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TerminatedNCT02088450Syst-EurUpdated May 11, 2017

Systolic Hypertension in Europe Placebo-Controlled Trial

A Phase 2 interventional study of Active treatment with nitrendipine (10-40 mg/day). in Isolated Systolic Hypertension, sponsored by KU Leuven. Terminated. Open to participants aged 60 Years and older. Per ClinicalTrials.gov, last updated 2017-05-11.

Sponsored by KU Leuven · Phase 2, Interventional, and Treatment

Phase
Phase 2
Study type
Interventional
Enrollment
4,695
Allocation
Randomized
Ages
60 Years and older
Sex
All
01

Study summary

The Syst-Eur Trial is a concerted action of the European Community's Medical and Health Research Programme. The trial is carried out in consultation with the World Health Organization, the International Society of Hypertension, the European Society of Hypertension and the World Hypertension League. Syst-Eur is a multicentre trial designed by the European Working Party on High Blood Pressure in the Elderly (EWPHE), to test the hypothesis that antihypertensive treatment of elderly patients with isolated systolic hypertension results in a significant change in stroke morbidity and mortality. Secondary endpoints include cardiovascular events, such as myocardial infarction and congestive heart failure. To be eligible patients must be at least 60 years old and have a systolic blood pressure averaging 160-219 mmHg with a diastolic pressure less than 95 mmHg. Patients must give their informed consent and be free of major cardiovascular and non-cardiovascular diseases at entry. The patients are randomized to active treatment or placebo. Active treatment consists of nitrendipine (10-40 mg/day), combined with enalapril (5-20 mg/day) and hydrochlorothiazide (12.5-25 mg/day), as necessary. The patients of the control group receive matching placebos. The drugs (or matching placebos) are stepwise titrated and combined in order to reduce systolic blood pressure by 20 mmHg at least to a level below 150 mmHg. Morbidity and mortality are monitored to enable an intention-to-treat and per-protocol comparison of the outcome in the 2 treatment groups.

02

Conditions studied

  • Isolated Systolic Hypertension

Keywords

  • Cardiovascular complications
  • Clinical trial
  • Elderly
  • Isolated systolic hypertension
  • Stroke
03

In context

Hypertension

6,689 studies on the registry are indexed under Hypertension; 965 are open to participants now.

This study's enrollment of 4,695 is above the median of 90 across 4,995 interventional studies indexed under Hypertension.

Browse Hypertension studies →

Lead sponsor

KU Leuven is the lead sponsor of 358 studies on the registry; 62 are open to participants now.

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

04

Who can participate

Ages eligible
60 Years and older
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

  • At least 60 years old.
  • Sitting systolic blood pressure on masked placebo, during run-in phase of 160 to 219 mmHg, with a sitting diastolic blood pressure below 95 mmHg and a standing systolic blood pressure of at least 140 mmHg
  • Informed consent must be obtained

Exclusion criteria

Exclusion Criteria:

  • Systolic hypertension is secondary to a disorder that needed specific medical or surgical treatment.
  • Retinal haemorrhage or papilloedema;
  • Congestive heart failure
  • Dissecting aortic aneurysm
  • Serum creatinine concentration at presentation of 180µmol/L or more.
  • History of severe nose bleeds.
  • Stroke or myocardial infarction in the year before the study.
  • Dementia.
  • Substance abuse.
  • Any disorder prohibiting a sitting or standing position.
  • Any severe concomitant cardiovascular or non-cardiovascular disease.
05

Study design

Phase
Phase 2
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Quadruple (Participant, Care provider, Investigator, Outcomes assessor)
Enrollment
4,695 participants (actual)

Study arms

  • Active comparator
    Active treatment

    Active treatment with nitrendipine (10-40 mg/day). If necessary, the dihydropyridine calcium-channel blocker was combined with or replaced by enalapril maleate (5-20 mg/day), hydrochlorothiazide (12.5-25 mg/day), or both drugs.

    Drug: Active treatment with nitrendipine (10-40 mg/day).

  • Placebo comparator
    Placebo

    Placebo tablets were identical to the study drugs with a similar schedule.

    Drug: Active treatment with nitrendipine (10-40 mg/day).

Interventions

  • DrugActive treatment with nitrendipine (10-40 mg/day).

    If necessary, the dihydropyridine calcium-channel blocker was combined with or replaced by enalapril maleate (5-20 mg/day), hydrochlorothiazide (12.5-25 mg/day), or both drugs.

06

What researchers measure

Primary outcomes

  1. Incidence of stroke

    Available in Lancet 1997; 350:757-764

    Time frame: 3-monthly visits up to 5 years

Secondary outcomes

  1. Death

    Available in Lancet 1997; 350:757-764

    Time frame: 3-monthly visits up to 5 years

  2. Myocardial infarction

    Available in Lancet 1997; 350:757-764

    Time frame: 3-monthly visits up to 5 years

  3. Congestive heart failure

    Available in Lancet 1997; 350:757-764

    Time frame: 3-monthly visits up to 5 years

07

Study locations

No study locations are listed for this record.

08

References and documents

Publications

  • Hara A, Thijs L, Asayama K, Jacobs L, Wang JG, Staessen JA. Randomised double-blind comparison of placebo and active drugs for effects on risks associated with blood pressure variability in the Systolic Hypertension in Europe trial. PLoS One. 2014 Aug 4;9(8):e103169. doi: 10.1371/journal.pone.0103169. eCollection 2014. PubMed 25090617 ↗

Individual participant data

Plan to share: Yes — Syst-Eur data are available on request by other investigators, whose research is ethically approved.

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on May 11, 2017, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT02088450
Lead sponsor
KU Leuven
Responsible party
Jan A. Staessen (Professor of Medicine, KU Leuven) — Principal investigator
First posted
Mar 17, 2014
Start date
Feb 1990
Primary completion
Feb 1997
Completion
Feb 1997
Last update
May 11, 2017

Study contacts

Jan A Staessen, MD, PhD
principal investigator · University of Leuven

Oversight

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

Not currently enrolling

This study is terminated, as verified in May 2017. You cannot join it, but the record below documents what was studied.

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