essential hypertension
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1) 5 mg/day of amlodipine is administered for more than 3 months 2) Systolic or diastolic blood pressure >= 140/90 mmHg (more than 2 times measurements at outpatient clinic before start of the study) 3) Outpatients
Exclusion criteria
Exclusion criteria: 1) Secondary hypertension including renovascular hypertension with single kidney or bilateral stenosis 2) Administration of antihypertensives other than amlodipine 3) cardiovascular disease (cerebral hemorrhage, cerebral infarction, TIA, angina, myocardial infarction, acute renal failure) occurs less than 6 months before start of the study 4) Serum creatinine >= 2.0 mg/dl 5) Severe hypertension (systolic or diastolic blood pressure >= 180/110 mmHg) or malignant hypertension (hypertensive organ damage is rapidly developing) 6) Chronic heart failure (NYHA class>=III to VI) 7) Contraindication of telmisartan or hydrochlorothiazide 8) hyper- (>= 5.5 mEq/L) or hypo- (<=3.5 mEq/l) potassemia 9) Untreated hyperuricemia or uncontrolled hydrochlorothiazide (serum uric acid >= 8.0 mg/dl) 10) Diabetic patients who require insulin therapy, uncontrolled diabetic patients (hemoglobin A1c >=9.0%), or patients who possess the risk of hypoglycemic attack 11) Patients inadequate for the study
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Changes in office blood pressure | — |
Secondary
| Measure | Time frame |
|---|---|
| 1) Home blood pressure in early morning and before going to bed 2) Changes in uric acid, total cholesterol, HDL cholesterol, LDL cholesterol, triglyceride, fasting plasma glucose (only in diabetic patients), hemoglobin A1c (only in diabetic patients) | — |
Countries
Japan
Contacts
University of Tokyo Graduate School of Medicine Department of Nephrology and Endocrinology