A Phase 2 interventional study of LCZ696 and Valsartan in Hypertension, sponsored by Novartis Pharmaceuticals. Completed at 182 sites in 18 countries. Open to participants aged 18 Years to 75 Years. Per ClinicalTrials.gov, last updated 2015-08-25.
Sponsored by Novartis Pharmaceuticals · Phase 2, Interventional, and Treatment
This study was a dose-ranging efficiacy study in patients with essential hypertension to assess the blood pressure lowering effect, and safety of LCZ696 compared to valsartan and placebo. The study will also evaluate the efficacy and safety of AHU377 as compared to placebo.
6,689 studies on the registry are indexed under Hypertension; 964 are open to participants now.
This study's enrollment of 1,334 is above the median of 90 across 4,994 interventional studies indexed under Hypertension.
Browse Hypertension studies →Novartis Pharmaceuticals is the lead sponsor of 2,673 studies on the registry; 228 are open to participants now.
Of its 576 completed or terminated interventional studies of FDA-regulated products, 431 (75%) have results posted.
Counted across the registry records on this site, refreshed daily.
Exclusion Criteria:
Participants received LCZ696 100 mg and matching placebo to LCZ696, Valsartan and AHU377 (5 tablets and 2 capsules) daily.
Drug: LCZ696 · Drug: Placebo
Participants received LCZ696 200 mg and matching placebo to LCZ696, Valsartan and AHU377 (5 tablets and 2 capsules) daily.
Drug: LCZ696 · Drug: Placebo
Participants received LCZ696 400 mg (200 mg LCZ696 for one week and then up-titration to 400 mg LCZ696 for 7 weeks) and matching placebo to LCZ696, Valsartan and AHU377 (5 tablets and 2 capsules) daily.
Drug: LCZ696 · Drug: Placebo
Participants received Valsartan 80 mg and matching placebo to LCZ696, Valsartan and AHU377 (5 tablets and 2 capsules) daily.
Drug: Valsartan · Drug: Placebo
Participants received Valsartan 160 mg and matching placebo to LCZ696, Valsatan and AHU377 (5 tablets and 2 capsules) daily.
Drug: Valsartan · Drug: Placebo
Participants received Valsartan 320 mg (160 mg valsartan capsules for one week followed by 320 mg valsartan capsules for 7 weeks) and matching placebo to LCZ696, Valsartan and AHU377 (5 tablets and 2 capsules) daily.
Drug: Valsartan · Drug: Placebo
Participants received AHU377 200 mg and matching placebo to LCZ696 and Valsartan (5 tablets and 2 capsules) daily.
Drug: AHU377 · Drug: Placebo
Participants received matching placebo to LCZ696, Valsartan and AHU377 (5 tablets and 2 capsules) daily.
Drug: Placebo
Change From Baseline in Mean Sitting Diastolic Blood Pressure (msDBP)
Sitting BP measurements were performed at screening through the end of the study at every study visit. A negative change from baseline indicates improvement.
Time frame: baseline, week 8
Change From Baseline in Mean Sitting Systolic Blood Pressure (msSBP)
Sitting BP measurements were performed at screening through the end of the study at every study visit.
Time frame: baseline, week 8
Change From Baseline in 24-hour Mean Ambulatory DBP (maDBP) and maSBP
Hourly mean ambulatory DBP and SBP post-dosing was calculated for each post-dosing hour over 24 hours by taking the average of the readings taken in the corresponding post-dosing hour at randomization and at week 8.
Time frame: baseline, 8 weeks
Change From Baseline in Daytime maDBP and maSBP
Hourly mean ambulatory DBP and SBP post-dosing was calculated for each post-dosing hour over 24 hours by taking the avergae of the readings taken in the corresponding post-dosing hour at randomization and at week 8. Daytime mean SBP and DBP were the averages of the hourly means between 6 am and 10 pm.
Time frame: baseline, 8 weeks
Change From Baseline in Nighttime maDBP and maSBP
Hourly mean ambulatory DBP and SBP post-dosing was calculated for each post-dosing hour over 24 hours by taking the average of the readings taken in the corresponding post-dosing hour at randomization and at week 8. Nighttime mean SBP and DBP were the averages of the hourly means between 10 pm and 6 am.
Time frame: baseline, 8 weeks
Percentage of Participants Who Achieved a Successful Response in msDBP
Successful response in msDBP is defined as msDBP \<90 mmHg or a reduction ≥ 10 mmHg from baseline.
Time frame: 8 weeks
Percentage of Participants Who Achieved a Successful Response in msSBP
Successful response in msSBP is defined as msSBP \<140 mmHg or a reduction ≥ 20 mmHg from baseline.
Time frame: 8 weeks
Percentage of Participants Who Achieved Successful Control in msDBP
Successful control in msDBP is defined as msDBP \<90 mmHg.
Time frame: 8 weeks
Percentage of Participants Who Achieved Successful Control in msSBP
Successful control in msSBP is defined as \<140 mmHg.
Time frame: 8 weeks
The study comprised 3 periods: a 4-week washout and placebo run-in period (pre-randomization), an 8-week randomized, double-blind monotherapy period, and 1-week randomized, placebo-controlled withdrawal period. In the randomized withdrawal, participants were either randomized to placebo or continued their original assigned treatment.
| Milestone | LCZ696 100 mg | LCZ696 200 mg | LCZ696 400 mg | Valsartan 80 mg | Valsartan 160 mg | Valsartan 320 mg | AHU377 200 mg | Placebo |
|---|---|---|---|---|---|---|---|---|
| Started | 156 | 169 | 172 | 163 | 166 | 164 | 165 | 173 |
| Intent-to-treat population | 154 | 168 | 170 | 163 | 163 | 163 | 164 | 172 |
| Ambulatory blood pressure monitoring | 48 | 61 | 53 | 55 | 49 | 54 | 50 | 57 |
| Completed | 149 | 158 | 162 | 147 | 149 | 151 | 151 | 148 |
| Not completed | 7 | 11 | 10 | 16 | 17 | 13 | 14 | 25 |
| Withdrew: Protocol deviation | 1 | 1 | 1 | 2 | 2 | 2 | 1 | 2 |
| Withdrew: Administrative problems | 0 | 1 | 0 | 0 | 0 | 0 | 0 | 1 |
| Withdrew: Lost to follow-up | 0 | 0 | 2 | 2 | 3 | 2 | 0 | 0 |
| Withdrew: Withdrawal by subject | 4 | 6 | 4 | 5 | 6 | 6 | 4 | 9 |
| Withdrew: Lack of efficacy | 1 | 0 | 2 | 3 | 5 | 1 | 3 | 8 |
| Withdrew: Abnormal test procedure results | 0 | 0 | 0 | 2 | 0 | 1 | 1 | 1 |
| Withdrew: Abnormal laboratory values | 0 | 0 | 0 | 0 | 0 | 1 | 0 | 0 |
| Withdrew: Adverse event | 1 | 3 | 1 | 2 | 1 | 0 | 5 | 4 |
Sitting BP measurements were performed at screening through the end of the study at every study visit. A negative change from baseline indicates improvement.
| mmHg | LCZ696 100 mg | LCZ696 200 mg | LCZ696 400 mg | Valsartan 80 mg | Valsartan 160 mg | Valsartan 320 mg | AHU377 200 mg | Placebo |
|---|---|---|---|---|---|---|---|---|
| Change From Baseline in Mean Sitting Diastolic Blood Pressure (msDBP) | -9.97 ± 0.73 | -12.92 ± 0.70 | -13.63 ± 0.70 | -9.14 ± 0.72 | -9.95 ± 0.71 | -10.93 ± 0.71 | -9.76 ± 0.71 | -6.78 ± 0.69 |
Sitting BP measurements were performed at screening through the end of the study at every study visit.
| mmHg | LCZ696 100 mg | LCZ696 200 mg | LCZ696 400 mg | Valsartan 80 mg | Valsartan 160 mg | Valsartan 320 mg | AHU377 200 mg | Placebo |
|---|---|---|---|---|---|---|---|---|
| Change From Baseline in Mean Sitting Systolic Blood Pressure (msSBP) | -13.75 ± 1.15 | -18.70 ± 1.10 | -20.17 ± 1.10 | -12.44 ± 1.12 | -13.42 ± 1.12 | -14.16 ± 1.12 | -11.93 ± 1.11 | -7.72 ± 1.09 |
Hourly mean ambulatory DBP and SBP post-dosing was calculated for each post-dosing hour over 24 hours by taking the average of the readings taken in the corresponding post-dosing hour at randomization and at week 8.
| mmHg | LCZ696 100 mg | LCZ696 200 mg | LCZ696 400 mg | Valsartan 80 mg | Valsartan 160 mg | Valsartan 320 mg | AHU377 200 mg | Placebo |
|---|---|---|---|---|---|---|---|---|
| maDBP | -3.80 ± 0.72 | -6.78 ± 0.64 | -8.32 ± 0.71 | -4.56 ± 0.67 | -6.25 ± 0.70 | -7.13 ± 0.67 | -3.67 ± 0.70 | -1.33 ± 0.67 |
| maSBP | -7.80 ± 1.04 | -11.50 ± 0.93 | -14.56 ± 1.03 | -7.29 ± 0.96 | -8.27 ± 1.00 | -9.42 ± 0.97 | -5.18 ± 1.02 | -2.90 ± 0.96 |
Hourly mean ambulatory DBP and SBP post-dosing was calculated for each post-dosing hour over 24 hours by taking the avergae of the readings taken in the corresponding post-dosing hour at randomization and at week 8. Daytime mean SBP and DBP were the averages of the hourly means between 6 am and 10 pm.
| mmHg | LCZ696 100 mg | LCZ696 200 mg | LCZ696 400 mg | Valsartan 80 mg | Valsartan 160 mg | Valsartan 320 mg | AHU377 200 mg | Placebo |
|---|---|---|---|---|---|---|---|---|
| maDBP | -4.05 ± 1.23 | -6.91 ± 1.12 | -7.80 ± 1.19 | -4.78 ± 1.17 | -7.40 ± 1.23 | -7.47 ± 1.17 | -3.18 ± 1.22 | -1.53 ± 1.14 |
| maSBP | -7.96 ± 1.73 | -11.76 ± 1.58 | -14.20 ± 1.67 | -7.59 ± 1.65 | -9.54 ± 1.73 | -9.90 ± 1.66 | -4.49 ± 1.72 | -3.40 ± 1.61 |
Hourly mean ambulatory DBP and SBP post-dosing was calculated for each post-dosing hour over 24 hours by taking the average of the readings taken in the corresponding post-dosing hour at randomization and at week 8. Nighttime mean SBP and DBP were the averages of the hourly means between 10 pm and 6 am.
| mmHg | LCZ696 100 mg | LCZ696 200 mg | LCZ696 400 mg | Valsartan 80 mg | Valsartan 160 mg | Valsartan 320 mg | AHU377 200 mg | Placebo |
|---|---|---|---|---|---|---|---|---|
| maDBP | -2.87 ± 1.25 | -7.73 ± 1.13 | -6.93 ± 1.23 | -4.04 ± 1.17 | -4.18 ± 1.24 | -6.17 ± 1.18 | -3.31 ± 1.24 | -1.01 ± 1.16 |
| maSBP | -6.40 ± 1.77 | -11.85 ± 1.60 | -12.04 ± 1.73 | -6.43 ± 1.66 | -5.82 ± 1.74 | -7.51 ± 1.67 | -3.99 ± 1.75 | -2.09 ± 1.63 |
Successful response in msDBP is defined as msDBP \<90 mmHg or a reduction ≥ 10 mmHg from baseline.
| Percentage of participants | LCZ696 100 mg | LCZ696 200 mg | LCZ696 400 mg | Valsartan 80 mg | Valsartan 160 mg | Valsartan 320 mg | AHU377 200 mg | Placebo |
|---|---|---|---|---|---|---|---|---|
| Percentage of Participants Who Achieved a Successful Response in msDBP | 53.90 | 69.64 | 74.12 | 51.53 | 55.83 | 63.19 | 54.27 | 39.53 |
Successful response in msSBP is defined as msSBP \<140 mmHg or a reduction ≥ 20 mmHg from baseline.
| Percentage of participants | LCZ696 100 mg | LCZ696 200 mg | LCZ696 400 mg | Valsartan 80 mg | Valsartan 160 mg | Valsartan 320 mg | AHU377 200 mg | Placebo |
|---|---|---|---|---|---|---|---|---|
| Percentage of Participants Who Achieved a Successful Response in msSBP | 55.84 | 63.69 | 72.35 | 51.53 | 51.53 | 57.06 | 46.34 | 37.79 |
Successful control in msDBP is defined as msDBP \<90 mmHg.
| Percentage of participants | LCZ696 100 mg | LCZ696 200 mg | LCZ696 400 mg | Valsartan 80 mg | Valsartan 160 mg | Valsartan 320 mg | AHU377 200 mg | Placebo |
|---|---|---|---|---|---|---|---|---|
| Percentage of Participants Who Achieved Successful Control in msDBP | 47.40 | 60.12 | 65.88 | 45.40 | 47.85 | 56.44 | 46.95 | 38.37 |
Successful control in msSBP is defined as \<140 mmHg.
| Percentage of participants | LCZ696 100 mg | LCZ696 200 mg | LCZ696 400 mg | Valsartan 80 mg | Valsartan 160 mg | Valsartan 320 mg | AHU377 200 mg | Placebo |
|---|---|---|---|---|---|---|---|---|
| Percentage of Participants Who Achieved Successful Control in msSBP | 47.40 | 56.55 | 62.94 | 45.40 | 42.33 | 53.37 | 37.20 | 31.98 |
Non-serious events are listed at a 5% frequency threshold.
| Group | Deaths | Serious | Other |
|---|---|---|---|
| LCZ696 100 mg | — | 1/156 (0.6%) | 4/156 (2.6%) |
| LCZ696 200 mg | — | 0/169 (0%) | 4/169 (2.4%) |
| LCZ696 400 mg | — | 1/172 (0.6%) | 4/172 (2.3%) |
| Valsartan 80 mg | — | 1/163 (0.6%) | 5/163 (3.1%) |
| Valsartan 160 mg | — | 0/166 (0%) | 4/166 (2.4%) |
| Valsartan 320 mg | — | 0/164 (0%) | 3/164 (1.8%) |
| AHU377 200 mg | — | 0/165 (0%) | 5/165 (3%) |
| Placebo | — | 0/173 (0%) | 13/173 (7.5%) |
| Event | LCZ696 100 mg | LCZ696 200 mg | LCZ696 400 mg | Valsartan 80 mg | Valsartan 160 mg | Valsartan 320 mg | AHU377 200 mg | Placebo |
|---|---|---|---|---|---|---|---|---|
| Road traffic accidentInjury, poisoning and procedural complications | 1/156 | 0/169 | 0/172 | 0/163 | 0/166 | 0/164 | 0/165 | 0/173 |
| Upper limb fractureInjury, poisoning and procedural complications | 1/156 | 0/169 | 0/172 | 0/163 | 0/166 | 0/164 | 0/165 | 0/173 |
| Endometrial cancerNeoplasms benign, malignant and unspecified (incl cysts and polyps) | 0/156 | 0/169 | 0/172 | 1/163 | 0/166 | 0/164 | 0/165 | 0/173 |
| Back painMusculoskeletal and connective tissue disorders | 0/156 | 0/169 | 1/172 | 0/163 | 0/166 | 0/164 | 0/165 | 0/173 |
| DyspnoeaRespiratory, thoracic and mediastinal disorders | 0/156 | 0/169 | 1/172 | 0/163 | 0/166 | 0/164 | 0/165 | 0/173 |
| Event | LCZ696 100 mg | LCZ696 200 mg | LCZ696 400 mg | Valsartan 80 mg | Valsartan 160 mg | Valsartan 320 mg | AHU377 200 mg | Placebo |
|---|---|---|---|---|---|---|---|---|
| HeadacheNervous system disorders | 4/156 | 4/169 | 4/172 | 5/163 | 4/166 | 3/164 | 5/165 | 13/173 |
| Age, Continuous(years) | LCZ696 100 mg | LCZ696 200 mg | LCZ696 400 mg | Valsartan 80 mg | Valsartan 160 mg | Valsartan 320 mg | AHU377 200 mg | Placebo | Total |
|---|---|---|---|---|---|---|---|---|---|
| Mean | 53 ± 10.4 | 54 ± 9.7 | 52 ± 10.9 | 53 ± 9.6 | 53 ± 9.7 | 53 ± 10.1 | 53 ± 10.7 | 54 ± 10.6 | 53 ± 10.2 |
| Sex: Female, Male(Participants) | LCZ696 100 mg | LCZ696 200 mg | LCZ696 400 mg | Valsartan 80 mg | Valsartan 160 mg | Valsartan 320 mg | AHU377 200 mg | Placebo | Total |
|---|---|---|---|---|---|---|---|---|---|
| Female | 61 | 77 | 75 | 68 | 68 | 65 | 75 | 79 | 568 |
| Male | 95 | 92 | 97 | 95 | 98 | 99 | 90 | 94 | 760 |
Showing the first 100 of 182 sites across 18 countries.
This study is completed, as verified in Aug 2015. You cannot join it, but the record below documents what was studied.
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Novartis Pharmaceuticals