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Active Not RecruitingNCT04036409

Optimal Blood Pressure for the prevenTIon of Major vAscuLar Events in Stroke Patients

A Randomized Controlled Trial to Assess the Effect of Intensive Blood Pressure Control on Major Cardiovascular Events in Stroke Patients

Status
Active Not Recruiting
Phase
N/A
Study type
Interventional
Enrollment
4,368 (actual)
Sponsor
Hospital Israelita Albert Einstein · Academic / Other
Sex
All
Age
18 Years
Healthy volunteers
Not accepted

Summary

Elevated blood pressure (BP) consists of a major public health concern especially in low and middle income countries. Besides being a highly prevalent condition, it is also a risk factor for several major cardiovascular events including stroke (which consists of the second leading cause of death in developing countries) and coronary artery disease, and is also related to cognitive decline. The OPTIMAL Stroke trial consists of a two-arm, multicenter, randomized clinical trial designed to test whether a lower target systolic blood pressure (SBP) as compared to the currently recommended target for stroke patients will reduce the occurrence of major cardiovascular events.

Conditions

Interventions

TypeNameDescription
DRUGIntensive Control of Systolic Blood Pressure (SBP)Participants in the Intensive arm have a goal of SBP \<120 mm Hg. The use of angiotensin converting enzyme (ACE)-inhibitors/Angiotension receptor blockers (ARBs), Thiazide-type diuretics, calcium channel blockers (CCB), Sustained-release calcium channel blockers (CCBs) will be encouraged, preferably fixed-dose combinations of indapamide + perindopril arginine, perindopril arginine + amlodipine or indapamide + perindopril arginine +amlodipine
DRUGStandard control of Systolic Blood Pressure (SBP)The same medications used in the Intensive BP arm will be used for the Standard BP arm.

Timeline

Start date
2019-08-05
Primary completion
2026-05-28
Completion
2026-05-28
First posted
2019-07-29
Last updated
2026-04-16

Locations

30 sites across 1 country: Brazil

Source: ClinicalTrials.gov record NCT04036409. Inclusion in this directory is not an endorsement.