BP-EASE -Effectiveness of Losartan 50 mg/Hydrochlorothiazide (HCTZ) 12.5 mg Versus Valsartan 80 mg/HCTZ 12.5 mg Titrated as Needed in Patients With Essential Hypertension Not Controlled on Monotherapy (0954A-333) (EASE)
BP-EASE-A 12-Week, Multicenter, Open-Label, Randomized, Controlled Trial To Compare The Effectiveness of Losartan 50 mg/HCTZ 12.5 mg Titrated as Needed to Losartan 100 mg/HCTZ 25 mg or Valsartan 160 mg/HCTZ 25 mg, in Patients With Essential Hypertension Who Have Not Achieved Target Blood Pressure With
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Study Type
Study Type
Enrollment (Actual)
Enrollment
Phase
Phase
- Phase 3
Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Description
Inclusion Criteria:
- An Adult Patient 18 to 75 Years Of Age
- Patient with essential hypertension receiving an antihypertensive agent in monotherapy for at least 4 weeks for whom the antihypertensive agent can (and will) be discontinued and whose blood pressure is not controlled:
- Either systolic or diastolic blood pressure > 140/90 mm Hg up to 180/110 mm Hg (inclusive)
- Either systolic or diastolic blood pressure > 130/80 mm Hg up to 160/100 mm Hg (inclusive) for diabetic patients
Patient is male or a female who is highly unlikely to conceive as she falls into one of the categories listed below:
- Surgically sterilized female
- Postmenopausal female > 45 years of age with > 2 years since her last menses
- Non-sterilized pre-menopausal female who agrees to: (1) use 2 adequate methods of contraception to prevent pregnancy [either 2 barrier methods or a barrier method plus a hormonal method]; or (2) abstain from heterosexual activity throughout the study starting with Visit 1 and for 14 days after the last dose of study medication; or (3) only engage in heterosexual activity with surgically sterilized male partner(s) throughout the study starting with Visit 1 and for 14 days after the last dose of study medication
- Patient judged to be in otherwise good, stable health on the basis of medical history and physical examination
Exclusion Criteria:
- Known secondary hypertension of any aetiology (e.g., uncorrected renal artery stenosis, malignant hypertension, or hypertensive encephalopathy)
- Patient Needing An Initiation Of A Lipid Lowering Agent Or A Modification Of His Lipid Therapy At Visit 1 Or During The Study Period (12 Weeks)
- Patient taking allopurinol
- Patient Previously Shown To Be Intolerant To Any Component Of Losartan Valsartan, Or HCTZ Or With A Documented History Of Angioedema/Anaphylaxis
- Patient With Confirmed Clinically Significant Renal Or Hepatic Dysfunction And/Or Electrolyte Imbalance Laboratory Test Within The Last 3 Months Prior To Visit 1: Serum Creatinine > 130 Umol/L Or Creatinine Clearance < 45 Ml/Min, Aspartate transaminase (AST) > 2 Times Above The Normal Range, Alanine transaminase (ALT) > 2 Times Above The Normal Range, Serum Potassium < 3.5 Or > 5.5 Meq/L
- Patient with osteoarthritis who has undergone hip or knee replacement within the last 4 months
- Patient with chronic inflammatory conditions such as rheumatoid arthritis, lupus, inflammatory bowel disease and those that need a chronic inflammatory therapy such as prednisone or other steroid agents
- Patient with symptomatic heart failure (classes 3 and 4)
- Patient with a history of stroke within the last 6 months
- Patient with coronary heart disease: has undergone percutaneous coronary angioplasty, has had coronary artery bypass, has had past myocardial infarction, all that occurred less than 6 months prior to visit 1 or has unstable angina
- Patient having participated in an investigational drug program in the last 30 days (prior to Visit 1)
- Unable or unwilling to comply with the protocol, therefore likely to leave the trial before its completion
- Patient intends to move or to vacation away from home during the course of the study which would interfere with the scheduled visits.
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: None (Open Label)
Number of Arms
Arms and Interventions
Participant Group / ArmParticipant Group / Arm |
Intervention / TreatmentIntervention / Treatment |
|---|---|
|
Experimental: 1
Drug Arm
|
losartan potassium 50 mg/12.5
Hydrochlorothiazide (HCTZ) titrated as needed to losartan potassium 100 mg/25 mg Hydrochlorothiazide
|
|
Active Comparator: 2
active comparator
|
Valsartan 80 mg/ Hydrochlorothiazide 12.5 mg/day titrated as needed to valsartan 160 mg/25 mg Hydrochlorothiazide
|
What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Time Frame |
|---|---|
|
Change in Systolic Blood Pressure From Baseline to Week 12
Time Frame: Baseline and Week 12
|
Baseline and Week 12
|
|
Change in Diastolic Blood Pressure From Baseline to Week 12
Time Frame: Baseline and Week 12
|
Baseline and Week 12
|
Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Change in Systolic Blood Pressure From Baseline to Week 6
Time Frame: Baseline and Week 6
|
Baseline and Week 6
|
|
|
Change in Diastolic Blood Pressure From Baseline to Week 6
Time Frame: Baseline and Week 6
|
Baseline and Week 6
|
|
|
Number of Patients Achieving Target Blood Pressure at Week 6
Time Frame: Week 6
|
Number of Patients Achieving Target Blood Pressure (<140/90 mm Hg and <130/80 mm Hg for diabetics) at week 6
|
Week 6
|
|
Number of Patients Achieving Target Blood Pressure at Week 12
Time Frame: 12 Weeks
|
Number of Patients Achieving Target Blood Pressure (<140/90 mm Hg and <130/80 mm Hg for diabetics) at week 12
|
12 Weeks
|
|
Time to Achieve Target Blood Pressure
Time Frame: 12 weeks
|
Time to achieve the target blood pressure (<140/90 mmHg and <130/80 mmHg for diabetics)
|
12 weeks
|
|
Change in Uric Acid From Baseline to Week 6
Time Frame: Baseline and Week 6
|
Baseline and Week 6
|
|
|
Change in Uric Acid From Baseline to Week 12
Time Frame: Baseline and Week 12
|
Baseline and Week 12
|
|
|
Change in Serum Highly Sensitive C-reactive Protein From Baseline to Week 6
Time Frame: Baseline and Week 6
|
Baseline and Week 6
|
|
|
Change in Serum Highly Sensitive C-reactive Protein From Baseline to Week 12
Time Frame: Baseline and Week 12
|
Baseline and Week 12
|
|
|
Change in Gamma-Glutamyl Transpeptidase (Gamma-GT) From Baseline to Week 6
Time Frame: Baseline and Week 6
|
Baseline and Week 6
|
|
|
Change in Gamma-Glutamyl Transpeptidase (Gamma-GT) From Baseline to Week 12
Time Frame: Baseline and Week 12
|
Baseline and Week 12
|
Collaborators and Investigators
Sponsor
Sponsor
Investigators
Investigators
- Study Director: Medical Monitor, Merck Sharp & Dohme LLC
Study record dates
Study Major Dates
Study Start (Actual)
Study Start
Primary Completion (Actual)
Primary Completion
Study Completion (Actual)
Study Completion
Study Registration Dates
First Submitted
First Submitted
First Submitted That Met QC Criteria
First Submitted That Met QC Criteria
First Posted (Estimated)
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
- Essential Hypertension
- Physiological Effects of Drugs
- Molecular Mechanisms of Pharmacological Action
- Anti-Arrhythmia Agents
- Antihypertensive Agents
- Natriuretic Agents
- Membrane Transport Modulators
- Diuretics
- Angiotensin II Type 1 Receptor Blockers
- Angiotensin Receptor Antagonists
- Sodium Chloride Symporter Inhibitors
- Valsartan
- Losartan
- Hydrochlorothiazide
Other Study ID Numbers
Other Study ID Numbers
- 0954A-333
- MK0954A-333
- 2007_031
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
IPD Plan Description
http://www.merck.com/clinical-trials/pdf/Merck%20Procedure%20on%20Clinical%20Trial%20Data%20Access%20Final_Updated%20July_9_2014.pdf
http://engagezone.msd.com/ds_documentation.php
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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