Nifedipine vs Telmisartan on Prevention of Atrial Fibrillation (AF) Recurrence in Hypertensive Patients With AF

NCT ID: NCT01435161

Last Updated: 2012-11-16

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

160 participants

Study Classification

INTERVENTIONAL

Study Start Date

2007-05-31

Study Completion Date

2011-08-31

Brief Summary

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Different lowing blood pressure strategies have a different clinical efficacies. Blocking the angiotensin II type 1 receptor (Telmisartan) reduces the incidence of episodes of atrial fibrillation in hypertensive patients with paroxysmal atrial fibrillation during 24 months than 30% compared to Nifedipine( Adalat GITS ).

A total of 160 subjects will be included in two study groups. The Group 1 will receive 80-160mg Telmisartan per day, the remaining patients will receive Nifedipine ( Adalat GITS). Follow-up is 24 months. The conventional 12-lead ECG recordings at twice weeks interval and 24hrs holter monitor will determine the cardiac rhythm and asymptomatic episodes of atrial fibrillation. The target of Blood pressure after 3 months is less than 130/80mmHg. Concomitant therapy with B-blocker and acethydrazide are allowed for the target blood pressure during the study.

Detailed Description

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Conditions

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Atrial Fibrillation

Keywords

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paroxysmal atrial fibrillation, hypertension

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

PREVENTION

Blinding Strategy

NONE

Study Groups

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Nifedipine

Patients in arm 1 receive Nifedipine;

Group Type ACTIVE_COMPARATOR

Nifedipine,

Intervention Type DRUG

Nifedipine 30-60mg/day

Telmisartan

Arm 2 receive telmisartan

Group Type ACTIVE_COMPARATOR

Telmisartan

Intervention Type DRUG

Telmisartan 80-160mg/day

Interventions

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Nifedipine,

Nifedipine 30-60mg/day

Intervention Type DRUG

Telmisartan

Telmisartan 80-160mg/day

Intervention Type DRUG

Other Intervention Names

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anti-hypertensive drugs, Atrial fibrillation anti-hypertensive drugs, atrial fibrillation

Eligibility Criteria

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Inclusion Criteria

* Documented hypertensive patients with paroxysmal atrial fibrillation: ECG documentation of atrial fibrillation at least in one ECG recorded during the last 2 months prior to randomization plus additional ECG recording of sinus rhythm at least 12 hours after the above mentioned ECG documentation.
* Patients with hypertensive history were at least 5 years. Systolic pressure \> 140mmHg, \< 190mmHg, Diastolic pressure \> 85mmHg. \< 110mmHg.
* 40 \< Age \< 65 years

Exclusion Criteria

* Strong clinical evidence for therapy with AT II/ACE inhibitors before 3 months of screening
* Therapy with antiarrhythmic agents of class I or class III within the last month, therapy with amiodarone within the last 3 months
* Direct current (DC) cardioversion within the last 3 months
* Symptomatic bradycardia
* Implanted pacemaker or implanted cardioverter/defibrillator with any antitachycardiac algorithm in use
* Cardiac surgery or cardiac catheter ablation within the last 3 months
* Typical angina pectoris symptoms at rest or during exercise
* Known coronary artery disease with indication for intervention
* Valvular disease \> II degree
* Left ventricular ejection fraction \< 40%
* Diastolic blood pressure \> 110mm Hg at rest
* Symptomatic arterial hypotension
* Known renal artery stenosis
* Serum creatinine \> 1.8 mval/l
* Relevant hepatic or pulmonary disorders
* Hyperthyroidism manifested clinically and in laboratory
* Known drug intolerance for AT II inhibitors
* Females who are pregnant or breast feeding
* Females of childbearing potential who are not using a scientifically accepted method of contraception
* Participation in a clinical trial within the last 30 days
* Drug addiction or chronic alcohol abuse
* Legal incapacity, or other circumstances which would prevent the patient from understanding the aim, nature or extent of the clinical study
* Evidence of an uncooperative attitude
Minimum Eligible Age

40 Years

Maximum Eligible Age

65 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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The Second Affiliated Hospital of Chongqing Medical University

OTHER

Sponsor Role lead

Responsible Party

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Yuehui Yin

Chief, Dept. of Cardiology, the second affiliated hospital of Chongqing medical university

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Yuehui Yin, MD

Role: STUDY_CHAIR

The Second Affiliated Hospital of Chongqing Medical University

Locations

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2ndChongqingMU

Chongqing, Chongqing Municipality, China

Site Status

Countries

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China

Other Identifiers

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NTP-AF

Identifier Type: -

Identifier Source: org_study_id