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The purpose of this study is to learn which doses of PS433540 should be given to patients with high blood pressure to lower their blood pressure. This study will also examine how safe PS433540 is when taken by patients with high blood pressure. Approximately 720 patients will be evaluated so that about 375 patients will be entered into the treatment phase of the study and be given PS433540.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Irbesartan 300mg | Active Comparator | Irbesartan 300 mg once daily |
|
| Placebo | Placebo Comparator | Blinded Placebo Treatment |
|
| PS433540 200mg | Experimental | PS433540 200mg once daily |
|
| PS433540 400mg | Experimental | PS433540 400mg once daily |
|
| PS433540 800mg | Experimental | PS433540 800mg once daily |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| irbesartan | Drug | 300 mg (2 x 150 mg capsules) once daily for 12 weeks |
|
| Measure | Description | Time Frame |
|---|---|---|
| Change From Baseline in Mean Seated Systolic Blood Pressure (SBP) Following 12 Weeks of Treatment With PS433540 200 mg, 400 mg, 800 mg and Placebo. | 12 weeks |
| Measure | Description | Time Frame |
|---|---|---|
| Change From Baseline in Mean Seated Diastolic Blood Pressure (DBP) Following 12 Weeks of Treatment With PS433540 200 mg, 400 mg, 800 mg and Placebo. | 12 weeks | |
| The Percentage of Patients Treated With Each Dose of PS433540 Who Achieved Blood Pressure Control, Defined as <140/90 mmHg, After 12 Weeks of Treatment. |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Rene Belder, MD | Ligand Pharmaceuticals | Study Director |
| Joel Neutel, MD | Orange County Research Center | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Advanced Clinical Research 1000 Forrest Place Suite 2 Pell City | Pell City | Alabama | 35128 | United States | ||
All subjects were weaned off all antihypertensive medication prior to be entered into a 4-week single-blind placebo run-in period. Subjects had to have eligible Seated systolic and diastolic BP measurements during the single-blind placebo run-in phase to be eligible for the double blind portion of the study.
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| ID | Title | Description |
|---|---|---|
| FG000 | Irbesartan 300mg | Irbesartan 300 mg once daily |
| FG001 | Placebo | Blinded Placebo Treatment |
| Title | Milestones | Reasons Not Completed | |||||
|---|---|---|---|---|---|---|---|
| Overall Study |
|
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| placebo | Drug | placebo capsules once daily for 12 weeks |
|
| PS433540 | Drug | 200 mg (2 x 100 mg capsules) once daily for 12 weeks |
|
| PS433540 | Drug | 400 mg (4 x 100 mg capsules) once daily for 12 weeks |
|
| PS433540 | Drug | 800 mg (8 x 100 mg capsules) once daily for 12 weeks |
|
| 12 weeks |
| Premiere Pharmaceutical Research, LLC |
| Tempe |
| Arizona |
| 85282 |
| United States |
| Genova Clinical Research AZ | Tucson | Arizona | 85741 | United States |
| Advanced Clinical Research Institute | Anaheim | California | 92801 | United States |
| Associated Pharmaceutical Research Center | Buena Park | California | 90620 | United States |
| Clinical Trials Research CA | Lincoln | California | 95648 | United States |
| Long Beach Center for Clinical Research | Long Beach | California | 90806 | United States |
| National Research Institute | Los Angeles | California | 90057 | United States |
| Superior Regional Research, LLC | Sacramento | California | 95825 | United States |
| Orange County Research Center | Tustin | California | 92780 | United States |
| Westlake Medical Center | Westlake Village | California | 91361 | United States |
| Univ. Clinical Research Deland, LLC. | DeLand | Florida | 32720 | United States |
| Allan Graff | Fort Lauderdale | Florida | 33308 | United States |
| Jacksonville Center for Clinical Research | Jacksonville | Florida | 32216 | United States |
| North County Medical | Sebastian | Florida | 32958 | United States |
| Q Clinical Research | Decatur | Georgia | 30035 | United States |
| Clinical Research Atlanta | Stockbridge | Georgia | 30281 | United States |
| East-West Medical Research Institute | Honolulu | Hawaii | 96814 | United States |
| Cedar Crosse Research Center | Chicago | Illinois | 60607 | United States |
| Midwest Institute for Clinical Research | Indianapolis | Indiana | 46260 | United States |
| MD Medical Research | Oxon Hill | Maryland | 20745 | United States |
| Cary Medical Research | Cary | North Carolina | 27518 | United States |
| Metrolina Medical Research | Charlotte | North Carolina | 28209 | United States |
| Unifour Medical Research NC | Hickory | North Carolina | 28601 | United States |
| Northstate Clinical Research | Lenoir | North Carolina | 28645 | United States |
| Triangle Medical Research NC | Raleigh | North Carolina | 27609 | United States |
| Crescent Medical Research | Salisbury | North Carolina | 28144 | United States |
| New Hanover Medical Rersearch | Wilmington | North Carolina | 28401 | United States |
| Peidmont Medical Research Associates | Winston-Salem | North Carolina | 27103 | United States |
| The Lindner Center | Cincinnati | Ohio | 45219 | United States |
| Delaware Smith Clinic | Delaware | Ohio | 43015 | United States |
| Smith Clinic | Marion | Ohio | 43302 | United States |
| COR Clinical Research, L.L.C | Oklahoma City | Oklahoma | 73103 | United States |
| Brandywine Clinical Research Center | Downingtown | Pennsylvania | 19335 | United States |
| Hypertension & Nephrology Inc | Providence | Rhode Island | 02904 | United States |
| Punzi Medical Center | Carrollton | Texas | 75006 | United States |
| Innovative Clinical Trials | San Antonio | Texas | 78229 | United States |
| IMED Research PA | San Antonio | Texas | 78258 | United States |
| Hampton Roads Center for Clinical Research | Norfolk | Virginia | 23502 | United States |
| Gemini Scientific LLC | Madison | Wisconsin | 53719 | United States |
| FG002 |
| PS433540 200mg |
PS433540 200mg once daily |
| FG003 | PS433540 400mg | PS433540 400mg once daily |
| FG004 | PS433540 800mg | PS433540 800mg once daily |
| COMPLETED |
|
| NOT COMPLETED |
|
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| ID | Title | Description |
|---|---|---|
| BG000 | Irbesartan 300mg | Irbesartan 300 mg once daily |
| BG001 | Placebo | Blinded Placebo Treatment |
| BG002 | PS433540 200mg | PS433540 200mg once daily |
| BG003 | PS433540 400mg | PS433540 400mg once daily |
| BG004 | PS433540 800mg | PS433540 800mg once daily |
| BG005 | Total | Total of all reporting groups |
| Units | Counts |
|---|---|
| Participants |
|
| Title | Description | Population Description | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Denominator Units Selected | Denominators | Classes | ||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Age, Categorical | Count of Participants | Participants |
| ||||||||||||||||
| Age Continuous | Mean | Standard Deviation | years |
| |||||||||||||||
| Sex: Female, Male | Count of Participants | Participants |
| ||||||||||||||||
| Region of Enrollment | Number | participants |
|
| Type | Title | Description | Population Description | Reporting Status | Anticipated Posting Date | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Time Frame | Units Analyzed | Denominator Units Selected | Arm/Group Information | Denominators | Classes | Analyses | ||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Primary | Change From Baseline in Mean Seated Systolic Blood Pressure (SBP) Following 12 Weeks of Treatment With PS433540 200 mg, 400 mg, 800 mg and Placebo. | The primary efficacy population was the Full Analysys Set (FAS) population= all randomized subjects who took at least one dose of the assigned study drug and had both baseline and post-baseline mean seated SBP. Both LOCF and observed-data set approach were performed. | Posted | Mean | Standard Deviation | mm Hg | 12 weeks |
|
|
| ||||||||||||||||||||||||||||||||||||||
| Secondary | Change From Baseline in Mean Seated Diastolic Blood Pressure (DBP) Following 12 Weeks of Treatment With PS433540 200 mg, 400 mg, 800 mg and Placebo. | Posted | Mean | Standard Deviation | mm Hg | 12 weeks |
|
| ||||||||||||||||||||||||||||||||||||||||
| Secondary | The Percentage of Patients Treated With Each Dose of PS433540 Who Achieved Blood Pressure Control, Defined as <140/90 mmHg, After 12 Weeks of Treatment. | Full analysis set (LOCF) | Posted | Number | participants | 12 weeks |
|
|
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| ID | Title | Description | Deaths (Affected) | Deaths (At Risk) | Serious Events (Affected) | Serious Events (At Risk) | Other Events (Affected) | Other Events (At Risk) |
|---|---|---|---|---|---|---|---|---|
| EG000 | Irbesartan 300mg | Irbesartan 300 mg once daily | 0 | 58 | 19 | 58 | ||
| EG001 | Placebo | Blinded Placebo Treatment | 0 | 59 | 20 | 59 | ||
| EG002 | PS433540 200mg | PS433540 200mg once daily | 0 | 58 | 10 | 58 | ||
| EG003 | PS433540 400mg | PS433540 400mg once daily | 1 | 58 | 25 | 58 | ||
| EG004 | PS433540 800mg | PS433540 800mg once daily | 0 | 28 | 17 | 28 |
| Term | Organ System | Source Vocabulary | Assessment Type | Notes | Statistical Information |
|---|---|---|---|---|---|
| Squamous cell carcinoma | Neoplasms benign, malignant and unspecified (incl cysts and polyps) | MedDRA | Non-systematic Assessment | reported during the placebo run-in phase- subject not on active treatment at the time of report. |
|
| Term | Organ System | Source Vocabulary | Assessment Type | Notes | Statistical Information |
|---|---|---|---|---|---|
| Abdominal Pain | Gastrointestinal disorders | MedDRA (Unspecified) | Systematic Assessment |
| |
| Dermatitis Contact | Skin and subcutaneous tissue disorders | MedDRA (Unspecified) | Systematic Assessment |
| |
| Diarrhoea | Gastrointestinal disorders | MedDRA (Unspecified) | Systematic Assessment |
| |
| Dizziness | Nervous system disorders | MedDRA (Unspecified) | Systematic Assessment |
| |
| Eye Disorders | Eye disorders | MedDRA (Unspecified) | Systematic Assessment |
| |
| Fatigue | General disorders | MedDRA (Unspecified) | Systematic Assessment |
| |
| Feces Discoloured | Gastrointestinal disorders | MedDRA (Unspecified) | Systematic Assessment |
| |
| Flushing | Vascular disorders | MedDRA (Unspecified) | Systematic Assessment |
| |
| Haemoglobin abnormal | Investigations | MedDRA (Unspecified) | Systematic Assessment |
| |
| Headache | Nervous system disorders | MedDRA (Unspecified) | Systematic Assessment |
| |
| Hot Flush | Vascular disorders | MedDRA (Unspecified) | Systematic Assessment |
| |
| Hyperlipidaemia | Metabolism and nutrition disorders | MedDRA (Unspecified) | Systematic Assessment |
| |
| Hypertension | Vascular disorders | MedDRA (Unspecified) | Systematic Assessment |
| |
| Hypotension | Vascular disorders | MedDRA (Unspecified) | Systematic Assessment |
| |
| Influenza | Infections and infestations | MedDRA (Unspecified) | Systematic Assessment |
| |
| Injury, Poisoning and Procedural Complications | Injury, poisoning and procedural complications | MedDRA (Unspecified) | Systematic Assessment |
| |
| Migraine | Nervous system disorders | MedDRA (Unspecified) | Systematic Assessment |
| |
| Musculoskeletal Pain | Musculoskeletal and connective tissue disorders | MedDRA (Unspecified) | Systematic Assessment |
| |
| Nasal Congestion | Respiratory, thoracic and mediastinal disorders | MedDRA (Unspecified) | Systematic Assessment |
| |
| Nasopharyngitis | Infections and infestations | MedDRA (Unspecified) | Systematic Assessment |
| |
| Nausea | Gastrointestinal disorders | MedDRA (Unspecified) | Systematic Assessment |
| |
| Oedema Peripheral | General disorders | MedDRA (Unspecified) | Systematic Assessment |
| |
| Pyrexia | General disorders | MedDRA (Unspecified) | Systematic Assessment |
| |
| Respiratory Tract Congestion | Respiratory, thoracic and mediastinal disorders | MedDRA (Unspecified) | Systematic Assessment |
| |
| Sinusitis | Infections and infestations | MedDRA (Unspecified) | Systematic Assessment |
| |
| Stress | Psychiatric disorders | MedDRA (Unspecified) | Systematic Assessment |
| |
| Tooth Abcess | Infections and infestations | MedDRA (Unspecified) | Systematic Assessment |
| |
| Upper Respiratory Tract Infection | Infections and infestations | MedDRA (Unspecified) | Systematic Assessment |
| |
| Urinary Tract Infection | Infections and infestations | MedDRA (Unspecified) | Systematic Assessment |
| |
| Urticaria | Skin and subcutaneous tissue disorders | MedDRA (Unspecified) | Systematic Assessment |
| |
| Vomiting | Gastrointestinal disorders | MedDRA (Unspecified) | Systematic Assessment |
|
The 800mg dose level was discontinued from further enrollment per protocol amendment due to findings from another PS433540 trial that suggested clinical benefit beyond 500mg was expected to be limited.
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| Title | Organization | Phone | Extension | |
|---|---|---|---|---|
| Director of Project Management | Ligand Pharmaceuticals | 858-550-7892 | hzientek@ligand.com |
| ID | Term |
|---|---|
| D006973 | Hypertension |
| ID | Term |
|---|---|
| D014652 | Vascular Diseases |
| D002318 | Cardiovascular Diseases |
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| ID | Term |
|---|---|
| D000077405 | Irbesartan |
| ID | Term |
|---|---|
| D001713 | Biphenyl Compounds |
| D001555 | Benzene Derivatives |
| D006841 | Hydrocarbons, Aromatic |
| D006844 | Hydrocarbons, Cyclic |
| D006838 | Hydrocarbons |
| D009930 | Organic Chemicals |
| D013141 | Spiro Compounds |
| D013777 | Tetrazoles |
| D001393 | Azoles |
| D006573 | Heterocyclic Compounds, 1-Ring |
| D006571 | Heterocyclic Compounds |
| D011083 | Polycyclic Compounds |
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| Between 18 and 65 years |
|
| >=65 years |
|
| Male |
|
|
|