Safety/Efficacy of Valsartan/Hydrochlorothiazide Combination Compared to Hydrochlorothiazide in Obese Hypertensive Adults
A 16-week Double-blind, Randomized, Multicenter, Force-titration Study to Evaluate the Antihypertensive Efficacy of Valsartan/Hydrochlorothiazide (HCTZ) Therapy Compared to HCTZ Based Therapy in Obese, Hypertensive Patients
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Study Type
Study Type
Enrollment (Actual)
Enrollment
Phase
Phase
- Phase 4
Contacts and Locations
Study Locations
-
-
Alabama
-
Muscle Shoals, Alabama, United States, 35662
- Terence T. Hart, MD
-
-
California
-
Westlake Village, California, United States, 91361
- Westlake Medical Research
-
-
Oklahoma
-
Oklahoma City, Oklahoma, United States, 73132
- Oklahoma Cardiovascular & Hypertension
-
-
Texas
-
Euless, Texas, United States, 76040
- Northeast Tarrant Internal Medicine Assoc
-
-
Washington
-
Port Orchard, Washington, United States, 98366
- Frandsen Family Medicine
-
-
Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Description
Inclusion Criteria:
- 40 years of age or older
- Moderate or severe high blood pressure defined as systolic blood pressure (the top number) greater than or equal to 150 mmHg and diastolic blood pressure (the bottom number) less then 110 mmHg
- Central (abdominal) obesity
Exclusion Criteria:
- Systolic blood pressure (the top number) greater than or equal to 180 mmHg and diastolic blood pressure (the bottom number) greater than or equal to 110 mmHg
- Currently taking more then 3 medications to treat high blood pressure
- Inability to stop all current blood pressure medications if any up to 4 weeks
- History of Type 1 or Type 2 diabetes
- History of stroke, mini-stroke (transient ischemic attack) or heart attack within the last 6 months
- History of or current diagnosis of congestive heart failure
- History of cancer within the past 5 years with the exception of localized basal cell carcinoma or squamous cell carcinoma
- Women who are pregnant or nursing
- Alcohol or drug abuse within the last 2 years
Other protocol-defined inclusion/exclusion criteria may apply
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: Double
Number of Arms
Arms and Interventions
Participant Group / ArmParticipant Group / Arm |
Intervention / TreatmentIntervention / Treatment |
|---|---|
|
Experimental: valsartan/HCTZ
|
|
|
Active Comparator: HCTZ +Amlodipine
|
|
What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Time Frame |
|---|---|
|
Change in Mean Sitting Systolic Blood Pressure (MSSBP)
Time Frame: Baseline to Week 8
|
Baseline to Week 8
|
Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Change in Mean Sitting Diastolic Blood Pressure (MSDBP)
Time Frame: Baseline to Weeks 4, 8, 12 and 16
|
Baseline to Weeks 4, 8, 12 and 16
|
|
|
Number of Patients Achieving Blood Pressure (BP) Control by Visit (< 140/90 mm Hg)
Time Frame: Weeks 4, 8, 12 16 and End of Study (for patients that did not complete the last visit at week 16)
|
Mean sitting systolic blood pressure/mean sitting diastolic blood pressure < 140/90 mm Hg
|
Weeks 4, 8, 12 16 and End of Study (for patients that did not complete the last visit at week 16)
|
|
Number of Patients Achieving Blood Pressure (BP)Control by Visit (< 130/80 mm Hg)
Time Frame: Week 4, 8, 12, 16, End of Study (for patients that did not complete the last visit at week 16)
|
Mean sitting systolic blood pressure/mean sitting diastolic blood pressure < 130/80 mm Hg
|
Week 4, 8, 12, 16, End of Study (for patients that did not complete the last visit at week 16)
|
|
Change From Baseline in Postprandial Glucose
Time Frame: Week 16
|
After a 75 gram anhydrous glucose challenge 2 hours after an oral glucose tolerance test
|
Week 16
|
|
Change From Baseline in Postprandial Insulin
Time Frame: Week 16
|
After a 75 gram anhydrous glucose challenge 2 hours after an oral glucose tolerance test
|
Week 16
|
|
Change From Baseline in Postprandial Non-esterified Fatty Acids
Time Frame: Week 16
|
After a 75 gram anhydrous glucose challenge 2 hours after an oral glucose tolerance test
|
Week 16
|
Collaborators and Investigators
Sponsor
Sponsor
Publications and helpful links
General Publications
- Deedwania PC, Zappe DH, Egan BM, Purkayastha D, Samuel R, Sowers JR. Does response of RAS blockade on serum K+ levels influence its glycemic-mitigating response when combined with hydrochlorothiazide? J Clin Hypertens (Greenwich). 2012 Jul;14(7):415-21. doi: 10.1111/j.1751-7176.2012.00635.x. Epub 2012 Apr 26.
- Ofili EO, Zappe DH, Purkayastha D, Samuel R, Sowers JR. Antihypertensive and metabolic effects of Angiotensin receptor blocker/diuretic combination therapy in obese, hypertensive African American and white patients. Am J Ther. 2013 Jan;20(1):2-12. doi: 10.1097/MJT.0b013e318230ae66.
- Sowers JR, Raij L, Jialal I, Egan BM, Ofili EO, Samuel R, Zappe DH, Purkayastha D, Deedwania PC. Angiotensin receptor blocker/diuretic combination preserves insulin responses in obese hypertensives. J Hypertens. 2010 Aug;28(8):1761-9. doi: 10.1097/HJH.0b013e32833af380.
Study record dates
Study Major Dates
Study Start
Study Start
Primary Completion (Actual)
Primary Completion
Study Registration Dates
First Submitted
First Submitted
First Submitted That Met QC Criteria
First Submitted That Met QC Criteria
First Posted (Estimate)
First Posted
Study Record Updates
Last Update Posted (Actual)
Last Update Posted
Last Update Submitted That Met QC Criteria
Last Update Submitted That Met QC Criteria
Last Verified
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
- Cardiovascular Diseases
- Vascular Diseases
- Hypertension
- Physiological Effects of Drugs
- Molecular Mechanisms of Pharmacological Action
- Antihypertensive Agents
- Vasodilator Agents
- Natriuretic Agents
- Membrane Transport Modulators
- Diuretics
- Calcium-Regulating Hormones and Agents
- Calcium Channel Blockers
- Angiotensin II Type 1 Receptor Blockers
- Angiotensin Receptor Antagonists
- Sodium Chloride Symporter Inhibitors
- Amlodipine
- Valsartan
- Hydrochlorothiazide
Other Study ID Numbers
Other Study ID Numbers
- CVAH631BUS06
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
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