An 8-week Multicenter, Randomized, Double-blind, Active Control, Parallel Group Study to Evaluate the Efficacy and Safety of Aliskiren Administered in Combination With Amlodipine (150/5 mg, 300/10 mg) Versus Amlodipine Alone (5 mg, 10 mg) in African American Patients With Stage 2 Hypertension
Overview
- Phase
- Phase 4
- Intervention
- Aliskiren/Amlodipine
- Conditions
- Hypertension
- Sponsor
- Novartis
- Enrollment
- 443
- Locations
- 1
- Primary Endpoint
- Change From Baseline in Mean Sitting Systolic Blood Pressure (msSBP)
- Status
- Completed
- Last Updated
- 14 years ago
Overview
Brief Summary
The purpose of the study is to evaluate the BP-lowering efficacy of the combination of aliskiren and amlodipine, as initial therapy, compared to amlodipine monotherapy in African American patients with Stage II hypertension.
Investigators
Eligibility Criteria
Inclusion Criteria
- •Men or women of African American background; self identified
- •Patients with stage 2 hypertension defined as MSSBP ≥ 160 mmHg and \< 200 mmHg at Visit 5 (randomization
Exclusion Criteria
- •Office blood pressure measured by cuff (MSDBP ≥ 110 mmHg and/or MSSBP ≥ 200 mmHg)
- •Patients on 4 or more antihypertensive medications.
- •Patients with uncontrolled hypertension (MSSBP \>180 mmHg) taking more than 1 antihypertensive medication at Visit 1
- •Refractory hypertension, defined as, unresponsive to triple drug therapy at the maximum dose of each drug, one of which must be a diuretic, and not at blood pressure goal (140/90 mmHg). Therapy with a fixed dose combination of two active substances represent two drugs.
- •History of malignancy of any organ system (other than localized basal cell carcinoma of the skin), treated or untreated, within the past 5 years, regardless of whether there is evidence of local recurrence or metastases.
- •Evidence of a secondary form of hypertension, including but not limited to any of the following:
- •coarctation of the aorta
- •hyperaldosteronism
- •unilateral or bilateral renal artery stenosis
- •Cushing's disease
Arms & Interventions
Aliskiren/Amlodipine
Aliskiren/Amlodipine 150 mg/5 mg titrated to 300 mg/10 mg
Intervention: Aliskiren/Amlodipine
Amlodipine
Amlodipine 5mg titrated to 10 mg
Intervention: Amlodipine
Outcomes
Primary Outcomes
Change From Baseline in Mean Sitting Systolic Blood Pressure (msSBP)
Time Frame: Baseline, 8 weeks
To compare the change from baseline in mean sitting systolic blood pressure (msSBP) after 8 weeks of treatment with a combination of aliskiren and amlodipine treatment regimen (150/5 mg, 300/10 mg) versus an amlodipine treatment regimen (5 mg, 10 mg) in African American patients with Stage 2 hypertension.
Secondary Outcomes
- Change From Baseline in Mean Sitting Diastolic Blood Pressure (msDBP)(Baseline, 8 weeks)
- Percentage of Patients Achieving Blood Pressure (BP) Control (<140/90 mmHg)(8 weeks)
- Percentage of Responders (Patients With MSSBP < 140 mmHg or Decrease From Baseline of Greater Than or Equal to 20 mmHg)(8 weeks)
- Change From Baseline in MSSBP at Week 1 and 4(Baseline, 1 and 4 weeks)
- Percentage of Patients With Peripheral Edema by Visit(8 weeks)