Trial Outcomes & Findings for Safety and Efficacy Study of LHW090 in Resistant Hypertension Patients (NCT NCT02515331)

NCT ID: NCT02515331

Last Updated: 2021-01-05

Results Overview

Number of participants with AEs, SAEs and deaths were assessed.

Recruitment status

COMPLETED

Study phase

PHASE2

Target enrollment

64 participants

Primary outcome timeframe

6 months

Results posted on

2021-01-05

Participant Flow

Participants were randomized in a 1:1:2 ratio to LHW090 100 mg, LHW090 200 mg and placebo, respectively.

Participant milestones

Participant milestones
Measure
LHW090 100 mg
LHW090 100 mg once daily for 28 days
LHW090 200 mg
LHW090 200 mg once daily for 28 days
Placebo
Matching placebo to LHW090 oral dose for 28 days
Overall Study
STARTED
17
15
32
Overall Study
Primary Pharmacodynamic Analysis Set
15
14
29
Overall Study
Pharmacokinetic (PK) Analysis Set
17
15
0
Overall Study
COMPLETED
15
15
28
Overall Study
NOT COMPLETED
2
0
4

Reasons for withdrawal

Reasons for withdrawal
Measure
LHW090 100 mg
LHW090 100 mg once daily for 28 days
LHW090 200 mg
LHW090 200 mg once daily for 28 days
Placebo
Matching placebo to LHW090 oral dose for 28 days
Overall Study
Withdrawal by Subject
0
0
1
Overall Study
Protocol deviation
0
0
3
Overall Study
Adverse Event
2
0
0

Baseline Characteristics

Safety and Efficacy Study of LHW090 in Resistant Hypertension Patients

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
LHW090 100 mg
n=17 Participants
LHW090 100 mg once daily for 28 days
LHW090 200 mg
n=15 Participants
LHW090 200 mg once daily for 28 days
Placebo
n=32 Participants
Matching placebo to LHW090 oral dose for 28 days
Total
n=64 Participants
Total of all reporting groups
Age, Continuous
64.2 Years
STANDARD_DEVIATION 8.42 • n=5 Participants
61.8 Years
STANDARD_DEVIATION 5.16 • n=7 Participants
64.4 Years
STANDARD_DEVIATION 9.56 • n=5 Participants
63.8 Years
STANDARD_DEVIATION 8.38 • n=4 Participants
Sex: Female, Male
Female
4 Participants
n=5 Participants
9 Participants
n=7 Participants
13 Participants
n=5 Participants
26 Participants
n=4 Participants
Sex: Female, Male
Male
13 Participants
n=5 Participants
6 Participants
n=7 Participants
19 Participants
n=5 Participants
38 Participants
n=4 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
0 Participants
n=4 Participants
Race (NIH/OMB)
Asian
1 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
1 Participants
n=4 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
0 Participants
n=4 Participants
Race (NIH/OMB)
Black or African American
4 Participants
n=5 Participants
7 Participants
n=7 Participants
14 Participants
n=5 Participants
25 Participants
n=4 Participants
Race (NIH/OMB)
White
11 Participants
n=5 Participants
7 Participants
n=7 Participants
18 Participants
n=5 Participants
36 Participants
n=4 Participants
Race (NIH/OMB)
More than one race
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
0 Participants
n=4 Participants
Race (NIH/OMB)
Unknown or Not Reported
1 Participants
n=5 Participants
1 Participants
n=7 Participants
0 Participants
n=5 Participants
2 Participants
n=4 Participants

PRIMARY outcome

Timeframe: 6 months

Population: Safety analysis set: included all participants who were randomized.

Number of participants with AEs, SAEs and deaths were assessed.

Outcome measures

Outcome measures
Measure
LHW090 100 mg
n=17 Participants
LHW090 100 mg once daily for 28 days
LHW090 200 mg
n=15 Participants
LHW090 200 mg once daily for 28 days
Placebo
n=32 Participants
Matching placebo to LHW090 oral dose for 28 days
Number of Participants With Reported Adverse Events (AEs), Serious Adverse Events (SAEs) and Deaths
AEs
12 Participants
3 Participants
14 Participants
Number of Participants With Reported Adverse Events (AEs), Serious Adverse Events (SAEs) and Deaths
SAEs
0 Participants
0 Participants
0 Participants
Number of Participants With Reported Adverse Events (AEs), Serious Adverse Events (SAEs) and Deaths
Deaths
0 Participants
0 Participants
0 Participants

PRIMARY outcome

Timeframe: Baseline, day 27

Population: The primary pharmacodynamics (PD) analysis set, which included patients that received study drug with any available PD data, was considered for the analysis. Only patients with values on both baseline and day 27 were analyzed.

Change in the 12 hour average of systolic blood pressure (SBP) measured by ambulatory blood pressure was defined as the 12 hour daytime average SBP on Day 28 minus the 12 hour daytime average SBP on Day -1. monitoring (ABPM). A negative change from baseline indicates improvement.

Outcome measures

Outcome measures
Measure
LHW090 100 mg
n=15 Participants
LHW090 100 mg once daily for 28 days
LHW090 200 mg
n=13 Participants
LHW090 200 mg once daily for 28 days
Placebo
n=28 Participants
Matching placebo to LHW090 oral dose for 28 days
Change From Baseline in Mean Daytime Blood Pressure
-9.41 mmHg
Standard Deviation 8.379
-16.84 mmHg
Standard Deviation 7.678
-0.79 mmHg
Standard Deviation 10.555

SECONDARY outcome

Timeframe: Within 60 min prior to dosing, post dose: +/- 5 min up to 3 hrs, +/- 10 min from ≥3 hrs up to 12 hrs on Day 1 and Day 28

Population: The PK analysis set, which included participants with at least one valid PK concentration measurement and no major protocol deviations affecting PK data, was considered. Only participants with available PK data were analyzed.

Blood samples were collected to assess Cmax.

Outcome measures

Outcome measures
Measure
LHW090 100 mg
n=17 Participants
LHW090 100 mg once daily for 28 days
LHW090 200 mg
n=15 Participants
LHW090 200 mg once daily for 28 days
Placebo
Matching placebo to LHW090 oral dose for 28 days
Pharmacokinetics of LHW090/LHV527 in Plasma: Observe Maximum Plasma Concentration Following LHW090 at Steady State in Patients (Cmax)
LHW090, day 1
3620 ng/mL
Standard Deviation 1220
6340 ng/mL
Standard Deviation 3440
Pharmacokinetics of LHW090/LHV527 in Plasma: Observe Maximum Plasma Concentration Following LHW090 at Steady State in Patients (Cmax)
LHW090, day 28
4190 ng/mL
Standard Deviation 1740
7340 ng/mL
Standard Deviation 4300
Pharmacokinetics of LHW090/LHV527 in Plasma: Observe Maximum Plasma Concentration Following LHW090 at Steady State in Patients (Cmax)
LHV527, day 1
5040 ng/mL
Standard Deviation 1770
6330 ng/mL
Standard Deviation 3700
Pharmacokinetics of LHW090/LHV527 in Plasma: Observe Maximum Plasma Concentration Following LHW090 at Steady State in Patients (Cmax)
LHV527, day 28
5240 ng/mL
Standard Deviation 1960
9870 ng/mL
Standard Deviation 1810

SECONDARY outcome

Timeframe: Within 60 min prior to dosing, post dose: +/- 5 min up to 3 hrs, +/- 10 min from ≥3 hrs up to 12 hrs on Day 1 and Day 28

Population: The PK analysis set, which included participants with at least one valid PK concentration measurement and no major protocol deviations affecting PK data, was considered. Only participants with available PK data were analyzed.

Blood samples were collected to assess Tmax.

Outcome measures

Outcome measures
Measure
LHW090 100 mg
n=17 Participants
LHW090 100 mg once daily for 28 days
LHW090 200 mg
n=15 Participants
LHW090 200 mg once daily for 28 days
Placebo
Matching placebo to LHW090 oral dose for 28 days
Pharmacokinetics of LHW090/LHV527 in Plasma: Time to Reach the Maximum Concentration After Administration of LHW090 (Tmax)
LHW090, day 1
2.08 hour
Interval 1.0 to 7.95
3.00 hour
Interval 2.0 to 8.08
Pharmacokinetics of LHW090/LHV527 in Plasma: Time to Reach the Maximum Concentration After Administration of LHW090 (Tmax)
LHW090, day 28
2.00 hour
Interval 1.0 to 3.0
2.92 hour
Interval 0.383 to 8.08
Pharmacokinetics of LHW090/LHV527 in Plasma: Time to Reach the Maximum Concentration After Administration of LHW090 (Tmax)
LHV527, day 1
3.07 hour
Interval 2.08 to 8.03
4.08 hour
Interval 1.0 to 8.5
Pharmacokinetics of LHW090/LHV527 in Plasma: Time to Reach the Maximum Concentration After Administration of LHW090 (Tmax)
LHV527, day 28
3.92 hour
Interval 1.17 to 8.0
4.00 hour
Interval 2.38 to 8.08

SECONDARY outcome

Timeframe: Within 60 min prior to dosing, post dose: +/- 5 min up to 3 hrs, +/- 10 min from ≥3 hrs up to 12 hrs on Day 1 and Day 28

Population: The PK analysis set, which included participants with at least one valid PK concentration measurement and no major protocol deviations affecting PK data, was considered. Only participants with available PK data were analyzed.

Blood samples were collected to assess AUClast.

Outcome measures

Outcome measures
Measure
LHW090 100 mg
n=17 Participants
LHW090 100 mg once daily for 28 days
LHW090 200 mg
n=15 Participants
LHW090 200 mg once daily for 28 days
Placebo
Matching placebo to LHW090 oral dose for 28 days
Pharmacokinetics of LHW090/LHV527 in Plasma: Area Under the Plasma Concentration-time Curve From Time Zero to the Time of Last Quantifiable Concentration (AUClast)
LHW090, day 1
12300 Hr*ng/mL
Standard Deviation 3870
24500 Hr*ng/mL
Standard Deviation 16000
Pharmacokinetics of LHW090/LHV527 in Plasma: Area Under the Plasma Concentration-time Curve From Time Zero to the Time of Last Quantifiable Concentration (AUClast)
LHW090, day 28
13700 Hr*ng/mL
Standard Deviation 4370
24400 Hr*ng/mL
Standard Deviation 11400
Pharmacokinetics of LHW090/LHV527 in Plasma: Area Under the Plasma Concentration-time Curve From Time Zero to the Time of Last Quantifiable Concentration (AUClast)
LHV527, day 1
25300 Hr*ng/mL
Standard Deviation 11800
28700 Hr*ng/mL
Standard Deviation 17900
Pharmacokinetics of LHW090/LHV527 in Plasma: Area Under the Plasma Concentration-time Curve From Time Zero to the Time of Last Quantifiable Concentration (AUClast)
LHV527, day 28
27700 Hr*ng/mL
Standard Deviation 11600
52300 Hr*ng/mL
Standard Deviation 14400

SECONDARY outcome

Timeframe: Within 60 min prior to dosing, post dose: +/- 5 min up to 3 hrs, +/- 10 min from ≥3 hrs up to 12 hrs on Day 1 and Day 28

Population: The PK analysis set, which included participants with at least one valid PK concentration measurement and no major protocol deviations affecting PK data, was considered. Only participants with available PK data were analyzed.

Blood samples were collected to assess Clast.

Outcome measures

Outcome measures
Measure
LHW090 100 mg
n=17 Participants
LHW090 100 mg once daily for 28 days
LHW090 200 mg
n=15 Participants
LHW090 200 mg once daily for 28 days
Placebo
Matching placebo to LHW090 oral dose for 28 days
Pharmacokinetics of LHW090/LHV527 in Plasma: Last Measurable Plasma Concentration (Clast)
LHW090, day 1
404 ng/mL
Standard Deviation 358
1710 ng/mL
Standard Deviation 1600
Pharmacokinetics of LHW090/LHV527 in Plasma: Last Measurable Plasma Concentration (Clast)
LHW090, day 28
682 ng/mL
Standard Deviation 752
1790 ng/mL
Standard Deviation 1740
Pharmacokinetics of LHW090/LHV527 in Plasma: Last Measurable Plasma Concentration (Clast)
LHV527, day 1
3490 ng/mL
Standard Deviation 1700
4670 ng/mL
Standard Deviation 3050
Pharmacokinetics of LHW090/LHV527 in Plasma: Last Measurable Plasma Concentration (Clast)
LHV527, day 28
3430 ng/mL
Standard Deviation 1340
7840 ng/mL
Standard Deviation 3130

SECONDARY outcome

Timeframe: Within 60 min prior to dosing, post dose: +/- 5 min up to 3 hrs, +/- 10 min from ≥3 hrs up to 12 hrs on Day 1 and Day 28

Population: The PK analysis set, which included participants with at least one valid PK concentration measurement and no major protocol deviations affecting PK data, was considered. Only participants with available PK data were analyzed.

Blood samples were collected to assess Tlast.

Outcome measures

Outcome measures
Measure
LHW090 100 mg
n=17 Participants
LHW090 100 mg once daily for 28 days
LHW090 200 mg
n=15 Participants
LHW090 200 mg once daily for 28 days
Placebo
Matching placebo to LHW090 oral dose for 28 days
Pharmacokinetics of LHW090/LHV527 in Plasma:Tlast
LHW090, day 1
8.00 hour
Interval 7.07 to 8.08
8.00 hour
Interval 7.83 to 8.5
Pharmacokinetics of LHW090/LHV527 in Plasma:Tlast
LHW090, day 28
8.00 hour
Interval 4.0 to 8.5
8.00 hour
Interval 7.83 to 8.5
Pharmacokinetics of LHW090/LHV527 in Plasma:Tlast
LHV527, day 1
8.00 hour
Interval 7.07 to 8.08
8.00 hour
Interval 7.83 to 8.5
Pharmacokinetics of LHW090/LHV527 in Plasma:Tlast
LHV527, day 28
8.00 hour
Interval 4.0 to 8.5
8.00 hour
Interval 7.38 to 8.08

Adverse Events

LHW090 100mg

Serious events: 0 serious events
Other events: 12 other events
Deaths: 0 deaths

LHW090 200mg

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

Placebo

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

Serious adverse events

Adverse event data not reported

Other adverse events

Other adverse events
Measure
LHW090 100mg
n=17 participants at risk
LHW090 100 mg once daily for 28 days
LHW090 200mg
n=15 participants at risk
LHW090 200 mg once daily for 28 days
Placebo
n=32 participants at risk
Matching placebo to LHW090 oral dose for 28 days
Blood and lymphatic system disorders
Iron deficiency anaemia
0.00%
0/17 • up to 28 days
0.00%
0/15 • up to 28 days
3.1%
1/32 • up to 28 days
Blood and lymphatic system disorders
Lymphadenopathy
0.00%
0/17 • up to 28 days
0.00%
0/15 • up to 28 days
3.1%
1/32 • up to 28 days
Blood and lymphatic system disorders
Thrombocytopenia
5.9%
1/17 • up to 28 days
0.00%
0/15 • up to 28 days
0.00%
0/32 • up to 28 days
Cardiac disorders
Sinus tachycardia
0.00%
0/17 • up to 28 days
6.7%
1/15 • up to 28 days
0.00%
0/32 • up to 28 days
Eye disorders
Eyelid oedema
5.9%
1/17 • up to 28 days
0.00%
0/15 • up to 28 days
0.00%
0/32 • up to 28 days
Eye disorders
Photopsia
0.00%
0/17 • up to 28 days
0.00%
0/15 • up to 28 days
3.1%
1/32 • up to 28 days
Gastrointestinal disorders
Abdominal pain
0.00%
0/17 • up to 28 days
0.00%
0/15 • up to 28 days
3.1%
1/32 • up to 28 days
Gastrointestinal disorders
Constipation
0.00%
0/17 • up to 28 days
0.00%
0/15 • up to 28 days
3.1%
1/32 • up to 28 days
Gastrointestinal disorders
Diarrhoea
5.9%
1/17 • up to 28 days
6.7%
1/15 • up to 28 days
3.1%
1/32 • up to 28 days
Gastrointestinal disorders
Gastrointestinal motility disorder
5.9%
1/17 • up to 28 days
0.00%
0/15 • up to 28 days
0.00%
0/32 • up to 28 days
Gastrointestinal disorders
Gastrooesophageal reflux disease
5.9%
1/17 • up to 28 days
0.00%
0/15 • up to 28 days
0.00%
0/32 • up to 28 days
Gastrointestinal disorders
Haematochezia
0.00%
0/17 • up to 28 days
0.00%
0/15 • up to 28 days
3.1%
1/32 • up to 28 days
Gastrointestinal disorders
Haemorrhoids
0.00%
0/17 • up to 28 days
0.00%
0/15 • up to 28 days
3.1%
1/32 • up to 28 days
Gastrointestinal disorders
Nausea
5.9%
1/17 • up to 28 days
0.00%
0/15 • up to 28 days
0.00%
0/32 • up to 28 days
General disorders
Asthenia
5.9%
1/17 • up to 28 days
0.00%
0/15 • up to 28 days
0.00%
0/32 • up to 28 days
General disorders
Feeling hot
0.00%
0/17 • up to 28 days
0.00%
0/15 • up to 28 days
3.1%
1/32 • up to 28 days
General disorders
Non-cardiac chest pain
0.00%
0/17 • up to 28 days
6.7%
1/15 • up to 28 days
0.00%
0/32 • up to 28 days
General disorders
Oedema peripheral
11.8%
2/17 • up to 28 days
0.00%
0/15 • up to 28 days
9.4%
3/32 • up to 28 days
Immune system disorders
Hypersensitivity
5.9%
1/17 • up to 28 days
0.00%
0/15 • up to 28 days
0.00%
0/32 • up to 28 days
Infections and infestations
Eye infection
0.00%
0/17 • up to 28 days
0.00%
0/15 • up to 28 days
3.1%
1/32 • up to 28 days
Infections and infestations
Viral upper respiratory tract infection
0.00%
0/17 • up to 28 days
0.00%
0/15 • up to 28 days
6.2%
2/32 • up to 28 days
Injury, poisoning and procedural complications
Contusion
5.9%
1/17 • up to 28 days
0.00%
0/15 • up to 28 days
3.1%
1/32 • up to 28 days
Injury, poisoning and procedural complications
Fall
5.9%
1/17 • up to 28 days
0.00%
0/15 • up to 28 days
3.1%
1/32 • up to 28 days
Investigations
Blood cholesterol increased
5.9%
1/17 • up to 28 days
0.00%
0/15 • up to 28 days
0.00%
0/32 • up to 28 days
Investigations
Blood potassium increased
0.00%
0/17 • up to 28 days
0.00%
0/15 • up to 28 days
3.1%
1/32 • up to 28 days
Investigations
Cardiac murmur
0.00%
0/17 • up to 28 days
0.00%
0/15 • up to 28 days
3.1%
1/32 • up to 28 days
Investigations
Haematocrit increased
5.9%
1/17 • up to 28 days
0.00%
0/15 • up to 28 days
0.00%
0/32 • up to 28 days
Investigations
Haemoglobin increased
5.9%
1/17 • up to 28 days
0.00%
0/15 • up to 28 days
0.00%
0/32 • up to 28 days
Investigations
Weight increased
5.9%
1/17 • up to 28 days
0.00%
0/15 • up to 28 days
3.1%
1/32 • up to 28 days
Metabolism and nutrition disorders
Gout
0.00%
0/17 • up to 28 days
0.00%
0/15 • up to 28 days
3.1%
1/32 • up to 28 days
Metabolism and nutrition disorders
Hypercholesterolaemia
0.00%
0/17 • up to 28 days
0.00%
0/15 • up to 28 days
3.1%
1/32 • up to 28 days
Metabolism and nutrition disorders
Hypokalaemia
0.00%
0/17 • up to 28 days
0.00%
0/15 • up to 28 days
6.2%
2/32 • up to 28 days
Musculoskeletal and connective tissue disorders
Arthralgia
0.00%
0/17 • up to 28 days
0.00%
0/15 • up to 28 days
3.1%
1/32 • up to 28 days
Musculoskeletal and connective tissue disorders
Arthritis
5.9%
1/17 • up to 28 days
0.00%
0/15 • up to 28 days
0.00%
0/32 • up to 28 days
Musculoskeletal and connective tissue disorders
Back pain
0.00%
0/17 • up to 28 days
0.00%
0/15 • up to 28 days
6.2%
2/32 • up to 28 days
Musculoskeletal and connective tissue disorders
Muscular weakness
0.00%
0/17 • up to 28 days
6.7%
1/15 • up to 28 days
0.00%
0/32 • up to 28 days
Musculoskeletal and connective tissue disorders
Neck pain
0.00%
0/17 • up to 28 days
0.00%
0/15 • up to 28 days
3.1%
1/32 • up to 28 days
Musculoskeletal and connective tissue disorders
Pain in extremity
0.00%
0/17 • up to 28 days
0.00%
0/15 • up to 28 days
3.1%
1/32 • up to 28 days
Nervous system disorders
Headache
0.00%
0/17 • up to 28 days
0.00%
0/15 • up to 28 days
3.1%
1/32 • up to 28 days
Nervous system disorders
Syncope
0.00%
0/17 • up to 28 days
0.00%
0/15 • up to 28 days
3.1%
1/32 • up to 28 days
Renal and urinary disorders
Pollakiuria
5.9%
1/17 • up to 28 days
0.00%
0/15 • up to 28 days
0.00%
0/32 • up to 28 days
Renal and urinary disorders
Renal failure
5.9%
1/17 • up to 28 days
6.7%
1/15 • up to 28 days
3.1%
1/32 • up to 28 days
Renal and urinary disorders
Urethral pain
5.9%
1/17 • up to 28 days
0.00%
0/15 • up to 28 days
0.00%
0/32 • up to 28 days
Reproductive system and breast disorders
Breast discomfort
5.9%
1/17 • up to 28 days
0.00%
0/15 • up to 28 days
0.00%
0/32 • up to 28 days
Respiratory, thoracic and mediastinal disorders
Dyspnoea exertional
0.00%
0/17 • up to 28 days
6.7%
1/15 • up to 28 days
0.00%
0/32 • up to 28 days
Skin and subcutaneous tissue disorders
Dermatosis
0.00%
0/17 • up to 28 days
0.00%
0/15 • up to 28 days
3.1%
1/32 • up to 28 days
Skin and subcutaneous tissue disorders
Erythema
5.9%
1/17 • up to 28 days
0.00%
0/15 • up to 28 days
0.00%
0/32 • up to 28 days
Skin and subcutaneous tissue disorders
Pruritus
17.6%
3/17 • up to 28 days
0.00%
0/15 • up to 28 days
0.00%
0/32 • up to 28 days
Skin and subcutaneous tissue disorders
Pruritus generalised
5.9%
1/17 • up to 28 days
0.00%
0/15 • up to 28 days
0.00%
0/32 • up to 28 days
Skin and subcutaneous tissue disorders
Rash
5.9%
1/17 • up to 28 days
0.00%
0/15 • up to 28 days
0.00%
0/32 • up to 28 days
Skin and subcutaneous tissue disorders
Skin discolouration
0.00%
0/17 • up to 28 days
0.00%
0/15 • up to 28 days
3.1%
1/32 • up to 28 days
Skin and subcutaneous tissue disorders
Skin irritation
5.9%
1/17 • up to 28 days
0.00%
0/15 • up to 28 days
0.00%
0/32 • up to 28 days

Additional Information

Study Director

Novartis Pharmaceuticals

Phone: 862-778-8300

Results disclosure agreements

  • Principal investigator is a sponsor employee The terms and conditions of Novartis' agreements with its investigators may vary. However, Novartis does not prohibit any investigator from publishing. Any publications from a single-site are postponed until the publication of the pooled data (i.e., data from all sites) in the clinical trial or disclosure of trial results in their entirety.
  • Publication restrictions are in place

Restriction type: OTHER