Hypertension
Conditions
Brief summary
The purpose of this study is to evaluate the antihypertensive response of treatment with losartan with reference to genetic polymorphisms.
Interventions
Losartan 50 mg/day for 4 weeks, then doubled to losartan 100 mg/day (in case of BP more than 140/90 mm Hg.) Continued until the end of the study (visit 9-week 48).
Hydrochlorothiazide 25 mg will be added at week 8 if BP is more than 140/90 mm Hg. This last regimen will be continued until the end of the study (visit 9-week 48).
Sponsors
Study design
Eligibility
Inclusion criteria
* Both gender less than 60 years old, with mild-moderate hypertension (SBP greater than and DBP equal or greater than 90 mmhg, BP \< 180/110) * Never treated for hypertension or who have taken antihypertensive agents sporadically (not more than 15 days total therapy) but not in the 30 days prior to the first visit * Patient in therapeutic wash out for 6 months * Patient is asymptomatic, absence of significant concomitant diseases, except for non-familial hypercholesterolemia, absence of systemic diseases * Women with menopause not treated with hormone replacement therapy or women of reproductive age who do not make use of estro-progestagen agents but who use another safe contraceptive method * BMI \< 30 for men and \< 28 for women
Exclusion criteria
* Secondary or malignant hypertension, Na \<130 mmol/l, K \>5,5 mmol/l, or \< 3,0 mmol/l * Cardiac disease such as ischemic, HF, arrhythmia, cardiac surgery * Pregnant, breast feeding * History of nephropathy, metabolic disease, liver disease * Alcohol or drug abuse * History of angioedema * Has a known hypersensibility to study drug(s)
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Blood pressure reduction with reference to genetic polymorphisms. | Over 1 Year |