A Phase 2 interventional study of LCZ696 and Valsartan in Hypertension, sponsored by Novartis Pharmaceuticals. Completed at 1 site in Russian Federation. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2015-11-23.
Sponsored by Novartis Pharmaceuticals · Phase 2, Interventional, and Treatment
Assess mechanism of action of LCZ696 related to sodium excretion.
6,689 studies on the registry are indexed under Hypertension; 965 are open to participants now.
This study's enrollment of 32 is below the median of 90 across 4,995 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 in this arm received Valsartan 160 mg twice daily (bid) during open-label run-in, LCZ696 200 mg bid double blind treatment during period 1, Valsartan 160 mg bid during wash-out, and Valsartan 160 mg bid double blind treatment during period 2.
Drug: LCZ696 · Drug: Valsartan
Participants in this arm received Valsartan 160 mg twice daily bid during open-label run-in, Valsartan 160 mg bid during period 1, Valsartan 160 mg bid during wash-out, and LCZ696 200 mg bid double blind treatment during period 2.
Drug: LCZ696 · Drug: Valsartan
Participants in this arm received Valsartan 320 mg once daily (qd) during open-label run-in, LCZ696 400 mg qd double blind treatment during period 1, Valsartan 320 mg qd during wash-out, and Valsartan 320 mg qd double blind treatment during period 2.
Drug: LCZ696 · Drug: Valsartan
Participants in this arm received Valsartan 320 mg qd during open-label run-in, Valsartan 320 mg qd during period 1, Valsartan 320 mg qd during wash-out, and LCZ696 400 qd bid double blind treatment during period 2.
Drug: LCZ696 · Drug: Valsartan
200 mg and 400 mg tablets
160 mg tablets
24-hour Urinary Sodium Excretion
Urine was collected in 12-hour intervals, and of each pooled 24-hour (daily) sample, sodium concentration was measured. The measure type used for this outcome measure (OM) was Geometric Least square Means (LSM).
Time frame: day 1
Cumulative 7-day Urinary Sodium Excretion
Urine was collected in 12-hour intervals, and of each pooled 24-hour (daily) sample, sodium concentration was measured. The measure type used for this outcome measure (OM) was Geometric Least square Means (LSM).
Time frame: 7 day-cummulative (days 1 through 7)
24-hour Diuresis
Urine was collected in 12-hour intervals, and of each pooled 24-hour (daily) sample, urine volume was measured. The measure type used for this OM was Geometric LSM.
Time frame: day 1
7-day Cumulative Diuresis
Urine was collected in 12-hour intervals, and of each pooled 24-hour (daily) sample, urine volume was measured. The measure type used for this OM was Geometric LSM.
Time frame: 7-day cumulative (days 1 through 7)
Urinary Cyclic Guanosine Monophosphate (cGMP) Excretion Over 24 Hours
cGMP was analyzed at a central laboratory. The measure type used for this OM was Geometric LSM.
Time frame: day 1, day 6, day 7
Percent Change From Baseline in Plasma Mid-regional Pro-atrial Natriuretic Peptide (MR-proANP) Biomarker
MR-proANP was analyzed at a central laboratory.
Time frame: 2, 4, 6 and 12 hours post dose on day 1; 24 hours post dose on day 2; 2, 4, 6 and 12 hours post dose on day 7
Percent Change From Baseline in Brain Natriuretic Peptide (BNP) Biomarker
BNP was analyzed at a central laboratory.
Time frame: 0.5, 1, 2, 4, 6 and 12 hours post dose on day 1; 24 hours post dose on day 2; 0, 4, 6 and 12 hours post dose on day 7
Percent Change From Baseline in Mid-regional Pro-adrenomedullin (MR-proADM) Biomarker
MR-proADM was analyzed at a central laboratory.
Time frame: 2, 4, 6 and 12 hours post dose on day 1; 24 hours post dose on day 2; 0, 4, 6 and 12 hours post dose on day 7
Percent Change From Baseline in C-type Natriuretic Peptide (proCNP) Biomarker
ProCNP was analyzed at a central laboratory.
Time frame: 2, 4, 6, 8 and 12 hours post dose on day 1; day 2; 0, 4, 6, 8 and 12 hours post dose on day 7
Percent Change From Baseline in C-terminal-proendothelin-1 (CT-proET-1) Biomarker
CT-proET-1 was analyzed at a central laboratory.
Time frame: 12 hours post dose on day 1; 24 hours post dose on day 2; 0 and 12 hours post dose on day 7
Percent Change From Baseline in N-terminal-proBNP (NT-proBNP) Biomarker
NT-proBNP was analyzed at a central laboratory.
Time frame: 2, 4, 6 and 12 hours post dose on day 1; 24 hours post dose on day 2; 0, 4, 6 and 12 hours post dose on day 7
Percent Change From Baseline in Aldosterone Biomarker
Aldosterone was analyzed at a central laboratory.
Time frame: 6 and 12 hours post dose on day 1; 24 hours post dose on day 2; 0, 6 and 12 hours post dose on day 7
Percent Change From Baseline in Urinary Electrolyte Excretion (Sodium, Potassium, Chloride and Calcium)
Urine was collected in 12-hour intervals, and of each pooled 24-hour (daily) sample, sodium, potassium, albumin and calcium were measured.
Time frame: 2, 4, 6 and 12 hours post dose on day 1; 24 hours post dose on day 2; 0, 4, 6 and 12 hours post dose on day 7
Percent Change From Baseline in Blood Plasma Creatinine
Blood plasma creatinine was analyzed at a central laboratory.
Time frame: 4, 6 and 12 hours post dose on day 1; 24 hours post dose on day 2; 0, 4, 6 and 12 hours post dose on day 7
Glomerular Filtration Rate (GFR) Over Time
GFR was used as a measure of renal function.
Time frame: 0, 2, 4 and 6 hours post dose on day 1; 0, 2, 4 and 6 hours post dose on day 7
Renal Blood Flow (RBF) Over Time
RBF was used as a measure of renal function.
Time frame: 0, 2, 4 and 6 hours post dose on day 1; 0, 2, 4 and 6 hours post dose on day 7
Supine Systolic Blood Pressure
Systolic blood pressure measurements were taken.
Time frame: 0, 0.5, 1, 2, 4, 8 and 12 hours post dose on day 1; day 2; 0, 0.5, 1, 2, 4, 8 and 12 hours post dose on day 7
Supine Diastolic Blood Pressure
Diastolic blood pressure measurements were taken.
Time frame: 0, 0.5, 1, 2, 4, 8 and 12 hours post dose on day 1; day 2; 0, 0.5, 1, 2, 4, 8 and 12 hours post dose on day 7
Supine Pulse Rate
Pulse rate measurements were taken.
Time frame: 0, 0.5, 1, 2, 4, 8 and 12 hours post dose on day 1; day 2; 0, 0.5, 1, 2, 4, 8 and 12 hours post dose on day 7
In each of the HF and HTN cohorts, 16 participants (total = 32) received LCZ696 or Valsartan in period 1. Then, there was a cross-over where participants received LCZ96 or Valsartan in period 2.
| Milestone | LCZ696 to Valsartan - Heart Failure (HF) Cohort | Valsartan to LCZ696 - HF Cohort | LCZ696 to Valsartan - Hypertension (HTN) Cohort | Valsartan to LCZ696 - HTN Cohort |
|---|---|---|---|---|
| Started | 8 | 8 | 8 | 8 |
| Completed | 8 | 8 | 8 | 7 |
| Not completed | 0 | 0 | 0 | 1 |
| Withdrew: Adverse event | 0 | 0 | 0 | 1 |
| Milestone | LCZ696 to Valsartan - Heart Failure (HF) Cohort | Valsartan to LCZ696 - HF Cohort | LCZ696 to Valsartan - Hypertension (HTN) Cohort | Valsartan to LCZ696 - HTN Cohort |
|---|---|---|---|---|
| Started | 8 | 8 | 8 | 7 |
| Completed | 7 | 8 | 8 | 7 |
| Not completed | 1 | 0 | 0 | 0 |
| Withdrew: Withdrawal by subject | 1 | 0 | 0 | 0 |
Urine was collected in 12-hour intervals, and of each pooled 24-hour (daily) sample, sodium concentration was measured. The measure type used for this outcome measure (OM) was Geometric Least square Means (LSM).
| mmol/24 hours | LCZ696 - Heart Failure (HF) Cohort | Valsartan - HF Cohort | LCZ696 - Hypertension (HTN) Cohort | Valsartan - HTN Cohort |
|---|---|---|---|---|
| 24-hour Urinary Sodium Excretion | 220.58 (182.64 to 266.41) | 198.73 (163.50 to 241.56) | 177.40 (152.65 to 206.15) | 146.18 (126.42 to 169.03) |
Urine was collected in 12-hour intervals, and of each pooled 24-hour (daily) sample, sodium concentration was measured. The measure type used for this outcome measure (OM) was Geometric Least square Means (LSM).
| mmol/7 days | LCZ696 - Heart Failure (HF) Cohort | Valsartan - HF Cohort | LCZ696 - Hypertension (HTN) Cohort | Valsartan - HTN Cohort |
|---|---|---|---|---|
| Cumulative 7-day Urinary Sodium Excretion | 1020.57 (903.47 to 1152.84) | 1114.18 (983.37 to 1262.39) | 906.81 (839.94 to 979.00) | 943.26 (873.62 to 1018.45) |
Urine was collected in 12-hour intervals, and of each pooled 24-hour (daily) sample, urine volume was measured. The measure type used for this OM was Geometric LSM.
| mL/24 hours | LCZ696 - Heart Failure (HF) Cohort | Valsartan - HF Cohort | LCZ696 - Hypertension (HTN) Cohort | Valsartan - HTN Cohort |
|---|---|---|---|---|
| 24-hour Diuresis | 3199.37 (2662.17 to 3844.96) | 2874.36 (2375.61 to 3477.82) | 3382.94 (2859.86 to 4001.70) | 2393.61 (2034.84 to 2815.64) |
Urine was collected in 12-hour intervals, and of each pooled 24-hour (daily) sample, urine volume was measured. The measure type used for this OM was Geometric LSM.
| mL | LCZ696 - Heart Failure (HF) Cohort | Valsartan - HF Cohort | LCZ696 - Hypertension (HTN) Cohort | Valsartan - HTN Cohort |
|---|---|---|---|---|
| 7-day Cumulative Diuresis | 12347.92 (10842.81 to 14062.48) | 13180.02 (11539.55 to 15053.71) | 16980.05 (15627.59 to 18449.54) | 15265.35 (14048.28 to 16587.87) |
cGMP was analyzed at a central laboratory. The measure type used for this OM was Geometric LSM.
| nmol/24 hours | LCZ696 - Heart Failure (HF) Cohort | Valsartan - HF Cohort | LCZ696 - Hypertension (HTN) Cohort | Valsartan - HTN Cohort |
|---|---|---|---|---|
| Day 1 | 1851.79 (1504.96 to 2278.56) | 884.99 (713.93 to 1097.03) | 1085.76 (867.64 to 1358.71) | 557.53 (448.87 to 692.51) |
| Day 6 | 1467.67 (1153.25 to 1867.79) | 865.62 (674.39 to 1111.07) | 863.32 (707.64 to 1053.25) | 562.11 (460.85 to 685.63) |
| Day 7 | 1571.02 (1331.84 to 1853.15) | 859.07 (723.03 to 1020.72) | 1107.04 (869.95 to 1408.76) | 603.90 (474.68 to 768.30) |
MR-proANP was analyzed at a central laboratory.
| Percentage change | LCZ696 - Heart Failure (HF) Cohort | Valsartan - HF Cohort | LCZ696 - Hypertension (HTN) Cohort | Valsartan - HTN Cohort |
|---|---|---|---|---|
| Day 1, 2.0 hours post dose | -7.04 (-12.21 to -1.87) | 2.08 (-3.48 to 7.63) | -10.11 (-17.41 to -2.82) | -1.66 (-7.99 to 4.68) |
| Day 1, 4.0 hrs post dose | -17.39 (-24.68 to -10.10) | -6.74 (-14.32 to 0.84) | -12.68 (-25.45 to 0.08) | -7.33 (-19.27 to 4.61) |
| Day 1, 6.0 hours post dose | -23.99 (-31.64 to -16.33) | -10.16 (-18.08 to -2.23) | -17.82 (-25.16 to -10.48) | -4.52 (-11.60 to 2.56) |
| Day 1, 12.0 hrs post dose | -27.58 (-38.93 to -16.22) | -7.48 (-19.26 to 4.29) | -19.77 (-32.56 to -6.98) | -15.20 (-27.10 to -3.31) |
| Day 2, 24.0 hrs post dose | -25.13 (-35.53 to -14.73) | -14.53 (-25.28 to -3.78) | -17.30 (-33.46 to -1.13) | -9.45 (-24.39 to 5.50) |
| Day 7, 0.0 hours | -21.27 (-29.72 to -12.81) | -2.54 (-11.30 to 6.21) | -16.03 (-28.52 to -3.53) | 0.44 (-11.59 to 12.46) |
| Day 7, 4.0 hours post dose | -24.35 (-35.18 to -13.52) | 1.64 (-9.62 to 12.91) | -19.34 (-31.20 to -7.49) | -2.56 (-13.90 to 8.78) |
| Day 7, 6.0 hours post dose | -23.40 (-33.98 to -12.82) | -3.53 (-14.54 to 7.48) | -20.84 (-33.62 to -8.05) | -1.98 (-14.25 to 10.28) |
| Day 7, 12.0 hours post dose | -20.95 (-33.10 to -8.80) | -12.65 (-25.27 to -0.03) | -23.09 (-35.90 to -10.28) | -10.27 (-22.61 to 2.06) |
BNP was analyzed at a central laboratory.
| Percentage change | LCZ696 - Heart Failure (HF) Cohort | Valsartan - HF Cohort | LCZ696 - Hypertension (HTN) Cohort | Valsartan - HTN Cohort |
|---|---|---|---|---|
| Day 1, 0.5 hour post dose | 72.32 (-70.26 to 214.90) | -8.93 (-151.85 to 133.99) | -10.75 (-28.59 to 7.08) | -5.94 (-23.59 to 11.71) |
| Day 1, 1.0 hr post dose | 121.85 (-86.02 to 329.72) | -0.83 (-209.19 to 207.53) | 1218.56 (-760.23 to 3197.35) | -33.19 (-1865.92 to 1799.53) |
| Day 1, 2.0 hours post dose | 176.35 (-85.34 to 438.04) | 21.92 (-215.63 to 259.47) | 31.10 (8.44 to 53.76) | -0.38 (-21.37 to 20.61) |
| Day 1, 4.0 hrs post dose | 50.12 (30.22 to 70.02) | -1.78 (-21.01 to 17.44) | 38.82 (18.71 to 58.92) | 11.06 (-7.56 to 29.68) |
| Day 1, 6.0 hrs post dose | 130.62 (-10.46 to 271.70) | 11.09 (-130.33 to 152.51) | 68.23 (11.48 to 124.97) | 7.97 (-44.59 to 60.52) |
| Day 1, 12.0 hrs post dose | 90.58 (28.51 to 152.66) | 30.07 (-32.15 to 92.29) | 85.93 (23.34 to 148.52) | 8.51 (-48.97 to 65.99) |
| Day 2, 24 hrs post dose | 102.88 (-84.18 to 289.93) | 5.18 (-174.46 to 184.81) | -0.66 (-31.34 to 30.02) | -20.61 (-47.16 to 5.94) |
| Day 7, 0.0 hr | 190.96 (-100.59 to 482.51) | 27.75 (-264.49 to 320.00) | 14.20 (-28.81 to 57.21) | -7.19 (-48.17 to 33.79) |
| Day 7, 4.0 hrs post dose | 220.38 (-72.28 to 513.04) | 34.44 (-249.44 to 318.31) | 34.92 (-6.58 to 76.42) | 5.20 (-34.59 to 44.99) |
| Day 7, 6.0 hrs post dose | 195.06 (-94.90 to 485.02) | 46.75 (-257.14 to 350.63) | 7.78 (-33.49 to 49.04) | 7.82 (-29.68 to 45.32) |
| Day 7, 12.0 hrs post dose | 236.05 (-173.38 to 645.47) | 70.31 (-334.37 to 474.99) | 38.45 (-13.98 to 90.88) | 25.79 (-24.48 to 76.06) |
MR-proADM was analyzed at a central laboratory.
| Percentage change | LCZ696 - Heart Failure (HF) Cohort | Valsartan - HF Cohort |
|---|---|---|
| Day 1, 2.0 hours post dose | 8.04 (-0.34 to 16.42) | -2.87 (-11.53 to 5.79) |
| Day 1, 4.0 hrs post dose | 21.22 (11.38 to 31.06) | -8.22 (-18.03 to 1.59) |
| Day 1, 6.0 hrs post dose | 20.18 (10.05 to 30.31) | -8.81 (-18.90 to 1.27) |
| Day 1, 12.0 hrs post dose | 40.70 (22.25 to 59.15) | 7.61 (-10.84 to 26.05) |
| Day 2, 24 hrs post dose | 57.28 (42.29 to 72.26) | 0.72 (-14.26 to 15.70) |
| Day 7, 0.0 hrs | 61.28 (47.35 to 75.21) | 1.38 (-12.07 to 14.83) |
| Day 7, 4.0 hrs post dose | 51.71 (39.67 to 63.74) | -5.27 (-16.90 to 6.36) |
| Day 7, 6.0 hrs post dose | 48.22 (36.26 to 60.19) | -3.63 (-14.89 to 7.64) |
| Day 7, 12.0 hrs post dose | 69.45 (50.70 to 88.20) | 2.15 (-16.60 to 20.90) |
ProCNP was analyzed at a central laboratory.
| Percentage change | LCZ696 - Heart Failure (HF) Cohort | Valsartan - HF Cohort |
|---|---|---|
| Day 1, 2.0 hrs post dose | 0.35 (-6.33 to 7.03) | -1.01 (-8.16 to 6.13) |
| Day 1, 4.0 hours post dose | 34.58 (19.36 to 49.79) | -6.02 (-22.28 to 10.25) |
| Day 1, 6.0 hrs post dose | 67.85 (42.32 to 93.37) | -16.19 (-43.85 to 11.48) |
| Day 1, 8.0 hrs post dose | 123.75 (87.53 to 159.98) | -9.87 (-48.59 to 28.86) |
| Day 1, 12.0 hrs post dose | 190.36 (148.95 to 231.78) | 15.55 (-29.00 to 60.09) |
| Day 2, 24 hrs post dose | 218.81 (163.62 to 274.01) | 4.99 (-54.79 to 64.78) |
| Day 7, 0.0 hour | 244.20 (186.26 to 302.14) | 0.09 (-61.85 to 62.04) |
| Day 7, 4.0 hours post dose | 216.61 (159.66 to 273.56) | -8.94 (-69.82 to 51.95) |
| Day 7, 6.0 hrs post dose | 211.21 (151.36 to 271.07) | -18.17 (-82.15 to 45.82) |
| Day 7, 8.0 hrs post dose | 241.99 (181.22 to 302.76) | -11.30 (-76.27 to 53.67) |
| Day 7, 12.0 hrs post dose | 278.58 (214.45 to 342.71) | 0.88 (-67.68 to 69.44) |
CT-proET-1 was analyzed at a central laboratory.
| Percentage change | LCZ696 - Heart Failure (HF) Cohort | Valsartan - HF Cohort | LCZ696 - Hypertension (HTN) Cohort | Valsartan - HTN Cohort |
|---|---|---|---|---|
| Day 1, 12.0 hours post dose | 36.39 (26.14 to 46.65) | 2.51 (-8.14 to 13.16) | 108.87 (5.82 to 211.92) | 54.07 (-38.42 to 146.57) |
| Day 2, 24.0 hours post dose | 32.44 (19.41 to 45.47) | 11.41 (-2.76 to 25.59) | 123.45 (36.65 to 210.25) | 38.70 (-41.78 to 119.19) |
| Day 7, 0.0 hour | 31.98 (19.53 to 44.42) | 0.62 (-11.85 to 13.09) | 94.76 (17.45 to 172.06) | 41.77 (-32.97 to 116.50) |
| Day 7, 12.0 hours post dose | 41.75 (26.81 to 56.69) | 7.05 (-8.97 to 23.08) | 117.84 (30.76 to 204.92) | 61.90 (-22.40 to 146.20) |
NT-proBNP was analyzed at a central laboratory.
| Percentage change | LCZ696 - Heart Failure (HF) Cohort | Valsartan - HF Cohort | LCZ696 - Hypertension (HTN) Cohort | Valsartan - HTN Cohort |
|---|---|---|---|---|
| Day 1, 2.0 hours post dose | 3.06 (-1.80 to 7.92) | 6.87 (1.87 to 11.88) | 5.10 (-1.10 to 11.31) | 8.32 (2.32 to 14.32) |
| Day 1, 4.0 hours post dose | 2.68 (-5.30 to 10.66) | 13.21 (5.02 to 21.40) | 44.79 (-11.93 to 101.51) | 22.14 (-32.65 to 76.93) |
| Day 1, 6.0 hours post dose | 3.71 (-8.15 to 15.57) | 21.70 (9.59 to 33.80) | 12.58 (-4.17 to 29.33) | 21.21 (5.03 to 37.39) |
| Day 1, 12.0 hours post dose | 17.15 (-3.58 to 37.89) | 42.32 (20.94 to 63.70) | 61.46 (3.83 to 119.09) | 33.17 (-22.28 to 88.62) |
| Day 2, 24 hours post dose | -21.85 (-35.37 to -8.33) | 23.51 (9.48 to 37.54) | 8.61 (-20.73 to 37.95) | -4.41 (-32.64 to 23.81) |
| Day 7, 0.0 hour | -19.57 (-34.08 to -5.05) | 2.29 (-12.74 to 17.32) | -10.14 (-35.77 to 15.48) | -0.13 (-25.77 to 25.51) |
| Day 7, 4.0 hours post dose | -14.60 (-30.67 to 1.47) | 14.85 (-1.78 to 31.49) | -8.10 (-35.21 to 19.01) | 19.83 (-7.29 to 46.95) |
| Day 7, 6.0 hours post dose | -15.05 (-32.53 to 2.43) | 17.34 (-0.75 to 35.44) | -9.42 (-37.40 to 18.57) | 20.47 (-6.63 to 47.58) |
| Day 7, 12.0 hours post dose | 1.37 (-22.83 to 25.56) | 46.05 (20.87 to 71.22) | 12.22 (-26.18 to 50.62) | 47.27 (8.85 to 85.68) |
Aldosterone was analyzed at a central laboratory.
| Percentage change | LCZ696 - Heart Failure (HF) Cohort | Valsartan - HF Cohort | LCZ696 - Hypertension (HTN) Cohort | Valsartan - HTN Cohort |
|---|---|---|---|---|
| Day 1, 6.0 hours post dose | 71.15 (29.66 to 112.64) | -14.63 (-56.02 to 26.77) | 90.51 (-39.10 to 220.12) | 72.92 (-48.38 to 194.22) |
| Day 1, 12.0 hours post dose | 208.06 (44.03 to 372.10) | 8.36 (-155.05 to 171.77) | 249.13 (4.30 to 493.96) | 325.31 (96.75 to 553.86) |
| Day 2, 24.0 hours post dose | 168.32 (65.01 to 271.63) | 71.73 (-35.08 to 178.55) | 438.28 (-67.61 to 944.17) | 524.93 (55.45 to 994.41) |
| Day 7, 0.0 hour | 111.21 (16.31 to 206.11) | 21.68 (-77.33 to 120.69) | 49.91 (-12.58 to 112.40) | 5.61 (-55.0 to 66.22) |
| Day 7, 6.0 hours post dose | 65.22 (7.48 to 122.95) | 24.58 (-31.70 to 80.87) | 24.47 (-104.07 to 153.01) | 107.60 (-16.47 to 231.67) |
| Day 7, 12.0 hours post dose | 238.32 (-46.10 to 522.74) | 230.06 (-58.04 to 518.17) | 147.89 (-4.40 to 300.19) | 152.37 (4.74 to 300.00) |
Urine was collected in 12-hour intervals, and of each pooled 24-hour (daily) sample, sodium, potassium, albumin and calcium were measured.
| Percentage change | LCZ696 - Heart Failure (HF) Cohort | Valsartan - HF Cohort | LCZ696 - Hypertension (HTN) Cohort | Valsartan - HTN Cohort |
|---|---|---|---|---|
| Calcium, day 1, 2.0 hours post dose | -0.05 (-1.24 to 1.13) | -1.40 (-2.62 to -0.17) | 0.51 (-1.00 to 2.01) | 0.08 (-1.38 to 1.53) |
| Calcium, day 1, 4.0 hours post dose | -2.19 (-3.78 to -0.60) | -2.46 (-4.11 to -0.81) | 0.76 (-1.39 to 2.91) | 0.27 (-1.79 to 2.33) |
| Calcium, day 1, 6.0 hours post dose | -3.69 (-5.19 to -2.19) | -4.03 (-5.59 to -2.48) | -2.22 (-3.89 to -0.55) | -2.49 (-4.10 to -0.89) |
| Calcium, day 1, 12.0 hours post dose | -2.80 (-4.24 to -1.37) | -1.34 (-2.83 to 0.16) | 1.77 (-0.40 to 3.94) | 0.82 (-1.27 to 2.91) |
| Calcium, day 2, 24 hours post dose | -2.09 (-4.21 to 0.02) | 0.44 (-1.72 to 2.60) | 2.06 (-0.42 to 4.55) | 1.34 (-1.06 to 3.73) |
| Calcium, day 7, 0.0 hour | -0.34 (-2.75 to 2.07) | -1.11 (-3.60 to 1.38) | -5.82 (-8.28 to -3.36) | -6.19 (-8.65 to -3.73) |
| Calcium, day 7, 4.0 hours post dose | -2.45 (-4.09 to -0.81) | -2.17 (-3.87 to -0.47) | -8.46 (-10.95 to -5.98) | -7.42 (-9.90 to -4.94) |
| Calcium, day 7, 6.0 hours post dose | -4.30 (-5.65 to -2.95) | -3.53 (-4.93 to -2.12) | -9.12 (-11.54 to -6.70) | -9.89 (-12.32 to -7.47) |
| Calcium, day 7, 12.0 hours post dose | -3.41 (-4.94 to -1.88) | -1.27 (-2.86 to 0.32) | -4.63 (-6.89 to -2.36) | -4.99 (-7.25 to -2.73) |
| Chloride, day 1, 2.0 hours post dose | -0.33 (-1.05 to 0.39) | -0.47 (-1.22 to 0.28) | -0.35 (-0.96 to 0.27) | 0.22 (-0.38 to 0.81) |
| Chloride, day 1, 4.0 hours post dose | -1.35 (-2.07 to -0.64) | -0.61 (-1.36 to 0.14) | 0.05 (-0.62 to 0.72) | 0.41 (-0.23 to 1.05) |
| Chloride, day 1, 6.0 hours post dose | -0.66 (-1.35 to 0.03) | -0.42 (-1.14 to 0.30) | -0.48 (-1.15 to 0.19) | 0.05 (-0.59 to 0.70) |
| Chloride, day 1, 12.0 hours post dose | 0.46 (-0.49 to 1.41) | 1.44 (0.45 to 2.42) | -0.93 (-1.70 to -0.16) | -0.15 (-0.92 to 0.62) |
| Chloride, day 2, 24 hours post dose | 0.49 (-0.23 to 1.22) | 0.73 (-0.02 to 1.48) | 0.11 (-0.82 to 1.04) | 0.58 (-0.34 to 1.51) |
| Chloride, day 7, 0.0 hour | 1.46 (0.40 to 2.53) | 1.28 (0.19 to 2.37) | 0.89 (0.17 to 1.62) | 0.63 (-0.09 to 1.36) |
| Chloride, day 7, 4.0 hours post dose | 0.47 (-0.96 to 1.89) | 0.22 (-1.26 to 1.69) | -0.05 (-0.86 to 0.75) | 0.28 (-0.50 to 1.07) |
| Chloride, day 7, 6.0 hours post dose | 0.87 (-0.29 to 2.03) | 1.32 (0.11 to 2.52) | -0.21 (-1.00 to 0.58) | -0.86 (-1.68 to -0.04) |
| Chloride, day 7, 12.0 hours post dose | 0.98 (-0.12 to 2.09) | 1.20 (0.06 to 2.35) | -1.16 (-2.08 to -0.25) | -1.48 (-2.43 to -0.53) |
| Potassium, day 1, 2.0 hours post dose | 1.96 (-0.71 to 4.63) | -1.25 (-4.01 to 1.51) | -1.20 (-3.86 to 1.45) | 1.69 (-0.86 to 4.24) |
| Potassium, day 1, 4.0 hours post dose | -0.16 (-3.73 to 3.41) | -0.11 (-3.80 to 3.58) | 0.42 (-6.10 to 6.95) | 1.11 (-5.17 to 7.39) |
| Potassium, day 1, 6.0 hours post dose | -2.91 (-5.82 to 0.01) | -5.88 (-8.90 to -2.87) | -0.63 (-8.29 to 7.02) | -2.61 (-10.00 to 4.79) |
| Potassium, day 1, 12.0 hours post dose | 6.63 (-0.02 to 13.28) | 15.27 (8.40 to 22.15) | 18.57 (10.49 to 26.64) | 19.96 (11.85 to 28.08) |
| Potassium, day 2, 24.0 hours post dose | 2.06 (-1.44 to 5.56) | 0.14 (-3.48 to 3.76) | 7.70 (1.23 to 14.18) | 7.00 (0.51 to 13.49) |
| Potassium, day 7, 0.0 hour | 1.06 (-2.80 to 4.93) | -1.55 (-5.55 to 2.45) | -0.47 (-4.70 to 3.76) | 1.29 (-2.93 to 5.52) |
| Potassium, day 7, 4.0 hours post dose | -2.16 (-5.21 to 0.89) | -2.93 (-6.08 to 0.22) | 3.61 (-5.71 to 12.94) | 0.28 (-8.60 to 9.16) |
| Potassium, day 7, 6.0 hours post dose | -3.23 (-6.47 to 0.00) | -5.16 (-8.49 to -1.84) | -4.20 (-10.85 to 2.45) | -4.14 (-11.06 to 2.78) |
| Potassium, day 7, 12.0 hours post dose | 17.22 (9.58 to 24.86) | 12.32 (4.37 to 20.26) | 18.19 (7.38 to 29.01) | 19.28 (8.12 to 30.45) |
| Sodium, day 1, 2.0 hours post dose | -1.09 (-1.68 to -0.50) | -0.67 (-1.28 to -0.05) | -0.63 (-1.10 to -0.16) | -0.17 (-0.63 to 0.29) |
| Sodium, day 1, 4.0 hours post dose | -1.82 (-2.52 to -1.13) | -1.18 (-1.90 to -0.45) | -0.18 (-0.84 to 0.48) | -0.04 (-0.67 to 0.59) |
| Sodium, day 1, 6.0 hours post dose | -1.47 (-2.09 to -0.84) | -1.12 (-1.77 to -0.47) | -0.62 (-1.20 to -0.04) | -0.17 (-0.73 to 0.39) |
| Sodium, day 1, 12.0 hours post dose | -0.17 (-0.74 to 0.39) | 0.48 (-0.11 to 1.07) | -0.12 (-0.91 to 0.68) | 0.14 (-0.66 to 0.93) |
| Sodium, day 2, 24.0 hours post dose | 0.03 (-0.78 to 0.84) | 1.06 (0.22 to 1.90) | 0.85 (0.24 to 1.45) | 1.24 (0.63 to 1.84) |
| Sodium, day 7, 0.0 hour | 1.21 (0.23 to 2.18) | 1.36 (0.35 to 2.37) | 0.69 (0.05 to 1.33) | 0.84 (0.20 to 1.48) |
| Sodium, day 7, 4.0 hours post dose | -0.25 (-1.46 to 0.95) | -0.89 (-2.14 to 0.37) | -0.81 (-1.57 to -0.05) | -0.16 (-0.89 to 0.57) |
| Sodium, day 7, 6.0 hours post dose | 0.01 (-1.17 to 1.19) | -0.19 (-1.42 to 1.05) | -0.74 (-1.36 to -0.13) | -0.86 (-1.49 to -0.23) |
| Sodium, day 7, 12.0 hours post dose | 0.34 (-0.62 to 1.29) | 0.78 (-0.22 to 1.77) | -0.41 (-1.23 to 0.42) | -1.04 (-1.89 to -0.20) |
Blood plasma creatinine was analyzed at a central laboratory.
| Percentage change | LCZ696 - Heart Failure (HF) Cohort | Valsartan - HF Cohort | LCZ696 - Hypertension (HTN) Cohort | Valsartan - HTN Cohort |
|---|---|---|---|---|
| Day 1, 4.0 hours post dose | -7.06 (-9.03 to -5.10) | -3.55 (-5.56 to -1.54) | -7.48 (-9.28 to -5.68) | -0.91 (-2.65 to 0.83) |
| Day 1, 6.0 hrs post dose | -2.97 (-5.49 to -0.46) | -0.07 (-2.67 to 2.54) | -1.72 (-5.41 to 1.96) | 4.40 (0.84 to 7.95) |
| Day 1, 12.0 hrs post dose | 3.02 (-1.96 to 8.00) | 5.36 (0.21 to 10.52) | 6.22 (1.90 to 10.54) | 9.23 (5.07 to 13.40) |
| Day 2, 24 hrs post dose | 3.73 (-1.37 to 8.83) | 4.02 (-1.26 to 9.30) | 13.64 (8.44 to 18.84) | 6.18 (1.15 to 11.21) |
| Day 7, 0.0 hour | 4.24 (-6.71 to 15.19) | 0.55 (-10.43 to 11.52) | 1.76 (-1.74 to 5.27) | 1.71 (-1.79 to 5.21) |
| Day 7, 4.0 hrs post dose | -1.47 (-8.56 to 5.63) | -5.09 (-12.26 to 2.07) | -3.02 (-6.71 to 0.68) | -1.28 (-4.98 to 2.41) |
| Day 7, 6.0 hrs post dose | 1.72 (-6.15 to 9.59) | -0.25 (-8.18 to 7.68) | 0.48 (-3.44 to 4.40) | 3.03 (-0.89 to 6.94) |
| Day 7, 12 hrs post dose | 8.03 (-3.02 to 19.07) | 8.34 (-2.79 to 19.48) | 9.33 (4.43 to 14.24) | 4.55 (-0.35 to 9.46) |
GFR was used as a measure of renal function.
| mL/min | LCZ696 - Heart Failure (HF) Cohort | Valsartan - HF Cohort | LCZ696 - Hypertension (HTN) Cohort | Valsartan - HTN Cohort |
|---|---|---|---|---|
| Day 1, 0 hour | 76.4 ± 43.27 | 92.5 ± 97.37 | 87.6 ± 64.27 | 99.2 ± 66.36 |
| Day 1, 2 hours post dose | 115.7 ± 57.89 | 83.3 ± 46.57 | 112.1 ± 63.30 | 96.0 ± 44.23 |
| Day 1, 4 hours post dose | 117.4 ± 75.09 | 70.9 ± 36.64 | 125.4 ± 95.33 | 101.8 ± 65.34 |
| Day 1, 6 hours post dose | 120.2 ± 68.73 | 71.7 ± 37.27 | 148.4 ± 138.66 | 123.0 ± 60.62 |
| Day 7, 0 hour | 93.7 ± 75.98 | 87.8 ± 57.47 | 96.8 ± 78.65 | 83.2 ± 53.11 |
| Day 7, 2 hours post dose | 95.9 ± 39.47 | 83.1 ± 35.65 | 133.5 ± 67.82 | 91.4 ± 50.57 |
| Day 7, 4 hours post dose | 89.6 ± 52.23 | 94.6 ± 53.43 | 151.7 ± 109.91 | 111.3 ± 59.41 |
| Day 7, 6 hours post dose | 86.9 ± 49.26 | 126.6 ± 79.95 | 111.5 ± 66.30 | 165.2 ± 228.97 |
RBF was used as a measure of renal function.
| mL/min | LCZ696 - Heart Failure (HF) Cohort | Valsartan - HF Cohort | LCZ696 - Hypertension (HTN) Cohort | Valsartan - HTN Cohort |
|---|---|---|---|---|
| Day 1, 0 hour | 398.1 ± 221.24 | 305.7 ± 159.44 | 774.7 ± 893.23 | 737.0 ± 323.14 |
| Day 1, 2 hours post dose | 361.3 ± 171.80 | 357.4 ± 218.28 | 570.5 ± 212.67 | 541.7 ± 179.20 |
| Day 1, 4 hours post dose | 340.1 ± 169.87 | 297.4 ± 219.83 | 700.0 ± 408.73 | 573.4 ± 287.14 |
| Day 1, 6 hours post dose | 465.2 ± 276.84 | 290.05 ± 138.30 | 1165.2 ± 912.25 | 758.7 ± 375.11 |
| Day 7, 0 hour | 354.9 ± 223.49 | 417.0 ± 254.35 | 548.5 ± 389.77 | 549.3 ± 247.41 |
| Day 7, 2 hours | 331.9 ± 180.59 | 341.1 ± 156.86 | 630.4 ± 239.55 | 659.1 ± 426.18 |
| Day 7, 4 hours | 324.2 ± 168.10 | 285.9 ± 150.82 | 653.2 ± 412.91 | 606.3 ± 224.57 |
| Day 7, 6 hours | 331.0 ± 228.38 | 440.8 ± 310.64 | 667.6 ± 308.52 | 977.9 ± 975.25 |
Systolic blood pressure measurements were taken.
| mmHg | LCZ696 - Heart Failure (HF) Cohort | Valsartan - HF Cohort | LCZ696 - Hypertension (HTN) Cohort | Valsartan - HTN Cohort |
|---|---|---|---|---|
| Day 1, 0.0 hour | 114.8 ± 14.10 | 127.0 ± 16.62 | 136.1 ± 18.80 | 133.2 ± 14.79 |
| Day 1, 0.5 hour post dose | 122.8 ± 14.36 | 121.5 ± 21.78 | 132.9 ± 19.52 | 132.5 ± 17.85 |
| Day 1, 1.0 hour post dose | 123.9 ± 16.53 | 122.2 ± 19.20 | 134.1 ± 18.57 | 133.2 ± 15.22 |
| Day 1, 2.0 hours post dose | 125.4 ± 13.68 | 127.2 ± 16.71 | 134.2 ± 19.85 | 132.6 ± 17.47 |
| Day 1, 4.0 hours post dose | 133.1 ± 18.65 | 130.3 ± 17.14 | 140.7 ± 20.67 | 142.1 ± 17.93 |
| Day 1, 8.0 hours post dose | 113.6 ± 13.29 | 120.9 ± 16.85 | 127.3 ± 17.39 | 132.2 ± 11.40 |
| Day 1, 12.0 hours post dose | 111.1 ± 14.75 | 114.8 ± 17.85 | 127.4 ± 13.92 | 134.1 ± 14.64 |
| Day 2 | 115.8 ± 9.61 | 120.9 ± 18.05 | 125.4 ± 12.66 | 128.9 ± 13.99 |
| Day 7, 0.0 hour | 110.5 ± 10.03 | 115.9 ± 15.47 | 128.9 ± 14.83 | 128.8 ± 13.76 |
| Day 7, 0.5 hour post dose | 116.2 ± 10.93 | 122.9 ± 11.78 | 127.4 ± 16.26 | 130.9 ± 15.06 |
| Day 7, 1.0 hour post dose | 117.9 ± 10.01 | 124.8 ± 12.43 | 127.4 ± 17.46 | 130.9 ± 15.47 |
| Day 7, 2.0 hours post dose | 119.3 ± 12.70 | 127.5 ± 11.95 | 128.6 ± 19.35 | 140.7 ± 15.89 |
| Day 7, 4.0 hours post dose | 120.6 ± 11.71 | 128.9 ± 13.13 | 130.5 ± 18.15 | 134.9 ± 13.20 |
| Day 7, 8.0 hours post dose | 111.3 ± 12.52 | 119.3 ± 10.44 | 123.1 ± 12.72 | 130.0 ± 15.88 |
| Day 7, 12.0 hours post dose | 107.9 ± 16.70 | 116.5 ± 14.85 | 120.3 ± 12.60 | 131.9 ± 18.71 |
Diastolic blood pressure measurements were taken.
| mmHg | LCZ696 - Heart Failure (HF) Cohort | Valsartan - HF Cohort | LCZ696 - Hypertension (HTN) Cohort | Valsartan - HTN Cohort |
|---|---|---|---|---|
| Day 1, 0.0 hour | 68.2 ± 9.85 | 74.1 ± 13.20 | 77.6 ± 10.57 | 74.9 ± 9.99 |
| Day 1, 0.5 hour post dose | 71.2 ± 12.00 | 75.5 ± 13.77 | 76.3 ± 11.85 | 75.8 ± 10.67 |
| Day 1, 1.0 hour post dose | 71.3 ± 12.00 | 75.8 ± 13.73 | 75.3 ± 10.37 | 76.2 ± 9.59 |
| Day 1, 2.0 hours post dose | 73.3 ± 12.01 | 77.1 ± 10.61 | 77.6 ± 11.79 | 76.0 ± 10.78 |
| Day 1, 4.0 hours post dose | 75.6 ± 13.77 | 79.1 ± 12.21 | 80.0 ± 13.60 | 79.9 ± 9.08 |
| Day 1, 8.0 hours post dose | 68.5 ± 11.15 | 70.4 ± 11.12 | 75.2 ± 10.23 | 76.2 ± 8.89 |
| Day 1, 12.0 hours post dose | 65.4 ± 11.49 | 71.7 ± 13.43 | 75.5 ± 8.33 | 75.7 ± 8.81 |
| Day 2 | 71.6 ± 10.03 | 74.9 ± 13.33 | 73.2 ± 10.78 | 75.1 ± 8.35 |
| Day 7, 0.0 hour | 66.9 ± 11.04 | 68.4 ± 11.37 | 74.7 ± 8.77 | 74.7 ± 9.62 |
| Day 7, 0.5 hour post dose | 69.6 ± 11.74 | 73.9 ± 9.48 | 74.3 ± 9.36 | 74.5 ± 9.65 |
| Day 7, 1.0 hour post dose | 69.3 ± 10.49 | 73.9 ± 8.94 | 73.5 ± 8.52 | 75.1 ± 8.71 |
| Day 7, 2.0 hours post dose | 70.6 ± 11.85 | 76.7 ± 9.15 | 72.0 ± 8.20 | 78.8 ± 9.29 |
| Day 7, 4.0 hours post dose | 69.6 ± 11.17 | 74.5 ± 10.86 | 74.4 ± 9.60 | 78.4 ± 9.77 |
| Day 7, 8.0 hours post dose | 69.3 ± 10.08 | 71.5 ± 8.43 | 71.4 ± 7.84 | 75.3 ± 8.50 |
| Day 7, 12.0 hours post dose | 65.3 ± 10.95 | 69.8 ± 12.39 | 70.7 ± 8.36 | 75.7 ± 11.47 |
Pulse rate measurements were taken.
| BPM | LCZ696 - Heart Failure (HF) Cohort | Valsartan - HF Cohort | LCZ696 - Hypertension (HTN) Cohort | Valsartan - HTN Cohort |
|---|---|---|---|---|
| Day 1, 0.0 hour | 56.8 ± 8.89 | 61.7 ± 14.30 | 65.7 ± 9.26 | 65.5 ± 8.44 |
| Day 1, 0.5 hour post dose | 61.3 ± 9.34 | 60.7 ± 10.45 | 64.1 ± 8.59 | 63.4 ± 9.29 |
| Day 1, 1.0 hour post dose | 62.4 ± 8.97 | 62.7 ± 10.19 | 64.2 ± 7.49 | 64.0 ± 10.39 |
| Day 1, 2.0 hours post dose | 61.0 ± 9.02 | 64.3 ± 12.39 | 65.6 ± 8.28 | 63.2 ± 8.89 |
| Day 1, 4.0 hours post dose | 60.0 ± 8.51 | 62.9 ± 13.29 | 64.0 ± 6.51 | 65.3 ± 9.65 |
| Day 1, 8.0 hours post dose | 67.6 ± 11.70 | 69.1 ± 11.34 | 73.9 ± 10.20 | 67.5 ± 10.09 |
| Day 1, 12.0 hours post dose | 61.1 ± 13.36 | 62.8 ± 10.83 | 73.7 ± 13.52 | 65.4 ± 9.68 |
| Day 2 | 60.1 ± 12.18 | 64.5 ± 11.95 | 71.3 ± 10.58 | 66.5 ± 9.20 |
| Day 7, 0.0 hour post dose | 63.0 ± 11.97 | 60.6 ± 12.69 | 62.9 ± 5.54 | 62.8 ± 8.16 |
| Day 7, 0.5 hour post dose | 65.0 ± 12.63 | 60.1 ± 12.07 | 63.0 ± 4.36 | 61.8 ± 9.35 |
| Day 7, 1.0 hour post dose | 63.3 ± 13.21 | 61.6 ± 11.70 | 62.3 ± 5.87 | 61.6 ± 7.70 |
| Day 7, 2.0 hours post dose | 63.9 ± 10.42 | 58.7 ± 11.49 | 61.2 ± 6.17 | 63.6 ± 9.16 |
| Day 7, 4.0 hours post dose | 65.7 ± 10.85 | 60.7 ± 11.34 | 62.9 ± 6.45 | 62.7 ± 9.20 |
| Day 7, 8.0 hours post dose | 67.1 ± 10.20 | 66.5 ± 11.80 | 66.3 ± 7.34 | 64.8 ± 10.83 |
| Day 7, 12.0 hours post dose | 66.7 ± 13.28 | 71.9 ± 17.30 | 66.2 ± 6.97 | 67.1 ± 11.10 |
Non-serious events are listed at a 5% frequency threshold.
| Group | Deaths | Serious | Other |
|---|---|---|---|
| LCZ696 - Heart Failure (HF) Cohort | — | 0/16 (0%) | 3/16 (18.8%) |
| Valsartan - HF Cohort | — | 0/15 (0%) | 1/15 (6.7%) |
| LCZ696 - Hypertension (HTN) Cohort | — | 0/15 (0%) | 1/15 (6.7%) |
| Valsartan - HTN Cohort | — | 0/16 (0%) | 3/16 (18.8%) |
| Event | LCZ696 - Heart Failure (HF) Cohort | Valsartan - HF Cohort | LCZ696 - Hypertension (HTN) Cohort | Valsartan - HTN Cohort |
|---|---|---|---|---|
| ToothacheGastrointestinal disorders | 0/16 | 0/15 | 1/15 | 0/16 |
| Blood creatinine increasedInvestigations | 1/16 | 1/15 | 0/15 | 0/16 |
| Abdominal pain upperGastrointestinal disorders | 0/16 | 0/15 | 0/15 | 1/16 |
| NasopharyngitisInfections and infestations | 1/16 | 0/15 | 0/15 | 0/16 |
| DizzinessNervous system disorders | 1/16 | 0/15 | 0/15 | 0/16 |
| HeadacheNervous system disorders | 0/16 | 0/15 | 0/15 | 1/16 |
| PresyncopeNervous system disorders | 1/16 | 0/15 | 0/15 | 0/16 |
| DysuriaRenal and urinary disorders | 0/16 | 0/15 | 0/15 | 1/16 |
| Age, Continuous(Years) | LCZ696 to Valsartan - Heart Failure (HF) Cohort | Valsartan to LCZ696 - HF Cohort | LCZ696 to Valsartan - Hypertension (HTN) Cohort | Valsartan to LCZ696 - HTN Cohort | Total |
|---|---|---|---|---|---|
| Mean | 63.3 ± 10.15 | 67.6 ± 9.07 | 58.0 ± 8.02 | 61.6 ± 8.40 | 62.6 ± 8.86 |
| Sex: Female, Male(Participants) | LCZ696 to Valsartan - Heart Failure (HF) Cohort | Valsartan to LCZ696 - HF Cohort | LCZ696 to Valsartan - Hypertension (HTN) Cohort | Valsartan to LCZ696 - HTN Cohort | Total |
|---|---|---|---|---|---|
| Female | 2 | 0 | 5 | 2 | 9 |
| Male | 6 | 8 | 3 | 6 | 23 |
This study is completed, as verified in Oct 2015. You cannot join it, but the record below documents what was studied.
Get an email when the registry record changes — status, dates, results — or when someone posts here.
Sign in to followQuestions and observations about this study, from anyone following it. Not medical advice, and not a channel to the study team — their contact details are on the registry record.
Sign in to join the discussion. Reading takes no account; posting does. You choose a display name, and a pseudonym is the default.
Nothing here yet. If you are running this trial, taking part in it, or weighing whether to, this is the place to say so.
Novartis Pharmaceuticals