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HypertensionPhase 2NCT00817635

A Study to Evaluate the Efficacy and Safety of LCI699 Compared to Placebo in Participants With Resistant Hypertension

A Phase 2 study testing LCI699 and Eplerenone in people with Hypertension, run by Novartis at 38 sites in 2 countries.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
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Trial summary

This study assessed the blood pressure effect, safety and tolerability of LCI699 compared to placebo and eplerenone in participants with resistant hypertension. Read more about this study

Who is it for?
Ages 18 to 75 years
Conditions the study is for
Hypertension
What is being tested?
LCI699 and Eplerenone
Type of treatment
Pill or oral medicine
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
155 participants
Where
38 sitesin 2 countries
Study dates
22 Dec 2008to 13 Oct 2009
Phase
Phase 2
Are there results?
Yes, posted in the registrySummary in the doctors' view

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 to 75 years
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Diagnosis of hypertension with mean sitting systolic blood pressure (MSSBP) ≥140 millimeters of mercury (mmHg) and <180 mmHg
  • Stable on a three-drug regimen (including a diuretic) for at least 4 weeks for the treatment of resistant hypertension
  • Male and female participants 18 to 75 years of age

Who cannot join

  • Recent history of myocardial infarction (MI), heart failure, unstable angina, coronary artery bypass graft, percutaneous coronary intervention, hypertensive encephalopathy, cerebrovascular accident, or transient ischemic attack
  • Clinically significant electrocardiography (ECG) findings related to cardiac conduction defects
  • Type 1 diabetes or uncontrolled type 2 diabetes (haemoglobin A1c [HbA1c] >9%)
  • Malignancies within the last 5 years (excluding basal cell skin cancer)
  • Other protocol-defined inclusion/exclusion criteria may apply.

Trial locations and contacts

38 sites in 2 countries.

38 sites in 2 countries

United States37 sites
  • Provident Clinical Research

    Addison, Illinois, 60101

  • Peter A. Holt

    Baltimore, Maryland, 21239

  • Provident Clinical Research

    Bloomington, Indiana, 47403

  • Northwest Clinical Trials

    Boise, Idaho, 83704

  • Meridien Research

    Bradenton, Florida, 34203

  • Clinical Solutions Advantage

    Buena Park, California, 90620

  • Daniel Gottlieb, MD

    Burien, Washington, 98166

  • Punzi Medical Center

    Carrollton, Texas, 75006

  • Medical Research South

    Charleston, South Carolina, 29407

  • Charlotte Clinical Research

    Charlotte, North Carolina, 28211

  • Chelsea Internal Medicine

    Chelsea, Michigan, 48118

  • Cedar-Crosse Research Centereet

    Chicago, Illinois, 60607

  • Community Research

    Cincinnati, Ohio, 45245

  • Clinical Research of So. Florida

    Coral Gables, Florida, 33134

  • KRK Medical Research

    Dallas, Texas, 75230

  • Mountain View Clinical Research Associates

    Greer, South Carolina, 29651

  • Michael Waldman, MD

    Irvine, California, 92618

  • Jacksonville Heart Center

    Jacksonville Beach, Florida, 32250

  • FPA Clinical Research

    Kissimmee, Florida, 34741

  • Northstate Clinical Research

    Lenoir, North Carolina, 28645

  • Metro Clinical Research

    Littleton, Colorado, 80120

  • Long Beach Center for Clinical Research

    Long Beach, California, 90806

  • DCOL Center for Clinical Research

    Longview, Texas, 75605

  • Gemini Scientific

    Madison, Wisconsin, 83719

  • Accelovance

    Melbourne, Florida, 32935

  • Horizon Research Group, Inc

    Mobile, Alabama, 36608

  • Clinical Research Associates, Inc

    Nashville, Tennessee, 37203

  • New York Cardiovascular Associates

    New York, New York, 10001

  • MD Medical Research

    Oxon Hill, Maryland, 20745

  • Cardio-Pulminary Associates

    Plantation, Florida, 33317

  • Rainier Clinical Research Center

    Renton, Washington, 98057

  • Clinical Trials Research

    Roseville, California, 95661

  • Cochise Clinical Research

    Sierra Vista, Arizona, 85635

  • Accelovance

    South Bend, Indiana, 46601

  • Meridien Research

    St. Petersburg, Florida, 33709

  • Tipton Medical & Diagnostic Center

    Tipton, Pennsylvania, 16684

  • Orange County Research Center

    Tustin, California, 92780

Other trials in United States

Iceland1 site
  • Encode Clinic

    Reykjavik, SA

Other trials in Iceland

About this study

Official title: A Phase II, Randomized, Double-blind, Placebo and Active Controlled, Parallel Group, Multi-center, Dose Ranging Study to Evaluate the Efficacy and Safety of LCI699 Compared to Placebo After 8 Weeks Treatment in Patients With Resistant Hypertension

This study assessed the blood pressure effect, safety and tolerability of LCI699 compared to placebo and eplerenone in participants with resistant hypertension.

Conditions
Hypertension
Being tested
LCI699, Eplerenone, LCI699-matching Placebo, Eplerenone-matching Placebo
Keywords
Blood Pressure, Hypertension, Resistant Hypertension
Medical subject headings
Hypertension

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • LCI699Drug

    LCI699 oral capsules

  • EplerenoneDrug

    Eplerenone oral capsules

  • LCI699-matching PlaceboDrug

    LCI699-matching placebo oral capsules

  • Eplerenone-matching PlaceboDrug

    Eplerenone-matching placebo oral capsules

Study groups in NCT00817635
Study groupRoleWhat they receive
LCI699 0.25 mg BIDExperimentalFollowing a 2-week placebo run-in period, participants received LCI699 0.25 mg, capsules, orally, twice daily (BID), with or without food for up to 8 weeks.
Receives: Drug: LCI699
LCI699 1 mg QDExperimentalFollowing a 2-week placebo run-in period, participants received LCI699 1 mg, capsules, orally, once daily (QD), with or without food for up to 8 weeks.
Receives: Drug: LCI699
LCI699 0.5 mg followed by LCI699 1 mg BIDExperimentalFollowing a 2-week placebo run-in period, participants received LCI699 0.5 mg, capsules, orally, BID, with or without food for up to 4 weeks, followed by LCI699 1 mg, capsules, orally, BID with or without food for up to 4 weeks.
Receives: Drug: LCI699
Eplerenone 50 mg BIDActive comparatorFollowing a 2-week placebo run-in period, participants received eplerenone 50 mg, capsules, orally, BID, with or without food for up to 8 weeks.
Receives: Drug: Eplerenone
PlaceboPlacebo comparatorFor a 2-week placebo run-in period, followed by 8 weeks of the treatment period, participants received LCI699-matching placebo or eplerenone-matching placebo, capsules, orally, QD or BID, with or without food.
Receives: Drug: LCI699-matching Placebo; Drug: Eplerenone-matching Placebo

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Change From Baseline in MSSBP at Week 8 Last Observation Carried Forward (LOCF)

    Arterial blood pressure (BP) determinations were made after the participant was in the sitting position for 5 minutes according to the American Heart Association guidelines using a calibrated standard aneroid or mercury sphygmomanometer or a calibrated standard sphygmomanometer. The change in the MSSBP was calculated comparing the Week 8 readings to the readings taken at Baseline. The change from Baseline in MSSBP was analyzed using an analysis of covariance model (ANCOVA) with treatment and country as factors and Baseline MSSBP as a covariate.

    Measured: Baseline, Week 8

Secondary outcomes (15)
  1. Change From Baseline in MSDBP at Week 8 LOCF

    Arterial BP determinations were made after the participant was in the sitting position for 5 minutes according to the American Heart Association guidelines using a calibrated standard aneroid or mercury sphygmomanometer or a calibrated standard sphygmomanometer. The change in the MSDBP was calculated comparing the Week 8 readings to the readings taken at Baseline. The change from Baseline in MSDBP was analyzed using an ANCOVA with treatment and country as factors and Baseline MSDBP as a covariate.

    Measured: Baseline, Week 8

  2. Percentage of Participants With a MSSBP Response and MSSBP Control at Week 8, as Measured by Office Blood Pressure (OBP)

    MSSBP response was defined as the percentage of participants with a MSSBP <140 mmHg or a >=20 mmHg reduction from baseline reduction from baseline. MSSBP control was defined as the percentage of participants with a MSSBP <140 mmHg for non-diabetic participants and <130mHg for diabetic participants.

    Measured: Week 8

  3. Percentage of Participants With a MSDBP Response and MSDBP Control at Week 8, as Measured by OBP

    MSDBP response was defined as the percentage of participants with a MSDBP <90 mmHg or a >=10 mmHg reduction from baseline. MSDBP control was defined as the percentage of participants with a MSDBP <90 mmHg for non-diabetic participants and <80mHg for diabetic participants.

    Measured: Week 8

  4. Dose/Exposure BP Response Relationship of LCI699, as Measured by Change From Baseline in MSSBP at Week 8

    Arterial BP determinations were made after the participant was in the sitting position for 5 minutes according to the American Heart Association guidelines using a calibrated standard aneroid or mercury sphygmomanometer or a calibrated standard sphygmomanometer. The change in the MSSBP was calculated comparing the Week 8 readings to the readings taken at Baseline. The change from Baseline in MSSBP was analyzed using an ANCOVA with treatment and country as factors and Baseline MSSBP as a covariate.

    Measured: Baseline, Week 8

  5. Dose/Exposure BP Response Relationship of LCI699, as Measured by Change From Baseline in MSDBP at Week 8

    Arterial BP determinations were made after the participant was in the sitting position for 5 minutes according to the American Heart Association guidelines using a calibrated standard aneroid or mercury sphygmomanometer or a calibrated standard sphygmomanometer. The change in the MSDBP was calculated comparing the Week 8 readings to the readings taken at Baseline. The change from Baseline in MSDBP was analyzed using an ANCOVA with treatment and country as factors and Baseline MSDBP as a covariate.

    Measured: Baseline, Week 8

  6. Change From Baseline in Mean 24 Hours, Mean Daytime and Mean Nighttime Systolic Blood Pressure (SBP) at Week 8 LOCF, as Measured by Ambulatory Blood Pressure Measurement (ABPM)

    An ABPM measured a participant's blood pressure over a 24-hour period including daytime and nighttime readings, using an automated validated monitoring device from Baseline to Week 8. The 24-hour SBP was calculated by taking the mean of all ambulatory systolic blood pressure readings for the 24-hour period. The change from Baseline in SBP was analyzed using ANCOVA with treatment and country as factors and Baseline MSSBP as a covariate.

    Measured: Baseline, Week 8

  7. Change From Baseline in Mean 24 Hours, Mean Daytime and Mean Nighttime Diastolic Blood Pressure (DBP) at Week 8 LOCF, as Measured by ABPM

    An ABPM measured a participant's blood pressure over a 24-hour period including daytime and nighttime readings, using an automated validated monitoring device from Baseline to Week 8. The 24-hour DBP was calculated by taking the mean of all ambulatory diastolic blood pressure readings for the 24-hour period. The change from Baseline in DBP was analyzed using an ANCOVA with treatment and country as factors and Baseline MSDBP as a covariate.

    Measured: Baseline, Week 8

  8. Change From Baseline in Mean 24 Hours, Mean Daytime and Mean Nighttime SBP in LCI699 1mg QD Versus LCI699 0.5mg BID Arm at Week 4, as Measured by ABPM

    An ABPM measured a participant's blood pressure over a 24-hour period including daytime and nighttime readings using an automated validated monitoring device from Baseline to Week 4. The 24-hour SBP was calculated by taking the mean of all ambulatory systolic blood pressure readings for the 24-hour period. The change from Baseline in SBP was analyzed using an ANCOVA with treatment and country as factors and Baseline MSDBP as a covariate.

    Measured: Baseline, Week 4

  9. Change From Baseline in Mean 24 Hours, Mean Daytime and Mean Nighttime DBP in LCI699 1mg QD Versus LCI699 0.5mg BID Arm at Week 4, as Measured by ABPM

    An ABPM measured a participant's blood pressure over a 24-hour period including daytime and nighttime readings using an automated validated monitoring device from Baseline to Week 4. The 24-hour DBP was calculated by taking the mean of all ambulatory diastolic blood pressure readings for the 24-hour period. The change from Baseline in DBP was analyzed using an ANCOVA with treatment and country as factors and Baseline MSDBP as a covariate.

    Measured: Baseline, Week 4

  10. Number of Participants With Adverse Event (AEs), Serious Adverse Events (SAEs), Hyperkalemia, and Hyponatremia

    An AE was an adverse medical event which occurs in a participant of the study and which is not necessarily in a causal relationship with the treatment the participant receives. SAEs were AEs leading to death, are life-threatening, require hospitalizations or prolongation of hospitalizations, represent an innate malformation or a congenital abnormality. Hyperkalemia was defined as potassium level >5.5 millimoles per liter (mmol/L). It is the medical term that describes a potassium level that's higher than normal. Hyponatremia was defined as sodium level <135 mmol/L. It is the medical term that describes a sodium level that's lesser than normal.

    Measured: AEs, Hyperkalemia, and Hyponatremia: From start of the study drug treatment up to 10 weeks; SAE: From signing of the informed consent up to 10 weeks

  11. Number of Participants With Cortisol Levels Below 500 Nmol/L at 1 Hour After Adrenocorticotropic Hormone (ACTH) Injection at Week 8

    Serum cortisol concentrations at 1 hour after injection were measured to assess the maximum stimulated cortisol level achieved. Potential adrenal suppression was indicated if the serum cortisol concentration was <500 nanomoles per liter (nmol/L) at 1 hour after the injection.

    Measured: 1-hour post-dose at Week 8

  12. Percent Change From Baseline in Renin-Angiotensin-Aldosterone-System (RAAS) Biomarker: Plasma Aldosterone (PA) in LCI699 Compared to Eplerenone 50 mg at Week 8 LOCF

    Percent change from Baseline was analyzed by ANCOVA model using PA values measured at Baseline and Week 8 LOCF, with treatment and country as factors and Baseline value as the covariate. Negative percent change from Baseline shows improvement.

    Measured: Baseline, Week 8

  13. Percent Change From Baseline in RAAS Biomarker: Plasma Renin Activity (PRA) in LCI699 Compared to Eplerenone 50mg at Week 8 LOCF

    Percent change from Baseline was analyzed by ANCOVA model using plasma renin values measured at Baseline and Week 8 LOCF, with treatment and country as factors and Baseline value as the covariate. Negative percent change from Baseline shows improvement.

    Measured: Baseline, Week 8

  14. Percent Change From Baseline in RAAS Biomarker: Active Renin (ARC) in LCI699 Compared to Eplerenone 50mg at Week 8 LOCF

    Percent change from Baseline was analyzed by ANCOVA model using active renin values measured at Baseline and Week 8 LOCF, with treatment and country as factors and Baseline value as the covariate. Negative percent change from Baseline shows improvement.

    Measured: Baseline, Week 8

  15. Percent Change From Baseline in RAAS Biomarker: Ratio of PA to PRA in LCI699 Compared to Eplerenone 50mg at Week 8 LOCF

    Percent change from Baseline was analyzed by ANCOVA model using percent ratio of PA to PRA values measured at Baseline and Week 8 LOCF, with treatment and country as factors and Baseline value as the covariate. Negative percent change from Baseline shows improvement.

    Measured: Baseline, Week 8

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted6 Jan 2009 (estimated)
  2. Study start22 Dec 2008
  3. Primary completion13 Oct 2009
  4. Study completion13 Oct 2009

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase 2
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Masking
Double blind
Who is masked
Participant, Investigator
Enrolment
155 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT00817635
Sponsor's protocol ID
CLCI699A2216
Other IDs
2008-007338-23, 2008
Status last verified
May 2021
First submitted
5 Jan 2009
Last updated
2 Jun 2021
Data monitoring committee
No
FDA-regulated drug
Yes
FDA-regulated device
No

Publications

  • Schumacher CD, Steele RE, Brunner HR. Aldosterone synthase inhibition for the treatment of hypertension and the derived mechanistic requirements for a new therapeutic strategy. J Hypertens. 2013 Oct;31(10):2085-93. doi: 10.1097/HJH.0b013e328363570c.

    PubMed 24107737

Questions about this trial

What is this clinical trial studying?

A Phase 2 study testing LCI699 and Eplerenone in people with Hypertension, run by Novartis at 38 sites in 2 countries.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 3 inclusion and 5 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: finished, as of the sponsor's last update on 2 Jun 2021. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 38 sites in United States, Iceland. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. Some participants in this study may receive a placebo. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

What does this phase mean?

Phase 2 studies give the treatment to a larger group to see whether it has the intended effect and to keep checking safety.

Not every study follows the same path, and some studies (observational studies, device studies) have no phase.

Are results available for this study?

Yes. Results are posted in the registry (first posted 2 Jun 2021). A summary is in the For doctors view, and the full results are on ClinicalTrials.gov.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Change From Baseline in MSSBP at Week 8 Last Observation Carried Forward (LOCF) (time frame: Baseline, Week 8). It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT00817635, which also lists 1 linked publication.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 2 Jun 2021.

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