Left Ventricular Hypertrophy Reduction With Statins in Hypertensive Patients

Experimental studies have showed that statins reduce left ventricular hypertrophy. The main objective is to observe the reduction of left ventricular hypertrophy with statins in hypertensive patients. The hypothesis is that patients treated with statins will have a reduction of at least 10% compared with patients treated only with antihypertensive treatment...

Date First Received: February 11, 2008

Last Updated: February 11, 2008

Verified by: Hospital Universitario 12 de Octubre, February 2008

Clinical Trial Phase: Phase 3 | Start Date: January 2008

Overall Status: Recruiting

Estimated Enrollment: 120

Brief Summary

Official Title: “Left Ventricular Hypertrophy Reduction With Statins in Hypertensive Patients”

Experimental studies have showed that statins reduce left ventricular hypertrophy. The main objective is to observe the reduction of left ventricular hypertrophy with statins in hypertensive patients. The hypothesis is that patients treated with statins will have a reduction of at least 10% compared with patients treated only with antihypertensive treatment.

Study Type: Interventional

Study Design: Treatment, Randomized, Open Label, Uncontrolled, Parallel Assignment, Efficacy Study

Study Primary Completion Date: January 2009

Detailed Clinical Trial Description

Experimental studies have showed that statins reduce left ventricular hypertrophy. The main objective is to observe the reduction of left ventricular hypertrophy with statins in hypertensive patients. The hypothesis is that patients treated with statins will have a reduction of at least 10% compared with patients treated only with antihypertensive treatment.

The study will be conducted at Cardiovascular Unit Hospital 1o de october in Mexico City. Patients must have hypertension grade 2 according to the European Hypertension Guides, and must have LDL-C >130mg/dl. Patient will be assigned randomly to four arms of treatment, and will be follow up for one year. Left ventricular mass will be measured every 6 months, and LDL-C will be measured every 2 months.

Intervention(s) in this Clinical Trial

  • Drug: Valsartan plus pravastatin
    • Valsartan 80mg plus pravastatin 40 mg PO every day for one year
  • Drug: Valsartan plus simvastatin
    • Valsartan 80mg plus simvastatin 40mg PO every day for one year
  • Drug: Valsartan plus simvastatin plus ezetimib
    • Valsartan 80mg plus simvastatin 40mg / 10mg ezetimib PO every day for one year
  • Drug: Only valsartan
    • Valsartan 80mg PO every day for one year

Arms, Groups and Cohorts in this Clinical Trial

  • Active Comparator: 1
  • Active Comparator: 2
  • Active Comparator: 3
  • No Intervention: 4

Outcome Measures for this Clinical Trial

Primary Measures

  • VENTRICULAR MASS
    • Time Frame: every 6 months
      Safety Issue?: No

Secondary Measures

  • LDL cholesterol levels
    • Time Frame: every 2 months
      Safety Issue?: No

Criteria for Participation in this Clinical Trial

Inclusion Criteria:

  • Both genders
  • Outpatients age > or = 18 years
  • Systolic hypertension >140 < 180
  • Diastolic hypertension >90 < 110
  • Left ventricular hypertrophy > 104g/mBMI in women > 116g/mBMI
  • Without treatment wits statins
  • Informed Consent signed

Exclusion Criteria:

  • Diabetes Mellitus
  • Familial hypercholesterolemia
  • LDL-C >190mg/dL
  • Triglycerides >250mg/dL
  • Ischemic heart disease
  • Secondary Hypertension
  • Intolerance to valsartan or statins
  • Abnormalities in hepatic liver function
  • CPK three times UNL
  • Creatinine > 3mg /dL
  • Patients treated with statins

Gender Eligibility for this Clinical Trial: Both

Minimum Age for this Clinical Trial: 18 Years

Maximum Age for this Clinical Trial: 80 Years

Are Healthy Volunteers Accepted for this Clinical Trial?: No

Clinical Trial Sponsor Information

Lead Sponsor: Hospital Universitario 12 de Octubre

Overall Clinical Trial Officials and Contacts

Alejandra Meaney, MD, PhD Study Director Unaffiliated  

Overall Contact: Alejandra Meaney, MD, PhD 52 55 57544512 ameaney@cinvestav.mx

Additional Information

Information obtained from ClinicalTrials.gov on August 29, 2008

Link to the current ClinicalTrials.gov record. http://clinicaltrials.gov/show/NCT00621127

Study ID Number: REV 284/07

ClinicalTrials.gov Identifier: NCT00621127

Health Authority: Mexico: Federal Commission for Sanitary Risks Protection

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