Hypertension
Conditions
Brief summary
PRO-POWER is an observational cohort study for a period of 24 weeks. All recruited patients will have essential hypertension. In addition, the patients will have at least one other contributing risk factor for cardiovascular events. The study aims to evaluate the safety, efficacy and protection of Micardis 80mg/Micardis plus 80/12.5mg from cardiovascular risks in patients with essential hypertension
Interventions
None listed
Sponsors
Study design
Eligibility
Inclusion criteria
* Male or female * Aged 20 to 80 years old. * adult with essential hypertension - either newly diagnosed and untreated, or previously treated and uncontrolled * Sitting blood pressure: systolic BP \> 140 mmHg but \< 180 mmHg, and/or diastolic BP \> 90 mmHg but \< 110 mmHg) * At least one cardiovascular known risk factor other than hypertension: diabetes/hyperglycaemia, cholesterol /dyslipidemia, a previous cardiovascular event, target organ damage, family history of hypertension or cardiovascular diseases, old age defined as \> 55 years (Males), \> 65 years (Females), smoking, overweight or obese patients or a combination of above risk factors * Patients who are assessed to benefit from the intake of angiotensin II receptor blocker (ARB) monotherapy or as add-on medication
Exclusion criteria
* Patients with contraindications to Telmisartan use (as per the Micardis® Tablets package insert). * Known hypersensitivity to the active ingredient or to any of the excipients of Micardis® . * Any other clinical condition which, in the opinion of the attending physician, would not allow safe administration of the study medications. * Patients participating in any other clinical trial. * Patients already on Micardis® alone or combination * Pregnant females, or females breast feeding.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Change in Diastolic Blood Pressure From Baseline at Week 24 | Baseline and Week 24 | The change from baseline reflects the week 24 value minus the baseline value. |
| Change in Systolic Blood Pressure From Baseline at Week 24 | Baseline and Week 24 | The change from baseline reflects the week 24 value minus the baseline value. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| International Renal Interest Society (IRIS) II Score at Week 24 | Week 24 | The IRIS II score represent the risk for vascular complication in type to diabetes mellitus and ranges from 0 (no risk) to 100% (complete risk). |
| Framingham Score at Week 24 | Week 24 | The Framingham score represent the cardiovascular risk and ranges from 0 (no risk) to 100% (complete risk). |
| Change From Baseline in Urinary Microalbuminuria (Urine Dipstick Test Results) | Baseline and Week 24 | The change from baseline reflects the shift from baseline in urinary dipstick test results to week 24 |
| Change in the IRIS II Score From Baseline at Week 24 | Baseline and Week 24 | The change from baseline reflects the week 24 value minus the baseline value. The IRIS II score represent the risk for vascular complication in type to diabetes mellitus and ranges from 0 (no risk) to 100% (complete risk). |
| Change in the Framingham Score From Baseline at Week 24 | Baseline and Week 24 | The change from baseline reflects the week 24 value minus the baseline value. The Framingham score represent the cardiovascular risk and ranges from 0 (no risk) to 100% (complete risk). |
Countries
Egypt, Saudi Arabia, United Arab Emirates
Participant flow
Pre-assignment details
3184 patients were enrolled but treatment was unknown in 89 patients. Therefore, 3095 patients were analysed.
Participants by arm
| Arm | Count |
|---|---|
| Micardis 80mg One tablet of Micardis 80mg per day | 1,499 |
| Micardis Plus 80mg / 12.5mg One tablet of Micardis Plus 80 / 12.5mg per day | 1,596 |
| Total | 3,095 |
Withdrawals & dropouts
| Period | Reason | FG000 | FG001 |
|---|---|---|---|
| Overall Study | Protocol Violation | 37 | 22 |
Baseline characteristics
| Characteristic | Total | Micardis 80mg | Micardis Plus 80mg / 12.5mg |
|---|---|---|---|
| Age, Continuous | 51.5 years STANDARD_DEVIATION 10.2 | 49.8 years STANDARD_DEVIATION 10.4 | 53.1 years STANDARD_DEVIATION 9.8 |
| Framingham score at baseline | 18.6 Units on a scale STANDARD_DEVIATION 12.6 | 15.7 Units on a scale STANDARD_DEVIATION 12.3 | 20.6 Units on a scale STANDARD_DEVIATION 12.5 |
| Gender Female | 934 participants | 500 participants | 434 participants |
| Gender Male | 2044 participants | 931 participants | 1113 participants |
| International Renal Interest Society (IRIS) II score at baseline | 36.1 Units on a scale STANDARD_DEVIATION 32.9 | 35.8 Units on a scale STANDARD_DEVIATION 33.8 | 37.1 Units on a scale STANDARD_DEVIATION 32.2 |
Adverse events
| Event type | EG000 affected / at risk | EG001 affected / at risk |
|---|---|---|
| deaths Total, all-cause mortality | — / — | — / — |
| other Total, other adverse events | 0 / 1,499 | 0 / 1,596 |
| serious Total, serious adverse events | 0 / 1,499 | 0 / 1,596 |
Outcome results
Change in Diastolic Blood Pressure From Baseline at Week 24
The change from baseline reflects the week 24 value minus the baseline value.
Time frame: Baseline and Week 24
Population: Full Analysis Set (FAS): Patients with Blood Pressure data available at baseline and at week 24
| Arm | Measure | Value (MEAN) | Dispersion |
|---|---|---|---|
| Micardis 80mg | Change in Diastolic Blood Pressure From Baseline at Week 24 | -15.3 mmHg | Standard Deviation 8.6 |
| Micardis Plus 80mg / 12.5mg | Change in Diastolic Blood Pressure From Baseline at Week 24 | -18.3 mmHg | Standard Deviation 8.4 |
Change in Systolic Blood Pressure From Baseline at Week 24
The change from baseline reflects the week 24 value minus the baseline value.
Time frame: Baseline and Week 24
Population: Full Analysis Set (FAS): Patients with Blood Pressure data available at baseline and at week 24
| Arm | Measure | Value (MEAN) | Dispersion |
|---|---|---|---|
| Micardis 80mg | Change in Systolic Blood Pressure From Baseline at Week 24 | -26.6 mmHg | Standard Deviation 13.7 |
| Micardis Plus 80mg / 12.5mg | Change in Systolic Blood Pressure From Baseline at Week 24 | -32.8 mmHg | Standard Deviation 15 |
Change From Baseline in Urinary Microalbuminuria (Urine Dipstick Test Results)
The change from baseline reflects the shift from baseline in urinary dipstick test results to week 24
Time frame: Baseline and Week 24
Population: Patients of Full Analysis Set (FAS) with values of the dipstick test at baseline and at week 24
| Arm | Measure | Group | Value (NUMBER) |
|---|---|---|---|
| Micardis 80mg | Change From Baseline in Urinary Microalbuminuria (Urine Dipstick Test Results) | Shift from baseline 0 to end-of-study 0 | 821 participants |
| Micardis 80mg | Change From Baseline in Urinary Microalbuminuria (Urine Dipstick Test Results) | Shift from baseline 0 to end-of-study 30 | 21 participants |
| Micardis 80mg | Change From Baseline in Urinary Microalbuminuria (Urine Dipstick Test Results) | Shift from baseline 0 to end-of-study 100 | 1 participants |
| Micardis 80mg | Change From Baseline in Urinary Microalbuminuria (Urine Dipstick Test Results) | Shift from baseline 0 to end-of-study 500 | 0 participants |
| Micardis 80mg | Change From Baseline in Urinary Microalbuminuria (Urine Dipstick Test Results) | Shift from baseline 30 to end-of-study 0 | 220 participants |
| Micardis 80mg | Change From Baseline in Urinary Microalbuminuria (Urine Dipstick Test Results) | Shift from baseline 30 to end-of-study 30 | 114 participants |
| Micardis 80mg | Change From Baseline in Urinary Microalbuminuria (Urine Dipstick Test Results) | Shift from baseline 30 to end-of-study 100 | 4 participants |
| Micardis 80mg | Change From Baseline in Urinary Microalbuminuria (Urine Dipstick Test Results) | Shift from baseline 30 to end-of-study 500 | 0 participants |
| Micardis 80mg | Change From Baseline in Urinary Microalbuminuria (Urine Dipstick Test Results) | Shift from baseline 100 to end-of-study 0 | 65 participants |
| Micardis 80mg | Change From Baseline in Urinary Microalbuminuria (Urine Dipstick Test Results) | Shift from baseline 100 to end-of-study 30 | 91 participants |
| Micardis 80mg | Change From Baseline in Urinary Microalbuminuria (Urine Dipstick Test Results) | Shift from baseline 100 to end-of-study 100 | 11 participants |
| Micardis 80mg | Change From Baseline in Urinary Microalbuminuria (Urine Dipstick Test Results) | Shift from baseline 100 to end-of-study 500 | 0 participants |
| Micardis 80mg | Change From Baseline in Urinary Microalbuminuria (Urine Dipstick Test Results) | Shift from baseline 500 to end-of-study 0 | 3 participants |
| Micardis 80mg | Change From Baseline in Urinary Microalbuminuria (Urine Dipstick Test Results) | Shift from baseline 500 to end-of-study 30 | 9 participants |
| Micardis 80mg | Change From Baseline in Urinary Microalbuminuria (Urine Dipstick Test Results) | Shift from baseline 500 to end-of-study 100 | 21 participants |
| Micardis 80mg | Change From Baseline in Urinary Microalbuminuria (Urine Dipstick Test Results) | Shift from baseline 500 to end-of-study 500 | 9 participants |
| Micardis Plus 80mg / 12.5mg | Change From Baseline in Urinary Microalbuminuria (Urine Dipstick Test Results) | Shift from baseline 500 to end-of-study 500 | 9 participants |
| Micardis Plus 80mg / 12.5mg | Change From Baseline in Urinary Microalbuminuria (Urine Dipstick Test Results) | Shift from baseline 0 to end-of-study 0 | 668 participants |
| Micardis Plus 80mg / 12.5mg | Change From Baseline in Urinary Microalbuminuria (Urine Dipstick Test Results) | Shift from baseline 100 to end-of-study 0 | 90 participants |
| Micardis Plus 80mg / 12.5mg | Change From Baseline in Urinary Microalbuminuria (Urine Dipstick Test Results) | Shift from baseline 0 to end-of-study 30 | 26 participants |
| Micardis Plus 80mg / 12.5mg | Change From Baseline in Urinary Microalbuminuria (Urine Dipstick Test Results) | Shift from baseline 500 to end-of-study 0 | 12 participants |
| Micardis Plus 80mg / 12.5mg | Change From Baseline in Urinary Microalbuminuria (Urine Dipstick Test Results) | Shift from baseline 0 to end-of-study 100 | 9 participants |
| Micardis Plus 80mg / 12.5mg | Change From Baseline in Urinary Microalbuminuria (Urine Dipstick Test Results) | Shift from baseline 100 to end-of-study 30 | 197 participants |
| Micardis Plus 80mg / 12.5mg | Change From Baseline in Urinary Microalbuminuria (Urine Dipstick Test Results) | Shift from baseline 0 to end-of-study 500 | 0 participants |
| Micardis Plus 80mg / 12.5mg | Change From Baseline in Urinary Microalbuminuria (Urine Dipstick Test Results) | Shift from baseline 500 to end-of-study 100 | 35 participants |
| Micardis Plus 80mg / 12.5mg | Change From Baseline in Urinary Microalbuminuria (Urine Dipstick Test Results) | Shift from baseline 30 to end-of-study 0 | 264 participants |
| Micardis Plus 80mg / 12.5mg | Change From Baseline in Urinary Microalbuminuria (Urine Dipstick Test Results) | Shift from baseline 100 to end-of-study 100 | 38 participants |
| Micardis Plus 80mg / 12.5mg | Change From Baseline in Urinary Microalbuminuria (Urine Dipstick Test Results) | Shift from baseline 30 to end-of-study 30 | 141 participants |
| Micardis Plus 80mg / 12.5mg | Change From Baseline in Urinary Microalbuminuria (Urine Dipstick Test Results) | Shift from baseline 500 to end-of-study 30 | 25 participants |
| Micardis Plus 80mg / 12.5mg | Change From Baseline in Urinary Microalbuminuria (Urine Dipstick Test Results) | Shift from baseline 30 to end-of-study 100 | 0 participants |
| Micardis Plus 80mg / 12.5mg | Change From Baseline in Urinary Microalbuminuria (Urine Dipstick Test Results) | Shift from baseline 100 to end-of-study 500 | 0 participants |
| Micardis Plus 80mg / 12.5mg | Change From Baseline in Urinary Microalbuminuria (Urine Dipstick Test Results) | Shift from baseline 30 to end-of-study 500 | 0 participants |
Change in the Framingham Score From Baseline at Week 24
The change from baseline reflects the week 24 value minus the baseline value. The Framingham score represent the cardiovascular risk and ranges from 0 (no risk) to 100% (complete risk).
Time frame: Baseline and Week 24
Population: Patients of Full Analysis Set (FAS) with values of the framingham score at baseline and at week 24
| Arm | Measure | Value (MEAN) | Dispersion |
|---|---|---|---|
| Micardis 80mg | Change in the Framingham Score From Baseline at Week 24 | -5.2 Units on a scale | Standard Deviation 8.7 |
| Micardis Plus 80mg / 12.5mg | Change in the Framingham Score From Baseline at Week 24 | -6.3 Units on a scale | Standard Deviation 8.4 |
Change in the IRIS II Score From Baseline at Week 24
The change from baseline reflects the week 24 value minus the baseline value. The IRIS II score represent the risk for vascular complication in type to diabetes mellitus and ranges from 0 (no risk) to 100% (complete risk).
Time frame: Baseline and Week 24
Population: Patients of Full Analysis Set (FAS) with values of the IRIS II score at baseline and at week 24
| Arm | Measure | Value (MEAN) | Dispersion |
|---|---|---|---|
| Micardis 80mg | Change in the IRIS II Score From Baseline at Week 24 | -5.8 Units on a scale | Standard Deviation 13.9 |
| Micardis Plus 80mg / 12.5mg | Change in the IRIS II Score From Baseline at Week 24 | -7.0 Units on a scale | Standard Deviation 14.7 |
Framingham Score at Week 24
The Framingham score represent the cardiovascular risk and ranges from 0 (no risk) to 100% (complete risk).
Time frame: Week 24
Population: Patients of Full Analysis Set (FAS) with values of the framingham score at baseline and at week 24
| Arm | Measure | Value (MEAN) | Dispersion |
|---|---|---|---|
| Micardis 80mg | Framingham Score at Week 24 | 10.6 Units on a scale | Standard Deviation 8.4 |
| Micardis Plus 80mg / 12.5mg | Framingham Score at Week 24 | 14.2 Units on a scale | Standard Deviation 9.7 |
International Renal Interest Society (IRIS) II Score at Week 24
The IRIS II score represent the risk for vascular complication in type to diabetes mellitus and ranges from 0 (no risk) to 100% (complete risk).
Time frame: Week 24
Population: Patients of Full Analysis Set (FAS) with values of the IRIS II score at baseline and at week 24
| Arm | Measure | Value (MEAN) | Dispersion |
|---|---|---|---|
| Micardis 80mg | International Renal Interest Society (IRIS) II Score at Week 24 | 30.9 Units on a scale | Standard Deviation 30.3 |
| Micardis Plus 80mg / 12.5mg | International Renal Interest Society (IRIS) II Score at Week 24 | 31.7 Units on a scale | Standard Deviation 28.8 |