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Assessment of LCZ696 and Valsartan in Asian Patients With Salt-sensitive Hypertension

Phase 2
Completed
Conditions
Salt-sensitive Hypertension
Interventions
Registration Number
NCT01681576
Lead Sponsor
Novartis Pharmaceuticals
Brief Summary

This study will evaluate the effect of LCZ696 and valsartan on natriuresis, diuresis, and blood pressure in salt-sensitive Asian hypertensive patients.

Detailed Description

Not available

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
72
Inclusion Criteria
  • Written informed consent must be obtained before any study assessment is performed.
  • Males and females of non-childbearing potential and of legal age (at least 18 years or older as defined by local law).
  • Asian patients with mild to moderate essential hypertension, untreated or currently taking antihypertensive therapy with up to two drugs.

Key

Exclusion Criteria
  • Women of child-bearing potential.
  • History of angioedema, drug-related or otherwise
  • History of hypersensitivity to LCZ696, valsartan, or drugs of similar chemical classes.
  • Severe hypertension (grade 3 of WHO classification; msDBP ≥100 mmHg and/or msSBP ≥ 180 mmHg) at screening or at the end of the washout period.
  • History or evidence of a secondary form of hypertension,
  • Transient ischemic cerebral attack (TIA) during the 12 months prior to screening or any history of stroke.
  • History of myocardial infarction, coronary bypass surgery or percutaneous coronary intervention (PCI) during 12 month prior to screening.
  • Current or history of hypertensive retinopathy.
  • Previous or current diagnosis of heart failure (NYHA Class II-IV).
  • Clinically significant valvular heart disease at screening.

Other protocol defined inclusion/exclusion criteria may apply

Study & Design

Study Type
INTERVENTIONAL
Study Design
CROSSOVER
Arm && Interventions
GroupInterventionDescription
LCZ696 followed by ValsartanLCZ696Period 1: LCZ696 400mg QD for 4 weeks then washout followed by Period 2: Valsartan 320mg QD for 4 weeks
Valsartan followed by LCZ696LCZ696Period 1: Valsartan 320mg QD for 4 weeks then washout followed by Period 2: LCZ696 400mg QD for 4 weeks
Valsartan followed by LCZ696ValsartanPeriod 1: Valsartan 320mg QD for 4 weeks then washout followed by Period 2: LCZ696 400mg QD for 4 weeks
LCZ696 followed by ValsartanValsartanPeriod 1: LCZ696 400mg QD for 4 weeks then washout followed by Period 2: Valsartan 320mg QD for 4 weeks
Primary Outcome Measures
NameTimeMethod
Cumulative Sodium Excretion (Natriuresis) at Day 10-6 and 0-24 hours on Day 1

Urine will be collected in fractions of 6 to 24 hours post-dose. From each fraction, a sample will be drawn for analysis of sodium Day 1

Secondary Outcome Measures
NameTimeMethod
Cumulative Sodium Excretion (Natriuresis) at Day 280-6 and 0-24 hours on Day 28

Urine will be collected in fractions of 6 to 24 hours post-dose. From each fraction, a sample will be drawn for analysis of sodium Day 28

Mean Sitting Pulse Pressure (PP) Over TimeDay-1, Day 14 and Day 28

Sitting mean pulse pressure rate was calculated between ambulatory SBP and DBP measurements

Urine Volume (Diuresis) Over TimeDay -1, Day 1 & Day 28

Urine will be collected and volume measured in fractions of 0 to 6 hours and 0 to 24 hours Day-1, Day 1 and Day 28

Seated Office Blood Pressure (BP) (Systolic Blood Pressure (SBP) and Diastolic Blood Pressure (DBP)) Over TimeDay-1, Day 14 and Day 28

Seated Office BP (systolic blood pressure (SBP) and diastolic blood pressure (DBP))measurements will be performed at trough(immediately prior to dosing at the clinic). Arterial BP readings will be made with an automated BP device.

Trial Locations

Locations (1)

Novartis Investigative Site

🇨🇳

Taipei, Taiwan

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