New combo pill shows promise for stubborn high blood pressure
NCT ID NCT06236061
First seen Jun 27, 2026 · Last updated Jun 27, 2026
Summary
This study tested whether adding amlodipine to the blood pressure drug LCZ696 works better than LCZ696 alone. About 718 adults with mild-to-moderate high blood pressure that wasn't well controlled by LCZ696 took part. The goal was to see if the combination lowers blood pressure more effectively over 8 weeks, with a long-term follow-up for safety.
This is an AI summary of the original study and may miss details. Read our disclaimer.
Study facts
What this study's own registry entry says, in plain language.
- Phase
-
Phase 3
Large-scale testing in a bigger group. Usually the last step before a treatment can be approved.
- Participants
-
718 people
The number who actually took part.
- Started
-
Apr 2024
- Finished
-
Dec 2025
- Lead sponsor
-
A company
The lead sponsor is a pharmaceutical, biotech, or medical-device company.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
- Ages
-
18 to 100 years
- Sex
-
Anyone
- Healthy volunteers
-
Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: Core Part) * Patients with grade 1 and 2 essential hypertension, untreated or currently taking antihypertensive therapy 1. Untreated patients \[either newly diagnosed with essential hypertension or those with a history of hypertension but have not been taking any antihypertensive drugs for 4 weeks prior to screening visit (Visit Scr)\] must have a msSBP of ≥ 150 mmHg and \< 180 mmHg at both screening (Visit Scr) and run-in visit (Visit Run-in) 2. Pretreated patients (taking antihypertensive drugs within 4 weeks prior to screening 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 and comply 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 drug discontinuation and who, as judged by the Investigator, are able to continue in the OLE part * Patients who have msSBP \< 160 mmHg and msDBP \<100 mmHg at Visit W8 of the double-blind period Exclusion Criteria: Core part) * Patients currently on one or more antihypertensive medications in whom the Investigator considers that the medications cannot be safely discontinued for the duration of the Core part * Severe hypertension (msSBP ≥ 180 mmHg and/or msDBP ≥ 110 mmHg at any visit prior to or at randomization), or malignant hypertension * History or evidence of a secondary form of hypertension, including but not limited to any of the following: renal parenchymal hypertension, renovascular hypertension (unilateral or bilateral renal artery stenosis), coarctation of the aorta, primary hyperaldosteronism, 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 the Investigator's clinical judgement * Concomitant refractory angina pectoris \[angina in setting of Coronary Artery Disease (CAD) which is uncontrolled by combination of optimal medical therapy, angioplasty or bypass surgery\] * 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, ARBs or to drugs of similar chemical classes * Use of other investigational drugs within 30 days or 5 half-lives of screening visit, whichever is longer OLE part) * Any medical condition that in the opinion of the Investigator is likely to prevent the patient from safely tolerating LCZ/AML or complying with the requirements of the study * Patients who have experience of angioedema event(s) which occurred and reported by the Investigator during the Core part of study * Pregnant or nursing (lactating) women, where pregnancy is defined as the state of a female after conception and until the termination of gestation, confirmed by a positive human chorionic gonadotropin (hCG) laboratory test * Women of child-bearing potential, defined as all women physiologically capable of becoming pregnant, unless they are using highly effective methods of contraception while taking study treatment and for 10 days after stopping study treatment. Highly effective contraception methods are defined as same as the criteria for the Core part. Other protocol-defined inclusion/exclusion criteria may apply.
Get updates
Get notified about this study
Sign up to get updates when this study changes or when new studies for Essential hypertension are added.
Genom att skicka in godkänner du våra Användarvillkor
Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
Contacts and locations
Locations
-
Novartis Investigative Site
Nagoya, Aichi-ken, 4518511, Japan
-
Novartis Investigative Site
Nagoya, Aichi-ken, 453-0804, Japan
-
Novartis Investigative Site
Nagoya, Aichi-ken, 4540933, Japan
-
Novartis Investigative Site
Nagoya, Aichi-ken, 4578511, Japan
-
Novartis Investigative Site
Itoshima, Fukuoka, 8191104, Japan
-
Novartis Investigative Site
Chitose, Hokkaido, 066-0032, Japan
-
Novartis Investigative Site
Sapporo, Hokkaido, 30026, Japan
-
Novartis Investigative Site
Sapporo, Hokkaido, 630826, Japan
-
Novartis Investigative Site
Sapporo, Hokkaido, 630842, Japan
-
Novartis Investigative Site
Akashi, Hyōgo, 674-0081, Japan
-
Novartis Investigative Site
Amagasaki, Hyōgo, 660-0861, Japan
-
Novartis Investigative Site
Tsukuba, Ibaraki, 3050861, Japan
-
Novartis Investigative Site
Kamakura, Kanagawa, 247-0055, Japan
-
Novartis Investigative Site
Kawasaki-shi, Kanagawa, 211-0041, Japan
-
Novartis Investigative Site
Yokohama, Kanagawa, 231-0023, Japan
-
Novartis Investigative Site
Yokohama, Kanagawa, 232-0064, Japan
-
Novartis Investigative Site
Ōsaki, Miyagi, 989-6143, Japan
-
Novartis Investigative Site
Sendai, Miyagi, 980-0011, Japan
-
Novartis Investigative Site
Sendai, Miyagi, 9830039, Japan
-
Novartis Investigative Site
Suita, Osaka, 5650853, Japan
-
Novartis Investigative Site
Chiyoda City, Tokyo, 101-0041, Japan
-
Novartis Investigative Site
Chuo Ku, Tokyo, 104-0031, Japan
-
Novartis Investigative Site
Chuo-ku, Tokyo, 1030027, Japan
-
Novartis Investigative Site
Hachiōji, Tokyo, 192-0046, Japan
-
Novartis Investigative Site
Kiyose, Tokyo, 204-0021, Japan
-
Novartis Investigative Site
Musashino, Tokyo, 1800022, Japan
-
Novartis Investigative Site
Nerima Ku, Tokyo, 1770051, Japan
-
Novartis Investigative Site
Setagaya-ku, Tokyo, 1550031, Japan
-
Novartis Investigative Site
Shibuya City, Tokyo, 150-0013, Japan
-
Novartis Investigative Site
Shinagawa-Ku, Tokyo, 141-0032, Japan
-
Novartis Investigative Site
Shinjuku Ku, Tokyo, 160-0008, Japan
-
Novartis Investigative Site
Shinjuku-ku, Tokyo, 1600017, Japan
-
Novartis Investigative Site
Shinjuku-ku, Tokyo, 1690072, Japan
-
Novartis Investigative Site
Suginami-ku, Tokyo, 166-0003, Japan
-
Novartis Investigative Site
Toshima-Ku, Tokyo, 171-0021, Japan
-
Novartis Investigative Site
Chuoh-ku, 104-0031, Japan
-
Novartis Investigative Site
Fukuoka, 810-0021, Japan
-
Novartis Investigative Site
Hiroshima, 732-0053, Japan
-
Novartis Investigative Site
Kyoto, 615-8125, Japan
-
Novartis Investigative Site
Osaka, 5300002, Japan
-
Novartis Investigative Site
Osaka, 5320003, Japan
-
Novartis Investigative Site
Osaka, 536-0008, Japan
-
Novartis Investigative Site
Osaka, 550-0013, Japan
More trials for these conditions
Other studies related to the condition(s) this trial covers.
- Can a new pill crack the code of stubborn high blood pressure?
- Inflatable leg cuffs tested as a Two-for-One therapy for high blood pressure and erectile dysfunction
- Can nurses and home monitors tame high blood pressure?
- Can pressing six points on the body help older adults sleep?
- Can AI-Tailored heat warnings shield chronic disease patients from dangerous temperatures?
- Could a quieter, automated blood pressure check help more people control hypertension?