Uncontrolled essential hypertension MedDRA version: 14.1 Level: PT Classification code 10015488 Term: Essential hypertension System Organ Class: 10047065 - Vascular disorders
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: - Men or women of any ethnic origin, - Age = 18 years old or legal national majority, - Confirmed essential uncontrolled hypertension, - Normal or without any clinically significant anomaly 12-lead ECG (LVH authorized). Are the trial subjects under 18? no Number of subjects for this age range: F.1.2 Adults (18-64 years) yes F.1.2.1 Number of subjects for this age range 363 F.1.3 Elderly (>=65 years) yes F.1.3.1 Number of subjects for this age range 85
Exclusion criteria
Exclusion criteria: -Patients treated for hypertension with more than one antihypertensive drug at inclusion. -History of hypertension known to be resistant to the free or fixed bi-therapy combination with sartans, diuretics and calcium channel inhibitors or contra-indications to treatment with them. -Patient with history of intolerance with one or several of the study drugs, either valsartan, amlodipine or indapamide. -Secondary hypertension (known renal parenchymal hypertension, renovascular hypertension, pheochromocytoma, Cushing’s syndrome, coarctation of the aorta, drug-induced hypertension, liquorice-induced hypertension and especially primary hyperaldosteronism). -Known complicated hypertension: known stage III or IV hypertensive retinopathy, macroalbuminuria. -Lymphedema or leg edema (bilateral). -Orthostatic hypotension at inclusion. -Positive pregnancy test or results not available.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Main Objective: To demonstrate better efficacy of fixed-dose combination strategy Indapamide SR 1.5 mg/Amlodipine versus Valsartan/Amlodipine fixed-dose in lowering office systolic blood pressure at W12.; Secondary Objective: -To assess the response to the treatment and normalisation of blood pressure at each visit according to the uptitration strategy. -To assess the efficacy of both combination strategies on the Ambulatory Blood Pressure Monitoring (ABPM) parameters after 12-week (W12) of treatment-To assess the efficacy of both combination strategies on the home blood pressure monitoring (HBPM) parameters at each week and each visit until the study end (W12). -To assess the safety of each dose of the Indapamide SR 1.5 mg/ Amlodipine and Valsartan/Amlodipine combinations after 12 weeks of treatment. ;Primary end point(s): -Supine systolic blood pressure;Timepoint(s) of evaluation of this end point: From baseline to the last post-baseline value achieved in W0-W12 period. | — |
Secondary
| Measure | Time frame |
|---|---|
| Secondary end point(s): - Other blood pressure parameters, - Physical examination, - Adverse events, - Laboratory examinations. ;Timepoint(s) of evaluation of this end point: Over the study. | — |
Countries
Argentina, Brazil, Bulgaria, Hungary, Latvia, Lithuania, Mexico, Poland, Romania, Russian Federation, South Africa, Thailand, Turkey, Ukraine, United Kingdom, Vietnam
Contacts
Institut de Recherches Internationales Servier