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NCT00817414

A Study to Evaluate the Effects of LCI699 on Cortisol in Participants With Hypertension

Completed Phase 2 Results posted Last updated 2 June 2021
What this trial tests

Phase 2 trial testing LCI699-matching placebo in Hypertension in 63 participants. Completed in 12 August 2009.

Timeline
14 January 2009
Primary endpoint
12 August 2009
12 August 2009

Quick facts

Lead sponsorNovartis
PhasePhase 2
StatusCompleted
Study typeINTERVENTIONAL
Allocationrandomized
Designsequential
Maskingdouble
Primary purposetreatment
Enrollment63
Start date14 January 2009
Primary completion12 August 2009
Estimated completion12 August 2009
Sites11 locations across United States, Iceland

Drugs / interventions tested

Conditions studied

Sponsor

Novartis — full company profile →

Who can join

Adults 18 to 75, any sex, with Hypertension. Patients with the condition only — healthy volunteers not accepted.

Results — posted to ClinicalTrials.gov

Per-arm endpoint measurements with 95% confidence intervals where reported. Source: trial results section.

Maximum Tolerated Dose (MTD) of LCI699 With Respect to Effect on the Adrenocorticotropic Hormone (ACTH)-Stimulated Cortisol Response Following ACTH Stimulation in Hypertensive Participants Primary · Up to Week 6

As per the protocol, MTD is the dose at which 4 participants exhibited ACTH-stimulated cortisol results \<400 nanomoles per liter (nmol/L). The change in the distribution across the treatments were analyzed using 1- way analysis of variance (ANOVA) for continuous variables.

GroupValue95% CI
LCI6991.300.88 – 1.81
LCI699 Exposure-response Relationship on Cortisol Levels Following ACTH Stimulation in Hypertensive Participants Secondary · Up to Week 6

Exposure-response relationship was assessed using ACTH stimulation test. Tests were done 2 hours after study drug administration (i.e., at peak LCI699 concentrations). An increase in cortisol greater than \>500 nmol at 60 minutes after ACTH administration was expected.

Day 7
GroupValue95% CI
Cohort A: LCI699 0.5 mg QD690.0± 32.288
Cohort A: LCI699 1.0 mg QD669.40± 30.903
Cohort B1: LCI699 1.0 mg BID625.06± 30.965
Cohort B1: LCI699 2.0 mg QD562.04± 30.325
Placebo799.06± 31.161
Day 28
GroupValue95% CI
Cohort A: LCI699 0.5 mg QD634.87± 32.181
Cohort A: LCI699 1.0 mg QD573.41± 30.642
Cohort B1: LCI699 1.0 mg BID554.79± 29.466
Cohort B1: LCI699 2.0 mg QD539.09± 32.826
Placebo804.86± 29.786
Day 42
GroupValue95% CI
Cohort A: LCI699 0.5 mg QD647.51± 45.593
Cohort A: LCI699 1.0 mg QD626.08± 45.441
Cohort B1: LCI699 1.0 mg BID539.68± 37.146
Cohort B1: LCI699 2.0 mg QD479.91± 48.865
Placebo812.91± 39.096
LCI699 Plasma Concentration Post LCI699 Administration at Day 7 Secondary · Predose and 3 hours post-dose on Day 7
GroupValue95% CI
Cohort A: LCI699 0.5 mg QD1.51± 36
Cohort A: LCI699 1.0 mg QD2.88± 41
Cohort B1: LCI699 1.0 mg BID3.92± 31
Cohort B1: LCI699 2.0 mg QD6.73± 23
Maximum Plasma Concentration (Cmax) of LCI699 Secondary · Days 7, 28: Pre-dose and 3 hours post-dose; Day 30: Pre-dose; Day 42: Pre-dose and 0.5, 1, 2, 3, 4, and 8-hours post-dose
GroupValue95% CI
Cohort A: LCI699 0.5 mg QD1.42± 36
Cohort A: LCI699 1.0 mg QD2.94± 35
Cohort B1: LCI699 1.0 mg BID4.62± 35
Cohort B1: LCI699 2.0 mg QD8.86± 21
Time of Maximum Plasma Concentration (Tmax) of LCI699 Secondary · Days 7, 28: Pre-dose and 3 hours post-dose; Day 30: Pre-dose; Day 42: Pre-dose and 0.5, 1, 2, 3, 4, and 8-hours post-dose
GroupValue95% CI
Cohort A: LCI699 0.5 mg QD2.211.0 – 4.0
Cohort A: LCI699 1.0 mg QD1.001.0 – 4.0
Cohort B1: LCI699 1.0 mg BID1.000.5 – 4.0
Cohort B1: LCI699 2.0 mg QD1.001.0 – 3.0
Area Under the Concentration Time Curve From Time 0 to 8 Hours Post LCI699 Administration (AUC0-8) Secondary · Day 42: Pre-dose and 0.5, 1, 2, 3, 4, and 8-hours post-dose
GroupValue95% CI
Cohort A: LCI699 0.5 mg QD6.60± 42
Cohort A: LCI699 1.0 mg QD14.1± 30
Cohort B1: LCI699 1.0 mg BID24.1± 39
Cohort B1: LCI699 2.0 mg QD46.4± 13
Area Under the Concentration Time Curve Over the Dosing Interval (AUC0-τ) for LCI699 Secondary · Days 7, 28: Pre-dose and 3 hours post-dose; Day 30: Pre-dose; Day 42: Pre-dose and 0.5, 1, 2, 3, 4, and 8-hours post-dose
GroupValue95% CI
Cohort A: LCI699 0.5 mg QD9.23± 50
Cohort A: LCI699 1.0 mg QD18.8± 51
Cohort B1: LCI699 1.0 mg BID30.6± 41
Cohort B1: LCI699 2.0 mg QD68.9± 19
Apparent Terminal Half-life (T1/2) of LCI699 Secondary · Days 7, 28: Pre-dose and 3 hours post-dose; Day 30: Pre-dose; Day 42: Pre-dose and 0.5, 1, 2, 3, 4, and 8-hours post-dose
GroupValue95% CI
Cohort A: LCI699 0.5 mg QD4.67± 37
Cohort A: LCI699 1.0 mg QD3.79± 43
Cohort B1: LCI699 1.0 mg BID5.52± 33
Cohort B1: LCI699 2.0 mg QD4.90± 17
Number of Participants With Adverse Event (AEs) Secondary · Up to 8 weeks

An AE is an adverse medical event which occurs in a participant of the study and which is not necessarily in a causal relationship with the treatment the participant receives.

GroupValue95% CI
Cohort A: LCI699 0.5 mg QD6
Cohort A: LCI699 1 mg QD9
Cohort B1: LCI699 1 mg BID10
Cohort B1: LCI699 2 mg QD10
Placebo10
Percentage of Participants With a Mean Sitting Systolic Blood Pressure (MSSBP) Response and MSSBP Control at Week 6 Last Observation Carried Forward (LOCF), as Measured by Office Blood Pressure (OBP) Secondary · Week 6

Automated arterial BP determinations was made with an automated BP device (such as the Omron BP monitor) in accordance with the Guidelines for management of hypertension: report of the 4th working party of the British Hypertension Society, 2004-BHS IV. Sitting and standing blood pressure (BP) and heart rate (HR) measurements were performed. MSSBP response was defined as the percentage of participants with a MSSBP \<140 mmHg or a \>=20 mmHg reduction from baseline. MSSBP control was defined as the percentage of participants with a MSSBP \<140 mmHg for non-diabetic participants and \<130mHg for

MSSBP Response
GroupValue95% CI
Cohort A: LCI699 0.5 mg QD58.3
Cohort A: LCI699 1 mg QD50.0
Cohort B1: LCI699 1 mg BID69.2
Cohort B1: LCI699 2 mg QD76.9
Placebo61.5
MSSBP Control
GroupValue95% CI
Cohort A: LCI699 0.5 mg QD50.0
Cohort A: LCI699 1 mg QD41.7
Cohort B1: LCI699 1 mg BID61.5
Cohort B1: LCI699 2 mg QD76.9
Placebo53.8
Percentage of Participants With a Mean Sitting Diastolic Blood Pressure (MSDBP) Response and MSDBP Control at Week 6 LOCF, as Measured by OBP Secondary · Week 6

Automated arterial BP determinations was made with an automated BP device (such as the Omron BP monitor) in accordance with the Guidelines for management of hypertension: report of the 4th working party of the British Hypertension Society, 2004-BHS IV. Sitting and standing BP and HR measurements were performed. MSDBP response was defined as the percentage of participants with a MSDBP \<90 mmHg or a \>= 10 mmHg reduction from baseline. MSDBP control was defined as the percentage of participants with a MSDBP \<90 mmHg for non-diabetic participants and \<80mHg for diabetic participants.

MSDBP Response
GroupValue95% CI
Cohort A: LCI699 0.5 mg QD58.3
Cohort A: LCI699 1 mg QD66.7
Cohort B1: LCI699 1 mg BID100
Cohort B1: LCI699 2 mg QD76.9
Placebo61.5
MSDBP Control
GroupValue95% CI
Cohort A: LCI699 0.5 mg QD58.3
Cohort A: LCI699 1 mg QD66.7
Cohort B1: LCI699 1 mg BID76.9
Cohort B1: LCI699 2 mg QD76.9
Placebo46.2

Adverse events — posted to ClinicalTrials.gov

Time frame: Up to 8 weeks. Reporting threshold: 2%. Adverse-event reports describe events observed during the trial — not all are caused by the drug.

Cohort A: LCI699 0.5 mg QD
Serious: 0/12 (0%)
Deaths: 0/12
Cohort A: LCI699 1.0 mg QD
Serious: 0/12 (0%)
Deaths: 0/12
Cohort B1: LCI699 1.0 mg BID
Serious: 0/13 (0%)
Deaths: 0/13
Cohort B1: LCI699 2.0 mg QD
Serious: 0/13 (0%)
Deaths: 0/13
Placebo
Serious: 0/13 (0%)
Deaths: 0/13
Other adverse events (57 terms — click to expand)

ReactionSystemCohort A: LCI699 0.5 mg QDCohort A: LCI699 1.0 mg QDCohort B1: LCI699 1.0 mg BIDCohort B1: LCI699 2.0 mg QDPlacebo
ACTH stimulation test abnormalInvestigations
HeadacheNervous system disorders
DiarrhoeaGastrointestinal disorders
DizzinessNervous system disorders
VomitingGastrointestinal disorders
SinusitisInfections and infestations
AnaemiaBlood and lymphatic system disorders
PalpitationsCardiac disorders
Vision blurredEye disorders
Abdominal discomfortGastrointestinal disorders
Abdominal painGastrointestinal disorders
Abdominal pain lowerGastrointestinal disorders
Abdominal pain upperGastrointestinal disorders
ConstipationGastrointestinal disorders
Dry mouthGastrointestinal disorders
DyspepsiaGastrointestinal disorders
EructationGastrointestinal disorders
NauseaGastrointestinal disorders
AstheniaGeneral disorders
Chest discomfortGeneral disorders
FatigueGeneral disorders
Feeling hotGeneral disorders
Influenza like illnessGeneral disorders
Oedema peripheralGeneral disorders
Seasonal allergyImmune system disorders
CellulitisInfections and infestations
Diarrhoea infectiousInfections and infestations
Fungal skin infectionInfections and infestations
NasopharyngitisInfections and infestations
Urinary tract infectionInfections and infestations
ContusionInjury, poisoning and procedural complications
ExcoriationInjury, poisoning and procedural complications
Muscle injuryInjury, poisoning and procedural complications
Blood creatine phosphokinase increasedInvestigations
Occult blood positiveInvestigations
Weight decreasedInvestigations
HyperkalaemiaMetabolism and nutrition disorders
HypoglycaemiaMetabolism and nutrition disorders
HyponatraemiaMetabolism and nutrition disorders
ArthritisMusculoskeletal and connective tissue disorders

Data from ClinicalTrials.gov NCT00817414 adverse events section.

Sponsor's own description

This study determined the maximum dose of LCI6999 with respect to effect on the ACTH-stimulated cortisol response in participants with hypertension.

Publications & conference data

4 peer-reviewed publications reference this trial (live from Europe PMC):

  1. The effects of aldosterone synthase inhibition on aldosterone and cortisol in patients with hypertension: a phase II, randomized, double-blind, placebo-controlled, multicenter study.
    Andersen K, Hartman D, Peppard T, Hermann D, et al · · 2012 · cited 45× · PMID 22947355 · DOI 10.1111/j.1751-7176.2012.00667.x
  2. Aldosterone synthase inhibition for the treatment of hypertension and the derived mechanistic requirements for a new therapeutic strategy.
    Schumacher CD, Steele RE, Brunner HR. · · 2013 · cited 38× · PMID 24107737 · DOI 10.1097/hjh.0b013e328363570c
  3. Aldosterone Synthase Inhibitors for Resistant Hypertension: Pharmacological Insights - A Systematic Review.
    Cicero AFG, Tocci G, Avagimyan A, Penson P, et al · · 2025 · cited 7× · PMID 40885884 · DOI 10.1007/s40265-025-02229-2
  4. A perspective on small molecules targeting the renin-angiotensin-aldosterone system and their utility in cardiovascular diseases: exploring the structural insights for rational drug discovery and development.
    Bansal N, Kathuria D, Babu AM, Dhiman S, et al · · 2025 · cited 2× · PMID 39925732 · DOI 10.1039/d4md00720d

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Trials by the same sponsor.

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Primary sources · FDA · ClinicalTrials.gov · EMA · SEC EDGAR · ChEMBL · Wikidata · full sourcing