AMISH : Aprovel for Management of Isolated Systolic Hypertension
A Multicentre Prospective Randomized Open-Label 12-Week Study With Blinded Evaluation Comparing the Efficacy and Safety of Irbesartan and Irbesartan-Hydrochlorothiazide Fixed Combination With Amlodipine and Amlodipine Plus Hydrochlorothiazide in Elderly Patients With Isolated Systolic Hypertension
1 other identifier
interventional
436
8 countries
8
Brief Summary
To compare the antihypertensive efficacy and tolerability of irbesartan and irbesartan-hydrochlorothiazide fixed combination therapy with amlodipine and amlodipine plus hydrochlorothiazide in the treatment of isolated systolic hypertension.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P75+ for phase_4 hypertension
8 active sites
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
Study Start
First participant enrolled
August 1, 2004
CompletedFirst Submitted
Initial submission to the registry
December 9, 2005
CompletedFirst Posted
Study publicly available on registry
December 12, 2005
CompletedDecember 21, 2007
December 1, 2007
December 9, 2005
December 17, 2007
Conditions
Outcome Measures
Primary Outcomes (1)
Change from baseline in office seated SBP at week 12
Secondary Outcomes (1)
At 4, 8 and 12 weeks: Number of responders and normalized, Change from baseline in pulse pressure (SBP-DBP), Change from baseline in standing SBP, Safety : Change in standing SBP/DBP, incidence of orthostatic hypotension, adverse events
Interventions
Eligibility Criteria
You may qualify if:
- at Screening
- Outpatients
- With newly diagnosed and untreated OR previously diagnosed, treated and uncontrolled Isolated Systolic Hypertension defined as:
- seated Systolic Blood Pressure (SBP) ≥ 160mmHg and \< 220 mmHg \[160-220\[
- AND seated Diastolic Blood Pressure (DBP)\< 90 mmHg
- at Randomization
- Having completed the 2 to 4-week wash-out/placebo run-in phase
- Still eligible for Blood Pressure
- seated SBP ≥ 160mmHg and \< 220 mmHg \[160-220\[
- AND seated DBP \< 90 mmHg.
You may not qualify if:
- Participation in a clinical trial within the previous 3 months
- Patients with a history of irbesartan, amlodipine, or hydrochlorothiazide sensitivity defined as irbesartan, amlodipine, or hydrochlorothiazide discontinuation due to medically significant adverse effects
- Patients currently or previously treated with Angiotensin II Receptor Blocker (irbesartan, losartan, candesartan, valsartan, telmisartan, etc.) or dihydropiridine Calcium Channel Blocker (amlodipine, nicardipine, felodipine, nifedipine, etc.) AND not responding despite maximum tolerated dose
- Known or suspected secondary hypertension (e.g., coarctation of aorta, renovascular stenosis, etc.)
- Known single functional kidney
- History of recent myocardial infarction, coronary artery bypass graft surgery or percutaneous transluminal coronary angioplasty, or cerebrovascular accident (Transient Ischaemic Attack, stroke) within the last 6 months of study entry
- Patients with known gastrointestinal, renal, hepatic, endocrine, cardiovascular, pulmonary, immunological or hematological disease which in the opinion of the investigator is active or uncontrolled
- Patients with significant renal (clearance of creatinine \< 30 mL/mn), hepatic or cardiac insufficiency, or known valvular heart disease
- Serum potassium \< 3.5 mmol/L (mEq/L) or \> 5.5 mmol/L (mEq/L)
- Presence of clinically significant ventricular or supraventricular arrhythmias, or second or third degree atrioventricular block, or QTc prolongation (Bazett \> 450 msec.) on the ECG
- Pregnancy or lactation. Women of child bearing potential (not post-menopausal) should be using a reliable contraceptive method
- The above information is not intended to contain all considerations relevant to a patient's potential participation in a clinical trial.
Contact the study team to confirm eligibility.
Sponsors & Collaborators
- Sanofilead
- Bristol-Myers Squibbcollaborator
Study Sites (8)
Sanofi-Aventis
Santiago, Chile
Sanofi-Aventis
Shanghai, China
Sanofi-Aventis
Jakarta, Indonesia
Sanofi-Aventis
México, Mexico
Sanofi-Aventis
Manila, Philippines
Sanofi-Aventis
Seoul, South Korea
Sanofi-Aventis
Taipei, Taiwan
Sanofi-Aventis
Bangkok, Thailand
MeSH Terms
Conditions
Interventions
Condition Hierarchy (Ancestors)
Intervention Hierarchy (Ancestors)
Study Officials
- STUDY DIRECTOR
Pascale BLONDIN, MD
Sanofi
Study Design
- Study Type
- interventional
- Phase
- phase 4
- Allocation
- RANDOMIZED
- Masking
- NONE
- Purpose
- TREATMENT
- Intervention Model
- PARALLEL
- Sponsor Type
- INDUSTRY
Study Record Dates
First Submitted
December 9, 2005
First Posted
December 12, 2005
Study Start
August 1, 2004
Last Updated
December 21, 2007
Record last verified: 2007-12