Trial Outcomes & Findings for The Use of TrIple Fixed-dose Combination in the Treatment of Arterial Hypertension (NCT NCT03722524)

NCT ID: NCT03722524

Last Updated: 2021-06-10

Results Overview

Changes in the mean office systolic BP levels (in mm Hg) in the sitting position Blood pressure was measured in accordance with the guidelines of the European Society of Hypertension (ESH) using the auscultatory or oscillometric method and a semi-automated sphygmomanometer. Before taking measurements, the patient remained in a sitting position for 3-5 minutes. Blood pressure was determined on each arm, and the arm with the highest value was taken as the reference. Measurements were taken thrice in the sitting position of a patient, and the average of the second and third BP measurements on the reference arm with an interval of at least 1-2 minutes was recorded.

Recruitment status

COMPLETED

Target enrollment

1247 participants

Primary outcome timeframe

Baseline, 3 months

Results posted on

2021-06-10

Participant Flow

Participant milestones

Participant milestones
Measure
Patients With Arterial Hypertension
The patient is included in the program if prior to the study his/her doctor decided to adjust treatment, targeted at the BP control improvement, by prescription of a triple FDC of amlodipine / indapamide / perindopril arginine. The prescription of the triple FDC of amlodipine / indapamide / perindopril arginine during the program is made by the doctor's decision according to the instructions for medical use of this FDC. Presumably, each doctor will include 4 patients in average. It is planned to include 1,300 patients. amlodipine / indapamide / perindopril arginine FDC: CCB / diuretic / ACE inhibitor
Overall Study
STARTED
1247
Overall Study
COMPLETED
1148
Overall Study
NOT COMPLETED
99

Reasons for withdrawal

Reasons for withdrawal
Measure
Patients With Arterial Hypertension
The patient is included in the program if prior to the study his/her doctor decided to adjust treatment, targeted at the BP control improvement, by prescription of a triple FDC of amlodipine / indapamide / perindopril arginine. The prescription of the triple FDC of amlodipine / indapamide / perindopril arginine during the program is made by the doctor's decision according to the instructions for medical use of this FDC. Presumably, each doctor will include 4 patients in average. It is planned to include 1,300 patients. amlodipine / indapamide / perindopril arginine FDC: CCB / diuretic / ACE inhibitor
Overall Study
Protocol Violation
86
Overall Study
Adverse Event
7
Overall Study
Lost to Follow-up
1
Overall Study
Reason is not stated
1
Overall Study
Physician Decision
1
Overall Study
Patient's decision (refusal to continue participation)
3

Baseline Characteristics

No gender was indicated for 10 patients

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Patients With Arterial Hypertension
n=1148 Participants
The patient is included in the program if prior to the study his/her doctor decided to adjust treatment, targeted at the BP control improvement, by prescription of a triple FDC of amlodipine / indapamide / perindopril arginine. The prescription of the triple FDC of amlodipine / indapamide / perindopril arginine during the program is made by the doctor's decision according to the instructions for medical use of this FDC. Presumably, each doctor will include 4 patients in average. It is planned to include 1,300 patients. amlodipine / indapamide / perindopril arginine FDC: CCB / diuretic / ACE inhibitor
Age, Categorical
<=18 years
0 Participants
n=1148 Participants
Age, Categorical
Between 18 and 65 years
810 Participants
n=1148 Participants
Age, Categorical
>=65 years
338 Participants
n=1148 Participants
Age, Continuous
59.24 years
STANDARD_DEVIATION 10.48 • n=1148 Participants
Sex: Female, Male
Female
687 Participants
n=1138 Participants • No gender was indicated for 10 patients
Sex: Female, Male
Male
451 Participants
n=1138 Participants • No gender was indicated for 10 patients
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=1148 Participants
Race (NIH/OMB)
Asian
0 Participants
n=1148 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=1148 Participants
Race (NIH/OMB)
Black or African American
0 Participants
n=1148 Participants
Race (NIH/OMB)
White
0 Participants
n=1148 Participants
Race (NIH/OMB)
More than one race
0 Participants
n=1148 Participants
Race (NIH/OMB)
Unknown or Not Reported
1148 Participants
n=1148 Participants
Region of Enrollment
Russia
1148 participants
n=1148 Participants
Patients with arterial hypertension
1148 Participants
n=1148 Participants

PRIMARY outcome

Timeframe: Baseline, 3 months

Changes in the mean office systolic BP levels (in mm Hg) in the sitting position Blood pressure was measured in accordance with the guidelines of the European Society of Hypertension (ESH) using the auscultatory or oscillometric method and a semi-automated sphygmomanometer. Before taking measurements, the patient remained in a sitting position for 3-5 minutes. Blood pressure was determined on each arm, and the arm with the highest value was taken as the reference. Measurements were taken thrice in the sitting position of a patient, and the average of the second and third BP measurements on the reference arm with an interval of at least 1-2 minutes was recorded.

Outcome measures

Outcome measures
Measure
Patients With Arterial Hypertension
n=1148 Participants
The patient is included in the program if prior to the study his/her doctor decided to adjust treatment, targeted at the BP control improvement, by prescription of a triple FDC of amlodipine / indapamide / perindopril arginine. The prescription of the triple FDC of amlodipine / indapamide / perindopril arginine during the program is made by the doctor's decision according to the instructions for medical use of this FDC. Presumably, each doctor will include 4 patients in average. It is planned to include 1,300 patients. amlodipine / indapamide / perindopril arginine FDC: CCB / diuretic / ACE inhibitor
The Mean Systolic BP Changes (mm Hg) at the Visit 4 vs. Baseline
33.47 mm Hg
Standard Deviation 11.70

PRIMARY outcome

Timeframe: Baseline, 3 months

Changes in the mean office diastolic BP levels (in mm Hg) in the sitting position

Outcome measures

Outcome measures
Measure
Patients With Arterial Hypertension
n=1148 Participants
The patient is included in the program if prior to the study his/her doctor decided to adjust treatment, targeted at the BP control improvement, by prescription of a triple FDC of amlodipine / indapamide / perindopril arginine. The prescription of the triple FDC of amlodipine / indapamide / perindopril arginine during the program is made by the doctor's decision according to the instructions for medical use of this FDC. Presumably, each doctor will include 4 patients in average. It is planned to include 1,300 patients. amlodipine / indapamide / perindopril arginine FDC: CCB / diuretic / ACE inhibitor
The Mean Diastolic BP Changes (mm Hg) at the Visit 4 vs Baseline.
14.34 mm Hg
Standard Deviation 8.63

SECONDARY outcome

Timeframe: Baseline, 3 months

The assessment of the target office BP levels (SBP \<140 mm Hg and DBP \<90 mm Hg) was performed in accordance with ESC Guidelines for the management of arterial hypertension (2013)

Outcome measures

Outcome measures
Measure
Patients With Arterial Hypertension
n=1148 Participants
The patient is included in the program if prior to the study his/her doctor decided to adjust treatment, targeted at the BP control improvement, by prescription of a triple FDC of amlodipine / indapamide / perindopril arginine. The prescription of the triple FDC of amlodipine / indapamide / perindopril arginine during the program is made by the doctor's decision according to the instructions for medical use of this FDC. Presumably, each doctor will include 4 patients in average. It is planned to include 1,300 patients. amlodipine / indapamide / perindopril arginine FDC: CCB / diuretic / ACE inhibitor
Percentage of Patients Who Achieved the Target Office BP Levels (SBP <140 mm Hg and DBP <90 mm Hg) at Visit 4 vs Baseline
93.38 percentage of patients
Interval 91.74 to 94.72

SECONDARY outcome

Timeframe: Baseline, 3 months

Change in the mean score of the of the physical component of the The Short Form (36) Health Survey (SF-36) survey. The SF-36 consists of eight scaled scores, which are the weighted sums of the questions in their section. Each scale is directly transformed into a 0-100 scale on the assumption that each question carries equal weight. The lower the score the more disability. The higher the score the less disability i.e., a score of zero is equivalent to maximum disability and a score of 100 is equivalent to no disability.

Outcome measures

Outcome measures
Measure
Patients With Arterial Hypertension
n=1148 Participants
The patient is included in the program if prior to the study his/her doctor decided to adjust treatment, targeted at the BP control improvement, by prescription of a triple FDC of amlodipine / indapamide / perindopril arginine. The prescription of the triple FDC of amlodipine / indapamide / perindopril arginine during the program is made by the doctor's decision according to the instructions for medical use of this FDC. Presumably, each doctor will include 4 patients in average. It is planned to include 1,300 patients. amlodipine / indapamide / perindopril arginine FDC: CCB / diuretic / ACE inhibitor
The Mean Standardized Score of the Physical Component of the Quality of Life Questionnaire The Short Form (36) Health Survey at Visit 4 vs Baseline
13.64 score on a scale
Standard Deviation 18.06

SECONDARY outcome

Timeframe: Baseline, 3 months

Change in the mean score of the of the physical component of the SF-36 survey Change in the mean score of the of the physical component of the The Short Form (36) Health Survey (SF-36) survey. The SF-36 consists of eight scaled scores, which are the weighted sums of the questions in their section. Each scale is directly transformed into a 0-100 scale on the assumption that each question carries equal weight. The lower the score the more disability. The higher the score the less disability i.e., a score of zero is equivalent to maximum disability and a score of 100 is equivalent to no disability.

Outcome measures

Outcome measures
Measure
Patients With Arterial Hypertension
n=1148 Participants
The patient is included in the program if prior to the study his/her doctor decided to adjust treatment, targeted at the BP control improvement, by prescription of a triple FDC of amlodipine / indapamide / perindopril arginine. The prescription of the triple FDC of amlodipine / indapamide / perindopril arginine during the program is made by the doctor's decision according to the instructions for medical use of this FDC. Presumably, each doctor will include 4 patients in average. It is planned to include 1,300 patients. amlodipine / indapamide / perindopril arginine FDC: CCB / diuretic / ACE inhibitor
The Mean Standardized Score of the Mental Component of the Quality of Life Questionnaire The Short Form (36) Health Survey at Visit 4 vs Baseline
23.57 score on a scale
Standard Deviation 13.79

Adverse Events

Patients With Arterial Hypertension

Serious events: 3 serious events
Other events: 9 other events
Deaths: 0 deaths

Serious adverse events

Serious adverse events
Measure
Patients With Arterial Hypertension
n=1148 participants at risk
The patient is included in the program if prior to the study his/her doctor decided to adjust treatment, targeted at the BP control improvement, by prescription of a triple FDC of amlodipine / indapamide / perindopril arginine. The prescription of the triple FDC of amlodipine / indapamide / perindopril arginine during the program is made by the doctor's decision according to the instructions for medical use of this FDC. Presumably, each doctor will include 4 patients in average. It is planned to include 1,300 patients. amlodipine / indapamide / perindopril arginine FDC: CCB / diuretic / ACE inhibitor
Immune system disorders
tooth abscess
0.09%
1/1148 • Number of events 1 • 10 months
Immune system disorders
exacerbation of chronic pyelonephritis
0.09%
1/1148 • Number of events 1 • 10 months
Vascular disorders
unstable angina
0.09%
1/1148 • Number of events 1 • 10 months

Other adverse events

Other adverse events
Measure
Patients With Arterial Hypertension
n=1148 participants at risk
The patient is included in the program if prior to the study his/her doctor decided to adjust treatment, targeted at the BP control improvement, by prescription of a triple FDC of amlodipine / indapamide / perindopril arginine. The prescription of the triple FDC of amlodipine / indapamide / perindopril arginine during the program is made by the doctor's decision according to the instructions for medical use of this FDC. Presumably, each doctor will include 4 patients in average. It is planned to include 1,300 patients. amlodipine / indapamide / perindopril arginine FDC: CCB / diuretic / ACE inhibitor
Vascular disorders
arterial hypotension with BP of 80/50 mm Hg and weakness
0.09%
1/1148 • Number of events 1 • 10 months
Vascular disorders
treatment inefficacy
0.09%
1/1148 • Number of events 1 • 10 months
Vascular disorders
unstable angina
0.09%
1/1148 • Number of events 1 • 10 months
Cardiac disorders
cough
0.44%
5/1148 • Number of events 5 • 10 months
Vascular disorders
arterial hypotension
0.09%
1/1148 • Number of events 1 • 10 months

Additional Information

Natalya LOGUNOVA

AO Servier

Phone: +7 495 9370700

Results disclosure agreements

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