Irbesartan/Hydrochlorothiazide National Taiwan University Hospital Listing
A Randomized, Open Label, Cross-over Comparative Study of Irbesartan/Hydrochlorothiazide and Irbesartan in the Treatment of Mild to Moderate Hypertension
1 other identifier
interventional
60
1 country
1
Brief Summary
Primary:
- 1.To compare the change in forearm vascular resistance following a 12-week regimen of irbesartan/hydrochlorothiazide versus irbesartan
- 2.To assess changes of serum proinflammatory cytokine, markers of cardiovascular risks, oxidative stress and circulating adhesion molecule including thiobarbiturate acid reactive substances (TBARS), C-reactive protein (CRP), interleukin 6 (IL-6), and vascular cell adhesion molecule 1 (VCAM-1).
- 3.To compare the reduction in office blood pressure following a 12-week regimen of irbesartan/hydrochlorothiazide versus irbesartan
- 4.To compare the response rate (defined as office Systolic blood pressure(SBP)/diastolic blood pressure (DBP) reduce more than 10mmHg from baseline), and BP controlled rate (defined as SBP\<140 mmHg and /or DBP\<90 mmHg)
- 5.To ascertain the safety and tolerability of irbesartan / hydrochlorothiazide versus irbesartan when administered once daily
- 6.To determine whether angiotensin II type 1 (AT-1) receptor gene polymorphisms (including A1166C gene with about 4% of the minor allele frequency in Chinese population and other single nucleotide polymorphisms with a higher frequency of about 10% of minor allele) is related to reduction of BP
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P25-P50 for phase_4 hypertension
1 active site
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
September 1, 2006
CompletedFirst Submitted
Initial submission to the registry
March 5, 2007
CompletedFirst Posted
Study publicly available on registry
March 6, 2007
CompletedPrimary Completion
Last participant's last visit for primary outcome
October 1, 2008
CompletedOctober 1, 2009
September 1, 2009
2.1 years
March 5, 2007
September 30, 2009
Conditions
Outcome Measures
Primary Outcomes (4)
Forearm vascular resistance
At baseline and end of study
Changes of serum TBARS, CRP, IL-6, and VCAM-1
Throughout the study period
Office BP measurement of seated SBP and DBP
At baseline and after 12-week treatment
Adverse events
Throughout the study period
Secondary Outcomes (1)
Office BP measurement of seated SBP and DBP
At baseline and after 12-week treatment
Study Arms (2)
1
EXPERIMENTAL* 12 weeks on treatment 1 * 2 week washout period * 12 weeks on treatment 2
2
EXPERIMENTAL* 12 weeks on treatment 2 * 2 week washout period * 12 weeks on treatment 1
Interventions
Administration of irbesartan 150 mg/day + hydrochlorothiazide 12.5 mg
Eligibility Criteria
You may qualify if:
- Patients with mild to moderate hypertension with office diastolic BP (DBP) 90-109 mmHg and/or systolic BP (SBP) 140-179 mmHg before entering each treatment
You may not qualify if:
- females: who are pregnant or breast feeding
- office DBP ≧ 110 mmHg or office SBP ≧ 180 mmHg
- history of significant cardiovascular diseases which include: acute myocardial infarction within six months or any ischemic heart disease requiring medication, or cerebrovascular disease
- history of significant renal diseases including: serum creatinine \> 3.0 mg/dl, or creatinine clearance \< 30 ml/min.
- severe biliary cirrhosis and cholestasis
- refractory hypokalemia, hypercalcemia
- history of autoimmune disease, collagen vascular disease, multiple drug allergies, bronchospastic disease or other malignancies requiring current medication
- hepatic disease as indicated by any of the following : Serum Glutamic Oxaloacetic Transaminase (SGOT) or Serum Glutamic Pyruvate Transaminase (SGPT) \>3 x upper limit of normal, or serum bilirubin \> 2 x upper limit of normal
- 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
Study Sites (1)
Sanofi-Aventis
Taipei, Taiwan
MeSH Terms
Conditions
Interventions
Condition Hierarchy (Ancestors)
Intervention Hierarchy (Ancestors)
Study Officials
- STUDY DIRECTOR
Fern Lim
Sanofi
Study Design
- Study Type
- interventional
- Phase
- phase 4
- Allocation
- RANDOMIZED
- Masking
- NONE
- Purpose
- TREATMENT
- Intervention Model
- CROSSOVER
- Sponsor Type
- INDUSTRY
Study Record Dates
First Submitted
March 5, 2007
First Posted
March 6, 2007
Study Start
September 1, 2006
Primary Completion
October 1, 2008
Last Updated
October 1, 2009
Record last verified: 2009-09