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MK0954 Versus Placebo for Treatment of Mild to Moderate Hypertension

This study has been completed.
Sponsor:
Information provided by:
Merck
ClinicalTrials.gov Identifier:
NCT00888355
First received: April 24, 2009
Last updated: July 2, 2009
Last verified: July 2009
History of Changes
Results First Received: May 7, 2009  
Study Type: Interventional
Study Design: Allocation: Randomized;   Endpoint Classification: Safety/Efficacy Study;   Intervention Model: Parallel Assignment;   Masking: Double Blind (Subject, Investigator);   Primary Purpose: Treatment
Condition: Hypertension
Interventions: Drug: losartan potassium
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 37 sites in the United States. Prime Therapy Period: May, 1992 to January1993

Pre-Assignment Details
Significant events and approaches for the overall study following participant enrollment, but prior to group assignment
Patients could be randomized if sitting diastolic blood pressure (SiDBP) after 2 and 4 weeks of placebo washout was 95-115 mm Hg and the difference between measurements at the 2 visits did not differ by >7 mm Hg.

Reporting Groups
  Description
Placebo Losartan placebo orally once daily for 12 weeks
Losartan 25 mg q.d. Losartan 25 mg orally once daily (q.d.) for 12 weeks
Losartan 50 mg q.d. Losartan 50 mg orally once daily (q.d.) for 12 weeks
Losartan 25 mg (b.i.d.) Losartan 25 mg orally twice daily (b.i.d.) for 12 weeks

Participant Flow:   Overall Study
    Placebo     Losartan 25 mg q.d.     Losartan 50 mg q.d.     Losartan 25 mg (b.i.d.)  
STARTED     108     108     106     106  
COMPLETED     86     99     94     96  
NOT COMPLETED     22     9     12     10  
Adverse Event                 10                 0                 3                 3  
Lack of Efficacy                 9                 2                 5                 2  
Lost to Follow-up                 0                 2                 2                 0  
Protocol Violation                 3                 2                 1                 2  
Withdrawal by Subject                 0                 3                 1                 3  



  Baseline Characteristics
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Reporting Groups
  Description
Placebo Losartan placebo orally once daily for 12 weeks
Losartan 25 mg q.d. Losartan 25 mg orally once daily (q.d.) for 12 weeks
Losartan 50 mg q.d. Losartan 50 mg orally once daily (q.d.) for 12 weeks
Losartan 25 mg (b.i.d.) Losartan 25 mg orally twice daily (b.i.d.) for 12 weeks
Total Total of all reporting groups

Baseline Measures
    Placebo     Losartan 25 mg q.d.     Losartan 50 mg q.d.     Losartan 25 mg (b.i.d.)     Total  
Number of Participants  
[units: participants]
 		  108     108     106     106     428  
Age  
[units: years]
Mean ± Standard Deviation 		  54.6  ± 10.6     53.0  ± 10.7     54.0  ± 10.1     52.4  ± 10.1     53.5  ± 10.4  
Gender  
[units: participants]
 		         
Female     38     41     36     36     151  
Male     70     67     70     70     277  
Race/Ethnicity, Customized  
[units: participants]
 		         
Caucasian     84     79     82     89     334  
Oriental     1     2     2     2     7  
Latin American     0     1     0     0     1  
Black     21     22     17     10     70  
Hispanic     2     4     5     4     15  
Vietnamese     0     0     0     1     1  
Sitting Diastolic Blood Pressure (SiDBP)  
[units: mm Hg]
Mean ± Standard Deviation 		  101.5  ± 5.1     101.8  ± 5.5     102.4  ± 6.4     102.0  ± 5.3     101.9  ± 5.6  



  Outcome Measures
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1.  Primary:   Mean Change From Baseline in Trough Sitting Diastolic Blood Pressure (SiDBP) at Week 12   [ Time Frame: At baseline, and at 12 weeks (24 hours after last morning dose and 12 hours after last PM dose) ]
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2.  Secondary:   Mean Change From Baseline in Trough Sitting Systolic Blood Pressure (SiSBP) as Week 12   [ Time Frame: At baseline, and at 12 weeks (24 hours after last morning dose and 12 hours after last PM dose) ]
  Show Outcome Measure 2

3.  Secondary:   Mean Change From Baseline in Peak Sitting Diastolic Blood Pressure (SiDBP) at Week 12   [ Time Frame: At baseline and at 12 weeks (6 hours after last morning dose) ]
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4.  Secondary:   Categories of Antihypertensive Response in Trough Sitting Diastolic Blood Pressure (SiDBP) at Week 12   [ Time Frame: 24 hours after last morning dose and 12 hours after last PM dose at 12 weeks ]
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5.  Other Pre-specified:   Number of Patients With Clinical Adverse Experiences (CAEs)   [ Time Frame: 12 weeks ]
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6.  Other Pre-specified:   Number of Patients With Serious CAEs   [ Time Frame: 12 weeks ]
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7.  Other Pre-specified:   Number of Patients With Drug-related CAEs   [ Time Frame: 12 weeks ]
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8.  Other Pre-specified:   Number of Patients Discontinued Due to CAEs   [ Time Frame: 12 weeks ]
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9.  Other Pre-specified:   Number of Patients Who Died   [ Time Frame: 12 weeks ]
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10.  Other Pre-specified:   Number of Patients With Laboratory Adverse Experiences (LAEs)   [ Time Frame: 12 weeks ]
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11.  Other Pre-specified:   Number of Patients With Serious LAEs   [ Time Frame: 12 weeks ]
  Show Outcome Measure 11

12.  Other Pre-specified:   Number of Patients With Drug-related LAEs   [ Time Frame: 12 weeks ]
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13.  Other Pre-specified:   Number of Patients Discontinued Due to LAEs   [ Time Frame: 12 weeks ]
  Show Outcome Measure 13


  Serious Adverse Events
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  Other Adverse Events
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  More Information
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Certain Agreements:  
All Principal Investigators ARE employed by the organization sponsoring the study.


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
Note that deaths are not entered under "drop reasons" in the participant flow panel because the patients who died are already counted as dropped due to adverse event.  


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


No publications provided


Responsible Party: Executive Vice President, Clinical and Quantitative Sciences, Merck & Co., Inc.
ClinicalTrials.gov Identifier: NCT00888355     History of Changes
Other Study ID Numbers: 2009_582, MK0954-065
Study First Received: April 24, 2009
Results First Received: May 7, 2009
Last Updated: July 2, 2009
Health Authority: United States: Food and Drug Administration