Essential Hypertension
Conditions
Brief summary
To assess the efficacy of individually optimized doses of olmesartan medoxomil compared to losartan in elderly and very elderly patients with essential hypertension. The study hypothesis is non-inferiority of olmesartan medoxomil compared to losartan in lowering mean sitting diastolic blood pressure after 12 weeks of treatment compared to baseline. The study duration is up to 60 weeks, including a 52-week treatment period. After 12 weeks of treatment hydrochlorothiazide may be added to control blood pressure. Efficacy and safety measurements are carried out at up to 18 visits during the trial.
Interventions
oral olmesartan medoxomil tablets taken once daily for 52 weeks + oral hydrochlorothiazide tablets, once daily, after 12 weeks if needed to control BP
oral losartan capsules, 50 or 100 mg taken once daily for 52 weeks + 12.5 or 25 mg oral hydrochlorothiazide tablets, after 12 weeks, if needed to control BP.
Sponsors
Study design
Eligibility
Inclusion criteria
* Age 65 years or older * Mean sitting diastolic BP = 100-114 mmHg and mean sitting systolic BP \>=150 mm HG
Exclusion criteria
* Secondary hypertension * Malignant hypertension * Severe heart failure (NYHA III-IV) * History or evidence of renal disease * Recent history of myocardial infarction * Hypersensitivity to study drugs * History of drug or alcohol abuse
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Change in mean sitting diastolic blood pressure assessed by conventional BP measurements | 12 weeks |
Secondary
| Measure | Time frame |
|---|---|
| Change in mean sitting diastolic BP assessed by conventional BP measurements | after 1, 2, 4, 8, 16, 20, 28, 36, 44, and 52 weeks |
| Change in mean standing diastolic BP, mean sitting systolic BP and mean standing systolic BP | after 1, 2, 4, 8, 12, 16, 20, 28, 36, 44, and 52 weeks |
Countries
Germany