NCT02373163

Brief Summary

This trial is designed to:

  1. 1.Assess the response to montherapy with : a thiazide diuretic (HCTZ), a calcium-channel blocker (CCB, amlodipine) and an angiotensin-receptor blocker (telmisartan), among hypertensive subjects who live at sea level, at medium altitude above sea level and at high altitude above sea level.
  2. 2.To test whether diferentes exist in the response to therapy among subjects who live at different altitude above sea level
  3. 3.To assess the hemodynamic characteristics of hypertension in populations that live at sea level, at medium altitude above sea level, and at high altitude above sea level.

Trial Health

87
On Track

Trial Health Score

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

Enrollment
166

participants targeted

Target at P50-P75 for phase_4

Timeline
Completed

Started Sep 2014

Geographic Reach
1 country

1 active site

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

September 1, 2014

Completed
5 months until next milestone

First Submitted

Initial submission to the registry

February 10, 2015

Completed
16 days until next milestone

First Posted

Study publicly available on registry

February 26, 2015

Completed
1 year until next milestone

Primary Completion

Last participant's last visit for primary outcome

March 1, 2016

Completed
3 months until next milestone

Study Completion

Last participant's last visit for all outcomes

June 1, 2016

Completed
9.2 years until next milestone

Results Posted

Study results publicly available

July 29, 2025

Completed
Last Updated

July 29, 2025

Status Verified

July 1, 2025

Enrollment Period

1.5 years

First QC Date

February 10, 2015

Results QC Date

July 9, 2025

Last Update Submit

July 9, 2025

Conditions

Outcome Measures

Primary Outcomes (1)

  • Change is 24-hour Systolic Blood Pressure From Baseline to 4 Weeks

    4 weeks

Secondary Outcomes (5)

  • Change in 24-hour Diastolic Blood Pressure From Baseline to 4 Weeks

    4 weeks

  • Change in 24-hour Mean Arterial Pressure From Baseline to 4 Weeks

    4 weeks

  • Change in 24 Hour Pulse Pressure From Baseline to 4 Weeks

    4 weeks

  • Change in Central (Aortic) Pulse Pressure, Carotid Arterial, From Baseline to 4 Weeks

    4 weeks

  • Change in Carotid-femoral Pulse Wave Velocity From Baseline to 4 Weeks

    4 weeks

Study Arms (3)

Diuretic

ACTIVE COMPARATOR

Therapy with hydrochlorothiazide (25 mg daily) taken once daily between 6 and 8 AM

Drug: Hydrochlorothiazide

Calcium-channel blocker

ACTIVE COMPARATOR

Therapy with amlodipine (10 mg daily) taken once daily between 6 and 8 AM

Drug: Amlodipine

Angiotensin Receptor Blocker

ACTIVE COMPARATOR

Therapy with Telmisartan (80 mg daily) taken once daily between 6 and 8 AM

Drug: Telmisartan

Interventions

Arm: Active Comparator: Diuretic Therapy with hydrochlorothiazide (25 mg daily) taken once daily between 6 and 8 AM Arm: Active Comparator: Calcium-channel blocker Therapy with amlodipine (10 mg daily) taken once daily between 6 and 8 AM Arm: Active Comparator: Angiotensin Receptor Blocker Therapy with Telmisartan (80 mg daily) taken once daily between 6 and 8 AM

Also known as: HCTZ
Diuretic

Therapy with amlodipine (10 mg daily) taken once daily between 6 and 8 AM

Calcium-channel blocker

Therapy with Telmisartan (80 mg daily) taken once daily between 6 and 8 AM

Angiotensin Receptor Blocker

Eligibility Criteria

Age50 Years - 80 Years
Sexall
Healthy VolunteersNo
Age GroupsAdult (18-64), Older Adult (65+)

You may qualify if:

  • Age 45-75 years. Enrollment will be stratified by age group (50-65 and 66-80 years), gender and altitude above sea level
  • Leaving in the enrollment cities for at least 2 years
  • Untreated hypertension for at least 2 weeks
  • Systolic BP between 140 and 160 mmHg and/or diastolic BP between 90 and 99 mmHg, in the absence of therapy.

You may not qualify if:

  • Diabetes mellitus.
  • Chronic kidney disease (estimated glomerular filtration rate \<60 ml / minute / 1.73 m2 of body surface area.
  • Smoking.
  • Lung disease, liver disease or active cancer
  • Any factor that, in the opinion of the investigator, decreases short-term survival
  • Psychiatric illness
  • Inability to provide informed consent
  • Established heart disease (previous myocardial infarction, heart failure, valvular heart disease, cardiomyopathy, atrial fibrillation or any significant cardiac arrhythmia)
  • History of cerebrovascular disease
  • History of orthostatic hypotension.
  • History of syncope.
  • History of allergy of adverse effects to study medications or drugs of the same pharmacologic classes.

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

Centro de Investigacion PREVENCION

Arequipa, AQP, Peru

Location

Related Publications (1)

  • Medina-Lezama J, Zea-Diaz H, Morey-Vargas OL, Bolanos-Salazar JF, Postigo-Macdowall M, Paredes-Diaz S, Corrales-Medina F, Valdivia-Ascuna Z, Cuba-Bustinza C, Villalobos-Tapia P, Munoz-Atahualpa E, Chirinos-Pacheco J, Raij L, Chirinos JA. Prevalence and patterns of hypertension in Peruvian Andean Hispanics: the PREVENCION study. J Am Soc Hypertens. 2007 May-Jun;1(3):216-25. doi: 10.1016/j.jash.2007.02.003.

    PMID: 20409853BACKGROUND

MeSH Terms

Conditions

Hypertension

Interventions

HydrochlorothiazideAmlodipineTelmisartan

Condition Hierarchy (Ancestors)

Vascular DiseasesCardiovascular Diseases

Intervention Hierarchy (Ancestors)

ChlorothiazideBenzothiadiazinesSulfonamidesSulfonesSulfur CompoundsOrganic ChemicalsThiazidesHeterocyclic Compounds, 2-RingHeterocyclic Compounds, Fused-RingHeterocyclic CompoundsDihydropyridinesPyridinesHeterocyclic Compounds, 1-RingBiphenyl CompoundsBenzene DerivativesHydrocarbons, AromaticHydrocarbons, CyclicHydrocarbonsBenzimidazoles

Results Point of Contact

Title
Josefina Medina-Lezama
Organization
PREVENCION

Publication Agreements

PI is Sponsor Employee
No
Restrictive Agreement
No

Study Design

Study Type
interventional
Phase
phase 4
Allocation
RANDOMIZED
Masking
SINGLE
Who Masked
OUTCOMES ASSESSOR
Purpose
TREATMENT
Intervention Model
PARALLEL
Sponsor Type
OTHER
Responsible Party
PRINCIPAL INVESTIGATOR
PI Title
Principal Investigator

Study Record Dates

First Submitted

February 10, 2015

First Posted

February 26, 2015

Study Start

September 1, 2014

Primary Completion

March 1, 2016

Study Completion

June 1, 2016

Last Updated

July 29, 2025

Results First Posted

July 29, 2025

Record last verified: 2025-07

Data Sharing

IPD Sharing
Will not share

Locations