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Olmesartan and an add-on Treatment in Patients With Mild to Moderate Hypertension (OLMETREAT)

Primary Purpose

Essential Hypertension

Status
Completed
Phase
Phase 4
Locations
International
Study Type
Interventional
Intervention
olmesartan medoxomil + hydrochlorothiazide, if necessary + amlodipine, if necessary
Sponsored by
Sankyo Pharma Gmbh
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Essential Hypertension focused on measuring Olmesartan medoxomil, Hypertension

Eligibility Criteria

18 Years - undefined (Adult, Older Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria: Male and female patients age greater than or equal to 18 years with mild to moderate hypertension. Pre-treated patients with normal or elevated blood pressure (BP) are eligible to participate if their pre-treatment medication can be withdrawn. At the end of the placebo run-in period sitting systolic BP greater than or equal to 140 and less than 180 mmHg and/or sitting diastolic BP greater than or equal to 90 and less than 110 mmHg at trough. Exclusion Criteria: Female patients of childbearing potential must not be pregnant or lactating and must be using adequate contraception. Patients with serious disorders which may limit the ability to evaluate the efficacy or safety of the test drug(s), including cardiovascular, renal, pulmonary, hepatic, gastrointestinal, endocrine/metabolic, haematological/oncological, neurological and psychiatric diseases. Patients within the last 6 months having a history of myocardial infarction, unstable angina pectoris, percutaneous coronary intervention, heart failure, cerebrovascular accident, or transient ischemic attack. Patients with clinically significant elevations in laboratory values at Screening Visit. Patients with secondary hypertension of any etiology, such as renal disease, pheochromocytoma, or Cushing's syndrome. Patients with contraindications for olmesartan medoxomil, hydrochlorothiazide, and/or amlodipine besylate.

Sites / Locations

  • University Klinik, F. Innere Medizin
  • Diakonissen-Krankenhaus Hospital
  • Centre Hospitalier du Bois de l'Abbaye et de Hesba, Department of Intensive Care
  • Allgemeen Ziekenhuis Maria-Middelares, Cardiologie, Campus de Pelikaan
  • Ev. Krankenhaus Bielefeld, Medizinische Klinik in Bethel - Gilead I
  • Uniklinik Bonn
  • Ospedale Regina Apostolorum
  • Ospedale C.G. Mazzoni
  • Ospedale Nuovo Cutroni
  • Casa di Cura "La Madonnina"
  • Ospedale San Sebastiano
  • Ospedale Vittorio Emanuele
  • Università degli Studi "G. D'Annunzio"
  • Azienda Ospedaliera "Madonna delle Grazie"
  • Ospedale San Paolo
  • Ospedale San Carlo Borromeo
  • Presidio Ospedaliero San Lorenzo
  • Presidio Ospedaliero di Portogruaro
  • Azienda Policlinico Universitario a Gestione Diret
  • Maxima Medisch Centrum
  • H. Elvas
  • H. Almada
  • Hospital Fernando da Fonseca
  • Hospital de. S. Marta
  • Zentrum Oberdorf
  • Praxis Dreispitz
  • The Atherstone Surgery
  • The Medical Centre
  • Waterloo Medical Centre
  • Rowden Surgery
  • The Gables Medical Centre
  • Bridge Medical Centre
  • Homefield Surgery
  • Woodside Health Centre
  • Castle Milk Health Centre
  • Division of Cardiovascular and Endocrine Sciences
  • University of Manchester
  • Oakside Surgery
  • Norwood Medical Centre
  • Lovemead Group Practice

Arms of the Study

Arm 1

Arm Type

Experimental

Arm Label

1

Arm Description

Olmesartan medoxomil oral tablets for 4 weeks followed by, if necessary: Olmesartan medoxomil oral tablets + hydrochlorothiazide oral tablets for 8 weeks, followed by, if necessary: Olmesartan medoxomil oral tablets + hydrochlorothiazide oral tablets + amlodipine oral tablets for 8 weeks

Outcomes

Primary Outcome Measures

The Percentage of Participants Treated to Target Blood Pressure Goals Overall and for Each Treatment Step From Baseline to Completion of Treatment During Which the Goal Was Achieved.
For non-diabetic participants the target seated blood pressure goals were: Systolic - ≤130 mm Hg; Diastolic - ≤85 mm Hg. For diabetic participants the target seated blood pressure goals were: Systolic - <130 mm Hg; Diastolic - <80 mm Hg.

Secondary Outcome Measures

Percentage of Participants Who Achieved Normalized Blood Pressure Overall and for Each Treatment From Baseline to Completion of the Treatment During Which Blood Pressure Goals Were Achieved
Normalized blood pressure is defined as a mean sitting systolic blood (sBP) pressure at trough of <140 mmHg and mean sitting diastolic blood pressure (dBP)of <90 mmHg for non-diabetic patients or a mean sitting sBP at trough of <130 mmHg and mean sitting dBP <80 mmHg for diabetic patients.
Percentage of Participants Who Were Diastolic Responders Overall and for Each Treatment From Baseline to the Completion of Treatment During Which Blood Pressure Goals Were Achieved.
Diastolic responders were defined as a participant who is a normaliser or has a lowering of the mean sitting diastolic blood pressure of ≥10 mmHg at trough.
Percentage of Participants Who Were Systolic Responders Overall and for Each Treatment From Baseline to the Completion of the Treatment During Which Blood Pressure Goals Were Achieved
Systolic responders defined as a participant who is a normaliser or has a lowering of the mean sitting systolic blood pressure of ≥20 mmHg at trough
Mean Change in Diastolic Blood Pressure Overall and for Each Treatment From Baseline to the Completion of the Treatment
Mean Change in Systolic Blood Pressure Overall and for Each Treatment From Baseline to the Completion of the Treatment

Full Information

First Posted
April 3, 2006
Last Updated
November 23, 2010
Sponsor
Sankyo Pharma Gmbh
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1. Study Identification

Unique Protocol Identification Number
NCT00311155
Brief Title
Olmesartan and an add-on Treatment in Patients With Mild to Moderate Hypertension
Acronym
OLMETREAT
Official Title
Treat-to-Target Study of Olmesartan Medoxomil and an Add-on Treatment Algorithm Consisting of Hydrochlorothiazide and Amlodipine Besylate in Patients With Mild to Moderate Hypertension
Study Type
Interventional

2. Study Status

Record Verification Date
November 2010
Overall Recruitment Status
Completed
Study Start Date
March 2006 (undefined)
Primary Completion Date
April 2008 (Actual)
Study Completion Date
April 2008 (Actual)

3. Sponsor/Collaborators

Name of the Sponsor
Sankyo Pharma Gmbh

4. Oversight

Data Monitoring Committee
No

5. Study Description

Brief Summary
This study is to assess the safety and efficacy of an add-on treatment algorithm with olmesartan, hydrochlorothiazide and amlodipine in patients with mild to moderate hypertension.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Essential Hypertension
Keywords
Olmesartan medoxomil, Hypertension

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 4
Interventional Study Model
Single Group Assignment
Masking
None (Open Label)
Allocation
Non-Randomized
Enrollment
694 (Actual)

8. Arms, Groups, and Interventions

Arm Title
1
Arm Type
Experimental
Arm Description
Olmesartan medoxomil oral tablets for 4 weeks followed by, if necessary: Olmesartan medoxomil oral tablets + hydrochlorothiazide oral tablets for 8 weeks, followed by, if necessary: Olmesartan medoxomil oral tablets + hydrochlorothiazide oral tablets + amlodipine oral tablets for 8 weeks
Intervention Type
Drug
Intervention Name(s)
olmesartan medoxomil + hydrochlorothiazide, if necessary + amlodipine, if necessary
Intervention Description
Olmesartan medoxomil oral tablets 20 mg for 4 weeks followed by, if necessary: Olmesartan medoxomil oral tablets 20 mg + hydrochlorothiazide oral tablets 12.5 mg for 4 weeks, followed by, if necessary: Olmesartan medoxomil oral tablets 20 mg + hydrochlorothiazide oral tablets 25 mg for 4 weeks, followed by, if necessary: Olmesartan medoxomil oral tablets 20 mg + hydrochlorothiazide oral tablets 25 mg + amlodipine oral tablets 5 mg for 4 weeks, followed by, if necessary: Olmesartan medoxomil oral tablets 20 mg + hydrochlorothiazide oral tablets 25 mg + amlodipine oral tablets 10 mg for 4 weeks. All study medications are to be taken once daily. The subject's participation completes when blood pressure goals are achieved.
Primary Outcome Measure Information:
Title
The Percentage of Participants Treated to Target Blood Pressure Goals Overall and for Each Treatment Step From Baseline to Completion of Treatment During Which the Goal Was Achieved.
Description
For non-diabetic participants the target seated blood pressure goals were: Systolic - ≤130 mm Hg; Diastolic - ≤85 mm Hg. For diabetic participants the target seated blood pressure goals were: Systolic - <130 mm Hg; Diastolic - <80 mm Hg.
Time Frame
Baseline to ≤20 weeks
Secondary Outcome Measure Information:
Title
Percentage of Participants Who Achieved Normalized Blood Pressure Overall and for Each Treatment From Baseline to Completion of the Treatment During Which Blood Pressure Goals Were Achieved
Description
Normalized blood pressure is defined as a mean sitting systolic blood (sBP) pressure at trough of <140 mmHg and mean sitting diastolic blood pressure (dBP)of <90 mmHg for non-diabetic patients or a mean sitting sBP at trough of <130 mmHg and mean sitting dBP <80 mmHg for diabetic patients.
Time Frame
Baseline to ≤20 weeks
Title
Percentage of Participants Who Were Diastolic Responders Overall and for Each Treatment From Baseline to the Completion of Treatment During Which Blood Pressure Goals Were Achieved.
Description
Diastolic responders were defined as a participant who is a normaliser or has a lowering of the mean sitting diastolic blood pressure of ≥10 mmHg at trough.
Time Frame
Baseline to ≤20 weeks
Title
Percentage of Participants Who Were Systolic Responders Overall and for Each Treatment From Baseline to the Completion of the Treatment During Which Blood Pressure Goals Were Achieved
Description
Systolic responders defined as a participant who is a normaliser or has a lowering of the mean sitting systolic blood pressure of ≥20 mmHg at trough
Time Frame
Baseline to ≤20 weeks
Title
Mean Change in Diastolic Blood Pressure Overall and for Each Treatment From Baseline to the Completion of the Treatment
Time Frame
Baseline to ≤20 weeks
Title
Mean Change in Systolic Blood Pressure Overall and for Each Treatment From Baseline to the Completion of the Treatment
Time Frame
Baseline to ≤20 weeks

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Male and female patients age greater than or equal to 18 years with mild to moderate hypertension. Pre-treated patients with normal or elevated blood pressure (BP) are eligible to participate if their pre-treatment medication can be withdrawn. At the end of the placebo run-in period sitting systolic BP greater than or equal to 140 and less than 180 mmHg and/or sitting diastolic BP greater than or equal to 90 and less than 110 mmHg at trough. Exclusion Criteria: Female patients of childbearing potential must not be pregnant or lactating and must be using adequate contraception. Patients with serious disorders which may limit the ability to evaluate the efficacy or safety of the test drug(s), including cardiovascular, renal, pulmonary, hepatic, gastrointestinal, endocrine/metabolic, haematological/oncological, neurological and psychiatric diseases. Patients within the last 6 months having a history of myocardial infarction, unstable angina pectoris, percutaneous coronary intervention, heart failure, cerebrovascular accident, or transient ischemic attack. Patients with clinically significant elevations in laboratory values at Screening Visit. Patients with secondary hypertension of any etiology, such as renal disease, pheochromocytoma, or Cushing's syndrome. Patients with contraindications for olmesartan medoxomil, hydrochlorothiazide, and/or amlodipine besylate.
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Anthony Heagerty, MD
Organizational Affiliation
University of Manchester, Dept. of Medicine
Official's Role
Principal Investigator
Facility Information:
City
Fulpmes
ZIP/Postal Code
6166
Country
Austria
Facility Name
University Klinik, F. Innere Medizin
City
Innsbruck
ZIP/Postal Code
6020
Country
Austria
City
Innsbruck
ZIP/Postal Code
6020
Country
Austria
City
Kundl
ZIP/Postal Code
6250
Country
Austria
Facility Name
Diakonissen-Krankenhaus Hospital
City
Salzburg-Aigen
ZIP/Postal Code
5026
Country
Austria
City
Salzburg
ZIP/Postal Code
5020
Country
Austria
City
Bruxelles
ZIP/Postal Code
1080
Country
Belgium
City
Mechelen
ZIP/Postal Code
2800
Country
Belgium
Facility Name
Centre Hospitalier du Bois de l'Abbaye et de Hesba, Department of Intensive Care
City
Seraing
ZIP/Postal Code
4100
Country
Belgium
Facility Name
Allgemeen Ziekenhuis Maria-Middelares, Cardiologie, Campus de Pelikaan
City
Temse
ZIP/Postal Code
9140
Country
Belgium
City
Ancerville
ZIP/Postal Code
55170
Country
France
City
Bourges
ZIP/Postal Code
18000
Country
France
City
Derval
ZIP/Postal Code
44590
Country
France
City
Grenoble
ZIP/Postal Code
38100
Country
France
City
Lille
ZIP/Postal Code
59037
Country
France
City
Montrevel en Bresse
ZIP/Postal Code
01340
Country
France
City
Pouilly en Auxois
ZIP/Postal Code
21320
Country
France
City
Poussan
ZIP/Postal Code
34560
Country
France
City
Sorcy Saint Martin
ZIP/Postal Code
55190
Country
France
City
St Aubin des Châteaux
ZIP/Postal Code
44110
Country
France
City
St Etienne de Montluc
ZIP/Postal Code
44360
Country
France
City
St Priest
ZIP/Postal Code
69800
Country
France
City
Strasbourg
ZIP/Postal Code
67000
Country
France
City
Yerres
ZIP/Postal Code
91330
Country
France
City
Annweiler
ZIP/Postal Code
76855
Country
Germany
City
Balve
ZIP/Postal Code
58802
Country
Germany
City
Bammental
ZIP/Postal Code
69245
Country
Germany
Facility Name
Ev. Krankenhaus Bielefeld, Medizinische Klinik in Bethel - Gilead I
City
Bielefeld
ZIP/Postal Code
33617
Country
Germany
Facility Name
Uniklinik Bonn
City
Bonn
ZIP/Postal Code
53111
Country
Germany
City
Goch
ZIP/Postal Code
47574
Country
Germany
City
Haag
ZIP/Postal Code
83527
Country
Germany
City
Hamburg
ZIP/Postal Code
20148
Country
Germany
City
Heidelberg (Neuenheim)
ZIP/Postal Code
69120
Country
Germany
City
Heidelberg
ZIP/Postal Code
69115
Country
Germany
City
Mühldorf / Inn
ZIP/Postal Code
84453
Country
Germany
City
Schwenningen
ZIP/Postal Code
78054
Country
Germany
City
VS-Villingen
ZIP/Postal Code
78050
Country
Germany
City
Weyhe
ZIP/Postal Code
28844
Country
Germany
Facility Name
Ospedale Regina Apostolorum
City
Albano Laziale (RM)
ZIP/Postal Code
00041
Country
Italy
Facility Name
Ospedale C.G. Mazzoni
City
Ascoli Piceno
ZIP/Postal Code
63100
Country
Italy
Facility Name
Ospedale Nuovo Cutroni
City
Barcellona Pozzo di Gotto (ME)
ZIP/Postal Code
98051
Country
Italy
Facility Name
Casa di Cura "La Madonnina"
City
Bari
ZIP/Postal Code
70124
Country
Italy
Facility Name
Ospedale San Sebastiano
City
Caserta
ZIP/Postal Code
81100
Country
Italy
Facility Name
Ospedale Vittorio Emanuele
City
Catania
ZIP/Postal Code
95124
Country
Italy
Facility Name
Università degli Studi "G. D'Annunzio"
City
Chieti Scalo
ZIP/Postal Code
66013
Country
Italy
Facility Name
Azienda Ospedaliera "Madonna delle Grazie"
City
Matera
ZIP/Postal Code
75100
Country
Italy
Facility Name
Ospedale San Paolo
City
Milano
ZIP/Postal Code
20142
Country
Italy
Facility Name
Ospedale San Carlo Borromeo
City
Milano
ZIP/Postal Code
20153
Country
Italy
Facility Name
Presidio Ospedaliero San Lorenzo
City
Palermo
ZIP/Postal Code
90146
Country
Italy
Facility Name
Presidio Ospedaliero di Portogruaro
City
Portogruaro (VE)
ZIP/Postal Code
30026
Country
Italy
Facility Name
Azienda Policlinico Universitario a Gestione Diret
City
Udine
ZIP/Postal Code
33100
Country
Italy
Facility Name
Maxima Medisch Centrum
City
Eindhoven
ZIP/Postal Code
5631 BM
Country
Netherlands
Facility Name
H. Elvas
City
Elvas
ZIP/Postal Code
7350-954
Country
Netherlands
City
Hertogenbosch
ZIP/Postal Code
5216 GC
Country
Netherlands
City
Hilversum
ZIP/Postal Code
1214 JR
Country
Netherlands
City
Lieshout
ZIP/Postal Code
5737 CB
Country
Netherlands
City
Waalwijk
ZIP/Postal Code
5144 CB
Country
Netherlands
Facility Name
H. Almada
City
Almada Almada
ZIP/Postal Code
2801-951
Country
Portugal
Facility Name
Hospital Fernando da Fonseca
City
Amadora Amadora
ZIP/Postal Code
2720-276
Country
Portugal
Facility Name
Hospital de. S. Marta
City
Lisboa Lisboa
ZIP/Postal Code
1169-024
Country
Portugal
Facility Name
Zentrum Oberdorf
City
Affoltern am Albis
ZIP/Postal Code
8910
Country
Switzerland
City
Bellinzona
ZIP/Postal Code
6500
Country
Switzerland
City
Gland
ZIP/Postal Code
1196
Country
Switzerland
City
Petit-Lancy
ZIP/Postal Code
1213
Country
Switzerland
Facility Name
Praxis Dreispitz
City
Zurich
ZIP/Postal Code
8050
Country
Switzerland
Facility Name
The Atherstone Surgery
City
Atherstone
ZIP/Postal Code
CV9 1EU
Country
United Kingdom
Facility Name
The Medical Centre
City
Birmingham
ZIP/Postal Code
B37 7TR
Country
United Kingdom
Facility Name
Waterloo Medical Centre
City
Blackpool
ZIP/Postal Code
FY4 3AD
Country
United Kingdom
Facility Name
Rowden Surgery
City
Chippenham
ZIP/Postal Code
SN15 2SB
Country
United Kingdom
Facility Name
The Gables Medical Centre
City
Coventry
ZIP/Postal Code
CV6 4DD
Country
United Kingdom
Facility Name
Bridge Medical Centre
City
Crawley
ZIP/Postal Code
RH10 1LL
Country
United Kingdom
Facility Name
Homefield Surgery
City
Exeter
ZIP/Postal Code
EX1 2QS
Country
United Kingdom
Facility Name
Woodside Health Centre
City
Glasgow
ZIP/Postal Code
G20 7LR
Country
United Kingdom
Facility Name
Castle Milk Health Centre
City
Glasgow
ZIP/Postal Code
G45 9 AW
Country
United Kingdom
Facility Name
Division of Cardiovascular and Endocrine Sciences
City
Manchester
ZIP/Postal Code
M13 9NT
Country
United Kingdom
Facility Name
University of Manchester
City
Manchester
ZIP/Postal Code
M13 9WL
Country
United Kingdom
Facility Name
Oakside Surgery
City
Plymouth
ZIP/Postal Code
PL5 3PY
Country
United Kingdom
Facility Name
Norwood Medical Centre
City
Sheffield
ZIP/Postal Code
S5 7HD
Country
United Kingdom
Facility Name
Lovemead Group Practice
City
Trowbridge
ZIP/Postal Code
BA14 7EG
Country
United Kingdom

12. IPD Sharing Statement

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Olmesartan and an add-on Treatment in Patients With Mild to Moderate Hypertension

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