isolated systolic hypertension / isolated elevated systolic bloodpressure
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: • Male or female aged at least 60 years; • Office systolic blood pressure >140 mmHg and office diastolic blood pressure
Exclusion criteria
Exclusion criteria: •Systolic blood pressure equal to or greater than 180 mmHg at the end of washout (visit 2) or run-in period (visit 3b); •Differences >20mmHg for SBP and >10mmHg for DBP on 3 consecutive readings at baseline •Current treatment with more than 2 antihypertensive agents within the last 6 months; •History of stroke, myocardial infarction, PCI or coronary bypass surgery within the last 12 months •Symptomatic lower limb ischemia i.e. claudicatio intermittens •Secondary hypertension (i.e.renovascular, adrenal, endocrine, tumor ..); •Serum creatinine > 150 µmol/L •Hepatic impairment defined as ASAT or ALAT >2 x upper normal limit; •Chronic administration of any medication known to affect blood pressure. •bradycardia (heart rate
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| The primary efficacy variable will be the change from baseline (Day 0) to the end of treatment (Day +84) in systolic blood pressure. | — |
Secondary
| Measure | Time frame |
|---|---|
| Percentage of normalized patients (mean SBP = 20 mmHg)at the end of treatment (Day +84); Change from baseline to the end of treatment (Day +84) in the 24-hour mean SBP, measured by ABPM; Change from baseline to the end of treatment (Day +84) in the 24-hour mean DBP, measured by ABPM; Change from baseline to the end of treatment (Day +84) in SBP in the last six hours of the 24-hour dose period (as measured by 24-hour ABPM); Change from baseline to the end of treatment (Day +84) in DBP in the last six hours of the 24-hour dose period (as measured by 24-hour ABPM); Change from baseline to the end of treatment (Day +84) in SBP and DBP for other time intervals [i.e. daytime mean (06:00-00:00), and night-time mean (00:00-6:00)] (as measured by 24-hour ABPM). ABPM readings will be read and evaluated centrally. | — |
Countries
Netherlands