NCT00847626

Brief Summary

The purpose of this study is to determine the efficacy and safety of azilsartan medoxomil combined with chlorthalidone, once daily (QD), in participants with moderate to severe hypertension.

Trial Health

93
On Track

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
1,711

participants targeted

Target at P75+ for phase_3 hypertension

Timeline
Completed

Started Jan 2009

Geographic Reach
5 countries

99 active sites

Status
completed

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

Click on a node to explore related trials.

Study Timeline

Key milestones and dates

Study Start

First participant enrolled

January 1, 2009

Completed
2 months until next milestone

First Submitted

Initial submission to the registry

February 18, 2009

Completed
1 day until next milestone

First Posted

Study publicly available on registry

February 19, 2009

Completed
1.2 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

May 1, 2010

Completed
2 months until next milestone

Study Completion

Last participant's last visit for all outcomes

July 1, 2010

Completed
1.6 years until next milestone

Results Posted

Study results publicly available

February 7, 2012

Completed
Last Updated

February 7, 2012

Status Verified

January 1, 2012

Enrollment Period

1.3 years

First QC Date

February 18, 2009

Results QC Date

January 4, 2012

Last Update Submit

January 4, 2012

Conditions

Keywords

HypertensiveBlood Pressure, HighVascular DiseaseCardiovascular DiseaseDrug Therapy

Outcome Measures

Primary Outcomes (2)

  • Change From Baseline to Week 8 in Trough, Systolic Blood Pressure as Measured by Ambulatory Blood Pressure Monitoring (Pooled Analysis)

    The change in trough systolic blood pressure measured at final visit or week 8 relative to baseline. Ambulatory blood pressure monitoring measures blood pressure at regular intervals throughout the day and night. The trough is the average of all measurements recorded from 22 to 24 hours after dosing.

    Baseline and Week 8.

  • Change From Baseline to Week 8 in Trough, Systolic Blood Pressure as Measured by Ambulatory Blood Pressure Monitoring (Pairwise Analysis)

    The change in trough systolic blood pressure measured at final visit or week 8 relative to baseline. Ambulatory blood pressure monitoring measures blood pressure at regular intervals throughout the day and night. The trough is the average of all measurements recorded from 22 to 24 hours after dosing.

    Baseline and Week 8.

Secondary Outcomes (16)

  • Change From Baseline to Week 8 in Trough, Sitting, Clinic Systolic Blood Pressure

    Baseline and Week 8

  • Change From Baseline to Week 8 in Trough Systolic Blood Pressure as Measured by Ambulatory Blood Pressure Monitoring in Black Participants (Pooled Analysis)

    Baseline and Week 8.

  • Change From Baseline to Week 8 in Trough Systolic Blood Pressure as Measured by Ambulatory Blood Pressure Monitoring in Black Participants (Pairwise Analysis)

    Baseline and Week 8.

  • Change From Baseline to Week 8 in Trough, Sitting, Clinic Diastolic Blood Pressure

    Baseline and Week 8.

  • Change From Baseline to Week 8 in the Mean Trough Diastolic Blood Pressure (22 to 24 Hours After Dosing), as Measured by Ambulatory Blood Pressure Monitoring.

    Baseline and Week 8.

  • +11 more secondary outcomes

Study Arms (11)

Azilsartan medoxomil 20 mg/chlorthalidone 12.5 mg QD

EXPERIMENTAL
Drug: Azilsartan medoxomil and chlorthalidone

Azilsartan medoxomil 20 mg/chlorthalidone 25 mg QD

EXPERIMENTAL
Drug: Azilsartan medoxomil and chlorthalidone

Azilsartan medoxomil 40 mg/chlorthalidone 12.5 mg QD

EXPERIMENTAL
Drug: Azilsartan medoxomil and chlorthalidone

Azilsartan medoxomil 40 mg/chlorthalidone 25 mg QD

EXPERIMENTAL
Drug: Azilsartan medoxomil and chlorthalidone

Azilsartan medoxomil 80 mg/chlorthalidone 12.5 mg QD

EXPERIMENTAL
Drug: Azilsartan medoxomil and chlorthalidone

Azilsartan medoxomil 80 mg/chlorthalidone 25 mg QD

EXPERIMENTAL
Drug: Azilsartan medoxomil and chlorthalidone

Chlorthalidone 12.5 mg QD

ACTIVE COMPARATOR
Drug: Chlorthalidone

Chlorthalidone 25 mg QD

ACTIVE COMPARATOR
Drug: Chlorthalidone

Azilsartan medoxomil 20 mg QD

EXPERIMENTAL
Drug: Azilsartan medoxomil

Azilsartan medoxomil 40 mg QD

EXPERIMENTAL
Drug: Azilsartan medoxomil

Azilsartan medoxomil 80 mg QD

EXPERIMENTAL
Drug: Azilsartan medoxomil

Interventions

Azilsartan medoxomil 20 mg and chlorthalidone 12.5 mg combination tablets, orally, once daily for up to 8 weeks

Also known as: TAK-491CLD
Azilsartan medoxomil 20 mg/chlorthalidone 12.5 mg QD

Azilsartan medoxomil placebo and chlorthalidone 12.5 mg combination tablets, orally, once daily for up to 8 weeks

Chlorthalidone 12.5 mg QD

Azilsartan medoxomil 20 mg and chlorthalidone placebo combination tablets, orally, once daily for up to 8 weeks

Also known as: TAK-491CLD
Azilsartan medoxomil 20 mg QD

Eligibility Criteria

Age18 Years+
Sexall
Healthy VolunteersNo
Age GroupsAdult (18-64), Older Adult (65+)

You may qualify if:

  • Is treated with antihypertensive therapy and has a post-washout mean sitting clinic systolic blood pressure greater than or equal to 160 and less than or equal to 190 mm Hg on the day prior to randomization, or the participant has not received antihypertensive treatment within 28 days prior to Screening and has a mean sitting clinic systolic blood pressure greater than or equal to 160 and less than or equal to 190 mm Hg at the Screening Visit and on the day prior to randomization.
  • Females of childbearing potential who are sexually active must agree to use adequate contraception, and can neither be pregnant nor lactating from Screening throughout the duration of the study.
  • Has clinical laboratory test results within the reference range for the testing laboratory or the investigator does not consider the results to be clinically significant.
  • Is willing to discontinue current antihypertensive medications on Day -21 or on Day -28 if on amlodipine or chlorthalidone.

You may not qualify if:

  • Has a mean sitting clinic diastolic blood pressure greater than 119 mm Hg on the day prior to randomization.
  • Has a baseline 24-hour ambulatory blood pressure measurement reading of insufficient quality.
  • Has works a night (third) shift (defined as 11 PM \[2300\] to 7 AM \[0700\]).
  • Has an upper arm circumference less than 24 cm or greater than 42 cm.
  • Has is noncompliant with study medication during the placebo run-in period.
  • Has secondary hypertension of any etiology.
  • Has recent history of myocardial infarction, heart failure, unstable angina, coronary artery bypass graft, percutaneous coronary intervention, hypertensive encephalopathy, cerebrovascular accident, or transient ischemic attack.
  • Has clinically significant cardiac conduction defects.
  • Has hemodynamically significant left ventricular outflow obstruction due to aortic valvular disease.
  • Has severe renal dysfunction or disease.
  • Has known or suspected unilateral or bilateral renal artery stenosis.
  • Has a history of cancer that has not been in remission for at least 5 years prior to the first dose of study drug.
  • Has poorly controlled type 1 or type 2 diabetes mellitus at Screening.
  • Has hypokalemia or hyperkalemia.
  • Has an alanine aminotransferase or aspartate aminotransferase level of greater than 2.5 times the upper limit of normal, active liver disease, or jaundice.
  • +5 more criteria

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (99)

Unknown Facility

Birmingham, Alabama, United States

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Columbiana, Alabama, United States

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Tuscaloosa, Alabama, United States

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Chandler, Arizona, United States

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Phoenix, Arizona, United States

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Scottsdale, Arizona, United States

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Tucson, Arizona, United States

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Little Rock, Arkansas, United States

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Buena Park, California, United States

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Carmichael, California, United States

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Costa Mesa, California, United States

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Irvine, California, United States

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Palm Springs, California, United States

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Riverside, California, United States

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Sacramento, California, United States

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San Diego, California, United States

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Vista, California, United States

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Walnut Creek, California, United States

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Middletown, Delaware, United States

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Bradenton, Florida, United States

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Deerfield Beach, Florida, United States

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Fort Lauderdale, Florida, United States

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Hallandale, Florida, United States

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Hialeah, Florida, United States

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Jacksonville, Florida, United States

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Longwood, Florida, United States

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Miami, Florida, United States

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Ocala, Florida, United States

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Ormond Beach, Florida, United States

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St. Petersburg, Florida, United States

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Atlanta, Georgia, United States

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Buffalo Grove, Illinois, United States

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Libertyville, Illinois, United States

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Melrose Park, Illinois, United States

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Fishers, Indiana, United States

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Indianapolis, Indiana, United States

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Erlanger, Kentucky, United States

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Madisonville, Kentucky, United States

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Paducah, Kentucky, United States

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Rockville, Maryland, United States

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Ann Arbor, Michigan, United States

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Chesterfield, Michigan, United States

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St Louis, Missouri, United States

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Omaha, Nebraska, United States

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Henderson, Nevada, United States

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Brick, New Jersey, United States

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Margate City, New Jersey, United States

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Albuquerque, New Mexico, United States

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Endwell, New York, United States

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Cary, North Carolina, United States

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Winston-Salem, North Carolina, United States

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Cincinnati, Ohio, United States

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Cleveland, Ohio, United States

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Columbus, Ohio, United States

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Dayton, Ohio, United States

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Lyndhurst, Ohio, United States

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Willoughby Hills, Ohio, United States

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Oklahoma City, Oklahoma, United States

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Ashland, Oregon, United States

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Altoona, Pennsylvania, United States

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Bensalem, Pennsylvania, United States

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Feasterville, Pennsylvania, United States

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Jenkintown, Pennsylvania, United States

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Sellersville, Pennsylvania, United States

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Warminster, Pennsylvania, United States

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Charleston, South Carolina, United States

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Florence, South Carolina, United States

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Murrells Inlet, South Carolina, United States

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Simpsonville, South Carolina, United States

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Spartanburg, South Carolina, United States

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Clarksville, Tennessee, United States

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New Tazewell, Tennessee, United States

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Austin, Texas, United States

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Bellaire, Texas, United States

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Dallas, Texas, United States

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Houston, Texas, United States

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McKinney, Texas, United States

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Richardson, Texas, United States

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San Antonio, Texas, United States

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Magna, Utah, United States

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West Jordan, Utah, United States

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Arlington, Virginia, United States

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Virginia Beach, Virginia, United States

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Oregon, Wisconsin, United States

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Santiago, Chile

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Temuco, Chile

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Aguascalientes, Mexico

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Mexico City, Mexico

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Mérida, Mexico

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Bellavista, Peru

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Chiclayo, Peru

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Jesus Maria, Peru

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Miraflores, Peru

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San Borja, Peru

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San Martín de Porres, Peru

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Trujillo, Peru

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Umacollo, Peru

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Moscow, Russia

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Saint Petersburg, Russia

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MeSH Terms

Conditions

HypertensionVascular DiseasesCardiovascular Diseases

Interventions

azilsartan medoxomilChlorthalidone

Intervention Hierarchy (Ancestors)

BenzenesulfonamidesSulfonamidesAmidesOrganic ChemicalsBenzene DerivativesHydrocarbons, AromaticHydrocarbons, CyclicHydrocarbonsBenzophenonesPhthalimidesImidesKetonesSulfonesSulfur CompoundsIsoindolesHeterocyclic Compounds, 2-RingHeterocyclic Compounds, Fused-RingHeterocyclic Compounds

Results Point of Contact

Title
Sr. VP, Clinical Science
Organization
Takeda Global Research and Development Center, Inc.

Study Officials

  • Executive Medical Director

    Takeda

    STUDY DIRECTOR

Publication Agreements

PI is Sponsor Employee
No
Restriction Type
OTHER
Restrictive Agreement
Yes

Study Design

Study Type
interventional
Phase
phase 3
Allocation
RANDOMIZED
Masking
QUADRUPLE
Who Masked
PARTICIPANT, CARE PROVIDER, INVESTIGATOR, OUTCOMES ASSESSOR
Purpose
TREATMENT
Intervention Model
FACTORIAL
Sponsor Type
INDUSTRY
Responsible Party
SPONSOR

Study Record Dates

First Submitted

February 18, 2009

First Posted

February 19, 2009

Study Start

January 1, 2009

Primary Completion

May 1, 2010

Study Completion

July 1, 2010

Last Updated

February 7, 2012

Results First Posted

February 7, 2012

Record last verified: 2012-01

Locations