NCT03541174

Brief Summary

The goal of this clinical trial is to show the blood pressure lowering effect of aprocitentan, a new drug, when added to other anti-hypertensive drugs of patients with difficult to control (resistant) high blood pressure (hypertension), and to show that blood pressure reduction is kept for long period of time.

Trial Health

98
On Track

Trial Health Score

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

Strong global presence with extensive site network
Enrollment
730

participants targeted

Target at P75+ for phase_3

Timeline
Completed

Started Jun 2018

Typical duration for phase_3

Geographic Reach
20 countries

159 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

May 17, 2018

Completed
13 days until next milestone

First Posted

Study publicly available on registry

May 30, 2018

Completed
19 days until next milestone

Study Start

First participant enrolled

June 18, 2018

Completed
2.9 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

May 14, 2021

Completed
12 months until next milestone

Study Completion

Last participant's last visit for all outcomes

April 25, 2022

Completed
11 months until next milestone

Results Posted

Study results publicly available

March 21, 2023

Completed
Last Updated

March 21, 2023

Status Verified

March 1, 2023

Enrollment Period

2.9 years

First QC Date

May 17, 2018

Results QC Date

November 8, 2022

Last Update Submit

March 16, 2023

Conditions

Outcome Measures

Primary Outcomes (1)

  • Change From Baseline to Week 4 of Double-blind Treatment in Mean Trough Sitting Systolic Blood Pressure (SiSBP) Measured by Automated Office Blood Pressure Measurement

    Changes from baseline to Week 4 in mean trough SiSBP were analyzed using a mixed model. Participants had their blood pressure (BP) measured at the study site using the automated oscillometric sphygmomanometer (Microlife WatchBP® Office) which was provided to each site. BP was to be measured at trough (before taking the study treatment and SBAT). The BP assessment, participant preparation (e.g., arm selection, arm position, cuff size) was standardized and followed the American Heart Association guidelines / Canadian Education Program on Hypertension. The participant was resting undisturbed, alone (unattended) in a quiet place for 5 minutes at each visit. BP was measured at each visit with the same device, which recorded five sitting blood pressure readings (one per minute, the first value was excluded from the average). A negative change indicates a decrease in SiSBP from baseline.

    Pre-dose Day 1 (Part 1 double-blind randomized baseline) up to Week 4 (End of double-blind randomized part 1)

Secondary Outcomes (5)

  • Change From Double-blind Withdrawal Baseline (Week 36) to Week 40 in Mean Trough Sitting Systolic Blood Pressure (SiSBP) Measured by Unattended Automated Office Blood Pressure Measurement

    Pre-dose Week 36 (Part 3 double-blind-withdrawal baseline) up to Week 40

  • Change From Baseline to Week 4 of Double-blind Treatment in Mean Trough Sitting Diastolic Blood Pressure (SiDBP) Measured by Unattended Automated Office Blood Pressure Measurement

    Pre-dose Day 1 (Part 1 double-blind randomized baseline) up to Week 4 (End of double-blind randomized part 1)

  • Changes From Baseline to Week 4 of Double-blind Treatment in 24-hour Mean Systolic (SBP) and Diastolic Blood Pressure (DBP) Measured by Ambulatory Blood Pressure Monitoring

    Pre-dose Day 1 (Part 1 double-blind randomized baseline) and Week 4 (End of double-blind randomized part 1)

  • Change From Double-blind Withdrawal Baseline (Week 36) to Week 40 of Double-blind-withdrawal (DB-WD) Treatment in Trough Sitting Diastolic Blood Pressure (SiDBP) Measured by Unattended Automated Office Blood Pressure

    Pre-dose Week 36 (Part 3 double-blind-withdrawal baseline) up to Week 40

  • Changes From Double-blind Withdrawal Baseline (Week 36) to Week 40 of Double-blind-withdrawal (DB-WD) Treatment in 24-hour Mean Systolic (SBP) and Diastolic Blood Pressure (DBP) Measured by Ambulatory Blood Pressure Monitoring

    From Week 36 (Part 3 double-blind-withdrawal baseline) and Week 40

Study Arms (6)

Aprocitentan 25 mg in Part 1 (double-blind)

EXPERIMENTAL

Participants will receive aprocitentan 25 mg, orally, once daily in the morning for 4 weeks.

Drug: Aprocitentan 25 mg

Aprocitentan 12.5 mg in Part 1 (double-blind)

EXPERIMENTAL

Participants will receive aprocitentan 12.5 mg, orally, once daily in the morning for 4 weeks.

Drug: Aprocitentan 12.5 mg

Placebo in Part 1 (double-blind)

PLACEBO COMPARATOR

Participants will receive placebo (matching aprocitentan), orally, once daily in the morning for 4 weeks.

Drug: Placebo

Aprocitentan 25 mg in Part 2 (single-blind, single arm)

EXPERIMENTAL

After 4-weeks in the double-blind randomized part (Part 1), participants will received 25 mg aprocitentan, orally, once daily in the morning for 32 weeks.

Drug: Aprocitentan 25 mg

Aprocitentan 25 mg in Part 3 (double-blind withdrawal)

EXPERIMENTAL

After 32-weeks in the single-blind, single-arm part (Part 2), participants will be re-randomized and receive aprocitentan 25 mg, orally, once daily in the morning for 12 weeks.

Drug: Aprocitentan 25 mg

Placebo in Part 3 (double-blind withdrawal)

PLACEBO COMPARATOR

After 32-weeks in the single-blind, single-arm part (Part 2), participants will be re-randomized and receive placebo (matching aprocitentan), orally, once daily in the morning for 12 weeks.

Drug: Placebo

Interventions

Tablet, oral use

Also known as: ACT-132577
Aprocitentan 12.5 mg in Part 1 (double-blind)

Tablet, oral use

Also known as: ACT-132577
Aprocitentan 25 mg in Part 1 (double-blind)Aprocitentan 25 mg in Part 2 (single-blind, single arm)Aprocitentan 25 mg in Part 3 (double-blind withdrawal)

Matching placebo tablet

Placebo in Part 1 (double-blind)Placebo in Part 3 (double-blind withdrawal)

Eligibility Criteria

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

You may qualify if:

  • Screening period:
  • Signed and dated informed consent form (ICF) prior to any study-mandated procedure;
  • Male and female participants; 18 years (or year of country specific majority) or older;
  • Historical documentation in the participant's medical records on uncontrolled blood pressure despite at least 3 background antihypertensive medications within 1 year before screening visit;
  • Treated with at least 3 antihypertensive therapies of different pharmacological classes for at least 4 weeks before the screening visit (Visit 1);
  • Mean Sitting Systolic Blood Pressure (SiSBP) greater or equal to 140 mmHg measured by Automated Office Blood Pressure Measurement (AOBPM);
  • Women of childbearing potential are eligible only if the following applies:
  • Negative pregnancy test at screening and at baseline (i.e., before randomization);
  • Agreement to undertake pregnancy tests during the study and up to 30 days after randomized study treatment discontinuation;
  • Agreement to use methods of birth control from Screening up to at least 30 days after randomized study treatment discontinuation.
  • Run-in period (RI):
  • Switched to the standardized background antihypertensive therapy at least 4 weeks before the first RI visit;
  • Mean trough SiSBP greater than or equal to140 mmHg as measured by AOBPM.
  • Randomization period:
  • Stable dose of the standardized background antihypertensive therapy for at least 1 week before the end of the RI period;
  • +1 more criteria

You may not qualify if:

  • Apparent/pseudo Resistant Hypertension (RHT) due to white coat effect, medical inertia, poor therapeutic adherence, or secondary causes of hypertension (except sleep apnea);
  • Confirmed severe hypertension (grade 3) defined as SiSBP greater than or equal to 180 mmHg and/or Sitting Diastolic Blood Pressure (SiDBP) greater than or equal to 110 mmHg as measured by AOBPM at two different timepoints;
  • Pregnant or lactating participants;
  • Severe renal insufficiency;
  • Any known factor, disease or clinically relevant medical or surgical conditions that, in the opinion of the investigator, might put the participant at risk, interfere with treatment compliance, study conduct or interpretation of the results.
  • Treatment with any medication which may affect blood pressure (BP) and/or treatment with high dose of loop diuretics (i.e., furosemide greater than 80 mg/day, or equivalent dosage of other loop diuretics).

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (159)

Advanced Cardiovascular, LLC

Alexander City, Alabama, 35010, United States

Location

Chrishard Medical Group

Inglewood, California, 90301, United States

Location

Clinical Trials Research

Lincoln, California, 95648, United States

Location

Academic Medical Research Institute Inc

Los Angeles, California, 90022, United States

Location

Amicis Research Center

Northridge, California, 91324, United States

Location

California Kidney Specialists

San Dimas, California, 91773, United States

Location

Bay Area Cardiology Associates, P.A.

Brandon, Florida, 33511, United States

Location

Century Clinical Research, Inc

Daytona Beach, Florida, 32117, United States

Location

Mayo Clinic Jacksonville

Jacksonville, Florida, 32224, United States

Location

Canvas Clinical Research, LLC

Lake Worth, Florida, 33467, United States

Location

East Coast Institute for Research

Saint Augustine, Florida, 32086, United States

Location

Premier Medical Associates

The Villages, Florida, 32159, United States

Location

SIU School of Medicine Center for Clinical Research

Springfield, Illinois, 62702, United States

Location

Midwest Institute for Clinical Research

Indianapolis, Indiana, 46260, United States

Location

Cardiovascular Research of Northwest Indiana, L.L.C.

Munster, Indiana, 46231, United States

Location

Reid Physician Associates

Richmond, Indiana, 47374, United States

Location

Grace Research, LLC

Bossier City, Louisiana, 71111, United States

Location

MedStar Health Research Institute

Hyattsville, Maryland, 20782, United States

Location

Clinical Research Consultants, LLC

Kansas City, Missouri, 64111, United States

Location

Hypertension and Nephrology Association PA

Eatontown, New Jersey, 07724, United States

Location

Renal Medicine Associates

Albuquerque, New Mexico, 87109, United States

Location

Albany Medical College

Albany, New York, 12206, United States

Location

Scott Research Inc

Laurelton, New York, 11413, United States

Location

Great Lakes Medical Research LLC

Westfield, New York, 14787, United States

Location

Metrolina Internal Medicine/Internal Medicine Research

Charlotte, North Carolina, 28207, United States

Location

East Carolina University

Greenville, North Carolina, 27834, United States

Location

Physician's East Endocrinology

Greenville, North Carolina, 27834, United States

Location

Carteret Medical Group

Morehead City, North Carolina, 28557, United States

Location

University Hospitals Cleveland Medical Center - Neurological Institute

Cleveland, Ohio, 44106, United States

Location

Willamette Valley Clinical Studies

Eugene, Oregon, 97404, United States

Location

TLM Medical Services LLC

Columbia, South Carolina, 29204, United States

Location

DeGarmo Institute of Medical Research

Greer, South Carolina, 29650, United States

Location

Stern Cardiovascular Foundation, Inc

Germantown, Tennessee, 38138, United States

Location

LifeDOC Research PLLC

Memphis, Tennessee, 38119, United States

Location

Amarillo Heart Clinical Research Institute, Inc.

Amarillo, Texas, 79106, United States

Location

LinQ Research, LLC

Pearland, Texas, 77584, United States

Location

Mercury Clinical Research

Webster, Texas, 77598, United States

Location

St. George Kidney Care LLC dba Southern Utah Kidney and Hypertension Center

St. George, Utah, 84790, United States

Location

Burke Internal Medicine & Research

Burke, Virginia, 22015, United States

Location

Manassas Clinical Research Center

Manassas, Virginia, 20110, United States

Location

Milwaukee Nephrologists, SC

Wauwatosa, Wisconsin, 53226, United States

Location

Renal Research

Gosford, New South Wales, 2250, Australia

Location

Westmead Hospital Department of Renal Medicine

Sydney, New South Wales, 2145, Australia

Location

Baker Heart and Diabetes Institute

Melbourne, Victoria, 3004, Australia

Location

Hypertension & Kidney Disease / Huma Neurotransmitter Laboratory

Melbourne, Victoria, 3004, Australia

Location

Curtin University, Faculty of Health Sciences, School of Public Health

Bentley, Western Australia, 6102, Australia

Location

Royal Perth Hospital Unit - The University of Western Australia

Perth, Western Australia, 6000, Australia

Location

Hospital Erasme - Cardiology department

Brussels, 1070, Belgium

Location

Clinique Universitaires de Saint Luc, Departement cardio-vasculaires intensives

Brussels, 1200, Belgium

Location

Universitair Ziekenhuis Gent Cardiologie

Ghent, 9000, Belgium

Location

Centre Hospitalier Universitaire du Sart-Tilman

Liège, 4000, Belgium

Location

Manna Research Inc (North Burlington)

Hamilton, Ontario, L8J 3W2, Canada

Location

London Health Sciences Centre - Victoria Hospital

London, Ontario, N6A 5W9, Canada

Location

Canadian Phase Onward Inc.

Toronto, Ontario, M3J 2C5, Canada

Location

Stephen S. Chow Medicine Professional Corporation

Toronto, Ontario, M4C 5T2, Canada

Location

Clinical Research Solutions Inc.

Waterloo, Ontario, N2J 3Z4, Canada

Location

The First Affiliated Hospital of Baotou Medical College of Inner Mongolia

Baotou, 014010, China

Location

The Third Xiangya Hospital of Central South University

Changsha, 410000, China

Location

Guangdong General Hospital

Guangzhou, 510080, China

Location

Zhejiang Province People's Hospital

Hangzhou, 310014, China

Location

Hainan NO.3 Provincial people's Hospital

Sanya, 572000, China

Location

Ruijin Hospital Shanghai Jiaotong University School of Medicine

Shanghai, 200000, China

Location

The First Affiliated Hospital of Xi'an Jiaotong University

Xi'an, 710061, China

Location

FN U Sv.Anny Brno, kardiologická klinika

Brno, 656 91, Czechia

Location

Všeobecní fakultní nemocnice Praha

Prague, 128 08, Czechia

Location

Thomayerova nemocnice

Prague, 140 59, Czechia

Location

Interni oddeleni, Nefrologie

Prague, 16000, Czechia

Location

Kardio Václavík s.r.o

Přerov, 750 02, Czechia

Location

University of Oulu, Medical Research Center

Oulu, 90220, Finland

Location

TAYS RDI center (Tampere University Hospital,Specialist Internal Medicine, Rare Diseases)

Tampere, 33520, Finland

Location

Turku University Central Hospital - Turun yliopistollinen keskussairaala Sisätautien klinikka

Turku, 20520, Finland

Location

CHU Grenoble - Alpes

Grenoble, 38043, France

Location

Hôpital de la Croix-Rousse - Rhône

Lyon, 69317, France

Location

Hôpital Européen Georges Pompidou- Centre d' Investigation Clinique

Paris, 75015, France

Location

Centre Hospitalier Intercommunal Toulon La Seyne sur Mer

Toulon, 83100, France

Location

Jewish Hospital Berlin

Berlin, 13347, Germany

Location

Universitätsklinikum Düsseldorf Klinik für Nephrologie

Düsseldorf, 40225, Germany

Location

Universitätsklinikum Erlangen Klinische Forschungsstation (CRC)

Erlangen, 91054, Germany

Location

Universitätsklinikum des Saarlandes

Homburg/Saar, 66421, Germany

Location

Herzzentrum Leipzig Universitätsklinik für Kardiologie

Leipzig, 04289, Germany

Location

Universitätsklinikum Nürnberg Süd

Nuremberg, 90471, Germany

Location

General Hospital of Athens, Ippokrateio

Athens, 11527, Greece

Location

General Hospital of Athens Georgios Gennimatas

Athens, 15669, Greece

Location

Asklepeion General Hospital

Athens, 16673, Greece

Location

General Hospital Konstantopouleio-Patision

Nea Ionia, 14233, Greece

Location

DRC Gyógyszervizsgáló Központ Kft.

Balatonfüred, 8230, Hungary

Location

Gottsegen György Országos Kardiológiai Intézet

Budapest, 1096, Hungary

Location

Debreceni Egyetem - Klinikai Központ

Debrecen, 4032, Hungary

Location

Markusovszky Egyetemi Oktatókórház

Szombathely, 9700, Hungary

Location

Haemek Medical Center

Afula, 1834111, Israel

Location

Barzilai Medical Center, Cardiovascular Institute

Ashkelon, 7830604, Israel

Location

Shaare Zedek Medical Center

Jerusalem, 9103102, Israel

Location

Galilee Medical Center

Nahariya, 2210001, Israel

Location

Sheba Medical Center

Tel Litwinsky, 5265601, Israel

Location

University Brescia Department Clinical and Experimental Science

Brescia, 25121, Italy

Location

Ospedale San Gerardo, Clinica Medica

Monza, 20835, Italy

Location

Azienda Ospedaliero Universitaria Pisana - Department Clinical and Experimental Medicine

Pisa, 56126, Italy

Location

Azienda Ospedaliera S. Andrea di Roma - Division of Cardiology and of Cardiothoracic and Vascular Science Department -

Roma, 00189, Italy

Location

SCU Medicina Interna e Centro Ipertensione arteriosa. Dipartimento di Scienze Mediche Università di Torino, Aou Citta' Salute E Scienza Torino

Torino, 10126, Italy

Location

JSC "InMedica"

Kaunas, LT-50177, Lithuania

Location

Clinic of Cardiology and Rehabilitation

Klaipėda, LT-91131, Lithuania

Location

Academic Medical Center Amsterdam

Amsterdam, 1105 AZ, Netherlands

Location

Zuyderland Medical Center

Geleen, 6162 BG, Netherlands

Location

Maastricht University Medical Center, Dept. of Medicine

Maastricht, 6229 HX, Netherlands

Location

Radboud University Medical Center

Nijmegen, 6500 HB, Netherlands

Location

Uniwersyteckie Centrum Kliniczne Centrum Kardiologii

Gdansk, 80-214, Poland

Location

Samodzielny Publiczny Szpital Kliniczny im. Andrzeja Mielęckiego Śląskiego Uniwersytetu Medycznego w Katowicach

Katowice, 40-027, Poland

Location

Diamond Clinic

Krakow, 31-559, Poland

Location

SPZOZ Centralny Szpital Kliniczny Uniwersytetu Medycznego w Łodzi

Lodz, 92-213, Poland

Location

KO-MED. CentraKliniczne Sp. Z o.o. Ośrodek Badań Klinicznych w Lublinie II

Lublin, 20-362, Poland

Location

ETG Lublin

Lublin, 20-412, Poland

Location

Etyka Ośrodek Badań Klinicznych

Olsztyn, 10-117, Poland

Location

KO-MED. Centra Kliniczne Sp. Z o.o. Ośrodek Badań Klinicznych w Puławach

Puławy, 24-100, Poland

Location

ETG Skierniewice

Skierniewice, 96-100, Poland

Location

Medycyna Kliniczna

Warsaw, 00-874, Poland

Location

Samodzielny Publiczny Centralny Szpital Kliniczny w Warszawie

Warsaw, 02-097, Poland

Location

ETG Warszawa

Warsaw, 02-777, Poland

Location

Klinika Wad Wrodzonych Serca Instytut Kardiologii im. Kardynala Wyszynskiego

Warsaw, 04-628, Poland

Location

Samodzielny Publiczny Szpital Wojewódzki im. Papieża Jana Pawła II w Zamościu

Zamość, 22-400, Poland

Location

ETG Zgierz

Zgierz, 95-100, Poland

Location

State Budgetary Healthcare Institution of Arkhangelsk Region "First City Clinical Hospital n.a. E.E. Volosevich"

Arkhangelsk, 163001, Russia

Location

Federal State Autonomous Institution of Higher Education "Kazan (Volga Region) Federal University"

Kazan', 420043, Russia

Location

Federal State Budget Scientific Institution "Scientific Research Institute for Complex Issues of Cardiovascular Diseases"

Kemerovo, 650002, Russia

Location

Scientific Research Institute - Regional Clinical Hospital №1

Krasnodar, 350086, Russia

Location

National Medical Research Center for Preventive Medicine

Moscow, 101990, Russia

Location

State budget healthcare institution of Novosibirsk region "City clinical hospital #34"

Novosibirsk, 630054, Russia

Location

Federal State Budget Scientific Institution "Federal Research Center Institute of Cytology and Genetics of Siberian Department of Russian Academy of Sciences"

Novosibirsk, 630089, Russia

Location

Federal State Military Educational Institution of Higher Professional Education, Military Medical Academy named for S. M. Kirov of the Ministry of Defense of the Russian Federation

Saint Petersburg, 194044, Russia

Location

Federal State Budget Institution "National Medical Research Center n.a. V.A. Almazov" of the Ministry of healthcare of the Russian Federation

Saint Petersburg, 197341, Russia

Location

Federal State Budget Institution National Medical Research Center n.a. V.A. Almazov of the Ministry of Healthcare of the Russia

Saint Petersburg, 197341, Russia

Location

State Healthcare Institution "Regional Clinical Cardiology Dispensary"

Saratov, 410028, Russia

Location

Federal State Budget Educational Institution of Higher Education "Saratov State Medical University n.a. V.I. Razumovskiy" of the Ministry of Healthcare of the Russian Federation

Saratov, 410054, Russia

Location

State Budgetary Educational Institution of Higher Professional Education Smolensk State Medical Academy

Smolensk, 214018, Russia

Location

Federal State Budget Scientific Institution "Tomsk National Research Medical Center of the Russian Academy of Sciences"

Tomsk, 634012, Russia

Location

Tyumen Cardiology Research Center, Tomsk National Research Medical Center, Russian Academy of Science

Tyumen, 625026, Russia

Location

Hospital del Mar

Barcelona, 08003, Spain

Location

Fundació Puigvert

Barcelona, 08025, Spain

Location

Hospital Vall d'Hebron de Barcelona

Barcelona, 08035, Spain

Location

Hospital Universitari de Bellvitge

Barcelona, 08907, Spain

Location

Hospital Virgen de las Nieves - Internal Medicine Department

Granada, 18014, Spain

Location

Hospital Clinico San Carlos - Istituto de Investigacion Sanitaria San Carlos (IdISSC)

Madrid, 28040, Spain

Location

Hospital Universitario La Paz

Madrid, 28046, Spain

Location

Hospital Virgen del Rocio Departamento de Medicina Interna

Seville, 41013, Spain

Location

Hospital Clínic Universitari de València

Valencia, 46010, Spain

Location

Hypertension Clinic, Internal Medicine, Hospital Clinico, University of Valencia, Valencia

Valencia, 46010, Spain

Location

State Institution "L.T. Malaya Therapy National Institute of the NAMS of Ukraine"

Kharkiv, 61039, Ukraine

Location

Municipal non-profit enterprise "Clinical Hospital # 8"of Kharkiv City Council

Kharkiv, 61176, Ukraine

Location

Kyiv City Clinical Hospital # 1

Kyiv, 02091, Ukraine

Location

Kyiv Municipal Clinical Emergency Hospital

Kyiv, 02116, Ukraine

Location

State Institution "National Scientific Center "M.D. Strazhesko Institute of Cardiology" of the National Academy of Medical Sciences of Ukraine"

Kyiv, 03680, Ukraine

Location

State Institution "D.F. Chebotarev Institute of Gerontology, National Academy of Medical Science of Ukraine"

Kyiv, 04114, Ukraine

Location

State Institution "Institute of Gerontology named after D.F. Chebotarev of National Academy of Medical Sciences of Ukraine"

Kyiv, 04114, Ukraine

Location

Volyn Regional Center for Cardiovascular Pathology, Rehabilitation Department

Lutsk, 43024, Ukraine

Location

Danylo Halytsky Lviv National Medical University

Lviv, 79013, Ukraine

Location

Communal Non-profit Enterprise "Vinnytsya regional Clinical Hospital named after. N.I. Pirogov Vinnytsia Regional Council"/ National Pirogov Memorial Medical University, Vinnytsya

Vinnytsia, 21028, Ukraine

Location

O.F. Herbachevsky Zhytomyr Regional Clinical Hospital, Cardiology department

Zhytomyr, 10002, Ukraine

Location

Aberdeen Royal Infirmary, Clinical Pharmacology Unit

Aberdeen, AB24 2ZN, United Kingdom

Location

Clinical Research Centre The University of Edinburgh Centre for Cardiovascular Science

Edinburgh, EH4 2XU, United Kingdom

Location

Queen Mary University of London

London, EC1M 6BQ, United Kingdom

Location

Related Publications (7)

  • Daskalopoulou SS, Khan NA, Quinn RR, Ruzicka M, McKay DW, Hackam DG, Rabkin SW, Rabi DM, Gilbert RE, Padwal RS, Dawes M, Touyz RM, Campbell TS, Cloutier L, Grover S, Honos G, Herman RJ, Schiffrin EL, Bolli P, Wilson T, Feldman RD, Lindsay MP, Hemmelgarn BR, Hill MD, Gelfer M, Burns KD, Vallee M, Prasad GV, Lebel M, McLean D, Arnold JM, Moe GW, Howlett JG, Boulanger JM, Larochelle P, Leiter LA, Jones C, Ogilvie RI, Woo V, Kaczorowski J, Trudeau L, Bacon SL, Petrella RJ, Milot A, Stone JA, Drouin D, Lamarre-Cliche M, Godwin M, Tremblay G, Hamet P, Fodor G, Carruthers SG, Pylypchuk G, Burgess E, Lewanczuk R, Dresser GK, Penner B, Hegele RA, McFarlane PA, Sharma M, Campbell NR, Reid D, Poirier L, Tobe SW; Canadian Hypertension Education Program. The 2012 Canadian hypertension education program recommendations for the management of hypertension: blood pressure measurement, diagnosis, assessment of risk, and therapy. Can J Cardiol. 2012 May;28(3):270-87. doi: 10.1016/j.cjca.2012.02.018.

    PMID: 22595447BACKGROUND
  • Pickering TG, Hall JE, Appel LJ, Falkner BE, Graves J, Hill MN, Jones DW, Kurtz T, Sheps SG, Roccella EJ. Recommendations for blood pressure measurement in humans and experimental animals: part 1: blood pressure measurement in humans: a statement for professionals from the Subcommittee of Professional and Public Education of the American Heart Association Council on High Blood Pressure Research. Circulation. 2005 Feb 8;111(5):697-716. doi: 10.1161/01.CIR.0000154900.76284.F6.

    PMID: 15699287BACKGROUND
  • Danaietash P, Verweij P, Wang JG, Dresser G, Kantola I, Lawrence MK, Narkiewicz K, Schlaich M, Bellet M; PRECISION investigators. Identifying and treating resistant hypertension in PRECISION: A randomized long-term clinical trial with aprocitentan. J Clin Hypertens (Greenwich). 2022 Jul;24(7):804-813. doi: 10.1111/jch.14517. Epub 2022 Jun 9.

  • Rossignol P, Clozel M, Dreier RF, Flack JM, Flamion B, Mann J, Narkiewicz K, Sassi-Sayadi M, Wang JG, Weber M, Schlaich M. Aprocitentan in Patients With Chronic Kidney Disease and Resistant Hypertension. Hypertension. 2025 Dec 9. doi: 10.1161/HYPERTENSIONAHA.125.25563. Online ahead of print.

  • Flack JM, Schlaich MP, Weber MA, Sassi-Sayadi M, Narkiewicz K, Clozel M, Dreier RF, Andrawis NS, Danaietash P, Gabra N, Scott D, Wang JG, Ferdinand KC. Aprocitentan for Blood Pressure Reduction in Black Patients. Hypertension. 2025 Apr;82(4):601-610. doi: 10.1161/HYPERTENSIONAHA.124.24142. Epub 2025 Jan 22.

  • Xu J, Jiang X, Xu S. Aprocitentan, a dual endothelin-1 (ET-1) antagonist for treating resistant hypertension: Mechanism of action and therapeutic potential. Drug Discov Today. 2023 Nov;28(11):103788. doi: 10.1016/j.drudis.2023.103788. Epub 2023 Sep 22.

  • Schlaich MP, Bellet M, Weber MA, Danaietash P, Bakris GL, Flack JM, Dreier RF, Sassi-Sayadi M, Haskell LP, Narkiewicz K, Wang JG; PRECISION investigators. Dual endothelin antagonist aprocitentan for resistant hypertension (PRECISION): a multicentre, blinded, randomised, parallel-group, phase 3 trial. Lancet. 2022 Dec 3;400(10367):1927-1937. doi: 10.1016/S0140-6736(22)02034-7. Epub 2022 Nov 7.

MeSH Terms

Interventions

aprocitentan

Results Point of Contact

Title
Clinical Trial Disclosure Desk
Organization
Idorsia Pharmaceuticals Ltd

Study Officials

  • Clinical Trials

    Idorsia Pharmaceuticals Ltd.

    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
TRIPLE
Who Masked
PARTICIPANT, CARE PROVIDER, INVESTIGATOR
Purpose
TREATMENT
Intervention Model
PARALLEL
Model Details: Study with multiple periods and parts. Once eligibility is confirmed during screening and the run-in period, the individuals entered the randomized treatment period consisting of 3 parts: Part 1: double-blind (DB), randomized to aprocitentan 12.5 mg, aprocitentan 25 mg or placebo; Part 2 single-blind (SB) aprocitentan 25 mg; Part 3: double-blind withdrawal (DB-WD) re-randomized to aprocitentan 25 mg or placebo.
Sponsor Type
INDUSTRY
Responsible Party
SPONSOR

Study Record Dates

First Submitted

May 17, 2018

First Posted

May 30, 2018

Study Start

June 18, 2018

Primary Completion

May 14, 2021

Study Completion

April 25, 2022

Last Updated

March 21, 2023

Results First Posted

March 21, 2023

Record last verified: 2023-03

Data Sharing

IPD Sharing
Will not share

Locations