Trial Outcomes & Findings for Azilsartan/Amlodipine Combination Tablets LD & HD Specified Drug-use Survey "Long-term Use Survey" (NCT NCT02181816)

NCT ID: NCT02181816

Last Updated: 2019-06-03

Results Overview

Recruitment status

COMPLETED

Target enrollment

1090 participants

Primary outcome timeframe

Up to Month 12

Results posted on

2019-06-03

Participant Flow

Participants took part in the study at 271 investigative sites in Japan, from 26 June 2014 to 31 January 2017.

Participants with a historical diagnosis of hypertension were enrolled. Participants received interventions as part of routine medical care.

Participant milestones

Participant milestones
Measure
Azilsartan/Amlodipine
Azilsartan/Amlodipine combination tablets (20 mg/2.5 mg or 20 mg/5 mg), orally, once daily for up to 12 months. Participants received interventions as part of routine medical care.
Overall Study
STARTED
1090
Overall Study
COMPLETED
1031
Overall Study
NOT COMPLETED
59

Reasons for withdrawal

Reasons for withdrawal
Measure
Azilsartan/Amlodipine
Azilsartan/Amlodipine combination tablets (20 mg/2.5 mg or 20 mg/5 mg), orally, once daily for up to 12 months. Participants received interventions as part of routine medical care.
Overall Study
Case Report Forms Uncollected
38
Overall Study
Protocol Deviation
21

Baseline Characteristics

Race and Ethnicity were not collected from any participant.

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Azilsartan/Amlodipine
n=1031 Participants
Azilsartan/Amlodipine combination tablets (20 mg/2.5 mg or 20 mg/5 mg), orally, once daily for up to 12 months. Participants received interventions as part of routine medical care.
Age, Continuous
68.5 Years
STANDARD_DEVIATION 12.92 • n=1031 Participants
Sex: Female, Male
Female
482 Participants
n=1031 Participants
Sex: Female, Male
Male
549 Participants
n=1031 Participants
Region of Enrollment
Japan
1031 Participants
n=1031 Participants
Duration of Diagnosis of Hypertension
< 1 Year
167 Participants
n=1031 Participants
Duration of Diagnosis of Hypertension
>= 1 Year and < 3 Years
126 Participants
n=1031 Participants
Duration of Diagnosis of Hypertension
>= 3 Years and < 5 Years
63 Participants
n=1031 Participants
Duration of Diagnosis of Hypertension
>= 5 Years
312 Participants
n=1031 Participants
Duration of Diagnosis of Hypertension
Unknown
363 Participants
n=1031 Participants
Healthcare Category
Outpatient
1027 Participants
n=1031 Participants
Healthcare Category
Inpatient
4 Participants
n=1031 Participants
Predisposition to Hypersensitivity
Had No Predisposition to Hypersensitivity
909 Participants
n=1031 Participants
Predisposition to Hypersensitivity
Had Predisposition to Hypersensitivity
58 Participants
n=1031 Participants
Predisposition to Hypersensitivity
Unknown
64 Participants
n=1031 Participants
Medical Complications
Had No Medical Complications
245 Participants
n=1031 Participants
Medical Complications
Had Medical Complications
786 Participants
n=1031 Participants
Medical History
Had No Medical History
790 Participants
n=1031 Participants
Medical History
Had Medical History
164 Participants
n=1031 Participants
Medical History
Unknown
77 Participants
n=1031 Participants
Weight
63.10 Kilograms (kg)
STANDARD_DEVIATION 14.601 • n=759 Participants • The number analyzed is the number of participants with data available for analysis.
BMI
24.92 kg/meter (m)^2
STANDARD_DEVIATION 4.652 • n=709 Participants • The number analyzed is the number of participants with data available for analysis.
Estimate Glomerular Filtration Rate (eGFR)
69.0 milliliter (mL)/Minute (min)/1.73m^2
STANDARD_DEVIATION 19.64 • n=647 Participants • The number analyzed is the number of participants with data available for analysis.
Smoking Classification
Never Smoked
489 Participants
n=1031 Participants
Smoking Classification
Current Smoker
132 Participants
n=1031 Participants
Smoking Classification
Ex-Smoker
195 Participants
n=1031 Participants
Smoking Classification
Unknown
215 Participants
n=1031 Participants
Drinking Habit
Yes
272 Participants
n=1031 Participants
Drinking Habit
No
556 Participants
n=1031 Participants
Drinking Habit
Unknown
203 Participants
n=1031 Participants
Breast-Feeding
Not Nursing
479 Participants
n=482 Participants • This baseline characteristic was analyzed only in female participants.
Breast-Feeding
Unknown
3 Participants
n=482 Participants • This baseline characteristic was analyzed only in female participants.

PRIMARY outcome

Timeframe: Up to Month 12

Population: Safety Analysis Set; The safety analysis set was defined as all participants who completed the study.

Outcome measures

Outcome measures
Measure
Azilsartan/Amlodipine
n=1031 Participants
Azilsartan/Amlodipine combination tablets (20 mg/2.5 mg or 20 mg/5 mg), orally, once daily for up to 12 months. Participants received interventions as part of routine medical care.
Percentage of Participants Who Had One or More Adverse Events
8.34 Percentage of Participants

SECONDARY outcome

Timeframe: Baseline, Month 1, and final assessment point (up to Month 12)

Population: The efficacy assessment population was defined as participants who completed the study and had available efficacy data at baseline and post baseline. The number analyzed is the number of participants with data available for analysis at the given time-point.

Systolic office blood pressure level at baseline, Month 1, and the final assessment point (up to Month 12) were reported.

Outcome measures

Outcome measures
Measure
Azilsartan/Amlodipine
n=1031 Participants
Azilsartan/Amlodipine combination tablets (20 mg/2.5 mg or 20 mg/5 mg), orally, once daily for up to 12 months. Participants received interventions as part of routine medical care.
Systolic Office Blood Pressure
Baseline
149.5 Millimeter of Mercury (mmHg)
Standard Deviation 19.13
Systolic Office Blood Pressure
Month 1
137.2 Millimeter of Mercury (mmHg)
Standard Deviation 14.69
Systolic Office Blood Pressure
Final Assessment Point
133.0 Millimeter of Mercury (mmHg)
Standard Deviation 14.14

SECONDARY outcome

Timeframe: Baseline, Month 1, and final assessment point (up to Month 12)

Population: The efficacy assessment population was defined as participants who completed the study and had available efficacy data at baseline and post baseline. The number analyzed is the number of participants with data available for analysis at the given time-point.

Diastolic office blood pressure level at baseline, Month 1, and the final assessment point (up to Month 12) were reported.

Outcome measures

Outcome measures
Measure
Azilsartan/Amlodipine
n=1031 Participants
Azilsartan/Amlodipine combination tablets (20 mg/2.5 mg or 20 mg/5 mg), orally, once daily for up to 12 months. Participants received interventions as part of routine medical care.
Diastolic Office Blood Pressure
Baseline
83.3 mmHg
Standard Deviation 13.64
Diastolic Office Blood Pressure
Month 1
77.4 mmHg
Standard Deviation 11.35
Diastolic Office Blood Pressure
Final Assessment Point
75.0 mmHg
Standard Deviation 10.88

Adverse Events

Azilsartan/Amlodipine

Serious events: 16 serious events
Other events: 15 other events
Deaths: 6 deaths

Serious adverse events

Serious adverse events
Measure
Azilsartan/Amlodipine
n=1031 participants at risk
Azilsartan/Amlodipine combination tablets (20 mg/2.5 mg or 20 mg/5 mg), orally, once daily for up to 12 months. Participants received interventions as part of routine medical care.
Infections and infestations
Peritonitis
0.10%
1/1031 • Up to Month 12
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
0.10%
1/1031 • Up to Month 12
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)
Bile duct cancer
0.19%
2/1031 • Up to Month 12
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)
Plasma cell myeloma
0.10%
1/1031 • Up to Month 12
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)
Renal cancer
0.10%
1/1031 • Up to Month 12
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
Brain stem haemorrhage
0.10%
1/1031 • Up to Month 12
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
Cerebral infarction
0.10%
1/1031 • Up to Month 12
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
Cardiac failure
0.10%
1/1031 • Up to Month 12
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
Prinzmetal angina
0.10%
1/1031 • Up to Month 12
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
Sinus node dysfunction
0.10%
1/1031 • Up to Month 12
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
Abdominal pain upper
0.10%
1/1031 • Up to Month 12
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
0.19%
2/1031 • Up to Month 12
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
Cholelithiasis
0.10%
1/1031 • Up to Month 12
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.
Musculoskeletal and connective tissue disorders
Spinal column stenosis
0.10%
1/1031 • Up to Month 12
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.
Renal and urinary disorders
Renal disorder
0.10%
1/1031 • Up to Month 12
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
Death
0.10%
1/1031 • Up to Month 12
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
Sudden death
0.10%
1/1031 • Up to Month 12
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.
Injury, poisoning and procedural complications
Fall
0.10%
1/1031 • Up to Month 12
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.
Injury, poisoning and procedural complications
Spinal compression fracture
0.10%
1/1031 • Up to Month 12
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/Amlodipine
n=1031 participants at risk
Azilsartan/Amlodipine combination tablets (20 mg/2.5 mg or 20 mg/5 mg), orally, once daily for up to 12 months. Participants received interventions as part of routine medical care.
Nervous system disorders
Dizziness
0.87%
9/1031 • Up to Month 12
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.
Investigations
Blood creatinine increased
0.58%
6/1031 • Up to Month 12
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

Medical Director

Takeda

Phone: +1-877-825-3327

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