Essential Hypertension
Conditions
Keywords
hypertension, pharmacogenomic, adducin, ouabain, rostafuroxin
Brief summary
The purpose of this study is to verify the efficacy of Rostafuroxin in the treatment of essential hypertension and to determine the best effective dose to be administered in the general hypertensive population and in a subset of this population in which genetic patterns could be involved in the etiology of essential hypertension.
Detailed description
Elevated arterial pressure is probably the most important public health problem. about 30% of the world adult population are affected by hypertension in industrialised countries. Development of a pharmacogenomic approach to the therapy of primary hypertension give new opportunities for the treatment of hypertension. This approach consists in the identification of the genetic-molecular mechanisms responsible for hypertension in a given subset of patients, and in the development of drugs able to interfere with such mechanisms, thus leading to very selective therapeutic interventions with enhanced efficacy and reduced side effects.
Interventions
1 capusle of 50 micrograms of Rostafuroxin or placebo per day in the morning before breakfast for 5 weeks followed by other 5 weeks with placebo or Rostafuroxin
Sponsors
Study design
Eligibility
Inclusion criteria
* Patients with grade 1 or 2 of essential hypertension * Less than 3 risk factors (age \> 55 if male, smoking, dyslipidemia, family history of CV disease occurring before 55 years in men and 65 in women * Naive patients or currently on monotherapy or one combination tablet * SBP between 140 and 169 mmHg
Exclusion criteria
* Atrial fibrillation or left or right VBBB * Left ventricular hypertrophy * Significant renal or hepatic disease * Obesity \> 30kg/m2 * Diabetes mellitus
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Office Systolic Blood Pressure after 5 week of treatment | 5 weeks |
Secondary
| Measure | Time frame |
|---|---|
| Office Diastolic Blood Pressure | 5 weeks |
| Proportion of normalised and responder patients (all visits) | 5 weeks |
| 24 hours BP monitoring (through to peak ratio) | 5 weeks |
| Effect on sub-populations, genetically selected | 5 weeks |
| safety of the drug | monitored during all the study |
Countries
Belgium