Health Condition 1: I10- Essential (primary) hypertension
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1.Age30-79 years AND 2.Sitting clinic values (mean of the last 2 of 3 readings) of SBP = 140mmHg and 3.Sitting clinic values (mean of the last 2 of 3 readings) of SBP = 150mmHg and
Exclusion criteria
Exclusion criteria: 1. Congestive heart failure (clinically defined). 2. Patients with a history of intolerance to any of the study medications for example angioedema or dry cough with ACE--inhibitors. 3. Serum creatinine levels greater than 132.6µmol/l(1.5mg/dl). 4. History of coronary heart disease (i.e. chronic stable angina, myocardial infarction or acute coronary syndrome). 5. History of a stroke or other cerebrovascular accident (i.e. transient ischaemic attack or reversible ischaemic neurological deficit). 6. Severe hepatic impairment. 7. Treatment with agents causing torsades de pointes. 8.Lactation. 9. Contraindications to any of the investigational medicinal products as per the SmPc of drugs studied. 10. Known or suspected secondary hypertension. 11. Any other concomitant illness, physical or mental impairment that could interfere with the effective conduct of the study. 12. Pregnancy or those of child-bearing age who are not taking reliable contraception. 13. History of Gout. 14. Serum potassium <3.5mmol/L at screening.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| 24-hour ABPM (ambulatory blood pressure monitoring) to measure ambulatory systolic blood pressure.Timepoint: 2, 4, 6 months | — |
Secondary
| Measure | Time frame |
|---|---|
| 1. ADBP (24-hour ambulatory diastolic blood pressure)a t 6 months adjusted for baseline ADBP 2. Clinic BP 3. Day-time and night-time BP 4. BP variability 5. Proportion of patients who achieve BP control 6. Proportion of patients classified as “responders ? 7. Micro-albuminuria 8. Fasting blood glucose concentration 9. Fasting lipid profile 10. Serum sodium, potassium, urea, uric acid, creatinine and eGFRTimepoint: 2, 4, 6 months | — |
Countries
India
Contacts
Centre for Chronic Disease Control