Prospective Randomised Investigation of the Safety and Efficacy of Micardis® vs Ramipril Using ABPM
PRISMA
A Prospective Randomised Open- Label Blinded-Endpoint (PROBE) Trial Comparing Telmisartan (MICARDIS®) (40-80-80mg QD) and Ramipril (2.5-5--10mg QD) in Patients With Mild-to-Moderate Hypertension Using Ambulatory Blood Pressure Monitoring. PRISMA = Prospective Randomised Investigation of the Safety and Efficacy of Micardis® vs Ramipril Using ABPM
1 other identifier
interventional
801
8 countries
62
Brief Summary
The primary objective of this study is to demonstrate that telmisartan 80 mg (MICARDIS®) is at least as effective and possibly superior to ramipril 5mg and 10mg in lowering mean ambulatory diastolic blood pressure (DBP) and systolic blood pressure (SBP) during the last 6 hours of the 24-hour dosing interval in mild-to-moderate hypertensive patients at the end of an 8 and 14-week treatment period, respectively.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P75+ for phase_4 hypertension
Started Oct 2002
Shorter than P25 for phase_4 hypertension
62 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
October 1, 2002
CompletedPrimary Completion
Last participant's last visit for primary outcome
November 1, 2003
CompletedStudy Completion
Last participant's last visit for all outcomes
November 1, 2003
CompletedFirst Submitted
Initial submission to the registry
January 10, 2006
CompletedFirst Posted
Study publicly available on registry
January 11, 2006
CompletedNovember 1, 2013
October 1, 2013
1.1 years
January 10, 2006
October 31, 2013
Conditions
Outcome Measures
Primary Outcomes (1)
Changes in the last 6-hour mean (relative to dose time) diastolic and systolic blood pressure (DBP and SBP) as measured by ABPM
after 8 and 14 weeks
Secondary Outcomes (9)
Changes in the last 6-hour ABPM mean (relative to dosing time) for pulse pressure (PP)
after 8 and 14 weeks
Changes in the 24-hour ABPM mean (relative to dosing time) for DBP, SBP and PP
after 8 and 14 weeks
Changes in the ABPM mean (relative to clock-time) for DBP, SBP and PP during the morning, daytime and night-time periods of the 24-hour dosing interval.
after 8 and 14 weeks
Changes in SBP and DBP load during the 24-hour dosing interval
after 8 and 14 weeks
Changes in mean seated trough DBP and SBP as measured by manual in-clinic cuff sphygmomanometer
after 8 and 14 weeks
- +4 more secondary outcomes
Interventions
Eligibility Criteria
You may qualify if:
- Mild-to-moderate hypertension defined as a mean seated diastolic blood pressure of greater than or equal to 95 mmHg and less than or equal to 109 mmHg, measured by manual cuff sphygmomanometer at Visit 2.
- hour mean DBP of greater than or equal to 85 mmHg at Visit 3 as measured by ABPM.
- Age 18 years or older.
- Ability to stop any current antihypertensive therapy without risk to the patient (investigator's discretion).
- Ability to provide written informed consent in accordance with GCP and local legislation.
You may not qualify if:
- Pre-menopausal women (last menstruation approximately less than or equal to 1 year prior to signing informed consent) who:
- Are not surgically sterile
- Are nursing,
- Are of child-bearing potential and are NOT practicing acceptable methods of birth control, or do NOT plan to continue practicing an acceptable method throughout the study. Acceptable methods of birth control include intra uterine device, oral, implantable or injectable contraceptives.
- Night shift workers who routinely sleep during the daytime and whose work hours include midnight to 4:00 A.M.
- Mean sitting SBP greater than or equal to180 mmHg or mean sitting DBP greater than or equal to 110 mmHg during any visit of the placebo run-in period.
- Known or suspected secondary hypertension (i.e., pheochromocytoma).
- Hepatic and/or renal dysfunction as defined by the following laboratory parameters:
- SGPT (ALT) or SGOT (AST) \> 2 times the upper limit of normal range.
- Serum creatinine \> 2.3mg/dL (or \> 203 micromol/l).
- Bilateral renal artery stenosis, renal artery stenosis in a solitary kidney, post-renal transplant patients or patients with only one kidney.
- Clinically relevant sodium depletion, hypokalaemia or hyperkalaemia.
- Uncorrected volume depletion.
- Primary aldosteronism.
- Hereditary fructose intolerance.
- +16 more criteria
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (62)
Rehabilitationszentrum für Herz- und Kreislauferkrankungen
Bad Tatzmannsdorf, 7431, Austria
A.ö. Landeskrankenhaus Bruck a. d. Mur
Bruck A. D. Mur, 8600, Austria
Landeskrankenhaus Graz West
Graz, 8020, Austria
Medizinische Universitätsklinik Graz
Graz, 8036, Austria
Univ.-Klinik für Innere Medizin III
Vienna, 1090, Austria
Landeskrankenhaus Villach
Villach, 9500, Austria
Boehringer Ingelheim Investigational Site
Angers, 49000, France
Boehringer Ingelheim Investigational Site
Angers, 49100, France
Hôpital Saint André
Bordeaux, 33075, France
Boehringer Ingelheim Investigational Site
Laval, 53000, France
Boehringer Ingelheim Investigational Site
Mayenne, 53100, France
Boehringer Ingelheim Investigational Site
Saint Laurent Du Medoc, 33112, France
Boehringer Ingelheim Investigational Site
Saumur, 49400, France
Boehringer Ingelheim Investigational Site
Gaggenau, 76571, Germany
Boehringer Ingelheim Investigational Site
Haag, 83527, Germany
Boehringer Ingelheim Investigational Site
Linkenheim-Hochstetten, 76351, Germany
Boehringer Ingelheim Investigational Site
Mühldorf, 84453, Germany
Boehringer Ingelheim Investigational Site
Plattling, 94447, Germany
Boehringer Ingelheim Investigational Site
Unterschneidheim, 73485, Germany
Boehringer Ingelheim Investigational Site
Villingen-Schwenningen, 78054, Germany
Boehringer Ingelheim Investigational Site
Vilsbiburg, 84137, Germany
Boehringer Ingelheim Investigational Site
Westerkappeln, 49492, Germany
Boehringer Ingelheim Investigational Site
Bennebroek, 2121 BB, Netherlands
Boehringer Ingelheim Investigational Site
Heerlen, 6415 HT, Netherlands
Boehringer Ingelheim Investigational Site
Nijverdal, 7441 BN, Netherlands
Boehringer Ingelheim Investigational Site
Rotterdam, 3082 DC, Netherlands
Boehringer Ingelheim Investigational Site
Bellville, 7531, South Africa
Health Emporium
Midrand, 1685, South Africa
Boehringer Ingelheim Investigational Site
Vanderbijlpark, 1911, South Africa
1 Military Hospital
Vootrekkehoogte, 0143, South Africa
Boehringer Ingelheim Investigational Site
Barcelona, 08003, Spain
Hospital de Galdakao
Galdakao / Vizcaya, 48680, Spain
Pabellon de Consultas
Madrid, 28007, Spain
Edificio de Consultas Externas
Oviedo, 33006, Spain
Boehringer Ingelheim Investigational Site
Salamanca, 37007, Spain
Pabellon B / 1 piso
Santa Coloma de Gramanet, 08923, Spain
Centro de Diagnostico y Tratamiento
Seville, 41013, Spain
Universitätsspital Basel
Basel, 4031, Switzerland
Boehringer Ingelheim Investigational Site
Basel, 4055, Switzerland
Schweizerisches Herz- und Gefässzentrum
Bern, 3010, Switzerland
Cardiocentro Ticino
Lugano, 6900, Switzerland
Boehringer Ingelheim Investigational Site
Muralto, 6600, Switzerland
Boehringer Ingelheim Investigational Site
Münsterlingen, 8596, Switzerland
Boehringer Ingelheim Investigational Site
Ashford, TW15 3EA, United Kingdom
Boehringer Ingelheim Investigational Site
Atherstone, CV9 1EU, United Kingdom
Boehringer Ingelheim Investigational Site
Bath, BA2 3HAT, United Kingdom
Boehringer Ingelheim Investigational Site
Bedworth, CV6 4DD, United Kingdom
Boehringer Ingelheim Investigational Site
Coventry, CV7 8LA, United Kingdom
Boehringer Ingelheim Investigational Site
Doncaster, DN1 2EG, United Kingdom
Boehringer Ingelheim Investigational Site
Fowey, PL23 1DT, United Kingdom
Boehringer Ingelheim Investigational Site
Frome, BA11 2QE, United Kingdom
Boehringer Ingelheim Investigational Site
Glasgow, G69 7AD, United Kingdom
Boehringer Ingelheim Investigational Site
Ilford, IG3 8BG, United Kingdom
Boehringer Ingelheim Investigational Site
Lesley, KY6 3LG, United Kingdom
Boehringer Ingelheim Investigational Site
Lostwithiel, PL22 0EF, United Kingdom
Boehringer Ingelheim Investigational Site
Royal Leamington Spa, CV32 4RA, United Kingdom
Boehringer Ingelheim Investigational Site
Ryde, PO33 2PT, United Kingdom
Boehringer Ingelheim Investigational Site
Trowbridge, BA14 7EG, United Kingdom
Boehringer Ingelheim Investigational Site
Wells Next to the Sea, NR23 1JP, United Kingdom
Boehringer Ingelheim Investigational Site
Whitstable, CT5 1BZ, United Kingdom
Boehringer Ingelheim Investigational Site
Whitstable, CT5 3QU, United Kingdom
York District Hospital
York, YO31 8HE, United Kingdom
MeSH Terms
Conditions
Interventions
Condition Hierarchy (Ancestors)
Intervention Hierarchy (Ancestors)
Study Officials
- STUDY CHAIR
Boehringer Ingelheim Study Coordinator
Boehringer Ingelheim Ltd./Bracknell
Study Design
- Study Type
- interventional
- Phase
- phase 4
- Allocation
- RANDOMIZED
- Masking
- DOUBLE
- Purpose
- TREATMENT
- Intervention Model
- PARALLEL
- Sponsor Type
- INDUSTRY
Study Record Dates
First Submitted
January 10, 2006
First Posted
January 11, 2006
Study Start
October 1, 2002
Primary Completion
November 1, 2003
Study Completion
November 1, 2003
Last Updated
November 1, 2013
Record last verified: 2013-10