- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT03249285
Pharmacogenomics of Hypertension Personalized Medicine (PGX-HT) (PGX-HT)
Pharmacogenomics Of Hypertension: A New Approach For A Personalized Medicine
This is a pharmacogenomic prospective , four-arms, parallel groups, active comparator controlled study in essential hypertensive patients never treated before.
Each patient will be genotyped for SNPs (single nucleotide polymorphism) in preliminary genetic profiles and will be treated according to their genetic profile with Peri (Perindopril) 4 mg or HCTZ ( hydrochlorothiazide) 12.5 mg.
Study Overview
Detailed Description
At screening visit each patient will be genotyped for SNPs in preliminary genetic profiles with a custom SNP array.
The therapy scheme includes 2-4-week run-in period after which eligible patients will be treated according to their genetic profile with Peri 4 mg or HCTZ 12.5 mg. Titration to Peri 8 mg or HCTZ 25 mg could be possible after one month treatment.
Patients without any genetic profile will be randomly assigned to HCTZ or Peri treatment as control groups.
The treatment period will last 8 weeks, while the study about 10-12 weeks
Four cases may occur:
- patient with HCTZ profile, HCTZ treatment;
- patient with Peri profile, Peri treatment;
- patient without HCTZ nor Peri profile, randomization for HCTZ or Peri;
- patient with both profiles, treatment according to the profile with the higher number of positive contributors.
Eligible patients will be treated according to their genetic profile with Peri 4 mg or HCTZ 12.5 mg/die.
Titration to Peri 8 mg or HCTZ 25 mg could be possible after 4 weeks treatment. The treatment period will last 8 weeks, while the study about 10-12 weeks
Study Type
Enrollment (Anticipated)
Phase
- Phase 3
Contacts and Locations
Study Contact
- Name: Lanzani Chiara, Doctor
- Phone Number: +390226435330
- Email: lanzani.chiara@hsr.it
Study Contact Backup
- Name: Brioni Elena, Nurse
- Phone Number: +390226432876
- Email: brioni.elena@hsr.it
Study Locations
-
-
-
Livorno, Italy, 57121
- Recruiting
- Azienda Sanitaria 6
-
Contact:
- Bigazzi Roberto
-
Milan, Italy, 20131
- Recruiting
- San Raffaele Hospital
-
Contact:
- Brioni Elena, Nurse
- Phone Number: +390226432876
- Email: brioni.elena@hsr.it
-
Contact:
- Lanzani L Chiara, Doctor
- Phone Number: +390226435330
- Email: lanzani.chiara@hsr.it
-
Sub-Investigator:
- Simonini Marco, Doctor
-
Sub-Investigator:
- Tentori Stefano, Doctor
-
Udine, Italy, 33170
- Not yet recruiting
- Azienda Ospedaliero - Universitaria S. Maria della Misericordia
-
Contact:
- Leonardo A Sechi
-
-
Participation Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Description
Inclusion Criteria:
- Male/Female patients aged 25-60 years.
- Naive hypertensive patients (newly diagnosed, never treated before).
Documented mild to moderate arterial hypertension, as defined below:
- At Visits 1 and 2 (week -4 and week -2 run-in period) the mean of the last 3 consecutive readings of office SBP must be >= 140 mmHg and/or DBP must be >=90 mmHg, when measured by office blood pressure (OBP);
- At Visit 3 (week 0) enrolment , the mean of the last 3 consecutive readings of SBP must be >= 140 mmHg and <160 mmHg, and DBP must be >= 90 mmHg and <110 mmHg, when measured by OBP.
- Signed informed consent for genotyping.
Exclusion Criteria:
- known causes of secondary hypertension;
- pregnant, nursing women or women of childbearing potential taking anti-contraceptive medication;
- severe or malignant hypertension;
- history of renal artery disease;
- significant renal disease (estimated creatinine clearance less than 60 mL/min);
- hepatic disease;
- cardiac diseases (myocardial infarction, atrial fibrillation, etc);
- diabetes (fasting plasma glucose >125mg/dL);
- statin treatment;
- obesity (BMI>30 kg/m2).
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: None (Open Label)
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
Experimental: Peri profile yes
patient with genetic Perindopril profile, receiving Perindopril treatment with 4-8 mg/day oral for 4-8 weeks
|
Perindopril 4 mg /day, orally with titration to 8 mg/day after 1 month if BP (Blood pressure) is not controlled
Other Names:
|
Experimental: HCTZ profile yes
patient with genetic HCTZ profile, receiving HCTZ treatment with 12,5-25 mg/day oral for 4-8 weeks
|
Hydrochlorothiazide 12, 5 mg day, orally with titration to 25 mg/day after 1 month if BP is not controlled
Other Names:
|
Active Comparator: Peri no profile
patient with no genetic profile, receiving after randomisation Perindopril treatment with 4-8 mg/day oral for 4-8 weeks
|
Perindopril 4 mg /day, orally with titration to 8 mg/day after 1 month if BP (Blood pressure) is not controlled
Other Names:
|
Active Comparator: HCTZ no profile
patient with no genetic profile, receiving after randomisation HCTZ treatment with 12,5-25 mg/day oral for 4-8 weeks
|
Hydrochlorothiazide 12, 5 mg day, orally with titration to 25 mg/day after 1 month if BP is not controlled
Other Names:
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
SBP (Systolic blood pressure) and DBP (Diastolic blood pressure) response
Time Frame: 4 and 8 weeks
|
Difference in SBP and DBP variation after 4 and 8 weeks of therapy according to the presence or not of specific genetic profile for each drugs
|
4 and 8 weeks
|
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Profiles implementation
Time Frame: in the three months after the end of the study
|
Implementing and redefining the genetic profile for HCTZ or/and Peri by using a further spectrum of 128 different SNP variants
|
in the three months after the end of the study
|
Collaborators and Investigators
Sponsor
Investigators
- Study Chair: Manunta Paolo, Professor, Scientif Institute San Raffale
Study record dates
Study Major Dates
Study Start
Primary Completion (Anticipated)
Study Completion (Anticipated)
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (Actual)
Study Record Updates
Last Update Posted (Actual)
Last Update Submitted That Met QC Criteria
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
- Enzyme Inhibitors
- Protease Inhibitors
- Natriuretic Agents
- Membrane Transport Modulators
- Diuretics
- Angiotensin-Converting Enzyme Inhibitors
- Sodium Chloride Symporter Inhibitors
- Hydrochlorothiazide
- Perindopril
Other Study ID Numbers
- udraCT NUMBER: 2015-001888-39
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
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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