Title

A Study To Evaluate The Dose-Related Efficacy and Safety of PS433540 in Subjects With Hypertension
A Randomized, Double-Blind, Placebo And Active-Controlled, Parallel Group Study To Evaluate The Dose-Related Efficacy And Safety Of PS433540 In Subjects With Hypertension
  • Phase

    Phase 2
  • Study Type

    Interventional
  • Study Participants

    261
The purpose of this study is to learn which doses of PS433540 should be given to patients with high blood pressure to lower their blood pressure. This study will also examine how safe PS433540 is when taken by patients with high blood pressure. Approximately 720 patients will be evaluated so that about 375 patients will be entered into the treatment phase of the study and be given PS433540.
Study Started
Mar 31
2008
Primary Completion
Nov 30
2008
Study Completion
Dec 31
2008
Results Posted
Sep 13
2011
Estimate
Last Update
Sep 16
2011
Estimate

Drug irbesartan

300 mg (2 x 150 mg capsules) once daily for 12 weeks

  • Other names: Avapro

Drug placebo

placebo capsules once daily for 12 weeks

Drug PS433540

200 mg (2 x 100 mg capsules) once daily for 12 weeks

Drug PS433540

400 mg (4 x 100 mg capsules) once daily for 12 weeks

Drug PS433540

800 mg (8 x 100 mg capsules) once daily for 12 weeks

Irbesartan 300mg Active Comparator

Irbesartan 300 mg once daily

Placebo Placebo Comparator

Blinded Placebo Treatment

PS433540 200mg Experimental

PS433540 200mg once daily

PS433540 400mg Experimental

PS433540 400mg once daily

PS433540 800mg Experimental

PS433540 800mg once daily

Criteria

Inclusion Criteria:

Males or females 18 - 70 years
Mean seated Systolic Blood Pressure (SBP) ≥ 140 mmHg and < 180 mmHg and mean seated Diastolic Blood Pressure (DBP) > 90 and < 109 mmHg at two consecutive qualifying visits (Visits 3/3.5 and Visit 4). The mean difference in DBP between the two consecutive qualifying visits must be ≤ 10 mmHg.
Women of child-bearing potential (WOCBP) must use two reliable forms of contraception if sexually active. Alternatively, female subjects must be postmenopausal (for at least 1 year).

Exclusion Criteria:

Subjects with serious disorders which may limit the ability to evaluate the efficacy or safety of PS433540, including cardiovascular (includes subjects who are known to have coronary artery disease), renal (including the absence of one kidney), pulmonary, hepatic, gastrointestinal (including clinically significant malabsorption), endocrine/metabolic, hematologic, neurologic and psychiatric diseases.
History of malignancy other than adequately treated basal cell or squamous cell skin cancer.
Subjects with a history of myocardial infarction or New York Heart Association (NYHA) class II-IV heart failure.
Subjects with a history of cerebrovascular accident or transient ischemic attack.
Subjects with clinically significant cardiac conduction defects, including second or third degree Atrioventricular Block (AV block), left bundle branch block, sick sinus syndrome, atrial fibrillation, atrial flutter, an accessory bypass tract, or any arrhythmia requiring medication.
Subjects with hemodynamically significant valvular disease.
Subjects with history of type 1 diabetes mellitus and subjects with a history of type 2 diabetes mellitus using antihyperglycemic medication (oral medication, insulin, or exenatide) are excluded.

Summary

PS433540 400mg

PS433540 800mg

Irbesartan 300mg

Placebo

PS433540 200mg

All Events

Event Type Organ System Event Term Irbesartan 300mg Placebo PS433540 200mg PS433540 400mg PS433540 800mg

Change From Baseline in Mean Seated Systolic Blood Pressure (SBP) Following 12 Weeks of Treatment With PS433540 200 mg, 400 mg, 800 mg and Placebo.

Irbesartan 300mg

-10.7
mm Hg (Mean)
Standard Deviation: 14.32

Placebo

1.8
mm Hg (Mean)
Standard Deviation: 14.16

PS433540 200mg

-13.2
mm Hg (Mean)
Standard Deviation: 13.61

PS433540 400mg

-14.2
mm Hg (Mean)
Standard Deviation: 11.90

PS433540 800mg

-23.4
mm Hg (Mean)
Standard Deviation: 18.70

Change From Baseline in Mean Seated Diastolic Blood Pressure (DBP) Following 12 Weeks of Treatment With PS433540 200 mg, 400 mg, 800 mg and Placebo.

Irbesartan 300mg

-7.1
mm Hg (Mean)
Standard Deviation: 9.19

Placebo

0.2
mm Hg (Mean)
Standard Deviation: 9.68

PS433540 200mg

-7.2
mm Hg (Mean)
Standard Deviation: 8.34

PS433540 400mg

-9.2
mm Hg (Mean)
Standard Deviation: 9.10

PS433540 800mg

-14.3
mm Hg (Mean)
Standard Deviation: 10.53

The Percentage of Patients Treated With Each Dose of PS433540 Who Achieved Blood Pressure Control, Defined as <140/90 mmHg, After 12 Weeks of Treatment.

Irbesartan 300mg

17.0
participants

Placebo

5.0
participants

PS433540 200mg

21.0
participants

PS433540 400mg

28.0
participants

PS433540 800mg

16.0
participants

Total

261
Participants

Age Continuous

52.9
years (Mean)
Standard Deviation: 9.66

Age, Categorical

Region of Enrollment

Sex: Female, Male

Overall Study

Irbesartan 300mg

Placebo

PS433540 200mg

PS433540 400mg

PS433540 800mg