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Coronary Artery Disease (CAD)Phase 3AQUARIUSNCT00853827

Safety and Efficacy of Aliskiren on the Progression of Atherosclerosis in Coronary Artery Disease Patients

A Phase 3 study testing Aliskiren in people with Coronary Artery Disease (CAD) and Coronary Atherosclerosis, run by Novartis Pharmaceuticals at 129 sites in 11 countries.

Completed

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

Official record
Search all trials

Trial summary

The study will assess the change in coronary atherosclerotic disease as determined by intravascular ultrasound (IVUS) for aliskiren compared to placebo when given in addition to standard therapy in patients with coronary artery disease (CAD) and a blood pressure in the pre-hypertensive range. Read more about this study

Who is it for?
Ages 35 years and older
What is being tested?
Aliskiren
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
613 participants
Where
129 sitesin 11 countries
Study dates
Mar 2009to Jan 2013
Phase
Phase 3
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 35 years and older
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Patients with CAD who have blood pressure in the pre-hypertensive range defined as a msSBP ≥ 125 and ≤ 139mmHg and a msDBP < 90mmHg.
  • Patients with or without current treatment for hypertension
  • Angiographic evidence of coronary artery disease
  • At least 2 qualifying Cardiovascular risk factors at Visit 1

Who cannot join

  • Baseline IVUS determined unacceptable
  • Patients requiring treatment with disallowed study medications
  • Patients with clinically significant heart disease
  • Previous or current diagnosis of heart failure (NYHA Class IV) or a documented left ventricular ejection fraction of < 25%
  • Patients requiring treatment with any 2 of the following classes of medication at Visit 1 or Visit 2:
  • Angiotensin converting enzyme inhibitors
Show all 9Show fewer
  • Angiotensin receptor blockers
  • aldosterone receptor blockers or a direct renin inhibitor.
  • Other conditions may apply

Trial locations and contacts

129 sites in 11 countries.

129 sites in 11 countries

United States54 sites
  • Novartis Investigative Site

    Albuquerque, New Mexico, 87131-5271

  • Novartis Investigative Site

    Bend, Oregon, 97701

  • Novartis Investigative Site

    Boston, Massachusetts

  • Novartis Investigative Site

    Boulder, Colorado, 80304

  • Novartis Investigative Site

    Buffalo, New York, 14215

  • Novartis Investigative Site

    Cleveland, Ohio, 44109-1998

  • Novartis Investigative Site

    Columbia, Maryland, 21044

  • Novartis Investigative Site

    Columbia, Missouri, 65212

  • Novartis Investigative Site

    Covington, Louisiana, 70433

  • Novartis Investigative Site

    Dallas, Texas, 75226

  • Novartis Investigative Site

    Danville, Pennsylvania, 17822-2001

  • Novartis Investigative Site

    Decatur, Georgia, 30033

  • Novartis Investigative Site

    Elkhart, Indiana, 46514

  • Novartis Investigative Site

    Fargo, North Dakota, 58122

  • Novartis Investigative Site

    Farmington, Connecticut, 06030-3100

  • Novartis Investigative Site

    Flint, Michigan, 48532

  • Novartis Investigative Site

    Gainesville, Florida, 32610

  • Novartis Investigative Site

    Hillsboro, Oregon, 97123

  • Novartis Investigative Site

    Hudson, Florida, 34667

  • Novartis Investigative Site

    Johnson City, Tennessee, 37604

  • Novartis Investigative Site

    Kalamazoo, Michigan, 49048

  • Novartis Investigative Site

    Katy, Texas, 77493

  • Novartis Investigative Site

    Lexington, Kentucky, 40536

  • Novartis Investigative Site

    Los Angeles, California, 90033

  • Novartis Investigative Site

    Los Angeles, California, 90095

  • Novartis Investigative Site

    Louisville, Kentucky, 40202

  • Novartis Investigative Site

    Memphis, Tennessee, 38104

  • Novartis Investigative Site

    Miami, Florida, 33137-3732

  • Novartis Investigative Site

    Midland, Michigan, 48640

  • Novartis Investigative Site

    Mobile, Alabama, 36693

  • Novartis Investigative Site

    New York, New York, 10011

  • Novartis Investigative Site

    Oak Ridge, Tennessee, 37830

  • Novartis Investigative Site

    Oklahoma City, Oklahoma, 73109

  • Novartis Investigative Site

    Petoskey, Michigan, 49770

  • Novartis Investigative Site

    Phoenix, Arizona, 85054

  • Novartis Investigative Site

    Pittsburgh, Pennsylvania, 15213

  • Novartis Investigative Site

    Port Charlotte, Florida, 33952

  • Novartis Investigative Site

    Raleigh, North Carolina, 27610

  • Novartis Investigative Site

    Ridgewood, New Jersey, 07450

  • Novartis Investigative Site

    Rochester, Minnesota, 55905-0001

  • Novartis Investigative Site

    Safety Harbor, Florida, 34695

  • Novartis Investigative Site

    Saginaw, Michigan, 48601

  • Novartis Investigative Site

    Saint Paul, Minnesota, 55102

  • Novartis Investigative Site

    San Antonio, Texas, 78229-3900

  • Novartis Investigative Site

    San Diego, California, 92161

  • Novartis Investigative Site

    Stockton, California, 95204

  • Novartis Investigative Site

    Syracuse, New York, 13210-1640

  • Novartis Investigative Site

    Torrance, California, 90502

  • Novartis Investigative Site

    Tucson, Arizona, 85723-0001

  • Novartis Investigative Site

    Tucson, Arizona, 85745

  • Novartis Investigative Site

    Tulsa, Oklahoma, 74104-4243

  • Novartis Investigative Site

    Washington D.C., District of Columbia, 20010

  • Novartis Investigative Site

    Washington D.C., District of Columbia, 20037

  • Novartis Investigative Site

    Williamsville, New York, 14221

Other trials in United States

Spain13 sites
  • Novartis Investigative Site

    Barcelona, Barcelona, 08025

  • Novartis Investigative Site

    Barcelona, Catalonia, 08003

  • Novartis Investigative Site

    Barcelona, Catalonia, 08035

  • Novartis Investigative Site

    Galdakano, Basque Country, 48960

  • Novartis Investigative Site

    L'Hospitalet de Llobregat, Catalonia, 08907

  • Novartis Investigative Site

    Madrid, Madrid, 28040

  • Novartis Investigative Site

    Madrid, Madrid, 28046

  • Novartis Investigative Site

    Majadanonda, Madrid, 28220

  • Novartis Investigative Site

    Málaga, Andalusia, 29010

  • Novartis Investigative Site

    Oviedo, Principality of Asturias, 33006

  • Novartis Investigative Site

    Santander, Cantabria, 39008

  • Novartis Investigative Site

    Santiago de Compostela, Galicia, 15706

  • Novartis Investigative Site

    Vigo, Galicia, 36200

Other trials in Spain

Italy10 sites
  • Novartis Investigative Site

    Arezzo, AR, 52100

  • Novartis Investigative Site

    Bergamo, BG, 24128

  • Novartis Investigative Site

    Massa, MS, 54100

  • Novartis Investigative Site

    Milan, MI, 20132

  • Novartis Investigative Site

    Novara, 28100

  • Novartis Investigative Site

    Parma, PR, 43100

  • Novartis Investigative Site

    Roma, RM, 00185

  • Novartis Investigative Site

    Rozzano, MI, 20089

  • Novartis Investigative Site

    Sesto San Giovanni, MI, 20099

  • Novartis Investigative Site

    Siena, SI, 53100

Other trials in Italy

Canada9 sites
  • Novartis Investigative Site

    Chicoutimi, Quebec, G7H 5H6

  • Novartis Investigative Site

    Edmonton, Alberta, T5H 3V9

  • Novartis Investigative Site

    Edmonton, Alberta, T6G 2B7

  • Novartis Investigative Site

    London, Ontario, N6A 5A5

  • Novartis Investigative Site

    Montreal, Quebec, H1T 1C8

  • Novartis Investigative Site

    Montreal, Quebec, H1T 2M4

  • Novartis Investigative Site

    Québec, Quebec, G1V 4G5

  • Novartis Investigative Site

    Toronto, Ontario, M4N 3M5

  • Novartis Investigative Site

    Winnipeg, Manitoba, R2H 3C3

Other trials in Canada

Germany9 sites
  • Novartis Investigative Site

    Coburg, 96450

  • Novartis Investigative Site

    Essen, 45122

  • Novartis Investigative Site

    Frankfurt, 60316

  • Novartis Investigative Site

    Hamburg, 20099

  • Novartis Investigative Site

    Hamburg, 20246

  • Novartis Investigative Site

    Leipzig, 04289

  • Novartis Investigative Site

    Ludwigshafen, 67063

  • Novartis Investigative Site

    München, 81737

  • Novartis Investigative Site

    Neuss, 41464

Other trials in Germany

Argentina8 sites
  • Novartis Investigative Site

    Buenos Aires, Buenos Aires, C1039AAP

  • Novartis Investigative Site

    Buenos Aires, Buenos Aires, C1210AAP

  • Novartis Investigative Site

    Buenos Aires, Buenos Aires, C1280AEB

  • Novartis Investigative Site

    Buenos Aires, Buenos Aires, C1426ANZ

  • Novartis Investigative Site

    Buenos Aires, Buenos Aires, C1428DCO

  • Novartis Investigative Site

    Buenos Aires, Buenos Aires F.D., C1180AAX

  • Novartis Investigative Site

    Corrientes, Corrientes Province, 3400

  • Novartis Investigative Site

    Rosario, Santa Fe Province, C2000DSR

Other trials in Argentina

Belgium8 sites
  • Novartis Investigative Site

    Aalst, Belgium, 9300

  • Novartis Investigative Site

    Aalst, 9300

  • Novartis Investigative Site

    Anderlecht, 1070

  • Novartis Investigative Site

    Brussels, 1000

  • Novartis Investigative Site

    Brussels, 1200

  • Novartis Investigative Site

    Charleroi, 6000

  • Novartis Investigative Site

    Genk, 3600

  • Novartis Investigative Site

    Ottignies, 1340

Other trials in Belgium

Australia5 sites
  • Novartis Investigative Site

    Adelaide, South Australia, 5000

  • Novartis Investigative Site

    Camperdown, New South Wales, 2050

  • Novartis Investigative Site

    Clayton, Victoria, 3168

  • Novartis Investigative Site

    Liverpool, New South Wales, 2170

  • Novartis Investigative Site

    New Lambton Heights, New South Wales, 2305

Other trials in Australia

Hungary5 sites
  • Novartis Investigative Site

    Budapest, Hungary, 1122

  • Novartis Investigative Site

    Budapest, 1134

  • Novartis Investigative Site

    Debrecen, 4032

  • Novartis Investigative Site

    Pécs, Baranya, 7621

  • Novartis Investigative Site

    Szeged, 6720

Other trials in Hungary

France4 sites
  • Novartis Investigative Site

    Créteil, 94010

  • Novartis Investigative Site

    Le Plessis-Robinson, 92350

  • Novartis Investigative Site

    Pessac, 33604

  • Novartis Investigative Site

    Toulouse, 31059

Other trials in France

Poland4 sites
  • Novartis Investigative Site

    Bialystok, 15-276

  • Novartis Investigative Site

    Krakow, Poland, 31-531

  • Novartis Investigative Site

    Lódz, 90-549

  • Novartis Investigative Site

    Warsaw, 04-628

Other trials in Poland

About this study

Official title: A 104 Week, Randomized, Double Blind, Placebo-controlled, Parallel-group, Multicenter Study to Evaluate the Efficacy of Aliskiren on the Progression of Atherosclerosis in Patients With Coronary Artery Disease When Added to Optimal Background Therapy

The study will assess the change in coronary atherosclerotic disease as determined by intravascular ultrasound (IVUS) for aliskiren compared to placebo when given in addition to standard therapy in patients with coronary artery disease (CAD) and a blood pressure in the pre-hypertensive range.

Being tested
Placebo, Aliskiren
Keywords
CAD, coronary artery disease, coronary atherosclerosis, coronary angiography, IVUS, intravascular ultrasound, plasma renin activity, renin angiotensin aldosterone system,, direct renin inhibitors, coronary atheroma
Medical subject headings
Coronary Artery Disease

What participants receive

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

  • PlaceboDrug

    Placebo

  • AliskirenDrug

    300 mg

Study groups in NCT00853827
Study groupRoleWhat they receive
1Placebo comparatorNot described
Receives: Drug: Placebo
2ExperimentalAliskiren 300 mg
Receives: Drug: Aliskiren

What is being measured

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

  1. Change From Baseline in Percent Atheroma Volume(PAV) After 104 Weeks of Treatment

    Change from baseline in PAV for all matched slices of anatomically comparable segments of the target coronary artery were assessed by intravascular ultrasound (IVUS) evaluation after 104 weeks of treatment . calculation for change is the value at the later time point minus the value at the earlier time point, with positive numbers to represent increases and negative numbers to represent decreases

    Measured: Baseline, 104 weeks

Secondary outcomes (3)
  1. Change in Normalized Total Atheroma Volume (TAV) as Assessed by IVUS

    Change from baseline in normalized total atheroma volume (TAV) (mm^3) for all matched slices of anatomically comparable segments of the target coronary artery were assess by IVUS after 104 weeks of treatment. calculation for change is the value at the later time point minus the value at the earlier time point, with positive numbers to represent increases and negative numbers to represent decreases

    Measured: Baseline, 104 weeks

  2. Patients That Demonstrated Evidence of Atheroma Regression

    Atheroma regression is defined as change from baseline to endpoint in PAV <0 .

    Measured: Baseline to endpoint (104 weeks)

  3. Number of Patients With Adverse Events, Serious Adverse Events, and Death

    overall safety and tolerability of aliskiren 300 mg compared to placebo in patients with CAD and BP in the pre-hypertensive (high normal) range with or without treatment for hypertension following 104 weeks of treatment. Any Adverse Event was defined as occurrence of any symptom regardless of intensity grade, Serious Adverse Event (SAEs) assessed as medical occurrences that result in death, are life threatening, require hospitalization or prolongation of hospitalization or result in persistent or significant disability/incapacity.

    Measured: 104 weeks

Timeline

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

  1. First posted2 Mar 2009 (estimated)
  2. Study startMar 2009
  3. Primary completionJan 2013
  4. Study completionJan 2013

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 3
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Masking
Double blind
Who is masked
Participant, Investigator
Enrolment
613 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT00853827
Sponsor's protocol ID
CSPP100A2366
Other IDs
2008-006447-40, 2008
Acronym
AQUARIUS
Status last verified
May 2014
First submitted
26 Feb 2009
Last updated
3 Jun 2014
Data monitoring committee
No

Publications

  • Puri R, Nissen SE, Menon V, Shao M, Hsu A, Bakris GL, Kastelein JJ, Williams B, Armbrecht J, Brunel P, Kataoka Y, Nicholls SJ. Effects of aliskiren in diabetic and non-diabetic patients with coronary artery disease: Insights from AQUARIUS. Atherosclerosis. 2015 Dec;243(2):553-9. doi: 10.1016/j.atherosclerosis.2015.10.019. Epub 2015 Oct 20.

    PubMed 26523993
  • Nicholls SJ, Bakris GL, Kastelein JJ, Menon V, Williams B, Armbrecht J, Brunel P, Nicolaides M, Hsu A, Hu B, Fang H, Puri R, Uno K, Kataoka Y, Bash D, Nissen SE. Effect of aliskiren on progression of coronary disease in patients with prehypertension: the AQUARIUS randomized clinical trial. JAMA. 2013 Sep 18;310(11):1135-44. doi: 10.1001/jama.2013.277169.

    PubMed 23999933

Questions about this trial

What is this clinical trial studying?

A Phase 3 study testing Aliskiren in people with Coronary Artery Disease (CAD) and Coronary Atherosclerosis, run by Novartis Pharmaceuticals at 129 sites in 11 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 4 inclusion and 9 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 3 Jun 2014. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 129 sites in United States, Spain, Italy, Canada, Germany and 6 more countries. 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 3 studies compare the treatment with the current standard treatment or a placebo in a large group, to confirm how well it works and watch for side effects.

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 7 May 2014). 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 Percent Atheroma Volume(PAV) After 104 Weeks of Treatment (time frame: Baseline, 104 weeks). 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 NCT00853827, which also lists 2 linked publications.

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 3 Jun 2014.

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