MedPath

A Real-world Study of the Safety of Hypertension Medication Therapy in Japanese Patients With Naïve Hypertension

Completed
Conditions
Hypertension
Registration Number
NCT06683768
Lead Sponsor
Novartis Pharmaceuticals
Brief Summary

This was a non-interventional, secondary use of data, retrospective, cohort study. The data extracted in this study was used as secondary use of collected patient information in the database, Japan Medical Data Survey (JAMDAS), owned by M3 Inc. (Tokyo, Japan). JAMDAS is a database that aggregates medical information and is constructed mainly from electronic medical record information of medical institutions, allowing real-time extraction of information entered in medical records, such as prescription status including drug switching and continuation, laboratory values, clinical evaluation scores, and comorbidities etc.

Detailed Description

Not available

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
40563
Inclusion Criteria

Not provided

Exclusion Criteria

Not provided

Study & Design

Study Type
OBSERVATIONAL
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
Number of Adverse Events (AEs) From Initiation of Antihypertensive Treatment to Weeks 8 and 24 Categorized by Type of AEWeek 8 and Week 24
Number of Patients With AEs From Initiation of Antihypertensive Treatment to Weeks 8 and 24 Categorized by Type of AEWeek 8 and Week 24
Incidence Rate of AEs From Initiation of Antihypertensive Treatment to Weeks 8 and 24 Categorized by Type of AEWeek 8 and Week 24

Incidence rate was calculated by dividing the number of patients who had an event by the total number of patients.

Secondary Outcome Measures
NameTimeMethod
Number of Adverse Events (AEs) From Initiation of Antihypertensive Treatment to Week 24 Categorized by Type of AE per Blood Pressure (BP) CategoryWeek 24

BP Categories included Grade I, II, III, and (isolated) systolic hypertension.

Number of Patients With AEs From Initiation of Antihypertensive Treatment to Week 24 Categorized by Type of AE per BP CategoryWeek 24

BP Categories included Grade I, II, III, and (isolated) systolic hypertension.

Incidence Rate of AEs From Initiation of Antihypertensive Treatment to Week 24 Categorized by Type of AE per BP CategoryWeek 24

BP Categories included Grade I, II, III, and (isolated) systolic hypertension. Incidence rate was calculated by dividing the number of patients who had an event by the total number of patients.

Number of AEs From Initiation of Antihypertensive Treatment to Week 24 Categorized by Type of AE per Age Group CategoryWeek 24

Age group categories:

* Less than 65 years old

* 65 to 74 years old

* 75 years or older

Number of Patients With AEs From Initiation of Antihypertensive Treatment to Week 24 Categorized by Type of AE per Age Group CategoryWeek 24

Age group categories:

* Less than 65 years old

* 65 to 74 years old

* 75 years or older

Incidence Rate of AEs From Initiation of Antihypertensive Treatment to Week 24 Categorized by Type of AE per Age Group CategoryWeek 24

Age group categories:

* Less than 65 years old

* 65 to 74 years old

* 75 years or older

Incidence rate was calculated by dividing the number of patients who had an event by the total number of patients.

Number of AEs From Initiation of Antihypertensive Treatment to Week 24 Categorized by Type of AE per Body Mass Index (BMI) CategoryWeek 24

BMI categories:

* BMI \<18.5

* 18.5 ≤ BMI \<25

* 25 ≤ BMI

Number of Patients With AEs From Initiation of Antihypertensive Treatment to Week 24 Categorized by Type of AE per BMI CategoryWeek 24

BMI categories:

* BMI \<18.5

* 18.5 ≤ BMI \<25

* 25 ≤ BMI

Incidence Rate of AEs From Initiation of Antihypertensive Treatment to Week 24 Categorized by Type of AE per BMI CategoryWeek 24

BMI categories:

* BMI \<18.5

* 18.5 ≤ BMI \<25

* 25 ≤ BMI

Incidence rate was calculated by dividing the number of patients who had an event by the total number of patients.

Number of AEs From Initiation of Antihypertensive Treatment to Week 24 Categorized by Type of AE per Estimated Glomerular Filtration Rate (eGFR) CategoryWeek 24

eGFR categories:

* eGFR \<30

* 30 ≤ eGFR \<60

* 60 ≤ eGFR

Number of Patients With AEs From Initiation of Antihypertensive Treatment to Week 24 Categorized by Type of AE per eGFR CategoryWeek 24

eGFR categories:

* eGFR \<30

* 30 ≤ eGFR \<60

* 60 ≤ eGFR

Incidence Rate of AEs From Initiation of Antihypertensive Treatment to Week 24 Categorized by Type of AE per eGFR CategoryWeek 24

eGFR categories:

* eGFR \<30

* 30 ≤ eGFR \<60

* 60 ≤ eGFR

Incidence rate was calculated by dividing the number of patients who had an event by the total number of patients.

Number of AEs From Initiation of Antihypertensive Treatment to Week 24 Categorized by Type of AE by Potassium LevelWeek 24

Potassium (K) levels:

* K \<3.5

* 3.5 ≤ K \<5.5

* 5.5 ≤ K

Number of Patients With AEs From Initiation of Antihypertensive Treatment to Week 24 Categorized by Type of AE by Potassium LevelWeek 24

Potassium (K) levels:

* K \<3.5

* 3.5 ≤ K \<5.5

* 5.5 ≤ K

Incidence Rate of AEs From Initiation of Antihypertensive Treatment to Week 24 Categorized by Type of AE by Potassium LevelWeek 24

Potassium (K) levels:

* K \<3.5

* 3.5 ≤ K \<5.5

* 5.5 ≤ K

Incidence rate was calculated by dividing the number of patients who had an event by the total number of patients.

Number of AEs From Initiation of Antihypertensive Treatment to Week 24 Categorized by Type of AE by Creatinine LevelWeek 24

Creatinine (Cr) Levels:

* Cr \<1.5

* 1.5 ≤ Cr

Number of Patients With AEs From Initiation of Antihypertensive Treatment to Week 24 Categorized by Type of AE by Creatinine LevelWeek 24

Creatinine (Cr) Levels:

* Cr \<1.5

* 1.5 ≤ Cr

Incidence Rate of AEs From Initiation of Antihypertensive Treatment to Week 24 Categorized by Type of AE by Creatinine LevelWeek 24

Creatinine (Cr) Levels:

* Cr \<1.5

* 1.5 ≤ Cr

Incidence rate was calculated by dividing the number of patients who had an event by the total number of patients.

Number of AEs From Initiation of Antihypertensive Treatment to Week 24 Categorized by Type of AE by ProteinuriaWeek 24

Proteinuria:

* Urine protein \<30: Negative

* 30 ≤ Protein urine: Positive

Number of Patients With AEs From Initiation of Antihypertensive Treatment to Week 24 Categorized by Type of AE by ProteinuriaWeek 24

Proteinuria:

* Urine protein \<30: Negative

* 30 ≤ Protein urine: Positive

Incidence Rate of AEs From Initiation of Antihypertensive Treatment to Week 24 Categorized by Type of AE by ProteinuriaWeek 24

Proteinuria:

* Urine protein \<30: Negative

* 30 ≤ Protein urine: Positive

Incidence rate was calculated by dividing the number of patients who had an event by the total number of patients.

Number of AEs From Initiation of Antihypertensive Treatment to Week 24 Categorized by Type of AE per Class of Antihypertensive MedicationWeek 24

Antihypertensive medication classes included calcium channel blockers (CCBs), angiotensin-converting enzyme (ACE) inhibitors, angiotensin receptor blockers (ARBs), and diuretics.

Number of Patients With AEs From Initiation of Antihypertensive Treatment to Week 24 Categorized by Type of AE per Class of Antihypertensive MedicationWeek 24

Antihypertensive medication classes included CCBs, ACE inhibitors, ARBs, and diuretics.

Incidence Rate of AEs From Initiation of Antihypertensive Treatment to Week 24 Categorized by Type of AE per Class of Antihypertensive MedicationWeek 24

Antihypertensive medication classes included CCBs, ACE inhibitors, ARBs, and diuretics. Incidence rate was calculated by dividing the number of patients who had an event by the total number of patients.

Change in BP From Initiation of Antihypertensive Treatment to Weeks 4, 8, and 12Weeks 4, 8, and 12
Change in BP From Initiation of Antihypertensive Treatment to Weeks 4, 8, and 12 by BP CategoryWeeks 4, 8, and 12

BP categories included Grade I, II, and III hypertension.

Change in BP From Initiation of Antihypertensive Treatment to Weeks 4, 8, and 12 by Age Group CategoryWeeks 4, 8, and 12

Age group categories:

* Less than 65 years old

* 65 to 74 years old

* 75 years or older

Change in BP From Initiation of Antihypertensive Treatment to Weeks 4, 8, and 12 by BMI CategoryWeeks 4, 8, and 12

BMI categories:

* BMI \<18.5

* 18.5 ≤ BMI \<25

* 25 ≤ BMI

Change in BP From Initiation of Antihypertensive Treatment to Weeks 4, 8, and 12 by eGFR CategoryWeeks 4, 8, and 12

eGFR categories:

* eGFR \<30

* 30 ≤ eGFR \<60

* 60 ≤ eGFR

Change in BP From Initiation of Antihypertensive Treatment to Weeks 4, 8, and 12 by Potassium LevelWeeks 4, 8, and 12

Potassium (K) levels:

* K \<3.5

* 3.5 ≤ K \<5.5

* 5.5 ≤ K

Change in BP From Initiation of Antihypertensive Treatment to Weeks 4, 8, and 12 by Creatinine LevelWeeks 4, 8, and 12

Creatinine (Cr) Levels:

* Cr \<1.5

* 1.5 ≤ Cr

Change in BP From Initiation of Antihypertensive Treatment to Weeks 4, 8, and 12 by ProteinuriaWeeks 4, 8, and 12

Proteinuria:

* Urine protein \<30: Negative

* 30 ≤ Protein urine: Positive

Number of Patients who Achieved the BP Goal at Last Visit Categorized by SubgroupUp to 13 weeks

The BP goal was 130/80 millimeters of mercury (mm Hg).

Subgroups:

* BP Grade

* Age

* BMI

* Estimated glomerular filtration rate (eGFR)

* Potassium Level

* Creatinine Level

* Proteinuria (positive or negative)

Trial Locations

Locations (1)

Novartis Pharmaceuticals

🇺🇸

East Hanover, New Jersey, United States

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