Essential HypertensionPhase 3NCT01237223
Efficacy and Safety of SPA100 (Fixed-dose Combination of Aliskiren/Amlodipine) in Patients With Essential Hypertension
A Phase 3 study testing Aliskiren/Amlodipine 150/2.5 mg, Aliskiren/amlodipine 150/5 mg and Aliskiren 150 mg in people with Essential Hypertension, run by Novartis at 11 sites in Japan.
Trial summary
The purpose of the study was to evaluate the efficacy (blood pressure lowering effect) and safety of SPA100 (Fixed-dose Combination of Aliskiren and Amlodipine) in patients with essential hypertension (mean sitting diastolic blood pressure [msDBP] ≥ 95 mmHg and < 110 mmHg and mean sitting systolic blood pressure… Read more about this study
- Who is it for?
- Ages 20 years and older
- Conditions the study is for
- Essential Hypertension
- What is being tested?
- Aliskiren/Amlodipine 150/2.5 mg, Aliskiren/amlodipine 150/5 mg and Aliskiren 150 mg
- Type of treatment
- Pill or oral medicine
- Could I receive a placebo?
- Yes, some participants may receive a placebo
- How many people
- 1,342 participants
- Where
- 11 sitesJapan
- Study dates
- Oct 2010to May 2011
- 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 20 years and older
- All sexes
- No healthy volunteers
- Adult, Older adult
Who may be able to join
- Patients with essential hypertension (msDBP ≥ 95 mmHg and < 110 mmHg and msSBP ≥140 mmHg )
- Outpatients
Who cannot join
- Severe hypertension (msDBP ≥110 mmHg and/or msSBP ≥ 180 mmHg)
- History of allergy or hypersensitivity to renin inhibitors, calcium channel blockers
- History or evidence of a secondary hypertension
- Other protocol-defined inclusion/exclusion criteria applied
Trial locations and contacts
11 sites in 1 country.
11 sites in 1 country
Japan11 sites
Investigative Site
Aichi
Investigative Site
Ehime
Investigative Site
Fukuoka
Investigative Site
Hokkaido
Investigative Site
Hyōgo
Investigative Site
Kanagawa
Investigative Site
Kyoto
Investigative Site
Okayama
Investigative Site
Osaka
Investigative Site
Saitama
Investigative Site
Tokyo
About this study
Official title: An 8-week Double-blind, Multicenter, Randomized, 6-arm, Placebo-controlled, Parallel-group Study to Evaluate the Efficacy and Safety of SPA100 (Fixed-dose Combination of Aliskiren and Amlodipine) in Patients With Essential Hypertension
The purpose of the study was to evaluate the efficacy (blood pressure lowering effect) and safety of SPA100 (Fixed-dose Combination of Aliskiren and Amlodipine) in patients with essential hypertension (mean sitting diastolic blood pressure [msDBP] ≥ 95 mmHg and < 110 mmHg and mean sitting systolic blood pressure [msSBP] ≥ 140 mmHg ). This study was conducted to support registration of the fixed-dose combination of aliskiren and amlodipine for the treatment of hypertension in Japan.
- Conditions
- Essential Hypertension
- Being tested
- Aliskiren/Amlodipine 150/2.5 mg, Aliskiren/amlodipine 150/5 mg, Aliskiren 150 mg, Amlodipine 2.5 mg, Placebo of Aliskiren
- Keywords
- Aliskiren, Amlodipine, Essential hypertension
- Medical subject headings
- Essential Hypertension
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
Aliskiren/Amlodipine 150/2.5 mgDrug
Aliskiren/amlodipine 150/2.5 mg tablet
Aliskiren/amlodipine 150/5 mgDrug
Aliskiren/amlodipine 150/5 mg tablet
Aliskiren 150 mgDrug
Aliskiren 150 mg tablet
Amlodipine 2.5 mgDrug
Amlodipine 2.5 mg capsule
Placebo of AliskirenDrug
Aliskiren placebo tablet
Placebo of AmlodipineDrug
Amlodipine placebo capsule
Placebo of Aliskiren/amlodipine 150/2.5 mgDrug
Aliskiren/amlodipine 150/2.5 mg placebo tablet
Placebo of Aliskiren/amlodipine 150/5 mgDrug
Aliskiren/amlodipine 150/5 mg placebo tablet
| Study group | Role | What they receive |
|---|---|---|
| Placebo | Placebo comparator | In order to adequately blind the study, patients were required to take a total of 3 tablets and 2 capsules of study medication throughout the study. In single blind run-in (4 weeks) and double blind treatment period (8 weeks), patients were received matching placebo of aliskiren/amlodipine 150/5 mg tablet, aliskiren/amlodipine 150/2.5 mg tablet, aliskiren 150 mg tablet and two amlodipine 2.5 mg capsules once daily. Receives: Drug: Placebo of Aliskiren; Drug: Placebo of Amlodipine; Drug: Placebo of Aliskiren/amlodipine 150/2.5 mg; Drug: Placebo of Aliskiren/amlodipine 150/5 mg |
| Aliskiren 150 mg | Active comparator | In order to adequately blind the study, patients were required to take a total of 3 tablets and 2 capsules of study medication throughout the study.
Patients received Aliskiren 150 mg tablet once daily (o.d)+ placebo of two amlodipine 2.5 mg capsule o.d., aliskiren/amlodipine 150/5 mg tablet o.d , aliskiren/amlodipine 150/2.5 mg tablet o.d for 8 weeks of double blind period. Receives: Drug: Aliskiren 150 mg; Drug: Placebo of Amlodipine; Drug: Placebo of Aliskiren/amlodipine 150/2.5 mg; Drug: Placebo of Aliskiren/amlodipine 150/5 mg |
| Amlodipine 2.5 mg | Active comparator | In order to adequately blind the study, patients were required to take a total of 3 tablets and 2 capsules of study medication throughout the study.
Patients received Amlodipine 2.5 mg capsule once daily (o.d)+ placebo of amlodipine 2.5 mg capsule o.d., Aliskiren 150 mg o.d., aliskiren/amlodipine 150/5 mg tablet o.d , aliskiren/amlodipine 150/2.5 mg tablet o.d for 8 weeks of double blind period. Receives: Drug: Amlodipine 2.5 mg; Drug: Placebo of Aliskiren; Drug: Placebo of Amlodipine; Drug: Placebo of Aliskiren/amlodipine 150/2.5 mg; Drug: Placebo of Aliskiren/amlodipine 150/5 mg |
| Amlodipine 5 mg | Active comparator | In order to adequately blind the study, patients were required to take a total of 3 tablets and 2 capsules of study medication throughout the study.
Patients received amlodipine 5 mg (two amlodipine 2.5 mg capsules o.d.)+ placebo of aliskiren 150 mg tablet o.d., aliskiren/amlodipine 150/5 mg tablet o.d. , aliskiren/amlodipine 150/2.5 mg tablet o.d. for 8 weeks of double blind period. Receives: Drug: Amlodipine 2.5 mg; Drug: Placebo of Aliskiren; Drug: Placebo of Aliskiren/amlodipine 150/2.5 mg; Drug: Placebo of Aliskiren/amlodipine 150/5 mg |
| Aliskiren/amlodipine 150/2.5 mg | Experimental | In order to adequately blind the study, patients were required to take a total of 3 tablets and 2 capsules of study medication throughout the study.
Patients received aliskiren/amlodipine 150/2.5 mg tablet o.d. + placebo of two amlodipine 2.5 mg capsules o.d., aliskiren 150 mg tablet o.d., aliskiren/amlodipine 150/5 mg tablet o.d. for 8 weeks of double blind period. Receives: Drug: Aliskiren/Amlodipine 150/2.5 mg; Drug: Placebo of Aliskiren; Drug: Placebo of Amlodipine; Drug: Placebo of Aliskiren/amlodipine 150/5 mg |
| Aliskiren/amlodipine 150/5 mg | Experimental | In order to adequately blind the study, patients were required to take a total of 3 tablets and 2 capsules of study medication throughout the study.
Patients received aliskiren/amlodipine 150/5 mg tablet o.d. + placebo of two amlodipine 2.5 mg capsules o.d., aliskiren 150 mg tablet o.d., aliskiren/amlodipine 150/2.5 mg tablet o.d. for 8 weeks of double blind period. Receives: Drug: Aliskiren/amlodipine 150/5 mg; Drug: Placebo of Aliskiren; Drug: Placebo of Amlodipine; Drug: Placebo of Aliskiren/amlodipine 150/2.5 mg |
What is being measured
The primary outcome is the main question the study is designed to answer.
Change From Baseline in Mean Sitting Diastolic Blood Pressure (msDBP) to End of Study (Week 8)
Sitting blood pressure was measured at trough (24 hours ± 2 hours post dose) and recorded at all study visits. At the first study visit, blood pressure was measured in both arms and the arm with highest sitting DBP was found and used for all subsequent readings throughout the study. The repeat sitting measurements were made at 1-2 minute intervals and the mean of these three sitting blood pressure measurements were used as the average sitting blood pressure for that visit. Analysis of covariance (ANCOVA) model contained treatment and region as two factors and baseline as a covariate.
Measured: Baseline, Week 8
Secondary outcomes (4)
Change From Baseline in Mean Sitting Systolic Blood Pressure (msSBP) to End of Study (Week 8)
Sitting blood pressure was measured at trough (24 hours ± 2 hours post dose) and recorded at all study visits. At the first study visit, blood pressure was measured in both arms and the arm with highest sitting DBP was found and used for all subsequent readings throughout the study. The repeat sitting measurements were made at 1-2 minute intervals and the mean of these three sitting blood pressure measurements were used as the average sitting blood pressure for that visit. Analysis of covariance (ANCOVA) model contained treatment and region as two factors and baseline as a covariate.
Measured: Baseline, Week 8
Percentage of Participants Achieving Blood Pressure Control at Endpoint
Blood pressure control is defined as having as a msDBP < 90 mmHg and a msSBP < 140 mmHg.
Measured: 8 weeks
Percentage of Participants Achieving a Successful Response Rate
The response rate was defined as percentage of participants who achieved msDBP < 90 mmHg or its reduction ≥ 10 mmHg from baseline to endpoint.
Measured: 8 weeks
Number of Participants With Adverse Events, Serious Adverse Events and Death
Number of patients with adverse events regardless of study drug relationship during the double-blind treatment period were reported. Serious adverse events of double blind period were reported.
Measured: 8 weeks
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted9 Nov 2010 (estimated)
- Study startOct 2010
- Primary completionMay 2011
- Study completionMay 2011
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Posted resultsParticipant flow, outcome measures and adverse events reported by the sponsor.
- Other trials for Essential HypertensionStudies of the same condition, open and under way.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
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
- Factorial
- Masking
- Double blind
- Who is masked
- Participant, Outcomes assessor
- Enrolment
- 1,342 participants (actual)
Sponsor and investigators
- Lead sponsor
- Novartis
- Sponsor type
- Industry (pharma, biotech, devices)
- Responsible party
- Sponsor
- Investigators
- Novartis Pharmaceuticals, Study director, Novartis Pharmaceuticals
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT01237223
- Sponsor's protocol ID
- CSPA100A1301
- Status last verified
- May 2012
- First submitted
- 29 Oct 2010
- Last updated
- 13 Jun 2012
- Results posted
- Yes, on ClinicalTrials.gov
- Data monitoring committee
- No
Study at a glance
From the registry record, last updated by the sponsor on 13 Jun 2012. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- An 8-week Double-blind, Multicenter, Randomized, 6-arm, Placebo-controlled, Parallel-group Study to Evaluate the Efficacy and Safety of SPA100 (Fixed-dose Combination of Aliskiren and Amlodipine) in Patients With Essential Hypertension
- ClinicalTrials.gov ID
- NCT01237223
- Acronym / sponsor ID
- CSPA100A1301
- Conditions
- Essential Hypertension
- Keywords
- Aliskiren, Amlodipine, Essential hypertension
- Phase
- Phase 3
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 1,342 participants (actual)
- Lead sponsor
- NovartisIndustry (pharma, biotech, devices)
- Study start
- Oct 2010
- Primary completion
- May 2011 (actual)
- Study completion
- May 2011 (actual)
- First posted
- 9 Nov 2010 (estimated)
- Results
- Posted 13 Jun 2012
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
The purpose of the study was to evaluate the efficacy (blood pressure lowering effect) and safety of SPA100 (Fixed-dose Combination of Aliskiren and Amlodipine) in patients with essential hypertension (mean sitting diastolic blood pressure [msDBP] ≥ 95 mmHg and < 110 mmHg and mean sitting systolic blood pressure [msSBP] ≥ 140 mmHg ). This study was conducted to support registration of the fixed-dose combination of aliskiren and amlodipine for the treatment of hypertension in Japan.
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Factorial
- Masking
- Double blind (participant, outcomes assessor)
- Number of arms
- 6
| Arm | Type | Receives |
|---|---|---|
| Placebo | Placebo comparator | Drug: Placebo of Aliskiren, Drug: Placebo of Amlodipine, Drug: Placebo of Aliskiren/amlodipine 150/2.5 mg, Drug: Placebo of Aliskiren/amlodipine 150/5 mgIn order to adequately blind the study, patients were required to take a total of 3 tablets and 2 capsules of study medication throughout the study. In single blind run-in (4 weeks) and double blind treatment period (8 weeks), patients were received matching placebo of aliskiren/amlodipine 150/5 mg tablet, aliskiren/amlodipine 150/2.5 mg tablet, aliskiren 150 mg tablet and two amlodipine 2.5 mg capsules once daily. |
| Aliskiren 150 mg | Active comparator | Drug: Aliskiren 150 mg, Drug: Placebo of Amlodipine, Drug: Placebo of Aliskiren/amlodipine 150/2.5 mg, Drug: Placebo of Aliskiren/amlodipine 150/5 mgIn order to adequately blind the study, patients were required to take a total of 3 tablets and 2 capsules of study medication throughout the study. Patients received Aliskiren 150 mg tablet once daily (o.d)+ placebo of two amlodipine 2.5 mg capsule o.d., aliskiren/amlodipine 150/5 mg tablet o.d , aliskiren/amlodipine 150/2.5 mg tablet o.d for 8 weeks of double blind period. |
| Amlodipine 2.5 mg | Active comparator | Drug: Amlodipine 2.5 mg, Drug: Placebo of Aliskiren, Drug: Placebo of Amlodipine, Drug: Placebo of Aliskiren/amlodipine 150/2.5 mg, Drug: Placebo of Aliskiren/amlodipine 150/5 mgIn order to adequately blind the study, patients were required to take a total of 3 tablets and 2 capsules of study medication throughout the study. Patients received Amlodipine 2.5 mg capsule once daily (o.d)+ placebo of amlodipine 2.5 mg capsule o.d., Aliskiren 150 mg o.d., aliskiren/amlodipine 150/5 mg tablet o.d , aliskiren/amlodipine 150/2.5 mg tablet o.d for 8 weeks of double blind period. |
| Amlodipine 5 mg | Active comparator | Drug: Amlodipine 2.5 mg, Drug: Placebo of Aliskiren, Drug: Placebo of Aliskiren/amlodipine 150/2.5 mg, Drug: Placebo of Aliskiren/amlodipine 150/5 mgIn order to adequately blind the study, patients were required to take a total of 3 tablets and 2 capsules of study medication throughout the study. Patients received amlodipine 5 mg (two amlodipine 2.5 mg capsules o.d.)+ placebo of aliskiren 150 mg tablet o.d., aliskiren/amlodipine 150/5 mg tablet o.d. , aliskiren/amlodipine 150/2.5 mg tablet o.d. for 8 weeks of double blind period. |
| Aliskiren/amlodipine 150/2.5 mg | Experimental | Drug: Aliskiren/Amlodipine 150/2.5 mg, Drug: Placebo of Aliskiren, Drug: Placebo of Amlodipine, Drug: Placebo of Aliskiren/amlodipine 150/5 mgIn order to adequately blind the study, patients were required to take a total of 3 tablets and 2 capsules of study medication throughout the study. Patients received aliskiren/amlodipine 150/2.5 mg tablet o.d. + placebo of two amlodipine 2.5 mg capsules o.d., aliskiren 150 mg tablet o.d., aliskiren/amlodipine 150/5 mg tablet o.d. for 8 weeks of double blind period. |
| Aliskiren/amlodipine 150/5 mg | Experimental | Drug: Aliskiren/amlodipine 150/5 mg, Drug: Placebo of Aliskiren, Drug: Placebo of Amlodipine, Drug: Placebo of Aliskiren/amlodipine 150/2.5 mgIn order to adequately blind the study, patients were required to take a total of 3 tablets and 2 capsules of study medication throughout the study. Patients received aliskiren/amlodipine 150/5 mg tablet o.d. + placebo of two amlodipine 2.5 mg capsules o.d., aliskiren 150 mg tablet o.d., aliskiren/amlodipine 150/2.5 mg tablet o.d. for 8 weeks of double blind period. |
Who may qualify
- Ages
- 20 years and older
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (2 listed)
- Patients with essential hypertension (msDBP ≥ 95 mmHg and < 110 mmHg and msSBP ≥140 mmHg )
- Outpatients
Key exclusion criteria (4 listed)
- Severe hypertension (msDBP ≥110 mmHg and/or msSBP ≥ 180 mmHg)
- History of allergy or hypersensitivity to renin inhibitors, calcium channel blockers
- History or evidence of a secondary hypertension
- Other protocol-defined inclusion/exclusion criteria applied
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| Aliskiren/Amlodipine 150/2.5 mgAliskiren/amlodipine 150/2.5 mg tablet | Drug | Aliskiren/amlodipine 150/2.5 mg |
| Aliskiren/amlodipine 150/5 mgAliskiren/amlodipine 150/5 mg tablet | Drug | Aliskiren/amlodipine 150/5 mg |
| Aliskiren 150 mgAliskiren 150 mg tablet | Drug | Aliskiren 150 mg |
| Amlodipine 2.5 mgAmlodipine 2.5 mg capsule | Drug | Amlodipine 2.5 mg, Amlodipine 5 mg |
| Placebo of AliskirenAliskiren placebo tablet | Drug | Aliskiren/amlodipine 150/2.5 mg, Aliskiren/amlodipine 150/5 mg, Amlodipine 2.5 mg, Amlodipine 5 mg, Placebo |
| Placebo of AmlodipineAmlodipine placebo capsule | Drug | Aliskiren 150 mg, Aliskiren/amlodipine 150/2.5 mg, Aliskiren/amlodipine 150/5 mg, Amlodipine 2.5 mg, Placebo |
| Placebo of Aliskiren/amlodipine 150/2.5 mgAliskiren/amlodipine 150/2.5 mg placebo tablet | Drug | Aliskiren 150 mg, Aliskiren/amlodipine 150/5 mg, Amlodipine 2.5 mg, Amlodipine 5 mg, Placebo |
| Placebo of Aliskiren/amlodipine 150/5 mgAliskiren/amlodipine 150/5 mg placebo tablet | Drug | Aliskiren 150 mg, Aliskiren/amlodipine 150/2.5 mg, Amlodipine 2.5 mg, Amlodipine 5 mg, Placebo |
Primary outcome
Change From Baseline in Mean Sitting Diastolic Blood Pressure (msDBP) to End of Study (Week 8)
Time frame: Baseline, Week 8
Sitting blood pressure was measured at trough (24 hours ± 2 hours post dose) and recorded at all study visits. At the first study visit, blood pressure was measured in both arms and the arm with highest sitting DBP was found and used for all subsequent readings throughout the study. The repeat sitting measurements were made at 1-2 minute intervals and the mean of these three sitting blood pressure measurements were used as the average sitting blood pressure for that visit. Analysis of covariance (ANCOVA) model contained treatment and region as two factors and baseline as a covariate.
4 secondary outcomes
Change From Baseline in Mean Sitting Systolic Blood Pressure (msSBP) to End of Study (Week 8)
Time frame: Baseline, Week 8
Percentage of Participants Achieving Blood Pressure Control at Endpoint
Time frame: 8 weeks
Percentage of Participants Achieving a Successful Response Rate
Time frame: 8 weeks
Number of Participants With Adverse Events, Serious Adverse Events and Death
Time frame: 8 weeks
Results and safety
Loading the posted results from ClinicalTrials.gov…
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 13 Jun 2012.
- Posted resultsParticipant flow, baseline, all outcome measures and adverse events.
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
Novartis Pharmaceuticals study director
Novartis Pharmaceuticals
11 sites in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 3 study testing Aliskiren/Amlodipine 150/2.5 mg, Aliskiren/amlodipine 150/5 mg and Aliskiren 150 mg in people with Essential Hypertension, run by Novartis at 11 sites in Japan.
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 2 inclusion and 4 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 13 Jun 2012. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 11 sites in Japan. 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 13 Jun 2012). 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 Mean Sitting Diastolic Blood Pressure (msDBP) to End of Study (Week 8) (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?
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 13 Jun 2012.