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Study NCT00289887   Information provided by Merck

First Received on February 8, 2006.   Last Updated on April 29, 2010   History of Changes
Results First Received: September 21, 2009  
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
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Recruitment Details
Key information relevant to the recruitment process for the overall study, such as dates of the recruitment period and locations

Patients were recruited at 51 sites in the United States.

Prime Therapy Period: April 2006 to February 2007


Pre-Assignment Details
Significant events and approaches for the overall study following participant enrollment, but prior to group assignment
Prior antihypertensive medications were withdrawn/ tapered before patients entered the 4-week placebo run-in period.

Reporting Groups
  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

Participant Flow:   Overall Study
    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
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Reporting Groups
  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

Baseline Measures
    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]
     
Female     79     77     156  
Male     48     57     105  
Race/Ethnicity, Customized  
[units: participants]
     
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
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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) ]


  Serious Adverse Events
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  Other Adverse Events
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  More Information
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Certain Agreements:  
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:
unchecked The only disclosure restriction on the PI is that the sponsor can review results communications prior to public release and can embargo communications regarding trial results for a period that is less than or equal to 60 days. The sponsor cannot require changes to the communication and cannot extend the embargo.
unchecked The only disclosure restriction on the PI is that the sponsor can review results communications prior to public release and can embargo communications regarding trial results for a period that is more than 60 days but less than or equal to 180 days. The sponsor cannot require changes to the communication and cannot extend the embargo.


Limitations and Caveats
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
No text entered.  


Results Point of Contact:  
Name/Title: Executive Vice President, Clinical and Quantitative Sciences
Organization: Merck Sharp & Dohme Corp
phone: 1-800-672-6372


Publications:

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