A Clinical Study With Aliskiren Alone or in Combination Therapy With Diuretic Hctz in Venezuelan Hypertensive Patients. (ANDROMEDA)
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Purpose
This is an open-label, not controlled, sequential, dose escalation study of 16 weeks' duration. The study is composed of two periods: a 0-2 week optional wash-out period depending on previous antihypertensive treatment(s), followed by a 16-week open-label active treatment period. Patients will be evaluated every 4 weeks during period 2. Treatment will start with Aliskiren 150 mg with dose titration to Aliskiren 300 mg, and addition of HCTZ 12,5 mg and 25 if control of BP is not achieved (< 140/90 mmHg or 130/ 80 mmHg in diabetics patients). All patients who have reached their BP target will be considered as having met the primary endpoint and this visit will be considered as the final visit.
| Condition | Intervention | Phase |
|---|---|---|
|
High Blood Pressure |
Drug: Aliskiren and HCTZ |
Phase 4 |
| Study Type: | Interventional |
| Study Design: | Intervention Model: Single Group Assignment Masking: Open Label Primary Purpose: Treatment |
| Official Title: | A 16-week, Prospective, Open Label, Multicenter Study to Evaluate the Effectiveness and Safety of Rasilez® (Aliskiren) Monotherapy or in Addition With Hydrochlorothiazide 12.5 mg or 25 mg in Patients With Hypertension Stage I and II |
- The proportion of patients in whom BP control was achieved at the study end point [ Time Frame: 16 weeks ] [ Designated as safety issue: No ]
- The proportion of patients in whom BP control was reached before the addition of HCTZ (ie, at the pre-HCTZ end point [ Time Frame: 8 weeks ] [ Designated as safety issue: No ]
- Percentage of patients achieving overall BP, DBP, an SBP control rate at week 4, 8, 12 and 16. [ Time Frame: 16 weeks ] [ Designated as safety issue: No ]
- Change in msSPA and msDBP from baseline to different time points [ Time Frame: 4,8,12 and 16 weeks ] [ Designated as safety issue: No ]
- Safety of Aliskiren therapy at different time points [ Time Frame: 4,8,12 and 16 weeks ] [ Designated as safety issue: Yes ]
| Enrollment: | 253 |
| Study Start Date: | February 2010 |
| Study Completion Date: | October 2011 |
| Primary Completion Date: | October 2011 (Final data collection date for primary outcome measure) |
| Arms | Assigned Interventions |
|---|---|
|
Experimental: Aliskiren and Aliskiren_HCTZ
aliskiren 150 mg and 300 mg Hydrochlorothiazide 12.5 mg 25 mg
|
Drug: Aliskiren and HCTZ
Aliskiren 150 mg and 300 mg Hydrochlorothiazide 12.5 mg and 25 mg
|
Eligibility| Ages Eligible for Study: | 18 Years to 85 Years |
| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | No |
Inclusion Criteria:
- Outpatients, with essential hypertension, stage I-II, naïve or not controlled with monotherapy.
Exclusion Criteria:
- BP> 180/110 mmHg
- Pregnant or nursing women
- Hypertensive encephalopathy or cerebrovascular accident, transient ischemic - cerebral attack, myocardial infarction, unstable angina, coronary bypass surgery, percutaneous coronary intervention within 6 month
- K <3.5 mEq/L or ≥ 5 mEq/L
- Renal impairment
- Hypersensitivity to HCTZ or Aliskiren or angioedema due to ACE-I or ARB
- Other protocol-defined inclusion/exclusion criteria may apply
Contacts and Locations| Venezuela | |
| Investigative Site | |
| Bolíva, Venezuela | |
| Investigative Site | |
| Carabobo, Venezuela | |
| Investigative Site | |
| Caracas, Venezuela | |
| Investigative Site | |
| Edo Zulia, Venezuela | |
| Investigative Site | |
| Estado Monagas, Venezuela | |
| Investigative Site | |
| Falcón, Venezuela | |
| Investigative Site | |
| Maracaibo Estado Zulia, Venezuela | |
| Study Director: | Novartis Pharmaceuticals | Novartis Pharmaceuticals |
More Information
No publications provided
| Responsible Party: | Novartis |
| ClinicalTrials.gov Identifier: | NCT01056731 History of Changes |
| Other Study ID Numbers: | CSPP100AVE01 |
| Study First Received: | January 25, 2010 |
| Last Updated: | December 11, 2012 |
| Health Authority: | Venezuela: Rafael Rangel Institute |
Keywords provided by Novartis:
|
high blood pressure aliskiren hydrochlorothiazide control rate |
Additional relevant MeSH terms:
|
Hypertension Vascular Diseases Cardiovascular Diseases Hydrochlorothiazide Diuretics Natriuretic Agents Physiological Effects of Drugs |
Pharmacologic Actions Sodium Chloride Symporter Inhibitors Membrane Transport Modulators Molecular Mechanisms of Pharmacological Action Antihypertensive Agents Cardiovascular Agents Therapeutic Uses |
ClinicalTrials.gov processed this record on May 16, 2013