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HypertensionNCT06683768

A Real-world Study of the Safety of Hypertension Medication Therapy in Japanese Patients With Naïve Hypertension

An observational study of Hypertension, run by Novartis Pharmaceuticals at 1 site in United States.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
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Trial summary

This was a non-interventional, secondary use of data, retrospective, cohort study. The data extracted in this study was used as secondary use of collected patient information in the database, Japan Medical Data Survey (JAMDAS), owned by M3 Inc. (Tokyo, Japan). Read more about this study

Who is it for?
Ages 18 years and older
Conditions the study is for
Hypertension
Type of treatment
Pill or oral medicine
How many people
40,563 participants
Where
1 siteUnited States
Study dates
28 Feb 2023to 8 Nov 2023
Phase
Observational
Are there results?
None posted in the registry

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 years and older
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Study population: This was a retrospective, noninterventional cohort study.

Who may be able to join

  • Diagnosed with essential hypertension or hypertensive heart/kidney disease at the index date.
  • Sitting systolic blood pressure (sSBP) ≥150 millimeters of mercury (mm Hg) at the index date.
  • At least one prescription of angiotensin-converting enzyme inhibitor (ACEi), angiotensin receptor blocker (ARB), angiotensin receptor neprilysin inhibitor (ARNI), calcium channel blocker (CCB), diuretics, or these SPCs for hypertension at the index date.
  • At least one visit and blood pressure (BP) measurement within 12 weeks from the index date.

Who cannot join

  • Prescription of hypertensive medication including alpha blocker, beta blocker, alpha-beta blocker, aldosterone antagonist, and renin inhibitor within 24 weeks prior to the index date.
  • Initial prescription of two or more antihypertensive medicines either with or without SPCs at the index date.
  • History of hypotension, hyperkalemia, hypokalemia, or hyponatremia, drug-related or otherwise, or renal failure leading to dialysis, stroke, myocardial infarction, heart failure at the index date or within 24 weeks prior to the index date.
  • History of secondary hypertension (renal parenchymal hypertension, renovascular hypertension [unilateral or bilateral renal artery stenosis] coarctation of the aorta, primary hyperaldosteronism, Cushing's disease, pheochromocytoma, polycystic kidney disease, and drug-induced hypertension, etc.) at any timepoint.
  • Pregnant women at any timepoint.

Trial locations and contacts

1 site in 1 country.

United States1 site
  • Novartis Pharmaceuticals

    East Hanover, New Jersey, 07936

Other trials in United States

About this study

Official title: Safety of Hypertension Medication Therapy in Patient With Naive Hypertension: a Real-world Study in Japan

This was a non-interventional, secondary use of data, retrospective, cohort study. The data extracted in this study was used as secondary use of collected patient information in the database, Japan Medical Data Survey (JAMDAS), owned by M3 Inc. (Tokyo, Japan). JAMDAS is a database that aggregates medical information and is constructed mainly from electronic medical record information of medical institutions, allowing real-time extraction of information entered in medical records, such as prescription status including drug switching and continuation, laboratory values, clinical evaluation scores, and comorbidities etc.

Conditions
Hypertension
Keywords
Essential hypertension, High blood pressure
Medical subject headings
Hypertension, Essential Hypertension

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

Study groups in NCT06683768
Study groupRoleWhat they receive
Monotherapy CohortAdult patients with untreated hypertension who initiated antihypertensive monotherapy (excluding angiotensin receptor neprilysin inhibitor [ARNI]).
Single-pill Combination (SPC) CohortAdult patients with untreated hypertension who initiated single-pill combination antihypertensive therapy.

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Number of Adverse Events (AEs) From Initiation of Antihypertensive Treatment to Weeks 8 and 24 Categorized by Type of AE

    Measured: Week 8 and Week 24

  2. Number of Patients With AEs From Initiation of Antihypertensive Treatment to Weeks 8 and 24 Categorized by Type of AE

    Measured: Week 8 and Week 24

  3. Incidence Rate of AEs From Initiation of Antihypertensive Treatment to Weeks 8 and 24 Categorized by Type of AE

    Incidence rate was calculated by dividing the number of patients who had an event by the total number of patients.

    Measured: Week 8 and Week 24

Secondary outcomes (33)
  1. Number of Adverse Events (AEs) From Initiation of Antihypertensive Treatment to Week 24 Categorized by Type of AE per Blood Pressure (BP) Category

    BP Categories included Grade I, II, III, and (isolated) systolic hypertension.

    Measured: Week 24

  2. Number of Patients With AEs From Initiation of Antihypertensive Treatment to Week 24 Categorized by Type of AE per BP Category

    BP Categories included Grade I, II, III, and (isolated) systolic hypertension.

    Measured: Week 24

  3. Incidence Rate of AEs From Initiation of Antihypertensive Treatment to Week 24 Categorized by Type of AE per BP Category

    BP Categories included Grade I, II, III, and (isolated) systolic hypertension. Incidence rate was calculated by dividing the number of patients who had an event by the total number of patients.

    Measured: Week 24

  4. Number of AEs From Initiation of Antihypertensive Treatment to Week 24 Categorized by Type of AE per Age Group Category

    Age group categories:

    • Less than 65 years old
    • 65 to 74 years old
    • 75 years or older

    Measured: Week 24

  5. Number of Patients With AEs From Initiation of Antihypertensive Treatment to Week 24 Categorized by Type of AE per Age Group Category

    Age group categories:

    • Less than 65 years old
    • 65 to 74 years old
    • 75 years or older

    Measured: Week 24

  6. Incidence Rate of AEs From Initiation of Antihypertensive Treatment to Week 24 Categorized by Type of AE per Age Group Category

    Age group categories:

    • Less than 65 years old
    • 65 to 74 years old
    • 75 years or older

    Incidence rate was calculated by dividing the number of patients who had an event by the total number of patients.

    Measured: Week 24

  7. Number of AEs From Initiation of Antihypertensive Treatment to Week 24 Categorized by Type of AE per Body Mass Index (BMI) Category

    BMI categories:

    • BMI <18.5
    • 18.5 ≤ BMI <25
    • 25 ≤ BMI

    Measured: Week 24

  8. Number of Patients With AEs From Initiation of Antihypertensive Treatment to Week 24 Categorized by Type of AE per BMI Category

    BMI categories:

    • BMI <18.5
    • 18.5 ≤ BMI <25
    • 25 ≤ BMI

    Measured: Week 24

  9. Incidence Rate of AEs From Initiation of Antihypertensive Treatment to Week 24 Categorized by Type of AE per BMI Category

    BMI categories:

    • BMI <18.5
    • 18.5 ≤ BMI <25
    • 25 ≤ BMI

    Incidence rate was calculated by dividing the number of patients who had an event by the total number of patients.

    Measured: Week 24

  10. Number of AEs From Initiation of Antihypertensive Treatment to Week 24 Categorized by Type of AE per Estimated Glomerular Filtration Rate (eGFR) Category

    eGFR categories:

    • eGFR <30
    • 30 ≤ eGFR <60
    • 60 ≤ eGFR

    Measured: Week 24

  11. Number of Patients With AEs From Initiation of Antihypertensive Treatment to Week 24 Categorized by Type of AE per eGFR Category

    eGFR categories:

    • eGFR <30
    • 30 ≤ eGFR <60
    • 60 ≤ eGFR

    Measured: Week 24

  12. Incidence Rate of AEs From Initiation of Antihypertensive Treatment to Week 24 Categorized by Type of AE per eGFR Category

    eGFR categories:

    • eGFR <30
    • 30 ≤ eGFR <60
    • 60 ≤ eGFR

    Incidence rate was calculated by dividing the number of patients who had an event by the total number of patients.

    Measured: Week 24

  13. Number of AEs From Initiation of Antihypertensive Treatment to Week 24 Categorized by Type of AE by Potassium Level

    Potassium (K) levels:

    • K <3.5
    • 3.5 ≤ K <5.5
    • 5.5 ≤ K

    Measured: Week 24

  14. Number of Patients With AEs From Initiation of Antihypertensive Treatment to Week 24 Categorized by Type of AE by Potassium Level

    Potassium (K) levels:

    • K <3.5
    • 3.5 ≤ K <5.5
    • 5.5 ≤ K

    Measured: Week 24

  15. Incidence Rate of AEs From Initiation of Antihypertensive Treatment to Week 24 Categorized by Type of AE by Potassium Level

    Potassium (K) levels:

    • K <3.5
    • 3.5 ≤ K <5.5
    • 5.5 ≤ K

    Incidence rate was calculated by dividing the number of patients who had an event by the total number of patients.

    Measured: Week 24

  16. Number of AEs From Initiation of Antihypertensive Treatment to Week 24 Categorized by Type of AE by Creatinine Level

    Creatinine (Cr) Levels:

    • Cr <1.5
    • 1.5 ≤ Cr

    Measured: Week 24

  17. Number of Patients With AEs From Initiation of Antihypertensive Treatment to Week 24 Categorized by Type of AE by Creatinine Level

    Creatinine (Cr) Levels:

    • Cr <1.5
    • 1.5 ≤ Cr

    Measured: Week 24

  18. Incidence Rate of AEs From Initiation of Antihypertensive Treatment to Week 24 Categorized by Type of AE by Creatinine Level

    Creatinine (Cr) Levels:

    • Cr <1.5
    • 1.5 ≤ Cr

    Incidence rate was calculated by dividing the number of patients who had an event by the total number of patients.

    Measured: Week 24

  19. Number of AEs From Initiation of Antihypertensive Treatment to Week 24 Categorized by Type of AE by Proteinuria

    Proteinuria:

    • Urine protein <30: Negative
    • 30 ≤ Protein urine: Positive

    Measured: Week 24

  20. Number of Patients With AEs From Initiation of Antihypertensive Treatment to Week 24 Categorized by Type of AE by Proteinuria

    Proteinuria:

    • Urine protein <30: Negative
    • 30 ≤ Protein urine: Positive

    Measured: Week 24

  21. Incidence Rate of AEs From Initiation of Antihypertensive Treatment to Week 24 Categorized by Type of AE by Proteinuria

    Proteinuria:

    • Urine protein <30: Negative
    • 30 ≤ Protein urine: Positive

    Incidence rate was calculated by dividing the number of patients who had an event by the total number of patients.

    Measured: Week 24

  22. Number of AEs From Initiation of Antihypertensive Treatment to Week 24 Categorized by Type of AE per Class of Antihypertensive Medication

    Antihypertensive medication classes included calcium channel blockers (CCBs), angiotensin-converting enzyme (ACE) inhibitors, angiotensin receptor blockers (ARBs), and diuretics.

    Measured: Week 24

  23. Number of Patients With AEs From Initiation of Antihypertensive Treatment to Week 24 Categorized by Type of AE per Class of Antihypertensive Medication

    Antihypertensive medication classes included CCBs, ACE inhibitors, ARBs, and diuretics.

    Measured: Week 24

  24. Incidence Rate of AEs From Initiation of Antihypertensive Treatment to Week 24 Categorized by Type of AE per Class of Antihypertensive Medication

    Antihypertensive medication classes included CCBs, ACE inhibitors, ARBs, and diuretics. Incidence rate was calculated by dividing the number of patients who had an event by the total number of patients.

    Measured: Week 24

  25. Change in BP From Initiation of Antihypertensive Treatment to Weeks 4, 8, and 12

    Measured: Weeks 4, 8, and 12

  26. Change in BP From Initiation of Antihypertensive Treatment to Weeks 4, 8, and 12 by BP Category

    BP categories included Grade I, II, and III hypertension.

    Measured: Weeks 4, 8, and 12

  27. Change in BP From Initiation of Antihypertensive Treatment to Weeks 4, 8, and 12 by Age Group Category

    Age group categories:

    • Less than 65 years old
    • 65 to 74 years old
    • 75 years or older

    Measured: Weeks 4, 8, and 12

  28. Change in BP From Initiation of Antihypertensive Treatment to Weeks 4, 8, and 12 by BMI Category

    BMI categories:

    • BMI <18.5
    • 18.5 ≤ BMI <25
    • 25 ≤ BMI

    Measured: Weeks 4, 8, and 12

  29. Change in BP From Initiation of Antihypertensive Treatment to Weeks 4, 8, and 12 by eGFR Category

    eGFR categories:

    • eGFR <30
    • 30 ≤ eGFR <60
    • 60 ≤ eGFR

    Measured: Weeks 4, 8, and 12

  30. Change in BP From Initiation of Antihypertensive Treatment to Weeks 4, 8, and 12 by Potassium Level

    Potassium (K) levels:

    • K <3.5
    • 3.5 ≤ K <5.5
    • 5.5 ≤ K

    Measured: Weeks 4, 8, and 12

  31. Change in BP From Initiation of Antihypertensive Treatment to Weeks 4, 8, and 12 by Creatinine Level

    Creatinine (Cr) Levels:

    • Cr <1.5
    • 1.5 ≤ Cr

    Measured: Weeks 4, 8, and 12

  32. Change in BP From Initiation of Antihypertensive Treatment to Weeks 4, 8, and 12 by Proteinuria

    Proteinuria:

    • Urine protein <30: Negative
    • 30 ≤ Protein urine: Positive

    Measured: Weeks 4, 8, and 12

  33. Number of Patients who Achieved the BP Goal at Last Visit Categorized by Subgroup

    The BP goal was 130/80 millimeters of mercury (mm Hg).

    Subgroups:

    • BP Grade
    • Age
    • BMI
    • Estimated glomerular filtration rate (eGFR)
    • Potassium Level
    • Creatinine Level
    • Proteinuria (positive or negative)

    Measured: Up to 13 weeks

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted12 Nov 2024
  2. Study start28 Feb 2023
  3. Primary completion8 Nov 2023
  4. Study completion8 Nov 2023

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Observational
Observational model
Cohort
Time perspective
Retrospective
Enrolment
40,563 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT06683768
Sponsor's protocol ID
CLCZ696AJP03
Status last verified
Nov 2024
First submitted
8 Nov 2024
Last updated
20 Nov 2024
Results posted
No

Questions about this trial

What is this clinical trial studying?

An observational study of Hypertension, run by Novartis Pharmaceuticals at 1 site in United States.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 4 inclusion and 5 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: finished, as of the sponsor's last update on 20 Nov 2024. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 1 site in United States. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

Are results available for this study?

The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Number of Adverse Events (AEs) From Initiation of Antihypertensive Treatment to Weeks 8 and 24 Categorized by Type of AE (time frame: Week 8 and Week 24). The study lists 3 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 20 Nov 2024.

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