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Note: This record shows only 22 elements of the WHO Trial Registration Data Set. To view changes that have been made to the source record, or for additional information about this trial, click on the URL below to go to the source record in the primary register.
Register: ClinicalTrials.gov
Last refreshed on: 19 February 2015
Main ID:  NCT02214498
Date of registration: 08/08/2014
Prospective Registration: Yes
Primary sponsor: Erasmus Medical Center
Public title: Treatment of HYpertension: Morning Versus Evening THYME
Scientific title: Treatment of HYpertension: Morning Versus Evening
Date of first enrolment: May 2015
Target sample size: 120
Recruitment status: Not yet recruiting
URL:  http://clinicaltrials.gov/show/NCT02214498
Study type:  Interventional
Study design:  Allocation: Randomized, Endpoint Classification: Pharmacodynamics Study, Intervention Model: Crossover Assignment, Masking: Double Blind (Subject, Caregiver, Investigator, Outcomes Assessor), Primary Purpose: Treatment  
Phase:  Phase 4
Countries of recruitment
Netherlands
Contacts
Name:     Jorie Versmissen, MD, PhD
Address: 
Telephone:
Email:
Affiliation:  Erasmus MC
Name:     Jorie Versmissen, MD, PhD
Address: 
Telephone:
Email: j.versmissen@erasmusmc.nl
Affiliation: 
Name:     Jorie Versmissen, MD, PhD
Address: 
Telephone:
Email: j.versmissen@erasmusmc.nl
Affiliation: 
Name:     Eric Sijbrands, Prof
Address: 
Telephone:
Email:
Affiliation:  Erasmus MC
Name:     Teun Van Gelder, Prof
Address: 
Telephone:
Email:
Affiliation:  Erasmus MC
Key inclusion & exclusion criteria

Inclusion Criteria:

- Essential hypertension

- Stable blood pressure on treatment with Angiotensin Converting Enzyme Inhibitor
(ACEI) or Angiotensin II Receptor Blocker (ARB) and hydrochlorothiazide

- Age between 18 and 85 years

- WHO performance status 0-1

- Available for a time period of 15 weeks

- Written informed consent

- Dippers: Nocturnal blood pressure fall of 10-20% of daytime values.20

- Non-dippers: -Nocturnal blood pressure fall of <10% of daytime values

Exclusion Criteria:

- secondary cause of hypertension

- use of ARB because of intolerability (e.g. dry cough) of ACEI

- nocturnal blood pressure fall of >20% or rise

- renal insufficiency (GFR<60 ml/min)

- shift work

- pregnancy or wish to get pregnant

- use of other antihypertensive medication than ACEI, ARB, hydrochlorothiazide or a
calcium channel blocker

- use of sleeping medication



Age minimum: 18 Years
Age maximum: 85 Years
Gender: Both
Health Condition(s) or Problem(s) studied
Essential Hypertension
Intervention(s)
Drug: Placebo
Drug: Enalapril/hydrochlorothiazide
Primary Outcome(s)
Average nocturnal blood pressure, percentage dipping and nadir of nocturnal blood pressure [Time Frame: 24 hours]
Secondary Outcome(s)
Urine: Sodium, potassium, protein, melatonin, creatinin [Time Frame: Two times within 24 hours at the end of six weeks of treatment according to one of the two regimes]
Plasma: enalapril, cortisol, melatonin, aldosterone, ACE activity, gene expression of clock genes [Time Frame: Moring of 24 hour blood pressure measurement after six weeks of treatment according to a certain regime]
Percentage of nocturnal diastolic blood pressure measurements below 65 mm hg [Time Frame: 24 hours]
Secondary ID(s)
2014_THYME
Source(s) of Monetary Support
Please refer to primary and secondary sponsors
Secondary Sponsor(s)
ZonMw: The Netherlands Organisation for Health Research and Development
Ethics review
Results
Results available:
Date Posted:
Date Completed:
URL:
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