NCT02215733

Brief Summary

The primary objective of this study was to assess whether angiotensin blockers (ARBs) and telmisartan in particular, are associated with an increased overall risk of the four most common cancers, namely, lung, colorectal, breast and prostate cancers. A secondary objective was to explore these effects separately for each of the four cancers and in combination with angiotensin-converting-enzyme-inhibitors (ACEIs).

Trial Health

100
On Track

Trial Health Score

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

Enrollment
1,165,781

participants targeted

Target at P75+ for all trials

Status
completed

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

February 1, 2011

Completed
1 year until next milestone

Primary Completion

Last participant's last visit for primary outcome

February 1, 2012

Completed
2.5 years until next milestone

First Submitted

Initial submission to the registry

August 12, 2014

Completed
1 day until next milestone

First Posted

Study publicly available on registry

August 13, 2014

Completed
Last Updated

August 13, 2014

Status Verified

August 1, 2014

Enrollment Period

1 year

First QC Date

August 12, 2014

Last Update Submit

August 12, 2014

Conditions

Outcome Measures

Primary Outcomes (5)

  • Number of patients with occurrences of lung, colorectal, breast and prostate cancers related to use of ARBs

    16 years

  • Determination of dose-response in terms of ARB duration of use and cumulative dose and the risk of lung, colorectal, breast and prostate cancers combined

    16 years

  • Ratio of occurrence of lung, colorectal, breast and prostate cancers related to use of ARBs, relative to beta-blockers and diuretics

    16 years

  • Ratio of occurrence of lung, colorectal, breast and prostate cancers related to use of telmisartan, relative to beta-blockers and diuretics

    16 years

  • Ratio of occurrence of lung, colorectal, breast and prostate cancers related to use of telmisartan relative to other ARBs

    16 years

Secondary Outcomes (12)

  • Number of patients with occurrences of lung cancer related to use of ARBs alone

    16 years

  • Number of patients with occurrences of colorectal cancer related to use of ARBs alone

    16 years

  • Number of patients with occurrences of breast cancer related to use of ARBs alone

    16 years

  • Number of patients with occurrences of prostate cancer related to use of ARBs alone

    16 years

  • Number of patients with occurrences of lung cancer related to use of ARBs with ACEI

    16 years

  • +7 more secondary outcomes

Study Arms (1)

Patients prescribed antihypertensives

Drug: ARBDrug: ACEIDrug: Beta-blockersDrug: DiureticsDrug: Telmisartan

Interventions

ARBDRUG

other than telmisartan

Patients prescribed antihypertensives
ACEIDRUG
Patients prescribed antihypertensives
Patients prescribed antihypertensives
Patients prescribed antihypertensives
Patients prescribed antihypertensives

Eligibility Criteria

Sexall
Healthy VolunteersNo
Age GroupsChild (0-17), Adult (18-64), Older Adult (65+)
Sampling MethodProbability Sample
Study Population

All patients prescribed an antihypertensive agent between January 1, 1995 and December 31, 2008, with follow-up until December 31, 2010 Information extracted from United Kingdom General Practice Research Database (GPRD)

You may qualify if:

  • Patients prescribed an antihypertensive agent between 01-JAN-1995 and 31-DEC-2008 with at least two years of up-to-standard medical history in United Kingdom's General Practice Research Database (GPRD)

You may not qualify if:

  • History of cancer at any time prior to cohort entry

Contact the study team to confirm eligibility.

Sponsors & Collaborators

MeSH Terms

Conditions

Neoplasms

Interventions

Adrenergic beta-AntagonistsDiureticsTelmisartan

Intervention Hierarchy (Ancestors)

Adrenergic AntagonistsAdrenergic AgentsNeurotransmitter AgentsMolecular Mechanisms of Pharmacological ActionPharmacologic ActionsChemical Actions and UsesPhysiological Effects of DrugsNatriuretic AgentsBiphenyl CompoundsBenzene DerivativesHydrocarbons, AromaticHydrocarbons, CyclicHydrocarbonsOrganic ChemicalsBenzimidazolesHeterocyclic Compounds, 2-RingHeterocyclic Compounds, Fused-RingHeterocyclic Compounds

Study Design

Study Type
observational
Observational Model
COHORT
Time Perspective
RETROSPECTIVE
Sponsor Type
INDUSTRY
Responsible Party
SPONSOR

Study Record Dates

First Submitted

August 12, 2014

First Posted

August 13, 2014

Study Start

February 1, 2011

Primary Completion

February 1, 2012

Last Updated

August 13, 2014

Record last verified: 2014-08