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| Study Type: | Interventional |
|---|---|
| Study Design: | Allocation: Randomized; Endpoint Classification: Efficacy Study; Intervention Model: Parallel Assignment; Masking: Double Blind (Subject, Investigator); Primary Purpose: Treatment |
| Condition: |
Hypertension |
| Interventions: |
Drug: Comparator: losartan +/- HCTZ Drug: Comparator: Placebo |
Participant Flow
| Key information relevant to the recruitment process for the overall study, such as dates of the recruitment period and locations |
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Patients were recruited at 51 sites in the United States. Prime Therapy Period: April 2006 to February 2007 |
| Significant events and approaches for the overall study following participant enrollment, but prior to group assignment |
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| Prior antihypertensive medications were withdrawn/ tapered before patients entered the 4-week placebo run-in period. |
| Description | |
|---|---|
| Losartan | Once-daily losartan 50 mg titrated at 4-week intervals to losartan 100 mg, losartan 100 mg/Hydrochlorothiazide (HCTZ) 12.5 mg, and losartan 100 mg/HCTZ 25 mg |
| Placebo | Once-daily matching placebo for losartan 50 mg titrated at 4-week intervals to matching placebo for losartan 100 mg, matching placebo for losartan 100 mg/HCTZ 12.5 mg, and matching placebo for losartan 100 mg/HCTZ 25 mg |
| Losartan | Placebo | |
|---|---|---|
| STARTED | 127 | 134 |
| COMPLETED | 105 | 105 |
| NOT COMPLETED | 22 | 29 |
| Adverse Event | 3 | 3 |
| Lack of Efficacy | 3 | 11 |
| Lost to Follow-up | 3 | 3 |
| Protocol Violation | 3 | 1 |
| Withdrawal by Subject | 3 | 8 |
| Unspecified | 7 | 3 |
Baseline Characteristics
| Description | |
|---|---|
| Losartan | Once-daily losartan 50 mg titrated at 4-week intervals to losartan 100 mg, losartan 100 mg/Hydrochlorothiazide (HCTZ) 12.5 mg, and losartan 100 mg/HCTZ 25 mg |
| Placebo | Once-daily matching placebo for losartan 50 mg titrated at 4-week intervals to matching placebo for losartan 100 mg, matching placebo for losartan 100 mg/HCTZ 12.5 mg, and matching placebo for losartan 100 mg/HCTZ 25 mg |
| Losartan | Placebo | Total | |
|---|---|---|---|
|
Number of Participants
[units: participants] |
127 | 134 | 261 |
|
Age
[units: years] Mean ± Standard Deviation |
50.1 ± 10.4 | 51.4 ± 9.7 | 50.8 ± 10.0 |
|
Gender
[units: participants] |
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| Female | 79 | 77 | 156 |
| Male | 48 | 57 | 105 |
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Race/Ethnicity, Customized
[units: participants] |
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| Caucasian | 84 | 87 | 171 |
| Black | 22 | 29 | 51 |
| Hispanic American | 20 | 16 | 36 |
| Native American | 0 | 1 | 1 |
| Other | 1 | 1 | 2 |
|
Sitting Diastolic Blood Pressure (SiDBP)
[units: mm Hg] Mean ± Standard Deviation |
99.1 ± 4.2 | 99.0 ± 4.0 | 99.0 ± 4.1 |
|
Sitting Systolic Blood Pressure (SiSBP)
[units: mm Hg] Mean ± Standard Deviation |
151.6 ± 8.2 | 152.4 ± 9.0 | 152.0 ± 8.6 |
Outcome Measures
| 1. Primary: | Mean Change From Baseline in Trough Sitting Systolic Blood Pressure (SiSBP) at Week 8 [ Time Frame: At baseline and at 8 weeks (with the measurements taken prior to the morning dose, between 6 AM and 10 AM) ] |
| 2. Primary: | Mean Change From Baseline in Trough Sitting Diastolic Blood Pressure (SiDBP) at Week 8 [ Time Frame: At baseline and at 8 weeks (with the measurements taken prior to the morning dose, between 6 AM and 10 AM) ] |
| 3. Primary: | Mean Change From Baseline in Trough Sitting Diastolic Blood Pressure (SiDBP) at Week 12 [ Time Frame: At baseline and at 12 weeks (with the measurements taken prior to the morning dose, between 6 AM and 10 AM) ] |
| 4. Primary: | Mean Change From Baseline in Trough Sitting Systolic Blood Pressure (SiSBP) at Week 12 [ Time Frame: At baseline and at 12 weeks (with the measurements taken prior to the morning dose, between 6 AM and 10 AM) ] |
| 5. Primary: | Mean Change From Baseline in Trough Sitting Systolic Blood Pressure (SiSBP) at Week 16 [ Time Frame: At baseline and at 16 weeks (with the measurements taken prior to the morning dose, between 6 AM and 10 AM) ] |
| 6. Primary: | Mean Change From Baseline in Trough Sitting Diastolic Blood Pressure (SiDBP) at Week 16 [ Time Frame: At baseline and at 16 weeks (with the measurements taken prior to the morning dose, between 6 AM and 10 AM) ] |
More Information
| Principal Investigators are NOT employed by the organization sponsoring the study. | ||||||
| There IS an agreement between Principal Investigators and the Sponsor (or its agents) that restricts the PI's rights to discuss or publish trial results after the trial is completed. | ||||||
The agreement is:
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| Limitations of the study, such as early termination leading to small numbers of participants analyzed and technical problems with measurement leading to unreliable or uninterpretable data |
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| No text entered. |
| Responsible Party: | Executive Vice President, Clinical and Quantitative Sciences, Merck Sharp & Dohme Corp |
| ClinicalTrials.gov Identifier: | NCT00289887 History of Changes |
| Other Study ID Numbers: | 2006_002, MK0954-315 |
| Study First Received: | February 8, 2006 |
| Results First Received: | September 21, 2009 |
| Last Updated: | April 29, 2010 |
| Health Authority: | United States: Food and Drug Administration |