Changes to trial information |
Section Name
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Field Name
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Date
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Reason
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Old Value
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Updated Value
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Trial Information |
Actual trial start date |
24/04/2023 |
To update the actual start date |
|
01 Jul 2022 |
Section Name
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Field Name
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Date
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Reason
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Old Value
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Updated Value
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Trial Information |
Anticipated date of last follow up |
24/04/2023 |
Protocol amendment |
30 Apr 2022 |
31 Jan 2025 |
Section Name
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Field Name
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Date
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Reason
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Old Value
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Updated Value
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Trial Information |
Target no of participants |
02/02/2022 |
Due to replacement of clinic-BP based primary outcome to home BP-based primary outcome and increase in power from 80% to 90%. |
108 |
160 |
Section Name
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Field Name
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Date
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Reason
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Old Value
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Updated Value
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Trial Information |
Target no of participants |
24/04/2023 |
Protocol amendment |
160 |
300 |
Section Name
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Field Name
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Date
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Reason
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Old Value
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Updated Value
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Trial Information |
Recruitment status |
24/04/2023 |
recruitment started |
Not yet recruiting |
Recruiting |
Section Name
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Field Name
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Date
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Reason
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Old Value
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Updated Value
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Eligibility |
Inclusion criteria |
02/02/2022 |
Replaced inclusion criterion with a more pragmatic one to allow a variety of participants to be screened.
|
At screening visit
1. Adult (age ≥18 years).
2. Provided signed consent to participate in the study.
3. Black African.
4. Untreated or on one BP-lowering drug for ≥2 weeks.
5. Clinic attended automated seated mean SBP (average of last 2 measurements): 140-179 mmHg and/or DBP 90-109 mmHg.
6. Willingness to wear 24/7 BP measurement device continuously for 2 months.
At randomization visit
1. Untreated (for ≥2 week) or on one BP-lowering drug (for ≥2 weeks).
2. Clinic attended automated seated mean SBP (average of last 2 measurements): 140-179 mmHg and/or DBP 90-109 mmHg. |
At screening visit
1. Black African
2. Adult (age ≥18 years)
3. Provided signed consent to participate in the study
4. Untreated or on one BP-lowering medication for ≥2 weeks
5. Needs initiation or intensification of BP-lowering medication(s) therapy as per the investigator’s judgement based
on BP at this and/or previous visits
6. Willingness to use home BP measurement device and measure BP at home for 6 months
At randomisation visit
1. Untreated or on one BP-lowering medication for ≥2 weeks
2. Clinic attended automated seated mean SBP (average of last 2 measurements): 140-179 mmHg and/or DBP 90-
109 mmHg
3. Willingness to use home BP measurement device and measure BP at home for 6 months
|
Section Name
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Field Name
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Date
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Reason
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Old Value
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Updated Value
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Eligibility |
Inclusion criteria |
12/05/2023 |
To update the criteria at randomisation visit. |
At screening visit
1. Black African
2. Adult (age ≥18 years)
3. Provided signed consent to participate in the study
4. Untreated or on one BP-lowering medication for ≥2 weeks
5. Needs initiation or intensification of BP-lowering medication(s) therapy as per the investigator’s judgement based
on BP at this and/or previous visits
6. Willingness to use home BP measurement device and measure BP at home for 6 months
At randomisation visit
1. Untreated or on one BP-lowering medication for ≥2 weeks
2. Clinic attended automated seated mean SBP (average of last 2 measurements): 140-179 mmHg and/or DBP 90-
109 mmHg
3. Willingness to use home BP measurement device and measure BP at home for 6 months
|
At screening visit
1. Black African
2. Adult (age ≥18 years)
3. Provided signed consent to participate in the study
4. Untreated or on one BP-lowering medication for ≥2 weeks
5. Needs initiation or intensification of BP-lowering medication(s) therapy as per the investigator’s judgement based
on BP at this and/or previous visits
6. Willingness to use home BP measurement device and measure BP at home for 6 months
At randomisation visit
1. Untreated or on one BP-lowering medication for ≥2 weeks
2. Clinic attended automated seated mean SBP (average of last 2 measurements): 140-179 mmHg and/or DBP 90-
109 mmHg
3. Willingness to use home BP measurement device and measure BP at home for 6 months
4. Needs initiation or intensification of BP-lowering medication(s) therapy as per the investigator’s judgement based
on BP at this and/or previous visits
|
Section Name
|
Field Name
|
Date
|
Reason
|
Old Value
|
Updated Value
|
Eligibility |
Exclusion criteria |
02/02/2022 |
Revised exclusion criterion for clarity.
Inserted new exclusion criterion to exclude participants receiving BP-lowering medication for conditions other than hypertension.
Inserted text in the exclusion criterion to provide alternative units, and to allow inclusion of participants with controlled diabetes in the last 3 months.
Safety change to exclude participants with moderate to severe kidney disease.
|
At screening visit
1. Receiving 2 or more BP-lowering drugs.
2. Clinic seated mean SBP ≥180 mmHg and/or DBP ≥110 mmHg.
3. Current/history of congestive heart failure.
4. Current/history of coronary heart disease including angina, myocardial infarction, or acute coronary syndrome.
5. Current/history of atrial fibrillation.
6. Current/history of a stroke or transient ischemic attack.
7. Known or suspected secondary hypertension.
8. Hyper-/hypothyroidism, pheochromocytoma, or arteriovenous fistula.
9. Raynaud’s disease.
10. Uncontrolled diabetes mellitus (glycosylated hemoglobin >11%).
11. Current/history of end-stage renal disease or anuria or estimated glomerular filtration rate (eGFR) < 30 ml/min/1.73 m2).
12. Pregnancy or had a positive pregnancy test or unwilling to undertake a pregnancy test before randomization and/or during the study and up to 14 days after the discontinuation of the study medication, or breastfeeding or of childbearing age and not using highly effective method of contraception.
13. Not suitable for participation in a clinical study according to local ethical or regulatory requirements related to severe acute respiratory syndrome coronavirus-2 (SARS-CoV-2).
14. Contraindication, including hypersensitivity (e.g. anaphylaxis or angioedema), to any of the study medications or procedures.
15. Participation in any investigational drug and/or device study within the previous 30 days.
16. Current concomitant illness or physical impairment or mental condition or abnormal laboratory value which in the judgment of the investigator could interfere with the effective conduct of the study or constitutes a significant risk to the participants’ safety or well-being.
At randomization visit
1. Fulfilling any of the exclusion criteria mentioned for the screening visit, when verified again.
|
At Screening and randomisation visit
1. Receiving 2 or more BP-lowering medications. (a single pill combination containing two different BP-lowering medications should be considered as 2 BP-lowering medications)
2. Receiving any BP lowering medications for indications other than hypertension (e.g., heart failure)
3. Current/history of congestive heart failure
4. Current/history of coronary heart disease including angina, myocardial infarction, or acute coronary syndrome
5. Current/history of atrial fibrillation
6. Current/history of a stroke or transient ischemic attack
7. Known or suspected secondary hypertension
8. Hyper-/hypothyroidism, pheochromocytoma, or arteriovenous fistula
9. Current/history of Raynaud’s disease
10. Uncontrolled diabetes mellitus (glycosylated haemoglobin >11% [> 97 mmol/mol]) within last three months
11. Current/history of end-stage renal disease or anuria or current estimated glomerular filtration rate (eGFR) < 60 ml/min/1.73 m2)
12. Pregnancy, or had a positive pregnancy test, or unwilling to undertake a pregnancy test before randomisation, and/or during the study, and up to 14 days after the discontinuation of the study medication, or breastfeeding, or of childbearing age and not using highly effective method of contraception
13. Not suitable for participation in a clinical study according to local ethical or regulatory requirements related to severe acute respiratory syndrome coronavirus-2 (SARS-CoV-2)
14. Contraindication, including hypersensitivity (e.g., anaphylaxis or angioedema) to any of the study medications or procedures
15. Participation in any investigational medication and/or device study within the 30 days prior to randomisation
16. Current concomitant illness or physical impairment or mental condition or abnormal laboratory value, which in the judgment of the investigator could interfere with the effective conduct of the study or constitutes a significant risk to the participants’ safety or well-being |
Section Name
|
Field Name
|
Date
|
Reason
|
Old Value
|
Updated Value
|
Intervention |
Intervention List |
02/02/2022 |
To update the number of participants in the group |
Experimental Group, Triple pill based treatment protocol, Dose will be based on the Blood pressure of the participants and the treating physician's discretion
, 6 months from randomization, Participants in this group will be treated following te triple pill (Combination of Telmisartan+ Amlodipine+ Indapamide)based treatent protocol.
Additional add on therapy will be as per the discretion of the investigator based on the individual participant BP control, 54, |
Experimental Group, Triple pill based treatment protocol, Dose will be based on the Blood pressure of the participants and the treating physician's discretion
, 6 months from randomization, Participants in this group will be treated following te triple pill (Combination of Telmisartan+ Amlodipine+ Indapamide)based treatent protocol.
Additional add on therapy will be as per the discretion of the investigator based on the individual participant BP control, 80, |
Section Name
|
Field Name
|
Date
|
Reason
|
Old Value
|
Updated Value
|
Intervention |
Intervention List |
24/04/2023 |
To update the increased sample size as per protocol amendment |
Experimental Group, Triple pill based treatment protocol, Dose will be based on the Blood pressure of the participants and the treating physician's discretion
, 6 months from randomization, Participants in this group will be treated following te triple pill (Combination of Telmisartan+ Amlodipine+ Indapamide)based treatent protocol.
Additional add on therapy will be as per the discretion of the investigator based on the individual participant BP control, 80, |
Experimental Group, Triple pill based treatment protocol, Dose will be based on the Blood pressure of the participants and the treating physician's discretion
, 6 months from randomization, Participants in this group will be treated following te triple pill (Combination of Telmisartan+ Amlodipine+ Indapamide)based treatent protocol.
Additional add on therapy will be as per the discretion of the investigator based on the individual participant BP control, 150, |
Section Name
|
Field Name
|
Date
|
Reason
|
Old Value
|
Updated Value
|
Intervention |
Intervention List |
02/02/2022 |
To update the number of participants in the group |
Control Group, Nigeria hypertension treatment protocol, Dose will be based on the Blood pressure of the participants and the treating physician's discretion, 6 months from randomization, Participants in this group will be treated following the Nigerian hypertension protocol & all participants will be given life style advice. Additional add on therapy will be as per the discretion of the investigator based on the individual participant BP control
, 54, Active-Treatment of Control Group |
Control Group, Nigeria hypertension treatment protocol, Dose will be based on the Blood pressure of the participants and the treating physician's discretion, 6 months from randomization, Participants in this group will be treated following the Nigerian hypertension protocol & all participants will be given life style advice. Additional add on therapy will be as per the discretion of the investigator based on the individual participant BP control
, 80, Active-Treatment of Control Group |
Section Name
|
Field Name
|
Date
|
Reason
|
Old Value
|
Updated Value
|
Intervention |
Intervention List |
24/04/2023 |
To update the increased sample size as per protocol amendment |
Control Group, Nigeria hypertension treatment protocol, Dose will be based on the Blood pressure of the participants and the treating physician's discretion, 6 months from randomization, Participants in this group will be treated following the Nigerian hypertension protocol & all participants will be given life style advice. Additional add on therapy will be as per the discretion of the investigator based on the individual participant BP control
, 80, Active-Treatment of Control Group |
Control Group, Nigeria hypertension treatment protocol, Dose will be based on the Blood pressure of the participants and the treating physician's discretion, 6 months from randomization, Participants in this group will be treated following the Nigerian hypertension protocol & all participants will be given life style advice. Additional add on therapy will be as per the discretion of the investigator based on the individual participant BP control
, 150, Active-Treatment of Control Group |
Section Name
|
Field Name
|
Date
|
Reason
|
Old Value
|
Updated Value
|
Outcome |
OutCome List |
02/02/2022 |
Replaced clinic BP-based primary outcome with home BP-based primary outcome because of the benefit of multiple measurements and better association of out-of-clinic BP with long-term CVD outcomes. |
Primary Outcome, Percentage of participants with clinic seated mean SBP <140 mmHg and DBP <90 mmHg at month 2., 2 Months after randomization |
Primary Outcome, Difference in change in home seated mean SBP from randomisation to month 6, After 6 Months after randomization |
Section Name
|
Field Name
|
Date
|
Reason
|
Old Value
|
Updated Value
|
Outcome |
OutCome List |
02/02/2022 |
Revised secondary outcomes because of the replacement of 24/7 Aktiia BP monitoring with home BP monitoring. |
Secondary Outcome, Difference in 24/7 mean SBP from randomization to month 2., 2 Months after randomization |
Secondary Outcome, Percentage of participants with clinic seated mean SBP <140 mmHg and DBP <90 mmHg at month 6, 6 Months after randomization |
Section Name
|
Field Name
|
Date
|
Reason
|
Old Value
|
Updated Value
|
Outcome |
OutCome List |
02/02/2022 |
Revised secondary outcomes because of the replacement of 24/7 Aktiia BP monitoring with home BP monitoring. |
Secondary Outcome, Time to first week in which 24/7 mean BP for the week is below 24/7 the target BP (SBP <130 and DBP <80 mmHg)., Randomization to 6 month |
Secondary Outcome, Difference in change in home seated mean SBP from randomisation to month 1, 2, and 3, Randomization to 3 month visit |
Section Name
|
Field Name
|
Date
|
Reason
|
Old Value
|
Updated Value
|
Outcome |
OutCome List |
02/02/2022 |
Revised secondary outcomes because of the replacement of 24/7 Aktiia BP monitoring with home BP monitoring |
Secondary Outcome, Time at 24/7 BP target BP (SBP <130 and DBP <80 mmHg) from randomization to month 2., 2 Months after randomization |
Secondary Outcome, Mean time to first week of home seated mean SBP <130 and DBP <80 mmHg, 1 week after randomization |
Section Name
|
Field Name
|
Date
|
Reason
|
Old Value
|
Updated Value
|
Outcome |
OutCome List |
02/02/2022 |
Revised secondary outcomes because of the replacement of 24/7 Aktiia BP monitoring with home BP monitoring |
Secondary Outcome, Difference in 24/7 mean DBP from randomization to month 2., 2 Months after randomization |
Secondary Outcome, Mean time at home seated mean SBP <130 and DBP <80 mmHg from randomisation to month 6, 6 Months after randomization |
Section Name
|
Field Name
|
Date
|
Reason
|
Old Value
|
Updated Value
|
Outcome |
OutCome List |
02/02/2022 |
Revised secondary outcomes because of the replacement of 24/7 Aktiia BP monitoring with home BP monitoring |
Secondary Outcome, Difference in change in clinic seated mean SBP from randomization to month 6., At 6 month after randomization |
Secondary Outcome, Difference in change in home seated mean DBP from randomisation to month 1, 2, 3, and 6, At month 1, 2, 3, and 6 after randomization |
Section Name
|
Field Name
|
Date
|
Reason
|
Old Value
|
Updated Value
|
Outcome |
OutCome List |
02/02/2022 |
New outcome |
|
Secondary Outcome, Percentage of participants with clinic seated mean SBP <140 mmHg and DBP <90 mmHg at month 1, 2 and 3, At month 1, 2 and 3 after randomisation |
Section Name
|
Field Name
|
Date
|
Reason
|
Old Value
|
Updated Value
|
Outcome |
OutCome List |
02/02/2022 |
Revised secondary outcomes because of the replacement of 24/7 Aktiia BP monitoring with home BP monitoring |
|
Secondary Outcome, Percentage of participants with home seated mean SBP <130 mmHg and DBP <80 mmHg at month 1, 2, 3, and 6, At month 1, 2 and 3 after randomisation |
Section Name
|
Field Name
|
Date
|
Reason
|
Old Value
|
Updated Value
|
Outcome |
OutCome List |
02/02/2022 |
New outcome |
|
Secondary Outcome, Difference in change in clinic seated mean SBP and DBP from randomisation to month 1, 2, 3, and 6, At month 1, 2, 3, and 6 after randomization |
Section Name
|
Field Name
|
Date
|
Reason
|
Old Value
|
Updated Value
|
Recruitment Centre |
RecruitmentCentre List |
14/06/2023 |
Update new participating site |
|
Aminu Kano Teaching Hospital, Cardiology Unit, Department of Medicine, P.M.B 3452, No. 1 Zaria Road Kano State Nigeria, Kano, 700233, Nigeria |
Section Name
|
Field Name
|
Date
|
Reason
|
Old Value
|
Updated Value
|
Recruitment Centre |
RecruitmentCentre List |
14/06/2023 |
Update new site details |
|
University College Hospital Ibadan, Cardiology Division, Department of Medicine, PMB5116 Ibadan, Oyo State, Nigeria , Ibadan, 200005, Nigeria |
Section Name
|
Field Name
|
Date
|
Reason
|
Old Value
|
Updated Value
|
Ethics |
Ethics List |
02/02/2022 |
Uploading Ethics approval |
FALSE, University of Abuja Teaching Hospital Health Research Ethics Committee, University of Abuja Teachning Hospital Gwagwalada P.M.B 228 FCT, Abuja, 902101, Nigeria, 29 Jun 2021, , +23498821228, uathmrec@yahoo.com, |
FALSE, University of Abuja Teaching Hospital Health Research Ethics Committee, University of Abuja Teachning Hospital Gwagwalada P.M.B 228 FCT, Abuja, 902101, Nigeria, 29 Jun 2021, , +23498821228, uathmrec@yahoo.com, 15996_13373_4737.pdf |
Section Name
|
Field Name
|
Date
|
Reason
|
Old Value
|
Updated Value
|
Contact People |
Contacs List |
12/05/2023 |
Additional contact for public enquiries |
|
Public Enquiries, Abdul, Salam, Dr., abdul.salam@george-services.com, asalam@georgeinstitute.org.in, +919959777622, George Institute Services India Private Limited , Plot No. 58 ,59, Ground Floor, Saranya Building, Nagarjuna Circle, Punjagutta, Hyderabad, India 500 082 , Hyderabad, 500082, India, Project Lead |
Section Name
|
Field Name
|
Date
|
Reason
|
Old Value
|
Updated Value
|
Reporting |
IPD description |
20/07/2021 |
Providing clarification that IPD will not be shared. |
The intention is to publish the results in aggregate in a peer reviewed journal within 12 months of completion of the trial, and not to share IPD. We will also provide link to summary results on the PACTR within 12 months of completion of the trial. |
IPD will not be shared. The intention is to publish the results in aggregate in a peer reviewed journal within 12 months of completion of the trial, and not to share IPD. We will also provide link to summary results on the PACTR within 12 months of completion of the trial. |
Section Name
|
Field Name
|
Date
|
Reason
|
Old Value
|
Updated Value
|
Reporting |
IPD-Sharing time frame |
20/07/2021 |
Providing clarification that IPD will not be shared |
IPD will not be shared. |
Not Applicable-IPD will not be shared. |