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NCT02480764

Azilsartan Medoxomil (TAK-491) Compared to Valsartan in Chinese Participants With Hypertension

Completed Phase 3 Results posted Last updated 5 March 2019
What this trial tests

Phase 3 trial testing Azilsartan medoxomil in Essential Hypertension in 612 participants. Completed in 13 October 2017.

Timeline
27 August 2015
Primary endpoint
22 September 2017
13 October 2017

Quick facts

Lead sponsorTakeda
PhasePhase 3
StatusCompleted
Study typeINTERVENTIONAL
Allocationrandomized
Designparallel
Maskingquadruple
Primary purposetreatment
Enrollment612
Start date27 August 2015
Primary completion22 September 2017
Estimated completion13 October 2017
Sites30 locations across China

Drugs / interventions tested

Conditions studied

Sponsor

Takeda — full company profile →

Who can join

18 and older, any sex, with Essential 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.

Change From Baseline in Trough Sitting Clinic Systolic Blood Pressure (SBP) Primary · Baseline and Week 8

The change in trough clinic sitting SBP measured at Week 8 relative to baseline. The trough is the average of the non-missing values of 3 serial trough sitting SBP measurements. Blood pressure was measured using a validated, automated device after the participant had been sitting for at least 5 minutes. Week 8 blood pressure was measured approximately 24 hours after the previous day's dose.

Baseline SBP
GroupValue95% CI
Azilsartan Medoxomil 40 mg157.873± 0.5123
Azilsartan Medoxomil 80 mg158.236± 0.5010
Valsartan 160 mg158.594± 0.5123
Change at Week 8
GroupValue95% CI
Azilsartan Medoxomil 40 mg-22.483± 1.0258
Azilsartan Medoxomil 80 mg-24.236± 1.0027
Valsartan 160 mg-20.551± 1.0258
Change From Baseline in Trough Sitting Clinic Diastolic Blood Pressure (DBP) Secondary · Baseline and Week 8

The change in trough clinic sitting DBP measured at Week 8 relative to baseline. The trough is the average of the non-missing values of 3 serial trough sitting DBP measurements. Blood pressure was measured using a validated, automated device after the participant had been sitting for at least 5 minutes. Week 8 blood pressure was measured approximately 24 hours after the previous day's dose.

Baseline DBP
GroupValue95% CI
Azilsartan Medoxomil 40 mg91.790± 0.7306
Azilsartan Medoxomil 80 mg91.510± 0.7145
Valsartan 160 mg92.298± 0.7306
Change at Week 8
GroupValue95% CI
Azilsartan Medoxomil 40 mg-10.101± 0.6684
Azilsartan Medoxomil 80 mg-11.463± 0.6538
Valsartan 160 mg-8.641± 0.6686
Percentage of Participants Who Achieved a Clinic SBP Response at Week 8 Secondary · Week 8

Clinic SBP response was defined as clinic SBP \<140 mm Hg and/or reduction of ≥20 mm Hg from Baseline. Blood pressure was measured using a validated, automated device after the participant had been sitting for at least 5 minutes. Week 8 blood pressure was measured approximately 24 hours after the previous day's dose.

GroupValue95% CI
Azilsartan Medoxomil 40 mg67.0
Azilsartan Medoxomil 80 mg68.9
Valsartan 160 mg69.0
Percentage of Participants Who Achieved a Clinic DBP Response at Week 8 Secondary · Week 8

Clinic DBP response was defined as clinic DBP \<90 mm Hg and/or reduction of ≥10 mm Hg from Baseline. Blood pressure was measured using a validated, automated device after the participant had been sitting for at least 5 minutes. Week 8 blood pressure was measured approximately 24 hours after the previous day's dose.

GroupValue95% CI
Azilsartan Medoxomil 40 mg81.2
Azilsartan Medoxomil 80 mg81.6
Valsartan 160 mg79.7
Percentage of Participants Who Achieved Both Clinic SBP and DBP Response at Week 8 Secondary · Week 8

Clinic SBP response was defined as clinic SBP \<140 mm Hg and/or reduction of ≥20 mm Hg from Baseline and clinic DBP response was defined as clinic DBP \<90 mm Hg and/or reduction of ≥10 mm Hg from Baseline. Blood pressure was measured using a validated, automated device after the participant had been sitting for at least 5 minutes. Week 8 blood pressure was measured approximately 24 hours after the previous day's dose.

GroupValue95% CI
Azilsartan Medoxomil 40 mg62.9
Azilsartan Medoxomil 80 mg67.0
Valsartan 160 mg64.5
Percentage of Participants Who Achieved Target Clinic SBP <140 mm Hg, Clinic DBP <90 mm Hg or Both at Week 8 Secondary · Week 8

Blood pressure was measured using a validated, automated device after the participant had been sitting for at least 5 minutes. Week 8 blood pressure was measured approximately 24 hours after the previous day's dose.

Clinic SBP <140 mm Hg
GroupValue95% CI
Azilsartan Medoxomil 40 mg60.9
Azilsartan Medoxomil 80 mg62.6
Valsartan 160 mg62.9
Clinic DBP <90 mm Hg
GroupValue95% CI
Azilsartan Medoxomil 40 mg77.2
Azilsartan Medoxomil 80 mg76.7
Valsartan 160 mg74.6
Clinic SBP <140 mm Hg and DBP <90 mm Hg
GroupValue95% CI
Azilsartan Medoxomil 40 mg58.4
Azilsartan Medoxomil 80 mg60.2
Valsartan 160 mg55.8
Percentage of Participants Who Achieved Target Clinic SBP <130 mm Hg, Target Clinic DBP <80 mm Hg or Both at Week 8 Secondary · Week 8

Blood pressure was measured using a validated, automated device after the participant had been sitting for at least 5 minutes. Week 8 blood pressure was measured approximately 24 hours after the previous day's dose.

Clinic SBP <130 mm Hg
GroupValue95% CI
Azilsartan Medoxomil 40 mg37.6
Azilsartan Medoxomil 80 mg42.7
Valsartan 160 mg28.4
Clinic DBP <80 mm Hg
GroupValue95% CI
Azilsartan Medoxomil 40 mg45.2
Azilsartan Medoxomil 80 mg51.9
Valsartan 160 mg37.1
Clinic SBP <130 mm Hg and DBP <80 mm Hg
GroupValue95% CI
Azilsartan Medoxomil 40 mg28.9
Azilsartan Medoxomil 80 mg33.0
Valsartan 160 mg21.8

Adverse events — posted to ClinicalTrials.gov

Time frame: From first dose of study drug through 14 days after the last dose of study drug (Up to Week 12). Reporting threshold: 5%. Adverse-event reports describe events observed during the trial — not all are caused by the drug.

Azilsartan Medoxomil 40 mg
Serious: 2/199 (1%)
Deaths: 1/199
Azilsartan Medoxomil 80 mg
Serious: 7/209 (3%)
Deaths: 0/209
Valsartan 160 mg
Serious: 6/204 (3%)
Deaths: 0/204

Serious adverse events (12 terms)

ReactionSystemAzilsartan Medoxomil 40 mgAzilsartan Medoxomil 80 mgValsartan 160 mg
Peptic ulcer haemorrhageGastrointestinal disorders
PneumoniaInfections and infestations
Meniscus injuryInjury, poisoning and procedural complications
Subarachnoid haemorrhageInjury, poisoning and procedural complications
Musculoskeletal painMusculoskeletal and connective tissue disorders
Ovarian neoplasmNeoplasms benign, malignant and unspecified (incl cysts and polyps)
Lacunar infarctionNervous system disorders
Cerebral infarctionNervous system disorders
Cerebrovascular insufficiencyNervous system disorders
Urate nephropathyRenal and urinary disorders
Ureteral cystRenal and urinary disorders
HypertensionVascular disorders
Other adverse events (4 terms — click to expand)

ReactionSystemAzilsartan Medoxomil 40 mgAzilsartan Medoxomil 80 mgValsartan 160 mg
HyperlipidaemiaMetabolism and nutrition disorders
Upper respiratory tract infectionInfections and infestations
HyperuricaemiaMetabolism and nutrition disorders
AlbuminuriaRenal and urinary disorders

Most-reported serious reactions: Peptic ulcer haemorrhage, Pneumonia, Meniscus injury, Subarachnoid haemorrhage, Musculoskeletal pain, Ovarian neoplasm, Lacunar infarction, Cerebral infarction.

Data from ClinicalTrials.gov NCT02480764 adverse events section.

Sponsor's own description

The purpose of this study is to evaluate the antihypertensive effect of azilsartan medoxomil compared with valsartan in Chinese participants with essential hypertension.

Publications & conference data

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

  1. A phase 3 double-blind randomized (CONSORT-compliant) study of azilsartan medoxomil compared to valsartan in Chinese patients with essential hypertension.
    Wu J, Du X, Lv Q, Li Z, et al · · 2020 · cited 8× · PMID 32769878 · DOI 10.1097/md.0000000000021465
  2. Improving computational drug repositioning through multi-source disease similarity networks.
    Le DH. · · 2025 · cited 1× · PMID 40841559 · DOI 10.1038/s41598-025-04772-0

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Other recruiting trials for Essential Hypertension

Currently open trials in the same condition.

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