ACTUAL: Efficacy and Safety of Irbesartan/Hydrochlorothiazide Combination

NCT ID: NCT00708344

Last Updated: 2010-07-16

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE4

Total Enrollment

832 participants

Study Classification

INTERVENTIONAL

Study Start Date

2008-06-30

Study Completion Date

2009-07-31

Brief Summary

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To compare the antihypertensive efficacy of the combination irbesartan/hydrochlorothiazide (HCTZ) using either a usual or an active elective titration regimen. The main efficacy criteria will be the change in mean Systolic Blood Pressure (SBP), measured at doctor's office with an automatic device, after a 10-week treatment period in hypertensive patients insufficiently controlled by monotherapy.

Detailed Description

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Conditions

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Hypertension

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Group 1

Usual elective titration regimen

Group Type ACTIVE_COMPARATOR

Irbesartan - Hydrochlorothiazide

Intervention Type DRUG

150/12.5 mg (1 tablet once daily) or 300/25 mg (1 tablet once daily) depending on the control of the blood pressure. Duration of treatment : 10 weeks

Group 2

Active elective titration regimen

Group Type ACTIVE_COMPARATOR

Irbesartan - Hydrochlorothiazide

Intervention Type DRUG

150/12.5 mg (1 tablet once daily) or 300/25 mg (1 tablet once daily) depending on the control of the blood pressure. Treatment duration : 10 weeks

Interventions

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Irbesartan - Hydrochlorothiazide

150/12.5 mg (1 tablet once daily) or 300/25 mg (1 tablet once daily) depending on the control of the blood pressure. Duration of treatment : 10 weeks

Intervention Type DRUG

Irbesartan - Hydrochlorothiazide

150/12.5 mg (1 tablet once daily) or 300/25 mg (1 tablet once daily) depending on the control of the blood pressure. Treatment duration : 10 weeks

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

* Established essential hypertension treated for at least 4 weeks by one antihypertensive drug alone
* With uncontrolled Blood Pressure (BP) defined as:
* SBP ≥ 160 mmHg and/or DBP ≥ 100 mmHg in non diabetic patients
* SBP ≥ 150 mmHg and/or DBP ≥ 90 mmHg in diabetic patients

Exclusion Criteria

* SBP ≥ 180 mmHg and/or DBP ≥ 110 mmHg at V1
* Known or suspected causes of secondary hypertension
* Patient with bilateral renal artery stenosis, renal artery stenosis in a solitary kidney; history of renal transplant or only has one functioning kidney
* Associated cardiovascular conditions that prevent the patient from stopping the current antihypertensive drug (e.g.: Beta-blocker for angina, ACE-inhibitors for heart failure, etc…).
* Known hypersensitivity to diuretics or sulphonamides or history of angioedema or cough related to the administration of an angiotensin II receptor antagonist or any combination of the drugs used
* Known contraindications to the study drugs:
* Severe renal dysfunction (creatinine clearance \<30ml/min)
* Known hypokaliemia (\< 3 mmol/L) , known hypercalcemia
* Severe hepatic impairment, biliary cirrhosis, cholestasis
* Inability to obtain a valid automatic BP measurement recording
* Administration of any other investigational drug within 30 days prior to study entry and during the course of the study
* Presence of any severe medical or psychological condition that, in the opinion of the investigator, indicate that participation in the study is not in the best interest of the subject.
* Presence of any other conditions (e.g. geographic, social, etc) that would restrict or limit the subject participation for the duration of the study.
* Pregnant or breast-feeding women
* Women of childbearing potential not protected by effective contraceptive method of birth control

The above information is not intended to contain all considerations relevant to a patient's potential participation in a clinical trial.
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Sanofi

INDUSTRY

Sponsor Role lead

Responsible Party

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sanofi-aventis

Principal Investigators

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Nathalie - GENES, MD

Role: STUDY_DIRECTOR

Sanofi

Locations

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Sanofi-Aventis Administrative Office

Algiers, , Algeria

Site Status

Sanofi-Aventis Administrative Office

Buenos Aires, , Argentina

Site Status

Sanofi-Aventis Administrative Office

São Paulo, , Brazil

Site Status

Sanofi-Aventis Administrative Office

Bogotá, , Colombia

Site Status

Sanofi-Aventis Administrative Office

Quito, , Ecuador

Site Status

Sanofi-Aventis Administrative Office

Cairo, , Egypt

Site Status

Sanofi-Aventis Administrative Office

Guatemala City, , Guatemala

Site Status

Sanofi-Aventis Administrative Office

Beirut, , Lebanon

Site Status

Sanofi-Aventis Administrative Office

Col. Coyoacan, , Mexico

Site Status

Sanofi-Aventis Administrative Office

Casablanca, , Morocco

Site Status

Sanofi-Aventis Administrative Office

Panama City, , Panama

Site Status

Sanofi-Aventis Administrative Office

Lima, , Peru

Site Status

Sanofi-Aventis Administrative Office

Jeddah, , Saudi Arabia

Site Status

Sanofi-Aventis Administrative Office

Mégrine, , Tunisia

Site Status

Sanofi-Aventis Administrative Office

Dubai, , United Arab Emirates

Site Status

Sanofi-Aventis Administrative Office

Caracas, , Venezuela

Site Status

Countries

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Algeria Argentina Brazil Colombia Ecuador Egypt Guatemala Lebanon Mexico Morocco Panama Peru Saudi Arabia Tunisia United Arab Emirates Venezuela

References

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Girerd X, Rosenbaum D, Aoun J; ACTUAL study Investigators. Efficacy and safety of early versus late titration of fixed-dose irbesartan/hydrochlorothiazide: ACTUAL study. Blood Press Suppl. 2011 Dec;2:22-9. doi: 10.3109/08037051.2011.633368.

Reference Type DERIVED
PMID: 22352122 (View on PubMed)

Other Identifiers

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IRBEH_R_02931

Identifier Type: -

Identifier Source: org_study_id

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