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The purpose of this research study is to determine if treatment with the combination of metoprolol succinate and hydrochlorothiazide is more effective at lowering blood pressure than treatment with either of the two drugs alone. The study will also determine which combined doses of metoprolol succinate and hydrochlorothiazide are most effective at lowering blood pressure (without unacceptable side effects), and whether it is possible to combine both drugs in a single tablet to simplify blood pressure treatment.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| 1 | Experimental | Metoprolol Succinate + Hydrochlorothiazide |
|
| 2 | Active Comparator | Metoprolol Succinate |
|
| 3 | Active Comparator | Hydrochlorothiazide |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Metoprolol Succinate | Drug |
|
| |
| Hydrochlorothiazide |
| Measure | Description | Time Frame |
|---|---|---|
| Change in trough sitting diastolic blood pressure | 3 readings determined at 8 weeks after treatment |
| Measure | Description | Time Frame |
|---|---|---|
| change in trough Sitting Systolic Blood pressure | 3 readings determined at 8 weeks after treatment | |
| change in trough Standing Systolic Blood Pressure | 6 readings determined at 8 weeks after treatment |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Vasilios Papademetriou | Georgetown University | Principal Investigator |
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| ID | Term |
|---|---|
| D006973 | Hypertension |
| ID | Term |
|---|---|
| D014652 | Vascular Diseases |
| D002318 | Cardiovascular Diseases |
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| ID | Term |
|---|---|
| D008790 | Metoprolol |
| D006852 | Hydrochlorothiazide |
| ID | Term |
|---|---|
| D050198 | Phenoxypropanolamines |
| D011412 | Propanolamines |
| D000605 | Amino Alcohols |
| D000438 | Alcohols |
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| Drug |
|
| change in trough standing diastolic blood pressure | 6 readings determined at 8 weeks after treatment |
| D009930 |
| Organic Chemicals |
| D020005 | Propanols |
| D000588 | Amines |
| D002740 | Chlorothiazide |
| D001581 | Benzothiadiazines |
| D013449 | Sulfonamides |
| D013450 | Sulfones |
| D013457 | Sulfur Compounds |
| D049971 | Thiazides |
| D006574 | Heterocyclic Compounds, 2-Ring |
| D000072471 | Heterocyclic Compounds, Fused-Ring |
| D006571 | Heterocyclic Compounds |