A Phase 3 interventional study of Azilsartan Medoxomil Low-dose and Losartan in Hypertension, sponsored by Arbor Pharmaceuticals, Inc.. Completed at 69 sites in 12 countries. Open to participants aged 6 Years to 18 Years. Per ClinicalTrials.gov, last updated 2025-02-25.
Sponsored by Arbor Pharmaceuticals, Inc. (part of Azurity Pharmaceuticals) · Phase 3, Interventional, and Treatment
The purpose of the study is to evaluate the efficacy and safety of the study drug relative to an active comparator losartan which is in the same class of drug and is approved for use in the pediatric population aged 6 years and older. Approximately 260 subjects will participate in a 6-week, double-blind, randomized, treatment phase, followed by a 2-week, double-blind, randomized, placebo-controlled withdrawal phase. A 44-week, open-label extension in which all subjects will receive azilsartan and other antihypertensive medications (if needed). Blood pressure will be assessed throughout the study.
The purpose of the study is to evaluate the efficacy and safety of the study drug relative to an active comparator losartan which the same class of drug and is approved for use in the pediatric population aged 6 years and older. Approximately 260 subjects will participate in a 6-week, double-blind, randomized, treatment phase, followed by a 2-week, double-blind, randomized, placebo-controlled withdrawal phase. This study also includes a 44-week, open-label extension Phase in which all subjects will receive azilsartan and other antihypertensive medications (if needed) in order to reach an optimal blood pressure. Blood pressure will be assessed in the clinic throughout the study, and subjects may also participate in a 24-hour ambulatory blood pressure monitoring procedure at baseline, at the end of the double-blind Phase and at the end of the open-label Phase.
6,834 studies on the registry are indexed under Hypertension; 971 are open to participants now.
This study's enrollment of 377 is above the median of 90 across 5,095 interventional studies indexed under Hypertension.
Browse Hypertension studies →Arbor Pharmaceuticals, Inc. is the lead sponsor of 15 studies on the registry; none are open to participants now.
Counted across the registry records on this site, refreshed daily.
Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.
The subject has hypertension (primary or secondary) defined as clinic Seated Diastolic BP ≥95th percentile (by age, gender, and height) or ≥90th percentile (by age, gender, height) if chronic renal disease, diabetes, heart failure or hypertensive target organ damage is present
Exclusion Criteria:
6-week, double-blind (DB), randomized, treatment phase (DB Phase): Azilsartan medoxomil low-dose (AZM-L), 10 mg once daily.
Drug: Azilsartan Medoxomil Low-dose
6-week, double-blind (DB), randomized, treatment phase (DB Phase): Starting at Losartan 25/50 and force titrated to 50/100 mg daily at Week 2.
Drug: Losartan
Experimental Arm in the Withdrawal Phase, subjects will be randomized (1:1) to continue taking their previously assigned active treatment (AZM-L) that was taken in Double blind OR to be switched to placebo.
Drug: Azilsartan Medoxomil Low-dose
Placebo Arm in the Withdrawal Phase for subjects who were on AZM-L in double blind then randomized (1:1) to placebo for withdrawal phase
Drug: Losartan
Azilsartan Medoxomil 10 mg which can be titrated to higher dose(s) (up to 40 mg for subjects \<50 kg or up to 80 mg for subjects ≥50 kg)
Drug: Azilsartan Medoxomil Low-dose
Withdrawal Phase, subjects will be randomized (1:1) to continue taking their previously assigned active treatment or to be switched to placebo.
Drug: Losartan
Placebo Arm In the Withdrawal Phase, subjects will be randomized (1:1) to continue taking their previously assigned active treatment or to be switched to placebo.
Drug: Placebo for Losartan
6-week, double-blind (DB), randomized, treatment phase (DB Phase), Azilsartan medoxomil Medium-dose (AZM-M), 20 mg once daily at Week 2.
Drug: Azilsartan Medoxomil Low-dose · Drug: Placebo for Losartan · Drug: Azilsartan Medoxomil Medium-dose (20 mg)
6-week, double-blind (DB), randomized, treatment phase (DB Phase): Azilsartan medoxomil High-dose (AZM-H), 40 mg AZM-M
Drug: Azilsartan Medoxomil High-dose (40 mg)
Experimental Arm in the Withdrawal Phase, subjects will be randomized (1:1) to continue taking their previously assigned active treatment (AZM-M) that was taken in Double blind OR to be switched to placebo.
Drug: Azilsartan Medoxomil Low-dose · Drug: Azilsartan Medoxomil Medium-dose (20 mg)
Experimental Arm in the Withdrawal Phase, subjects will be randomized (1:1) to continue taking their previously assigned active treatment (AZM-H) that was taken in double blind OR to be switched to placebo.
Drug: Azilsartan Medoxomil High-dose (40 mg)
Placebo arm in the Withdrawal Phase for subjects who were on AZM-M in double blind then randomized (1:1) to matching placebo for withdrawal phase
Drug: Placebo for Azilsartan Medoxomil
Placebo arm in the Withdrawal Phase for subjects who were on AZM-H in Double blind then randomized (1:1) to matching placebo for withdrawal phase
Drug: Placebo for Azilsartan Medoxomil
Azilsartan medoxomil low-dose (AZM-L) 10 mg
Also known as: AR14, AZM-L
Also known as: Cozaar
Azilsartan medoxomil medium-dose (AZM-M) 20 mg
Also known as: AR14, AZM-M
Azilsartan medoxomil high-dose (AZM-L) 40 mg
Also known as: AR14, AZM-H
Change in Seated Diastolic Blood Pressure Between AZM and Placebo
Change in Seated Diastolic Blood Pressure from Week 6/Final visit of DB Phase to Week 8/Final Visit of the Withdrawal Phase, analysis of study subjects randomized to receiving placebo at Week 6 of treatment versus those who remained on treatment
Time frame: From Week 6/Final Visit of DB Phase to Week 8/Final Visit of Withdrawal Phase
Change in Trough Seated Systolic Blood Pressure
Change in Trough Seated Systolic Blood Pressure from Week 6 of the Double-Blind Phase to Week 8 of the Withdrawal Phase Between AZM and Placebo, analysis of study subjects randomized to receiving placebo at Week 6 of treatment versus those who remained on treatment
Time frame: From Week 6/Final Visit of the Double-Blind Phase to Week 8/Final Visit of the Withdrawal Phase
Change in Mean Arterial Pressure
Change in Mean Arterial Pressure from Week 6 of the Double-Blind Phase to Week 8 of the Withdrawal Phase Between AZM and Placebo, analysis of study subjects randomized to receiving placebo at Week 6 of treatment versus those who remained on treatment
Time frame: From Week 6 of the Double-Blind Phase to Week 8 of the Withdrawal Phase
| Milestone | Active Comparator: Double Blind Phase: Losartan | Experimental: Double-blind: Azilsartan Medoxomil - Low Dose | Experimental: Double-blind: Azilsartan Medoxomil - Medium Dose | Experimental: Double-blind: Azilsartan Medoxomil - High Dose | Placebo Comparator: Withdrawal Phase: PLACEBO | Active Comparator: Withdrawal Phase: Losartan 50 mg | Active Comparator: WITHDRAWAL Phase: Azilsartan Medoxomil LOW-dose | Experimental: WITHDRAWAL Azilsartan Medoxomil - Medium Dose | Experimental: WITHDRAWAL Azilsartan Medoxomil - High Dose | Azilsartan Medoxomil Alone | AZM Plus |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Started | 53 | 52 | 56 | 54 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
| Completed | 47 | 52 | 53 | 51 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
| Not completed | 6 | 0 | 3 | 3 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
| Milestone | Active Comparator: Double Blind Phase: Losartan | Experimental: Double-blind: Azilsartan Medoxomil - Low Dose | Experimental: Double-blind: Azilsartan Medoxomil - Medium Dose | Experimental: Double-blind: Azilsartan Medoxomil - High Dose | Placebo Comparator: Withdrawal Phase: PLACEBO | Active Comparator: Withdrawal Phase: Losartan 50 mg | Active Comparator: WITHDRAWAL Phase: Azilsartan Medoxomil LOW-dose | Experimental: WITHDRAWAL Azilsartan Medoxomil - Medium Dose | Experimental: WITHDRAWAL Azilsartan Medoxomil - High Dose | Azilsartan Medoxomil Alone | AZM Plus |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Started | 0 | 0 | 0 | 0 | 103 | 23 | 26 | 26 | 25 | 0 | 0 |
| Completed | 0 | 0 | 0 | 0 | 102 | 22 | 26 | 24 | 23 | 0 | 0 |
| Not completed | 0 | 0 | 0 | 0 | 1 | 1 | 0 | 2 | 2 | 0 | 0 |
| Milestone | Active Comparator: Double Blind Phase: Losartan | Experimental: Double-blind: Azilsartan Medoxomil - Low Dose | Experimental: Double-blind: Azilsartan Medoxomil - Medium Dose | Experimental: Double-blind: Azilsartan Medoxomil - High Dose | Placebo Comparator: Withdrawal Phase: PLACEBO | Active Comparator: Withdrawal Phase: Losartan 50 mg | Active Comparator: WITHDRAWAL Phase: Azilsartan Medoxomil LOW-dose | Experimental: WITHDRAWAL Azilsartan Medoxomil - Medium Dose | Experimental: WITHDRAWAL Azilsartan Medoxomil - High Dose | Azilsartan Medoxomil Alone | AZM Plus |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Started | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 156 | 41 |
| Completed | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 144 | 40 |
| Not completed | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 12 | 1 |
Change in Seated Diastolic Blood Pressure from Week 6/Final visit of DB Phase to Week 8/Final Visit of the Withdrawal Phase, analysis of study subjects randomized to receiving placebo at Week 6 of treatment versus those who remained on treatment
| mmHg | Pooled Placebo | Pooled AZM |
|---|---|---|
| Change in Seated Diastolic Blood Pressure Between AZM and Placebo | 3.9 ± 8 | -1.6 ± 6.69 |
Change in Trough Seated Systolic Blood Pressure from Week 6 of the Double-Blind Phase to Week 8 of the Withdrawal Phase Between AZM and Placebo, analysis of study subjects randomized to receiving placebo at Week 6 of treatment versus those who remained on treatment
| mmHg | Pooled Placebo | Pooled AZM |
|---|---|---|
| Change in Trough Seated Systolic Blood Pressure | 4.4 ± 9.96 | -2.3 ± 8.72 |
Change in Mean Arterial Pressure from Week 6 of the Double-Blind Phase to Week 8 of the Withdrawal Phase Between AZM and Placebo, analysis of study subjects randomized to receiving placebo at Week 6 of treatment versus those who remained on treatment
| mmHg | Pooled Placebo | Pooled AZM |
|---|---|---|
| Change in Mean Arterial Pressure | 4.1 ± 7.43 | -1.8 ± 6.63 |
Collected over 54 weeks. Non-serious events are listed at a 5% frequency threshold.
| Group | Deaths | Serious | Other |
|---|---|---|---|
| Placebo Run-In | 0/289 (0%) | 0/289 (0%) | 0/289 (0%) |
| Losartan (Double-Blind Phase) | 0/53 (0%) | 2/53 (3.8%) | 6/53 (11.3%) |
| AZM-L (Double-Blind Phase) | 0/52 (0%) | 1/52 (1.9%) | 5/52 (9.6%) |
| AZM-M (Double-Blind Phase) | 0/56 (0%) | 1/56 (1.8%) | 6/56 (10.7%) |
| AZM-H (Double-Blind Phase) | 0/54 (0%) | 0/54 (0%) | 5/54 (9.3%) |
| Placebo (Withdrawal Phase) | 0/103 (0%) | 0/103 (0%) | 6/103 (5.8%) |
| Losartan (Withdrawal Phase) | 0/23 (0%) | 0/23 (0%) | 0/23 (0%) |
| AZM-L (Withdrawal Phase) | 0/26 (0%) | 1/26 (3.8%) | 4/26 (15.4%) |
| AZM-M (Withdrawal Phase) | 0/26 (0%) | 0/26 (0%) | 0/26 (0%) |
| AZM-H (Withdrawal Phase) | 0/25 (0%) | 0/25 (0%) | 0/25 (0%) |
| Azilsartan Medoxomil Alone | 0/156 (0%) | 7/156 (4.5%) | 11/156 (7.1%) |
| Azilsartan Medoxomil PLUS | 0/41 (0%) | 2/41 (4.9%) | 32/41 (78%) |
| Event | Placebo Run-In | Losartan (Double-Blind Phase) | AZM-L (Double-Blind Phase) | AZM-M (Double-Blind Phase) | AZM-H (Double-Blind Phase) | Placebo (Withdrawal Phase) | Losartan (Withdrawal Phase) | AZM-L (Withdrawal Phase) | AZM-M (Withdrawal Phase) | AZM-H (Withdrawal Phase) | Azilsartan Medoxomil Alone | Azilsartan Medoxomil PLUS |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Upper respiratory tract infectionRespiratory, thoracic and mediastinal disorders | — | 0/53 | 0/52 | 0/56 | 0/54 | 0/103 | 0/23 | 1/26 | 0/26 | 0/25 | 1/156 | 0/41 |
| PneumoniaRespiratory, thoracic and mediastinal disorders | — | 0/53 | 0/52 | 1/56 | 0/54 | 0/103 | 0/23 | 0/26 | 0/26 | 0/25 | 0/156 | 1/41 |
| Urinary tract infectionInfections and infestations | — | 0/53 | 0/52 | 0/56 | 0/54 | 0/103 | 0/23 | 0/26 | 0/26 | 0/25 | 0/156 | 1/41 |
| Autism spectrum disorderPsychiatric disorders | — | 0/53 | 1/52 | 0/56 | 0/54 | 0/103 | 0/23 | 0/26 | 0/26 | 0/25 | 0/156 | 0/41 |
| HypertensionVascular disorders | — | 1/53 | 0/52 | 0/56 | 0/54 | 0/103 | 0/23 | 0/26 | 0/26 | 0/25 | 0/156 | 0/41 |
| Loss of consciousnessNervous system disorders | — | 1/53 | 0/52 | 0/56 | 0/54 | 0/103 | 0/23 | 0/26 | 0/26 | 0/25 | 0/156 | 0/41 |
| VomitingGastrointestinal disorders | — | 0/53 | 0/52 | 0/56 | 0/54 | 0/103 | 0/23 | 0/26 | 0/26 | 0/25 | 1/156 | 0/41 |
| Transplant rejectionImmune system disorders | — | 0/53 | 0/52 | 0/56 | 0/54 | 0/103 | 0/23 | 0/26 | 0/26 | 0/25 | 1/156 | 0/41 |
| PeritonitisInfections and infestations | — | 0/53 | 0/52 | 0/56 | 0/54 | 0/103 | 0/23 | 0/26 | 0/26 | 0/25 | 1/156 | 0/41 |
| Respiratory tract infection viralInfections and infestations | — | 0/53 | 0/52 | 0/56 | 0/54 | 0/103 | 0/23 | 0/26 | 0/26 | 0/25 | 1/156 | 0/41 |
| Event | Placebo Run-In | Losartan (Double-Blind Phase) | AZM-L (Double-Blind Phase) | AZM-M (Double-Blind Phase) | AZM-H (Double-Blind Phase) | Placebo (Withdrawal Phase) | Losartan (Withdrawal Phase) | AZM-L (Withdrawal Phase) | AZM-M (Withdrawal Phase) | AZM-H (Withdrawal Phase) | Azilsartan Medoxomil Alone | Azilsartan Medoxomil PLUS |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Upper respiratory tract infectionInfections and infestations | — | 0/53 | 5/52 | 0/56 | 0/54 | 0/103 | — | 2/26 | — | — | 0/156 | 6/41 |
| NasopharyngitisGastrointestinal disorders | — | 3/53 | 0/52 | 3/56 | 2/54 | 0/103 | — | 0/26 | — | — | 0/156 | 5/41 |
| HeadacheNervous system disorders | — | 3/53 | 0/52 | 3/56 | 3/54 | 6/103 | — | 2/26 | — | — | 11/156 | 0/41 |
| DiarrhoeaGastrointestinal disorders | — | 0/53 | 0/52 | 0/56 | 0/54 | 0/103 | — | 0/26 | — | — | 0/156 | 3/41 |
| GastroenteritisInfections and infestations | — | 0/53 | 0/52 | 0/56 | 0/54 | 0/103 | — | 0/26 | — | — | 0/156 | 3/41 |
| InfluenzaInfections and infestations | — | 0/53 | 0/52 | 0/56 | 0/54 | 0/103 | — | 0/26 | — | — | 0/156 | 3/41 |
| PharyngotonsillitisInfections and infestations | — | 0/53 | 0/52 | 0/56 | 0/54 | 0/103 | — | 0/26 | — | — | 0/156 | 3/41 |
| MyalgiaMusculoskeletal and connective tissue disorders | — | 0/53 | 0/52 | 0/56 | 0/54 | 0/103 | — | 0/26 | — | — | 0/156 | 3/41 |
| Oropharyngeal painRespiratory, thoracic and mediastinal disorders | — | 0/53 | 0/52 | 0/56 | 0/54 | 0/103 | — | 0/26 | — | — | 0/156 | 3/41 |
| HypertensionVascular disorders | — | 0/53 | 0/52 | 0/56 | 0/54 | 0/103 | — | 0/26 | — | — | 0/156 | 3/41 |
Demographic Characteristics at Double-Blind Phase
| Age, Continuous(years) | AZM-H | AZM-M | AZM-L | Losartan | Total |
|---|---|---|---|---|---|
| Mean | 13.5 ± 2.85 | 13.4 ± 3.1 | 13.4 ± 2.92 | 13.2 ± 3.18 | 13.4 ± 3 |
| Sex: Female, Male(Participants) | AZM-H | AZM-M | AZM-L | Losartan | Total |
|---|---|---|---|---|---|
| Female | 25 | 40 | 28 | 25 | 118 |
| Male | 29 | 16 | 24 | 28 | 97 |
| Race (NIH/OMB)(Participants) | AZM-H | AZM-M | AZM-L | Losartan | Total |
|---|---|---|---|---|---|
| American Indian or Alaska Native | 1 | 0 | 1 | 1 | 3 |
| Asian | 0 | 0 | 0 | 0 | 0 |
| Native Hawaiian or Other Pacific Islander | 0 | 0 | 0 | 0 | 0 |
| Black or African American | 15 | 14 | 13 | 13 | 55 |
| White | 37 | 42 | 38 | 38 | 155 |
| More than one race | 1 | 0 | 0 | 1 | 2 |
| Unknown or Not Reported | 0 | 0 | 0 | 0 | 0 |
| Weight (kg)(kilogram) | AZM-H | AZM-M | AZM-L | Losartan | Total |
|---|---|---|---|---|---|
| Mean | 68.97 ± 24.744 | 66.65 ± 24.627 | 72.53 ± 28.556 | 69.00 ± 26.235 | 69.23 ± 25.952 |
Documents are hosted by the registry — open the source record to download them.
Plan to share: No
Ran from Mar 2015 to primary completion in Nov 2019, 55 months.
Results were first posted in Feb 2025, 5 years 3 months after primary completion.
Of 178 industry-sponsored phase 3 interventional studies under Hypertension, half reached primary completion within 20 months of starting (the median), counting those still running; a quarter within 12 and three quarters within 38. This study's 55 months is above that.
Counting every sponsor, half of 229 studies reached it within 23 months; a quarter within 13 and three quarters within 42.
How these figures are worked out, and which studies are left out of them.
This study is completed, as verified in Feb 2025. You cannot join it, but the record below documents what was studied.
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