Kanagawa Combination Anti-hypertensive Therapy (K-CAT)

The recruitment status of this study is unknown because the information has not been verified recently.
Verified June 2010 by Yokohama City University Medical Center.
Recruitment status was  Recruiting
Sponsor:
Information provided by:
Yokohama City University Medical Center
ClinicalTrials.gov Identifier:
NCT00492128
First received: June 26, 2007
Last updated: June 24, 2010
Last verified: June 2010

June 26, 2007
June 24, 2010
September 2007
May 2009   (final data collection date for primary outcome measure)
The change of systolic blood pressure [ Time Frame: three months ] [ Designated as safety issue: Yes ]
The change of systolic blood pressure [ Time Frame: three months ]
Complete list of historical versions of study NCT00492128 on ClinicalTrials.gov Archive Site
  • The achievement rate of target blood pressure [ Time Frame: three months ] [ Designated as safety issue: Yes ]
  • The change of diastolic blood pressure [ Time Frame: three months ] [ Designated as safety issue: Yes ]
  • The change of blood pressure [ Time Frame: six months, nine months and one year ] [ Designated as safety issue: Yes ]
  • The achievement rate of target blood pressure [ Time Frame: six months, nine months and one year ] [ Designated as safety issue: Yes ]
  • The achievement rate of target blood pressure [ Time Frame: three months ]
  • The change of diastolic blood pressure [ Time Frame: three months ]
  • The change of blood pressure [ Time Frame: six months, nine months and one year ]
  • The achievement rate of target blood pressure [ Time Frame: six months, nine months and one year ]
 
 
 
Kanagawa Combination Anti-hypertensive Therapy (K-CAT)
Comparative Trial of Combination Therapy of ARB/Diuretic Versus ARB/CCB in Uncontrolled Hypertensive Patients With Monotherapy of ARB

The purpose of this study is to compare the effect and safety of the antihypertensive combination therapies between losartan/amlodipine and fixed dose drug of losartan/hydrochlorothiazide.

The combination therapy with multiple antihypertensive drugs is recommended in the patients who are uncontrolled with monotherapy. Diuretics increase the activities of renin-angiotensin-aldosterone system (RAS), and angiotensin receptor blockers (ARB) depress blood pressure potently in the state of increased RAS activities. Thus, the combination therapy with ARB and diuretics is expected to lower the blood pressure synergistically. This combination therapy is also expected to reduce the side effects of each drug. In this study, we will compare the effect and safety of the combination therapies between losartan/amlodipine and fixed dose drug of losartan/hydrochlorothiazide.

Interventional
Phase 4
Allocation: Randomized
Endpoint Classification: Safety/Efficacy Study
Intervention Model: Parallel Assignment
Masking: Open Label
Primary Purpose: Treatment
Hypertension
Drug: Losartan/amlodipine or losartan/hydrochlorothiazide
Losartan 50mg/amlodipine 5mg and the fixed dose combination drug of losartan 50mg/hydrochlorothiazide 12.5mg once a day during 12 months.
Other Name: Preminent (Hyzaar)
 
 

*   Includes publications given by the data provider as well as publications identified by ClinicalTrials.gov Identifier (NCT Number) in Medline.
 
Recruiting
300
August 2010
May 2009   (final data collection date for primary outcome measure)

Inclusion Criteria:

  • Under treatment of hypertension with ARB monotherapy for more than one month.
  • systolic blood pressure more than 140mmHg and less than 160mmHg or diastolic blood pressure more than 90mmHg and less than 100mmHg in sitting position.
  • In diabetic or CKD patients, systolic blood pressure more than 130mmHg and less than 160mmHg or diastolic blood pressure more than 80mmHg and less than 100mmHg in sitting position.

Exclusion Criteria:

  • uncontrolled hypertension (diastolic blood pressure >120mmHg)
  • uncontrolled diabetes mellitus (HbA1c>9.0%)
  • Acute myocardial infarction, stroke and other cardiovascular events within six months
  • The history of gout, or uric acid>8.0mg/dl
  • Serum creatinine>2.0mg/dl
  • sever liver dysfunction
  • Bilateral renovascular stenosis
  • secondary hypertension
  • malignant hypertension
  • uncontrolled arrhythmia
  • pregnancy or possibility of pregnancy
  • hypersensitivity to trial drug
Both
20 Years to 75 Years
No
Contact: Satoshi Umemura, MD, PhD 81-45-787-2635 umemuras@med.yokohama-cu.ac.jp
Japan
 
NCT00492128
200706001
No
Yokohama City University Medical Center, Department of Medical Science and Cardiorenal
Yokohama City University Medical Center
 
Study Chair: Satoshi Umemura, MD, PhD Yokohama City University Graduate School of Medicine
Yokohama City University Medical Center
June 2010

ICMJE     Data element required by the International Committee of Medical Journal Editors and the World Health Organization ICTRP