Hypertension, Metabolic Syndrome X
Conditions
Brief summary
To determine the efficacy and safety of telmisartan-based treatment among patients with metabolic syndrome in actual setting in Philippines.
Interventions
None listed
Sponsors
Study design
Eligibility
Inclusion criteria
* Age \> 45 years * Increased waist circumference (\>88.9cm \[\>35in\] men, \>78.7cm \[\>31in\] for women) * Elevated triglycerides (\>150mg/dl) * Low HDL cholesterol (\<40mg/dl in men, \<50mg/dl in women) * Hypertension (\>130/\>85mmHG) * Impaired fasting glucose (\>110mg/dl) (8) * Hypertensive patient assessed to benefit from telmisartan based treatment
Exclusion criteria
* Hypersensitivity to telmisartan, hydrochlorothiazide (HCTZ) and its excipients * \<3 months myocardial infarction (MI), stroke or severe heart failure
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Response Rate at the End of 30 Day Period | End of 30 day Period | Response rate of Blood Pressure assessed in the following categories: * Sitting SBP \< 130 mmHg and/or a reduction of \> 20 mmHg from baseline * Sitting DBP \< 85 mmHg and/or a reduction of \> 10 mmHg from baseline Sitting BP normalization \< 130 mmHg and DBP \< 85 mmHg |
| Response Rate at the End of 60 Day Period | At the end of 60 day period | Response rate on Blood Pressure: 1. Sitting SBP \< 130 mmHg and/or a reduction of \> 20 mmHg from baseline. 2. Sitting DBP \< 85 mmHg and/or a reduction of \> 10 mmHg from baseline. 3. Sitting BP normalization \< 130 mmHg and DBP \< 85 mmHg |
| Change in Systolic Blood Pressure (SBP) From Baseline | Baseline and 60 days | Change in SBP = Value in visit 1(baseline) minus value in visit 3 (at 60-day treatment period) |
| Change in Diastolic Blood Pressure (DBP) From Baseline | Baseline and 60 days | Change in DBP = Value in visit 1(baseline) minus value in visit 3 (at 60-day treatment period) |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Percentage of Patients With Presence of Metabolic Risk Factor | At the end of 60 day period | Presence of metabolic risk factor was identified by the existence of 3 out of the 5 risk factors namely: a.) presence of diabetes mellitus; b) presence of dyslipidemia; c) presence of albuminuria; d) presence of ventricular hypertrophy; and e) presence of co-morbidities, based on patients' Medical History |
Countries
Philippines
Participant flow
Recruitment details
The protocol specified that the study will consist of 16,000 subjects. However, there are only 15, 268 case report forms (CRFs) submitted
Participants by arm
| Arm | Count |
|---|---|
| Telmisartan (Micardis) | 14,161 |
| Total | 14,161 |
Withdrawals & dropouts
| Period | Reason | FG000 |
|---|---|---|
| Overall Study | Adverse Event | 5 |
| Overall Study | Lost to Follow-up | 46 |
| Overall Study | Other reason not defined above | 90 |
| Overall Study | Protocol Violation | 14 |
Baseline characteristics
| Characteristic | Telmisartan (Micardis) |
|---|---|
| Age, Continuous | 59 Years STANDARD_DEVIATION 9.9 |
| Gender Female | 8253 Number of participants |
| Gender Male | 5876 Number of participants |
Adverse events
| Event type | EG000 affected / at risk |
|---|---|
| deaths Total, all-cause mortality | — / — |
| other Total, other adverse events | 0 / 15,268 |
| serious Total, serious adverse events | 5 / 15,268 |
Outcome results
Change in Diastolic Blood Pressure (DBP) From Baseline
Change in DBP = Value in visit 1(baseline) minus value in visit 3 (at 60-day treatment period)
Time frame: Baseline and 60 days
Population: ITT Population: all patients who took at least one dose of the study medication and have at least one point treatment efficacy data available
| Arm | Measure | Value (MEAN) | Dispersion |
|---|---|---|---|
| Telmisartan (Micardis) | Change in Diastolic Blood Pressure (DBP) From Baseline | 15.9 mmHg | Standard Deviation 10 |
Change in Systolic Blood Pressure (SBP) From Baseline
Change in SBP = Value in visit 1(baseline) minus value in visit 3 (at 60-day treatment period)
Time frame: Baseline and 60 days
Population: ITT Population: all patients who took at least one dose of the study medication and have at least one point treatment efficacy data available
| Arm | Measure | Value (MEAN) | Dispersion |
|---|---|---|---|
| Telmisartan (Micardis) | Change in Systolic Blood Pressure (SBP) From Baseline | 30.2 mmHg | Standard Deviation 15.4 |
Response Rate at the End of 30 Day Period
Response rate of Blood Pressure assessed in the following categories: * Sitting SBP \< 130 mmHg and/or a reduction of \> 20 mmHg from baseline * Sitting DBP \< 85 mmHg and/or a reduction of \> 10 mmHg from baseline Sitting BP normalization \< 130 mmHg and DBP \< 85 mmHg
Time frame: End of 30 day Period
Population: ITT Population: all patients who took at least one dose of the study medication and have at least one point treatment efficacy data available
| Arm | Measure | Group | Value (NUMBER) |
|---|---|---|---|
| Telmisartan (Micardis) | Response Rate at the End of 30 Day Period | Sitting SBP response | 41.4 Percentage of patients |
| Telmisartan (Micardis) | Response Rate at the End of 30 Day Period | Sitting DBP response | 66.3 Percentage of patients |
| Telmisartan (Micardis) | Response Rate at the End of 30 Day Period | Sitting BP normalization | 31.2 Percentage of patients |
Response Rate at the End of 60 Day Period
Response rate on Blood Pressure: 1. Sitting SBP \< 130 mmHg and/or a reduction of \> 20 mmHg from baseline. 2. Sitting DBP \< 85 mmHg and/or a reduction of \> 10 mmHg from baseline. 3. Sitting BP normalization \< 130 mmHg and DBP \< 85 mmHg
Time frame: At the end of 60 day period
Population: ITT Population: all patients who took at least one dose of the study medication and have at least one point treatment efficacy data available
| Arm | Measure | Group | Value (NUMBER) |
|---|---|---|---|
| Telmisartan (Micardis) | Response Rate at the End of 60 Day Period | Sitting SBP response | 75.5 Percentage of patients |
| Telmisartan (Micardis) | Response Rate at the End of 60 Day Period | Sitting DBP response | 88.1 Percentage of patients |
| Telmisartan (Micardis) | Response Rate at the End of 60 Day Period | Sitting BP normalization | 69.1 Percentage of patients |
Percentage of Patients With Presence of Metabolic Risk Factor
Presence of metabolic risk factor was identified by the existence of 3 out of the 5 risk factors namely: a.) presence of diabetes mellitus; b) presence of dyslipidemia; c) presence of albuminuria; d) presence of ventricular hypertrophy; and e) presence of co-morbidities, based on patients' Medical History
Time frame: At the end of 60 day period
Population: ITT Population: all patients who took at least one dose of the study medication and have at least one point treatment efficacy data available
| Arm | Measure | Value (NUMBER) |
|---|---|---|
| Telmisartan (Micardis) | Percentage of Patients With Presence of Metabolic Risk Factor | 20.0 Percentage of patients |