UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000000778
Receipt number R000000929
Scientific Title ONgoing Evaluation of depressor effect And Safety of combination therapy with Telmisartan and low-dose hydrochlorothiazide in patients with hypertension uncontrolled on amlodipin treatment
Date of disclosure of the study information 2007/07/26
Last modified on 2008/08/14 13:18:38

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Basic information

Public title

ONgoing Evaluation of depressor effect And Safety of combination therapy with Telmisartan and low-dose hydrochlorothiazide in patients with hypertension uncontrolled on amlodipin treatment

Acronym

ONgoing Evaluation of depressor effect And Safety of combination therapy with Telmisartan and low-dose hydrochlorothiazide in patients with hypertension uncontrolled on amlodipin treatment (ONEAST)

Scientific Title

ONgoing Evaluation of depressor effect And Safety of combination therapy with Telmisartan and low-dose hydrochlorothiazide in patients with hypertension uncontrolled on amlodipin treatment

Scientific Title:Acronym

ONgoing Evaluation of depressor effect And Safety of combination therapy with Telmisartan and low-dose hydrochlorothiazide in patients with hypertension uncontrolled on amlodipin treatment (ONEAST)

Region

Japan


Condition

Condition

essential hypertension

Classification by specialty

Cardiology Endocrinology and Metabolism Nephrology

Classification by malignancy

Others

Genomic information

NO


Objectives

Narrative objectives1

To compare depressor effect and safety between combination therapy with telmisartan plus low-dose hydrochlorothiazide and amlodipine in hypertensive patients

Basic objectives2

Safety,Efficacy

Basic objectives -Others


Trial characteristics_1

Exploratory

Trial characteristics_2

Pragmatic

Developmental phase

Phase IV


Assessment

Primary outcomes

Changes in office blood pressure

Key secondary outcomes

1) Home blood pressure in early morning and before going to bed
2) Changes in uric acid, total cholesterol, HDL cholesterol, LDL cholesterol, triglyceride, fasting plasma glucose (only in diabetic patients), hemoglobin A1c (only in diabetic patients)


Base

Study type

Interventional


Study design

Basic design

Parallel

Randomization

Randomized

Randomization unit

Individual

Blinding

Open -no one is blinded

Control

Active

Stratification

YES

Dynamic allocation

YES

Institution consideration

Institution is not considered as adjustment factor.

Blocking

YES

Concealment

No need to know


Intervention

No. of arms

2

Purpose of intervention

Treatment

Type of intervention

Medicine

Interventions/Control_1

12 week combination therapy with telmisartan (40 mg/day) plus hydrochlorothiazide (12.5 mg/day): If blood pressure is not reach to lower than 140/90 mmHg, dose of telmisartan can be increased to 80 mg/day.

Interventions/Control_2

Amlodipine (5 mg/day) is continuously administered. If blood pressure is not reach to lower than 140/90 mmHg, amlodipine can b eincreased to 7.5 mg/day.

Interventions/Control_3


Interventions/Control_4


Interventions/Control_5


Interventions/Control_6


Interventions/Control_7


Interventions/Control_8


Interventions/Control_9


Interventions/Control_10



Eligibility

Age-lower limit

40 years-old <=

Age-upper limit

80 years-old >

Gender

Male and Female

Key inclusion criteria

1) 5 mg/day of amlodipine is administered for more than 3 months
2) Systolic or diastolic blood pressure >= 140/90 mmHg (more than 2 times measurements at outpatient clinic before start of the study)
3) Outpatients

Key exclusion criteria

1) Secondary hypertension including renovascular hypertension with single kidney or bilateral stenosis
2) Administration of antihypertensives other than amlodipine
3) cardiovascular disease (cerebral hemorrhage, cerebral infarction, TIA, angina, myocardial infarction, acute renal failure) occurs less than 6 months before start of the study
4) Serum creatinine >= 2.0 mg/dl
5) Severe hypertension (systolic or diastolic blood pressure >= 180/110 mmHg) or malignant hypertension (hypertensive organ damage is rapidly developing)
6) Chronic heart failure (NYHA class>=III to VI)
7) Contraindication of telmisartan or hydrochlorothiazide
8) hyper- (>= 5.5 mEq/L) or hypo- (<=3.5 mEq/l) potassemia
9) Untreated hyperuricemia or uncontrolled hydrochlorothiazide (serum uric acid >= 8.0 mg/dl)
10) Diabetic patients who require insulin therapy, uncontrolled diabetic patients (hemoglobin A1c >=9.0%), or patients who possess the risk of hypoglycemic attack
11) Patients inadequate for the study

Target sample size

60


Research contact person

Name of lead principal investigator

1st name
Middle name
Last name Toshiro Fujita

Organization

University of Tokyo Graduate School of Medicine

Division name

Department of Nephrology and Endocrinology

Zip code


Address

7-3-1 Hongo, Bunkyo-ku, Tokyo

TEL


Email



Public contact

Name of contact person

1st name
Middle name
Last name Katsuyuki Ando

Organization

University of Tokyo Graduate School of Medicine

Division name

Department of Nephrology and Endocrinology

Zip code


Address

7-3-1 Hongo, Bunkyo-ku, Tokyo

TEL


Homepage URL


Email

katsua-tky@umin.ac.jp


Sponsor or person

Institute

Department of Nephrology and Endocrinology, University of Tokyo Graduate School of Medicine

Institute

Department

Personal name



Funding Source

Organization

Advanced Clinical Research Organization (ACRO)

Organization

Division

Category of Funding Organization

Non profit foundation

Nationality of Funding Organization

Japan


Other related organizations

Co-sponsor


Name of secondary funder(s)



IRB Contact (For public release)

Organization


Address


Tel


Email



Secondary IDs

Secondary IDs

NO

Study ID_1


Org. issuing International ID_1


Study ID_2


Org. issuing International ID_2


IND to MHLW



Institutions

Institutions



Other administrative information

Date of disclosure of the study information

2007 Year 07 Month 26 Day


Related information

URL releasing protocol


Publication of results

Unpublished


Result

URL related to results and publications


Number of participants that the trial has enrolled


Results


Results date posted


Results Delayed


Results Delay Reason


Date of the first journal publication of results


Baseline Characteristics


Participant flow


Adverse events


Outcome measures


Plan to share IPD


IPD sharing Plan description



Progress

Recruitment status

Completed

Date of protocol fixation

2007 Year 06 Month 08 Day

Date of IRB


Anticipated trial start date

2007 Year 07 Month 01 Day

Last follow-up date

2008 Year 03 Month 01 Day

Date of closure to data entry

2008 Year 05 Month 01 Day

Date trial data considered complete

2008 Year 08 Month 01 Day

Date analysis concluded

2008 Year 08 Month 01 Day


Other

Other related information



Management information

Registered date

2007 Year 07 Month 26 Day

Last modified on

2008 Year 08 Month 14 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000000929


Research Plan
Registered date File name

Research case data specifications
Registered date File name

Research case data
Registered date File name