NCT02194465

Brief Summary

The main purpose of this study is to evaluate the safety and effectiveness of the study drug known as LY2623091 in participants with high blood pressure.

Trial Health

90
On Track

Trial Health Score

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

Enrollment
304

participants targeted

Target at P75+ for phase_2

Timeline
Completed

Started Aug 2014

Shorter than P25 for phase_2

Geographic Reach
3 countries

43 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

First Submitted

Initial submission to the registry

July 17, 2014

Completed
1 day until next milestone

First Posted

Study publicly available on registry

July 18, 2014

Completed
14 days until next milestone

Study Start

First participant enrolled

August 1, 2014

Completed
7 months until next milestone

Primary Completion

Last participant's last visit for primary outcome

March 1, 2015

Completed
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

March 1, 2015

Completed
5.3 years until next milestone

Results Posted

Study results publicly available

June 26, 2020

Completed
Last Updated

June 26, 2020

Status Verified

June 1, 2020

Enrollment Period

7 months

First QC Date

July 17, 2014

Results QC Date

June 9, 2020

Last Update Submit

June 9, 2020

Conditions

Outcome Measures

Primary Outcomes (1)

  • Change From Baseline to 4 Weeks in Seated Systolic Blood Pressure (SBP)

    Change from baseline in SBP as measured by a cuff. Least squares (LS) mean change from baseline was calculated using a mixed model repeating measures (MMRM) with treatment, country, visit, and treatment-by-visit interaction as fixed effects and baseline as a covariate.

    Baseline, 4 Weeks

Secondary Outcomes (4)

  • Change From Baseline to 4 Weeks in Seated Diastolic Blood Pressure (DBP)

    Baseline, 4 Weeks

  • Change From Baseline to 4 Weeks in 24 Hour Ambulatory Blood Pressure Monitoring (ABPM)

    Baseline, 4 Weeks

  • Change From Baseline to 4 Weeks in Serum Potassium

    Baseline, 4 Weeks

  • Pharmacokinetics (PK): Maximum Concentration (Cmax) of LY2623091

    2 hours post-dose at 4 Weeks

Study Arms (7)

6 milligrams (mg) LY2623091

EXPERIMENTAL

6 mg LY2623091 with placebo for blinding administered orally once daily for 4 weeks.

Drug: LY2623091Drug: Placebo

13 mg LY2623091

EXPERIMENTAL

13 mg LY2623091 with placebo for blinding administered orally once daily for 4 weeks.

Drug: LY2623091Drug: Placebo

24.5 mg LY2623091

EXPERIMENTAL

24.5 mg LY2623091 with placebo for blinding administered orally once daily for 4 weeks.

Drug: LY2623091Drug: Placebo

13 mg LY2623091 + 20 mg tadalafil

EXPERIMENTAL

13 mg LY2623091 and 20 mg of tadalafil with placebo for blinding administered orally once daily for 4 weeks.

Drug: LY2623091Drug: TadalafilDrug: Placebo

20 mg tadalafil

EXPERIMENTAL

20 mg tadalafil with placebo for blinding administered orally once daily for 4 weeks.

Drug: TadalafilDrug: Placebo

Spironolactone

ACTIVE COMPARATOR

25 mg titrated to 50 mg as tolerated of spironolactone (open label) administered orally once daily for 4 weeks.

Drug: Spironolactone

Placebo

PLACEBO COMPARATOR

Placebo for blinding administered orally once daily for 4 weeks.

Drug: Placebo

Interventions

Administered orally

Also known as: Mineralocorticoid Receptor Antagonist
13 mg LY262309113 mg LY2623091 + 20 mg tadalafil24.5 mg LY26230916 milligrams (mg) LY2623091

Administered orally

Also known as: LY450190
13 mg LY2623091 + 20 mg tadalafil20 mg tadalafil

Administered orally

Spironolactone

Administered orally

13 mg LY262309113 mg LY2623091 + 20 mg tadalafil20 mg tadalafil24.5 mg LY26230916 milligrams (mg) LY2623091Placebo

Eligibility Criteria

Age18 Years - 80 Years
Sexall
Healthy VolunteersNo
Age GroupsAdult (18-64), Older Adult (65+)

You may qualify if:

  • Have a history of hypertension.
  • If participants are naïve to treatment of hypertension, or have not been treated with any antihypertensive medications within the 30 days immediately prior to screening:
  • Have seated systolic (SBP) of ≥140 and \<170 millimeters of mercury (mmHg) at screening and at the end of the lead-in period.
  • If participants are currently being treated for hypertension:
  • Are taking a stable dose of 1 or 2 antihypertensive medications for at least the previous 30 days. A combination antihypertensive medication from 2 classes is considered as 2 antihypertensive medications.
  • Are willing to discontinue the antihypertensive medications during the study.
  • Have seated SBP of ≥140 and \<170 mmHg at the end of the lead-in period.
  • Have a body mass index (BMI) ≥18.5 and \<40 kilograms/m\^2.

You may not qualify if:

  • Have a history of severe hypertension (defined as SBP ≥180 mmHg and/or diastolic (DBP) ≥120 mmHg), secondary hypertension, symptomatic postural hypotension, or hospitalization due to hypertension.
  • Have SBP ≥180 mmHg and/or DBP ≥110 mmHg at screening, lead-in period, or randomization.
  • Have a history of hospitalization due to hyperkalemia, or history of drug discontinuation due to elevated serum potassium levels.
  • Have a serum potassium ≤3.5 or \>5.0 millimoles per liter (mmol/L).
  • Have an estimated glomerular filtration rate (eGFR) \<50 milliliters/minute/1.73 m\^2.

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (43)

Clinical Research Advantage

Glendale, Arizona, 85306, United States

Location

John Muir Health Network - The Osteoporosis Center

Concord, California, 94520, United States

Location

Encompass Clinical Research

Encinitas, California, 92024, United States

Location

Avail Clinical Research LLC

DeLand, Florida, 32720, United States

Location

Alan Graff, MD, PA

Fort Lauderdale, Florida, 33308, United States

Location

Jacksonville Center for Clinical Research

Jacksonville, Florida, 32216, United States

Location

Cardiovascular Center of Sarasota

Sarasota, Florida, 34239, United States

Location

East West Medical Institute

Honolulu, Hawaii, 96814, United States

Location

Rocky Mountain Diabetes and Osteoporosis Center

Idaho Falls, Idaho, 83404, United States

Location

Northwest Heart Clinical Research, LLC

Arlington Heights, Illinois, 60005, United States

Location

Cedar-Crosse Research Center

Chicago, Illinois, 60607, United States

Location

Midwest Institute for Clinical Research

Indianapolis, Indiana, 46260, United States

Location

Community Clinical Research Center

Muncie, Indiana, 47304, United States

Location

Heartland Research Associates

Wichita, Kansas, 67207, United States

Location

Grace Research

Bossier City, Louisiana, 71111, United States

Location

Maine Research Associates

Auburn, Maine, 04210, United States

Location

AB Clinical Trials

Las Vegas, Nevada, 89119, United States

Location

Rochester Clinical Research, Inc.

Rochester, New York, 14609, United States

Location

Metrolina Internal Medicine, P.A.

Charlotte, North Carolina, 28204, United States

Location

PharmQuest

Greensboro, North Carolina, 27408, United States

Location

Lillestol Research LLC

Fargo, North Dakota, 58103, United States

Location

Sterling Research Group, LTD

Cincinnati, Ohio, 45219, United States

Location

Rapid Medical Research Inc

Cleveland, Ohio, 44122, United States

Location

Columbus Clinical Research

Columbus, Ohio, 43213, United States

Location

Dayton Clinical Research

Dayton, Ohio, 45406, United States

Location

Cor Clinical Research LLC

Oklahoma City, Oklahoma, 4052728481, United States

Location

Oklahoma Foundation For Cardiovascular Research

Oklahoma City, Oklahoma, 73120, United States

Location

Mountain View Clinical Research, Inc

Greer, South Carolina, 29651, United States

Location

Texas Diabetes and Endocrinology

Austin, Texas, 78731-4309, United States

Location

Tekton Research, Inc

Austin, Texas, 78745, United States

Location

Texas Diabetes and Endocrinology, P.A.

Round Rock, Texas, 78681, United States

Location

Northwest Clinical Research Center

Bellevue, Washington, 98007-4209, United States

Location

Universal Research Group, LLC

Tacoma, Washington, 98405, United States

Location

For additional information regarding investigative sites for this trial, contact 1-877-CTLILLY (1-877-285-4559, 1-317-615-4559) Mon - Fri from 9 AM to 5 PM Eastern Time (UTC/GMT - 5 hours, EST), or speak with your personal physician.

Brampton, L6T 0G1, Canada

Location

For additional information regarding investigative sites for this trial, contact 1-877-CTLILLY (1-877-285-4559, 1-317-615-4559) Mon - Fri from 9 AM to 5 PM Eastern Time (UTC/GMT - 5 hours, EST), or speak with your personal physician.

Kelowna, V1Y3G8, Canada

Location

For additional information regarding investigative sites for this trial, contact 1-877-CTLILLY (1-877-285-4559, 1-317-615-4559) Mon - Fri from 9 AM to 5 PM Eastern Time (UTC/GMT - 5 hours, EST), or speak with your personal physician.

Peterborough, K9J 0B2, Canada

Location

For additional information regarding investigative sites for this trial, contact 1-877-CTLILLY (1-877-285-4559, 1-317-615-4559) Mon - Fri from 9 AM to 5 PM Eastern Time (UTC/GMT - 5 hours, EST), or speak with your personal physician.

Pointe-Claire, H9R 4S3, Canada

Location

For additional information regarding investigative sites for this trial, contact 1-877-CTLILLY (1-877-285-4559, 1-317-615-4559) Mon - Fri from 9 AM to 5 PM Eastern Time (UTC/GMT - 5 hours, EST), or speak with your personal physician.

Québec, G1N 4V3, Canada

Location

For additional information regarding investigative sites for this trial, contact 1-877-CTLILLY (1-877-285-4559, 1-317-615-4559) Mon - Fri from 9 AM to 5 PM Eastern Time (UTC/GMT - 5 hours, EST), or speak with your personal physician.

Red Deer, T4N 6V7, Canada

Location

For additional information regarding investigative sites for this trial, contact 1-877-CTLILLY (1-877-285-4559, 1-317-615-4559) Mon - Fri from 9 AM to 5 PM Eastern Time (UTC/GMT - 5 hours, EST), or speak with your personal physician.

Sherbrooke, J1J 2G2, Canada

Location

For additional information regarding investigative sites for this trial, contact 1-877-CTLILLY (1-877-285-4559, 1-317-615-4559) Mon - Fri from 9 AM to 5 PM Eastern Time (UTC/GMT - 5 hours, EST), or speak with your personal physician.

Toronto, M9W 4L6, Canada

Location

Research and Cardiovascular Corp.

Ponce, 00717-1322, Puerto Rico

Location

Clinical Research Puerto Rico, Inc.

San Juan, 00909, Puerto Rico

Location

MeSH Terms

Conditions

Essential Hypertension

Interventions

Mineralocorticoid Receptor AntagonistsTadalafilSpironolactone

Condition Hierarchy (Ancestors)

HypertensionVascular DiseasesCardiovascular Diseases

Intervention Hierarchy (Ancestors)

Hormone AntagonistsHormones, Hormone Substitutes, and Hormone AntagonistsPhysiological Effects of DrugsPharmacologic ActionsChemical Actions and UsesDiuretics, Potassium SparingDiureticsNatriuretic AgentsCarbolinesPyridinesHeterocyclic Compounds, 1-RingHeterocyclic CompoundsIndole AlkaloidsIndolesHeterocyclic Compounds, 2-RingHeterocyclic Compounds, Fused-RingHeterocyclic Compounds, 3-RingLactonesOrganic ChemicalsPregnenesPregnanesSteroidsFused-Ring CompoundsPolycyclic Compounds

Results Point of Contact

Title
Chief Medical Officer
Organization
Eli Lilly and Company

Study Officials

  • Call 1-877-CTLILLY (1-877-285-4559) or 1-317-615-4559 Mon - Fri 9 AM - 5 PM Eastern time (UTC/GMT - 5 hours, EST)

    Eli Lilly and Company

    STUDY DIRECTOR

Publication Agreements

PI is Sponsor Employee
No
Restriction Type
GT60
Restrictive Agreement
Yes

Study Design

Study Type
interventional
Phase
phase 2
Allocation
RANDOMIZED
Masking
DOUBLE
Who Masked
PARTICIPANT, INVESTIGATOR
Purpose
TREATMENT
Intervention Model
PARALLEL
Sponsor Type
INDUSTRY
Responsible Party
SPONSOR

Study Record Dates

First Submitted

July 17, 2014

First Posted

July 18, 2014

Study Start

August 1, 2014

Primary Completion

March 1, 2015

Study Completion

March 1, 2015

Last Updated

June 26, 2020

Results First Posted

June 26, 2020

Record last verified: 2020-06

Data Sharing

IPD Sharing
Will share

Anonymized individual patient level data will be provided in a secure access environment upon approval of a research proposal and a signed data sharing agreement.

Shared Documents
STUDY PROTOCOL, SAP, CSR
Time Frame
Data are available 6 months after the primary publication and approval of the indication studied in the US and European Union (EU), whichever is later. Data will be indefinitely available for requesting.
Access Criteria
A research proposal must be approved by an independent review panel and researchers must sign a data sharing agreement.
More information

Locations