Optimal Medical Treatment of Difficult-to-treat Hypertension

PHASE4RecruitingINTERVENTIONAL
Enrollment

2,500

Participants

Timeline

Start Date

October 20, 2023

Primary Completion Date

December 1, 2025

Study Completion Date

December 31, 2025

Conditions
Hypertension
Interventions
DRUG

Phase C: Eplerenone

Participants randomly assigned to this arm take Eplerenone and placebos of Spironolactone and Torasemide

DRUG

Phase C: Spironolactone

Participants randomly assigned to this arm take Spironolactone and placebos of Eplerenone and Torasemide

DRUG

Phase C: Torasemide

Participants randomly assigned to this arm take Torasemide and placebos of Eplerenone and Spironolactone

DRUG

Phase B: Triplixam / Elestar HCT

Replacement of ineffective antihypertensive treatment based on 3 or more antihypertensive drugs (single or dual drug preparations) with a triple single pill combination (SPC) based on optimally combined antihypertensive drugs: perindopril + indapamide + amlodipine (P+I+A) or olmesartan + hydrocholothiazide + amlodipine (O+H+A).

DIAGNOSTIC_TEST

Phase A: Confirmation of uncontrolled hypertension

Confirmation of the true ineffectiveness of antihypertensive therapy based on 3 or more antihypertensive drugs (single or dual drug preparations) using ABPM and home BP measurements.

Trial Locations (1)

04628

RECRUITING

National Institute of Cardiology, Warsaw

All Listed Sponsors
lead

National Institute of Cardiology, Warsaw, Poland

OTHER