hypertension
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1. Out patients 2. Patients who can not achieve JSH2009 target levels of casual BP, morning BP, or evening BP even under treatment of antihypertensive drug(s)
Exclusion criteria
Exclusion criteria: 1. Poorly controlled hypertension (DBP greater than 120mmHg) 2. Poorly controlled diabetic patients (HbA1c greater than 9.0%) 3. Gout or serum uric acid greater than 8.0mg/dL 4. Renal insufficiency (serum creatinine greater than 2.0mg/dl) 5. Hyperkalimia (K greater than 5.5 mmol/L) 6. Liver damage (gamma-GTP or ALT greater than 3 x normal upper limit) 7. Endocrine secondary hypertension 8. Malignant hypertension 9. Contraindication for candesartan, amlodipine, orHCTZ 10. Prescribed ARB/CCB tablet or ARB/HCTZ tablet before registration
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Day-to-day variability (standard deviation and coefficiency of variance) of self-measured home systolic BP and heart rate after 6-month treatment | — |
Secondary
| Measure | Time frame |
|---|---|
| 1. Visit-to-visit variability of casual BP and heart rate at every clinic visit 2. [morning BP]-[evening BP] 3. Achievement ratios of BP targets (casual BP, morning BP, and evening BP) 4. Changes in circulating levels of hsCRP, hsTnT, NT-proBNP, and collage III N-terminal peptide after 6-month treatment 5. Change in urine microalbumin after 6-month treatment 6. Tolerability and adverse effects | — |
Countries
Japan
Contacts
Kurume University School of Medicine Department of Internal Medicine Division of Cardio-Vascular Medicine