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Trial registered on ANZCTR
Registration number
ACTRN12607000108415
Ethics application status
Approved
Date submitted
10/06/2006
Date registered
7/02/2007
Date last updated
7/02/2007
Type of registration
Retrospectively registered
Titles & IDs
Public title
An antihypertensive intervention trial to lower blood pressure in untreated hypertensive patients based on the gene polymorphisms in the pathway of the drug-metabolism and biological effects
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Scientific title
Antihypertensive effects and side effects of Atenolol, Captopril, Nifidipine Sustained Release and Hydrochlorothiazide relative to the gene polymorphisms in untreated hypertensive patients in Rural China
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Universal Trial Number (UTN)
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Trial acronym
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Hypertension
1602
0
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Condition category
Condition code
Cardiovascular
1705
1705
0
0
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Hypertension
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
Group 1: Single tablet orally taken twice daily, 12.5 and 25 milligrams of Hydrochlorothiazide.
Group 2: Single tablet, twice daily, 12.5 and 25 milligrams of Atenolol.
Group 3: Single tablet, twice daily, 20 and 40 milligrams of Nifedipine Sustained Release
Group 4: Single tablet, twice daily, 25 and 50 milligrams of Captopril.
All interventions were for eight weeks. Patients were first treated with lower dosage; if their blood pressure was still above 140/90 mmHg after two weeks, the dosage was increased to the second higher dosage.
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Intervention code [1]
1135
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Treatment: Drugs
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Comparator / control treatment
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Control group
Active
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Outcomes
Primary outcome [1]
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Office blood pressure reponse
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Assessment method [1]
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Timepoint [1]
2373
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From baseline to 8 weeks, including measurement at 2 and 4 weeks.
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Secondary outcome [1]
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Side effects were observed at 2 weeks and 4 weeks after drug treatment.
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Assessment method [1]
4126
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Timepoint [1]
4126
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Eligibility
Key inclusion criteria
Untreated hypertensive patients, including those with newly diagnosed hypertension ( systolic/diastolic blood pressure >=160/95mmHg at two visits), and those with history of hypertension but not receiving antihypertensive treatment for at least 8 weeks (systolic/diastolic blood pressure >=140/90mmHg at two visits).
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Minimum age
40
Years
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Maximum age
75
Years
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Sex
Both males and females
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Can healthy volunteers participate?
No
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Key exclusion criteria
Secondary hypertension; contraindication to any studied drugs; serum potassium values<3.5mEq/L or >5.5mEq/L at screening stage; requirement for any study drugs for reasons other than hypertension; low likelihood of compliance with protocol (eg, dementia, substance abuse); and a history of any severe, life-threatening disease within the past 3 years.
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Study design
Purpose of the study
Treatment
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Allocation to intervention
Randomised controlled trial
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
Concealed randomisation with sequential study numbers given to subjects and then allocation of pre-filled numbered containers
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
Computer generated random permuted blocks by a person not involved with subjects (A total of 4 blocks)
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Masking / blinding
Blinded (masking used)
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Who is / are masked / blinded?
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Intervention assignment
Parallel
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Other design features
Both doctors and patients were blinded to drug name.
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Phase
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Type of endpoint/s
Efficacy
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Statistical methods / analysis
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Recruitment
Recruitment status
Completed
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Date of first participant enrolment
Anticipated
28/03/2005
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Actual
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Date of last participant enrolment
Anticipated
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Actual
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Date of last data collection
Anticipated
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Actual
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Sample size
Target
4000
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Accrual to date
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Final
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Recruitment outside Australia
Country [1]
353
0
China
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State/province [1]
353
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Funding & Sponsors
Funding source category [1]
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Government body
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Name [1]
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the Ministry of Science and Technology of China
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Address [1]
1851
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Country [1]
1851
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China
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Primary sponsor type
Other
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Name
Cardiovascular Institute, Chinese Academy of Medical Sciences
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Address
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Country
China
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Secondary sponsor category [1]
1666
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Individual
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Name [1]
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Professor Rutai Hui
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Address [1]
1666
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Country [1]
1666
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
3457
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Fuwai Hosptial, Chinese Academy of Medical Sciences
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Ethics committee address [1]
3457
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Ethics committee country [1]
3457
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China
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Date submitted for ethics approval [1]
3457
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Approval date [1]
3457
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28/10/2004
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Ethics approval number [1]
3457
0
2004032
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Ethics committee name [2]
3458
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The Fourth Hospital of Xinyang
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Ethics committee address [2]
3458
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Henan province
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Ethics committee country [2]
3458
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China
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Date submitted for ethics approval [2]
3458
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Approval date [2]
3458
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02/11/2004
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Ethics approval number [2]
3458
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2004015
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Summary
Brief summary
Hypertension is an important public health problem. The inter-individual clinical response to antihypertensive therapy is highly variable. Genetic variations may influence the clinical response to antihypertensive treatment and side effects. This double-blind, active-controlled randomized trial was aimed to investigate the association between polymorphisms of candidate genes and blood pressure response to antihypertensive drugs in untreated hypertensive patients in countryside Chinese. All study medications were identical in appearance. The code was used to conceal drug name. The drugs were distributed to four groups according to predetermined number of each block.
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Trial website
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Trial related presentations / publications
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Public notes
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Contacts
Principal investigator
Name
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Address
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Country
35444
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Phone
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Fax
35444
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Email
35444
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Contact person for public queries
Name
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Professor Rutai Hui
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Address
10324
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Fuwai Hospital
167 Bei Li Shi Lu
Xi Cheng District Beijing 100037
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Country
10324
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China
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Phone
10324
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+86 0168333902
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Fax
10324
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+86 0168331730
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Email
10324
0
[email protected]
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Contact person for scientific queries
Name
1252
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Professor Rutai Hui
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Address
1252
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Fuwai Hospital
167 Bei Li Shi Lu
Xi Cheng District Beijing 100037
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Country
1252
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China
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Phone
1252
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+86 0168333902
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Fax
1252
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+86 0168331730
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Email
1252
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[email protected]
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No information has been provided regarding IPD availability
What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
Documents added manually
No documents have been uploaded by study researchers.
Documents added automatically
No additional documents have been identified.
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