Unique ID issued by UMIN | UMIN000052604 |
---|---|
Receipt number | R000060026 |
Scientific Title | The efficacy of sacubitril/valsartan in patients with poorly controlled essential hypertension. |
Date of disclosure of the study information | 2023/10/25 |
Last modified on | 2023/10/25 08:29:13 |
The efficacy of sacubitril/valsartan in patients with poorly controlled essential hypertension.
The efficacy of sacubitril/valsartan in patients with poorly controlled essential hypertension.
The efficacy of sacubitril/valsartan in patients with poorly controlled essential hypertension.
The efficacy of sacubitril/valsartan in patients with poorly controlled essential hypertension.
Japan |
Hypertension
Cardiology |
Others
NO
To evaluate the efficacy of switching from azilsartan 20 mg to sacubitril valsartan 200 mg in patients with poorly controled essential hypertension despite taking azilsartan 20 mg and Ca antagonist.
Efficacy
Confirmatory
Pragmatic
Not applicable
Home systolic and diastolic blood pressure at baseline, 8 weeks, 24 weeks and 48 weeks after the switch.
The rate of achieving the target blood pressure.
The change of pulse rate.
The change of laboratory test results, including as plasma BNP level, serum creatinine level, eGFR, serum potassium level, serum uric acid level, HbA1c.
Interventional
Single arm
Non-randomized
Open -no one is blinded
Uncontrolled
1
Treatment
Medicine |
For 8 weeks prior to observation period: azilsartan 20 mg, Ca antagonist
To 48 weeks: sacubitril/valsartan 200 mg, Ca antagonist
From 8 weeks to 48 weeks: increase, decrease, or discontinue Ca antagonist, or add other antihypertensive agents (except angiotensin-converting enzyme inhibitors and angiotensin II receptor blockers) if necessary
Not applicable |
Not applicable |
Male and Female
1. Patients with essential hypertension with a systolic home systolic blood pressure of 135 mmHg or higher despite treatment with azilsartan 20 mg and Ca antagonist for at least 8 weeks.
2. Any age
3. Any gender
4. Patients who have never taken sacubitril/valsartan before
5. Outpatients
6. Patients who have given written informed consent to participate in the study.
1. Patients with secondary hypertension
2. Patients in non-sinus rhythm or with a history of atrial fibrillation
3. Patients under treatment for heart failure, plasma BNP level >=100 pg/mL, or with a history of heart failure
4. Patients with eGFR <30mL/min/1.73m2
50
1st name | Tsugiyoshi |
Middle name | |
Last name | Yamazaki |
Tachibanadai Clinic
Department of Cardiology
227-0046
2-7-1 Tachibanadai, Aoba-ku, Yokohama, Japan
045-961-7835
md021011@yahoo.co.jp
1st name | Tsugiyoshi |
Middle name | |
Last name | Yamazaki |
Tachibanadai clinic
Department of Cardiology
227-0046
2-7-1 Tachibanadai, Aoba-ku, Yokohama, Japan
045-961-7835
md021011@yahoo.co.jp
Tachibanadai clinic
Tsugiyoshi Yamazaki
Tachibanadai clinic
Self funding
Isseikai Medical Corporation Ethics Committee
2-2-1 Tachibanadai, Aoba-ku, Yokohama, Japan
045-962-3338
n.yamada1216@tachibanadai.or.jp
NO
たちばな台クリニック
2023 | Year | 10 | Month | 25 | Day |
Unpublished
55
No longer recruiting
2022 | Year | 11 | Month | 08 | Day |
2022 | Year | 11 | Month | 21 | Day |
2022 | Year | 11 | Month | 21 | Day |
2023 | Year | 12 | Month | 31 | Day |
2023 | Year | 10 | Month | 25 | Day |
2023 | Year | 10 | Month | 25 | Day |
Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000060026