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EXforge As Compared to Losartan Treatment in Stage 2 Systolic Hypertension (EXALT)
This study is currently recruiting participants.
Verified by Novartis, September 2009
First Received: July 1, 2009   Last Updated: September 14, 2009   History of Changes
Sponsor: Novartis
Information provided by: Novartis
ClinicalTrials.gov Identifier: NCT00931710
  Purpose

This study will compare the antihypertensive efficacy and safety of a valsartan/amlodipine-based treatment with a losartan-based treatment in patients with Stage 2 systolic hypertension (high blood pressure, mean systolic blood pressure greater than 160 and less than 200 mmHg.


Condition Intervention Phase
Stage 2 Systolic Hypertension
Drug: losartan, HCT, followed by valsartan, amlodipine, HCT
Drug: valsartan, amlodipine, HCT
Phase IV

Study Type: Interventional
Study Design: Treatment, Randomized, Double Blind (Subject, Investigator), Parallel Assignment
Official Title: A 12-week Multicenter, Randomized, Double-blind, Parallel-group, Active-control Study to Evaluate the Antihypertensive Efficacy and Safety of an Exforge® (Valsartan/Amlodipine)-Based Regimen Versus a Losartan-based Regimen in Patients With Stage 2 Systolic Hypertension

Resource links provided by NLM:


Further study details as provided by Novartis:

Primary Outcome Measures:
  • Change in mean sitting systolic blood pressure [ Time Frame: 6 weeks ] [ Designated as safety issue: No ]

Secondary Outcome Measures:
  • Change in mean sitting diastolic blood pressure [ Time Frame: 6 weeks ] [ Designated as safety issue: No ]
  • Proportion of patients achieving blood pressure control (defined as patients achieving mean sitting blood pressure less than 140 systolic and less than 90 diastolic [ Time Frame: 3 and 6 weeks ] [ Designated as safety issue: No ]
  • Proportion of treatment responders [ Time Frame: 3 and 6 weeks ] [ Designated as safety issue: No ]
  • Assessment of which treatment regimen achieves blood pressure control faster (blood pressure control [ Time Frame: 12 weeks ] [ Designated as safety issue: No ]
  • Difference in change in mean sitting systolic and diastolic blood pressure [ Time Frame: 12 weeks ] [ Designated as safety issue: No ]

Estimated Enrollment: 460
Study Start Date: July 2009
Estimated Primary Completion Date: March 2010 (Final data collection date for primary outcome measure)
Arms Assigned Interventions
Losartan-based regimen: Active Comparator Drug: losartan, HCT, followed by valsartan, amlodipine, HCT
daily
Valsartan/amlodipine-based regimen: Experimental Drug: valsartan, amlodipine, HCT
daily

  Eligibility

Ages Eligible for Study:   18 Years and older
Genders Eligible for Study:   Both
Accepts Healthy Volunteers:   No
Criteria

Inclusion Criteria:

  • Stage 2 systolic hypertension defined as office Mean Sitting Systolic blood pressure (BP) greater than 160 and less than 200 mmHg

Exclusion Criteria:

  • Office systolic blood pressure >200 and/or diastolic blood pressure >110 mmHg at Visit 1.
  • Use of four (4) or more antihypertensive medications within 30 days of Visit 1.
  • Refractory hypertension, defined as blood pressure >140/90 mmHg while taking three (3) drugs at the maximum dose of each drug, one of which must be a diuretic. (Therapy with a fixed-dose combination of two active medications represents two drugs).
  • Inability to safely discontinue all antihypertensive medications for 1-2 weeks prior to randomization.

Other protocol-defined inclusion/exclusion criteria may apply

  Contacts and Locations
Please refer to this study by its ClinicalTrials.gov identifier: NCT00931710

Contacts
Contact: Novartis Pharmaceuticals 862-778-8300

Locations
United States, Maryland
Health Trends Research, LLC Recruiting
Baltimore, Maryland, United States
Contact: Novartis Pharmaceuticals     862-778-8300        
Sponsors and Collaborators
Novartis
Investigators
Study Director: Novartis Pharmaceuticals 862-778-8300
  More Information

No publications provided

Responsible Party: Novartis Pharmaceuticals ( External Affairs )
Study ID Numbers: CVEA489AUS01
Study First Received: July 1, 2009
Last Updated: September 14, 2009
ClinicalTrials.gov Identifier: NCT00931710     History of Changes
Health Authority: United States: Food and Drug Administration

Keywords provided by Novartis:
Hypertension
combination therapy
valsartan
cardiovascular diseases

Additional relevant MeSH terms:
Vasodilator Agents
Losartan
Molecular Mechanisms of Pharmacological Action
Vascular Diseases
Calcium Channel Blockers
Cardiovascular Agents
Antihypertensive Agents
Pharmacologic Actions
Amlodipine
Angiotensin II Type 1 Receptor Blockers
Membrane Transport Modulators
Therapeutic Uses
Cardiovascular Diseases
Anti-Arrhythmia Agents
Valsartan
Hypertension

ClinicalTrials.gov processed this record on November 20, 2009