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An Examination of the Blood Pressure Lowering Ability and Safety of Olmesartan Medoxomil in Elderly Patients With Hypertension
This study has been completed.
First Received: December 14, 2006   Last Updated: August 5, 2009   History of Changes
Sponsored by: Daiichi Sankyo Inc.
Information provided by: Daiichi Sankyo Inc.
ClinicalTrials.gov Identifier: NCT00412932
  Purpose

This 14 week study will examine the ability of olmesartan medoxomil to lower the blood pressure of patients 65 years of age or older with high blood pressure. The medication being tested has been approved by the FDA for the treatment of high blood pressure.


Condition Intervention Phase
Hypertension
Drug: Olmesartan medoxomil
Drug: Olmesartan medoxomil/hydrochlorothiazide
Phase IV

Study Type: Interventional
Study Design: Treatment, Non-Randomized, Open Label, Uncontrolled, Single Group Assignment, Safety/Efficacy Study
Official Title: A Prospective, Open Label, Single Arm Study to Evaluation the Safety and Efficacy of an Olmesartan Medoxomil Based Treatment Regimen in Elderly Patients With Hypertension

Resource links provided by NLM:


Further study details as provided by Daiichi Sankyo Inc.:

Primary Outcome Measures:
  • Change From Baseline in Systolic Blood Pressure (SBP) After 12 Weeks of Active Treatment as Measured by 24-hour Ambulatory Blood Pressure Monitoring (ABPM) [ Time Frame: baseline to 12 weeks ] [ Designated as safety issue: No ]

Secondary Outcome Measures:
  • Change From Baseline in Mean 24-hr Ambulatory Blood Pressure Monitoring Diastolic Blood Pressure (DBP) After 12 Weeks of Active Treatment. [ Time Frame: baseline to 12 weeks ] [ Designated as safety issue: No ]
  • Change From Baseline in Mean Daytime (8am-4pm) and Mean Nightime (10 Pm-6am) ABPM SBP After 12 Weeks of Active Treatment [ Time Frame: baseline to 12 weeks ] [ Designated as safety issue: No ]
  • Change From Baseline in Mean Daytime (8am-4pm) and Mean Nightime (10 Pm-6am) ABPM DBP After 12 Weeks of Active Treatment [ Time Frame: baseline to 12 weeks ] [ Designated as safety issue: No ]
  • Number of Subjects Who Achieved Mean 24-hour ABPM BP <140/90, SBP<140, and DBP<90 After 12 Weeks of Active Treatment [ Time Frame: baseline to 12 weeks ] [ Designated as safety issue: No ]
  • Number of Subjects Who Achieved Mean Daytime ABPM BP <140/90, SBP<140, and DBP<90 After 12 Weeks of Active Treatment [ Time Frame: baseline to 12 weeks ] [ Designated as safety issue: No ]
  • Number of Subjects Who Achieved Mean Nighttime ABPM BP <140/90, SBP<140, and DBP<90 After 12 Weeks of Active Treatment [ Time Frame: baseline to 12 weeks ] [ Designated as safety issue: No ]

Enrollment: 178
Study Start Date: December 2006
Study Completion Date: April 2008
Primary Completion Date: April 2008 (Final data collection date for primary outcome measure)
Intervention Details:
    Drug: Olmesartan medoxomil
    Tablets
    Drug: Olmesartan medoxomil/hydrochlorothiazide
    Tablets
  Eligibility

Ages Eligible for Study:   65 Years and older
Genders Eligible for Study:   Both
Accepts Healthy Volunteers:   No
Criteria

Inclusion Criteria:

  1. Males or Females greater than 65 years
  2. Patients with a mean seated systolic blood pressure (MSSBP) greater than or equal to 150 mmHg but less than 200 mm Hg and a mean seated diastolic blood pressure (MSDBP) less than or equal to 109 mmHg following a 2-3 wk single blind placebo run-in period.
  3. The difference in MSSBP between visits 2 and 3 or between visits 3 and 3x must be less than or equal to 10 mmHg.
  4. Patients with a mean daytime (8am-4pm) systolic blood pressure (SBP) greater than or equal to 140 mmHg and less than or equal to 199 mmHg and a mean daytime diastolic blood pressure (DBP) less than or equal to 109 mmHg as measured by an ambulatory blood pressure monitoring device (ABPM) following placebo run-in period.

Exclusion Criteria:

  1. History of stroke or transient ischemic attack (TIA) within the last one year.
  2. History of myocardial infarction, angina, coronary angioplasty, coronary artery bypass graft, or heart failure within the past 6 months.
  3. Severe hypertension (DBP greater than 115 mmHg or SBP greater than or equal to 200 mmHg).
  4. Patients with secondary hypertension of any etiology, such as renal disease, pheochromocytoma or Cushing's syndrome.
  5. Type I diabetes or Type II diabetics not on stable treatment for greater than or equal to 4 wks. and plasma glucose greater than 160 mg/dl.
  6. Evidence of symptomatic resting bradycardia, congestive heart failure, or hemodynamically significant cardiac valvular disease.
  7. Presence of heart block greater than first degree sinoatrial block, Wolff-Parkinson-White Syndrome, Sick Sinus Syndrome, an accessory bypass tract, atrial fibrillation, atrial flutter or any arrhythmia requiring medication.
  8. Serum Creatinine greater than 1.7 mg/dl, or other abnormal laboratory values deemed clinically significant by the investigator.
  Contacts and Locations
Please refer to this study by its ClinicalTrials.gov identifier: NCT00412932

  Show 29 Study Locations
Sponsors and Collaborators
Daiichi Sankyo Inc.
  More Information

No publications provided

Responsible Party: Daiichi Sankyo ( William Waverczak )
Study ID Numbers: 866-450
Study First Received: December 14, 2006
Results First Received: April 28, 2009
Last Updated: August 5, 2009
ClinicalTrials.gov Identifier: NCT00412932     History of Changes
Health Authority: United States: Food and Drug Administration

Keywords provided by Daiichi Sankyo Inc.:
Hypertension
Angiotensin Receptor Blocker
Calcium Channel Blocker
Angiotensin Converting Enzyme Inhibitor
Hydrochlorothiazide
Stage I and II Hypertension

Study placed in the following topic categories:
Diuretics
Sodium Chloride Symporter Inhibitors
Vascular Diseases
Calcium Channel Blockers
Olmesartan medoxomil
Cardiovascular Agents
Angiotensin II
Antihypertensive Agents
Hydrochlorothiazide
Protease Inhibitors
Angiotensin II Type 1 Receptor Blockers
Calcium, Dietary
Angiotensin-Converting Enzyme Inhibitors
Hypertension

Additional relevant MeSH terms:
Molecular Mechanisms of Pharmacological Action
Sodium Chloride Symporter Inhibitors
Diuretics
Physiological Effects of Drugs
Vascular Diseases
Olmesartan medoxomil
Enzyme Inhibitors
Cardiovascular Agents
Antihypertensive Agents
Hydrochlorothiazide
Pharmacologic Actions
Protease Inhibitors
Angiotensin II Type 1 Receptor Blockers
Membrane Transport Modulators
Natriuretic Agents
Therapeutic Uses
Angiotensin-Converting Enzyme Inhibitors
Cardiovascular Diseases
Hypertension

ClinicalTrials.gov processed this record on September 11, 2009