To solve the equation \( 20x - 5(6x + 15) = -45 \), we start by distributing the \(-5\) into the parentheses:
\[ 20x - 5(6x) - 5(15) = -45 \]
This simplifies to:
\[ 20x - 30x - 75 = -45 \]
Next, we combine like terms:
\[ (20x - 30x) - 75 = -45 \] \[ -10x - 75 = -45 \]
Now, we can isolate the term with \(x\) by adding \(75\) to both sides:
\[ -10x = -45 + 75 \] \[ -10x = 30 \]
Next, we divide both sides by \(-10\):
\[ x = \frac{30}{-10} \] \[ x = -3 \]
Thus, the solution is:
\[ \boxed{-3} \]
The correct answer is A. x = -3.