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CompletedNCT00129233Updated May 1, 2013

Comparison of Valsartan With Amlodipine in Hypertensive Patients With Glucose Intolerance

A Phase 4 interventional study of Valsartan and Amlodipine in Hypertension and Type 2 Diabetes Mellitus, sponsored by Nagoya University. Completed at 1 site in Japan. Open to participants aged 30 Years to 75 Years. Per ClinicalTrials.gov, last updated 2013-05-01.

Sponsored by Nagoya University · Phase 4, Interventional, and Prevention

Phase
Phase 4
Study type
Interventional
Enrollment
1,150
Allocation
Randomized
Ages
30 Years to 75 Years
Sex
All
01

Study summary

Various guidelines recommended angiotensin converting enzyme (ACE) inhibitors or angiotensin Ⅱ receptor-1 blockers (ARBs) for hypertensive patients with diabetes on the basis of the cardiac- and reno-protective effects of these drugs. However, these recommendations could not be extrapolated to Japanese patients, because Japan has been known as a country with a low incidence of coronary artery disease and a high incidence of cerebrovascular disease. Furthermore, calcium channel blockers (CCBs) also were protective against renal function as well as ACE inhibitors in Japanese diabetic hypertensive patients. This study will test whether ARBs or CCBs are superior in treating Japanese diabetic hypertensive patients.

02

Conditions studied

  • Hypertension
  • Type 2 Diabetes Mellitus

Keywords

  • cardiovascular disease
  • rennin-angiotensin system
  • calcium channel blocker
  • impaired glucose tolerance
03

In context

Hypertension

6,834 studies on the registry are indexed under Hypertension; 971 are open to participants now.

This study's enrollment of 1,150 is above the median of 90 across 5,095 interventional studies indexed under Hypertension.

Browse Hypertension studies →

Lead sponsor

Nagoya University is the lead sponsor of 22 studies on the registry; 3 are open to participants now.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
30 Years to 75 Years
Sexes eligible
All
Accepts healthy volunteers
No

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • Clinical diagnosis of hypertension
  • Clinical diagnosis of type 2 diabetes or impaired glucose tolerance

Exclusion criteria

Exclusion Criteria:

  • History of congestive heart failure, myocardial infarction, or coronary revascularization in the recent 6 months.
  • Taking calcium channel blocker for the purpose of angina pectoris
  • Reduced ejection fraction (\< 40%)
  • Second- or third-degree of atrioventricular block
  • Severe hypertension (> 200/110 mmHg) or secondary hypertension
  • History of stroke in the recent 6 months
  • Serum creatinine > 2.5 mg/dl
  • Estimated survival duration less than 3 years due to other conditions
  • Pregnant woman or possibly pregnant woman
05

Study design

Phase
Phase 4
Primary purpose
Prevention
Allocation
Randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
1,150 participants (actual)

Study arms

  • Active comparator
    Valsartan

    Valsartan group treated with 80-160mg daily valsartan without Ca channel blockers or ACE inhibitors.

    Drug: Valsartan

  • Active comparator
    Amlodipine

    Amlodipine group treated with 5-10mg daily amlodipine without ACE inhibitors or angiotensin receptor blockers.

    Drug: Amlodipine

Interventions

06

What researchers measure

Primary outcomes

  1. Composite cardiovascular events including fatal or non-fatal myocardial infarction, fatal or non-fatal stroke, admission due to heart failure, coronary intervention and sudden cardiac death

    Time frame: At least 3 years of mean follow up period

Secondary outcomes

  1. total death

    Time frame: At least 3 years of mean follow up period

  2. cardiac function evaluated by ultrasonography

    Time frame: At least 3 years of mean follow up period

  3. incidence of atrial fibrillation/flutter

    Time frame: At least 3 years of mean follow up period

  4. control of blood glucose

    Time frame: At least 3 years of mean follow up period

  5. renal function

    Time frame: At least 3 years of mean follow up period

07

Study locations

1 site
  • Department of Cardiology, Nagoya University Graduate School of Medicine
    Nagoya, Aichi-ken 466-8550, Japan
08

References and documents

Publications

  • Julius S, Kjeldsen SE, Weber M, Brunner HR, Ekman S, Hansson L, Hua T, Laragh J, McInnes GT, Mitchell L, Plat F, Schork A, Smith B, Zanchetti A; VALUE trial group. Outcomes in hypertensive patients at high cardiovascular risk treated with regimens based on valsartan or amlodipine: the VALUE randomised trial. Lancet. 2004 Jun 19;363(9426):2022-31. doi: 10.1016/S0140-6736(04)16451-9. PubMed 15207952 ↗
  • Yamashita K, Kondo T, Muramatsu T, Matsushita K, Nagahiro T, Maeda K, Shintani S, Murohara T. Effects of valsartan versus amlodipine in diabetic hypertensive patients with or without previous cardiovascular disease. Am J Cardiol. 2013 Dec 1;112(11):1750-6. doi: 10.1016/j.amjcard.2013.07.043. Epub 2013 Sep 13. PubMed 24035165 ↗
  • Muramatsu T, Matsushita K, Yamashita K, Kondo T, Maeda K, Shintani S, Ichimiya S, Ohno M, Sone T, Ikeda N, Watarai M, Murohara T; NAGOYA HEART Study Investigators. Comparison between valsartan and amlodipine regarding cardiovascular morbidity and mortality in hypertensive patients with glucose intolerance: NAGOYA HEART Study. Hypertension. 2012 Mar;59(3):580-6. doi: 10.1161/HYPERTENSIONAHA.111.184226. Epub 2012 Jan 9. PubMed 22232134 ↗
  • Matsushita K, Muramatsu T, Kondo T, Maeda K, Shintani S, Murohara T; NAGOYA HEART Study Group. Rationale and design of the NAGOYA HEART Study: comparison between valsartan and amlodipine regarding morbidity and mortality in patients with hypertension and glucose intolerance. J Cardiol. 2010 Jul;56(1):111-7. doi: 10.1016/j.jjcc.2010.03.004. Epub 2010 Apr 20. PubMed 20409690 ↗
09

Timeline

Tracking since Sep 25, 2026
Not marked actual or estimatedDates not marked actual or estimated

The record gives a start of Oct 2004, a primary completion of Jul 2010 and a completion of Apr 2013. It does not say whether these dates are actual or estimated.

How these figures are worked out, and which studies are left out of them.

Registered
Aug 10, 2005
First posted
Aug 11, 2005
Start
Oct 2004
Primary completionActual
Jul 2010
CompletionActual
Apr 2013
Last update
May 1, 2013
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on May 1, 2013, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT00129233
Lead sponsor
Nagoya University
Responsible party
TOYOAKI MUROHARA (Proffesor, Nagoya University) — Principal investigator
First posted
Aug 11, 2005
Start date
Oct 2004
Primary completion
Jul 2010
Completion
Apr 2013
Last update
May 1, 2013

Study contacts

Toyoaki Murohara, MD, PhD
principal investigator · Department of Cardiology, Nagoya University Graduate School of Medicine

Oversight

Data monitoring committee
Yes
View the source record on ClinicalTrials.gov ↗

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This study is completed, as verified in Apr 2013. You cannot join it, but the record below documents what was studied.

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Studies of the drugs tested here: Valsartan · Amlodipine

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