Hypertension Clinical Trial
Official title:
Hypertension Control Based on Home Systolic Pressure Study (HOSP Study)
The aim of this trial is to study the effects of antihypertensive therapy based on home
systolic blood pressure (BP) with different target levels using two classes of drugs.
The HOSP study is a multicenter, prospective, randomized, open, blinded endpoint study. The
study subjects are 40-79 years old hypertensive patients. After a 4 weeks of baseline
period, subjects are randomly assigned to (1) modest control group (morning home BP <140
mmHg) or (2) strict control group (morning home BP <130 mmHg), and to (a) amlodipine group
or (b) losartan group. Additional antihypertensive drugs can be used if home BP is not
controlled. Home BP is measured in the early morning and late evening. The participants will
be followed up for 5 years.
The aim of this trial is to study the effects of antihypertensive therapy based on home
systolic blood pressure (BP) with different target levels using two classes of drugs.
The HOSP study is a multicenter, prospective, randomized, open, blinded endpoint study.
Inclusion criteria are 40-79 years old treated or untreated hypertensive patients without
serious medical conditions. After a 4 weeks of baseline period, subjects are randomly
assigned to (1) modest control group (target morning home BP <140 mmHg) or (2) strict
control group (morning home BP <130 mmHg), and to (a) amlodipine group (2.5-5 mg od) or (b)
losartan group (25-50 mg od). Additional antihypertensive drugs (diuretics, beta-blockers
and alpha-blockers) can be used if home BP is not controlled. Home BP is measured in the
early morning and late evening. Primary end point is combined cardiovascular events.The
participants will be followed up for 5 years.
;
Allocation: Randomized, Endpoint Classification: Safety/Efficacy Study, Intervention Model: Factorial Assignment, Masking: Open Label, Primary Purpose: Treatment
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