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Comparator: isosorbide mononitrate

Phase 1

Hypertension | Small molecule | Cardiovascular |Organon & Co.|Last Updated: Feb 9, 2022

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-BlindPLACEBO_CONTROLLED
Total Trials1
Total Enrollment13
FDA Designations
No designations recorded
Clinical Trials (1)
NCT IDTitlePhaseStatusEnrollmentVelocityDesignStartCompletionLast UpdatedSitesCountries
NCT00943852The Effect of Losartan and Losartan Plus Isosorbide Mononitrate on Central Blood Pressure Measurements (0954-317)PHASE1 COMPLETED 13Aug 1, 2006Dec 1, 2006Feb 9, 2022 -
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Study Endpoints
Primary Endpoints
Mean Augmentation Index Percent Change From Baseline After Single Doses of Losartan 100 mg Plus ISMN 60 mg Versus Single Dose of Losartan 100 mg
Baseline and 10 hours postdose

The augmentation index (AIx) is defined as the ratio of augmentation (Δ P) to central pulse pressure and expressed as percent. AIx = (ΔP/PP) x 100, where P = pressure and PP = Pulse Pressure. A mathematical transfer function translated the peripheral wave form into a central waveform using an FDA approved process based on directly recorded arterial pressure values. The mean AIx for each subject was estimated as a time-weighted average over the 10-hour post dose observation period and expressed as a change from baseline.

Mean Augmentation Index Percent Change From Baseline After Single Doses of Losartan 100 mg + ISMN 60 mg Versus Single Dose of Placebo
Baseline and 10 hours postdose

The augmentation index (AIx) is defined as the ratio of augmentation (Δ P) to central pulse pressure and expressed as percent. AIx = (ΔP/PP) x 100, where P = pressure and PP = Pulse Pressure. A mathematical transfer function translated the peripheral wave form into a central waveform using an FDA approved process based on directly recorded arterial pressure values. The mean AIx for each subject was estimated as a time-weighted average over the 10-hour post dose observation period and expressed as a change from baseline.

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Study Design & Arms
AllocationRANDOMIZED
MaskingDOUBLE
ModelCROSSOVER
PurposeDIAGNOSTIC
Treatment Arms
ArmTypeDescription
1ACTIVE_COMPARATORlosartan 100 mg
2ACTIVE_COMPARATORISMN 60 mg
3ACTIVE_COMPARATORlosartan 100 mg + ISMN 15 mg
4ACTIVE_COMPARATORlosartan 100 mg + ISMN 60 mg
5PLACEBO_COMPARATORPlacebo
Interventions
NameTypeDescription
losartan potassiumDRUGSingle dose losartan 100 mg in one of five treatment periods
Comparator: isosorbide mononitrate (ISMN)DRUGSingle dose ISMN 60 mg in one of five treatment periods
Comparator: losartan + ISMNDRUGSingle dose losartan 100 mg and ISMN 15 mg in one of five treatment periods
Comparator: PlaceboDRUGSingle dose placebo only in one of five treatment periods
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Eligibility Criteria
Age Range45 Years — 70 Years
SexALL
Healthy VolunteersNo

Inclusion Criteria: * Patient is in good health with the exception of mild to moderate hypertension * Patient is willing to comply with the study restrictions * Patient does not smoke Exclusion Criteria: * Patient has a history of any illness that might confound the results of the study or make p...

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