Treatment of Essential Hypertension With Vasodip-Combo 20. Efficacy and Safety Evaluation With 24 h Ambulatory Blood Pressure Measurements
Trial Snapshot
- Phase
- Phase 4
- Status
- Terminated
- Sponsor
- Meir Medical Center
- Enrollment
- 10
- Locations
- 1
- Primary Endpoint
- Blood Pressure control
Study Overview
Brief Summary
Treatment and control of hypertension is still insufficient. About 50% of the patients remain uncontrolled. Lack of compliance with discontinuation of drug treatment is an important reason for not achieving blood pressure. Several studies have shown that use of fixed combinations improve compliance significantly, by reducing the number of pill's intake.
This study will assess the antihypertensive efficacy of Vasodip-Combo 20® [enalapril 20 mg + lercanidipine 10 mg] as a fixed combination drug in uncontrolled antihypertensive patients.
Detailed Description
This is a single centre observational uncontrolled prospective study, Hypertensive patients that are either treatment naïve or uncontrolled on current therapy [one or two drugs] and meet all inclusion and exclusion criteria, will be assigned to Vasodip-Combo 20 as unique drug treatment. The treatment will then be continued for additional 4 weeks. Office blood pressure will be performed by the physician at each visit. 24 h. ambulatory blood pressure measurements [ABPM] and blood samples for electrolytes, creatinine and urea will be taken at base line visit and at at week 4.
Efficacy will be defined in terms of therapeutic goals expressed as target blood pressures according to World Health Organization and European society of Hypertension [ for office blood pressure and ambulatory blood pressure measurements] criteria:
Office Blood Pressure: Diastolic blood pressure ≤ 90 mmHg and Systolic blood pressure ≤ 140 mmHg for non-diabetics or Diastolic Blood Pressure ≤ 80 mmHg and Systolic Blood Pressure ≤ 130 mmHg for diabetics, respectively.
24 h Ambulatory Blood Pressure Measurements: 224 Hour: Diastolic Blood Pressure≤ 80 mmHg and Systolic Blood Pressure ≤ 130 mmHg, Awake time: Diastolic Blood Pressure ≤ 85 mmHg,Systolic Blood Pressure ≤ 135 mmHg Asleep Time: Diastolic Blood Pressure ≤70 mmHg, Systolic Blood Pressure ≤ 70 mmHg.
Effectiveness and Safety will also be evaluated taking into consideration patient compliance
Study Design
- Study Type
- Interventional
- Allocation
- Na
- Intervention Model
- Single Group
- Primary Purpose
- Treatment
- Masking
- None
Eligibility Criteria
- Ages
- 18 Years to 80 Years (Adult, Older Adult)
- Sex
- All
- Accepts Healthy Volunteers
- No
Inclusion Criteria
- •Essential hypertension at visit 1 defined as office blood pressure <140/90 mmHg and a 24 h ABPM >130/80 mmHg with a day time blood pressure (extracted from the 24h ABPM) >135/85 mmHg
- •Male and female
- •Every patient that in the medical opinion of the treating physician is eligible for Vasodip Combo 20 treatment.
- •Willing to sign an informed consent
Exclusion Criteria
- •Use of more than 2 anti hypertensive medication at visit 1 (fixed combination is considered as two drugs)
- •Mean 24 h ABPM values of more than 180/100 mmHg
- •Pregnant women
- •Women with potential age of pregnancy.
- •Suspected secondary hypertension (investigator decision)
- •Uncontrolled Diabetes Mellitus(investigator decision)
- •Any of the following in the last six months: Myocardial Infarction, Stroke, Coronary by-pass surgery, Percutaneous coronariography with balloon dilation and/or stent insertion
- •Congestive Heart Failure requiring pharmacological treatment
- •Renal Failure, defined as serum creatinine equal or great than 1.5 mg% [confirmed twice] or hyperkalemia defined as serum potassium equal or great that 5 meq/l [confirmed twice]
- •Malignancy that required Chemotherapy in the last 3 years.
- •Any medical or none medical condition that in the eyes of the investigator will not allow the patient to complete the study.
Arms & Interventions
lercanidipine-enalapril fixed combination
uncontrolled hypertensive patients will receive fixed combination therapy
Intervention: Lercanidipine/enalapril fixed combination (Drug)
Outcomes
Primary Outcomes
Blood Pressure control
Time Frame: Four weeks
Percentage of patients with controlled blood pressure with office BP and 24 h ABPM measurements, from baseline to week 4.
Secondary Outcomes
No secondary outcomes reported