Treatment Optimisation for Blood Pressure With Single-Pill Combinations in India
NCT ID: NCT05683301
Last Updated: 2024-10-08
Study Results
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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COMPLETED
PHASE4
1981 participants
INTERVENTIONAL
2022-08-30
2024-09-22
Brief Summary
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Single Pill combinations (SPCs): 1) Amlodipine + Perindopril, 2) Perindopril + Indapamide, 3) Amlodipine + Indapamide
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Detailed Description
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Conditions
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Study Design
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RANDOMIZED
PARALLEL
OTHER
QUADRUPLE
Study Groups
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Arm 1
(Arm 1 compare to Arm 2 compare to Arm 3) - Treatment Period 1 (Enrollment - 2 months) - Single Pill Combination of Amlodipine 5 mg and Perindopril 4 mg once daily, orally Treatment Period 2 (2 months - 6 months) - Single Pill Combination of Amlodipine 10 mg and Perindopril 8 mg once daily, orally
Amlodipine + Perindopril
Single pill combination of dual antihypertensive agent
Arm 2
(Arm 1 compare to Arm 2 compare to Arm 3) - Treatment Period 1 (Enrollment - 2 months) - Single Pill Combination of Perindopril 4 mg and Indapamide 1.25 mg once daily, orally Treatment Period 2 (2 months - 6 months) - Single Pill Combination of Perindopril 8 mg and Indapamide 2.5 mg once daily, orally
Perindopril + Indapamide
Single pill combination of dual antihypertensive agent
Arm 3
(Arm 1 compare to Arm 2 compare to Arm 3) - Treatment Period 1 (Enrollment - 2 months) - Single Pill Combination of Amlodipine 5 mg and Indapamide 1.5 mg sustained release once daily, orally Treatment Period 2 (2 months - 6 months) - Single Pill Combination of Amlodipine 10 mg and Indapamide 1.5 mg sustained release once daily, orally
Amlodipine + Indapamide
Single pill combination of dual antihypertensive agent
Interventions
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Amlodipine + Perindopril
Single pill combination of dual antihypertensive agent
Perindopril + Indapamide
Single pill combination of dual antihypertensive agent
Amlodipine + Indapamide
Single pill combination of dual antihypertensive agent
Eligibility Criteria
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Inclusion Criteria
2. Sitting clinic values\* of SBP ≥140 mmHg and \<160 mmHg on one antihypertensive agent OR
3. Sitting clinic values\* of SBP ≥150 mmHg and \<180 mmHg on no antihypertensive treatment \* Mean of the last 2 of 3 readings.
Exclusion Criteria
2. Patients with a history of intolerance to any of the study medications for example angioedema or dry cough with Angiotensin-converting enzyme inhibitors.
3. Serum creatinine levels greater than 132.6µmol/l (1.5mg/dl)
4. 4\. History of coronary heart disease (i.e., chronic stable angina, myocardial infarction or acute coronary syndrome).
5. History of a stroke or other cerebrovascular accident (i.e. transient ischaemic attack or reversible ischaemic neurological deficit).
6. Severe hepatic impairment
7. Treatment with agents causing torsades de pointes
8. Lactation
9. Contraindications to any of the investigational medicinal products as per the summaries product characteristics of drugs studied
10. Known or suspected secondary hypertension.
11. Any other concomitant illness, physical or mental impairment that could interfere with the effective conduct of the study.
12. Pregnancy or those of child-bearing age who are not taking reliable contraception.
13. History of Gout.
14. Serum potassium \< 3.5mmol/L at screening.
\-
30 Years
79 Years
ALL
No
Sponsors
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All India Institute of Medical Sciences
OTHER
Imperial College London
OTHER
Centre for Chronic Disease Control, India
OTHER
Responsible Party
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Dr. Dorairaj Prabhakaran
Executive Director
Principal Investigators
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Dorairaj Prabhakaran, DM Cardiology
Role: PRINCIPAL_INVESTIGATOR
Centre for Chronic Disease Control, New Delhi
Locations
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Lalitha Super Specialities Hospital
Guntur, Andhra Pradesh, India
Apollo Hospitals
Visakhapatnam, Andhra Pradesh, India
Assam Medical College
Dibrugarh, Assam, India
Apollo-Excelcare Hospital
Guwahati, Assam, India
Rudraksha Hospital
Ahmedabad, Gujarat, India
Apollo Hospitals
Ahmedabad, Gujarat, India
Aman Hospital & Research Center
Vadodara, Gujarat, India
Lifecare Hospital & Research Centre
Bangalore, Karnataka, India
SDM College of Medical Sciences & Hospital
Dharwad, Karnataka, India
Indiana Hospital & Heart Institute
Mangalore, Karnataka, India
JSS Hospital
Mysore, Karnataka, India
BLDE, Shri B. M. Patil Medical College, Hospital & Research Centre
Vijayapura, Karnataka, India
Lisie Hospital
Ernākulam, Kerala, India
Lakshmi Hospital
Palakkad, Kerala, India
BKL Walawalkar Rural Medical College and Hospital
Devran, Maharashtra, India
Bhatia Hospital
Mumbai, Maharashtra, India
Sengupta Hospital & Research Institute
Nagpur, Maharashtra, India
Shalinitai Meghe Hospital and Research Center
Nagpur, Maharashtra, India
Nazareth Hospital
Shillong, Meghālaya, India
North Eastern Indira Gandhi Regional Institute of Medical Sciences
Shillong, Meghālaya, India
All India Institute of Medical Sciences
New Delhi, National Capital Territory of Delhi, India
Indraprastha Apollo Hospitals
New Delhi, National Capital Territory of Delhi, India
Apollo Hospitals
Bhubaneshwar, Odisha, India
All India Institute of Medical Sciences
Bathinda, Punjab, India
Dayanand Medical College and Hospital
Ludhiana, Punjab, India
Sadbhavna Medical and Heart Institute
Patiāla, Punjab, India
SP Medical College
Bikaner, Rajasthan, India
All India Institute of Medical Sciences
Jodhpur, Rajasthan, India
Madras Medical College
Chennai, Tamil Nadu, India
Sri Ramchandra Institute of Higher Education and Research
Chennai, Tamil Nadu, India
Apollo Hospital
Madurai, Tamil Nadu, India
Osmania General Hospital
Hyderabad, Telangana, India
Apollo DRDO Hospitals
Hyderabad, Telangana, India
Apollo Institute of Medical Sciences
Hyderabad, Telangana, India
Mediciti Institute of Medical Sciences
Hyderabad, Telangana, India
Countries
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References
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Prabhakaran D, Roy A, Chandrasekaran AM, Kondal D, Mukherjee S, Kiru G, Singh K, Salwa H, Sobitharaj EC, Lobo AS, Mahajan G, Mohan B, Khanna A, Malviya A, Patil SG, Abichandani VK, Singh B, Gupta BK, Yellapantula B, Dandge S, Sengupta S, Kumar S, Bardoloi N, Senguttuvan NB, Sahay RK, Patil S, Deora S, Prahalad R, Sarvepalli VP, Gnanaraj JP, Khanna M, Mishra A, Aithal K, Chavda V, Cornelius VR; TOPSPIN Clinical Consortia; Poulter NR. Comparison of dual therapies for hypertension treatment in India: a randomized clinical trial. Nat Med. 2025 Sep;31(9):3169-3175. doi: 10.1038/s41591-025-03854-w. Epub 2025 Jul 25.
Other Identifiers
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CCDC-2022-001
Identifier Type: -
Identifier Source: org_study_id
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