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Aliskiren 150

Phase 3

Hypertension | Small molecule | Cardiovascular |Novartis AG|Last Updated: Oct 27, 2016

Success Probability
Approval Probability 71%
TA Base Rate26%
Adjusted LOA41%
ML RiskLOW_RISK
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Market & Valuation
rNPV $3.2B
Market Size $9.4B
Revenue Basis $1.6B
Competitors 6
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Trial Design
RandomizedDouble-BlindCONTROLLED
Total Trials2
Total Enrollment1,307
FDA Designations
No designations recorded
Clinical Trials (2)
NCT IDTitlePhaseStatusEnrollmentVelocityDesignStartCompletionLast UpdatedSitesCountries
NCT00778921Study to Evaluate the Efficacy and Safety of Combination Aliskiren/Amlodipine in Patients With Hypertension Not Adequately Responding to Amlodipine AlonePHASE3 COMPLETED 847Oct 1, 2008Jun 1, 2009Oct 27, 20167 Argentina, Germany +5
NCT00219141Aliskiren in Combination With Losartan Compared to Losartan on the Regression of Left Ventricular Hypertrophy in Overweight Patients With Essential HypertensionPHASE3 COMPLETED 460Oct 1, 2005Nov 1, 2007May 26, 20119 United States, Argentina +7
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Study Endpoints
Primary Endpoints
Change in Mean Sitting Diastolic Blood Pressure (msDBP) From Baseline to End of Study
Baseline and Week 8
Change in Left Ventricular Mass Index (LVMI) From Baseline to End of Study (Week 36)
Baseline to end of study (Week 36)

Left ventricular mass index (LVMI) was measured by magnetic resonance imaging (MRI). An increase in LVMI indicates hypertrophy of the left ventricle. This could be a normal reversible response to cardiovascular conditioning (athletic heart) or an abnormal irreversible response to chronically increased volume load (preload) or increased pressure load (afterload). Thickening of the ventricular muscle results in increased left ventricular pressure, increased end-systolic volume, and decreased end-diastolic volume, causing an overall reduction in cardiac output.

Secondary Endpoints
Change in Mean Sitting Systolic Blood Pressure (msSBP) From Baseline to End of Study
Baseline and Week 8
Number of Patients With Any Adverse Event and/or Serious Adverse Event in the Double-blind Period by Treatment Group
8 weeks
Biomarker Assessment at Visit 2 (Single Blind Run in), Visit 5 (Randomization), and Visit 9 (EOS)
12 weeks
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Study Design & Arms
AllocationRANDOMIZED
MaskingDOUBLE
ModelPARALLEL
PurposeTREATMENT
Treatment Arms
ArmTypeDescription
Amlodipine 10 mgEXPERIMENTALAmlodipine 10 mg
Aliskiren/Amlodipine 150/10 mgEXPERIMENTALAliskiren/Amlodipine 150/10 mg
Aliskiren/Amlodipine 300/10 mgEXPERIMENTALAliskiren/Amlodipine 300/10 mg
Aliskiren 300 mgEXPERIMENTALPatients in this arm initially received 150 mg of aliskiren for two weeks and were then force-titrated up to 300 mg of aliskiren where they remained for 34 weeks. In order to adequately blind the study, patients were required to take a total of 2 tablets and 1 capsule of study medication or placebo per day. In the first 2 weeks, patients took 1 tablet of aliskiren 150 mg, 1 tablet of aliskiren 150 mg placebo, and 1 capsule of losartan placebo. In the remaining 34 weeks, patients took 2 tablets of aliskiren 150 mg and 1 capsule of losartan placebo. Each dose was to be taken by mouth with water at approximately 8:00 AM, except on the morning of study visit when the dose was taken after all procedures and assessments had been completed.
Losartan 100 mgACTIVE_COMPARATORPatients in this arm initially received 50 mg of losartan for two weeks and were then force-titrated up to 100 mg of losartan where they remained for 34 weeks. In order to adequately blind the study, patients were required to take a total of 2 tablets and 1 capsule of study medication or placebo per day. In the first 2 weeks, patients took 2 tablets of aliskiren 150 mg placebo and 1 capsule of losartan 50 mg. In the remaining 34 weeks, patients took 2 tablets of aliskiren 150 mg placebo and 1 capsule of losartan 100 mg. Each dose was to be taken by mouth with water at approximately 8:00 AM, except on the morning of study visit when the dose was taken after all procedures and assessments had been completed.
Aliskiren/losartan 300/100 mgEXPERIMENTALPatients in this arm initially received 150 mg of aliskiren in combination with 50 mg of losartan for two weeks and were then force-titrated up to 300 mg of aliskiren in combination with 100 mg of losartan where they remained for 34 weeks. In order to adequately blind the study, patients were required to take a total of 2 tablets and 1 capsule of study medication or placebo per day. In the first 2 weeks, patients took 1 tablet of aliskiren 150 mg, 1 tablet of aliskiren 150 mg placebo, and 1 capsule of losartan 50 mg. In the remaining 34 weeks, patients took 2 tablets of aliskiren 150 mg and 1 capsule of losartan 100 mg. Each dose was to be taken by mouth with water at approximately 8:00 AM, except on the morning of study visit when the dose was taken after all procedures and assessments had been completed.
Interventions
NameTypeDescription
Amlodipine 10 mgDRUGAmlodipine 10 mg
Aliskiren 150DRUGAliskiren/Amlodipine 150/10 mg
Amlodipine 300DRUGAliskiren/Amlodipine 300/10 mg
Aliskiren 150/300 mgDRUGAliskiren 150 mg tablets
Losartan 50/100 mgDRUGLosartan 50 or 100 mg capsules
Aliskiren placeboDRUGAliskiren 150 mg placebo tablet
Losartan 50/100 mg placeboDRUGLosartan 50/100 mg placebo capsules
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Eligibility Criteria
Age Range18 Years — N/A
SexALL
Healthy VolunteersNo
Study Sites7

Inclusion Criteria: * Newly diagnosed patients or patients who have not been treated for hypertension within the 4 weeks prior to Visit 1 must have a msDBP ≥ 95 mmHg and \< 110 mmHg at Visits 1 and 2 * Patients who have been treated for hypertension within the 4 weeks prior to Visit 1 must have a m...

Countries:ArgentinaGermanyNorwayPolandSlovakiaSwedenTurkey (Türkiye)United StatesColombiaFinlandItalyRussiaSpain
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