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CTRI Number  CTRI/2018/01/011306 [Registered on: 12/01/2018] Trial Registered Prospectively
Last Modified On: 11/01/2018
Post Graduate Thesis  Yes 
Type of Trial  Observational 
Type of Study   Cohort Study 
Study Design  Randomized, Parallel Group, Multiple Arm Trial 
Public Title of Study   Effect of blood pressure lowering medicines on function of blood vessels in elderly patients with high blood pressure 
Scientific Title of Study   An observational study of the effect of first line anti-hypertensive drugs on endothelial function in newly diagnosed elderly hypertensive patients 
Trial Acronym  HTNEND trial 
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  PROF I S Gambhir 
Designation  Professor 
Affiliation  IMS BHU 
Address  Department Of Medicine Institute Of Medical Sciences Banaras Hindu University

Varanasi
UTTAR PRADESH
221005
India 
Phone  9415255998  
Fax    
Email  iac2k10@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  PROF I S Gambhir 
Designation  Professor 
Affiliation  IMS BHU 
Address  Department Of Medicine Institute Of Medical Sciences Banaras Hindu University

Varanasi
UTTAR PRADESH
221005
India 
Phone  9415255998  
Fax    
Email  iac2k10@gmail.com  
 
Details of Contact Person
Public Query
 
Name  Dr Ashis Kumar Choudhury 
Designation  Junior Resident 
Affiliation  IMS BHU 
Address  Department Of Medicine Institute Of Medical Sciences Banaras Hindu University
Dr Ashis Kumar Choudhury, Room No.69,Sushruta Hostel Trauma Center Banaras Hindu University
Varanasi
UTTAR PRADESH
221005
India 
Phone  8948460937  
Fax    
Email  ashischoudhury91@gmail.com  
 
Source of Monetary or Material Support  
Institute Of Medical Sciences Banaras Hindu University, Varanasi, Uttar Pradesh, 221005 
 
Primary Sponsor  
Name  IMS BHU 
Address  Department Of Medicine IMS BHU 
Type of Sponsor  Research institution and hospital 
 
Details of Secondary Sponsor  
Name  Address 
NIL  NIL 
 
Countries of Recruitment     India  
Sites of Study  
No of Sites = 1  
Name of Principal Investigator  Name of Site  Site Address  Phone/Fax/Email 
PROF I S Gambhir  IMS BHU  Department of General Medicine IMS,BHU Varanasi Uttar Pradesh
Varanasi
UTTAR PRADESH 
9415255998

iac2k10@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Institute ethics committee,IMS,BHU  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  Hypertension,  
 
Intervention / Comparator Agent  
Type  Name  Details 
 
Inclusion Criteria  
Age From  60.00 Year(s)
Age To  99.00 Year(s)
Gender  Both 
Details  1. Newly diagnosed elderly hypertensive patients
2. Who give consent for the study 
 
ExclusionCriteria 
Details  1. Patients who do not give consent
2. Already diagnosed case of Hypertension i.e. on treatment
3. Past h/o Coronary artery disease
4. Past h/o Cerebrovascular accident
5. Moderate to severe renal dysfunction,i.e. with creatinine clearance <45/ml/min
6. Patient taking any anti-dyslipidemic or any antiplatelet drugs
 
 
Method of Generating Random Sequence   Computer generated randomization 
Method of Concealment   Not Applicable 
Blinding/Masking   Outcome Assessor Blinded 
Primary Outcome  
Outcome  TimePoints 
Improvement in endothelial function assessed by flow mediated dilatation of brachial artery  0 at baseline and after 1 month of treatment 
 
Secondary Outcome  
Outcome  TimePoints 
Blood pressure lowering effect and safety analysis  0 and 1 month 
 
Target Sample Size   Total Sample Size="80"
Sample Size from India="80" 
Final Enrollment numbers achieved (Total)= "Applicable only for Completed/Terminated trials"
Final Enrollment numbers achieved (India)="Applicable only for Completed/Terminated trials" 
Phase of Trial   Phase 4 
Date of First Enrollment (India)   15/01/2018 
Date of Study Completion (India) Applicable only for Completed/Terminated trials 
Date of First Enrollment (Global)  Date Missing 
Date of Study Completion (Global) Applicable only for Completed/Terminated trials 
Estimated Duration of Trial   Years="1"
Months="6"
Days="20" 
Recruitment Status of Trial (Global)   Not Applicable 
Recruitment Status of Trial (India)  Not Yet Recruiting 
Publication Details   NIL 
Individual Participant Data (IPD) Sharing Statement

Will individual participant data (IPD) be shared publicly (including data dictionaries)?  

Brief Summary   Essential hypertension is one of the leading cause of endothelial dysfunction, which is a major risk factor for atherosclerosis and can lead to CAD and CVA. Endothelial function can be assessed non-invasively by flow mediated dilatation of brachial artery.
There are many studies on the effect of anti-hypertensive drugs in the modification of endothelial dysfunction,but there are no such study in elderly hypertensive patients in India.
The aim of the study is study is to asses the effect of anti-hypertensive drugs on endothelial function in elderly hypertensive patients.Elderly hypertensive patients will be randomised into four groups by computer generated random numbers. Baseline endothelial function will be assessed by flow mediated dilatation and each subject will be treated with either of Olmesartan,Nebivolol,Amlodipine,Chlorthalidone for a duration of one month after considering other health related outcomes. Endothelial function will be assessed again after one month by F.M.D and improvement, if any, will be noticed.
 
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