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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
Organon and Co
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Hypertension

Eligibility Criteria

18 Years - 75 Years (Adult, Older Adult)All SexesDoes not accept healthy volunteers

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

    First Posted
    October 17, 2007
    Last Updated
    February 7, 2022
    Sponsor
    Organon and Co
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    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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