Effects of Angiotensin II Receptor Blocker Compared With Diuretics in High-risk Hypertensive Patients

NCT ID: NCT01011660

Last Updated: 2012-08-13

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

UNKNOWN

Clinical Phase

PHASE4

Total Enrollment

13542 participants

Study Classification

INTERVENTIONAL

Study Start Date

2007-10-31

Study Completion Date

2012-12-31

Brief Summary

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The aim of the study is to investigate the optimized treatment strategy of hypertension, so as to make more patients to reach the blood pressure goals and to reduce cardio-cerebrovascular events. Objective and Methods: Patients are eligible for inclusion in the study if they are essential hypertension, 50-79 years of age with at least one cardiovascular risk factor and sign the informed consent forms. This project is a multi-centre, prospective randomized,,openlabel blind-endpoint evaluation controlled (PROBE) trial. 12000 patients will be randomly assigned to either of low-dose Amlodipine+Telmisartan group or Amlodipine+ diuretics group. Among those patients with serum cholesterol between 4.0-6.1mmol/L, they will be also randomized into small dose of statin-based regimen or standard management regimen; Patients will also randomly assigned to intensive lifestyle intervention group or standard intervention group according to the community area where the patients in.

Detailed Description

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This study is aimed to observe the main outcome (stroke, myocardial infarction and death from cardiovascular disease) differences between different groups.

Conditions

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Essential Hypertension

Keywords

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hypertension cardiovascular risk factors drugs intervention lipid-lowering therapy 50-79 years of age sign the informed consent forms

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

FACTORIAL

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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A,1,IV

A means active; 1 means Amlodipine+Amiloride Compound; IV means phase IV

Group Type ACTIVE_COMPARATOR

Amlodipine, Telmisartan, Amiloride Compound , Simvastatin

Intervention Type DRUG

Amlodipine; Telmisartan; Amiloride Compound; Simvastatin

A,2,IV

A means active; 2 means Amlodipine+Telmisartan; IV means phase IV

Group Type ACTIVE_COMPARATOR

Amlodipine, Telmisartan, Amiloride Compound , Simvastatin

Intervention Type DRUG

Amlodipine; Telmisartan; Amiloride Compound; Simvastatin

A,3,IV

A means active; 3 means Amlodipine+Amiloride Compound with or no Simvastatin; IV means phase IV

Group Type ACTIVE_COMPARATOR

Amlodipine, Telmisartan, Amiloride Compound , Simvastatin

Intervention Type DRUG

Amlodipine; Telmisartan; Amiloride Compound; Simvastatin

A,4,IV

A means active; 4 means Amlodipine+Telmisartan with or no Simvastatin; IV means phase IV

Group Type ACTIVE_COMPARATOR

Amlodipine, Telmisartan, Amiloride Compound , Simvastatin

Intervention Type DRUG

Amlodipine; Telmisartan; Amiloride Compound; Simvastatin

Interventions

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Amlodipine, Telmisartan, Amiloride Compound , Simvastatin

Amlodipine; Telmisartan; Amiloride Compound; Simvastatin

Intervention Type DRUG

Other Intervention Names

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CHIEF

Eligibility Criteria

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Inclusion Criteria

* essential hypertension
* 50-79 years old
* with at least one of the cardiovascular risk factor
* sign consent forms

Exclusion Criteria

* secondary hypertension
* attack of cerebrovascular events or myocardial infarction within recent 3 months
* coexistence of severe cardiomyopathy, rheumatic or congenital heart diseases
* unstable angina
* severe hepatopathy or nephropathy (ALT elevation \> 2 fold or serum creatinine \> 2.5mg/dl)
* malignant tumor
* gout
* women taking contraceptives or with pregnancy
* allergic history to the research drugs
* validated contradiction to the research drugs
* participating in other clinical trials
* unable for long-term follow-up or poor compliance
* unsuitable for clinical trial at the discretion of doctors in charge
Minimum Eligible Age

50 Years

Maximum Eligible Age

79 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Chinese Academy of Medical Sciences, Fuwai Hospital

OTHER

Sponsor Role lead

Responsible Party

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Ma Liyuan

Dr

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Wen Wang, Professor

Role: PRINCIPAL_INVESTIGATOR

Chinese Academy of Medical Sciences

Locations

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Wang Wen

Beijing, Beijing Municipality, China

Site Status RECRUITING

Countries

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China

Facility Contacts

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Liyuan Ma

Role: primary

References

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Ma L, Wang W, Zhao Y, Zhang Y, Deng Q, Liu M, Sun H, Wang J, Liu L. Combination of amlodipine plus angiotensin receptor blocker or diuretics in high-risk hypertensive patients: a 96-week efficacy and safety study. Am J Cardiovasc Drugs. 2012 Apr 1;12(2):137-42. doi: 10.2165/11598110-000000000-00000.

Reference Type DERIVED
PMID: 22329591 (View on PubMed)

Other Identifiers

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115

Identifier Type: -

Identifier Source: org_study_id