Efficacy and Safety of Azilsartan Medoxomil Combined With Chlorthalidone in Participants With Moderate to Severe Hypertension
A Phase 3, Double-Blind, Randomized, Factorial, Efficacy and Safety Study of TAK 491 Plus Chlorthalidone Fixed-Dose Combination in Participants With Moderate to Severe Hypertension
3 other identifiers
interventional
1,711
5 countries
99
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
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P75+ for phase_3 hypertension
Started Jan 2009
99 active sites
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
CompletedFirst Submitted
Initial submission to the registry
February 18, 2009
CompletedFirst Posted
Study publicly available on registry
February 19, 2009
CompletedPrimary Completion
Last participant's last visit for primary outcome
May 1, 2010
CompletedStudy Completion
Last participant's last visit for all outcomes
July 1, 2010
CompletedResults Posted
Study results publicly available
February 7, 2012
CompletedFebruary 7, 2012
January 1, 2012
1.3 years
February 18, 2009
January 4, 2012
January 4, 2012
Conditions
Keywords
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
EXPERIMENTALAzilsartan medoxomil 20 mg/chlorthalidone 25 mg QD
EXPERIMENTALAzilsartan medoxomil 40 mg/chlorthalidone 12.5 mg QD
EXPERIMENTALAzilsartan medoxomil 40 mg/chlorthalidone 25 mg QD
EXPERIMENTALAzilsartan medoxomil 80 mg/chlorthalidone 12.5 mg QD
EXPERIMENTALAzilsartan medoxomil 80 mg/chlorthalidone 25 mg QD
EXPERIMENTALChlorthalidone 12.5 mg QD
ACTIVE COMPARATORChlorthalidone 25 mg QD
ACTIVE COMPARATORAzilsartan medoxomil 20 mg QD
EXPERIMENTALAzilsartan medoxomil 40 mg QD
EXPERIMENTALAzilsartan medoxomil 80 mg QD
EXPERIMENTALInterventions
Azilsartan medoxomil 20 mg and chlorthalidone 12.5 mg combination tablets, orally, once daily for up to 8 weeks
Azilsartan medoxomil placebo and chlorthalidone 12.5 mg combination tablets, orally, once daily for up to 8 weeks
Azilsartan medoxomil 20 mg and chlorthalidone placebo combination tablets, orally, once daily for up to 8 weeks
Eligibility Criteria
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
- Takedalead
Study Sites (99)
Unknown Facility
Birmingham, Alabama, United States
Unknown Facility
Columbiana, Alabama, United States
Unknown Facility
Tuscaloosa, Alabama, United States
Unknown Facility
Chandler, Arizona, United States
Unknown Facility
Phoenix, Arizona, United States
Unknown Facility
Scottsdale, Arizona, United States
Unknown Facility
Tucson, Arizona, United States
Unknown Facility
Little Rock, Arkansas, United States
Unknown Facility
Buena Park, California, United States
Unknown Facility
Carmichael, California, United States
Unknown Facility
Costa Mesa, California, United States
Unknown Facility
Irvine, California, United States
Unknown Facility
Palm Springs, California, United States
Unknown Facility
Riverside, California, United States
Unknown Facility
Sacramento, California, United States
Unknown Facility
San Diego, California, United States
Unknown Facility
Vista, California, United States
Unknown Facility
Walnut Creek, California, United States
Unknown Facility
Middletown, Delaware, United States
Unknown Facility
Bradenton, Florida, United States
Unknown Facility
Deerfield Beach, Florida, United States
Unknown Facility
Fort Lauderdale, Florida, United States
Unknown Facility
Hallandale, Florida, United States
Unknown Facility
Hialeah, Florida, United States
Unknown Facility
Jacksonville, Florida, United States
Unknown Facility
Longwood, Florida, United States
Unknown Facility
Miami, Florida, United States
Unknown Facility
Ocala, Florida, United States
Unknown Facility
Ormond Beach, Florida, United States
Unknown Facility
St. Petersburg, Florida, United States
Unknown Facility
Atlanta, Georgia, United States
Unknown Facility
Buffalo Grove, Illinois, United States
Unknown Facility
Libertyville, Illinois, United States
Unknown Facility
Melrose Park, Illinois, United States
Unknown Facility
Fishers, Indiana, United States
Unknown Facility
Indianapolis, Indiana, United States
Unknown Facility
Erlanger, Kentucky, United States
Unknown Facility
Madisonville, Kentucky, United States
Unknown Facility
Paducah, Kentucky, United States
Unknown Facility
Rockville, Maryland, United States
Unknown Facility
Ann Arbor, Michigan, United States
Unknown Facility
Chesterfield, Michigan, United States
Unknown Facility
St Louis, Missouri, United States
Unknown Facility
Omaha, Nebraska, United States
Unknown Facility
Henderson, Nevada, United States
Unknown Facility
Brick, New Jersey, United States
Unknown Facility
Margate City, New Jersey, United States
Unknown Facility
Albuquerque, New Mexico, United States
Unknown Facility
Endwell, New York, United States
Unknown Facility
Cary, North Carolina, United States
Unknown Facility
Winston-Salem, North Carolina, United States
Unknown Facility
Cincinnati, Ohio, United States
Unknown Facility
Cleveland, Ohio, United States
Unknown Facility
Columbus, Ohio, United States
Unknown Facility
Dayton, Ohio, United States
Unknown Facility
Lyndhurst, Ohio, United States
Unknown Facility
Willoughby Hills, Ohio, United States
Unknown Facility
Oklahoma City, Oklahoma, United States
Unknown Facility
Ashland, Oregon, United States
Unknown Facility
Altoona, Pennsylvania, United States
Unknown Facility
Bensalem, Pennsylvania, United States
Unknown Facility
Feasterville, Pennsylvania, United States
Unknown Facility
Jenkintown, Pennsylvania, United States
Unknown Facility
Sellersville, Pennsylvania, United States
Unknown Facility
Warminster, Pennsylvania, United States
Unknown Facility
Charleston, South Carolina, United States
Unknown Facility
Florence, South Carolina, United States
Unknown Facility
Murrells Inlet, South Carolina, United States
Unknown Facility
Simpsonville, South Carolina, United States
Unknown Facility
Spartanburg, South Carolina, United States
Unknown Facility
Clarksville, Tennessee, United States
Unknown Facility
New Tazewell, Tennessee, United States
Unknown Facility
Austin, Texas, United States
Unknown Facility
Bellaire, Texas, United States
Unknown Facility
Dallas, Texas, United States
Unknown Facility
Houston, Texas, United States
Unknown Facility
McKinney, Texas, United States
Unknown Facility
Richardson, Texas, United States
Unknown Facility
San Antonio, Texas, United States
Unknown Facility
Magna, Utah, United States
Unknown Facility
West Jordan, Utah, United States
Unknown Facility
Arlington, Virginia, United States
Unknown Facility
Virginia Beach, Virginia, United States
Unknown Facility
Oregon, Wisconsin, United States
Unknown Facility
Santiago, Chile
Unknown Facility
Temuco, Chile
Unknown Facility
Aguascalientes, Mexico
Unknown Facility
Mexico City, Mexico
Unknown Facility
Mérida, Mexico
Unknown Facility
Bellavista, Peru
Unknown Facility
Chiclayo, Peru
Unknown Facility
Jesus Maria, Peru
Unknown Facility
Miraflores, Peru
Unknown Facility
San Borja, Peru
Unknown Facility
San Martín de Porres, Peru
Unknown Facility
Trujillo, Peru
Unknown Facility
Umacollo, Peru
Unknown Facility
Moscow, Russia
Unknown Facility
Saint Petersburg, Russia
MeSH Terms
Conditions
Interventions
Intervention Hierarchy (Ancestors)
Results Point of Contact
- Title
- Sr. VP, Clinical Science
- Organization
- Takeda Global Research and Development Center, Inc.
Study Officials
- STUDY DIRECTOR
Executive Medical Director
Takeda
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