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Trial details imported from ClinicalTrials.gov
For full trial details, please see the original record at
https://clinicaltrials.gov/study/NCT04474899
Registration number
NCT04474899
Ethics application status
Date submitted
3/06/2020
Date registered
17/07/2020
Titles & IDs
Public title
Sympathoinhibition as a Preferred Second Line Treatment of Obesity Related Hypertension
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Scientific title
Sympathoinhibition as a Preferred Second Line Treatment of Obesity Related Hypertension
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Secondary ID [1]
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RA-4-1-7565
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Universal Trial Number (UTN)
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Trial acronym
OHT
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Obesity
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Hypertension
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Condition category
Condition code
Cardiovascular
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Hypertension
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Diet and Nutrition
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Obesity
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Metabolic and Endocrine
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Other metabolic disorders
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
Treatment: Drugs - Moxonidine 0.4 MG
Treatment: Drugs - Amlodipine 5mg
Experimental: Phase 1 - Moxonidine 0.4mg/daily
Experimental: Phase 2 - Amlodipine 5mg
Treatment: Drugs: Moxonidine 0.4 MG
Participants will be randomly assigned to receive moxonidine 0.4mg/daily and will later receive the alternate treatment. As the study is double blind neither the participant nor the study personnel will be aware of which treatment is currently being tested to avoid any effect this may have on the results. The two 12-week treatment phases will be separated by a 6-week wash out (drug-free) period.
Treatment: Drugs: Amlodipine 5mg
Participants will be randomly assigned to receive amlodipine 5mg and will later receive the alternate treatment. As the study is double blind neither the participant nor the study personnel will be aware of which treatment is currently being tested to avoid any effect this may have on the results. The two 12-week treatment phases will be separated by a 6-week wash out (drug-free) period.
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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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Blood Pressure
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Assessment method [1]
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Both Systolic and diastolic blood pressure assessed by office and ambulatory blood pressure monitoring
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Timepoint [1]
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30 weeks
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Secondary outcome [1]
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blood glucose levels
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Assessment method [1]
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Changes in glycemic control through oral glucose tolerance test
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Timepoint [1]
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30 weeks
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Secondary outcome [2]
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Gut microbiota profile
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Assessment method [2]
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Change in gut microbiota assessed by short chain fatty acid
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Timepoint [2]
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30 weeks
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Secondary outcome [3]
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Lipid levels in blood
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Assessment method [3]
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change in triglyceride, HDL and LDL levels in blood
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Timepoint [3]
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30 weeks
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Eligibility
Key inclusion criteria
* Age: 25 -70 years
* (Body Mass Index) BMI=30kg/m2
* Currently weight stable (+/- 3% in previous 6-12 months and not on any specific exercise or dietary program)
* Elevated clinic systolic (Blood Pressure) BP =135 or diastolic BP =85mmHg,
* on ACE inhibitor for at least 6 weeks prior to baseline assessment
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Minimum age
25
Years
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Maximum age
70
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
* Grade 2-3 hypertension (systolic office BP >160, diastolic office BP >100 mmHg)
* Secondary causes of hypertension
* CKD (Chronic kidney disease) stage 4-5 {(estimated glomerular filtration) eGFR<30ml/min}
* Heart failure NYHA (New York Heart Association) class II-IV
* Recent CV (cardiovascular) event (acute myocardial infarction, acute coronary syndrome, stroke or transient ischaemic attack within the previous six months) unstable psychiatric condition
* medication such as corticosteroids, several antidepressants and antipsychotics
* Female participants of childbearing potential must have a negative pregnancy test prior to treatment
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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)
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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
Crossover
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Other design features
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Phase
Phase 4
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Type of endpoint/s
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Statistical methods / analysis
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Recruitment
Recruitment status
Recruiting
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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
24/06/2015
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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
24/06/2024
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Actual
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Sample size
Target
120
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Accrual to date
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Final
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Recruitment in Australia
Recruitment state(s)
WA
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Recruitment hospital [1]
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Dobney Hypertension Centre - Perth
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Recruitment postcode(s) [1]
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6155 - Perth
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Funding & Sponsors
Primary sponsor type
Other
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Name
Royal Perth Hospital
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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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The University of Western Australia
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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
This study is designed to investigate whether sympathoinhibition with moxonidine could provide added metabolic benefit compared to the second line therapy in the current guidelines.
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Trial website
https://clinicaltrials.gov/study/NCT04474899
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Trial related presentations / publications
Carnagarin R, Gregory C, Azzam O, Hillis GS, Schultz C, Watts GF, Bell D, Matthews V, Schlaich MP. The Role of Sympatho-Inhibition in Combination Treatment of Obesity-Related Hypertension. Curr Hypertens Rep. 2017 Oct 28;19(12):99. doi: 10.1007/s11906-017-0795-1.
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Public notes
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Contacts
Principal investigator
Name
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Markus Schlaich, MD
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Address
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University of Western Australia and Royal Perth Hospital
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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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Revathy Carnagarin, MD
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Address
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Country
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Phone
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+61 8 92240316
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Fax
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Email
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[email protected]
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Contact person for scientific queries
Data sharing statement
Will individual participant data (IPD) for this trial be available (including data dictionaries)?
No
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No/undecided IPD sharing reason/comment
Individual Participant Data will not be shared to maintain anonymity and confidentiality of the participants
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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/NCT04474899