BP-EASE -Effectiveness of Losartan 50 mg/Hydrochlorothiazide (HCTZ) 12.5 mg Versus Valsartan 80 mg/HCTZ 12.5 mg Titrated as Needed in Patients With Essential Hypertension Not Controlled on Monotherapy (0954A-333) (EASE)
Primary Purpose
Hypertension
Status
Completed
Phase
Phase 3
Locations
Study Type
Interventional
Intervention
losartan potassium (+) hydrochlorothiazide
Comparator: Valsartan (+) Hydrochlorothiazide
Sponsored by
About this trial
This is an interventional treatment trial for Hypertension
Eligibility Criteria
Inclusion Criteria:
- An Adult Patient 18 to 75 Years Of Age
- Patient with essential hypertension receiving an antihypertensive agent in monotherapy for at least 4 weeks for whom the antihypertensive agent can (and will) be discontinued and whose blood pressure is not controlled:
- Either systolic or diastolic blood pressure > 140/90 mm Hg up to 180/110 mm Hg (inclusive)
- Either systolic or diastolic blood pressure > 130/80 mm Hg up to 160/100 mm Hg (inclusive) for diabetic patients
Patient is male or a female who is highly unlikely to conceive as she falls into one of the categories listed below:
- Surgically sterilized female
- Postmenopausal female > 45 years of age with > 2 years since her last menses
- Non-sterilized pre-menopausal female who agrees to: (1) use 2 adequate methods of contraception to prevent pregnancy [either 2 barrier methods or a barrier method plus a hormonal method]; or (2) abstain from heterosexual activity throughout the study starting with Visit 1 and for 14 days after the last dose of study medication; or (3) only engage in heterosexual activity with surgically sterilized male partner(s) throughout the study starting with Visit 1 and for 14 days after the last dose of study medication
- Patient judged to be in otherwise good, stable health on the basis of medical history and physical examination
Exclusion Criteria:
- Known secondary hypertension of any aetiology (e.g., uncorrected renal artery stenosis, malignant hypertension, or hypertensive encephalopathy)
- Patient Needing An Initiation Of A Lipid Lowering Agent Or A Modification Of His Lipid Therapy At Visit 1 Or During The Study Period (12 Weeks)
- Patient taking allopurinol
- Patient Previously Shown To Be Intolerant To Any Component Of Losartan Valsartan, Or HCTZ Or With A Documented History Of Angioedema/Anaphylaxis
- Patient With Confirmed Clinically Significant Renal Or Hepatic Dysfunction And/Or Electrolyte Imbalance Laboratory Test Within The Last 3 Months Prior To Visit 1: Serum Creatinine > 130 Umol/L Or Creatinine Clearance < 45 Ml/Min, Aspartate transaminase (AST) > 2 Times Above The Normal Range, Alanine transaminase (ALT) > 2 Times Above The Normal Range, Serum Potassium < 3.5 Or > 5.5 Meq/L
- Patient with osteoarthritis who has undergone hip or knee replacement within the last 4 months
- Patient with chronic inflammatory conditions such as rheumatoid arthritis, lupus, inflammatory bowel disease and those that need a chronic inflammatory therapy such as prednisone or other steroid agents
- Patient with symptomatic heart failure (classes 3 and 4)
- Patient with a history of stroke within the last 6 months
- Patient with coronary heart disease: has undergone percutaneous coronary angioplasty, has had coronary artery bypass, has had past myocardial infarction, all that occurred less than 6 months prior to visit 1 or has unstable angina
- Patient having participated in an investigational drug program in the last 30 days (prior to Visit 1)
- Unable or unwilling to comply with the protocol, therefore likely to leave the trial before its completion
- Patient intends to move or to vacation away from home during the course of the study which would interfere with the scheduled visits.
Sites / Locations
Arms of the Study
Arm 1
Arm 2
Arm Type
Experimental
Active Comparator
Arm Label
1
2
Arm Description
Drug Arm
active comparator
Outcomes
Primary Outcome Measures
Change in Systolic Blood Pressure From Baseline to Week 12
Change in Diastolic Blood Pressure From Baseline to Week 12
Secondary Outcome Measures
Change in Systolic Blood Pressure From Baseline to Week 6
Change in Diastolic Blood Pressure From Baseline to Week 6
Number of Patients Achieving Target Blood Pressure at Week 6
Number of Patients Achieving Target Blood Pressure (<140/90 mm Hg and <130/80 mm Hg for diabetics) at week 6
Number of Patients Achieving Target Blood Pressure at Week 12
Number of Patients Achieving Target Blood Pressure (<140/90 mm Hg and <130/80 mm Hg for diabetics) at week 12
Time to Achieve Target Blood Pressure
Time to achieve the target blood pressure (<140/90 mmHg and <130/80 mmHg for diabetics)
Change in Uric Acid From Baseline to Week 6
Change in Uric Acid From Baseline to Week 12
Change in Serum Highly Sensitive C-reactive Protein From Baseline to Week 6
Change in Serum Highly Sensitive C-reactive Protein From Baseline to Week 12
Change in Gamma-Glutamyl Transpeptidase (Gamma-GT) From Baseline to Week 6
Change in Gamma-Glutamyl Transpeptidase (Gamma-GT) From Baseline to Week 12
Full Information
1. Study Identification
Unique Protocol Identification Number
NCT00546754
Brief Title
BP-EASE -Effectiveness of Losartan 50 mg/Hydrochlorothiazide (HCTZ) 12.5 mg Versus Valsartan 80 mg/HCTZ 12.5 mg Titrated as Needed in Patients With Essential Hypertension Not Controlled on Monotherapy (0954A-333)
Acronym
EASE
Official Title
BP-EASE-A 12-Week, Multicenter, Open-Label, Randomized, Controlled Trial To Compare The Effectiveness of Losartan 50 mg/HCTZ 12.5 mg Titrated as Needed to Losartan 100 mg/HCTZ 25 mg or Valsartan 160 mg/HCTZ 25 mg, in Patients With Essential Hypertension Who Have Not Achieved Target Blood Pressure With
Study Type
Interventional
2. Study Status
Record Verification Date
February 2022
Overall Recruitment Status
Completed
Study Start Date
May 1, 2007 (Actual)
Primary Completion Date
April 1, 2009 (Actual)
Study Completion Date
May 1, 2009 (Actual)
3. Sponsor/Collaborators
Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Organon and Co
4. Oversight
5. Study Description
Brief Summary
To evaluate the blood pressure efficacy between losartan and valsartan at equivalent dosage during a 3 months treatment.
6. Conditions and Keywords
Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Hypertension
7. Study Design
Primary Purpose
Treatment
Study Phase
Phase 3
Interventional Study Model
Parallel Assignment
Masking
None (Open Label)
Allocation
Randomized
Enrollment
808 (Actual)
8. Arms, Groups, and Interventions
Arm Title
1
Arm Type
Experimental
Arm Description
Drug Arm
Arm Title
2
Arm Type
Active Comparator
Arm Description
active comparator
Intervention Type
Drug
Intervention Name(s)
losartan potassium (+) hydrochlorothiazide
Intervention Description
losartan potassium 50 mg/12.5 Hydrochlorothiazide (HCTZ) titrated as needed to losartan potassium 100 mg/25 mg Hydrochlorothiazide
Intervention Type
Drug
Intervention Name(s)
Comparator: Valsartan (+) Hydrochlorothiazide
Intervention Description
Valsartan 80 mg/ Hydrochlorothiazide 12.5 mg/day titrated as needed to valsartan 160 mg/25 mg Hydrochlorothiazide
Primary Outcome Measure Information:
Title
Change in Systolic Blood Pressure From Baseline to Week 12
Time Frame
Baseline and Week 12
Title
Change in Diastolic Blood Pressure From Baseline to Week 12
Time Frame
Baseline and Week 12
Secondary Outcome Measure Information:
Title
Change in Systolic Blood Pressure From Baseline to Week 6
Time Frame
Baseline and Week 6
Title
Change in Diastolic Blood Pressure From Baseline to Week 6
Time Frame
Baseline and Week 6
Title
Number of Patients Achieving Target Blood Pressure at Week 6
Description
Number of Patients Achieving Target Blood Pressure (<140/90 mm Hg and <130/80 mm Hg for diabetics) at week 6
Time Frame
Week 6
Title
Number of Patients Achieving Target Blood Pressure at Week 12
Description
Number of Patients Achieving Target Blood Pressure (<140/90 mm Hg and <130/80 mm Hg for diabetics) at week 12
Time Frame
12 Weeks
Title
Time to Achieve Target Blood Pressure
Description
Time to achieve the target blood pressure (<140/90 mmHg and <130/80 mmHg for diabetics)
Time Frame
12 weeks
Title
Change in Uric Acid From Baseline to Week 6
Time Frame
Baseline and Week 6
Title
Change in Uric Acid From Baseline to Week 12
Time Frame
Baseline and Week 12
Title
Change in Serum Highly Sensitive C-reactive Protein From Baseline to Week 6
Time Frame
Baseline and Week 6
Title
Change in Serum Highly Sensitive C-reactive Protein From Baseline to Week 12
Time Frame
Baseline and Week 12
Title
Change in Gamma-Glutamyl Transpeptidase (Gamma-GT) From Baseline to Week 6
Time Frame
Baseline and Week 6
Title
Change in Gamma-Glutamyl Transpeptidase (Gamma-GT) From Baseline to Week 12
Time Frame
Baseline and Week 12
10. Eligibility
Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
75 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria:
An Adult Patient 18 to 75 Years Of Age
Patient with essential hypertension receiving an antihypertensive agent in monotherapy for at least 4 weeks for whom the antihypertensive agent can (and will) be discontinued and whose blood pressure is not controlled:
Either systolic or diastolic blood pressure > 140/90 mm Hg up to 180/110 mm Hg (inclusive)
Either systolic or diastolic blood pressure > 130/80 mm Hg up to 160/100 mm Hg (inclusive) for diabetic patients
Patient is male or a female who is highly unlikely to conceive as she falls into one of the categories listed below:
Surgically sterilized female
Postmenopausal female > 45 years of age with > 2 years since her last menses
Non-sterilized pre-menopausal female who agrees to: (1) use 2 adequate methods of contraception to prevent pregnancy [either 2 barrier methods or a barrier method plus a hormonal method]; or (2) abstain from heterosexual activity throughout the study starting with Visit 1 and for 14 days after the last dose of study medication; or (3) only engage in heterosexual activity with surgically sterilized male partner(s) throughout the study starting with Visit 1 and for 14 days after the last dose of study medication
Patient judged to be in otherwise good, stable health on the basis of medical history and physical examination
Exclusion Criteria:
Known secondary hypertension of any aetiology (e.g., uncorrected renal artery stenosis, malignant hypertension, or hypertensive encephalopathy)
Patient Needing An Initiation Of A Lipid Lowering Agent Or A Modification Of His Lipid Therapy At Visit 1 Or During The Study Period (12 Weeks)
Patient taking allopurinol
Patient Previously Shown To Be Intolerant To Any Component Of Losartan Valsartan, Or HCTZ Or With A Documented History Of Angioedema/Anaphylaxis
Patient With Confirmed Clinically Significant Renal Or Hepatic Dysfunction And/Or Electrolyte Imbalance Laboratory Test Within The Last 3 Months Prior To Visit 1: Serum Creatinine > 130 Umol/L Or Creatinine Clearance < 45 Ml/Min, Aspartate transaminase (AST) > 2 Times Above The Normal Range, Alanine transaminase (ALT) > 2 Times Above The Normal Range, Serum Potassium < 3.5 Or > 5.5 Meq/L
Patient with osteoarthritis who has undergone hip or knee replacement within the last 4 months
Patient with chronic inflammatory conditions such as rheumatoid arthritis, lupus, inflammatory bowel disease and those that need a chronic inflammatory therapy such as prednisone or other steroid agents
Patient with symptomatic heart failure (classes 3 and 4)
Patient with a history of stroke within the last 6 months
Patient with coronary heart disease: has undergone percutaneous coronary angioplasty, has had coronary artery bypass, has had past myocardial infarction, all that occurred less than 6 months prior to visit 1 or has unstable angina
Patient having participated in an investigational drug program in the last 30 days (prior to Visit 1)
Unable or unwilling to comply with the protocol, therefore likely to leave the trial before its completion
Patient intends to move or to vacation away from home during the course of the study which would interfere with the scheduled visits.
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Medical Monitor
Organizational Affiliation
Merck Sharp & Dohme LLC
Official's Role
Study Director
12. IPD Sharing Statement
Plan to Share IPD
Yes
IPD Sharing Plan Description
http://www.merck.com/clinical-trials/pdf/Merck%20Procedure%20on%20Clinical%20Trial%20Data%20Access%20Final_Updated%20July_9_2014.pdf
http://engagezone.msd.com/ds_documentation.php
Learn more about this trial
BP-EASE -Effectiveness of Losartan 50 mg/Hydrochlorothiazide (HCTZ) 12.5 mg Versus Valsartan 80 mg/HCTZ 12.5 mg Titrated as Needed in Patients With Essential Hypertension Not Controlled on Monotherapy (0954A-333)
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