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Study of Antihypertensive Treatment and Cardiovascular Risk in Chinese Prehypertensive Population

2026年6月11日 更新者：Qilu Hospital of Shandong University

I. Research Objectives

Primary Objectives:

To evaluate the effect of low-dose antihypertensive therapy on the incidence of new-onset hypertension and new-onset diabetes in individuals with high-normal blood pressure and cardiovascular risk factors.

To assess the impact of low-dose antihypertensive therapy on composite cardiovascular events in individuals with high-normal blood pressure and cardiovascular risk factors.

Secondary Objective:

To evaluate the effects of low-dose antihypertensive therapy and different drug regimens on intermediate markers or subclinical status of cardiovascular disease risk, including lipid profiles, carotid atherosclerosis, and arterial stiffness (pulse wave velocity).

II. Study Population Individuals with high-normal blood pressure and comorbid cardiovascular risk factors who have not been treated with antihypertensive medications.

III. Endpoints

Primary Endpoints:

New-onset hypertension and new-onset diabetes. Composite cardiovascular events (fatal and non-fatal stroke, myocardial infarction, cardiovascular death, and coronary revascularization).

Other Endpoints:

Hospitalization for transient ischemic attack (TIA), hospitalization for angina pectoris, hospitalization for heart failure, peripheral vascular disease, malignancy, all-cause mortality, and renal failure.

研究概览

地位

完全的

条件

干预/治疗

研究类型

介入性

注册 (实际的)

690

阶段

  • 不适用

联系人和位置

本节提供了进行研究的人员的详细联系信息，以及有关进行该研究的地点的信息。

学习地点

  • 中国
    • Shandong
      • Jinan、Shandong、中国、250000
        • Qilu Hospital of Shandong University

参与标准

研究人员寻找符合特定描述的人，称为资格标准。这些标准的一些例子是一个人的一般健康状况或先前的治疗。

资格标准

适合学习的年龄

  • 成人
  • 年长者

接受健康志愿者

不

描述

Inclusion Criteria:

  1. Age: 50-79 years, regardless of sex.
  2. Blood Pressure: Systolic blood pressure (SBP) 130 ≤ SBP < 140 mmHg and/or diastolic blood pressure (DBP) 85 ≤ DBP < 90 mmHg.
  3. Presence of at least one cardiovascular risk factor.
  4. Capacity to provide informed consent.

Exclusion Criteria:

  1. Diabetes mellitus (FPG ≥ 7.0 mmol/L and/or OGTT 2h PG ≥ 11.1 mmol/L).
  2. Hypertension (SBP ≥ 140 mmHg and/or DBP ≥ 90 mmHg) or current use of antihypertensive medication.
  3. Participation in another clinical trial within 3 months prior to enrollment or concurrently with this study.
  4. Significant renal impairment (serum creatinine ≥ 2.5 mg/dL).
  5. Significant hepatic dysfunction (ALT > 2 × upper limit of normal [ULN]).
  6. Serum potassium < 3.5 mmol/L or > 5.6 mmol/L.
  7. Known hypersensitivity to the investigational drugs used in this study.
  8. History of stroke or myocardial infarction within 3 months prior to study entry.
  9. Undergoing or scheduled for percutaneous coronary intervention (PCI) or coronary artery bypass grafting (CABG) within 3 months prior to study start.
  10. Other serious medical conditions (e.g., malignant tumors).
  11. Pregnant women or women of childbearing potential who are not using effective contraception or likely to become pregnant.
  12. Patients who are bedridden or unable to attend clinic visits.
  13. Any other condition requiring antihypertensive medication.
  14. Any indication or contraindication for the investigational drug or other antihypertensive agents.
  15. Subjects deemed unsuitable for inclusion by the investigator.

学习计划

本节提供研究计划的详细信息，包括研究的设计方式和研究的衡量标准。

研究是如何设计的？

设计细节

  • 主要用途：治疗
  • 分配：随机化
  • 介入模型：并行分配
  • 屏蔽：双倍的

武器和干预

参与者组/臂
干预/治疗
安慰剂比较：Placebo
Patients will receive a placebo, administered as half a tablet once daily.
其他：Placebo
Patients will receive a placebo, administered as half a tablet once daily.
实验性的：Telmisartan
Patients will receive Telmisartan 40 mg, administered as one tablet once daily.
药品：Telmisartan
Patients will receive Telmisartan 40 mg, administered as one tablet once daily.
实验性的：Indapamide
Patients will receive Indapamide 1.5 mg, administered as one capsule every other day.
药品：Indapamide
Patients will receive Indapamide 1.5 mg, administered as one capsule every other day.

研究衡量的是什么？

主要结果指标

结果测量
措施说明
大体时间
1.New-onset hypertension and new-onset diabetes. 2.Composite cardiovascular events (fatal and non-fatal stroke, myocardial infarction, cardiovascular death, and coronary revascularization).
大体时间：through study completion, an average of 4 year
  1. New-onset hypertension Incidence of new-onset hypertension during follow-up. Unit of Measure: Number and percentage of participants.
  2. New-onset diabetes Incidence of new-onset diabetes during follow-up. Unit of Measure: Number and percentage of participants.
  3. Composite cardiovascular events Incidence of composite cardiovascular events during follow-up, defined as the occurrence of at least one of the following: fatal or non-fatal stroke, myocardial infarction, cardiovascular death, or coronary revascularization. Participants with multiple events will be counted once for the composite endpoint.

Unit of Measure: Number and percentage of participants.
through study completion, an average of 4 year

其他结果措施

结果测量
大体时间
Hospitalization for transient ischemic attack (TIA), hospitalization for angina pectoris, hospitalization for heart failure, peripheral vascular disease, malignancy, all-cause mortality, and renal failure.
大体时间：through study completion, an average of 4 year
through study completion, an average of 4 year

合作者和调查者

在这里您可以找到参与这项研究的人员和组织。

赞助

Qilu Hospital of Shandong University

研究记录日期

这些日期跟踪向 ClinicalTrials.gov 提交研究记录和摘要结果的进度。研究记录和报告的结果由国家医学图书馆 (NLM) 审查，以确保它们在发布到公共网站之前符合特定的质量控制标准。

研究主要日期

学习开始 (实际的)

2007年1月1日

初级完成 (实际的)

2026年4月30日

研究完成 (实际的)

2026年4月30日

研究注册日期

首次提交

2026年5月22日

首先提交符合 QC 标准的

2026年6月11日

首次发布 (实际的)

2026年6月17日

研究记录更新

最后更新发布 (实际的)

2026年6月17日

上次提交的符合 QC 标准的更新

2026年6月11日

最后验证

2026年5月1日

更多信息

与本研究相关的术语

其他相关的 MeSH 术语

其他研究编号

  • 2006BAI01A03

药物和器械信息、研究文件

研究美国 FDA 监管的药品

不

研究美国 FDA 监管的设备产品

不

此信息直接从 clinicaltrials.gov 网站检索，没有任何更改。如果您有任何更改、删除或更新研究详细信息的请求，请联系 register@clinicaltrials.gov. clinicaltrials.gov 上实施更改，我们的网站上也会自动更新.

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