Hypertension
Conditions
Keywords
managed with bedtime administration of lisinopril versus amlodipine
Brief summary
This study seeks to compare the differences in effectiveness among individual patients treated at for hypertension with bedtime administration of amlodipine versus lisinopril. There will be an analysis of whether one medication was more effective than another and whether specific patient factors could predict who responded better to which one.
Interventions
crossover comparison of amlodipine vs lisinopril
Sponsors
Study design
Eligibility
Inclusion criteria
* Age 40 to 80 * Newly diagnosed hypertension based on 24 hour ambulatory blood pressure monitor criteria. * Minimum Asleep SBP mean of ≥ 120mmHg for inclusion.
Exclusion criteria
* Current antihypertensive medication use * Baseline GFR \< 45 * Preexisting macroproteinuria * Chronic congestive heart failure * History of CVA * Diabetes Mellitus * Pregnancy * Night-shift work * Other preexisting contraindication to amlodipine or lisinopril
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Change in mean sleep-time systolic blood pressure after addition of a bedtime dose of amlodipine versus lisinopril | 1 year |
Secondary
| Measure | Time frame |
|---|---|
| Impact of individual medications on sleep-time blood pressure drop (dipping status) | 1 year |
| Association of baseline renin levels to sleep-time blood pressure drop | 1 year |
| Changes in mean sleep-time diastolic, awake systolic and diastolic blood pressures, including comparison of % achieving target BP | 1 year |
| Association of baseline dipping status with response to amlodipine versus lisinopril | 1 year |
| Association of age and response to amlodipine versus lisinopril | 1 year |
| Association of baseline renin levels with response to amlodipine versus lisinopril | 1 year |