Recent Updates
Recently added Catalysts

Azilsartan Medoxomil

Phase 3

Hypertension | Small molecule | Cardiovascular |Takeda Pharmaceutical Company Limited|Last Updated: Dec 19, 2016

Success Probability

Subscribe to view

Market & Valuation

Subscribe to view

Trial Design

RandomizedDouble-BlindPLACEBO_CONTROLLED
Total Trials11
Total Enrollment8,871

FDA Designations

No designations recorded

Clinical trial landscape

Azilsartan Medoxomil · 11 trials · 1 indication

Phase 3 10Phase 2 1
NCT02203916Azilsartan Medoxomil (TAK-491) Compared to Placebo in Korean Adults With HypertensionHypertension
COMPLETED328 Analytics
NCT00847626Efficacy and Safety of Azilsartan Medoxomil Combined With Chlorthalidone in Participants With Moderate to Severe HypertensionHypertension
COMPLETED1,711 Analytics
NCT00696436An Efficacy and Safety Study of Azilsartan Medoxomil Compared to Valsartan and Olmesartan in Participants With Essential Hypertension.Hypertension
COMPLETED1,291 Analytics
NCT00760214Efficacy and Safety Study of Azilsartan Medoxomil Compared to Ramipril for Treating Essential HypertensionHypertension
COMPLETED885 Analytics
NCT00591578Efficacy and Safety Comparison of Azilsartan Medoxomil to Valsartan in Participants With Essential HypertensionHypertension
COMPLETED984 Analytics
NCT00591253Efficacy and Safety of Azilsartan Medoxomil in African American Participants With Essential HypertensionHypertension
COMPLETED413 Analytics
NCT00591266Efficacy and Safety of Azilsartan Medoxomil, Once Daily (QD), Co-Administered With Amlodipine in Participants With Essential HypertensionHypertension
COMPLETED566 Analytics
NCT00591773Efficacy and Safety of Azilsartan Medoxomil Co-Administered With Chlorthalidone in Participants With Essential HypertensionHypertension
COMPLETED551 Analytics
NCT00696241Efficacy and Safety of Azilsartan Medoxomil in Participants With Essential HypertensionHypertension
COMPLETED1,275 Analytics
NCT00696384A Safety and Tolerability Study of Azilsartan Medoxomil in Participants With Essential HypertensionHypertension
COMPLETED418 Analytics
PHASE3COMPLETED
Azilsartan Medoxomil (TAK-491) Compared to Placebo in Korean Adults With Hypertension
HypertensionUnlock trial analytics
PHASE3COMPLETED
Efficacy and Safety of Azilsartan Medoxomil Combined With Chlorthalidone in Participants With Moderate to Severe Hypertension
HypertensionUnlock trial analytics
PHASE3COMPLETED
An Efficacy and Safety Study of Azilsartan Medoxomil Compared to Valsartan and Olmesartan in Participants With Essential Hypertension.
HypertensionUnlock trial analytics
PHASE3COMPLETED
Efficacy and Safety Study of Azilsartan Medoxomil Compared to Ramipril for Treating Essential Hypertension
HypertensionUnlock trial analytics
PHASE3COMPLETED
Efficacy and Safety Comparison of Azilsartan Medoxomil to Valsartan in Participants With Essential Hypertension
HypertensionUnlock trial analytics
PHASE3COMPLETED
Efficacy and Safety of Azilsartan Medoxomil in African American Participants With Essential Hypertension
HypertensionUnlock trial analytics
PHASE3COMPLETED
Efficacy and Safety of Azilsartan Medoxomil, Once Daily (QD), Co-Administered With Amlodipine in Participants With Essential Hypertension
HypertensionUnlock trial analytics
PHASE3COMPLETED
Efficacy and Safety of Azilsartan Medoxomil Co-Administered With Chlorthalidone in Participants With Essential Hypertension
HypertensionUnlock trial analytics
PHASE3COMPLETED
Efficacy and Safety of Azilsartan Medoxomil in Participants With Essential Hypertension
HypertensionUnlock trial analytics
PHASE3COMPLETED
A Safety and Tolerability Study of Azilsartan Medoxomil in Participants With Essential Hypertension
HypertensionUnlock trial analytics

Study Endpoints

Primary Endpoints

Change From Baseline to Week 6 in Trough Clinic Sitting Systolic Blood Pressure (SBP)
Baseline and Week 6

The change in trough clinic sitting systolic blood pressure measured at week 6 relative to baseline. The trough is the average of the non-missing values of 3 serial trough sitting systolic blood pressure measurements. Blood pressure was measured using a validated, automated device after the participant had been sitting for at least 5 minutes. Week 6 blood pressure was measured approximately 24 hours after the previous day's dose. An analysis of covariance (ANCOVA) model, with treatment group as a fixed effect and Baseline sitting clinic systolic blood pressure as a covariate was used for analysis.

Change From Baseline to Week 8 in Trough, Systolic Blood Pressure as Measured by Ambulatory Blood Pressure Monitoring (Pooled Analysis)
Baseline and Week 8.

The change in trough systolic blood pressure measured at final visit or week 8 relative to baseline. Ambulatory blood pressure monitoring measures blood pressure at regular intervals throughout the day and night. The trough is the average of all measurements recorded from 22 to 24 hours after dosing.

Change From Baseline to Week 8 in Trough, Systolic Blood Pressure as Measured by Ambulatory Blood Pressure Monitoring (Pairwise Analysis)
Baseline and Week 8.

The change in trough systolic blood pressure measured at final visit or week 8 relative to baseline. Ambulatory blood pressure monitoring measures blood pressure at regular intervals throughout the day and night. The trough is the average of all measurements recorded from 22 to 24 hours after dosing.

Change From Baseline in the 24-hour Mean Systolic Blood Pressure Measured by Ambulatory Blood Pressure Monitoring.
Baseline and Week 6.

The change in 24-hour mean systolic blood pressure measured at week 6 relative to baseline. Ambulatory blood pressure monitoring measures blood pressure at regular intervals throughout the day and night. The 24-hour mean is the average of all measurements recorded for 24 hours after dosing.

Change From Baseline in Mean Trough Clinic Sitting Systolic Blood Pressure.
Baseline and Week 24.

The change in mean trough clinic sitting systolic blood pressure measured at final visit or week 24 relative to baseline. Systolic blood pressure is the arithmetic mean of the 3 trough sitting systolic blood pressure measurements.

Change From Baseline in 24-hour Mean Systolic Blood Pressure Measured by Ambulatory Blood Pressure Monitoring.
Baseline and Week 24.

The change in 24-hour mean systolic blood pressure measured at week 24 relative to baseline. Ambulatory blood pressure monitoring measures blood pressure at regular intervals throughout the day and night. The 24-hour mean is the average of all measurements recorded for 24 hours after dosing.

Change From Double-blind Baseline (Week 26) in Sitting Clinic Diastolic Blood Pressure to Week 32
Double-blind Baseline (Week 26) and Week 32.

The change in sitting clinic diastolic blood pressure measured at final visit or week 32 from Double-blind Baseline/Week 26. Diastolic blood pressure is the arithmetic mean of the 3 trough sitting diastolic blood pressure measurements. Each participant's blood pressure at the Final Visit/Week 26 of the open-label phase represented their Baseline blood pressure for the double-blind reversal phase.

Change From Baseline in Sitting Clinic Diastolic Blood Pressure.
Baseline and Week 8.

The change in sitting clinic diastolic blood pressure measured at final visit or week 8 relative to baseline. Diastolic blood pressure is the arithmetic mean of the 3 trough sitting diastolic blood pressure measurements.

Secondary Endpoints

Change From Baseline to Week 6 in Trough Clinic Sitting Diastolic Blood Pressure (DBP)
Baseline and Week 6
Percentage of Participants Who Achieved a Clinic DBP Response at Week 6
Baseline and Week 6
Percentage of Participants Who Achieved a Clinic SBP Response at Week 6
Baseline and Week 6
Unlock Study Endpoints

Study Design & Arms

AllocationRANDOMIZED
MaskingQUADRUPLE
ModelPARALLEL
PurposeTREATMENT

Treatment Arms

ArmTypeDescription
Azilsartan Medoxomil 40 mgEXPERIMENTALAzilsartan medoxomil 40 mg, tablets, orally, once daily for 6 weeks.
Azilsartan Medoxomil 80 mgEXPERIMENTALAzilsartan medoxomil 80 mg, tablets, orally, once daily for 6 weeks.
PlaceboPLACEBO_COMPARATORAzilsartan medoxomil placebo-matching tablets, orally, once daily for 6 weeks.
Azilsartan medoxomil 20 mg/chlorthalidone 12.5 mg QDEXPERIMENTAL -
Azilsartan medoxomil 20 mg/chlorthalidone 25 mg QDEXPERIMENTAL -
Azilsartan medoxomil 40 mg/chlorthalidone 12.5 mg QDEXPERIMENTAL -
Azilsartan medoxomil 40 mg/chlorthalidone 25 mg QDEXPERIMENTAL -
Azilsartan medoxomil 80 mg/chlorthalidone 12.5 mg QDEXPERIMENTAL -
Azilsartan medoxomil 80 mg/chlorthalidone 25 mg QDEXPERIMENTAL -
Chlorthalidone 12.5 mg QDACTIVE_COMPARATOR -
Chlorthalidone 25 mg QDACTIVE_COMPARATOR -
Azilsartan medoxomil 20 mg QDEXPERIMENTAL -
Azilsartan medoxomil 40 mg QDEXPERIMENTAL -
Azilsartan medoxomil 80 mg QDEXPERIMENTAL -
Valsartan 320 mg QDACTIVE_COMPARATOR -
Olmesartan 40 mg QDACTIVE_COMPARATOR -
Placebo QDPLACEBO_COMPARATOR -
Ramipril 10 mg QDACTIVE_COMPARATOR -
Azilsartan Medoxomil 40 mg QD and Amlodipine 5 mg QDEXPERIMENTAL -
Azilsartan Medoxomil 80 mg QD and Amlodipine 5 mg QDEXPERIMENTAL -
Amlodipine 5 mg QDACTIVE_COMPARATOR -
Azilsartan Medoxomil 40 mg QD and Chlorthalidone 25 mg QDEXPERIMENTAL -
Azilsartan Medoxomil 80 mg QD and Chlorthalidone 25 mg QDEXPERIMENTAL -
Azilsartan Medoxomil QD-Open Label Phase (Baseline - Week 26)EXPERIMENTAL -
Azilsartan Medoxomil QD - Double-Blind Phase (Week 26-32)EXPERIMENTAL -
Placebo QD - Double-Blind Phase (Week 26- 32)PLACEBO_COMPARATOR -
Azilsartan Medoxomil 5 mg QDEXPERIMENTAL -
Azilsartan Medoxomil 10 mg QDEXPERIMENTAL -
Olmesartan 20 mg QDACTIVE_COMPARATOR -

Interventions

NameTypeDescription
Azilsartan medoxomilDRUGAzilsartan medoxomil tablets
Azilsartan medoxomil placeboDRUGAzilsartan medoxomil placebo-matching tablets
Azilsartan medoxomil and chlorthalidoneDRUGAzilsartan medoxomil 20 mg and chlorthalidone 12.5 mg combination tablets, orally, once daily for up to 8 weeks
ChlorthalidoneDRUGAzilsartan medoxomil placebo and chlorthalidone 12.5 mg combination tablets, orally, once daily for up to 8 weeks
ValsartanDRUGValsartan 160 mg, tablets, and matching placebo comparator orally, once daily for two weeks. Increased to Valsartan 320 mg, tablets, and matching placebo comparator, orally, once daily for up to four weeks.
OlmesartanDRUGOlmesartan 20 mg, tablets and matching placebo comparator, orally, once daily for two weeks. Increased to Olmesartan 40 mg, tablets and matching placebo comparator, orally, once daily for up to four weeks.
PlaceboDRUGMatching placebo, orally, once daily for up to six weeks.
RamiprilDRUGRamipril 2.5 mg, tablets, orally, once daily for two weeks; then increased to 10 mg, tablets, orally, once daily for up to 22 weeks.
Azilsartan Medoxomil and amlodipineDRUGAzilsartan Medoxomil 40 mg, tablets, orally, once daily and amlodipine 5 mg, tablets, orally, once daily for up to 6 weeks.
AmlodipineDRUGAzilsartan medoxomil placebo-matching tablets, orally, once daily and amlodipine 5 mg, tablets, orally, once daily for up to 6 weeks.
Azilsartan medoxomil and olmesartanDRUGAzilsartan medoxomil 20 mg, tablets, azilsartan medoxomil 40 mg placebo-matching tablets, azilsartan medoxomil 80 mg placebo-matching tablets and olmesartan 40 mg placebo-matching tablets, orally, for up to 6 weeks.
Azilsartan medoxomil, with or without chlorthalidone and other non-angiotensin II receptor blocker antihypertensive medications.DRUGAzilsartan medoxomil at the final dose received during the open-label phase: (20 mg, 40 mg or 80 mg), tablets, orally, once daily with or without chlorthalidone 25 mg, tablets, orally once daily and other non-ARB antihypertensive medications (if currently taking), for 6 weeks/Week 32.
Unlock Study Design Details

Eligibility Criteria

Age Range19 Years to N/A
SexALL
Healthy VolunteersNo
Study Sites15

Inclusion Criteria: 1. In the opinion of the investigator, the participant is capable of understanding and complying with protocol requirements. 2. The participant or, when applicable, the participant's legally acceptable representative, signs and dates a written informed consent form and any requi...

Countries:South KoreaUnited StatesChileMexicoPeruRussiaArgentinaBrazilPuerto RicoBulgariaEstoniaFinlandGermanyNetherlandsPolandSerbiaSlovakiaSweden
Unlock Eligibility Criteria

Frequently asked questions about Azilsartan Medoxomil

What is Azilsartan Medoxomil used for?

Azilsartan Medoxomil is an investigational small molecule being developed for the treatment of essential hypertension and hypertension. It is in Phase 3 clinical development, with completed trials evaluating its efficacy and safety in patients with moderate to severe hypertension.

Who makes Azilsartan Medoxomil?

Azilsartan Medoxomil is being developed by Takeda Pharmaceutical Company Limited, which trades under the ticker TAK. The drug is currently in Phase 3 clinical development for hypertension and essential hypertension.

What phase is Azilsartan Medoxomil in?

Azilsartan Medoxomil is in Phase 3 clinical development. It is an investigational drug and has not been approved by regulatory authorities. All 11 clinical trials for the drug have been completed, with no active trials currently ongoing.

What clinical trials is Azilsartan Medoxomil in?

Azilsartan Medoxomil has completed 11 Phase 3 clinical trials, including NCT00818883, NCT01033071, NCT01309828, and NCT02480764. These trials evaluated the drug alone or in combination with chlorthalidone, compared to other antihypertensive regimens, in patients with essential hypertension and kidney disease.

Is Azilsartan Medoxomil the same as TAK-491?

Yes, Azilsartan Medoxomil is also known as TAK-491. In clinical trials, it has been studied under this alternative name, such as in the trial NCT02480764, which compared TAK-491 to valsartan in Chinese participants with hypertension.