UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000000816
Receipt number R000000978
Scientific Title Aichi - Research on Combination therapy in Hypertension (ARCH): Multi-center observational study on hypertensive's actual condition and effectiveness of the patient preference on an ARB and diuretic combination therapy in hypertensive patients who are under drug treatment
Date of disclosure of the study information 2007/09/03
Last modified on 2010/03/05 16:18:54

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Basic information

Public title

Aichi - Research on Combination therapy in Hypertension (ARCH):
Multi-center observational study on hypertensive's actual condition and effectiveness of the patient preference on an ARB and diuretic combination therapy in hypertensive patients who are under drug treatment

Acronym

Aichi - Research on Combination therapy in Hypertension(Arch)

Scientific Title

Aichi - Research on Combination therapy in Hypertension (ARCH):
Multi-center observational study on hypertensive's actual condition and effectiveness of the patient preference on an ARB and diuretic combination therapy in hypertensive patients who are under drug treatment

Scientific Title:Acronym

Aichi - Research on Combination therapy in Hypertension(Arch)

Region

Japan


Condition

Condition

Hypertension

Classification by specialty

Cardiology

Classification by malignancy

Others

Genomic information

NO


Objectives

Narrative objectives1

In a project to enforce the drug management of hypertension, an observational study is conducted on effectiveness and the patient preference of a combination drug of ARB and diuretic, Preminent. The effectiveness was measured by the mean blood pressure change and the rate of achieving target blood pressure which has been recommended in the JSH guidelines. In addition, the drug safety and patient compliance to the treatment are also investigated.
Furthermore, in comparison of the patient characteristics between a group which achieves the target blood pressure and a group which does not, the factors affecting effectiveness of the treatment are determined.

Basic objectives2

Safety,Efficacy

Basic objectives -Others


Trial characteristics_1

Exploratory

Trial characteristics_2

Pragmatic

Developmental phase

Phase IV


Assessment

Primary outcomes

Systolic-blood-pressure change in three-month treatment.

Key secondary outcomes

1.The rate of achieving the target SBP-DBP in three-month treatment
2.DBP change in the three-month treatment
3.The SBP/DBP changes and the rates of achieving the target blood pressure at 3,6, and 12 months
4.The rate of continued treatment and the compliance of the treatment
5.Rates of adverse experiences
6.Subanalysis on patient characteristics between the groups which achieves target blood pressure and which des not


Base

Study type

Observational


Study design

Basic design


Randomization


Randomization unit


Blinding


Control


Stratification


Dynamic allocation


Institution consideration


Blocking


Concealment



Intervention

No. of arms


Purpose of intervention


Type of intervention


Interventions/Control_1


Interventions/Control_2


Interventions/Control_3


Interventions/Control_4


Interventions/Control_5


Interventions/Control_6


Interventions/Control_7


Interventions/Control_8


Interventions/Control_9


Interventions/Control_10



Eligibility

Age-lower limit

20 years-old <=

Age-upper limit

75 years-old >=

Gender

Male and Female

Key inclusion criteria

giving written informed consent.
The inclusion criteria for study patients

1.Patients with essential hypertension, who have been previously treated with ARB monotherapy.(Losartan 50 mg, candesartan 8 mg, valsartan 80 mg, telmisartan 40 mg, or olmesartan 20 mg) or combination of ARB and calcium channel blocker (amlodipine 5mg) for more than a month and whose blood pressure has not been adequately controlled with the treatment (SBP >140 mmHg and/or DBP >90mmHg:In the case of a diabetic, SBP >130 mmHg and/or DBP >80mmHg).
2.Patients aged 20 to 80 years at the time of the first visit.
3.Gender is not restricted.
4.Out patients
5.Patients who are able to understand study procedures and agree to participate in the study by

Key exclusion criteria

Exclusion criteria
1. Patients with the secondary hypertension
2. Patients with cardiac insufficiency (above NYHA grade III)
3.Women who are pregnant (positive urine pregnancy test at prestudy) or breast feeding, or expecting to conceive duration the study period
4. Patients with a critical liver damage
5. Patient with a history of severe hepatic or renal disease (sCr>2.0mg/dl)
6. Patients with a history of hypersensitivity to ingredients of Preminent.
7. Patients with a history of hypersensitivity to components of thiazide or similar compounds.
8. Patients who are considered to be not eligible to the study by the investigator due to medical reasons.

Target sample size

1000


Research contact person

Name of lead principal investigator

1st name
Middle name
Last name Toyoaki Murohara

Organization

Nagoya University Graduate School of Medicine

Division name

Department of Cardiology

Zip code


Address

65 Tsurumai, Showa-Ku Nagoya

TEL


Email



Public contact

Name of contact person

1st name
Middle name
Last name Kengo Maeda

Organization

Nagoya University Graduate School of Medicine

Division name

Department of Cardiology

Zip code


Address

65 Tsurumai, Showa-Ku Nagoya

TEL


Homepage URL


Email



Sponsor or person

Institute

Hypertension Academy in NAGOYA

Institute

Department

Personal name



Funding Source

Organization

Japan Heart foundation

Organization

Division

Category of Funding Organization

Non profit foundation

Nationality of Funding Organization



Other related organizations

Co-sponsor


Name of secondary funder(s)



IRB Contact (For public release)

Organization


Address


Tel


Email



Secondary IDs

Secondary IDs

NO

Study ID_1


Org. issuing International ID_1


Study ID_2


Org. issuing International ID_2


IND to MHLW



Institutions

Institutions



Other administrative information

Date of disclosure of the study information

2007 Year 09 Month 03 Day


Related information

URL releasing protocol


Publication of results

Unpublished


Result

URL related to results and publications


Number of participants that the trial has enrolled


Results


Results date posted


Results Delayed


Results Delay Reason


Date of the first journal publication of results


Baseline Characteristics


Participant flow


Adverse events


Outcome measures


Plan to share IPD


IPD sharing Plan description



Progress

Recruitment status

Completed

Date of protocol fixation

2007 Year 07 Month 29 Day

Date of IRB


Anticipated trial start date

2007 Year 09 Month 01 Day

Last follow-up date

2009 Year 12 Month 01 Day

Date of closure to data entry


Date trial data considered complete


Date analysis concluded



Other

Other related information

Prospective observational study.


Management information

Registered date

2007 Year 09 Month 03 Day

Last modified on

2010 Year 03 Month 05 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000000978