Safety and Tolerability of Azilsartan Medoxomil Plus Chlorthalidone Compared to Olmesartan Medoxomil Plus Hydrochlorothiazide in Participants With Essential Hypertension

Inclusion Criteria:

• Is treated with antihypertensive therapy and has a post-washout mean sitting clinicsystolic blood pressure greater than or equal to 160 and less than or equal to 190 mmHg on Day, or has not received antihypertensive treatment within 14 days prior toScreening and has a mean sitting clinic systolic blood pressure greater than or equalto 160 and less than or equal to 190 mm Hg at the Screening Visit and on Day 1.

• Females of childbearing potential who are sexually active agree to routinely useadequate contraception, and can neither be pregnant nor lactating from before studyparticipation to Screening to 30 days after the last study drug dose.

• Has clinical laboratory test results within the reference range for the testinglaboratory or the investigator does not consider the results to be clinicallysignificant.

• Is willing to discontinue current antihypertensive medications up to 3 weeks beforeenrollment.

Exclusion Criteria:

• Has a mean clinic diastolic blood pressure (sitting, trough) greater than 119 mm Hg onDay 1.

• Has secondary hypertension of any etiology (eg, renovascular disease,pheochromocytoma, Cushing's syndrome).

• Has a recent history (within the last 6 months) of myocardial infarction, heartfailure, unstable angina, coronary artery bypass graft, percutaneous coronaryintervention, hypertensive encephalopathy, cerebrovascular accident or transientischemic attack.

• Has clinically significant cardiac conduction defects (ie, third-degreeatrioventricular block, sick sinus syndrome).

• Has hemodynamically significant left ventricular outflow obstruction due to aorticvalvular disease.

• Has severe renal dysfunction or disease.

• Has known or suspected unilateral or bilateral renal artery stenosis.

• Has a history of cancer that has not been in remission for at least 5 years prior tothe first dose of study drug.

• Has poorly-controlled type 1 or 2 diabetes mellitus at Screening.

• Has hypokalemia or hyperkalemia at Screening.

• Has an alanine aminotransferase or aspartate aminotransferase level of greater than 2.5 times the upper limit of normal, active liver disease, or jaundice at Screening.

• Has any other known serious disease or condition that would compromise safety, mightaffect life expectancy, or make it difficult to successfully manage and followaccording to the protocol.

• Has known hypersensitivity to angiotensin II receptor blockers or thiazide-typediuretics or other sulfonamide-derived compounds.

• Has been randomized/enrolled in a previous azilsartan or azilsartan medoxomil pluschlorthalidone study.

• Currently is participating in another investigational study or has received anyinvestigational compound within 30 days prior to Screening.

• Has a history of drug abuse or a history of alcohol abuse within the past 2 years.

• Is taking or expected to take any excluded medication, including:

• Antihypertensive medications must be discontinued completely by Day -14, exceptantihypertensive medications used in the open-label treatment period inaccordance with the titration-to-target blood pressure titration.

• Angiotensin II receptor blockers or thiazide-type diuretics other than studymedication.

• Over-the-counter products not permitted by investigator.