NCT00421863

Brief Summary

Multicenter, prospective, randomised, open study comparing the effect of the following two strategies in hypertensive subjects \> 55 years and poorly controlled (systolic blood pressure \>= 150 mmHg) by antihypertensive treatment:

  • usual strategy: reduction of systolic blood pressure to below 140 mmHg, independently of diastolic blood pressure levels;
  • intensive strategy: reduction of systolic blood pressure to below 130 mmHg, independently of diastolic blood pressure levels. During the initial run in period two qualifying visits at distance of 7-14 days will be carried out to establish whether blood pressure remains uncontrolled (systolic blood pressure \>=150 mmHg)by current drug treatment. At the end of the second visit eligible patients will be admitted to the study and the following examinations will be carried out: clinical visit, routine laboratory tests, 12-lead ECG. At this point eligible patients will be randomised to one of the two blood pressure goals outlined above. Subsequent clinical visits will be carried out at 4 month-intervals up to the end of the study (4, 8, 12, 16, 20, 24 months).

Trial Health

87
On Track

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
1,111

participants targeted

Target at P75+ for phase_4 hypertension

Timeline
Completed

Started Feb 2005

Longer than P75 for phase_4 hypertension

Geographic Reach
1 country

45 active sites

Status
completed

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

Click on a node to explore related trials.

Study Timeline

Key milestones and dates

Study Start

First participant enrolled

February 1, 2005

Completed
1.9 years until next milestone

First Submitted

Initial submission to the registry

January 12, 2007

Completed
3 days until next milestone

First Posted

Study publicly available on registry

January 15, 2007

Completed
2 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

January 1, 2009

Completed
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

January 1, 2009

Completed
Last Updated

February 3, 2021

Status Verified

March 1, 2013

Enrollment Period

3.9 years

First QC Date

January 12, 2007

Last Update Submit

February 2, 2021

Conditions

Keywords

hypertensionsystolic blood pressure

Outcome Measures

Primary Outcomes (1)

  • changes in Left Ventricular Hypertrophy (LVH) at Electro Cardio Gramme (ECG).

    0, 12, 24 months

Study Arms (2)

Intensive Strategy

OTHER
Drug: Triatec 10 mgDrug: Triatec HCT 5Drug: Lasix 25Drug: Micardis 80 mgDrug: Micardis plus 80/12.5Drug: Catapresan TTS 2Drug: Norvasc 10 mgDrug: Triatec 5 mgDrug: Pluscor

Usual Strategy

OTHER
Drug: Triatec 10 mgDrug: Triatec HCT 5Drug: Lasix 25Drug: Micardis 80 mgDrug: Micardis plus 80/12.5Drug: Catapresan TTS 2Drug: Norvasc 10 mgDrug: Triatec 5 mgDrug: Pluscor

Interventions

Use and dosage according to physician judgement, concomitant treatment assumed and randomization arm (Intensive Strategy vs. Usual Strategy).

Intensive StrategyUsual Strategy

Use and dosage according to physician judgement, concomitant treatment assumed and randomization arm (Intensive Strategy vs. Usual Strategy).

Intensive StrategyUsual Strategy

Use and dosage according to physician judgement, concomitant treatment assumed and randomization arm (Intensive Strategy vs. Usual Strategy).

Intensive StrategyUsual Strategy

Use and dosage according to physician judgement, concomitant treatment assumed and randomization arm (Intensive Strategy vs. Usual Strategy).

Intensive StrategyUsual Strategy

Use and dosage according to physician judgement, concomitant treatment assumed and randomization arm (Intensive Strategy vs. Usual Strategy).

Intensive StrategyUsual Strategy

Use and dosage according to physician judgement, concomitant treatment assumed and randomization arm (Intensive Strategy vs. Usual Strategy).

Intensive StrategyUsual Strategy

Use and dosage according to physician judgement, concomitant treatment assumed and randomization arm (Intensive Strategy vs. Usual Strategy).

Intensive StrategyUsual Strategy

Use and dosage according to physician judgement, concomitant treatment assumed and randomization arm (Intensive Strategy vs. Usual Strategy).

Intensive StrategyUsual Strategy

Use and dosage according to physician judgement, concomitant treatment assumed and randomization arm (Intensive Strategy vs. Usual Strategy).

Intensive StrategyUsual Strategy

Eligibility Criteria

Age55 Years+
Sexall
Healthy VolunteersNo
Age GroupsAdult (18-64), Older Adult (65+)

You may qualify if:

  • written informed consent to the study
  • age \>= 55 years at randomization. There is no upper age limit
  • systolic blood pressure \>= 150 mmHg in 2 visits at distance of 7-14 days, irrespective of diastolic pressure. Duration of treatment before visit 1 must be at least 12 weeks
  • at least one additional risk factor including the following:
  • current cigarette smoking
  • total cholesterol \>= 20 mmg/dl, or High Density Lipoproteins (HDL) \< 40 mg/dl, or Low Density Lipoproteins (LDL) cholesterol \>= 130 mg/dl
  • family history of cardiovascular disease in male first degree relative \< 55 years or female first degree relative \< 65 years
  • previous TIA or stroke
  • previous coronary artery disease
  • history of peripheral occlusive arterial disease (claudication intermittens associated with angiographic or echographic evidence of \> 60% stenosis)

You may not qualify if:

  • diabetes (fasting glucose \> 125 mg/dl in two samples or ongoing diabetic treatment)
  • renal failure, defined by a serum creatinine \> 2.0 mg/dl
  • chronic atrial fibrillation or flutter
  • clinically significant hepatic or hematological disorders, alcoholism, drug addiction
  • causes precluding ECG interpretation for LVH: complete right or left bundle block, Wolff-Parkinson-White syndrome, previous Q-wave myocardial infarction
  • any disease causing reduced life expectancy
  • unwilling to participate
  • significant (more than traces of) valvular heart disease

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (45)

Ospedale N. Melli

San Pietro Vernotico, Brindisi, 72027, Italy

Location

Ospedale Civile Mellini

Chiari, BS, 25032, Italy

Location

Ospedale Civile G. Chidichimo

Trebisacce, Cosenza, 87075, Italy

Location

Istituto Neuromed

Pozzilli, Isernia, 86077, Italy

Location

Presidio Ospedaliero F. Ferrari

Casarano, Lecce, 73042, Italy

Location

Nuovo Ospedale Versilia

Lido di Camaiore, Lucca, 55043, Italy

Location

Ospedale Civile

Castiglione del Lago, Perugia, 06061, Italy

Location

Ospedale Civile Beato Giacomo Villa

CittĂ  della Pieve, Perugia, 06062, Italy

Location

Presidio Ospedaliero CittĂ  di Castello

CittĂ  di Castello, Perugia, 06012, Italy

Location

Ospedale Civile

Gubbio, Perugia, 06024, Italy

Location

Presidio Ospedaliero

Todi, Perugia, 06059, Italy

Location

Ospedale Silvestrini

Perugia, PG, Italy

Location

Ospedale Civile

Sacile, Pordenone, 33077, Italy

Location

Ospedale Scillesi D'America

Scilla, Reggio Calabria, 89058, Italy

Location

Ospedale Civile

Thiesi, Sassari, 07047, Italy

Location

Presidio Ospedaliero

Poggibonsi, Siena, 53034, Italy

Location

Ospedale Civile S. Antonio Abate

Erice, Trapani, 91016, Italy

Location

Ospedale S. Antonio

San Daniele del Friuli, Udine, 33038, Italy

Location

Ospedale Generale Regionale

Aosta, 11100, Italy

Location

Azienda Ospedaliera G. Rummo

Benevento, 82100, Italy

Location

Spedali Civili

Brescia, 25123, Italy

Location

Azienda Ospedaliera G. Brotzu - S. Michele

Cagliari, 09134, Italy

Location

Ospedale S. Elia

Caltanissetta, 93100, Italy

Location

Ospedale Garibaldi-Nesima

Catania, 95122, Italy

Location

Azienda Ospedaliera Mater Domini

Catanzaro, 88100, Italy

Location

Ospedale Clinicizzato Santissima Annunziata

Chieti, 66013, Italy

Location

Istituti Ospitalieri

Cremona, 26100, Italy

Location

Dimi - Disem

Genova, 16132, Italy

Location

Ospedale Generale Provinciale

Gorizia, 34170, Italy

Location

Policlinico Universitario Federico II

Napoli, 80131, Italy

Location

Azienda Ospedaliera di Perugia

Perugia, 06132, Italy

Location

Spedali Riuniti

Pistoia, 51100, Italy

Location

Ospedale Civile

Ragusa, 97100, Italy

Location

Ospedali Riuniti G. Melacrino F. Bianchi

Reggio Calabria, 89124, Italy

Location

Ospedale San Filippo Neri

Roma, 00135, Italy

Location

CTO

Roma, 00145, Italy

Location

Ospedlae San Camillo

Roma, 00149, Italy

Location

Ospedale San Camillo

Roma, 00152, Italy

Location

Ospedale San Giovanni

Roma, 00184, Italy

Location

Policlinico Universitario

Sassari, 07100, Italy

Location

Azienda Ospedaliera

Syracuse, 96100, Italy

Location

Azienda USL 4 Terni

Terni, 05100, Italy

Location

Ospedale San Vito

Torino, 10134, Italy

Location

Casa di Cura Villa Bianca

Trento, 38100, Italy

Location

Ospedale Belcolle

Viterbo, 01100, Italy

Location

Related Publications (4)

  • Cardio-Sis Study Group. Randomized study of traditional versus aggressive systolic blood pressure control (Cardio-Sis): rationale, design and characteristics of the study population. J Hum Hypertens. 2008 Apr;22(4):243-51. doi: 10.1038/sj.jhh.1002313. Epub 2007 Nov 29.

    PMID: 18046432BACKGROUND
  • Verdecchia P, Staessen JA, Angeli F, de Simone G, Achilli A, Ganau A, Mureddu G, Pede S, Maggioni AP, Lucci D, Reboldi G; Cardio-Sis investigators. Usual versus tight control of systolic blood pressure in non-diabetic patients with hypertension (Cardio-Sis): an open-label randomised trial. Lancet. 2009 Aug 15;374(9689):525-33. doi: 10.1016/S0140-6736(09)61340-4.

  • Saiz LC, Gorricho J, Garjon J, Celaya MC, Erviti J, Leache L. Blood pressure targets for the treatment of people with hypertension and cardiovascular disease. Cochrane Database Syst Rev. 2022 Nov 18;11(11):CD010315. doi: 10.1002/14651858.CD010315.pub5.

  • Saiz LC, Gorricho J, Garjon J, Celaya MC, Erviti J, Leache L. Blood pressure targets for the treatment of people with hypertension and cardiovascular disease. Cochrane Database Syst Rev. 2020 Sep 9;9(9):CD010315. doi: 10.1002/14651858.CD010315.pub4.

MeSH Terms

Conditions

Hypertension

Interventions

RamiprilTelmisartanAmlodipine

Condition Hierarchy (Ancestors)

Vascular DiseasesCardiovascular Diseases

Intervention Hierarchy (Ancestors)

Heterocyclic Compounds, 2-RingHeterocyclic Compounds, Fused-RingHeterocyclic CompoundsBiphenyl CompoundsBenzene DerivativesHydrocarbons, AromaticHydrocarbons, CyclicHydrocarbonsOrganic ChemicalsBenzimidazolesDihydropyridinesPyridinesHeterocyclic Compounds, 1-Ring

Study Officials

  • Paolo Verdecchia, MD

    Ospedale Silvestrini - Perugia

    STUDY CHAIR

Study Design

Study Type
interventional
Phase
phase 4
Allocation
RANDOMIZED
Masking
NONE
Purpose
PREVENTION
Intervention Model
PARALLEL
Sponsor Type
OTHER
Responsible Party
SPONSOR

Study Record Dates

First Submitted

January 12, 2007

First Posted

January 15, 2007

Study Start

February 1, 2005

Primary Completion

January 1, 2009

Study Completion

January 1, 2009

Last Updated

February 3, 2021

Record last verified: 2013-03

Locations