
Baseline eGFR Categories (mL/min/1.73 m^2)
60 to < 90 ml/min/1.73 m^2
78 participants
n=5 Participants
85 participants
n=7 Participants
80 participants
n=5 Participants
243 participants
n=4 Participants
Baseline eGFR Categories (mL/min/1.73 m^2)
≥ 90 ml/min/1.73 m^2
44 participants
n=5 Participants
32 participants
n=7 Participants
44 participants
n=5 Participants
120 participants
n=4 Participants
Trough Clinic Systolic Blood Pressure (SBP)
150.7 mmHg
STANDARD_DEVIATION 10.69 • n=5 Participants
149.6 mmHg
STANDARD_DEVIATION 11.54 • n=7 Participants
149.8 mmHg
STANDARD_DEVIATION 10.95 • n=5 Participants
150.0 mmHg
STANDARD_DEVIATION 11.04 • n=4 Participants
Trough Clinic SBP Category (mmHg)
<140 mmHg
16 participants
n=5 Participants
17 participants
n=7 Participants
17 participants
n=5 Participants
50 participants
n=4 Participants
Trough Clinic SBP Category (mmHg)
≥140 - <160 mmHg
86 participants
n=5 Participants
87 participants
n=7 Participants
93 participants
n=5 Participants
266 participants
n=4 Participants
Trough Clinic SBP Category (mmHg)
≥160 - <180 mmHg
31 participants
n=5 Participants
23 participants
n=7 Participants
25 participants
n=5 Participants
79 participants
n=4 Participants
Trough Clinic SBP Category (mmHg)
≥180 mmHg
0 participants
n=5 Participants
0 participants
n=7 Participants
0 participants
n=5 Participants
0 participants
n=4 Participants
Trough Clinic Diastolic Blood Pressure (DBP)
89.8 mmHg
STANDARD_DEVIATION 7.76 • n=5 Participants
87.6 mmHg
STANDARD_DEVIATION 9.31 • n=7 Participants
88.8 mmHg
STANDARD_DEVIATION 7.99 • n=5 Participants
88.7 mmHg
STANDARD_DEVIATION 8.39 • n=4 Participants
Trough Clinic DBP Categories (mmHg)
<90 mmHg
68 participants
n=5 Participants
72 participants
n=7 Participants
70 participants
n=5 Participants
210 participants
n=4 Participants
Trough Clinic DBP Categories (mmHg)
≥90 mmHg
65 participants
n=5 Participants
55 participants
n=7 Participants
65 participants
n=5 Participants
185 participants
n=4 Participants

PRIMARY outcome

Timeframe: Baseline (of the double-blind treatment period) and Week 8

Population: Full analysis set, consisting of all randomized participants who received at least 1 dose of double-blind study drug. A participant was included in the analyses only when there was both a baseline value and at least 1 value during the double-blind treatment period. Last observation carried forward (LOCF) was used.

The change between trough systolic blood pressure measured at final visit or Week 8 relative to baseline. Systolic blood pressure is the arithmetic mean of the 3 trough sitting systolic blood pressure measurements.

Outcome measures

Outcome measures
Measure
Azilsartan Medoxomil 40 mg
n=133 Participants
Azilsartan medoxomil 40 mg and chlorthalidone placebo combination tablets, orally, once daily for up to 8 weeks.
Azilsartan Medoxomil + Chlorthalidone 40/12.5 mg
n=126 Participants
Azilsartan 40 mg and chlorthalidone 12.5 mg combination tablets, orally, once daily for up to 8 weeks.
Azilsartan Medoxomil + Chlorthalidone 40/25 mg
n=135 Participants
Azilsartan medoxomil 40 mg and chlorthalidone 25 mg combination tablets, orally, once daily for up to 8 weeks.
Change From Baseline to Week 8 in Trough, Sitting, Clinic Systolic Blood Pressure
Baseline
150.7 mm Hg
Standard Error 0.96
149.8 mm Hg
Standard Error 0.98
149.8 mm Hg
Standard Error 0.95
Change From Baseline to Week 8 in Trough, Sitting, Clinic Systolic Blood Pressure
Change from Baseline to Week 8
-6.4 mm Hg
Standard Error 1.05
-15.8 mm Hg
Standard Error 1.08
-21.1 mm Hg
Standard Error 1.04

SECONDARY outcome

Timeframe: Baseline and Week 8

Population: Full analysis set; LOCF was used.

The change between trough diastolic blood pressure measured at final visit or week 8 relative to baseline Diastolic blood pressure is the arithmetic mean of the 3 trough sitting diastolic blood pressure measurements.

Outcome measures

Outcome measures
Measure
Azilsartan Medoxomil 40 mg
n=133 Participants
Azilsartan medoxomil 40 mg and chlorthalidone placebo combination tablets, orally, once daily for up to 8 weeks.
Azilsartan Medoxomil + Chlorthalidone 40/12.5 mg
n=126 Participants
Azilsartan 40 mg and chlorthalidone 12.5 mg combination tablets, orally, once daily for up to 8 weeks.
Azilsartan Medoxomil + Chlorthalidone 40/25 mg
n=135 Participants
Azilsartan medoxomil 40 mg and chlorthalidone 25 mg combination tablets, orally, once daily for up to 8 weeks.
Change From Baseline to Week 8 in Trough, Sitting, Clinic Diastolic Blood Pressure
Change from Baseline to Week 8
-3.2 mm Hg
Standard Error 0.65
-7.7 mm Hg
Standard Error 0.67
-10.3 mm Hg
Standard Error 0.65
Change From Baseline to Week 8 in Trough, Sitting, Clinic Diastolic Blood Pressure
Baseline
89.8 mm Hg
Standard Error 0.73
87.7 mm Hg
Standard Error 0.75
88.8 mm Hg
Standard Error 0.72

SECONDARY outcome

Timeframe: Baseline and Week 8, 22-24 hours after dosing

Population: Full analysis set. Only participants with a baseline and at least 1 post-baseline value of acceptable quality were included.

The change in trough systolic blood pressure measured at final visit or week 8 relative to baseline. Ambulatory blood pressure monitoring measures blood pressure at regular intervals throughout the day and night. The trough is the average of all measurements recorded from 22 to 24 hours after dosing.

Outcome measures

Outcome measures
Measure
Azilsartan Medoxomil 40 mg
n=107 Participants
Azilsartan medoxomil 40 mg and chlorthalidone placebo combination tablets, orally, once daily for up to 8 weeks.
Azilsartan Medoxomil + Chlorthalidone 40/12.5 mg
n=98 Participants
Azilsartan 40 mg and chlorthalidone 12.5 mg combination tablets, orally, once daily for up to 8 weeks.
Azilsartan Medoxomil + Chlorthalidone 40/25 mg
n=104 Participants
Azilsartan medoxomil 40 mg and chlorthalidone 25 mg combination tablets, orally, once daily for up to 8 weeks.
Change From Baseline to Week 8 in Trough Systolic Blood Pressure as Measured by Ambulatory Blood Pressure Monitoring
Baseline
143.1 mm Hg
Standard Error 1.55
140.2 mm Hg
Standard Error 1.62
142.0 mm Hg
Standard Error 1.58
Change From Baseline to Week 8 in Trough Systolic Blood Pressure as Measured by Ambulatory Blood Pressure Monitoring
Change from Baseline to Week 8
-2.5 mm Hg
Standard Error 1.31
-14.0 mm Hg
Standard Error 1.36
-16.6 mm Hg
Standard Error 1.32

SECONDARY outcome

Timeframe: Baseline and Week 8, 22-24 hours after dosing

Population: Full analysis set. Only participants with a Baseline and at least 1 post-baseline value of acceptable quality were included

The change in trough diastolic blood pressure measured at final visit or week 8 relative to baseline. Ambulatory blood pressure monitoring measures blood pressure at regular intervals throughout the day and night. The trough is the average of all measurements recorded from 22 to 24 hours after dosing.

Outcome measures

Outcome measures
Measure
Azilsartan Medoxomil 40 mg
n=107 Participants
Azilsartan medoxomil 40 mg and chlorthalidone placebo combination tablets, orally, once daily for up to 8 weeks.
Azilsartan Medoxomil + Chlorthalidone 40/12.5 mg
n=98 Participants
Azilsartan 40 mg and chlorthalidone 12.5 mg combination tablets, orally, once daily for up to 8 weeks.
Azilsartan Medoxomil + Chlorthalidone 40/25 mg
n=104 Participants
Azilsartan medoxomil 40 mg and chlorthalidone 25 mg combination tablets, orally, once daily for up to 8 weeks.
Change From Baseline to Week 8 in Trough Diastolic Blood Pressure as Measured by Ambulatory Blood Pressure Monitoring
Baseline
86.4 mm Hg
Standard Error 1.11
83.6 mm Hg
Standard Error 1.16
86.0 mm Hg
Standard Error 1.12
Change From Baseline to Week 8 in Trough Diastolic Blood Pressure as Measured by Ambulatory Blood Pressure Monitoring
Change from Baseline to Week 8
-2.2 mm Hg
Standard Error 0.88
-8.8 mm Hg
Standard Error 0.92
-9.4 mm Hg
Standard Error 0.89

SECONDARY outcome

Timeframe: Baseline and Week 8

Population: Full analysis set. Only participants with a Baseline and at least 1 post-baseline value of acceptable quality were included.

The change in 24-hour mean systolic blood pressure measured at final visit or week 8 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 40 mg
n=107 Participants
Azilsartan medoxomil 40 mg and chlorthalidone placebo combination tablets, orally, once daily for up to 8 weeks.
Azilsartan Medoxomil + Chlorthalidone 40/12.5 mg
n=98 Participants
Azilsartan 40 mg and chlorthalidone 12.5 mg combination tablets, orally, once daily for up to 8 weeks.
Azilsartan Medoxomil + Chlorthalidone 40/25 mg
n=104 Participants
Azilsartan medoxomil 40 mg and chlorthalidone 25 mg combination tablets, orally, once daily for up to 8 weeks.
Change From Baseline to Week 8 in the 24-hour Mean Systolic Blood Pressure, as Measured by Ambulatory Blood Pressure Monitoring
Baseline
138.0 mm Hg
Standard Error 1.21
137.0 mm Hg
Standard Error 1.26
138.2 mm Hg
Standard Error 1.22
Change From Baseline to Week 8 in the 24-hour Mean Systolic Blood Pressure, as Measured by Ambulatory Blood Pressure Monitoring
Change from Baseline to Week 8
-2.3 mm Hg
Standard Error 1.02
-14.7 mm Hg
Standard Error 1.07
-18.1 mm Hg
Standard Error 1.03

SECONDARY outcome

Timeframe: Baseline and Week 8

Population: Full analysis set. Only participants with a Baseline and at least 1 post-baseline value of acceptable quality were included.

The change in 24-hour mean diastolic blood pressure measured at final visit or week 8 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 40 mg
n=107 Participants
Azilsartan medoxomil 40 mg and chlorthalidone placebo combination tablets, orally, once daily for up to 8 weeks.
Azilsartan Medoxomil + Chlorthalidone 40/12.5 mg
n=98 Participants
Azilsartan 40 mg and chlorthalidone 12.5 mg combination tablets, orally, once daily for up to 8 weeks.
Azilsartan Medoxomil + Chlorthalidone 40/25 mg
n=104 Participants
Azilsartan medoxomil 40 mg and chlorthalidone 25 mg combination tablets, orally, once daily for up to 8 weeks.
Change From Baseline to Week 8 in the 24-hour Mean Diastolic Blood Pressure, as Measured by Ambulatory Blood Pressure Monitoring
Baseline
81.9 mm Hg
Standard Error 0.89
80.3 mm Hg
Standard Error 0.93
82.5 mm Hg
Standard Error 0.91
Change From Baseline to Week 8 in the 24-hour Mean Diastolic Blood Pressure, as Measured by Ambulatory Blood Pressure Monitoring
Change from Baseline to Week 8
-1.6 mm Hg
Standard Error 0.66
-8.5 mm Hg
Standard Error 0.69
-10.1 mm Hg
Standard Error 0.67

SECONDARY outcome

Timeframe: Baseline and Week 8

Population: Full analysis set. Only participants with a Baseline and at least 1 post-baseline value of acceptable quality were included.

The change in daytime (6 am to 10 pm) mean systolic blood pressure measured at final visit or week 8 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 40 mg
n=107 Participants
Azilsartan medoxomil 40 mg and chlorthalidone placebo combination tablets, orally, once daily for up to 8 weeks.
Azilsartan Medoxomil + Chlorthalidone 40/12.5 mg
n=98 Participants
Azilsartan 40 mg and chlorthalidone 12.5 mg combination tablets, orally, once daily for up to 8 weeks.
Azilsartan Medoxomil + Chlorthalidone 40/25 mg
n=104 Participants
Azilsartan medoxomil 40 mg and chlorthalidone 25 mg combination tablets, orally, once daily for up to 8 weeks.
Change From Baseline to Week 8 in the Mean Daytime Systolic Blood Pressure, as Measured by Ambulatory Blood Pressure Monitoring
Change from Baseline to Week 8
-2.4 mm Hg
Standard Error 1.09
-15.3 mm Hg
Standard Error 1.14
-18.2 mm Hg
Standard Error 1.11
Change From Baseline to Week 8 in the Mean Daytime Systolic Blood Pressure, as Measured by Ambulatory Blood Pressure Monitoring
Baseline
141.5 mm Hg
Standard Error 1.24
141.1 mm Hg
Standard Error 1.30
141.9 mm Hg
Standard Error 1.26

SECONDARY outcome

Timeframe: Baseline and Week 8

Population: Full analysis set. Only participants with a Baseline and at least 1 post-baseline value of acceptable quality were included.

The change in daytime (6 am to 10 pm) mean diastolic blood pressure measured at final visit or week 8 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 40 mg
n=107 Participants
Azilsartan medoxomil 40 mg and chlorthalidone placebo combination tablets, orally, once daily for up to 8 weeks.
Azilsartan Medoxomil + Chlorthalidone 40/12.5 mg
n=98 Participants
Azilsartan 40 mg and chlorthalidone 12.5 mg combination tablets, orally, once daily for up to 8 weeks.
Azilsartan Medoxomil + Chlorthalidone 40/25 mg
n=104 Participants
Azilsartan medoxomil 40 mg and chlorthalidone 25 mg combination tablets, orally, once daily for up to 8 weeks.
Change From Baseline to Week 8 in the Mean Daytime Diastolic Blood Pressure, as Measured by Ambulatory Blood Pressure Monitoring
Baseline
84.9 mm Hg
Standard Error 0.96
83.6 mm Hg
Standard Error 1.01
85.7 mm Hg
Standard Error 0.98
Change From Baseline to Week 8 in the Mean Daytime Diastolic Blood Pressure, as Measured by Ambulatory Blood Pressure Monitoring
Change from Baseline to Week 8
-1.7 mm Hg
Standard Error 0.72
-8.9 mm Hg
Standard Error 0.75
-10.1 mm Hg
Standard Error 0.73

SECONDARY outcome

Timeframe: Baseline and Week 8

Population: Full analysis set. Only participants with a Baseline and at least 1 post-baseline value of acceptable quality were included.

The change in nighttime (12 am to 6 am) mean systolic blood pressure measured at final visit or week 8 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 40 mg
n=107 Participants
Azilsartan medoxomil 40 mg and chlorthalidone placebo combination tablets, orally, once daily for up to 8 weeks.
Azilsartan Medoxomil + Chlorthalidone 40/12.5 mg
n=98 Participants
Azilsartan 40 mg and chlorthalidone 12.5 mg combination tablets, orally, once daily for up to 8 weeks.
Azilsartan Medoxomil + Chlorthalidone 40/25 mg
n=104 Participants
Azilsartan medoxomil 40 mg and chlorthalidone 25 mg combination tablets, orally, once daily for up to 8 weeks.
Change From Baseline to Week 8 in the Mean Nighttime Systolic Blood Pressure, as Measured by Ambulatory Blood Pressure Monitoring
Baseline
127.3 mm Hg
Standard Error 1.50
124.2 mm Hg
Standard Error 1.57
126.3 mm Hg
Standard Error 1.52
Change From Baseline to Week 8 in the Mean Nighttime Systolic Blood Pressure, as Measured by Ambulatory Blood Pressure Monitoring
Change from Baseline to Week 8
-2.2 mm Hg
Standard Error 1.18
-12.7 mm Hg
Standard Error 1.24
-17.3 mm Hg
Standard Error 1.20

SECONDARY outcome

Timeframe: Baseline and Week 8.

Population: Full analysis set. Only participants with a Baseline and at least 1 post-baseline value of acceptable quality were included.

The change in nighttime (12 am to 6 am) mean diastolic blood pressure measured at final visit or week 8 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 40 mg
n=107 Participants
Azilsartan medoxomil 40 mg and chlorthalidone placebo combination tablets, orally, once daily for up to 8 weeks.
Azilsartan Medoxomil + Chlorthalidone 40/12.5 mg
n=98 Participants
Azilsartan 40 mg and chlorthalidone 12.5 mg combination tablets, orally, once daily for up to 8 weeks.
Azilsartan Medoxomil + Chlorthalidone 40/25 mg
n=104 Participants
Azilsartan medoxomil 40 mg and chlorthalidone 25 mg combination tablets, orally, once daily for up to 8 weeks.
Change From Baseline to Week 8 in the Mean Nighttime Diastolic Blood Pressure, as Measured by Ambulatory Blood Pressure Monitoring
Baseline
73.2 mm Hg
Standard Error 0.95
70.6 mm Hg
Standard Error 0.99
72.9 mm Hg
Standard Error 0.97
Change From Baseline to Week 8 in the Mean Nighttime Diastolic Blood Pressure, as Measured by Ambulatory Blood Pressure Monitoring
Change from Baseline to Week 8
-1.6 mm Hg
Standard Error 0.78
-7.2 mm Hg
Standard Error 0.82
-9.8 mm Hg
Standard Error 0.79

SECONDARY outcome

Timeframe: Baseline and Week 8

Population: Full analysis set. Only participants with a Baseline and at least 1 post-baseline value of acceptable quality were included.

The change in the 12-hour mean systolic blood pressure measured at final visit or week 8 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 40 mg
n=107 Participants
Azilsartan medoxomil 40 mg and chlorthalidone placebo combination tablets, orally, once daily for up to 8 weeks.
Azilsartan Medoxomil + Chlorthalidone 40/12.5 mg
n=98 Participants
Azilsartan 40 mg and chlorthalidone 12.5 mg combination tablets, orally, once daily for up to 8 weeks.
Azilsartan Medoxomil + Chlorthalidone 40/25 mg
n=104 Participants
Azilsartan medoxomil 40 mg and chlorthalidone 25 mg combination tablets, orally, once daily for up to 8 weeks.
Change From Baseline to Week 8 in the Mean Systolic Blood Pressure 0 to 12 Hours After Dosing, as Measured by Ambulatory Blood Pressure Monitoring
Baseline
141.6 mm Hg
Standard Error 1.30
141.8 mm Hg
Standard Error 1.36
142.3 mm Hg
Standard Error 1.32
Change From Baseline to Week 8 in the Mean Systolic Blood Pressure 0 to 12 Hours After Dosing, as Measured by Ambulatory Blood Pressure Monitoring
Change from Baseline to Week 8
-2.3 mm Hg
Standard Error 1.14
-15.4 mm Hg
Standard Error 1.19
-18.2 mm Hg
Standard Error 1.16

SECONDARY outcome

Timeframe: Baseline and Week 8

Population: Full analysis set. Only participants with a Baseline and at least 1 post-baseline value of acceptable quality were included.

The change in the 12-hour mean diastolic blood pressure measured at final visit or Week 8 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 40 mg
n=107 Participants
Azilsartan medoxomil 40 mg and chlorthalidone placebo combination tablets, orally, once daily for up to 8 weeks.
Azilsartan Medoxomil + Chlorthalidone 40/12.5 mg
n=98 Participants
Azilsartan 40 mg and chlorthalidone 12.5 mg combination tablets, orally, once daily for up to 8 weeks.
Azilsartan Medoxomil + Chlorthalidone 40/25 mg
n=104 Participants
Azilsartan medoxomil 40 mg and chlorthalidone 25 mg combination tablets, orally, once daily for up to 8 weeks.
Change From Baseline to Week 8 in the Mean Diastolic Blood Pressure 0 to 12 Hours After Dosing, as Measured by Ambulatory Blood Pressure Monitoring
Baseline
85.2 mm Hg
Standard Error 1.01
84.2 mm Hg
Standard Error 1.05
86.0 mm Hg
Standard Error 1.02
Change From Baseline to Week 8 in the Mean Diastolic Blood Pressure 0 to 12 Hours After Dosing, as Measured by Ambulatory Blood Pressure Monitoring
Week 8
-1.6 mm Hg
Standard Error 0.75
-8.9 mm Hg
Standard Error 0.78
-10.1 mm Hg
Standard Error 0.76

SECONDARY outcome

Timeframe: Week 8

Population: Full analysis set

Percentage of participants who achieve a target clinic systolic blood pressure measured at final visit or week 8, defined as less than 140 mm Hg (or less than 130 mm Hg for participants with diabetes or chronic kidney disease). Systolic blood pressure is the arithmetic mean of the 3 trough sitting Systolic blood pressure measurements.

Outcome measures

Outcome measures
Measure
Azilsartan Medoxomil 40 mg
n=133 Participants
Azilsartan medoxomil 40 mg and chlorthalidone placebo combination tablets, orally, once daily for up to 8 weeks.
Azilsartan Medoxomil + Chlorthalidone 40/12.5 mg
n=126 Participants
Azilsartan 40 mg and chlorthalidone 12.5 mg combination tablets, orally, once daily for up to 8 weeks.
Azilsartan Medoxomil + Chlorthalidone 40/25 mg
n=135 Participants
Azilsartan medoxomil 40 mg and chlorthalidone 25 mg combination tablets, orally, once daily for up to 8 weeks.
Percentage of Participants Who Achieve a Target Clinic Systolic Blood Pressure at Week 8
35.3 percentage of participants
62.7 percentage of participants
77.8 percentage of participants

SECONDARY outcome

Timeframe: Week 8

Population: Full analysis set

Percentage of participants who achieve a target clinic diastolic blood pressure measured at final visit or week 8, defined as less than 90 mm Hg (or less than 80 mm Hg for participants with diabetes or chronic kidney disease). Diastolic blood pressure is based on the arithmetic mean of the 3 trough sitting diastolic blood pressure measurements.

Outcome measures

Outcome measures
Measure
Azilsartan Medoxomil 40 mg
n=133 Participants
Azilsartan medoxomil 40 mg and chlorthalidone placebo combination tablets, orally, once daily for up to 8 weeks.
Azilsartan Medoxomil + Chlorthalidone 40/12.5 mg
n=126 Participants
Azilsartan 40 mg and chlorthalidone 12.5 mg combination tablets, orally, once daily for up to 8 weeks.
Azilsartan Medoxomil + Chlorthalidone 40/25 mg
n=135 Participants
Azilsartan medoxomil 40 mg and chlorthalidone 25 mg combination tablets, orally, once daily for up to 8 weeks.
Percentage of Participants Who Achieve a Target Clinic Diastolic Blood Pressure at Week 8
60.2 percentage of participants
81.0 percentage of participants
85.9 percentage of participants

SECONDARY outcome

Timeframe: Week 8

Population: Full analysis set

Percentage of participants who achieve both clinic systolic and diastolic blood pressure targets at Week 8, defined as less than 140 mm Hg (or less than 130 mm Hg for participants with diabetes or chronic kidney disease) for systolic AND less than 90 mm Hg (or less than 80 mm Hg for participants with diabetes or chronic kidney disease) for diastolic blood pressure.

Outcome measures

Outcome measures
Measure
Azilsartan Medoxomil 40 mg
n=133 Participants
Azilsartan medoxomil 40 mg and chlorthalidone placebo combination tablets, orally, once daily for up to 8 weeks.
Azilsartan Medoxomil + Chlorthalidone 40/12.5 mg
n=126 Participants
Azilsartan 40 mg and chlorthalidone 12.5 mg combination tablets, orally, once daily for up to 8 weeks.
Azilsartan Medoxomil + Chlorthalidone 40/25 mg
n=135 Participants
Azilsartan medoxomil 40 mg and chlorthalidone 25 mg combination tablets, orally, once daily for up to 8 weeks.
Percentage of Participants Who Achieve Both Clinic Systolic and Diastolic Blood Pressure Targets at Week 8
30.8 percentage of participants
59.5 percentage of participants
74.1 percentage of participants

Adverse Events

Monotherapy: Azilsartan Medoxomil 40 mg

Serious events: 3 serious events
Other events: 15 other events
Deaths: 0 deaths

Azilsartan Medoxomil 40 mg

Serious events: 2 serious events
Other events: 15 other events
Deaths: 0 deaths

Azilsartan Medoxomil + Chlorthalidone 40/12.5 mg

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

Azilsartan Medoxomil + Chlorthalidone 40/25 mg

Serious events: 0 serious events
Other events: 26 other events
Deaths: 0 deaths

Serious adverse events

Serious adverse events
Measure
Monotherapy: Azilsartan Medoxomil 40 mg
n=507 participants at risk
Azilsartan medoxomil 40 mg and chlorthalidone placebo combination tablets, orally, once daily for 4 weeks during the Single-Blind Monotherapy Treatment Period. All enrolled participants, including those who were not randomized to double-blind treatment are included in this group.
Azilsartan Medoxomil 40 mg
n=133 participants at risk
Azilsartan medoxomil 40 mg and chlorthalidone placebo combination tablets, orally, once daily for up to 8 weeks during the Double-Blind Treatment Period.
Azilsartan Medoxomil + Chlorthalidone 40/12.5 mg
n=127 participants at risk
Azilsartan 40 mg and chlorthalidone 12.5 mg combination tablets, orally, once daily for up to 8 weeks during the Double-Blind Treatment Period.
Azilsartan Medoxomil + Chlorthalidone 40/25 mg
n=135 participants at risk
Azilsartan medoxomil 40 mg and chlorthalidone 25 mg combination tablets, orally, once daily for up to 8 weeks during the Double-Blind Treatment Period.
Cardiac disorders
Myocardial infarction
0.00%
0/507 • For 4 weeks during the monotherapy treatment period and from the first dose of double-blind study drug up to 14 days (or 30 days for a Serious AE) after the last dose of study drug in the 8-week double-blind treatment period.
The investigator documented 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 relation to study drug.
0.75%
1/133 • For 4 weeks during the monotherapy treatment period and from the first dose of double-blind study drug up to 14 days (or 30 days for a Serious AE) after the last dose of study drug in the 8-week double-blind treatment period.
The investigator documented 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 relation to study drug.
0.00%
0/127 • For 4 weeks during the monotherapy treatment period and from the first dose of double-blind study drug up to 14 days (or 30 days for a Serious AE) after the last dose of study drug in the 8-week double-blind treatment period.
The investigator documented 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 relation to study drug.
0.00%
0/135 • For 4 weeks during the monotherapy treatment period and from the first dose of double-blind study drug up to 14 days (or 30 days for a Serious AE) after the last dose of study drug in the 8-week double-blind treatment period.
The investigator documented 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 relation to study drug.
Nervous system disorders
Cerebrovascular accident
0.20%
1/507 • For 4 weeks during the monotherapy treatment period and from the first dose of double-blind study drug up to 14 days (or 30 days for a Serious AE) after the last dose of study drug in the 8-week double-blind treatment period.
The investigator documented 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 relation to study drug.
0.75%
1/133 • For 4 weeks during the monotherapy treatment period and from the first dose of double-blind study drug up to 14 days (or 30 days for a Serious AE) after the last dose of study drug in the 8-week double-blind treatment period.
The investigator documented 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 relation to study drug.
0.00%
0/127 • For 4 weeks during the monotherapy treatment period and from the first dose of double-blind study drug up to 14 days (or 30 days for a Serious AE) after the last dose of study drug in the 8-week double-blind treatment period.
The investigator documented 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 relation to study drug.
0.00%
0/135 • For 4 weeks during the monotherapy treatment period and from the first dose of double-blind study drug up to 14 days (or 30 days for a Serious AE) after the last dose of study drug in the 8-week double-blind treatment period.
The investigator documented 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 relation to study drug.
Cardiac disorders
Acute myocardial infarction
0.20%
1/507 • For 4 weeks during the monotherapy treatment period and from the first dose of double-blind study drug up to 14 days (or 30 days for a Serious AE) after the last dose of study drug in the 8-week double-blind treatment period.
The investigator documented 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 relation to study drug.
0.00%
0/133 • For 4 weeks during the monotherapy treatment period and from the first dose of double-blind study drug up to 14 days (or 30 days for a Serious AE) after the last dose of study drug in the 8-week double-blind treatment period.
The investigator documented 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 relation to study drug.
0.00%
0/127 • For 4 weeks during the monotherapy treatment period and from the first dose of double-blind study drug up to 14 days (or 30 days for a Serious AE) after the last dose of study drug in the 8-week double-blind treatment period.
The investigator documented 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 relation to study drug.
0.00%
0/135 • For 4 weeks during the monotherapy treatment period and from the first dose of double-blind study drug up to 14 days (or 30 days for a Serious AE) after the last dose of study drug in the 8-week double-blind treatment period.
The investigator documented 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 relation to study drug.
Cardiac disorders
Ventricular tachycardia
0.20%
1/507 • For 4 weeks during the monotherapy treatment period and from the first dose of double-blind study drug up to 14 days (or 30 days for a Serious AE) after the last dose of study drug in the 8-week double-blind treatment period.
The investigator documented 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 relation to study drug.
0.00%
0/133 • For 4 weeks during the monotherapy treatment period and from the first dose of double-blind study drug up to 14 days (or 30 days for a Serious AE) after the last dose of study drug in the 8-week double-blind treatment period.
The investigator documented 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 relation to study drug.
0.00%
0/127 • For 4 weeks during the monotherapy treatment period and from the first dose of double-blind study drug up to 14 days (or 30 days for a Serious AE) after the last dose of study drug in the 8-week double-blind treatment period.
The investigator documented 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 relation to study drug.
0.00%
0/135 • For 4 weeks during the monotherapy treatment period and from the first dose of double-blind study drug up to 14 days (or 30 days for a Serious AE) after the last dose of study drug in the 8-week double-blind treatment period.
The investigator documented 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 relation to study drug.
Investigations
Blood pressure increased
0.20%
1/507 • For 4 weeks during the monotherapy treatment period and from the first dose of double-blind study drug up to 14 days (or 30 days for a Serious AE) after the last dose of study drug in the 8-week double-blind treatment period.
The investigator documented 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 relation to study drug.
0.00%
0/133 • For 4 weeks during the monotherapy treatment period and from the first dose of double-blind study drug up to 14 days (or 30 days for a Serious AE) after the last dose of study drug in the 8-week double-blind treatment period.
The investigator documented 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 relation to study drug.
0.00%
0/127 • For 4 weeks during the monotherapy treatment period and from the first dose of double-blind study drug up to 14 days (or 30 days for a Serious AE) after the last dose of study drug in the 8-week double-blind treatment period.
The investigator documented 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 relation to study drug.
0.00%
0/135 • For 4 weeks during the monotherapy treatment period and from the first dose of double-blind study drug up to 14 days (or 30 days for a Serious AE) after the last dose of study drug in the 8-week double-blind treatment period.
The investigator documented 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 relation to study drug.
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Renal cancer
0.20%
1/507 • For 4 weeks during the monotherapy treatment period and from the first dose of double-blind study drug up to 14 days (or 30 days for a Serious AE) after the last dose of study drug in the 8-week double-blind treatment period.
The investigator documented 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 relation to study drug.
0.00%
0/133 • For 4 weeks during the monotherapy treatment period and from the first dose of double-blind study drug up to 14 days (or 30 days for a Serious AE) after the last dose of study drug in the 8-week double-blind treatment period.
The investigator documented 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 relation to study drug.
0.00%
0/127 • For 4 weeks during the monotherapy treatment period and from the first dose of double-blind study drug up to 14 days (or 30 days for a Serious AE) after the last dose of study drug in the 8-week double-blind treatment period.
The investigator documented 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 relation to study drug.
0.00%
0/135 • For 4 weeks during the monotherapy treatment period and from the first dose of double-blind study drug up to 14 days (or 30 days for a Serious AE) after the last dose of study drug in the 8-week double-blind treatment period.
The investigator documented 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 relation to study drug.

Other adverse events

Other adverse events
Measure
Monotherapy: Azilsartan Medoxomil 40 mg
n=507 participants at risk
Azilsartan medoxomil 40 mg and chlorthalidone placebo combination tablets, orally, once daily for 4 weeks during the Single-Blind Monotherapy Treatment Period. All enrolled participants, including those who were not randomized to double-blind treatment are included in this group.
Azilsartan Medoxomil 40 mg
n=133 participants at risk
Azilsartan medoxomil 40 mg and chlorthalidone placebo combination tablets, orally, once daily for up to 8 weeks during the Double-Blind Treatment Period.
Azilsartan Medoxomil + Chlorthalidone 40/12.5 mg
n=127 participants at risk
Azilsartan 40 mg and chlorthalidone 12.5 mg combination tablets, orally, once daily for up to 8 weeks during the Double-Blind Treatment Period.
Azilsartan Medoxomil + Chlorthalidone 40/25 mg
n=135 participants at risk
Azilsartan medoxomil 40 mg and chlorthalidone 25 mg combination tablets, orally, once daily for up to 8 weeks during the Double-Blind Treatment Period.
Infections and infestations
Nasopharyngitis
1.2%
6/507 • For 4 weeks during the monotherapy treatment period and from the first dose of double-blind study drug up to 14 days (or 30 days for a Serious AE) after the last dose of study drug in the 8-week double-blind treatment period.
The investigator documented 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 relation to study drug.
3.0%
4/133 • For 4 weeks during the monotherapy treatment period and from the first dose of double-blind study drug up to 14 days (or 30 days for a Serious AE) after the last dose of study drug in the 8-week double-blind treatment period.
The investigator documented 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 relation to study drug.
1.6%
2/127 • For 4 weeks during the monotherapy treatment period and from the first dose of double-blind study drug up to 14 days (or 30 days for a Serious AE) after the last dose of study drug in the 8-week double-blind treatment period.
The investigator documented 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 relation to study drug.
3.0%
4/135 • For 4 weeks during the monotherapy treatment period and from the first dose of double-blind study drug up to 14 days (or 30 days for a Serious AE) after the last dose of study drug in the 8-week double-blind treatment period.
The investigator documented 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 relation to study drug.
Infections and infestations
Viral infection
0.00%
0/507 • For 4 weeks during the monotherapy treatment period and from the first dose of double-blind study drug up to 14 days (or 30 days for a Serious AE) after the last dose of study drug in the 8-week double-blind treatment period.
The investigator documented 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 relation to study drug.
3.0%
4/133 • For 4 weeks during the monotherapy treatment period and from the first dose of double-blind study drug up to 14 days (or 30 days for a Serious AE) after the last dose of study drug in the 8-week double-blind treatment period.
The investigator documented 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 relation to study drug.
0.00%
0/127 • For 4 weeks during the monotherapy treatment period and from the first dose of double-blind study drug up to 14 days (or 30 days for a Serious AE) after the last dose of study drug in the 8-week double-blind treatment period.
The investigator documented 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 relation to study drug.
0.00%
0/135 • For 4 weeks during the monotherapy treatment period and from the first dose of double-blind study drug up to 14 days (or 30 days for a Serious AE) after the last dose of study drug in the 8-week double-blind treatment period.
The investigator documented 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 relation to study drug.
Investigations
Blood creatinine increased
0.39%
2/507 • For 4 weeks during the monotherapy treatment period and from the first dose of double-blind study drug up to 14 days (or 30 days for a Serious AE) after the last dose of study drug in the 8-week double-blind treatment period.
The investigator documented 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 relation to study drug.
3.0%
4/133 • For 4 weeks during the monotherapy treatment period and from the first dose of double-blind study drug up to 14 days (or 30 days for a Serious AE) after the last dose of study drug in the 8-week double-blind treatment period.
The investigator documented 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 relation to study drug.
3.1%
4/127 • For 4 weeks during the monotherapy treatment period and from the first dose of double-blind study drug up to 14 days (or 30 days for a Serious AE) after the last dose of study drug in the 8-week double-blind treatment period.
The investigator documented 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 relation to study drug.
8.1%
11/135 • For 4 weeks during the monotherapy treatment period and from the first dose of double-blind study drug up to 14 days (or 30 days for a Serious AE) after the last dose of study drug in the 8-week double-blind treatment period.
The investigator documented 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 relation to study drug.
Nervous system disorders
Headache
1.8%
9/507 • For 4 weeks during the monotherapy treatment period and from the first dose of double-blind study drug up to 14 days (or 30 days for a Serious AE) after the last dose of study drug in the 8-week double-blind treatment period.
The investigator documented 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 relation to study drug.
1.5%
2/133 • For 4 weeks during the monotherapy treatment period and from the first dose of double-blind study drug up to 14 days (or 30 days for a Serious AE) after the last dose of study drug in the 8-week double-blind treatment period.
The investigator documented 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 relation to study drug.
2.4%
3/127 • For 4 weeks during the monotherapy treatment period and from the first dose of double-blind study drug up to 14 days (or 30 days for a Serious AE) after the last dose of study drug in the 8-week double-blind treatment period.
The investigator documented 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 relation to study drug.
3.7%
5/135 • For 4 weeks during the monotherapy treatment period and from the first dose of double-blind study drug up to 14 days (or 30 days for a Serious AE) after the last dose of study drug in the 8-week double-blind treatment period.
The investigator documented 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 relation to study drug.
Nervous system disorders
Dizziness
0.59%
3/507 • For 4 weeks during the monotherapy treatment period and from the first dose of double-blind study drug up to 14 days (or 30 days for a Serious AE) after the last dose of study drug in the 8-week double-blind treatment period.
The investigator documented 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 relation to study drug.
0.00%
0/133 • For 4 weeks during the monotherapy treatment period and from the first dose of double-blind study drug up to 14 days (or 30 days for a Serious AE) after the last dose of study drug in the 8-week double-blind treatment period.
The investigator documented 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 relation to study drug.
1.6%
2/127 • For 4 weeks during the monotherapy treatment period and from the first dose of double-blind study drug up to 14 days (or 30 days for a Serious AE) after the last dose of study drug in the 8-week double-blind treatment period.
The investigator documented 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 relation to study drug.
4.4%
6/135 • For 4 weeks during the monotherapy treatment period and from the first dose of double-blind study drug up to 14 days (or 30 days for a Serious AE) after the last dose of study drug in the 8-week double-blind treatment period.
The investigator documented 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 relation to study drug.
Vascular disorders
Hypotension
0.00%
0/507 • For 4 weeks during the monotherapy treatment period and from the first dose of double-blind study drug up to 14 days (or 30 days for a Serious AE) after the last dose of study drug in the 8-week double-blind treatment period.
The investigator documented 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 relation to study drug.
0.75%
1/133 • For 4 weeks during the monotherapy treatment period and from the first dose of double-blind study drug up to 14 days (or 30 days for a Serious AE) after the last dose of study drug in the 8-week double-blind treatment period.
The investigator documented 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 relation to study drug.
1.6%
2/127 • For 4 weeks during the monotherapy treatment period and from the first dose of double-blind study drug up to 14 days (or 30 days for a Serious AE) after the last dose of study drug in the 8-week double-blind treatment period.
The investigator documented 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 relation to study drug.
3.0%
4/135 • For 4 weeks during the monotherapy treatment period and from the first dose of double-blind study drug up to 14 days (or 30 days for a Serious AE) after the last dose of study drug in the 8-week double-blind treatment period.
The investigator documented 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 relation to study drug.

Additional Information

Sr. VP, Clinical Science

Takeda GlobalResearch and Development Center, Inc.

Phone: 800-778-2860

Results disclosure agreements

  • Principal investigator is a sponsor employee The first study related publication will be a multi-center publication submitted within 24 months after conclusion or termination of a study at all sites. After such multi site publication, all proposed site publications and presentations will be submitted to sponsor for review 60 days in advance of publication. Site will remove Sponsor confidential information unrelated to study results. Sponsor can delay a proposed publication for another 60 days to preserve intellectual property.
  • Publication restrictions are in place

Restriction type: OTHER