Hypertension
Conditions
Brief summary
This post-marketing surveillance study is designed to supplement the data on efficacy and tolerability of Micardis® and MicardisPlus® in patients at cardiovascular risk under general practice conditions. The aim of the study is to investigate the effect of a six-month treatment with Micardis® / MicardisPlus® on blood pressure and the effect of the Lifestyle education tool for weight reduction on blood pressure control. In addition, the post-marketing surveillance study will provide information on the effects on target measurement of the Lifestyle education tool and various laboratory parameters produced by treatment with Micardis® and MicardisPlus® in an unselected patient population under general practice conditions.
Interventions
None listed
Sponsors
Study design
Eligibility
Inclusion criteria
1. Patients with essential hypertension (blood pressure (BP) higher or equal to 140/90 mmHg or higher or equal to 130/80 mmHg in case of diabetic patients) 2. Patients with hypertension under treatment with one or more antihypertensive drug
Exclusion criteria
Patients are excluded according to the summary of product characteristics (SmPC).
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Changes in Mean Blood Pressure (Systolic) After Treatment, Compared to Baseline | 24 weeks (Visit 1 to Visit 3) | Changes in blood pressure in patients with systolic values, measured at baseline and final visit, by treatment and by Tool/No Tool |
| Changes in Mean Blood Pressure (Diastolic) After Treatment, Compared to Baseline | 24 weeks (Visit 1 to Visit 3) | Changes in blood pressure in patients with diastolic values, measured at baseline and final visit, by treatment and by Tool/No Tool |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Changes in Laboratory Parameters: Triglycerides | 24 weeks (Visit 1 to Visit 3) | Changes in the triglyceride levels from baseline to final visit in patients with both laboratory values valid, by treatment and by Tool/No Tool |
| Changes in Laboratory Parameters:Low Density Lipoprotein (LDL) | 24 weeks (Visit 1 to Visit 3) | Changes in LDL cholesterol levels from baseline to final visit in patients with both laboratory values valid, by treatment and by Tool/No Tool |
| Assessment of Metabolic Effect | 24 weeks (Visit 1 to Visit 3) | Metabolic effect was rated by the investigators as 'positive', 'neutral' and 'negative' |
| Changes in Laboratory Parameters: Blood Glucose | 24 weeks (Visit 1 to Visit 3) | Changes in the fasting blood glucose levels from baseline to final visit in patients with both laboratory values valid, by treatment and by Tool/No Tool |
| Changes in Laboratory Parameters:High Density Lipoprotein (HDL) | 24 weeks (Visit 1 to Visit 3) | Changes in LDL cholesterol levels from baseline to final visit in patients with both laboratory values valid, by treatment and by Tool/No Tool |
Countries
Slovenia
Participant flow
Recruitment details
The aim of the study is to investigate the effect of the Lifestyle education tool (Tool/No Tool) for weight reduction on blood pressure control during a six-month treatment with Micardis® / MicardisPlus®. Patients were designated to participate or not participate in a Lifestyle education tool by the investigator under general practice conditions.
Pre-assignment details
A total of 1856 were entered into this trial and 1841 were analysed. For 15 patients case report forms were not available or not usable for analysis
Participants by arm
| Arm | Count |
|---|---|
| Micardis® (Telmisartan) Patients were enrolled into two groups, receiving treatment with Micardis or MicardisPlus and in addition with Tool or No Tool. The system summarizes the number of patients automatically. The total number is always 1841. | 774 |
| MicardisPlus® (Telmisartan Hydrochlorothiazide) | 1,067 |
| Tool (With Lifestyle Education Tool on Weight Reduction) | 1,187 |
| No Tool (Without Lifestyle Education Tool on Weight Reduction) | 654 |
| Total | 3,682 |
Withdrawals & dropouts
| Period | Reason | FG000 | FG001 |
|---|---|---|---|
| Overall Study | Adverse Event | 0 | 1 |
| Overall Study | Lost to Follow-up | 7 | 6 |
Baseline characteristics
| Characteristic | Micardis® (Telmisartan) | MicardisPlus® (Telmisartan Hydrochlorothiazide) | Tool (With Lifestyle Education Tool on Weight Reduction) | No Tool (Without Lifestyle Education Tool on Weight Reduction) | Total |
|---|---|---|---|---|---|
| Age, Continuous | NA Years | NA Years | 61.14 Years STANDARD_DEVIATION 10.09 | 61.94 Years STANDARD_DEVIATION 11.01 | 61.43 Years STANDARD_DEVIATION 10.43 |
| Sex/Gender, Customized Female, Micardis®/MicardisPlus® | 445 Participants | 624 Participants | 0 Participants | 0 Participants | 1069 Participants |
| Sex/Gender, Customized Female, Tool/No Tool | 0 Participants | 0 Participants | 679 Participants | 390 Participants | 1069 Participants |
| Sex/Gender, Customized Male, Micardis®/MicardisPlus® | 328 Participants | 443 Participants | 0 Participants | 0 Participants | 771 Participants |
| Sex/Gender, Customized Male, Tool/No Tool | 0 Participants | 0 Participants | 507 Participants | 264 Participants | 771 Participants |
Adverse events
| Event type | EG000 affected / at risk | EG001 affected / at risk |
|---|---|---|
| deaths Total, all-cause mortality | — / — | — / — |
| other Total, other adverse events | 0 / 774 | 0 / 1,067 |
| serious Total, serious adverse events | 0 / 774 | 1 / 1,067 |
Outcome results
Changes in Mean Blood Pressure (Diastolic) After Treatment, Compared to Baseline
Changes in blood pressure in patients with diastolic values, measured at baseline and final visit, by treatment and by Tool/No Tool
Time frame: 24 weeks (Visit 1 to Visit 3)
| Arm | Measure | Value (MEAN) | Dispersion |
|---|---|---|---|
| Micardis® (Telmisartan) | Changes in Mean Blood Pressure (Diastolic) After Treatment, Compared to Baseline | -14.73 mmHg | Standard Deviation 8.75 |
| MicardisPlus® (Telmisartan Hydrochlorothiazide) | Changes in Mean Blood Pressure (Diastolic) After Treatment, Compared to Baseline | -15.31 mmHg | Standard Deviation 8.87 |
| Tool (With Lifestyle Education Tool on Weight Reduction) | Changes in Mean Blood Pressure (Diastolic) After Treatment, Compared to Baseline | -15.29 mmHg | Standard Deviation 8.85 |
| No Tool (Without Lifestyle Education Tool on Weight Reduction) | Changes in Mean Blood Pressure (Diastolic) After Treatment, Compared to Baseline | -14.65 mmHg | Standard Deviation 8.76 |
Changes in Mean Blood Pressure (Systolic) After Treatment, Compared to Baseline
Changes in blood pressure in patients with systolic values, measured at baseline and final visit, by treatment and by Tool/No Tool
Time frame: 24 weeks (Visit 1 to Visit 3)
| Arm | Measure | Value (MEAN) | Dispersion |
|---|---|---|---|
| Micardis® (Telmisartan) | Changes in Mean Blood Pressure (Systolic) After Treatment, Compared to Baseline | -30.71 mmHg | Standard Deviation 17.81 |
| MicardisPlus® (Telmisartan Hydrochlorothiazide) | Changes in Mean Blood Pressure (Systolic) After Treatment, Compared to Baseline | -30.32 mmHg | Standard Deviation 15.05 |
| Tool (With Lifestyle Education Tool on Weight Reduction) | Changes in Mean Blood Pressure (Systolic) After Treatment, Compared to Baseline | -30.35 mmHg | Standard Deviation 16.11 |
| No Tool (Without Lifestyle Education Tool on Weight Reduction) | Changes in Mean Blood Pressure (Systolic) After Treatment, Compared to Baseline | -30.73 mmHg | Standard Deviation 16.58 |
Assessment of Metabolic Effect
Metabolic effect was rated by the investigators as 'positive', 'neutral' and 'negative'
Time frame: 24 weeks (Visit 1 to Visit 3)
| Arm | Measure | Group | Value (NUMBER) |
|---|---|---|---|
| Micardis® (Telmisartan) | Assessment of Metabolic Effect | Positive | 544 Participants |
| Micardis® (Telmisartan) | Assessment of Metabolic Effect | Neutral | 222 Participants |
| Micardis® (Telmisartan) | Assessment of Metabolic Effect | Negative | 1 Participants |
| Micardis® (Telmisartan) | Assessment of Metabolic Effect | Not available | 7 Participants |
| MicardisPlus® (Telmisartan Hydrochlorothiazide) | Assessment of Metabolic Effect | Neutral | 361 Participants |
| MicardisPlus® (Telmisartan Hydrochlorothiazide) | Assessment of Metabolic Effect | Negative | 6 Participants |
| MicardisPlus® (Telmisartan Hydrochlorothiazide) | Assessment of Metabolic Effect | Positive | 695 Participants |
| MicardisPlus® (Telmisartan Hydrochlorothiazide) | Assessment of Metabolic Effect | Not available | 5 Participants |
| Tool (With Lifestyle Education Tool on Weight Reduction) | Assessment of Metabolic Effect | Positive | 835 Participants |
| Tool (With Lifestyle Education Tool on Weight Reduction) | Assessment of Metabolic Effect | Neutral | 339 Participants |
| Tool (With Lifestyle Education Tool on Weight Reduction) | Assessment of Metabolic Effect | Not available | 10 Participants |
| Tool (With Lifestyle Education Tool on Weight Reduction) | Assessment of Metabolic Effect | Negative | 3 Participants |
| No Tool (Without Lifestyle Education Tool on Weight Reduction) | Assessment of Metabolic Effect | Not available | 2 Participants |
| No Tool (Without Lifestyle Education Tool on Weight Reduction) | Assessment of Metabolic Effect | Negative | 4 Participants |
| No Tool (Without Lifestyle Education Tool on Weight Reduction) | Assessment of Metabolic Effect | Neutral | 244 Participants |
| No Tool (Without Lifestyle Education Tool on Weight Reduction) | Assessment of Metabolic Effect | Positive | 404 Participants |
Changes in Laboratory Parameters: Blood Glucose
Changes in the fasting blood glucose levels from baseline to final visit in patients with both laboratory values valid, by treatment and by Tool/No Tool
Time frame: 24 weeks (Visit 1 to Visit 3)
| Arm | Measure | Value (MEAN) | Dispersion |
|---|---|---|---|
| Micardis® (Telmisartan) | Changes in Laboratory Parameters: Blood Glucose | -0.49 mmol/l | Standard Deviation 1.19 |
| MicardisPlus® (Telmisartan Hydrochlorothiazide) | Changes in Laboratory Parameters: Blood Glucose | -0.45 mmol/l | Standard Deviation 1.09 |
| Tool (With Lifestyle Education Tool on Weight Reduction) | Changes in Laboratory Parameters: Blood Glucose | -0.49 mmol/l | Standard Deviation 1.17 |
| No Tool (Without Lifestyle Education Tool on Weight Reduction) | Changes in Laboratory Parameters: Blood Glucose | -0.42 mmol/l | Standard Deviation 1.04 |
Changes in Laboratory Parameters:High Density Lipoprotein (HDL)
Changes in LDL cholesterol levels from baseline to final visit in patients with both laboratory values valid, by treatment and by Tool/No Tool
Time frame: 24 weeks (Visit 1 to Visit 3)
| Arm | Measure | Value (MEAN) | Dispersion |
|---|---|---|---|
| Micardis® (Telmisartan) | Changes in Laboratory Parameters:High Density Lipoprotein (HDL) | 0.11 mmol/l | Standard Deviation 0.25 |
| MicardisPlus® (Telmisartan Hydrochlorothiazide) | Changes in Laboratory Parameters:High Density Lipoprotein (HDL) | 0.09 mmol/l | Standard Deviation 0.49 |
| Tool (With Lifestyle Education Tool on Weight Reduction) | Changes in Laboratory Parameters:High Density Lipoprotein (HDL) | 0.12 mmol/l | Standard Deviation 0.31 |
| No Tool (Without Lifestyle Education Tool on Weight Reduction) | Changes in Laboratory Parameters:High Density Lipoprotein (HDL) | 0.06 mmol/l | Standard Deviation 0.56 |
Changes in Laboratory Parameters:Low Density Lipoprotein (LDL)
Changes in LDL cholesterol levels from baseline to final visit in patients with both laboratory values valid, by treatment and by Tool/No Tool
Time frame: 24 weeks (Visit 1 to Visit 3)
| Arm | Measure | Value (MEAN) | Dispersion |
|---|---|---|---|
| Micardis® (Telmisartan) | Changes in Laboratory Parameters:Low Density Lipoprotein (LDL) | -0.41 mmol/l | Standard Deviation 0.65 |
| MicardisPlus® (Telmisartan Hydrochlorothiazide) | Changes in Laboratory Parameters:Low Density Lipoprotein (LDL) | -0.51 mmol/l | Standard Deviation 0.77 |
| Tool (With Lifestyle Education Tool on Weight Reduction) | Changes in Laboratory Parameters:Low Density Lipoprotein (LDL) | -0.50 mmol/l | Standard Deviation 0.74 |
| No Tool (Without Lifestyle Education Tool on Weight Reduction) | Changes in Laboratory Parameters:Low Density Lipoprotein (LDL) | -0.40 mmol/l | Standard Deviation 0.68 |
Changes in Laboratory Parameters: Triglycerides
Changes in the triglyceride levels from baseline to final visit in patients with both laboratory values valid, by treatment and by Tool/No Tool
Time frame: 24 weeks (Visit 1 to Visit 3)
| Arm | Measure | Value (MEAN) | Dispersion |
|---|---|---|---|
| Micardis® (Telmisartan) | Changes in Laboratory Parameters: Triglycerides | -0.24 mmol/l | Standard Deviation 0.61 |
| MicardisPlus® (Telmisartan Hydrochlorothiazide) | Changes in Laboratory Parameters: Triglycerides | -0.30 mmol/l | Standard Deviation 0.8 |
| Tool (With Lifestyle Education Tool on Weight Reduction) | Changes in Laboratory Parameters: Triglycerides | -0.32 mmol/l | Standard Deviation 0.74 |
| No Tool (Without Lifestyle Education Tool on Weight Reduction) | Changes in Laboratory Parameters: Triglycerides | -0.18 mmol/l | Standard Deviation 0.69 |