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| ID | Type | Description | Link |
|---|---|---|---|
| U1111-1113-8905 | Registry Identifier | WHO |
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The purpose of this study is to determine the safety and efficacy of azilsartan medoxomil, once daily (QD), compared to placebo and olmesartan in participants with essential hypertension.
Hypertension affects approximately 50 million individuals in the United States. As the population ages, the prevalence of hypertension will continue to increase if broad and effective preventive measures are not implemented. According to the World Health Organization, hypertension is the most common attributable cause of preventable death in developed nations, as uncontrolled hypertension greatly increases the risk of cardiovascular disease, cerebrovascular disease, and renal failure. Despite the availability of antihypertensive treatments, hypertension remains inadequately controlled; only about one-third of patients continue to maintain control successfully.
TAK-491 (azilsartan medoxomil) is an angiotensin II receptor blocker and this study is being conducted to evaluate the efficacy and safety of oral azilsartan medoxomil compared to placebo and olmesartan in subjects with essential hypertension.
Individuals who want to participate in this study will be required to provide written informed consent. Study participation is anticipated to be about 11 weeks. Multiple procedures will occur at each visit which may include fasting, blood collection, urine collection, vital signs including sitting blood pressure and pulse, body height and weight, physical examinations and electrocardiograms. Outside of the study center, participants will be required to wear an ambulatory blood pressure monitoring device at 24 hour intervals.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Azilsartan Medoxomil 20 mg QD | Experimental |
| |
| Azilsartan Medoxomil 40 mg QD | Experimental |
| |
| Azilsartan Medoxomil 80 mg QD | Experimental |
| |
| Olmesartan 40 mg QD | Active Comparator |
| |
| Placebo QD | Placebo Comparator |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Azilsartan medoxomil and olmesartan | Drug | Azilsartan medoxomil 20 mg, tablets, azilsartan medoxomil 40 mg placebo-matching tablets, azilsartan medoxomil 80 mg placebo-matching tablets and olmesartan 40 mg placebo-matching tablets, orally, for up to 6 weeks. |
| Measure | Description | Time Frame |
|---|---|---|
| Change From Baseline in the 24-hour Mean Systolic Blood Pressure Measured by Ambulatory Blood Pressure Monitoring. | The change in 24-hour mean systolic blood pressure measured at week 6 relative to baseline. Ambulatory blood pressure monitoring measures blood pressure at regular intervals throughout the day and night. The 24-hour mean is the average of all measurements recorded for 24 hours after dosing. | Baseline and Week 6. |
| Measure | Description | Time Frame |
|---|---|---|
| Change From Baseline in Mean Trough Clinic Sitting Systolic Blood Pressure | The change in mean trough clinic sitting systolic blood pressure measured at final visit or week 6 relative to baseline. | Baseline and Week 6. |
| Change From Baseline in the 24-hour Mean Diastolic Blood Pressure Measured by Ambulatory Blood Pressure Monitoring. |
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Inclusion Criteria
Exclusion Criteria
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| Name | Affiliation | Role |
|---|---|---|
| VP Clinical Science Strategy | Takeda | Study Director |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Birmingham | Alabama | United States | ||||
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 21282560 | Result | White WB, Weber MA, Sica D, Bakris GL, Perez A, Cao C, Kupfer S. Effects of the angiotensin receptor blocker azilsartan medoxomil versus olmesartan and valsartan on ambulatory and clinic blood pressure in patients with stages 1 and 2 hypertension. Hypertension. 2011 Mar;57(3):413-20. doi: 10.1161/HYPERTENSIONAHA.110.163402. Epub 2011 Jan 31. | |
| 21272195 |
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Participants with essential hypertension were enrolled in one of five, once-daily (QD) treatment groups.
Participants enrolled at 147 investigative sites in Argentina, Mexico, Peru and the United States from 25 June 2007 to 08 October 2008.
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| ID | Title | Description |
|---|---|---|
| FG000 | Azilsartan Medoxomil 20 mg QD | Azilsartan medoxomil 20 mg, tablets, orally, once daily for up to 6 weeks. |
| FG001 | Azilsartan Medoxomil 40 mg QD | Azilsartan medoxomil 40 mg, tablets, orally, once daily for up to 6 weeks. |
| Title | Milestones | Reasons Not Completed | |||||
|---|---|---|---|---|---|---|---|
| Overall Study |
|
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|
| Azilsartan medoxomil and olmesartan | Drug | Azilsartan medoxomil 40 mg, tablets, azilsartan medoxomil 20 mg placebo-matching tablets, azilsartan medoxomil 80 mg placebo-matching tablets and olmesartan 40 mg placebo-matching tablets, orally, for up to 6 weeks. |
|
|
| Azilsartan medoxomil and olmesartan | Drug | Azilsartan medoxomil 80 mg, tablets, azilsartan medoxomil 20 mg placebo-matching tablets, azilsartan medoxomil 40 mg placebo-matching tablets and olmesartan 40 mg placebo-matching tablets, orally, once daily for up to 6 weeks. |
|
|
| Olmesartan | Drug | Olmesartan 40 mg, tablets, azilsartan medoxomil 20 mg placebo-matching tablets, azilsartan medoxomil 40 mg placebo-matching tablets and azilsartan medoxomil 80 mg placebo-matching tablets, orally, once daily for up to 6 weeks. |
|
|
| Placebo | Drug | Azilsartan medoxomil 20 mg placebo-matching tablets, azilsartan medoxomil 40 mg placebo-matching tablets, azilsartan medoxomil 80 mg placebo-matching tablets, and olmesartan 40 mg placebo- matching tablets, orally, once daily for up to 6 weeks. |
|
The change in 24-hour mean diastolic blood pressure measured at week 6 relative to baseline. Ambulatory blood pressure monitoring measures blood pressure at regular intervals throughout the day and night. The 24-hour mean is the average of all measurements recorded for 24 hours after dosing. |
| Baseline and Week 6. |
| Change From Baseline in Mean Trough Clinic Sitting Diastolic Blood Pressure | The change in mean trough clinic sitting diastolic blood pressure measured at final visit or week 6 relative to baseline. | Baseline and Week 6. |
| Change From Baseline in Daytime (6am to 10 pm) Mean Systolic Blood Pressure Measured by Ambulatory Blood Pressure Monitoring. | The change in daytime (6am to 10pm) mean systolic blood pressure measured at week 6 relative to baseline. Ambulatory blood pressure monitoring measures blood pressure at regular intervals throughout the day and night. Daytime mean is the average of all measurements recorded between the hours of 6 am and 10 pm. | Baseline and Week 6. |
| Change From Baseline in Daytime (6am to 10 pm) Mean Diastolic Blood Pressure Measured by Ambulatory Blood Pressure Monitoring. | The change in daytime (6am to 10pm) mean diastolic blood pressure measured at week 6 relative to baseline. Ambulatory blood pressure monitoring measures blood pressure at regular intervals throughout the day and night. Daytime mean is the average of all measurements recorded between the hours of 6 am and 10 pm. | Baseline and Week 6. |
| Change From Baseline in the Nighttime (12 am to 6 am) Mean Systolic Blood Pressure Measured by Ambulatory Blood Pressure Monitoring. | The change in nighttime (12am to 6am) mean systolic blood pressure measured at week 6 relative to baseline. Ambulatory blood pressure monitoring measures blood pressure at regular intervals throughout the day and night. Nighttime mean is the average of all measurements recorded between the hours of 12 am and 6 am. | Baseline and Week 6. |
| Change From Baseline in the Nighttime (12 am to 6 am) Mean Diastolic Blood Pressure Measured by Ambulatory Blood Pressure Monitoring. | The change in nighttime (12am to 6am) mean diastolic blood pressure measured at week 6 relative to baseline. Ambulatory blood pressure monitoring measures blood pressure at regular intervals throughout the day and night. Nighttime mean is the average of all measurements recorded between the hours of 12 am and 6 am. | Baseline and Week 6. |
| Change From Baseline in the 12-hour Mean Systolic Blood Pressure Measured by Ambulatory Blood Pressure Monitoring | The change in the 12-hour mean systolic blood pressure measured at week 6 relative to baseline. Ambulatory blood pressure monitoring measures blood pressure at regular intervals throughout the day and night. The 12-hour mean is the average of all measurements recorded in the first 12 hours after dosing. | Baseline and Week 6. |
| Change From Baseline in the 12-hour Mean Diastolic Blood Pressure Measured by Ambulatory Blood Pressure Monitoring | The change in the 12-hour mean diastolic blood pressure measured at week 6 relative to baseline. Ambulatory blood pressure monitoring measures blood pressure at regular intervals throughout the day and night. The 12-hour mean is the average of all measurements recorded in the first 12 hours after dosing. | Baseline and Week 6. |
| Change From Baseline in the Trough (22-24-hr) Mean Systolic Blood Pressure Measured by Ambulatory Blood Pressure Monitoring. | The change in trough mean systolic blood pressure measured at week 6 relative to baseline. Ambulatory blood pressure monitoring measures blood pressure at regular intervals throughout the day and night. The trough mean is the average of all measurements recorded from 22 to 24 hours after dosing. | Baseline and Week 6. |
| Change From Baseline in the Trough (22-24-hr) Mean Diastolic Blood Pressure Measured by Ambulatory Blood Pressure Monitoring. | The change in trough mean diastolic blood pressure measured at week 6 relative to baseline. Ambulatory blood pressure monitoring measures blood pressure at regular intervals throughout the day and night. The trough mean is the average of all measurements recorded from 22 to 24 hours after dosing. | Baseline and Week 6. |
| Percentage of Participants Who Achieve a Clinic Systolic Blood Pressure Response, Defined as < 140 mm Hg and/or Reduction From Baseline ≥ 20 mm Hg | Percentage of participants who achieve a clinic systolic blood pressure response measured at week 6, defined as less than 140 mm Hg and/or reduction from baseline of greater than or equal to 20 mm Hg. Systolic blood pressure is the arithmetic mean of the 3 trough sitting systolic blood pressure measurements. | Baseline and Week 6. |
| Percentage of Participants Who Achieve a Clinic Diastolic Blood Pressure Response, Defined as < 90 mm Hg and/or Reduction From Baseline ≥ 10 mm Hg | Percentage of participants who achieve a clinic diastolic blood pressure response measured at week 6, defined as less than 90 mm Hg and/or reduction from baseline of greater than or equal to 10 mm Hg. Diastolic blood pressure is the arithmetic mean of the 3 trough sitting diastolic blood pressure measurements. | Baseline and Week 6. |
| Percentage of Participants Who Achieve Both a Clinic Diastolic and Systolic Blood Pressure Response | Percentage of participants who achieve both a clinic diastolic and systolic blood pressure response measured at week 6, defined as less than 90 mm Hg and/or reduction from baseline of greater than or equal to 10 mm Hg AND less than 140 mm Hg and/or reduction from baseline of greater than or equal to 20 mm Hg. Diastolic and systolic blood pressure is based on the arithmetic mean of the 3 sitting blood pressure measurements. | Baseline and Week 6. |
| Huntsville |
| Alabama |
| United States |
| Mesa | Arizona | United States |
| Phoenix | Arizona | United States |
| Tempe | Arizona | United States |
| Little Rock | Arkansas | United States |
| Tempe | Arkansas | United States |
| Beverly Hills | California | United States |
| Carmichael | California | United States |
| Fountain Valley | California | United States |
| Long Beach | California | United States |
| Los Gatos | California | United States |
| Orangevale | California | United States |
| Sacramento | California | United States |
| Santa Ana | California | United States |
| Spring Valley | California | United States |
| Tustin | California | United States |
| Westlake Village | California | United States |
| Colorado Springs | Colorado | United States |
| Farmington | Connecticut | United States |
| Hollywood | Florida | United States |
| Jacksonville | Florida | United States |
| Jupiter | Florida | United States |
| Melbourne | Florida | United States |
| Miami | Florida | United States |
| Naples | Florida | United States |
| Ocala | Florida | United States |
| Pembroke Pines | Florida | United States |
| Sarasota | Florida | United States |
| St. Petersburg | Florida | United States |
| Augusta | Georgia | United States |
| Lawrenceville | Georgia | United States |
| Chicago | Illinois | United States |
| Melrose Park | Illinois | United States |
| Naperville | Illinois | United States |
| Round Lake Beach | Illinois | United States |
| Valparaiso | Indiana | United States |
| Wichita | Kansas | United States |
| Erlanger | Kentucky | United States |
| Lexington | Kentucky | United States |
| Auburn | Maine | United States |
| West Yarmouth | Massachusetts | United States |
| Benzonia | Michigan | United States |
| Chelsea | Michigan | United States |
| Omaha | Nebraska | United States |
| Trenton | New Jersey | United States |
| Wildwood Crest | New Jersey | United States |
| Albuquerque | New Mexico | United States |
| Brooklyn | New York | United States |
| Orangevale | New York | United States |
| Rochester | New York | United States |
| Burlington | North Carolina | United States |
| Charlotte | North Carolina | United States |
| Raleigh | North Carolina | United States |
| Salisbury | North Carolina | United States |
| Statesville | North Carolina | United States |
| Wilmington | North Carolina | United States |
| Winston-Salem | North Carolina | United States |
| Kettering | Ohio | United States |
| Lyndhurst | Ohio | United States |
| Marion | Ohio | United States |
| Norman | Oklahoma | United States |
| Oklahoma City | Oklahoma | United States |
| Altoona | Pennsylvania | United States |
| Reading | Pennsylvania | United States |
| Mt. Pleasant | South Carolina | United States |
| Simpsonville | South Carolina | United States |
| Taylors | South Carolina | United States |
| Nashville | Tennessee | United States |
| New Tazewell | Tennessee | United States |
| Dallas | Texas | United States |
| Houston | Texas | United States |
| Lake Jackson | Texas | United States |
| North Richland Hills | Texas | United States |
| San Antonio | Texas | United States |
| Draper | Utah | United States |
| Burke | Virginia | United States |
| Norfolk | Virginia | United States |
| Tacoma | Washington | United States |
| Madison | Wisconsin | United States |
| Provincia de Buenos Aires | Argentina |
| Provincia de Cordoba | Argentina |
| Aguascalientes | Mexico |
| Mexico City | Mexico |
| San Luis Potosà City | Mexico |
| Bakris GL, Sica D, Weber M, White WB, Roberts A, Perez A, Cao C, Kupfer S. The comparative effects of azilsartan medoxomil and olmesartan on ambulatory and clinic blood pressure. J Clin Hypertens (Greenwich). 2011 Feb;13(2):81-8. doi: 10.1111/j.1751-7176.2010.00425.x. |
| FG002 | Azilsartan Medoxomil 80 mg QD | Azilsartan medoxomil 80 mg, tablets, orally, once daily for up to 6 weeks. |
| FG003 | Olmesartan 40 mg QD | Olmesartan 40 mg, tablets, orally, once daily for up to 6 weeks. |
| FG004 | Placebo QD | Placebo-matching tablets, orally, once daily for up to 6 weeks. |
| COMPLETED |
|
| NOT COMPLETED |
|
|
Not provided
| ID | Title | Description |
|---|---|---|
| BG000 | Azilsartan Medoxomil 20 mg QD | Azilsartan medoxomil 20 mg, tablets, orally, once daily for up to 6 weeks. |
| BG001 | Azilsartan Medoxomil 40 mg QD | Azilsartan medoxomil 40 mg, tablets, orally, once daily for up to 6 weeks. |
| BG002 | Azilsartan Medoxomil 80 mg QD | Azilsartan medoxomil 80 mg, tablets, orally, once daily for up to 6 weeks. |
| BG003 | Olmesartan 40 mg QD | Olmesartan 40 mg, tablets, orally, once daily for up to 6 weeks. |
| BG004 | Placebo QD | Placebo-matching tablets, orally, once daily for up to 6 weeks. |
| 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 | Number | participants |
| ||||||||||||||||
| Sex: Female, Male | Count of Participants | 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 the 24-hour Mean Systolic Blood Pressure Measured by Ambulatory Blood Pressure Monitoring. | The change in 24-hour mean systolic blood pressure measured at week 6 relative to baseline. Ambulatory blood pressure monitoring measures blood pressure at regular intervals throughout the day and night. The 24-hour mean is the average of all measurements recorded for 24 hours after dosing. | Full analysis set with last observation carried forward. | Posted | Least Squares Mean | Standard Error | mmHg | Baseline and Week 6. |
|
|
|
| |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Secondary | Change From Baseline in Mean Trough Clinic Sitting Systolic Blood Pressure | The change in mean trough clinic sitting systolic blood pressure measured at final visit or week 6 relative to baseline. | Full analysis set with last observation carried forward. | Posted | Least Squares Mean | Standard Error | mmHg | Baseline and Week 6. |
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| Secondary | Change From Baseline in the 24-hour Mean Diastolic Blood Pressure Measured by Ambulatory Blood Pressure Monitoring. | The change in 24-hour mean diastolic blood pressure measured at week 6 relative to baseline. Ambulatory blood pressure monitoring measures blood pressure at regular intervals throughout the day and night. The 24-hour mean is the average of all measurements recorded for 24 hours after dosing. | Full analysis set with last observation carried forward. | Posted | Least Squares Mean | Standard Error | mmHg | Baseline and Week 6. |
| ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Secondary | Change From Baseline in Mean Trough Clinic Sitting Diastolic Blood Pressure | The change in mean trough clinic sitting diastolic blood pressure measured at final visit or week 6 relative to baseline. | Full analysis set with last observation carried forward. | Posted | Least Squares Mean | Standard Error | mmHg | Baseline and Week 6. |
| ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Secondary | Change From Baseline in Daytime (6am to 10 pm) Mean Systolic Blood Pressure Measured by Ambulatory Blood Pressure Monitoring. | The change in daytime (6am to 10pm) mean systolic blood pressure measured at week 6 relative to baseline. Ambulatory blood pressure monitoring measures blood pressure at regular intervals throughout the day and night. Daytime mean is the average of all measurements recorded between the hours of 6 am and 10 pm. | Full analysis set with last observation carried forward. | Posted | Least Squares Mean | Standard Error | mmHg | Baseline and Week 6. |
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| Secondary | Change From Baseline in Daytime (6am to 10 pm) Mean Diastolic Blood Pressure Measured by Ambulatory Blood Pressure Monitoring. | The change in daytime (6am to 10pm) mean diastolic blood pressure measured at week 6 relative to baseline. Ambulatory blood pressure monitoring measures blood pressure at regular intervals throughout the day and night. Daytime mean is the average of all measurements recorded between the hours of 6 am and 10 pm. | Full analysis set with last observation carried forward. | Posted | Least Squares Mean | Standard Error | mmHg | Baseline and Week 6. |
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| Secondary | Change From Baseline in the Nighttime (12 am to 6 am) Mean Systolic Blood Pressure Measured by Ambulatory Blood Pressure Monitoring. | The change in nighttime (12am to 6am) mean systolic blood pressure measured at week 6 relative to baseline. Ambulatory blood pressure monitoring measures blood pressure at regular intervals throughout the day and night. Nighttime mean is the average of all measurements recorded between the hours of 12 am and 6 am. | Full analysis set with last observation carried forward. | Posted | Least Squares Mean | Standard Error | mmHg | Baseline and Week 6. |
| ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Secondary | Change From Baseline in the Nighttime (12 am to 6 am) Mean Diastolic Blood Pressure Measured by Ambulatory Blood Pressure Monitoring. | The change in nighttime (12am to 6am) mean diastolic blood pressure measured at week 6 relative to baseline. Ambulatory blood pressure monitoring measures blood pressure at regular intervals throughout the day and night. Nighttime mean is the average of all measurements recorded between the hours of 12 am and 6 am. | Full analysis set with last observation carried forward. | Posted | Least Squares Mean | Standard Error | mmHg | Baseline and Week 6. |
| ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Secondary | Change From Baseline in the 12-hour Mean Systolic Blood Pressure Measured by Ambulatory Blood Pressure Monitoring | The change in the 12-hour mean systolic blood pressure measured at week 6 relative to baseline. Ambulatory blood pressure monitoring measures blood pressure at regular intervals throughout the day and night. The 12-hour mean is the average of all measurements recorded in the first 12 hours after dosing. | Full analysis set with last observation carried forward. | Posted | Least Squares Mean | Standard Error | mmHg | Baseline and Week 6. |
| ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Secondary | Change From Baseline in the 12-hour Mean Diastolic Blood Pressure Measured by Ambulatory Blood Pressure Monitoring | The change in the 12-hour mean diastolic blood pressure measured at week 6 relative to baseline. Ambulatory blood pressure monitoring measures blood pressure at regular intervals throughout the day and night. The 12-hour mean is the average of all measurements recorded in the first 12 hours after dosing. | Full analysis set with last observation carried forward. | Posted | Least Squares Mean | Standard Error | mmHg | Baseline and Week 6. |
| ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Secondary | Change From Baseline in the Trough (22-24-hr) Mean Systolic Blood Pressure Measured by Ambulatory Blood Pressure Monitoring. | The change in trough mean systolic blood pressure measured at week 6 relative to baseline. Ambulatory blood pressure monitoring measures blood pressure at regular intervals throughout the day and night. The trough mean is the average of all measurements recorded from 22 to 24 hours after dosing. | Full analysis set with last observation carried forward. | Posted | Least Squares Mean | Standard Error | mmHg | Baseline and Week 6. |
| ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Secondary | Change From Baseline in the Trough (22-24-hr) Mean Diastolic Blood Pressure Measured by Ambulatory Blood Pressure Monitoring. | The change in trough mean diastolic blood pressure measured at week 6 relative to baseline. Ambulatory blood pressure monitoring measures blood pressure at regular intervals throughout the day and night. The trough mean is the average of all measurements recorded from 22 to 24 hours after dosing. | Full analysis set with last observation carried forward. | Posted | Least Squares Mean | Standard Error | mmHg | Baseline and Week 6. |
| ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Secondary | Percentage of Participants Who Achieve a Clinic Systolic Blood Pressure Response, Defined as < 140 mm Hg and/or Reduction From Baseline ≥ 20 mm Hg | Percentage of participants who achieve a clinic systolic blood pressure response measured at week 6, defined as less than 140 mm Hg and/or reduction from baseline of greater than or equal to 20 mm Hg. Systolic blood pressure is the arithmetic mean of the 3 trough sitting systolic blood pressure measurements. | Full analysis set with last observation carried forward. | Posted | Number | percentage of participants | Baseline and Week 6. |
| |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Secondary | Percentage of Participants Who Achieve a Clinic Diastolic Blood Pressure Response, Defined as < 90 mm Hg and/or Reduction From Baseline ≥ 10 mm Hg | Percentage of participants who achieve a clinic diastolic blood pressure response measured at week 6, defined as less than 90 mm Hg and/or reduction from baseline of greater than or equal to 10 mm Hg. Diastolic blood pressure is the arithmetic mean of the 3 trough sitting diastolic blood pressure measurements. | Full analysis set with last observation carried forward. | Posted | Number | percentage of participants | Baseline and Week 6. |
| |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Secondary | Percentage of Participants Who Achieve Both a Clinic Diastolic and Systolic Blood Pressure Response | Percentage of participants who achieve both a clinic diastolic and systolic blood pressure response measured at week 6, defined as less than 90 mm Hg and/or reduction from baseline of greater than or equal to 10 mm Hg AND less than 140 mm Hg and/or reduction from baseline of greater than or equal to 20 mm Hg. Diastolic and systolic blood pressure is based on the arithmetic mean of the 3 sitting blood pressure measurements. | Full analysis set with last observation carried forward. | Posted | Number | percentage of participants | Baseline and Week 6. |
|
Treatment-emergent adverse events are adverse events that started after the first dose of double-blind study drug and no more than 14 days (or 30 days for a serious adverse event) after the last dose of double-blind study drug.
At each visit the investigator had to document any occurrence of adverse events and abnormal laboratory findings. Any event spontaneously reported by the participant or observed by the investigator was recorded, irrespective of the relation to study treatment.
Not provided
| ID | Title | Description | Deaths (Affected) | Deaths (At Risk) | Serious Events (Affected) | Serious Events (At Risk) | Other Events (Affected) | Other Events (At Risk) |
|---|---|---|---|---|---|---|---|---|
| EG000 | Azilsartan Medoxomil 20 mg QD | Azilsartan medoxomil 20 mg, tablets, orally, once daily for up to 6 weeks. | 8 | 283 | 23 | 283 | ||
| EG001 | Azilsartan Medoxomil 40 mg QD | Azilsartan medoxomil 40 mg, tablets, orally, once daily for up to 6 weeks. | 0 | 281 | 19 | 281 | ||
| EG002 | Azilsartan Medoxomil 80 mg QD | Azilsartan medoxomil 80 mg, tablets, orally, once daily for up to 6 weeks. | 1 | 284 | 32 | 284 | ||
| EG003 | Olmesartan 40 mg QD | Olmesartan 40 mg, tablets, orally, once daily for up to 6 weeks. | 2 | 282 | 18 | 282 | ||
| EG004 | Placebo QD | Placebo-matching tablets, orally, once daily for up to 6 weeks. | 3 | 142 | 13 | 142 |
| Term | Organ System | Source Vocabulary | Assessment Type | Notes | Statistical Information |
|---|---|---|---|---|---|
| Atrial fibrillation | Cardiac disorders | MedDRA (11.1) | Systematic Assessment |
| |
| Coronary artery disease | Cardiac disorders | MedDRA (11.1) | Systematic Assessment |
| |
| Myocardial infarction | Cardiac disorders | MedDRA (11.1) | Systematic Assessment |
| |
| Gastrointestinal haemorrhage | Gastrointestinal disorders | MedDRA (11.1) | Systematic Assessment |
| |
| Inguinal hernia | Gastrointestinal disorders | MedDRA (11.1) | Systematic Assessment |
| |
| Chest pain | General disorders | MedDRA (11.1) | Systematic Assessment |
| |
| Cholecystitis chronic | Hepatobiliary disorders | MedDRA (11.1) | Systematic Assessment |
| |
| Cellulitis | Infections and infestations | MedDRA (11.1) | Systematic Assessment |
| |
| Lower respiratory tract infection | Infections and infestations | MedDRA (11.1) | Systematic Assessment |
| |
| Pneumonia | Infections and infestations | MedDRA (11.1) | Systematic Assessment |
| |
| Myelodysplastic syndrome | Neoplasms benign, malignant and unspecified (incl cysts and polyps) | MedDRA (11.1) | Systematic Assessment |
| |
| Epilepsy | Nervous system disorders | MedDRA (11.1) | Systematic Assessment |
| |
| Ischaemic stroke | Nervous system disorders | MedDRA (11.1) | Systematic Assessment |
| |
| Transient ischaemic attack | Nervous system disorders | MedDRA (11.1) | Systematic Assessment |
| |
| Status asthmaticus | Respiratory, thoracic and mediastinal disorders | MedDRA (11.1) | Systematic Assessment |
| |
| Ischaemia | Vascular disorders | MedDRA (11.1) | Systematic Assessment |
| |
| Shock | Vascular disorders | MedDRA (11.1) | Systematic Assessment |
|
| Term | Organ System | Source Vocabulary | Assessment Type | Notes | Statistical Information |
|---|---|---|---|---|---|
| Headache | Nervous system disorders | MedDRA (11.1) | Systematic Assessment |
| |
| Dyslipidemia | Metabolism and nutrition disorders | MedDRA (11.1) | Systematic Assessment |
|
No publication related to study results will be published prior to publication of a multi-center report submitted for publication within 18 months after conclusion or termination of a study at all study sites. Results publications will be submitted to sponsor for review 60 days in advance of publication. Sponsor can require removal of confidential information unrelated to study results. Sponsor can embargo a proposed publication for another 60 days to preserve intellectual property.
| Title | Organization | Phone | Extension | |
|---|---|---|---|---|
| Sr. VP, Clinical Science | Takeda Global Research and Development Center, Inc. | 800-778-2860 | clinicaltrialregistry@tpna.com |
| ID | Term |
|---|---|
| D006973 | Hypertension |
| D000075222 | Essential Hypertension |
| D002318 | Cardiovascular Diseases |
| ID | Term |
|---|---|
| D014652 | Vascular Diseases |
Not provided
Not provided
| ID | Term |
|---|---|
| C557413 | azilsartan medoxomil |
| C437965 | olmesartan |
| C521273 | azilsartan |
| D000068557 | Olmesartan Medoxomil |
| ID | Term |
|---|---|
| D007093 | Imidazoles |
| D001393 | Azoles |
| D006573 | Heterocyclic Compounds, 1-Ring |
| D006571 | Heterocyclic Compounds |
| D013777 | Tetrazoles |
Not provided
Not provided
| Between 45 and 64 years |
|
| ≥65 years |
|
| Male |
|
| ANCOVA |
| <0.001 |
Postbaseline P-value was from ANCOVA with terms for treatment (as a factor) and baseline value (as a covariate). Unadjusted p-value presented. Overall 0.05 level of significance for multiple comparisons controlled using stepwise testing procedure. |
| Mean Difference (Final Values) |
| -12.08 |
| 2-Sided |
| 95 |
| -14.48 |
| -9.67 |
| No |
| Superiority or Other |
| ANCOVA | <0.001 | Postbaseline P-value was from ANCOVA with terms for treatment (as a factor) and baseline value (as a covariate). Unadjusted p-value presented. Overall 0.05 level of significance for multiple comparisons controlled using stepwise testing procedure. | Mean Difference (Final Values) | -13.21 | 2-Sided | 95 | -15.62 | -10.81 | No | Superiority or Other |
| ANCOVA | 0.687 | Postbaseline P-value was from ANCOVA with terms for treatment (as a factor) and baseline value (as a covariate). Unadjusted p-value presented. Overall 0.05 level of significance for multiple comparisons controlled using stepwise testing procedure. | Mean Difference (Final Values) | 0.40 | 2-Sided | 95 | -1.55 | 2.35 | No | Superiority or Other |
| ANCOVA | 0.352 | Postbaseline P-value was from ANCOVA with terms for treatment (as a factor) and baseline value (as a covariate). Unadjusted p-value presented. Overall 0.05 level of significance for multiple comparisons controlled using stepwise testing procedure. | Mean Difference (Final Values) | -0.92 | 2-Sided | 95 | -2.87 | 1.02 | No | Superiority or Other |
| ANCOVA | 0.038 | Postbaseline P-value was from ANCOVA with terms for treatment (as a factor) and baseline value (as a covariate). Unadjusted p-value presented. Overall 0.05 level of significance for multiple comparisons controlled using stepwise testing procedure. | Mean Difference (Final Values) | -2.06 | 2-Sided | 95 | -4.00 | -0.12 | No | Superiority or Other |
Placebo-matching tablets, orally, once daily for up to 6 weeks. |
|
|
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| OG004 | Placebo QD | Placebo-matching tablets, orally, once daily for up to 6 weeks. |
|
|
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| Placebo QD |
Placebo-matching tablets, orally, once daily for up to 6 weeks. |
|
|
|
Olmesartan 40 mg, tablets, orally, once daily for up to 6 weeks.
| OG004 | Placebo QD | Placebo-matching tablets, orally, once daily for up to 6 weeks. |
|
|
|
Olmesartan 40 mg, tablets, orally, once daily for up to 6 weeks.
| OG004 | Placebo QD | Placebo-matching tablets, orally, once daily for up to 6 weeks. |
|
|
|
Olmesartan 40 mg, tablets, orally, once daily for up to 6 weeks.
| OG004 | Placebo QD | Placebo-matching tablets, orally, once daily for up to 6 weeks. |
|
|
|
Olmesartan 40 mg, tablets, orally, once daily for up to 6 weeks.
| OG004 | Placebo QD | Placebo-matching tablets, orally, once daily for up to 6 weeks. |
|
|
|
Olmesartan 40 mg, tablets, orally, once daily for up to 6 weeks.
| OG004 | Placebo QD | Placebo-matching tablets, orally, once daily for up to 6 weeks. |
|
|
|
Olmesartan 40 mg, tablets, orally, once daily for up to 6 weeks.
| OG004 | Placebo QD | Placebo-matching tablets, orally, once daily for up to 6 weeks. |
|
|
|
Olmesartan 40 mg, tablets, orally, once daily for up to 6 weeks.
| OG004 | Placebo QD | Placebo-matching tablets, orally, once daily for up to 6 weeks. |
|
|
|
Olmesartan 40 mg, tablets, orally, once daily for up to 6 weeks.
| OG004 | Placebo QD | Placebo-matching tablets, orally, once daily for up to 6 weeks. |
|
|
|
Olmesartan 40 mg, tablets, orally, once daily for up to 6 weeks.
| OG004 | Placebo QD | Placebo-matching tablets, orally, once daily for up to 6 weeks. |
|
|
|
Olmesartan 40 mg, tablets, orally, once daily for up to 6 weeks.
| OG004 | Placebo QD | Placebo-matching tablets, orally, once daily for up to 6 weeks. |
|
|
|
Olmesartan 40 mg, tablets, orally, once daily for up to 6 weeks. |
| OG004 | Placebo QD | Placebo-matching tablets, orally, once daily for up to 6 weeks. |
|
|
|