Italian Study on the Cardiovascular Effects of Systolic Blood Pressure Control - CARDIOSIS Study
1 other identifier
interventional
1,111
1 country
45
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
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P75+ for phase_4 hypertension
Started Feb 2005
Longer than P75 for phase_4 hypertension
45 active sites
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
CompletedFirst Submitted
Initial submission to the registry
January 12, 2007
CompletedFirst Posted
Study publicly available on registry
January 15, 2007
CompletedPrimary Completion
Last participant's last visit for primary outcome
January 1, 2009
CompletedStudy Completion
Last participant's last visit for all outcomes
January 1, 2009
CompletedFebruary 3, 2021
March 1, 2013
3.9 years
January 12, 2007
February 2, 2021
Conditions
Keywords
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
OTHERUsual Strategy
OTHERInterventions
Use and dosage according to physician judgement, concomitant treatment assumed and randomization arm (Intensive Strategy vs. Usual Strategy).
Use and dosage according to physician judgement, concomitant treatment assumed and randomization arm (Intensive Strategy vs. Usual Strategy).
Use and dosage according to physician judgement, concomitant treatment assumed and randomization arm (Intensive Strategy vs. Usual Strategy).
Use and dosage according to physician judgement, concomitant treatment assumed and randomization arm (Intensive Strategy vs. Usual Strategy).
Use and dosage according to physician judgement, concomitant treatment assumed and randomization arm (Intensive Strategy vs. Usual Strategy).
Use and dosage according to physician judgement, concomitant treatment assumed and randomization arm (Intensive Strategy vs. Usual Strategy).
Use and dosage according to physician judgement, concomitant treatment assumed and randomization arm (Intensive Strategy vs. Usual Strategy).
Use and dosage according to physician judgement, concomitant treatment assumed and randomization arm (Intensive Strategy vs. Usual Strategy).
Use and dosage according to physician judgement, concomitant treatment assumed and randomization arm (Intensive Strategy vs. Usual Strategy).
Eligibility Criteria
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
Ospedale Civile Mellini
Chiari, BS, 25032, Italy
Ospedale Civile G. Chidichimo
Trebisacce, Cosenza, 87075, Italy
Istituto Neuromed
Pozzilli, Isernia, 86077, Italy
Presidio Ospedaliero F. Ferrari
Casarano, Lecce, 73042, Italy
Nuovo Ospedale Versilia
Lido di Camaiore, Lucca, 55043, Italy
Ospedale Civile
Castiglione del Lago, Perugia, 06061, Italy
Ospedale Civile Beato Giacomo Villa
CittĂ della Pieve, Perugia, 06062, Italy
Presidio Ospedaliero CittĂ di Castello
CittĂ di Castello, Perugia, 06012, Italy
Ospedale Civile
Gubbio, Perugia, 06024, Italy
Presidio Ospedaliero
Todi, Perugia, 06059, Italy
Ospedale Silvestrini
Perugia, PG, Italy
Ospedale Civile
Sacile, Pordenone, 33077, Italy
Ospedale Scillesi D'America
Scilla, Reggio Calabria, 89058, Italy
Ospedale Civile
Thiesi, Sassari, 07047, Italy
Presidio Ospedaliero
Poggibonsi, Siena, 53034, Italy
Ospedale Civile S. Antonio Abate
Erice, Trapani, 91016, Italy
Ospedale S. Antonio
San Daniele del Friuli, Udine, 33038, Italy
Ospedale Generale Regionale
Aosta, 11100, Italy
Azienda Ospedaliera G. Rummo
Benevento, 82100, Italy
Spedali Civili
Brescia, 25123, Italy
Azienda Ospedaliera G. Brotzu - S. Michele
Cagliari, 09134, Italy
Ospedale S. Elia
Caltanissetta, 93100, Italy
Ospedale Garibaldi-Nesima
Catania, 95122, Italy
Azienda Ospedaliera Mater Domini
Catanzaro, 88100, Italy
Ospedale Clinicizzato Santissima Annunziata
Chieti, 66013, Italy
Istituti Ospitalieri
Cremona, 26100, Italy
Dimi - Disem
Genova, 16132, Italy
Ospedale Generale Provinciale
Gorizia, 34170, Italy
Policlinico Universitario Federico II
Napoli, 80131, Italy
Azienda Ospedaliera di Perugia
Perugia, 06132, Italy
Spedali Riuniti
Pistoia, 51100, Italy
Ospedale Civile
Ragusa, 97100, Italy
Ospedali Riuniti G. Melacrino F. Bianchi
Reggio Calabria, 89124, Italy
Ospedale San Filippo Neri
Roma, 00135, Italy
CTO
Roma, 00145, Italy
Ospedlae San Camillo
Roma, 00149, Italy
Ospedale San Camillo
Roma, 00152, Italy
Ospedale San Giovanni
Roma, 00184, Italy
Policlinico Universitario
Sassari, 07100, Italy
Azienda Ospedaliera
Syracuse, 96100, Italy
Azienda USL 4 Terni
Terni, 05100, Italy
Ospedale San Vito
Torino, 10134, Italy
Casa di Cura Villa Bianca
Trento, 38100, Italy
Ospedale Belcolle
Viterbo, 01100, Italy
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: 18046432BACKGROUNDVerdecchia 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.
PMID: 19683638RESULTSaiz 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.
PMID: 36398903DERIVEDSaiz 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.
PMID: 32905623DERIVED
MeSH Terms
Conditions
Interventions
Condition Hierarchy (Ancestors)
Intervention Hierarchy (Ancestors)
Study Officials
- STUDY CHAIR
Paolo Verdecchia, MD
Ospedale Silvestrini - Perugia
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