Hypertension
Conditions
Interventions
None listed
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: Inclusion criteria: 1) Patients with essential hypertension, who have been previously treated with antihypertensive drugs including ARB for more than 4 weeks, however, the target blood pressure defined by the guideline for treatment of hypertension has not been achieved 2) Men and women aged 20 to 80 years at the time of the first visit 3) Outpatients 4) Patients who fully understand the study procedures and have given written informed consent to participate in the study
Exclusion criteria
Exclusion criteria: Exclusion criteria: 1) Patients under treatment with diuretics 2) Patients with uncontrolled hypertension (diastolic blood pressure ≥110mmHg) 3) Patients with malignant hypertension 4) Patients with cardiac failure (NYHA grade III or IV) 5) Patients with a previous history of gout attack or uncontrolled hyperuricemia (≥8.0mg/dL) 6) Patients who have stroke, AMI and/or critical vascular complications that required hospitalization within 6 months prior to the intervention 7) Pregnant or breast feeding female patients, including one trying to conceive pregnancy during the planned study period 8) Patients with severe liver dysfunction 9) Patients with renal failure (serum creatinine ≥2.0 mg/dL) 10) Patients with a history of hypersensitivity to ingredients of losartan / HCTZ 11) Patients with a history of hypersensitivity to thiazide or thiazide-like diuretics 12) Patients who are considered not eligible for the study by the attending doctor due to medical reasons
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Change and % change in ambulatory blood pressure measurement (ABPM) after 12weeks of treatment | — |
Secondary
| Measure | Time frame |
|---|---|
| - Change and % change in ABPM after 24 and 48 weeks of treatment - Effect on regression of heart hypertrophy, left ventricular mass index, augmentation index, and laboratory markers (MMP2, MMP9, TIMP, BNP) after 48 weeks of treatment - Change in office blood pressure after 12, 24 and 48 weeks of treatment - Safety throughout the treatment period - Exploratory subgroup analysis | — |
Countries
Japan
Contacts
Hokuso hypertension study group secretariat Hokuso hypertension study group secretariat