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Trial details imported from ClinicalTrials.gov
For full trial details, please see the original record at
https://clinicaltrials.gov/study/NCT03785067
Registration number
NCT03785067
Ethics application status
Date submitted
6/12/2018
Date registered
24/12/2018
Date last updated
1/04/2021
Titles & IDs
Public title
Triple Therapy Prevention of Recurrent Intracerebral Disease EveNts Trial (TRIDENT) Cognitive Sub-Study
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Scientific title
Triple Therapy Prevention of Recurrent Intracerebral Disease EveNts Trial (TRIDENT) Cognitive Sub-Study
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Secondary ID [1]
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TRIDENT COG
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Universal Trial Number (UTN)
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Trial acronym
TRIDENT COG
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Cognitive Decline
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Intracerebral Hemorrhage
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Dementia, Vascular
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Cerebral Small Vessel Diseases
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Hypertension
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Stroke Hemorrhagic
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Condition category
Condition code
Stroke
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Haemorrhagic
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Neurological
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Other neurological disorders
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Cardiovascular
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Diseases of the vasculature and circulation including the lymphatic system
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Neurological
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Dementias
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Cardiovascular
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Diseases of the vasculature and circulation including the lymphatic system
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Mental Health
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Other mental health disorders
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
Treatment: Drugs - telmisartan 20mg + amlodipine 2.5mg +indapamide 1.25mg
Treatment: Drugs - Placebo oral capsule
Experimental: Triple Pill (Active Treatment) - Main Study: Fixed low-dose combination BP-lowering pill ("Triple Pill") telmisartan 20mg + amlodipine 2.5mg + indapamide 1.25mg
Sub-Study: single-arm
Placebo comparator: Placebo - Main Study: Matched placebo, received via blinded study capsules
Sub-Study: single-arm
Treatment: Drugs: telmisartan 20mg + amlodipine 2.5mg +indapamide 1.25mg
1 capsule taken orally once daily for 36 months
Treatment: Drugs: Placebo oral capsule
1 capsule taken orally once daily for 36 months
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Intervention code [1]
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Treatment: Drugs
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Comparator / control treatment
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Control group
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Outcomes
Primary outcome [1]
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Memory as measured by the Cambridge Neuropsychological Test Automated Battery (CANTAB) Paired Associates Learning (PAL) subtest
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Assessment method [1]
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Raw scores and z-scores will be used. Change scores on the CANTAB PAL will be computed between baseline, 18 and 36 months (primary endpoint).
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Timepoint [1]
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Baseline, 18 and 36 months
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Secondary outcome [1]
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Change scores will be computed for CANTAB Rapid Visual Information Processing (RVP)
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Assessment method [1]
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Change scores will be computed for CANTAB RVP between baseline, 18 and 36 months
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Timepoint [1]
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Baseline, 18 and 36 months
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Secondary outcome [2]
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Change scores will be computed for CANTAB Multi-tasking Test (MTT)
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Assessment method [2]
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Change scores will be computed for CANTAB MTT between baseline, 18 and 36 months
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Timepoint [2]
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Baseline, 18 and 36 months
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Secondary outcome [3]
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Change scores will be computed for gold-standard neuropsychological assessments
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Assessment method [3]
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Change scores will be computed for gold-standard neuropsychological assessment between baseline, 18 and 36 months
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Timepoint [3]
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Baseline, 18 and 36 months
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Secondary outcome [4]
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Diagnosis of all-cause dementia
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Assessment method [4]
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Diagnosis of all-cause dementia as determined by consensus of three blinded adjudicators based on established criteria following collection of data of the 3-year study period
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Timepoint [4]
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36 months
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Eligibility
Key inclusion criteria
1. Eligible for, randomised and continuing in the TRIDENT Main Study
2. Must be able to attend the site conducting the cognitive assessments. In Sydney, this will either be at the same site as where TRIDENT study is conducted or at the BMC, University of Sydney, Camperdown.
3. Ability and willingness to undergo neuropsychological testing (i.e. have no major visual, auditory or motor impairments)
4. Language spoken compatible with CANTAB administration (i.e. CANTAB will be administered in the local language(s) of the country in question. E.g. in Australia, the CANTAB will only be administered in English).
5. Provision of written informed consent
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Minimum age
18
Years
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Maximum age
No limit
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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
1. Study medication has been permanently stopped prior to or at the 6-month visit of the TRIDENT main study
2. Informant Questionnaire for Cognitive Decline in the Elderly (IQCODE) score of 3.313 or higher
3. Cognitive performance indicative of dementia at 6-month TRIDENT main study visit defined by Montreal Cognitive Assessment (MoCA) score less than 2414.
4. Evidence of rapid deterioration suggestive of dementia by decline of 3 points in MoCA assessments between randomisation and the 6-month study visit in the TRIDENT main study
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Study design
Purpose of the study
Other
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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)
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
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Masking / blinding
Blinded (masking used)
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Who is / are masked / blinded?
The people receiving the treatment/s
The people administering the treatment/s
The people assessing the outcomes
The people analysing the results/data
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Intervention assignment
Parallel
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Other design features
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Phase
Phase 3
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Type of endpoint/s
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Statistical methods / analysis
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Recruitment
Recruitment status
Stopped early
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Data analysis
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Reason for early stopping/withdrawal
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Other reasons
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Date of first participant enrolment
Anticipated
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Actual
27/02/2020
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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
3/02/2021
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Sample size
Target
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Accrual to date
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Final
1
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Recruitment in Australia
Recruitment state(s)
NSW,VIC
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Recruitment hospital [1]
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Liverpool Hospital - Liverpool
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Recruitment hospital [2]
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Royal Prince Alfred Hospital - Sydney
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Recruitment hospital [3]
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Royal Melbourne Hospital - Melbourne
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Recruitment postcode(s) [1]
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2170 - Liverpool
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Recruitment postcode(s) [2]
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2050 - Sydney
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Recruitment postcode(s) [3]
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3050 - Melbourne
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Recruitment outside Australia
Country [1]
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Netherlands
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State/province [1]
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Nijmegen
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Funding & Sponsors
Primary sponsor type
Other
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Name
The George Institute
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Address
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Country
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Other collaborator category [1]
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Other
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Name [1]
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University of Sydney
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Address [1]
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Country [1]
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Ethics approval
Ethics application status
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Summary
Brief summary
A Sub-Study of an investigator initiated and conducted, multicentre, international, double-blinded, placebo-controlled, parallel-group, randomised controlled trial (TRIDENT) to determine the effect of more intensive long-term blood pressure control, provided by a fixed low-dose combination blood pressure lowering pill ("Triple Pill") strategy on top of standard of care, for slowing memory decline as measured by Cambridge Neuropsychological Test Automated Battery (CANTAB), in patients with a history of acute stroke due to intracerebral haemorrhage (ICH).
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Trial website
https://clinicaltrials.gov/study/NCT03785067
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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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Prof Craig Anderson
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Address
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The George Institute
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Country
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Phone
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Fax
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Email
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Contact person for public queries
Name
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Address
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Country
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Phone
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Fax
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Email
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Contact person for scientific queries
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
No documents have been uploaded by study researchers.
Results not provided in
https://clinicaltrials.gov/study/NCT03785067
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