Study of Efficacy and Safety of LCZ696/Amlodipine in Grade 1 and 2 Hypertension Patients Uncontrolled by LCZ696 Monotherapy

Last updated: July 28, 2025
Sponsor: Novartis Pharmaceuticals
Overall Status: Active - Not Recruiting

Phase

3

Condition

Stress

Circulation Disorders

Williams Syndrome

Treatment

LCZ/AML 200 mg/10 mg

LCZ/AML

LCZ/AML 200 mg/2.5 mg

Clinical Study ID

NCT06236061
CLAZ696B11302
  • Ages 18-100
  • All Genders

Study Summary

This CLAZ696B11302 study is composed of two parts; the Core part including double-blind period, and the open-label extension (OLE) part which is an open-label extension of the Core part.

The purpose of the Core part is to demonstrate that LCZ696 (LCZ) when used in combination with amlodipine (AML), denoted as LCZ/AML, will provide greater blood pressure lowering benefit compared to LCZ monotherapy in patients with grade 1 and 2 hypertension not adequately controlled with LCZ monotherapy. The purpose of the OLE part is to assess the long-term safety, tolerability and efficacy of the treatment with LCZ/AML.

Eligibility Criteria

Inclusion

Inclusion Criteria:

Core Part)

  • Patients with grade 1 and 2 essential hypertension, untreated or currently takingantihypertensive therapy
  1. Untreated patients [either newly diagnosed with essential hypertension or thosewith a history of hypertension but have not been taking any antihypertensivedrugs for 4 weeks prior to screening visit (Visit Scr)] must have a msSBP of ≥ 150 mmHg and < 180 mmHg at both screening (Visit Scr) and run-in visit (VisitRun-in)

  2. Pretreated patients (taking antihypertensive drugs within 4 weeks prior toscreening visit (Visit Scr)) must have msSBP < 180 mmHg at screening visit (Visit Scr), and msSBP ≥ 150 mmHg and < 180 mmHg at run-in visit (Visit Run-in)

  • Patients who are not adequately responsive to LCZ 200 mg treatment must have a msSBP ≥ 140 mmHg and < 180 mmHg at the end of run-in/randomization visit

  • Patients who are able to communicate well with the Investigator, to understand andcomply with all study requirements, and demonstrate good medication compliance (≥ 80% compliance rate) during the single-blind run-in period OLE part)

  • Patients who have completed the Core part without permanent study drugdiscontinuation and who, as judged by the Investigator, are able to continue in theOLE part

  • Patients who have msSBP < 160 mmHg and msDBP <100 mmHg at Visit W8 of thedouble-blind period

Exclusion

Exclusion Criteria:

Core part)

  • Patients currently on one or more antihypertensive medications in whom theInvestigator considers that the medications cannot be safely discontinued for theduration of the Core part

  • Severe hypertension (msSBP ≥ 180 mmHg and/or msDBP ≥ 110 mmHg at any visit prior toor at randomization), or malignant hypertension

  • History or evidence of a secondary form of hypertension, including but not limitedto any of the following: renal parenchymal hypertension, renovascular hypertension (unilateral or bilateral renal artery stenosis), coarctation of the aorta, primaryhyperaldosteronism, Cushing's disease, pheochromocytoma, polycystic kidney disease,sleep apnea, and drug-induced hypertension

  • Patients with Type 1 or Type 2 diabetes mellitus not well controlled based on theInvestigator's clinical judgement

  • Concomitant refractory angina pectoris [angina in setting of Coronary Artery Disease (CAD) which is uncontrolled by combination of optimal medical therapy, angioplastyor bypass surgery]

  • Clinically significant valvular heart disease at screening

  • Any history of stroke or hypertensive encephalopathy

  • History of hypersensitivity to any of the study treatments or its excipients, ARBsor to drugs of similar chemical classes

  • Use of other investigational drugs within 30 days or 5 half-lives of screeningvisit, whichever is longer OLE part)

  • Any medical condition that in the opinion of the Investigator is likely to preventthe patient from safely tolerating LCZ/AML or complying with the requirements of thestudy

  • Patients who have experience of angioedema event(s) which occurred and reported bythe Investigator during the Core part of study

  • Pregnant or nursing (lactating) women, where pregnancy is defined as the state of afemale after conception and until the termination of gestation, confirmed by apositive human chorionic gonadotropin (hCG) laboratory test

  • Women of child-bearing potential, defined as all women physiologically capable ofbecoming pregnant, unless they are using highly effective methods of contraceptionwhile taking study treatment and for 10 days after stopping study treatment. Highlyeffective contraception methods are defined as same as the criteria for the Corepart.

Other protocol-defined inclusion/exclusion criteria may apply.

Study Design

Total Participants: 718
Treatment Group(s): 5
Primary Treatment: LCZ/AML 200 mg/10 mg
Phase: 3
Study Start date:
April 08, 2024
Estimated Completion Date:
December 25, 2025

Study Description

This study is designed to provide efficacy and safety data for combinations of LCZ 200 mg and AML (2.5 mg, 5 mg or 10 mg) as compared to LCZ monotherapy in patients with grade 1 and 2 hypertension not adequately controlled with LCZ monotherapy, and also the long-term safety, tolerability and efficacy of the treatment with LCZ/AML. The Core part is a multicenter, randomized, double-blind, parallel-group, active-controlled study which is comprised of the following three periods: Screening / washout period, Single-blind active run-in period, Double-blind treatment period (8 weeks). A 52 week, open-label extension part will be conducted following the completion of the Core part. Those participants that complete the Core part without permanent study drug discontinuation will be offered continued participation in an additional 1 year safety extension to the protocol. Of the patients completed the Core part, approximately 278 participants who are eligible and agree to participate and sign a new informed consent form will start the OLE part, and receive the open-label LCZ/AML combination drug through the OLE part. At start of the OLE part, all participants will be switched to the open-label LCZ/AML 200 mg/5 mg combination drug from double-blinded study medication. After 4 weeks of OLE part, the dosage will be titrated up to LCZ/AML 200 mg/10 mg if an adequate control in blood pressure is not achieved [msSBP ≥ 130 mmHg or msDBP ≥ 80 mmHg, or the Investigator's judgement basically in accordance with the current local hypertension treatment guideline (JSH2019)] and when there is no safety concern on up-titration judged by the Investigator. If the blood pressure is controlled optimally, the participants will continue to receive LCZ/AML 200 mg/5 mg. Down-titration from LCZ/AML 200 mg/5 mg to LCZ/AML 200 mg/2.5 mg is permitted after the start of OLE part if participants are having difficulty with the current treatment of LCZ/AML 200 mg/5 mg due to adverse events (AEs) etc. Dose adjustment (up or down-titration) is allowed if participants meet the criteria for dose adjustment (the same defined above as up-titration and down-titration). The Investigators should maintain the maximum tolerated dose as much as possible after 8 weeks of OLE part. Thiazide diuretics/thiazide-like diuretics are allowed as rescue medication(s) at the investigator's discretion on and after 8 weeks of OLE part, if blood pressure is not adequately controlled even with LCZ/AML 200 mg/10 mg or maximum tolerated dose and with no signs of hypovolemia. Initial dose of the concomitant diuretics should be low, then the dose can be adjusted.

Connect with a study center

  • Novartis Investigative Site

    Nagoya, Aichi 454-0933
    Japan

    Site Not Available

  • Novartis Investigative Site

    Itoshima, Fukuoka 819-1104
    Japan

    Site Not Available

  • Novartis Investigative Site

    Chitose, Hokkaido 066-0032
    Japan

    Site Not Available

  • Novartis Investigative Site

    Sapporo, Hokkaido 063-0826
    Japan

    Site Not Available

  • Novartis Investigative Site

    Sapporo-city, Hokkaido 063-0842
    Japan

    Site Not Available

  • Novartis Investigative Site

    Akashi, Hyogo 674-0081
    Japan

    Site Not Available

  • Novartis Investigative Site

    Amagasaki, Hyogo 660-0861
    Japan

    Site Not Available

  • Novartis Investigative Site

    Tsukuba, Ibaraki 305-0861
    Japan

    Site Not Available

  • Novartis Investigative Site

    Kamakura, Kanagawa 247-0055
    Japan

    Site Not Available

  • Novartis Investigative Site

    Kawasaki-shi, Kanagawa 211-0041
    Japan

    Site Not Available

  • Novartis Investigative Site

    Yokohama, Kanagawa 232-0064
    Japan

    Site Not Available

  • Novartis Investigative Site

    Yokohama-city, Kanagawa 231-0023
    Japan

    Site Not Available

  • Novartis Investigative Site

    Kyoto-city, Kyoto 615-8125
    Japan

    Site Not Available

  • Novartis Investigative Site

    Osaki, Miyagi 989-6143
    Japan

    Site Not Available

  • Novartis Investigative Site

    Sendai, Miyagi 980-0011
    Japan

    Site Not Available

  • Novartis Investigative Site

    Suita, Osaka 565-0853
    Japan

    Site Not Available

  • Novartis Investigative Site

    Suita-city, Osaka 565-0853
    Japan

    Site Not Available

  • Novartis Investigative Site

    Chiyoda, Tokyo 101-0041
    Japan

    Site Not Available

  • Novartis Investigative Site

    Chuo ku, Tokyo 104-0031
    Japan

    Site Not Available

  • Novartis Investigative Site

    Chuo-ku, Tokyo 103-0027
    Japan

    Site Not Available

  • Novartis Investigative Site

    Hachioji-city, Tokyo 192-0046
    Japan

    Site Not Available

  • Novartis Investigative Site

    Kiyose-city, Tokyo 204-0021
    Japan

    Site Not Available

  • Novartis Investigative Site

    Musashino, Tokyo 180-0022
    Japan

    Site Not Available

  • Novartis Investigative Site

    Nerima Ku, Tokyo 177-0051
    Japan

    Site Not Available

  • Novartis Investigative Site

    Nerima-ku, Tokyo 177-0051
    Japan

    Site Not Available

  • Novartis Investigative Site

    Setagaya-ku, Tokyo 155-0031
    Japan

    Site Not Available

  • Novartis Investigative Site

    Shibuya, Tokyo 150-0013
    Japan

    Site Not Available

  • Novartis Investigative Site

    Shinagawa-Ku, Tokyo 141-0032
    Japan

    Site Not Available

  • Novartis Investigative Site

    Shinjuku ku, Tokyo 160-0008
    Japan

    Site Not Available

  • Novartis Investigative Site

    Shinjuku-ku, Tokyo 169-0072
    Japan

    Site Not Available

  • Novartis Investigative Site

    Suginami-ku, Tokyo 166-0003
    Japan

    Site Not Available

  • Novartis Investigative Site

    Toshima-Ku, Tokyo 171-0021
    Japan

    Site Not Available

  • Novartis Investigative Site

    Chuoh-ku, 104-0031
    Japan

    Site Not Available

  • Novartis Investigative Site

    Fukuoka, 810-0021
    Japan

    Site Not Available

  • Novartis Investigative Site

    Hiroshima, 732-0053
    Japan

    Site Not Available

  • Novartis Investigative Site

    Kyoto, 615-8125
    Japan

    Site Not Available

  • Novartis Investigative Site

    Osaka, 532-0003
    Japan

    Site Not Available

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