Trial Outcomes & Findings for Comparative Effects of Moxonidine on Bone Metabolism, Vascular and Cellular Aging in Hypertensive Postmenopausal Women (NCT NCT02355821)

NCT ID: NCT02355821

Last Updated: 2021-09-01

Results Overview

Changes in Median (Inter-Quartile Range) of the bone resorption marker (collagen type 1 C-telopeptide) at the end of the study from the baseline are evaluated in comparison between the groups

Recruitment status

COMPLETED

Study phase

NA

Target enrollment

114 participants

Primary outcome timeframe

baseline (Visit 1) and 12 months (Visit 4)

Results posted on

2021-09-01

Participant Flow

Participant milestones

Participant milestones
Measure
Moxonidine
0.4 mg moxonidine QD titration up to 0.6 mg moxonidine BID Moxonidine: 0.4 mg moxonidine QD titration up to 0.6 mg moxonidine BID Other Names:perindopril 10 mg/day (optional); losartan 50 mg/day (optional); calcium carbonate; vitamin D
Bisoprolol
5 mg Bisoprolol QD titration up to 7.5 mg Bisoprolol BID Bisoprolol: 5 mg Bisoprolol QD titration up to 7.5 mg Bisoprolol BID Other Names: perindopril 10 mg/day (optional); losartan 50 mg/day (optional); calcium carbonate; vitamin D
Overall Study
STARTED
57
57
Overall Study
COMPLETED
57
57
Overall Study
NOT COMPLETED
0
0

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Comparative Effects of Moxonidine on Bone Metabolism, Vascular and Cellular Aging in Hypertensive Postmenopausal Women

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Moxonidine
n=57 Participants
0.4 mg moxonidine QD titration up to 0.6 mg moxonidine BID Moxonidine: 0.4 mg moxonidine QD titration up to 0.6 mg moxonidine BID Other Names:perindopril 10 mg/day (optional); losartan 50 mg/day (optional); calcium carbonate; vitamin D
Bisoprolol
n=57 Participants
5 mg Bisoprolol QD titration up to 7.5 mg Bisoprolol BID Bisoprolol: 5 mg Bisoprolol QD titration up to 7.5 mg Bisoprolol BID Other Names: perindopril 10 mg/day (optional); losartan 50 mg/day (optional); calcium carbonate; vitamin D
Total
n=114 Participants
Total of all reporting groups
Age, Categorical
<=18 years
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Age, Categorical
Between 18 and 65 years
32 Participants
n=5 Participants
32 Participants
n=7 Participants
64 Participants
n=5 Participants
Age, Categorical
>=65 years
25 Participants
n=5 Participants
25 Participants
n=7 Participants
50 Participants
n=5 Participants
Age, Continuous
62.96 years
STANDARD_DEVIATION 9.1 • n=5 Participants
60.5 years
STANDARD_DEVIATION 9.1 • n=7 Participants
62 years
STANDARD_DEVIATION 9 • n=5 Participants
Sex: Female, Male
Female
57 Participants
n=5 Participants
57 Participants
n=7 Participants
114 Participants
n=5 Participants
Sex: Female, Male
Male
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
Asian
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
Black or African American
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
White
57 Participants
n=5 Participants
57 Participants
n=7 Participants
114 Participants
n=5 Participants
Race (NIH/OMB)
More than one race
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
Unknown or Not Reported
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Region of Enrollment
Russia
57 participants
n=5 Participants
57 participants
n=7 Participants
114 participants
n=5 Participants
Bone resorption marker (collagen type 1 C-telopeptide)
0.4 ng/ml
n=5 Participants
0.4 ng/ml
n=7 Participants
0.4 ng/ml
n=5 Participants

PRIMARY outcome

Timeframe: baseline (Visit 1) and 12 months (Visit 4)

Changes in Median (Inter-Quartile Range) of the bone resorption marker (collagen type 1 C-telopeptide) at the end of the study from the baseline are evaluated in comparison between the groups

Outcome measures

Outcome measures
Measure
Moxonidine
n=57 Participants
0.4 mg moxonidine QD titration up to 0.6 mg moxonidine BID Moxonidine: 0.4 mg moxonidine QD titration up to 0.6 mg moxonidine BID Other Names:perindopril 10 mg/day (optional); losartan 50 mg/day (optional); calcium carbonate; vitamin D
Bisoprolol
n=57 Participants
5 mg Bisoprolol QD titration up to 7.5 mg Bisoprolol BID Bisoprolol: 5 mg Bisoprolol QD titration up to 7.5 mg Bisoprolol BID Other Names: perindopril 10 mg/day (optional); losartan 50 mg/day (optional); calcium carbonate; vitamin D
Collagen Type 1 C-telopeptide
Baseline
0.4 ng/ml
Interval 0.3 to 0.5
0.4 ng/ml
Interval 0.3 to 0.6
Collagen Type 1 C-telopeptide
12 months
0.3 ng/ml
Interval 0.2 to 0.4
0.4 ng/ml
Interval 0.3 to 0.5

SECONDARY outcome

Timeframe: baseline (Visit 1) and 12 months (Visit 4)

Changes in Median (Inter-Quartile Range) values of the bone synthesis marker (osteocalcin) at the end of the study (V4) from the baseline (V1) and to compare the values between the groups.

Outcome measures

Outcome measures
Measure
Moxonidine
n=57 Participants
0.4 mg moxonidine QD titration up to 0.6 mg moxonidine BID Moxonidine: 0.4 mg moxonidine QD titration up to 0.6 mg moxonidine BID Other Names:perindopril 10 mg/day (optional); losartan 50 mg/day (optional); calcium carbonate; vitamin D
Bisoprolol
n=57 Participants
5 mg Bisoprolol QD titration up to 7.5 mg Bisoprolol BID Bisoprolol: 5 mg Bisoprolol QD titration up to 7.5 mg Bisoprolol BID Other Names: perindopril 10 mg/day (optional); losartan 50 mg/day (optional); calcium carbonate; vitamin D
Osteocalcin
Baseline
18.2 ng/ml
Interval 12.4 to 21.9
19.4 ng/ml
Interval 12.4 to 26.2
Osteocalcin
12 months
19.6 ng/ml
Interval 15.4 to 23.5
18.7 ng/ml
Interval 12.8 to 22.79

SECONDARY outcome

Timeframe: baseline (Visit 1) and 12 months (Visit 4)

Changes in Median (Inter-Quartile Range) values of the receptor activator of nuclear factor kappa-B ligand (RANKL) at final visit versus baseline level in comparison between the groups

Outcome measures

Outcome measures
Measure
Moxonidine
n=57 Participants
0.4 mg moxonidine QD titration up to 0.6 mg moxonidine BID Moxonidine: 0.4 mg moxonidine QD titration up to 0.6 mg moxonidine BID Other Names:perindopril 10 mg/day (optional); losartan 50 mg/day (optional); calcium carbonate; vitamin D
Bisoprolol
n=57 Participants
5 mg Bisoprolol QD titration up to 7.5 mg Bisoprolol BID Bisoprolol: 5 mg Bisoprolol QD titration up to 7.5 mg Bisoprolol BID Other Names: perindopril 10 mg/day (optional); losartan 50 mg/day (optional); calcium carbonate; vitamin D
Receptor Activator of Nuclear Factor Kappa-B Ligand (RANKL).
Baseline
0.109 pmol/ml
Interval 0.06 to 0.18
0.133 pmol/ml
Interval 0.06 to 0.182
Receptor Activator of Nuclear Factor Kappa-B Ligand (RANKL).
12 month
0.09 pmol/ml
Interval 0.05 to 0.17
0.111 pmol/ml
Interval 0.07 to 0.163

SECONDARY outcome

Timeframe: 12 months

Population: Total hip BMD

Changes in Median (Inter-Quartile Range) values of Bone mineral density (BMD) at final visit versus baseline level using control dual-energy X-ray absorptiometry and in comparison between the groups

Outcome measures

Outcome measures
Measure
Moxonidine
n=57 Participants
0.4 mg moxonidine QD titration up to 0.6 mg moxonidine BID Moxonidine: 0.4 mg moxonidine QD titration up to 0.6 mg moxonidine BID Other Names:perindopril 10 mg/day (optional); losartan 50 mg/day (optional); calcium carbonate; vitamin D
Bisoprolol
n=57 Participants
5 mg Bisoprolol QD titration up to 7.5 mg Bisoprolol BID Bisoprolol: 5 mg Bisoprolol QD titration up to 7.5 mg Bisoprolol BID Other Names: perindopril 10 mg/day (optional); losartan 50 mg/day (optional); calcium carbonate; vitamin D
Bone Mineral Density (BMD) Using Control Dual-energy X-ray Absorptiometry
Baseline
-1.0 g/cm2
Interval -1.7 to -0.2
-0.55 g/cm2
Interval -1.3 to -0.2
Bone Mineral Density (BMD) Using Control Dual-energy X-ray Absorptiometry
12 months
-0.6 g/cm2
Interval -0.9 to -0.1
-1.2 g/cm2
Interval -1.9 to -0.75

SECONDARY outcome

Timeframe: baseline (Visit 1) and 12 months (Visit 4)

Changes in Median (Inter-Quartile Range) telomerase activity at final visit versus baseline level in comparison between the groups Telomerase activity is measured in arbitrary units. Currently, there are no established reference values for telomerase activity in the world. Its activity is considered high or low in relation to the median.

Outcome measures

Outcome measures
Measure
Moxonidine
n=57 Participants
0.4 mg moxonidine QD titration up to 0.6 mg moxonidine BID Moxonidine: 0.4 mg moxonidine QD titration up to 0.6 mg moxonidine BID Other Names:perindopril 10 mg/day (optional); losartan 50 mg/day (optional); calcium carbonate; vitamin D
Bisoprolol
n=57 Participants
5 mg Bisoprolol QD titration up to 7.5 mg Bisoprolol BID Bisoprolol: 5 mg Bisoprolol QD titration up to 7.5 mg Bisoprolol BID Other Names: perindopril 10 mg/day (optional); losartan 50 mg/day (optional); calcium carbonate; vitamin D
Telomerase Activity
Baseline
0.87 arbitrary units
Interval 0.16 to 1.18
0.89 arbitrary units
Interval 0.16 to 1.15
Telomerase Activity
12 months
1.15 arbitrary units
Interval 0.74 to 1.59
0.64 arbitrary units
Interval 0.46 to 1.01

SECONDARY outcome

Timeframe: baseline (Visit 1) and 12 months (Visit 4)

Changes in mean pulse wave velocity (PWV) at final visit versus baseline level and in comparison between the groups

Outcome measures

Outcome measures
Measure
Moxonidine
n=57 Participants
0.4 mg moxonidine QD titration up to 0.6 mg moxonidine BID Moxonidine: 0.4 mg moxonidine QD titration up to 0.6 mg moxonidine BID Other Names:perindopril 10 mg/day (optional); losartan 50 mg/day (optional); calcium carbonate; vitamin D
Bisoprolol
n=57 Participants
5 mg Bisoprolol QD titration up to 7.5 mg Bisoprolol BID Bisoprolol: 5 mg Bisoprolol QD titration up to 7.5 mg Bisoprolol BID Other Names: perindopril 10 mg/day (optional); losartan 50 mg/day (optional); calcium carbonate; vitamin D
Pulse Wave Velocity (PWV)
Baseline
10.35 m/s
Standard Deviation 2.56
10.36 m/s
Standard Deviation 2.47
Pulse Wave Velocity (PWV)
12 months
10.05 m/s
Standard Deviation 2.29
11.26 m/s
Standard Deviation 2.6

SECONDARY outcome

Timeframe: baseline (Visit 1) and 12 months (Visit 4)

Changes in mean intima-media thickness (IMT) at final visit in comparison between the groups.

Outcome measures

Outcome measures
Measure
Moxonidine
n=57 Participants
0.4 mg moxonidine QD titration up to 0.6 mg moxonidine BID Moxonidine: 0.4 mg moxonidine QD titration up to 0.6 mg moxonidine BID Other Names:perindopril 10 mg/day (optional); losartan 50 mg/day (optional); calcium carbonate; vitamin D
Bisoprolol
n=57 Participants
5 mg Bisoprolol QD titration up to 7.5 mg Bisoprolol BID Bisoprolol: 5 mg Bisoprolol QD titration up to 7.5 mg Bisoprolol BID Other Names: perindopril 10 mg/day (optional); losartan 50 mg/day (optional); calcium carbonate; vitamin D
Intima-media Thickness (IMT)
Baseline
0.98 mm
Standard Deviation 0.17
0.98 mm
Standard Deviation 0.15
Intima-media Thickness (IMT)
12 months
0.77 mm
Standard Deviation 0.14
0.88 mm
Standard Deviation 0.16

SECONDARY outcome

Timeframe: baseline (Visit 1) and 12 months (Visit 4)

Proportion of the treatment responders (defined as the proportion (%) of patients who achieved target blood pressure \<140/90 mmHg) after 8 and 48 weeks of the investigated treatment (V2, V3 and V4) and to compare the values between the groups.

Outcome measures

Outcome measures
Measure
Moxonidine
n=57 Participants
0.4 mg moxonidine QD titration up to 0.6 mg moxonidine BID Moxonidine: 0.4 mg moxonidine QD titration up to 0.6 mg moxonidine BID Other Names:perindopril 10 mg/day (optional); losartan 50 mg/day (optional); calcium carbonate; vitamin D
Bisoprolol
n=57 Participants
5 mg Bisoprolol QD titration up to 7.5 mg Bisoprolol BID Bisoprolol: 5 mg Bisoprolol QD titration up to 7.5 mg Bisoprolol BID Other Names: perindopril 10 mg/day (optional); losartan 50 mg/day (optional); calcium carbonate; vitamin D
THe Number (Percentage) of the Treatment Responders
55 Participants
53 Participants

SECONDARY outcome

Timeframe: baseline (Visit 1) and 12 months (Visit 4)

Number of Participants with Adverse Events (AE)

Outcome measures

Outcome measures
Measure
Moxonidine
n=57 Participants
0.4 mg moxonidine QD titration up to 0.6 mg moxonidine BID Moxonidine: 0.4 mg moxonidine QD titration up to 0.6 mg moxonidine BID Other Names:perindopril 10 mg/day (optional); losartan 50 mg/day (optional); calcium carbonate; vitamin D
Bisoprolol
n=57 Participants
5 mg Bisoprolol QD titration up to 7.5 mg Bisoprolol BID Bisoprolol: 5 mg Bisoprolol QD titration up to 7.5 mg Bisoprolol BID Other Names: perindopril 10 mg/day (optional); losartan 50 mg/day (optional); calcium carbonate; vitamin D
Number of Participants With Adverse Events (AE)
3 Participants
3 Participants

Adverse Events

Moxonidine

Serious events: 0 serious events
Other events: 3 other events
Deaths: 0 deaths

Bisoprolol

Serious events: 0 serious events
Other events: 3 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Other adverse events
Measure
Moxonidine
n=57 participants at risk
0.4 mg moxonidine QD titration up to 0.6 mg moxonidine BID Moxonidine: 0.4 mg moxonidine QD titration up to 0.6 mg moxonidine BID Other Names:perindopril 10 mg/day (optional); losartan 50 mg/day (optional); calcium carbonate; vitamin D
Bisoprolol
n=57 participants at risk
5 mg Bisoprolol QD titration up to 7.5 mg Bisoprolol BID Bisoprolol: 5 mg Bisoprolol QD titration up to 7.5 mg Bisoprolol BID Other Names: perindopril 10 mg/day (optional); losartan 50 mg/day (optional); calcium carbonate; vitamin D
General disorders
headache
3.5%
2/57 • Number of events 2 • baseline (Visit 1) and 12 months (Visit 4)
1.8%
1/57 • Number of events 1 • baseline (Visit 1) and 12 months (Visit 4)
General disorders
cough
0.00%
0/57 • baseline (Visit 1) and 12 months (Visit 4)
3.5%
2/57 • Number of events 2 • baseline (Visit 1) and 12 months (Visit 4)
General disorders
Dry mouth
1.8%
1/57 • Number of events 1 • baseline (Visit 1) and 12 months (Visit 4)
0.00%
0/57 • baseline (Visit 1) and 12 months (Visit 4)

Additional Information

Ekaterina Dudinskaya, head of age-related metabolic and endocrine disorders laboratory

RGNKC

Phone: +79031914690

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place