UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000001279
Receipt number R000001557
Scientific Title A comparison of a combination drug of an angiotensin II receptor antagonist and a low-dose diuretic vs. a high-dose angiotensin II receptor antagonist in hypertensive patients
Date of disclosure of the study information 2008/08/01
Last modified on 2012/02/03 16:09:08

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Basic information

Public title

A comparison of a combination drug of an angiotensin II receptor antagonist and a low-dose diuretic vs. a high-dose angiotensin II receptor antagonist in hypertensive patients

Acronym

Kamanza Anti-Hypertensive Treatment Trial (KAHT-Trial)

Scientific Title

A comparison of a combination drug of an angiotensin II receptor antagonist and a low-dose diuretic vs. a high-dose angiotensin II receptor antagonist in hypertensive patients

Scientific Title:Acronym

Kamanza Anti-Hypertensive Treatment Trial (KAHT-Trial)

Region

Japan


Condition

Condition

Hypertension

Classification by specialty

Cardiology

Classification by malignancy

Others

Genomic information

NO


Objectives

Narrative objectives1

Changes in blood pressure are to be compared between the losartan / HCTZ group and the high-dose angiotensin II receptor antagonist group in hypertensive patients. Glucose metabolism markers, changes in serum uric acid and safety are also to be compared between the two groups.

Basic objectives2

Safety,Efficacy

Basic objectives -Others


Trial characteristics_1

Exploratory

Trial characteristics_2

Explanatory

Developmental phase

Phase IV


Assessment

Primary outcomes

Change and % change in blood pressure after 3months of treatment

Key secondary outcomes

- Change and % change in serum uric acid and serum blood glucose level after 3, 6 and 12 months of treatment.
- Change and % change in blood pressure after 6 and 12 months of treatment.
- Change and % change in HbA1c, microalbuminuria and BNP after 6 and 12 months of treatment.
- Safety throughout the treatment period


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

NO

Institution consideration

Institution is not considered as adjustment factor.

Blocking

NO

Concealment

Numbered container method


Intervention

No. of arms

2

Purpose of intervention

Treatment

Type of intervention

Medicine

Interventions/Control_1

losartan / HCTZ group

Interventions/Control_2

high-dose angiotensin II receptor antagonist group

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

20 years-old <=

Age-upper limit

85 years-old >

Gender

Male and Female

Key inclusion criteria

1) Patients with essential hypertension, who have been previously treated with antihypertensive drugs including standard- dose ARB for more than 3 months, however, whose blood pressure has not been adequately controlled (systolic blood pressure >140 mmHg and/or diastolic blood pressure >90mmHg)
2) Men and women aged 20 to 85 years at the time of the first visit.
3) Outpatients
4) Patients who fully understand the study procedures explained to them using explanatory notes and have given written informed consent to participate in the study

Key exclusion criteria

1) Patients under treatment with diuretics
2) Patients with office systolic blood pressure &#8805; 180mmHg or office diastolic blood pressure &#8805; 110mmHg
3) Patients with malignant hypertension
4) Patients who have stroke, myocardial infarction or other critical vascular complications that required hospitalization within 6 months prior to informed consent
5) Patients with liver dysfunction (ALT [GOT] and/or AST [GPT] over three times the normal value)
6) Patients with renal failure (serum creatinine &#8805;2.0 mg/dL)
7) Patients with a gout attack or hyperuricemia (&#8805;8.0mg/dL)
8) Pregnant or breast feeding female patients, including one trying to conceive pregnancy during the planned study period
9) Patients with uncontrolled arrhythmia
10) Patients with severe valvular disease including mitral stenosis and incompetence of aortic valve
11) Patients with cardiac insufficiency (NYHA grade III or IV)
12) Patients with a history of hypersensitivity to ingredients of losartan potassium
13) Patients with a history of hypersensitivity to thiazide or thiazide-like diuretics
14) Patients who are considered not eligible for the study by the attending doctor due to medical reasons

Target sample size

200


Research contact person

Name of lead principal investigator

1st name
Middle name
Last name Makoto Kitamura

Organization

Kyoto Second Red Cross Hospital

Division name

Cardiology

Zip code


Address

355-5 Haruobicho, Marutamachiagaru, Kamanzadori, Kamigyo-ku, Kyoto-Shi

TEL

075-231-5171

Email



Public contact

Name of contact person

1st name
Middle name
Last name Hiroshi Fujita

Organization

Vascular Care Network (VCN) Kamanza study group secretariat

Division name

Vascular Care Network (VCN) Kamanza study group secretariat

Zip code


Address

Cardiology , Kyoto Second Red Cross, Hospital 355-5 Haruobicho, Marutamachiagaru, Kamanzadori, Kami

TEL

075-231-5171

Homepage URL


Email



Sponsor or person

Institute

Vascular Care Network (VCN) Kamanza study group

Institute

Department

Personal name



Funding Source

Organization

Japan Vascular Disease Research Foundation

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

2008 Year 08 Month 01 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

Date of protocol fixation

2008 Year 02 Month 06 Day

Date of IRB


Anticipated trial start date

2008 Year 03 Month 01 Day

Last follow-up date

2009 Year 12 Month 01 Day

Date of closure to data entry


Date trial data considered complete


Date analysis concluded



Other

Other related information



Management information

Registered date

2008 Year 07 Month 31 Day

Last modified on

2012 Year 02 Month 03 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000001557


Research Plan
Registered date File name

Research case data specifications
Registered date File name

Research case data
Registered date File name