Study to Compare 2 Doses of Polycap Versus Single Dose of Polycap With or Without Pottasium

NCT ID: NCT01404078

Last Updated: 2014-12-01

Study Results

Results available

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

NA

Total Enrollment

518 participants

Study Classification

INTERVENTIONAL

Study Start Date

2010-04-30

Study Completion Date

2011-02-28

Brief Summary

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This is a randomized double blind 2x2 factorial controlled trial to evaluate efficacy tolerability of low strength Polycap versus two doses of low strength Polycap in patients with stable cardiovascular disease in reducing blood pressure and LDL.

To evaluate the tolerability and safety of low dose potassium supplementation compared to placebo in patients with stable cardiovascular disease.

Approximately 500 patients are planned to be randomized.

Detailed Description

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Mean change in blood pressure between those taking 2capsules of the polycap versus one Difference in Rates of early discontinuation between 2 capsules of polycap versus one Rates of reported adverse effects among those taking the polycap

Conditions

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Ischemic Heart Disease Ischemic Stroke Peripheral Vascular Disease Type 2 Diabetes Mellitus

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

TRIPLE

Participants Caregivers Investigators

Study Groups

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SD Polycap without potassium

Single dose polycap without pottasium

Group Type ACTIVE_COMPARATOR

Single Dose Polycap

Intervention Type DRUG

Low strength polycap contains Ace inhibitor; betablocker; thiazide diuretic; statin; aspirin

DD Polycap plus potassium

Double Dose polycap with potassium

Group Type EXPERIMENTAL

Double dose Polycap

Intervention Type DRUG

2 Capsules of low strength polycap with 30mEq of Potassium

Interventions

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Single Dose Polycap

Low strength polycap contains Ace inhibitor; betablocker; thiazide diuretic; statin; aspirin

Intervention Type DRUG

Double dose Polycap

2 Capsules of low strength polycap with 30mEq of Potassium

Intervention Type DRUG

Other Intervention Names

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Polycap Full dose polycap

Eligibility Criteria

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Inclusion Criteria

1. Individuals 40 years and above, with a seated blood pressure \> 130/80 mm Hg on two consecutive readings (or BP \> 120/80 mm Hg in patients under treatment with 2 or more antihypertensive medication) with one of the following

1. Coronary artery disease; previous myocardial infarction (\>7 days post uncomplicated MI), or
2. Ischemic heart disease with significant ECG changes or a positive stress test, or
3. Stable angina or unstable angina and with documented evidence of multi-vessel (angiography or ECG or CT angiography) coronary artery disease, or
4. PTCA or CABG Surgery \>30 days before informed consent.
5. Cerebrovascular disease; Previous Ischemic stroke or Transient Ischemic Attacks \>30 days before informed consent.
6. High risk diabetes mellitus defined as HbA1C \>7.5%, with microalbuminuria or blood pressure \>140/90 mm Hg.
7. Peripheral artery disease defined as a current or prior history of: physician diagnosed intermittent claudication or vascular surgery for atherosclerotic disease or an ankle/arm systolic blood pressure ratio ≤ 0.90 in either leg at rest, or angiographic or doppler study demonstrating ≥ 70% stenosis in a noncardiac artery.
2. Those who provide informed consent and can comply with medications and follow-up visits.

Exclusion Criteria

1. Known hypersensitivity or intolerance to any of the study medications or a clear indication for full doses of beta blockers, RAAS blockers (ACEi, ARBs, Renin inhibitors, etc.), diuretics and statins.
2. History of bleeding or having hemorrhagic stroke anytime in the past or a need for continued anticoagulation therapy.
3. Patients having indication for higher doses of aspirin or needing more than 75mg of clopidogrel daily.
4. Have significant bradycardia (heart rate \<50 beats/min) or second- or third-degree heart block without a pacemaker.
5. Planned cardiac surgery or PTCA or any non-cardiac surgery \<3months of eligibility assessment.
6. Heart transplant recipient.
7. Renal dysfunction defined as serum creatinine \>2 mg/dL and/or serum potassium \>5.0 mEq/L.
8. Patients aged \>70 years, with mild renal dysfunction defined as serum creatinine \>124 µmol/L (1.4 mg/dL) or eGFR \<45 ml/min/1.73 m2.
9. Hepatic dysfunction, SGOT or SGPT \> 3 x ULN.
10. Taking another experimental drug or within 30days of last dose of the experimental drug.
11. Peptic ulcer disease with bleed, or bleeding diathesis.
12. Bronchial asthma or Chronic Obstructive Pulmonary Disease with asthma.
13. Gout, rheumatoid arthritis or other chronic inflammatory disease requiring long-term medications with NSAIDs.
14. Any history of muscular pain, other pathology of the muscles or past history of muscular pain secondary to taking statins or fibrates.
15. Pregnancy or lactating or women of childbearing potential with inadequate contraception.
16. Inability to attend follow up visits (due to significant disability, inadequate address or contact details, subject from a far off place, psychiatric illness etc.).
Minimum Eligible Age

40 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Population Health Research Institute

OTHER

Sponsor Role collaborator

St. John's Research Institute

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Dr.Prem - Pais, MD

Role: PRINCIPAL_INVESTIGATOR

St.Johns Research Institute

Related Links

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Other Identifiers

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CTRI/2010/091/000054

Identifier Type: REGISTRY

Identifier Source: secondary_id

TIPS K

Identifier Type: -

Identifier Source: org_study_id