obesity linked hypertension MedDRA version: 19.0 Level: PT Classification code 10020772 Term: Hypertension System Organ Class: 10047065 - Vascular disorders
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: A. Age between 18 and 65. B. grade II-III obesity C. Moderate hypertension, with no end-organ affectation D. Current treatment with less than 3 drugs. E. normal renal function with GF (MDRD) > 60 ml/min. F. Candidates to bariatric surgery. G. written informed consent 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 30 F.1.3 Elderly (>=65 years) no F.1.3.1 Number of subjects for this age range
Exclusion criteria
Exclusion criteria: A. Pregnant or lactating women B. Fertile women not using a high effective contracepive method (in accordance with Clinical Trial Facilitation Group guidelines) C. secondary hypertension D. End-organ hypertension not allowing treatment discontinuation E. Prior bariatric surgery F. Any contraindication or intolerance to olmesartan, amlodipine or thiazides.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Main Objective: Seek the optimal treatment for hypertension in severe obesity patients aiming to reach hypertension targets and normalize circadian hypertension (dipper status);Secondary Objective: Seek the treatment for hypertension in severe obesity patients aiming to reach optimal hypertension levels and normalize night and day hypertension;Primary end point(s): median systolic and diastolic arterial pressure measured during 24 h;Timepoint(s) of evaluation of this end point: weeks 3 and 10 | — |
Secondary
| Measure | Time frame |
|---|---|
| Secondary end point(s): 1. proportion of patients with dipper status at the end of the study. 2. reduction op pulse pressure 3. plasma noradrenaline 4. plasma renine and aldosterone activity 5. malondialdehide 6. CRPu and white blood cells 7. change in insuline, glucose, HOMA 8. ANP.;Timepoint(s) of evaluation of this end point: 10 weeks | — |
Countries
Spain
Contacts
Hospital Clinic Barcelona