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Safety, Tolerability, and Efficacy of Once Daily Amlodipine/Valsartan 5/80 as Compared to Amlodipine/Valsartan 5/40 or to Amlodipine 5 mg Monotherapy in Patients 65 Years of Age and Older With Essential Hypertension

Phase 3
Completed
Conditions
Hypertension
Interventions
Registration Number
NCT00699192
Lead Sponsor
Novartis Pharmaceuticals
Brief Summary

To characterize the safety, tolerability, and efficacy profile of amlodipine/valsartan 5/80 mg as compared to amlodipine/valsartan 5/40 mg (with optional titration to 5/80 mg) and amlodipine 5 mg monotherapy in elderly patients (≥ 65 years of age) with essential hypertension. All three regimens are expected to be well tolerated.

Detailed Description

Not available

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
965
Inclusion Criteria

Not provided

Exclusion Criteria

Not provided

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
Amlodipine/Valsartan 5/80 mgAmlodipine 5 mg1 capsule amlodipine 5 mg, 1 capsule valsartan 80 mg once daily
Amlodipine/Valsartan 5/80 mgValsartan 80 mg1 capsule amlodipine 5 mg, 1 capsule valsartan 80 mg once daily
Amlodipine/Valsartan 5/40 mgAmlodipine 5 mg1 capsule amlodipine 5 mg, 1 capsule valsartan 40 mg once daily
Amlodipine/Valsartan 5/40 mgValsartan 40 mg1 capsule amlodipine 5 mg, 1 capsule valsartan 40 mg once daily
Amlodipine 5 mgPlacebo1 capsule amlodipine 5 mg, 1 capsule placebo to match valsartan once daily
Amlodipine 5 mgAmlodipine 5 mg1 capsule amlodipine 5 mg, 1 capsule placebo to match valsartan once daily
Primary Outcome Measures
NameTimeMethod
Change in Mean Sitting Systolic Blood Pressure (msSBP) From Baseline to End of Study (Week 8)Baseline to end of study (Week 8)

At study entry, blood pressure (BP) was measured in both arms with an automatic BP monitor. The arm with the higher systolic BP reading was used for all measurements throughout the study. At each study visit, 3 separate sitting BPs were obtained 23-26 hours post-dose with at least 2 minutes between measurements and with the cuff fully deflated. Mean BP was automatically calculated from the 3 readings. A negative change from baseline indicates lowered BP.

Secondary Outcome Measures
NameTimeMethod
Change in Mean Sitting Diastolic Blood Pressure (msDBP) From Baseline to End of Study (Week 8)Baseline to end of study (Week 8)

At study entry, blood pressure (BP) was measured in both arms with an automatic BP monitor. The arm with the higher systolic BP reading was used for all measurements throughout the study. At each study visit, 3 separate sitting BPs were obtained 23-26 hours post-dose with at least 2 minutes between measurements and with the cuff fully deflated. Mean BP was automatically calculated from the 3 readings. A negative change from baseline indicates lowered BP.

Percentage of Patients Achieving a Systolic Blood Pressure Response at Week 8Baseline to end of study (Week 8)

A systolic blood pressure response was defined as a msSBP \< 140 mmHg or ≥ 15 mmHg reduction from baseline at the end of the study (Week 8). At study entry, blood pressure (BP) was measured in both arms with an automatic BP monitor. The arm with the higher systolic BP reading was used for all measurements throughout the study. At each study visit, 3 separate sitting BPs were obtained 23-26 hours post-dose with at least 2 minutes between measurements and with the cuff fully deflated. Mean BP was automatically calculated from the 3 readings.

Percentage of Patients Achieving Systolic Blood Pressure Control at the End of the Study (Week 8)End of study (Week 8)

Systolic blood pressure control was defined as a msSBP \< 140 mmHg at the end of the study (Week 8). At study entry, blood pressure (BP) was measured in both arms with an automatic BP monitor. The arm with the higher systolic BP reading was used for all measurements throughout the study. At each study visit, 3 separate sitting BPs were obtained 23-26 hours post-dose with at least 2 minutes between measurements and with the cuff fully deflated. Mean BP was automatically calculated from the 3 readings.

Percentage of Patients Achieving Overall Blood Pressure Control at the End of the Study (Week 8)End of study (Week 8)

Overall blood pressure control was defined as a msSBP \< 140 mmHg and msDBP \< 90 mmHg at the end of the study (Week 8). At study entry, blood pressure (BP) was measured in both arms with an automatic BP monitor. The arm with the higher systolic BP reading was used for all measurements throughout the study. At each study visit, 3 separate sitting BPs were obtained 23-26 hours post-dose with at least 2 minutes between measurements and with the cuff fully deflated. Mean BP was automatically calculated from the 3 readings.

Trial Locations

Locations (15)

Investigative site Italy

🇮🇹

Rome, Italy

Investigative sites Czech Republic

🇨🇿

Praha, Czech Republic

Investigative site Sweden

🇸🇪

Malmo, Sweden

Investigative site France

🇫🇷

Paris, France

Investigative site Hungary

🇭🇺

Budapest, Hungary

Investigative site Slovakia

🇸🇰

Bratislava, Slovakia

Investigative site Germany

🇩🇪

Berlin, Germany

Investigative site Spain

🇪🇸

Valencia, Spain

Investigative site Poland

🇵🇱

Warsaw, Poland

Sites in Czech Republic

🇨🇿

Nachod, Czech Republic

Novartis Investigative site

🇨🇿

Brno, Czech Republic

Investigative site Finland

🇫🇮

Tampere, Finland

Investigative site Czech Republic

🇨🇿

Chrudim, Czech Republic

Investigative sites Czech Repbulic

🇨🇿

Hodonin, Czech Republic

Investigative site Czech Repbulic

🇨🇿

Jicin, Czech Republic

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