in-MAU-tion: Canadian Study of Trandolapril on Blood Pressure in Hypertensive Patients

Sponsor
Abbott (Industry)
Overall Status
Completed
CT.gov ID
NCT01078584
Collaborator
McKesson Canada (Other)
7,993
568
33
14.1
0.4

Study Details

Study Description

Brief Summary

The in-MAU-tion study is conducted to determine the percentage of hypertensive participants with or without diabetes reaching CHEP (Canadian Hypertension Education Program) defined blood pressure targets. Additionally, the study assesses change in renal function (microalbuminuria, estimated glomerular filtration rate) in hypertensive participants treated with trandolapril (Mavik®) and examines patient satisfaction with trandolapril (Mavik®) therapy.

Condition or Disease Intervention/Treatment Phase

    Detailed Description

    There are no interventional implications in this study. The study runs under consideration of Canadian Hypertension Education Program guidelines and as per standard practice of care. Data collection is recorded on the appropriate case report forms. The data collected consist of: patient demographics (gender, race, age, weight), blood pressure readings, heart rate, coexisting comorbidities, concomitant chronic medications (generic name and dosage), indication and dose for trandolapril (Mavik®) and patient compliance. Laboratory values (microalbuminuria, estimated glomerular filtration rate) are only collected if the data are available for each patient. For baseline values (study Day 0), any laboratory value recorded within the past year prior to the baseline visit (Visit 1) is recorded, if the value is available. As per Canadian Hypertension Education Program recommendations and as a support and educational measure, patients are provided with (1) educational tools (nutrition guidebooks) and (2) home blood pressure monitoring devices. As per research and development guidelines, blood pressure devices were retrieved at the end of the study. Approximately 8,000 hypertensive participants were enrolled in the study at up to 700 sites across Canada. Sample size estimations were based on the assumption that 67.2% of non-diabetic hypertensive participants (assumed to make up to 69% of the eligible participant population) would reach a blood pressure target of <140/90mm Hg, while 22% of diabetes participants (31% of the eligible population) would meet a blood pressure target of <130/80 mm Hg with trandolapril (Mavik®) therapy.

    Study Design

    Study Type:
    Observational
    Actual Enrollment :
    7993 participants
    Observational Model:
    Cohort
    Time Perspective:
    Prospective
    Official Title:
    A Prospective, Non-interventional, Observational Study To Describe the Effectiveness of Trandolapril (Mavik®) in the Management of Patients Requiring Angiotensin Converting Enzyme Inhibitor Treatment (In-MAU-tion)
    Study Start Date :
    Dec 1, 2008
    Actual Primary Completion Date :
    Sep 1, 2011
    Actual Study Completion Date :
    Sep 1, 2011

    Arms and Interventions

    Arm Intervention/Treatment
    Hypertensive Participants

    Hypertensive diabetics and non-diabetics, with or without isolated systemic hypertension and/or renal dysfunction, who were naïve to trandolapril or on trandolapril within past 30 days.

    Outcome Measures

    Primary Outcome Measures

    1. Percentage of Non-Diabetic and Diabetic Participants Meeting Blood Pressure Targets at 3 Months [3 months]

      Blood pressure (BP) targets, as specified in the 2008 CHEP recommendations, were systolic BP (SBP)/diastolic BP (DBP) <140/90 mm Hg for non-diabetic participants, and SBP/DBP <130/80 mm Hg for diabetic participants.

    2. Percentage of Non-Diabetic and Diabetic Participants Meeting Blood Pressure Targets at 6 Months [6 months]

      Blood pressure (BP) targets, as specified in the 2008 CHEP recommendations, were systolic BP (SBP)/diastolic BP (DBP) <140/90 mm Hg for non-diabetic participants, and SBP/DBP <130/80 mm Hg for diabetic participants.

    3. Percentage of Non-Diabetic and Diabetic Participants Meeting Blood Pressure Targets at 12 Months [12 months]

      Blood pressure (BP) targets, as specified in the 2008 CHEP recommendations, were systolic BP (SBP)/diastolic BP (DBP) <140/90 mm Hg for non-diabetic participants, and SBP/DBP <130/80 mm Hg for diabetic participants.

    Secondary Outcome Measures

    1. Change From Baseline in Estimated Glomerular Filtration Rate (eGFR) in Blood Pressure (BP)-Controlled and BP-Uncontrolled Diabetics at 3 Months [Baseline, 3 Months]

      Diabetics were considered to be "BP-controlled" if BP <130/80 mm Hg. Diabetics were considered to be "BP-uncontrolled" if BP >/=130/80 mm Hg.

    2. Change From Baseline in Estimated Glomerular Filtration Rate (eGFR) in Blood Pressure (BP)-Controlled and BP-Uncontrolled Diabetics at 6 Months [Baseline, 6 Months]

      Diabetics were considered to be "BP-controlled" if BP <130/80 mm Hg. Diabetics were considered to be "BP-uncontrolled" if BP >/=130/80 mm Hg.

    3. Change From Baseline in Estimated Glomerular Filtration Rate (eGFR) in Blood Pressure (BP)-Controlled and BP-Uncontrolled Diabetics at 12 Months [Baseline,12 Months]

      Diabetics were considered to be "BP-controlled" if BP <130/80 mm Hg. Diabetics were considered to be "BP-uncontrolled" if BP >/=130/80 mm Hg.

    4. Change From Baseline in Microalbuminuria (MAU) at 3 Months [Baseline, 3 Months]

    5. Change From Baseline in Microalbuminuria (MAU) at 6 Months [Baseline, 6 Months]

    6. Change From Baseline in Microalbuminuria (MAU) at 12 Months [Baseline, 12 months]

    7. Percentage of Participants With Isolated Systolic Hypertension (ISH) Reaching 2008 CHEP Systolic Blood Pressure (BP) Target After 3 Months of Therapy [3 Months]

      The 2008 CHEP systolic BP (SBP) target is <140 mm Hg. Where a participant had an SBP less than the target, the participant's SBP was defined as "controlled."

    8. Percentage of Participants With Isolated Systolic Hypertension (ISH) Reaching 2008 CHEP Systolic Blood Pressure (BP) Target After 6 Months of Therapy [6 Months]

      The 2008 CHEP systolic BP (SBP) target is <140 mm Hg. Where a participant had an SBP less than the target, the participant's SBP was defined as "controlled."

    9. Percentage of Participants With Isolated Systolic Hypertension (ISH) Reaching 2008 CHEP Systolic Blood Pressure (BP) Target After 12 Months of Therapy [12 Months]

      The 2008 CHEP systolic BP (SBP) target is <140 mm Hg. Where a participant had an SBP less than the target, the participant's SBP was defined as "controlled."

    10. Percentage of Participants Reporting Defined Levels of Satisfaction With Current Therapy at Baseline and After 12 Months of Therapy [Day 0 (Baseline), 12 months]

      Satisfaction with therapy at baseline (BL) and 12 months, using a 5-point Likert scale where participants responded to the question "Are you satisfied with your current hypertension therapy?". The range of responses varied from "1 = not at all satisfied" to "5 = extremely satisfied." Responses "2" through "4" were not otherwise defined, but represented increments of more or less satisfaction with current therapy, respectively.

    11. Percentage of Participants Reporting Defined Levels of Satisfaction With Current Therapy at Baseline Versus After 12 Months of Therapy [Day 0 (Baseline), 12 months]

      Satisfaction with therapy at baseline (BL) versus 12 months, using a 5-point Likert scale where participants responded to the question "Are you satisfied with your current hypertension therapy?". The range of responses varied from "1 = not at all satisfied" to "5 = extremely satisfied." Responses "2" through "4" were not otherwise defined, but represented increments of more or less satisfaction with current therapy, respectively.

    Other Outcome Measures

    1. Percentage of Participants Achieving 2008 CHEP Targets After 3 Months of Therapy [3 Months]

      Blood Pressure (BP) targets, as specified in the 2008 CHEP recommendations, were systolic BP (SBP)/diastolic BP (DBP) <140/90 mm Hg. Where a participant had both an SBP and DBP less than the target, the participant's BP was defined as "controlled."

    2. Percentage of Participants Achieving 2008 CHEP Targets After 6 Months of Therapy [6 Months]

      Blood pressure (BP) targets, as specified in the 2008 CHEP recommendations, were systolic BP (SBP)/diastolic BP (DBP) <140/90 mm Hg. Where a participant had both an SBP and DBP less than the target, the participant's BP was defined as "controlled."

    3. Percentage of Participants Achieving 2008 CHEP Targets After 12 Months of Therapy [12 Months]

      Blood pressure (BP) targets, as specified in the 2008 CHEP recommendations, were systolic BP (SBP)/diastolic BP (DBP) <140/90 mm Hg. Where a participant had both an SBP and DBP less than the target, the participant's BP was defined as "controlled."

    4. Percentage of Participants With Renal Dysfunction Achieving 2008 CHEP Targets After 3 Months of Therapy [3 Months]

      Blood pressure (BP) targets, as specified in the 2008 CHEP recommendations, were systolic BP (SBP)/diastolic BP (DBP) <130/80 mm Hg. Where a participant had both an SBP and DBP less than the target, the participant's BP was defined as "controlled."

    5. Percentage of Participants With Renal Dysfunction Achieving 2008 CHEP Targets After 6 Months of Therapy [6 Months]

      Blood pressure (BP) targets, as specified in the 2008 CHEP recommendations, were systolic BP (SBP)/diastolic BP (DBP) <130/80 mm Hg. Where a participant had both an SBP and DBP less than the target, the participant's BP was defined as "controlled."

    6. Percentage of Participants With Renal Dysfunction Achieving 2008 CHEP Targets After 12 Months of Therapy [12 Months]

      Blood pressure (BP) targets, as specified in the 2008 CHEP recommendations, were systolic BP (SBP)/diastolic BP (DBP) <130/80 mm Hg. Where a participant had both an SBP and DBP less than the target, the participant's BP was defined as "controlled."

    7. Mean Change From Baseline in Systolic Blood Pressure (SBP) and Diastolic Blood Pressure (DBP) in ITT Cohort at 3 Months [Day 0 (Baseline), 3 Months]

    8. Mean Change From Baseline in Systolic Blood Pressure (SBP) and Diastolic Blood Pressure (DBP) in ITT Cohort at 6 Months [Day 0 (Baseline), 6 Months]

    9. Mean Change From Baseline in Systolic Blood Pressure (SBP) and Diastolic Blood Pressure (DBP) in ITT Cohort at 12 Months [Day 0 (Baseline), 12 Months]

    10. Mean Baseline Systolic Blood Pressure (SBP) and Diastolic Blood Pressure (DBP) in Non-Diabetic, Diabetic, ISH, and Renal Dysfunction Cohorts [Day 0 (Baseline)]

    11. Mean Change From Baseline in Systolic Blood Pressure (SBP) and Diastolic Blood Pressure (DBP) in Non-Diabetic, Diabetic, ISH, and Renal Dysfunction Cohorts at Month 3 [Day 0 (Baseline), Month 3]

    12. Mean Change From Baseline in Systolic Blood Pressure (SBP) and Diastolic Blood Pressure (DBP) in Non-Diabetic, Diabetic, ISH, and Renal Dysfunction Cohorts at Month 6 [Day 0 (Baseline), Month 6]

    13. Mean Change From Baseline in Systolic Blood Pressure (SBP) and Diastolic Blood Pressure (DBP) in Non-Diabetic, Diabetic, ISH, and Renal Dysfunction Cohorts at Month 12 [Day 0 (Baseline), Month 12]

    14. Number of Participants Compliant With Therapy After 3 Months [3 Months]

      Compliance after 3 months of treatment was derived using responses to the Visit 2 question "How many trandolapril (Mavik®) doses have been missed since the subject's last visit?" If the response was "zero", the participant was classified as "compliant." If the response was any value greater than zero, regardless of the number of missed doses, the participant was classified as "non-compliant."

    15. Number of Participants Compliant With Therapy After 6 Months [6 Months]

      Compliance after 6 months of treatment was derived using responses to the question "How many trandolapril (Mavik®) doses have been missed since the subject's last visit?" at both Visit 2 and Visit 3, as follows: If the response was "zero" at both the Visit 2 and Visit 3 assessments, participant was classified as "compliant" after 6 months of treatment; If the response was any value greater than zero at either of the Visit 2 or Visit 3 assessments, regardless of the number of missed doses, participant was classified as "non-compliant" after 6 months of treatment

    16. Number of Participants Compliant With Therapy After 12 Months [12 Months]

      Compliance after 12 months of treatment was derived using responses to the question "How many trandolapril doses have been missed since the subject's last visit?" at Visit 2, Visit 3 and Visit 4, as follows: if the response was "zero" at all of the Visits 2 through 4 assessments, the participant was classified as "compliant" after 12 months of treatment; if the response was any value greater than zero at any of the Visits 2 through 4 assessments, regardless of the number of missed doses, the participant was classified as "non-compliant" after 12 months of treatment.

    17. Number of Participants With Dose Changes at 3 Months [3 Months]

    18. Number of Participants With Dose Changes at 6 Months [6 Months]

    19. Number of Participants With Dose Changes at 12 Months [12 Months]

    20. Percentage of Diabetic and Non-diabetic (Blood Pressure [BP]-Controlled and BP-Uncontrolled) Participants With Dose Increases After 3 Months [3 Months]

      The percentage of non-diabetic and diabetic participants whose systolic and diastolic blood pressures were "controlled" versus "uncontrolled" was assessed using 2008 CHEP-specified targets (non-diabetics: BP <140/90 mm Hg; diabetics: BP <130/80 mm Hg). The percentage of these "controlled" and "uncontrolled" participants who underwent or did not undergo a dose increase is presented.

    21. Percentage of Diabetic and Non-diabetic (Blood Pressure [BP]-Controlled and BP-Uncontrolled) Participants With Dose Increases After 6 Months [6 Months]

      The percentage of non-diabetic and diabetic participants whose systolic and diastolic blood pressures were "controlled" versus "uncontrolled" was assessed using 2008 CHEP-specified targets (non-diabetics: BP <140/90 mm Hg; diabetics: BP <130/80 mm Hg). The percentage of these "controlled" and "uncontrolled" participants who underwent or did not undergo a dose increase is presented.

    22. Percentage of Diabetic and Non-diabetic (Blood Pressure [BP]-Controlled and BP-Uncontrolled) Participants With Dose Increases After 12 Months [12 Months]

      The percentage of non-diabetic and diabetic participants whose systolic and diastolic blood pressures were "controlled" versus "uncontrolled" was assessed using 2008 CHEP-specified targets (non-diabetics: BP <140/90 mm Hg; diabetics: BP <130/80 mm Hg). The percentage of these "controlled" and "uncontrolled" participants who underwent or did not undergo a dose increase is presented.

    23. Number of Participants Adding Concomitant Cardiovascular Medications at 3 Months [3 Months]

      Presented by type of medication added.

    24. Number of Participants Adding Concomitant Cardiovascular Medications at 6 Months [6 Months]

      Presented by type of medication added.

    25. Number of Participants Adding Concomitant Cardiovascular Medications at 12 Months [12 Months]

      Presented by type of medication added.

    26. Number of Participants Discontinuing Concomitant Cardiovascular Medications at 3 Months [3 Months]

      Presented by type of medication discontinued.

    27. Number of Participants Discontinuing Concomitant Cardiovascular Medications at 6 Months [6 Months]

      Presented by type of medication discontinued.

    28. Number of Participants Discontinuing Concomitant Cardiovascular Medications at 12 Months [12 Months]

      Presented by type of medication discontinued.

    29. Percentage of Diabetic and Renal Dysfunction Participants Achieving the Target of Blood Pressure (BP) <140/90 mm Hg at 3 Months [3 Months]

      Participants achieving the target of blood pressure <140/90 mm Hg were considered "controlled."

    30. Percentage of Diabetic and Renal Dysfunction Participants Achieving the Target of Blood Pressure (BP) <140/90 mm Hg at 6 Months [6 Months]

      Participants achieving the target of blood pressure <140/90 mm Hg were considered "controlled."

    31. Percentage of Diabetic and Renal Dysfunction Participants Achieving the Target of Blood Pressure (BP) <140/90 mm Hg at 12 Months [12 Months]

      Participants achieving the target of blood pressure <140/90 mm Hg were considered "controlled."

    Eligibility Criteria

    Criteria

    Ages Eligible for Study:
    18 Years and Older
    Sexes Eligible for Study:
    All
    Accepts Healthy Volunteers:
    No
    Inclusion Criteria:
    • Adults capable of providing consent and who have uncontrolled hypertension

    • Participants were either treatment-naïve or had uncontrolled hypertension on their existing antihypertensive medication.

    Exclusion Criteria:
    • Participants were excluded from participation in the study if they had been taking trandolapril (Mavik®), alone or in combination, for more than 1 month prior to enrollment.

    Contacts and Locations

    Locations

    Site City State Country Postal Code
    1 Site Reference ID/Investigator# 32207 Calgary Alberta Canada T1Y 6H6
    2 Site Reference ID/Investigator# 10283 Calgary Alberta Canada T2E 2S9
    3 Site Reference ID/Investigator# 32168 Calgary Alberta Canada T2J 3N8
    4 Site Reference ID/Investigator# 32147 Calgary Alberta Canada T2M 0H5
    5 Site Reference ID/Investigator# 42438 Calgary Alberta Canada T2V 0M3
    6 Site Reference ID/Investigator# 32157 Calgary Alberta Canada T2V 1K2
    7 Site Reference ID/Investigator# 37940 Calgary Alberta Canada T2X 1P1
    8 Site Reference ID/Investigator# 32199 Calgary Alberta Canada T2X 3X7
    9 Site Reference ID/Investigator# 32144 Calgary Alberta Canada T3C 3P1
    10 Site Reference ID/Investigator# 32169 Calgary Alberta Canada T3E 5R7
    11 Site Reference ID/Investigator# 42391 Edmonton Alberta Canada T5C 3H7
    12 Site Reference ID/Investigator# 32146 Edmonton Alberta Canada T5K 0N8
    13 Site Reference ID/Investigator# 32165 Edmonton Alberta Canada T5T 2K6
    14 Site Reference ID/Investigator# 32197 Edmonton Alberta Canada T5T 2K6
    15 Site Reference ID/Investigator# 32126 Edmonton Alberta Canada T5T 4J5
    16 Site Reference ID/Investigator# 37892 Edmonton Alberta Canada T5T 5L4
    17 Site Reference ID/Investigator# 32178 Edmonton Alberta Canada T5T 5Y1
    18 Site Reference ID/Investigator# 42406 Edmonton Alberta Canada T5W 4W1
    19 Site Reference ID/Investigator# 32160 Edmonton Alberta Canada T5X 3N5
    20 Site Reference ID/Investigator# 32200 Edmonton Alberta Canada T5X 3N5
    21 Site Reference ID/Investigator# 32149 Edmonton Alberta Canada T6A 0A5
    22 Site Reference ID/Investigator# 32156 Edmonton Alberta Canada T6B 0P2
    23 Site Reference ID/Investigator# 32216 Edmonton Alberta Canada T6H 5B4
    24 Site Reference ID/Investigator# 32206 Edmonton Alberta Canada T6L 6N3
    25 Site Reference ID/Investigator# 32128 Red Deer Alberta Canada T4N 6V9
    26 Site Reference ID/Investigator# 32175 Red Deer Alberta Canada T4R 3J5
    27 Site Reference ID/Investigator# 32124 Spruce Grove Alberta Canada T7X 2V2
    28 Site Reference ID/Investigator# 30893 Abbotsford British Columbia Canada V2S 6R6
    29 Site Reference ID/Investigator# 37728 Abbotsford British Columbia Canada V2T 3S4
    30 Site Reference ID/Investigator# 31375 Aldergrove British Columbia Canada V4W 3L6
    31 Site Reference ID/Investigator# 30870 Burnaby British Columbia Canada V5C 5R4
    32 Site Reference ID/Investigator# 30964 Burnaby British Columbia Canada V5E 1E7
    33 Site Reference ID/Investigator# 31261 Burnaby British Columbia Canada V5H 2A9
    34 Site Reference ID/Investigator# 30946 Burnaby British Columbia Canada V5H 4J2
    35 Site Reference ID/Investigator# 30927 Burnaby British Columbia Canada V5H 4M4
    36 Site Reference ID/Investigator# 42433 Coquitlam British Columbia Canada V3B 6J6
    37 Site Reference ID/Investigator# 32213 Coquitlam British Columbia Canada V3B 6S2
    38 Site Reference ID/Investigator# 32166 Delta British Columbia Canada V4C 6R2
    39 Site Reference ID/Investigator# 31288 Delta British Columbia Canada V4C 6R4
    40 Site Reference ID/Investigator# 42404 Delta British Columbia Canada V4C 6R4
    41 Site Reference ID/Investigator# 37922 Delta British Columbia Canada V4E 2A6
    42 Site Reference ID/Investigator# 30926 Delta British Columbia Canada V4K 2K5
    43 Site Reference ID/Investigator# 37666 Kamloops British Columbia Canada V1S 1M9
    44 Site Reference ID/Investigator# 30929 Kamloops British Columbia Canada V2B 3G9
    45 Site Reference ID/Investigator# 32203 Kamloops British Columbia Canada V2C 5Y2
    46 Site Reference ID/Investigator# 37882 Kamloops British Columbia Canada V3B 3G2
    47 Site Reference ID/Investigator# 42365 Kelowna British Columbia Canada V1V 1A1
    48 Site Reference ID/Investigator# 33018 Kelowna British Columbia Canada V1X 7N6
    49 Site Reference ID/Investigator# 30915 Kelowna British Columbia Canada V1Y 8J8
    50 Site Reference ID/Investigator# 33043 Langley British Columbia Canada V3A 4G5
    51 Site Reference ID/Investigator# 31315 Maple Ridge British Columbia Canada V2X 6A4
    52 Site Reference ID/Investigator# 33234 North Vancouver British Columbia Canada V7M 2K2
    53 Site Reference ID/Investigator# 37846 One Hundred Mile House British Columbia Canada V0K 2E0
    54 Site Reference ID/Investigator# 32433 Penticton British Columbia Canada V2A 4M2
    55 Site Reference ID/Investigator# 32435 Pitt Meadows British Columbia Canada V3Y 2H6
    56 Site Reference ID/Investigator# 30884 Port Coquitlam British Columbia Canada V3B 6J3
    57 Site Reference ID/Investigator# 32467 Richmond British Columbia Canada K0A 2Z0
    58 Site Reference ID/Investigator# 37671 Richmond British Columbia Canada V6Y 3K5
    59 Site Reference ID/Investigator# 30890 Surrey British Columbia Canada V3R 3P1
    60 Site Reference ID/Investigator# 31278 Surrey British Columbia Canada V3R 6N7
    61 Site Reference ID/Investigator# 37888 Surrey British Columbia Canada V3S 2G2
    62 Site Reference ID/Investigator# 30966 Surrey British Columbia Canada V3T 2X6
    63 Site Reference ID/Investigator# 42332 Surrey British Columbia Canada V3V 6A8
    64 Site Reference ID/Investigator# 37780 Surrey British Columbia Canada V3V 6V9
    65 Site Reference ID/Investigator# 31383 Surrey British Columbia Canada V3W 3P2
    66 Site Reference ID/Investigator# 42422 Surrey British Columbia Canada V3W 3P2
    67 Site Reference ID/Investigator# 30867 Trail British Columbia Canada V1R 4T1
    68 Site Reference ID/Investigator# 30916 Trail British Columbia Canada V1R 4T1
    69 Site Reference ID/Investigator# 30908 Vancouver British Columbia Canada V5N 5K4
    70 Site Reference ID/Investigator# 33122 Vancouver British Columbia Canada V5N 5K4
    71 Site Reference ID/Investigator# 31396 Vancouver British Columbia Canada V5P 3Y2
    72 Site Reference ID/Investigator# 30919 Vancouver British Columbia Canada V5V 3P1
    73 Site Reference ID/Investigator# 37725 Vancouver British Columbia Canada V5W 2Z7
    74 Site Reference ID/Investigator# 33123 Vancouver British Columbia Canada V5Z 2M9
    75 Site Reference ID/Investigator# 37771 Vancouver British Columbia Canada V5Z 4E1
    76 Site Reference ID/Investigator# 31316 Victoria British Columbia Canada V8N 1A4
    77 Site Reference ID/Investigator# 31277 Victoria British Columbia Canada V8R 6T9
    78 Site Reference ID/Investigator# 32177 Victoria British Columbia Canada V8T 5G1
    79 Site Reference ID/Investigator# 33128 Victoria British Columbia Canada V8V 3N7
    80 Site Reference ID/Investigator# 33129 Victoria British Columbia Canada V8V 4A1
    81 Site Reference ID/Investigator# 30938 Victoria British Columbia Canada V8X 4V1
    82 Site Reference ID/Investigator# 32120 Victoria British Columbia Canada V9A 1B7
    83 Site Reference ID/Investigator# 30952 Victoria British Columbia Canada V9A 3N7
    84 Site Reference ID/Investigator# 31320 Victoria British Columbia Canada V9A 7N6
    85 Site Reference ID/Investigator# 32191 West Vancouver British Columbia Canada V7V 1J6
    86 Site Reference ID/Investigator# 30951 Whitby British Columbia Canada L1N 8M7
    87 Site Reference ID/Investigator# 32227 Brandon Manitoba Canada R7A 0B9
    88 Site Reference ID/Investigator# 30933 Gimli Manitoba Canada R0C 1B0
    89 Site Reference ID/Investigator# 31328 Stonewall Manitoba Canada R0C 2Z0
    90 Site Reference ID/Investigator# 31376 Stonewall Manitoba Canada R0C 2Z0
    91 Site Reference ID/Investigator# 31306 Winnipeg Manitoba Canada R2C 1R2
    92 Site Reference ID/Investigator# 31395 Winnipeg Manitoba Canada R2C 1R2
    93 Site Reference ID/Investigator# 33169 Winnipeg Manitoba Canada R2H 0R8
    94 Site Reference ID/Investigator# 33167 Winnipeg Manitoba Canada R2H 0W1
    95 Site Reference ID/Investigator# 32180 Winnipeg Manitoba Canada R2M 3T2
    96 Site Reference ID/Investigator# 30901 Winnipeg Manitoba Canada R2V 3C4
    97 Site Reference ID/Investigator# 33173 Winnipeg Manitoba Canada R2V 3N7
    98 Site Reference ID/Investigator# 33171 Winnipeg Manitoba Canada R2W 3P4
    99 Site Reference ID/Investigator# 32122 Winnipeg Manitoba Canada R3A 1M3
    100 Site Reference ID/Investigator# 33172 Winnipeg Manitoba Canada R3C 0N2
    101 Site Reference ID/Investigator# 33174 Winnipeg Manitoba Canada R3C 2B3
    102 Site Reference ID/Investigator# 33166 Winnipeg Manitoba Canada R3J 0S9
    103 Site Reference ID/Investigator# 31263 Winnipeg Manitoba Canada R3Y 1L6
    104 Site Reference ID/Investigator# 32209 Dieppe New Brunswick Canada E1A 1N5
    105 Site Reference ID/Investigator# 32212 Moncton New Brunswick Canada E1C 1X6
    106 Site Reference ID/Investigator# 32211 St Louis De Kent New Brunswick Canada E4X 1E7
    107 Site Reference ID/Investigator# 31322 Sussex New Brunswick Canada E4E 2P1
    108 Site Reference ID/Investigator# 30878 Conception Bay South Newfoundland and Labrador Canada A1W 3A6
    109 Site Reference ID/Investigator# 30957 Marystown Newfoundland and Labrador Canada A0E 2M0
    110 Site Reference ID/Investigator# 33094 Marystown Newfoundland and Labrador Canada A0E 2M0
    111 Site Reference ID/Investigator# 32154 Mount Pearl Newfoundland and Labrador Canada A1N 5K8
    112 Site Reference ID/Investigator# 33193 Mount Pearl Newfoundland and Labrador Canada A1N 5K8
    113 Site Reference ID/Investigator# 30892 St John's Newfoundland and Labrador Canada A1A 5E8
    114 Site Reference ID/Investigator# 30936 St. John's Newfoundland and Labrador Canada A1E 2Z3
    115 Site Reference ID/Investigator# 31314 Bridgewater Nova Scotia Canada B4V 2V6
    116 Site Reference ID/Investigator# 31276 Bridgewater Nova Scotia Canada B4V 3N2
    117 Site Reference ID/Investigator# 31264 Dartmouth Nova Scotia Canada B2W 3E5
    118 Site Reference ID/Investigator# 31321 Dartmouth Nova Scotia Canada B2W 3E5
    119 Site Reference ID/Investigator# 31327 Halifax Nova Scotia Canada B3H 2Y1
    120 Site Reference ID/Investigator# 37781 Kentville Nova Scotia Canada B4N 1M6
    121 Site Reference ID/Investigator# 33072 Lower Sackville Nova Scotia Canada B4C 2N1
    122 Site Reference ID/Investigator# 30894 Lower Sackville Nova Scotia Canada B4C 2R3
    123 Site Reference ID/Investigator# 42461 Middleton Nova Scotia Canada B0S 1P0
    124 Site Reference ID/Investigator# 32508 Sheet Harbour Nova Scotia Canada B0J 3B0
    125 Site Reference ID/Investigator# 31352 Shubencadie Nova Scotia Canada B0N 2H0
    126 Site Reference ID/Investigator# 42403 Truro Nova Scotia Canada B2N 5A4
    127 Site Reference ID/Investigator# 33165 Windsor Nova Scotia Canada B0N 2T0
    128 Site Reference ID/Investigator# 42367 Ajax Ontario Canada L1S 7K8
    129 Site Reference ID/Investigator# 42464 Ameherstburg Ontario Canada N9V 0B4
    130 Site Reference ID/Investigator# 37885 Amherstview Ontario Canada K7N 1S3
    131 Site Reference ID/Investigator# 42409 Aurora Ontario Canada L4G 7Y3
    132 Site Reference ID/Investigator# 42449 Aurora Ontario Canada L4G 7Y3
    133 Site Reference ID/Investigator# 30943 Aurora Ontario Canada L4G 7Z9
    134 Site Reference ID/Investigator# 30963 Barrie Ontario Canada L4N 6M2
    135 Site Reference ID/Investigator# 30954 Belleville Ontario Canada K8N 5G8
    136 Site Reference ID/Investigator# 30879 Belleville Ontario Canada K8P 5E2
    137 Site Reference ID/Investigator# 42378 Bolton Ontario Canada L7E 4C8
    138 Site Reference ID/Investigator# 30888 Bowmanville Ontario Canada L1C 1P3
    139 Site Reference ID/Investigator# 30947 Bowmanville Ontario Canada L1C 1P6
    140 Site Reference ID/Investigator# 31286 Bradford Ontario Canada L3Z 2B6
    141 Site Reference ID/Investigator# 32192 Bradford Ontario Canada L3Z 2B8
    142 Site Reference ID/Investigator# 37911 Brampton Ontario Canada L6R 3J5
    143 Site Reference ID/Investigator# 37932 Brampton Ontario Canada L6T 3R5
    144 Site Reference ID/Investigator# 30882 Brampton Ontario Canada L6X 5E9
    145 Site Reference ID/Investigator# 37929 Brampton Ontario Canada L7A 3E5
    146 Site Reference ID/Investigator# 37768 Brantford Ontario Canada N3T 5Z8
    147 Site Reference ID/Investigator# 37934 Burlington Ontario Canada L7L 0B7
    148 Site Reference ID/Investigator# 32173 Burlington Ontario Canada L7M 4Y1
    149 Site Reference ID/Investigator# 32210 Burlington Ontario Canada L7R 1E2
    150 Site Reference ID/Investigator# 37919 Burlington Ontario Canada L7R 2H3
    151 Site Reference ID/Investigator# 31359 Burlington Ontario Canada L7R 2H7
    152 Site Reference ID/Investigator# 37923 Burlington Ontario Canada L7R 2H7
    153 Site Reference ID/Investigator# 37845 Burlington Ontario Canada L7R 4H9
    154 Site Reference ID/Investigator# 47571 Collingwood Ontario Canada L9Y 1W6
    155 Site Reference ID/Investigator# 30956 Cornwall Ontario Canada K6H 4A2
    156 Site Reference ID/Investigator# 30969 Corunna Ontario Canada N0N 1G0
    157 Site Reference ID/Investigator# 30961 Dashwood Ontario Canada N0M 1N0
    158 Site Reference ID/Investigator# 37850 Dolbeau-Mistassini Ontario Canada G8L 5J8
    159 Site Reference ID/Investigator# 42389 Durham Ontario Canada N0G 1R0
    160 Site Reference ID/Investigator# 42385 East York Ontario Canada M4B 2S7
    161 Site Reference ID/Investigator# 42397 East York Ontario Canada M4C 5M1
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    511 Site Reference ID/Investigator# 31358 Pointe Claire Quebec Canada H9R 2Y2
    512 Site Reference ID/Investigator# 37854 Pointe-Aux-Trembles Quebec Canada H1B 2Z1
    513 Site Reference ID/Investigator# 31332 Pointe-Claire Quebec Canada H9R 2V7
    514 Site Reference ID/Investigator# 31392 Princeville Quebec Canada G6L 4E8
    515 Site Reference ID/Investigator# 32228 Quebec City Quebec Canada G1J 1Z6
    516 Site Reference ID/Investigator# 32482 Roxton Pond Quebec Canada J0E 1Z0
    517 Site Reference ID/Investigator# 37894 Saint Pascal Quebec Canada G0L 3Y0
    518 Site Reference ID/Investigator# 31351 Saint-Charles-Borromee Quebec Canada J6E 2C5
    519 Site Reference ID/Investigator# 32488 Saint-Lambert-de-Lauzon Quebec Canada G0S 2W0
    520 Site Reference ID/Investigator# 32490 Saint-Laurent Quebec Canada H4R 1J9
    521 Site Reference ID/Investigator# 32605 Saint-Leonard Quebec Canada H1S 3A9
    522 Site Reference ID/Investigator# 32134 Saint-Nicolas Quebec Canada G7A 3S8
    523 Site Reference ID/Investigator# 31361 Saint-Pie Quebec Canada J0H 1W0
    524 Site Reference ID/Investigator# 37857 Saint-Raymond Quebec Canada G3L 1K7
    525 Site Reference ID/Investigator# 32135 Sainte Catherine Quebec Canada G3N 2T6
    526 Site Reference ID/Investigator# 32188 Sainte-Claire Quebec Canada G0R 2V0
    527 Site Reference ID/Investigator# 31266 Sainte-Julienne Quebec Canada J0K 2T0
    528 Site Reference ID/Investigator# 32202 Shefford Quebec Canada J2M 1X4
    529 Site Reference ID/Investigator# 31344 Sherbrooke Quebec Canada J1H 1Z1
    530 Site Reference ID/Investigator# 32509 Sherbrooke Quebec Canada J1H 1Z1
    531 Site Reference ID/Investigator# 31343 St Catherine Quebec Canada J5C 1A2
    532 Site Reference ID/Investigator# 31289 St-Anselme Quebec Canada G0R 2N0
    533 Site Reference ID/Investigator# 42454 St-Bruno Quebec Canada G0W 2L0
    534 Site Reference ID/Investigator# 30883 St-Henri Quebec Canada G0R 3E0
    535 Site Reference ID/Investigator# 31297 St-Jerome Quebec Canada J7Z 1Y5
    536 Site Reference ID/Investigator# 32526 St-Stanislas-De-Champlain Quebec Canada G0X 3E0
    537 Site Reference ID/Investigator# 32528 St-Zacharie Quebec Canada G0M 2C0
    538 Site Reference ID/Investigator# 31283 St. Ambroise Quebec Canada G7P 2K6
    539 Site Reference ID/Investigator# 31341 Ste Felicite Quebec Canada G0J 2K0
    540 Site Reference ID/Investigator# 32222 Ste Marie de Beauce Quebec Canada G6E 1N7
    541 Site Reference ID/Investigator# 37844 Ste-Adele Quebec Canada J8B 1W8
    542 Site Reference ID/Investigator# 42380 Ste-Marthe-sur-le-Lac Quebec Canada J0N 1P0
    543 Site Reference ID/Investigator# 31262 Verdun Quebec Canada H4H 1R3
    544 Site Reference ID/Investigator# 30897 Waterville Quebec Canada J0B 3H0
    545 Site Reference ID/Investigator# 33157 Westmount Quebec Canada H3Z 1X5
    546 Site Reference ID/Investigator# 32183 Westmount Quebec Canada H3Z 2A4
    547 Site Reference ID/Investigator# 37782 Craik Saskatchewan Canada S0G 0V0
    548 Site Reference ID/Investigator# 33232 North Battleford Saskatchewan Canada S9A 0V6
    549 Site Reference ID/Investigator# 33233 North Battleford Saskatchewan Canada S9A 0V6
    550 Site Reference ID/Investigator# 31366 North Battleford Saskatchewan Canada S9A 3G8
    551 Site Reference ID/Investigator# 30881 Regina Saskatchewan Canada S4P 1E5
    552 Site Reference ID/Investigator# 37726 Regina Saskatchewan Canada S4P 3X3
    553 Site Reference ID/Investigator# 32176 Regina Saskatchewan Canada S4T 0X4
    554 Site Reference ID/Investigator# 32123 Rosetown Saskatchewan Canada S0L 2V0
    555 Site Reference ID/Investigator# 31317 Saskatoon Saskatchewan Canada S7H 5M3
    556 Site Reference ID/Investigator# 32179 Saskatoon Saskatchewan Canada S7H 5M3
    557 Site Reference ID/Investigator# 32208 Saskatoon Saskatchewan Canada S7H 5M3
    558 Site Reference ID/Investigator# 37887 Saskatoon Saskatchewan Canada S7K 0H6
    559 Site Reference ID/Investigator# 31292 Saskatoon Saskatchewan Canada S7K 3H3
    560 Site Reference ID/Investigator# 32225 Saskatoon Saskatchewan Canada S7K 6N9
    561 Site Reference ID/Investigator# 32493 Saskatoon Saskatchewan Canada S7L 5L3
    562 Site Reference ID/Investigator# 31387 Saskatoon Saskatchewan Canada S7M 0V7
    563 Site Reference ID/Investigator# 30917 Saskatoon Saskatchewan Canada S7N 4S1
    564 Site Reference ID/Investigator# 32449 Quebec Canada G1C 5R9
    565 Site Reference ID/Investigator# 32159 Quebec Canada G1G 3Z4
    566 Site Reference ID/Investigator# 31325 Quebec Canada G1K 1K1
    567 Site Reference ID/Investigator# 32603 Quebec Canada G1V 4T3
    568 Site Reference ID/Investigator# 32186 Quebec Canada G1X 4S9

    Sponsors and Collaborators

    • Abbott
    • McKesson Canada

    Investigators

    • Study Director: Linda Assouline, PhD, Abbott

    Study Documents (Full-Text)

    None provided.

    More Information

    Publications

    None provided.
    Responsible Party:
    Abbott
    ClinicalTrials.gov Identifier:
    NCT01078584
    Other Study ID Numbers:
    • P10-665
    First Posted:
    Mar 2, 2010
    Last Update Posted:
    Oct 25, 2012
    Last Verified:
    Oct 1, 2012
    Keywords provided by Abbott
    Additional relevant MeSH terms:

    Study Results

    Participant Flow

    Recruitment Details A total of 7993 participants were enrolled at 568 study sites in Canada over a period of 24 months.
    Pre-assignment Detail Although 3 participants were considered to have violated the protocol because they were not adults (ie, </= 18 years old), they were included in the Intention-to-Treat (ITT) cohort.
    Arm/Group Title All Enrolled Participants (ITT Cohort)
    Arm/Group Description Hypertensive participants (diabetics and non-diabetics, with or without isolated systemic hypertension and/or renal dysfunction) who were either naïve to trandolapril or on trandolapril within past 30 days. Trandolapril 0.5, 1.0, 2.0, or 4.0 mg, was prescribed as per usual care. Participants received at least one dose of trandolapril after enrollment.
    Period Title: Overall Study
    STARTED 7993
    Participants Conducted Visit 2 (3-month) 7125
    Participants Conducted Visit 3 (6-month) 5833
    Participants Conducted Visit 4(12-month) 4983
    COMPLETED 4983
    NOT COMPLETED 3010

    Baseline Characteristics

    Arm/Group Title All Enrolled Participants (ITT Cohort)
    Arm/Group Description Hypertensive participants (diabetics and non-diabetics, with or without isolated systemic hypertension and/or renal dysfunction) who were either naïve to trandolapril or on trandolapril within past 30 days. Trandolapril 0.5, 1.0, 2.0, or 4.0 mg, was prescribed as per usual care. Participants received at least one dose of trandolapril after enrollment.
    Overall Participants 7993
    Age (years) [Mean (Standard Deviation) ]
    Mean (Standard Deviation) [years]
    58.3
    (13.1)
    Sex/Gender, Customized (participants) [Number]
    Female
    3677
    46%
    Male
    4283
    53.6%
    Unknown
    33
    0.4%
    Region of Enrollment (participants) [Number]
    Canada
    7993
    100%
    Baseline Estimated Glomerular Filtration Rate (eGFR) (mL/min) [Mean (Standard Deviation) ]
    All Participants (n=3965)
    76.9
    (20.3)
    Diabetic Participants (n=1178)
    77.7
    (24.2)
    Baseline Microalbuminuria (MAU) (mg/L) [Mean (Standard Deviation) ]
    All Participants (n=2476)
    36.5
    (142.2)
    Diabetic Participants (n=1009)
    55.1
    (191.5)
    Baseline Systolic Blood Pressure (SBP) (mm Hg) [Mean (Standard Deviation) ]
    All Participants (n=7992)
    150.8
    (15.6)
    Diabetic Participants (n=1883)
    145.8
    (15.7)
    Renal Dysfunction Participants (n=196)
    147.6
    (17.1)
    ISH Participants (n=2207)
    153.0
    (10.9)
    Baseline Diastolic Blood Pressure (DBP) (mm Hg) [Mean (Standard Deviation) ]
    All Participants (n=7991)
    89.7
    (10.7)
    Diabetic Participants (n=1883)
    85.7
    (10.5)
    Renal Dysfunction Participants (n=196)
    83.0
    (12.0)

    Outcome Measures

    1. Primary Outcome
    Title Percentage of Non-Diabetic and Diabetic Participants Meeting Blood Pressure Targets at 3 Months
    Description Blood pressure (BP) targets, as specified in the 2008 CHEP recommendations, were systolic BP (SBP)/diastolic BP (DBP) <140/90 mm Hg for non-diabetic participants, and SBP/DBP <130/80 mm Hg for diabetic participants.
    Time Frame 3 months

    Outcome Measure Data

    Analysis Population Description
    Evaluable participants (diabetic and non-diabetic ITT participants with blood pressure measurement at given time point).
    Arm/Group Title Non-Diabetic Cohort Diabetic Cohort
    Arm/Group Description The Non-diabetic cohort includes all hypertensive participants who were either naïve to trandolapril or on trandolapril within past 30 days for whom a diagnosis of diabetes was not present at the Baseline visit. Trandolapril 0.5, 1.0, 2.0, or 4.0 mg, was prescribed as per usual care. Participants received at least one dose of trandolapril after enrollment. The Diabetic cohort includes all hypertensive participants who were either naïve to trandolapril or on trandolapril within past 30 days for whom a diagnosis of diabetes was present at the Baseline visit. Trandolapril 0.5, 1.0, 2.0, or 4.0 mg, was prescribed as per usual care. Participants received at least one dose of trandolapril after enrollment.
    Measure Participants 5275 1605
    Number [percentage of participants]
    56.0
    0.7%
    28.2
    NaN
    2. Primary Outcome
    Title Percentage of Non-Diabetic and Diabetic Participants Meeting Blood Pressure Targets at 6 Months
    Description Blood pressure (BP) targets, as specified in the 2008 CHEP recommendations, were systolic BP (SBP)/diastolic BP (DBP) <140/90 mm Hg for non-diabetic participants, and SBP/DBP <130/80 mm Hg for diabetic participants.
    Time Frame 6 months

    Outcome Measure Data

    Analysis Population Description
    Evaluable participants (diabetic and non-diabetic ITT participants with blood pressure measurement at given time point).
    Arm/Group Title Non-Diabetic Cohort Diabetic Cohort
    Arm/Group Description The Non-diabetic cohort includes all hypertensive participants who were either naïve to trandolapril or on trandolapril within past 30 days for whom a diagnosis of diabetes was not present at the Baseline visit. Trandolapril 0.5, 1.0, 2.0, or 4.0 mg, was prescribed as per usual care. Participants received at least one dose of trandolapril after enrollment. The Diabetic cohort includes all hypertensive participants who were either naïve to trandolapril or on trandolapril within past 30 days for whom a diagnosis of diabetes was present at the Baseline visit. Trandolapril 0.5, 1.0, 2.0, or 4.0 mg, was prescribed as per usual care. Participants received at least one dose of trandolapril after enrollment.
    Measure Participants 4374 1347
    Number [percentage of participants]
    66.2
    0.8%
    31.1
    NaN
    3. Primary Outcome
    Title Percentage of Non-Diabetic and Diabetic Participants Meeting Blood Pressure Targets at 12 Months
    Description Blood pressure (BP) targets, as specified in the 2008 CHEP recommendations, were systolic BP (SBP)/diastolic BP (DBP) <140/90 mm Hg for non-diabetic participants, and SBP/DBP <130/80 mm Hg for diabetic participants.
    Time Frame 12 months

    Outcome Measure Data

    Analysis Population Description
    Evaluable participants (diabetic and non-diabetic ITT participants with blood pressure measurement at given time point).
    Arm/Group Title Non-Diabetic Cohort Diabetic Cohort
    Arm/Group Description The Non-diabetic cohort includes all hypertensive participants who were either naïve to trandolapril or on trandolapril within past 30 days for whom a diagnosis of diabetes was not present at the Baseline visit. Trandolapril 0.5, 1.0, 2.0, or 4.0 mg, was prescribed as per usual care. Participants received at least one dose of trandolapril after enrollment. The Diabetic cohort includes all hypertensive participants who were either naïve to trandolapril or on trandolapril within past 30 days for whom a diagnosis of diabetes was present at the Baseline visit. Trandolapril 0.5, 1.0, 2.0, or 4.0 mg, was prescribed as per usual care. Participants received at least one dose of trandolapril after enrollment.
    Measure Participants 3751 1174
    Number [percentage of participants]
    72.9
    0.9%
    34.4
    NaN
    4. Secondary Outcome
    Title Change From Baseline in Estimated Glomerular Filtration Rate (eGFR) in Blood Pressure (BP)-Controlled and BP-Uncontrolled Diabetics at 3 Months
    Description Diabetics were considered to be "BP-controlled" if BP <130/80 mm Hg. Diabetics were considered to be "BP-uncontrolled" if BP >/=130/80 mm Hg.
    Time Frame Baseline, 3 Months

    Outcome Measure Data

    Analysis Population Description
    Evaluable participants (diabetic ITT participants with eGFR measurement at given time point).
    Arm/Group Title Diabetic Cohort Diabetic Cohort: BP-Controlled Diabetic Cohort: BP-Uncontrolled
    Arm/Group Description The Diabetic cohort includes all hypertensive participants who were either naïve to trandolapril or on trandolapril within past 30 days for whom a diagnosis of diabetes was present at the Baseline visit. Trandolapril 0.5, 1.0, 2.0, or 4.0 mg, was prescribed as per usual care. Participants received at least one dose of trandolapril after enrollment. The Diabetic cohort includes all hypertensive participants who were either naïve to trandolapril or on trandolapril within past 30 days for whom a diagnosis of diabetes was present at the Baseline visit. Trandolapril 0.5, 1.0, 2.0, or 4.0 mg, was prescribed as per usual care. Participants received at least one dose of trandolapril after enrollment. Diabetics were considered to be BP-controlled if BP <130/80 mm Hg. The Diabetic cohort includes all hypertensive participants who were either naïve to trandolapril or on trandolapril within past 30 days for whom a diagnosis of diabetes was present at the Baseline visit. Trandolapril 0.5, 1.0, 2.0, or 4.0 mg, was prescribed as per usual care. Participants received at least one dose of trandolapril after enrollment. Diabetics were considered to be BP-uncontrolled if BP >/=130/80 mm Hg.
    Measure Participants 472 153 319
    Mean (95% Confidence Interval) [mL/min]
    0.7
    -1.5
    1.7
    5. Secondary Outcome
    Title Change From Baseline in Estimated Glomerular Filtration Rate (eGFR) in Blood Pressure (BP)-Controlled and BP-Uncontrolled Diabetics at 6 Months
    Description Diabetics were considered to be "BP-controlled" if BP <130/80 mm Hg. Diabetics were considered to be "BP-uncontrolled" if BP >/=130/80 mm Hg.
    Time Frame Baseline, 6 Months

    Outcome Measure Data

    Analysis Population Description
    Evaluable participants (diabetic ITT participants with eGFR measurement at given time point).
    Arm/Group Title Diabetic Cohort Diabetic Cohort: BP-Controlled Diabetic Cohort: BP-Uncontrolled
    Arm/Group Description The Diabetic cohort includes all hypertensive participants who were either naïve to trandolapril or on trandolapril within past 30 days for whom a diagnosis of diabetes was present at the Baseline visit. Trandolapril 0.5, 1.0, 2.0, or 4.0 mg, was prescribed as per usual care. Participants received at least one dose of trandolapril after enrollment. The Diabetic cohort includes all hypertensive participants who were either naïve to trandolapril or on trandolapril within past 30 days for whom a diagnosis of diabetes was present at the Baseline visit. Trandolapril 0.5, 1.0, 2.0, or 4.0 mg, was prescribed as per usual care. Participants received at least one dose of trandolapril after enrollment. Diabetics were considered to be BP-controlled if BP <130/80 mm Hg. The Diabetic cohort includes all hypertensive participants who were either naïve to trandolapril or on trandolapril within past 30 days for whom a diagnosis of diabetes was present at the Baseline visit. Trandolapril 0.5, 1.0, 2.0, or 4.0 mg, was prescribed as per usual care. Participants received at least one dose of trandolapril after enrollment. Diabetics were considered to be BP-uncontrolled if BP >/=130/80 mm Hg.
    Measure Participants 399 133 266
    Mean (95% Confidence Interval) [mL/min]
    0.0
    0.7
    -0.4
    6. Secondary Outcome
    Title Change From Baseline in Estimated Glomerular Filtration Rate (eGFR) in Blood Pressure (BP)-Controlled and BP-Uncontrolled Diabetics at 12 Months
    Description Diabetics were considered to be "BP-controlled" if BP <130/80 mm Hg. Diabetics were considered to be "BP-uncontrolled" if BP >/=130/80 mm Hg.
    Time Frame Baseline,12 Months

    Outcome Measure Data

    Analysis Population Description
    Evaluable participants (diabetic ITT participants with eGFR measurement at given time point).
    Arm/Group Title Diabetic Cohort Diabetic Cohort: BP-Controlled Diabetic Cohort: BP-Uncontrolled
    Arm/Group Description The Diabetic cohort includes all hypertensive participants who were either naïve to trandolapril or on trandolapril within past 30 days for whom a diagnosis of diabetes was present at the Baseline visit. Trandolapril 0.5, 1.0, 2.0, or 4.0 mg, was prescribed as per usual care. Participants received at least one dose of trandolapril after enrollment. The Diabetic cohort includes all hypertensive participants who were either naïve to trandolapril or on trandolapril within past 30 days for whom a diagnosis of diabetes was present at the Baseline visit. Trandolapril 0.5, 1.0, 2.0, or 4.0 mg, was prescribed as per usual care. Participants received at least one dose of trandolapril after enrollment. Diabetics were considered to be BP-controlled if BP <130/80 mm Hg. The Diabetic cohort includes all hypertensive participants who were either naïve to trandolapril or on trandolapril within past 30 days for whom a diagnosis of diabetes was present at the Baseline visit. Trandolapril 0.5, 1.0, 2.0, or 4.0 mg, was prescribed as per usual care. Participants received at least one dose of trandolapril after enrollment. Diabetics were considered to be BP-uncontrolled if BP >/=130/80 mm Hg.
    Measure Participants 409 148 261
    Mean (95% Confidence Interval) [mL/min]
    0.8
    1.5
    0.4
    7. Secondary Outcome
    Title Change From Baseline in Microalbuminuria (MAU) at 3 Months
    Description
    Time Frame Baseline, 3 Months

    Outcome Measure Data

    Analysis Population Description
    Evaluable participants (all participants in the ITT cohort with MAU measurement at given time point).
    Arm/Group Title All Enrolled Participants (ITT Cohort)
    Arm/Group Description Hypertensive participants (diabetics and non-diabetics, with or without isolated systemic hypertension and/or renal dysfunction) who were either naïve to trandolapril or on trandolapril within past 30 days. Trandolapril 0.5, 1.0, 2.0, or 4.0 mg, was prescribed as per usual care. Participants received at least one dose of trandolapril after enrollment.
    Measure Participants 764
    Mean (95% Confidence Interval) [mg/L]
    -6.8
    8. Secondary Outcome
    Title Change From Baseline in Microalbuminuria (MAU) at 6 Months
    Description
    Time Frame Baseline, 6 Months

    Outcome Measure Data

    Analysis Population Description
    Evaluable Participants (all participants in the ITT cohort with MAU measurement at given time point).
    Arm/Group Title All Enrolled Participants (ITT Cohort)
    Arm/Group Description Hypertensive participants (diabetics and non-diabetics, with or without isolated systemic hypertension and/or renal dysfunction) who were either naïve to trandolapril or on trandolapril within past 30 days. Trandolapril 0.5, 1.0, 2.0, or 4.0 mg, was prescribed as per usual care. Participants received at least one dose of trandolapril after enrollment.
    Measure Participants 652
    Mean (95% Confidence Interval) [mg/L]
    -5.3
    9. Secondary Outcome
    Title Change From Baseline in Microalbuminuria (MAU) at 12 Months
    Description
    Time Frame Baseline, 12 months

    Outcome Measure Data

    Analysis Population Description
    Evaluable Participants (all participants in the ITT cohort with MAU measurement at given time point).
    Arm/Group Title All Enrolled Participants (ITT Cohort)
    Arm/Group Description Hypertensive participants (diabetics and non-diabetics, with or without isolated systemic hypertension and/or renal dysfunction) who were either naïve to trandolapril or on trandolapril within past 30 days. Trandolapril 0.5, 1.0, 2.0, or 4.0 mg, was prescribed as per usual care. Participants received at least one dose of trandolapril after enrollment.
    Measure Participants 717
    Mean (95% Confidence Interval) [mg/L]
    -6.9
    10. Secondary Outcome
    Title Percentage of Participants With Isolated Systolic Hypertension (ISH) Reaching 2008 CHEP Systolic Blood Pressure (BP) Target After 3 Months of Therapy
    Description The 2008 CHEP systolic BP (SBP) target is <140 mm Hg. Where a participant had an SBP less than the target, the participant's SBP was defined as "controlled."
    Time Frame 3 Months

    Outcome Measure Data

    Analysis Population Description
    Evaluable participants (ITT participants with ISH who had blood pressure measurements at given timepoint).
    Arm/Group Title Isolated Systolic Hypertension Cohort
    Arm/Group Description The Isolated Systolic Hypertension (ISH) cohort includes all hypertensive participants who were either naïve to trandolapril or on trandolapril within past 30 days who had a baseline systolic blood pressure >/=140 mm Hg and a baseline diastolic blood pressure <90 mm Hg. Trandolapril 0.5, 1.0, 2.0, or 4.0 mg, was prescribed as per usual care. Participants received at least one dose of trandolapril after enrollment.
    Measure Participants 1953
    Number [percentage of participants]
    58.4
    0.7%
    11. Secondary Outcome
    Title Percentage of Participants With Isolated Systolic Hypertension (ISH) Reaching 2008 CHEP Systolic Blood Pressure (BP) Target After 6 Months of Therapy
    Description The 2008 CHEP systolic BP (SBP) target is <140 mm Hg. Where a participant had an SBP less than the target, the participant's SBP was defined as "controlled."
    Time Frame 6 Months

    Outcome Measure Data

    Analysis Population Description
    Evaluable participants (ITT participants with ISH who had blood pressure measurements at given timepoint).
    Arm/Group Title Isolated Systolic Hypertension Cohort
    Arm/Group Description The Isolated Systolic Hypertension (ISH) cohort includes all hypertensive participants who were either naïve to trandolapril or on trandolapril within past 30 days who had a baseline systolic blood pressure >/=140 mm Hg and a baseline diastolic blood pressure <90 mm Hg. Trandolapril 0.5, 1.0, 2.0, or 4.0 mg, was prescribed as per usual care. Participants received at least one dose of trandolapril after enrollment.
    Measure Participants 1617
    Number [percentage of participants]
    67.6
    0.8%
    12. Secondary Outcome
    Title Percentage of Participants With Isolated Systolic Hypertension (ISH) Reaching 2008 CHEP Systolic Blood Pressure (BP) Target After 12 Months of Therapy
    Description The 2008 CHEP systolic BP (SBP) target is <140 mm Hg. Where a participant had an SBP less than the target, the participant's SBP was defined as "controlled."
    Time Frame 12 Months

    Outcome Measure Data

    Analysis Population Description
    Evaluable participants (ITT participants with ISH who had blood pressure measurements at given timepoint).
    Arm/Group Title Isolated Systolic Hypertension Cohort
    Arm/Group Description The Isolated Systolic Hypertension (ISH) cohort includes all hypertensive participants who were either naïve to trandolapril or on trandolapril within past 30 days who had a baseline systolic blood pressure >/=140 mm Hg and a baseline diastolic blood pressure <90 mm Hg. Trandolapril 0.5, 1.0, 2.0, or 4.0 mg, was prescribed as per usual care. Participants received at least one dose of trandolapril after enrollment.
    Measure Participants 1420
    Number [percentage of participants]
    74.2
    0.9%
    13. Secondary Outcome
    Title Percentage of Participants Reporting Defined Levels of Satisfaction With Current Therapy at Baseline and After 12 Months of Therapy
    Description Satisfaction with therapy at baseline (BL) and 12 months, using a 5-point Likert scale where participants responded to the question "Are you satisfied with your current hypertension therapy?". The range of responses varied from "1 = not at all satisfied" to "5 = extremely satisfied." Responses "2" through "4" were not otherwise defined, but represented increments of more or less satisfaction with current therapy, respectively.
    Time Frame Day 0 (Baseline), 12 months

    Outcome Measure Data

    Analysis Population Description
    ITT cohort. n=evaluable participants from the ITT cohort who answered the satisfaction questions at Baseline and 12-Month visits.
    Arm/Group Title All Enrolled Participants (ITT Cohort)
    Arm/Group Description Hypertensive participants (diabetics and non-diabetics, with or without isolated systemic hypertension and/or renal dysfunction) who were either naïve to trandolapril or on trandolapril within past 30 days. Trandolapril 0.5, 1.0, 2.0, or 4.0 mg, was prescribed as per usual care. Participants received at least one dose of trandolapril after enrollment.
    Measure Participants 7993
    Score=1 at BL (n=7212)
    28.4
    0.4%
    Score=2 at BL (n=7212)
    26.8
    0.3%
    Score=3 at BL (n=7212)
    30.7
    0.4%
    Score=4 at BL (n=7212)
    10.3
    0.1%
    Score=5 at BL (n=7212)
    3.8
    0%
    Score=1 at 12 Months (n=4928)
    1.8
    0%
    Score=2 at 12 Months (n=4928)
    3.5
    0%
    Score=3 at 12 Months (n=4928)
    9.4
    0.1%
    Score=4 at 12 Months (n=4928)
    33.6
    0.4%
    Score=5 at 12 Months (n=4928)
    51.7
    0.6%
    14. Other Pre-specified Outcome
    Title Percentage of Participants Achieving 2008 CHEP Targets After 3 Months of Therapy
    Description Blood Pressure (BP) targets, as specified in the 2008 CHEP recommendations, were systolic BP (SBP)/diastolic BP (DBP) <140/90 mm Hg. Where a participant had both an SBP and DBP less than the target, the participant's BP was defined as "controlled."
    Time Frame 3 Months

    Outcome Measure Data

    Analysis Population Description
    Evaluable participants (participants in the ITT cohort with blood pressure measurements at given time point).
    Arm/Group Title All Enrolled Participants (ITT Cohort)
    Arm/Group Description Hypertensive participants (diabetics and non-diabetics, with or without isolated systemic hypertension and/or renal dysfunction) who were either naïve to trandolapril or on trandolapril within past 30 days. Trandolapril 0.5, 1.0, 2.0, or 4.0 mg, was prescribed as per usual care. Participants received at least one dose of trandolapril after enrollment.
    Measure Participants 6880
    Number [percentage of participants]
    58.3
    0.7%
    15. Other Pre-specified Outcome
    Title Percentage of Participants Achieving 2008 CHEP Targets After 6 Months of Therapy
    Description Blood pressure (BP) targets, as specified in the 2008 CHEP recommendations, were systolic BP (SBP)/diastolic BP (DBP) <140/90 mm Hg. Where a participant had both an SBP and DBP less than the target, the participant's BP was defined as "controlled."
    Time Frame 6 Months

    Outcome Measure Data

    Analysis Population Description
    Evaluable participants (participants in the ITT cohort with blood pressure measurements at given time point).
    Arm/Group Title All Enrolled Participants (ITT Cohort)
    Arm/Group Description Hypertensive participants (diabetics and non-diabetics, with or without isolated systemic hypertension and/or renal dysfunction) who were either naïve to trandolapril or on trandolapril within past 30 days. Trandolapril 0.5, 1.0, 2.0, or 4.0 mg, was prescribed as per usual care. Participants received at least one dose of trandolapril after enrollment.
    Measure Participants 5721
    Number [percentage of participants]
    68.1
    0.9%
    16. Other Pre-specified Outcome
    Title Percentage of Participants Achieving 2008 CHEP Targets After 12 Months of Therapy
    Description Blood pressure (BP) targets, as specified in the 2008 CHEP recommendations, were systolic BP (SBP)/diastolic BP (DBP) <140/90 mm Hg. Where a participant had both an SBP and DBP less than the target, the participant's BP was defined as "controlled."
    Time Frame 12 Months

    Outcome Measure Data

    Analysis Population Description
    Evaluable participants (participants in the ITT cohort with blood pressure measurements at given time point).
    Arm/Group Title All Enrolled Participants (ITT Cohort)
    Arm/Group Description Hypertensive participants (diabetics and non-diabetics, with or without isolated systemic hypertension and/or renal dysfunction) who were either naïve to trandolapril or on trandolapril within past 30 days. Trandolapril 0.5, 1.0, 2.0, or 4.0 mg, was prescribed as per usual care. Participants received at least one dose of trandolapril after enrollment.
    Measure Participants 4925
    Number [percentage of participants]
    74.4
    0.9%
    17. Other Pre-specified Outcome
    Title Percentage of Participants With Renal Dysfunction Achieving 2008 CHEP Targets After 3 Months of Therapy
    Description Blood pressure (BP) targets, as specified in the 2008 CHEP recommendations, were systolic BP (SBP)/diastolic BP (DBP) <130/80 mm Hg. Where a participant had both an SBP and DBP less than the target, the participant's BP was defined as "controlled."
    Time Frame 3 Months

    Outcome Measure Data

    Analysis Population Description
    Evaluable participants (ITT participants with renal dysfunction who had blood pressure measurements at given timepoint).
    Arm/Group Title Renal Dysfunction Cohort
    Arm/Group Description The Renal Dysfunction cohort includes all hypertensive participants who were either naïve to trandolapril or on trandolapril within past 30 days for whom a co-morbidity of "renal dysfunction" was recorded at the Baseline visit. Trandolapril 0.5, 1.0, 2.0, or 4.0 mg, was prescribed as per usual care. Participants received at least one dose of trandolapril after enrollment.
    Measure Participants 172
    Number [percentage of participants]
    29.1
    0.4%
    18. Other Pre-specified Outcome
    Title Percentage of Participants With Renal Dysfunction Achieving 2008 CHEP Targets After 6 Months of Therapy
    Description Blood pressure (BP) targets, as specified in the 2008 CHEP recommendations, were systolic BP (SBP)/diastolic BP (DBP) <130/80 mm Hg. Where a participant had both an SBP and DBP less than the target, the participant's BP was defined as "controlled."
    Time Frame 6 Months

    Outcome Measure Data

    Analysis Population Description
    Evaluable participants (ITT participants with renal dysfunction who had blood pressure measurements at given timepoint).
    Arm/Group Title Renal Dysfunction Cohort
    Arm/Group Description The Renal Dysfunction cohort includes all hypertensive participants who were either naïve to trandolapril or on trandolapril within past 30 days for whom a co-morbidity of "renal dysfunction" was recorded at the Baseline visit. Trandolapril 0.5, 1.0, 2.0, or 4.0 mg, was prescribed as per usual care. Participants received at least one dose of trandolapril after enrollment.
    Measure Participants 131
    Number [percentage of participants]
    31.3
    0.4%
    19. Other Pre-specified Outcome
    Title Percentage of Participants With Renal Dysfunction Achieving 2008 CHEP Targets After 12 Months of Therapy
    Description Blood pressure (BP) targets, as specified in the 2008 CHEP recommendations, were systolic BP (SBP)/diastolic BP (DBP) <130/80 mm Hg. Where a participant had both an SBP and DBP less than the target, the participant's BP was defined as "controlled."
    Time Frame 12 Months

    Outcome Measure Data

    Analysis Population Description
    Evaluable participants (ITT participants with renal dysfunction who had blood pressure measurements at given timepoint).
    Arm/Group Title Renal Dysfunction Cohort
    Arm/Group Description The Renal Dysfunction cohort includes all hypertensive participants who were either naïve to trandolapril or on trandolapril within past 30 days for whom a co-morbidity of "renal dysfunction" was recorded at the Baseline visit. Trandolapril 0.5, 1.0, 2.0, or 4.0 mg, was prescribed as per usual care. Participants received at least one dose of trandolapril after enrollment.
    Measure Participants 112
    Number [percentage of participants]
    36.6
    0.5%
    20. Other Pre-specified Outcome
    Title Mean Change From Baseline in Systolic Blood Pressure (SBP) and Diastolic Blood Pressure (DBP) in ITT Cohort at 3 Months
    Description
    Time Frame Day 0 (Baseline), 3 Months

    Outcome Measure Data

    Analysis Population Description
    ITT cohort. n = all evaluable participants in the ITT cohort with blood pressure measurement at given timepoint.
    Arm/Group Title All Enrolled Participants (ITT Cohort)
    Arm/Group Description Hypertensive participants (diabetics and non-diabetics, with or without isolated systemic hypertension and/or renal dysfunction) who were either naïve to trandolapril or on trandolapril within past 30 days. Trandolapril 0.5, 1.0, 2.0, or 4.0 mg, was prescribed as per usual care. Participants received at least one dose of trandolapril after enrollment.
    Measure Participants 7993
    SBP (n=6881)
    -16.5
    DBP (n=6880)
    -8.4
    21. Other Pre-specified Outcome
    Title Mean Change From Baseline in Systolic Blood Pressure (SBP) and Diastolic Blood Pressure (DBP) in ITT Cohort at 6 Months
    Description
    Time Frame Day 0 (Baseline), 6 Months

    Outcome Measure Data

    Analysis Population Description
    Evaluable participants (participants in the ITT cohort with blood pressure measurements at given time point).
    Arm/Group Title All Enrolled Participants (ITT Cohort)
    Arm/Group Description Hypertensive participants (diabetics and non-diabetics, with or without isolated systemic hypertension and/or renal dysfunction) who were either naïve to trandolapril or on trandolapril within past 30 days. Trandolapril 0.5, 1.0, 2.0, or 4.0 mg, was prescribed as per usual care. Participants received at least one dose of trandolapril after enrollment.
    Measure Participants 5721
    SBP
    -18.7
    DBP
    -9.7
    22. Other Pre-specified Outcome
    Title Mean Change From Baseline in Systolic Blood Pressure (SBP) and Diastolic Blood Pressure (DBP) in ITT Cohort at 12 Months
    Description
    Time Frame Day 0 (Baseline), 12 Months

    Outcome Measure Data

    Analysis Population Description
    Evaluable participants (participants in the ITT cohort with blood pressure measurements at given timepoint).
    Arm/Group Title All Enrolled Participants (ITT Cohort)
    Arm/Group Description Hypertensive participants (diabetics and non-diabetics, with or without isolated systemic hypertension and/or renal dysfunction) who were either naïve to trandolapril or on trandolapril within past 30 days. Trandolapril 0.5, 1.0, 2.0, or 4.0 mg, was prescribed as per usual care. Participants received at least one dose of trandolapril after enrollment.
    Measure Participants 4925
    SBP
    -20.1
    DBP
    -10.5
    23. Other Pre-specified Outcome
    Title Mean Baseline Systolic Blood Pressure (SBP) and Diastolic Blood Pressure (DBP) in Non-Diabetic, Diabetic, ISH, and Renal Dysfunction Cohorts
    Description
    Time Frame Day 0 (Baseline)

    Outcome Measure Data

    Analysis Population Description
    Evaluable participants (ITT participants in the non-diabetic, diabetic, ISH, and renal dysfunction cohorts with blood pressure measurement at timepoint).
    Arm/Group Title Non-Diabetic Cohort Diabetic Cohort Isolated Systolic Hypertension Cohort Renal Dysfunction Cohort
    Arm/Group Description The Non-diabetic cohort includes all hypertensive participants who were either naïve to trandolapril or on trandolapril within past 30 days for whom a diagnosis of diabetes was not present at the Baseline visit. Trandolapril 0.5, 1.0, 2.0, or 4.0 mg, was prescribed as per usual care. Participants received at least one dose of trandolapril after enrollment. The Diabetic cohort includes all hypertensive participants who were either naïve to trandolapril or on trandolapril within past 30 days for whom a diagnosis of diabetes was present at the Baseline visit. Trandolapril 0.5, 1.0, 2.0, or 4.0 mg, was prescribed as per usual care. Participants received at least one dose of trandolapril after enrollment. The Isolated Systolic Hypertension (ISH) cohort includes all hypertensive participants who were either naïve to trandolapril or on trandolapril within past 30 days who had a baseline systolic blood pressure >/=140 mm Hg and a baseline diastolic blood pressure <90 mm Hg. Trandolapril 0.5, 1.0, 2.0, or 4.0 mg, was prescribed as per usual care. Participants received at least one dose of trandolapril after enrollment. The Renal Dysfunction cohort includes all hypertensive participants who were either naïve to trandolapril or on trandolapril within past 30 days for whom a co-morbidity of "renal dysfunction" was recorded at the Baseline visit. Trandolapril 0.5, 1.0, 2.0, or 4.0 mg, was prescribed as per usual care. Participants received at least one dose of trandolapril after enrollment.
    Measure Participants 6108 1883 2207 196
    SBP
    152.4
    145.8
    153.3
    147.6
    DBP
    90.9
    85.7
    80.2
    83.0
    24. Other Pre-specified Outcome
    Title Mean Change From Baseline in Systolic Blood Pressure (SBP) and Diastolic Blood Pressure (DBP) in Non-Diabetic, Diabetic, ISH, and Renal Dysfunction Cohorts at Month 3
    Description
    Time Frame Day 0 (Baseline), Month 3

    Outcome Measure Data

    Analysis Population Description
    Evaluable participants (ITT participants in the non-diabetic, diabetic, ISH, and renal dysfunction cohorts with blood pressure measurement at timepoint).
    Arm/Group Title Non-Diabetic Cohort Diabetic Cohort Isolated Systolic Hypertension Cohort Renal Dysfunction Cohort
    Arm/Group Description The Non-diabetic cohort includes all hypertensive participants who were either naïve to trandolapril or on trandolapril within past 30 days for whom a diagnosis of diabetes was not present at the Baseline visit. Trandolapril 0.5, 1.0, 2.0, or 4.0 mg, was prescribed as per usual care. Participants received at least one dose of trandolapril after enrollment. The Diabetic cohort includes all hypertensive participants who were either naïve to trandolapril or on trandolapril within past 30 days for whom a diagnosis of diabetes was present at the Baseline visit. Trandolapril 0.5, 1.0, 2.0, or 4.0 mg, was prescribed as per usual care. Participants received at least one dose of trandolapril after enrollment. The Isolated Systolic Hypertension (ISH) cohort includes all hypertensive participants who were either naïve to trandolapril or on trandolapril within past 30 days who had a baseline systolic blood pressure >/=140 mm Hg and a baseline diastolic blood pressure <90 mm Hg. Trandolapril 0.5, 1.0, 2.0, or 4.0 mg, was prescribed as per usual care. Participants received at least one dose of trandolapril after enrollment. The Renal Dysfunction cohort includes all hypertensive participants who were either naïve to trandolapril or on trandolapril within past 30 days for whom a co-morbidity of "renal dysfunction" was recorded at the Baseline visit. Trandolapril 0.5, 1.0, 2.0, or 4.0 mg, was prescribed as per usual care. Participants received at least one dose of trandolapril after enrollment.
    Measure Participants 5275 1605 1953 172
    SBP
    -17.4
    -13.6
    -17.2
    -14.8
    DBP
    -8.8
    -7.0
    -2.5
    -6.9
    25. Other Pre-specified Outcome
    Title Mean Change From Baseline in Systolic Blood Pressure (SBP) and Diastolic Blood Pressure (DBP) in Non-Diabetic, Diabetic, ISH, and Renal Dysfunction Cohorts at Month 6
    Description
    Time Frame Day 0 (Baseline), Month 6

    Outcome Measure Data

    Analysis Population Description
    Evaluable participants (ITT participants in the non-diabetic, diabetic, ISH, and renal dysfunction cohorts with blood pressure measurement at timepoint).
    Arm/Group Title Non-Diabetic Cohort Diabetic Cohort Isolated Systolic Hypertension Cohort Renal Dysfunction Cohort
    Arm/Group Description The Non-diabetic cohort includes all hypertensive participants who were either naïve to trandolapril or on trandolapril within past 30 days for whom a diagnosis of diabetes was not present at the Baseline visit. Trandolapril 0.5, 1.0, 2.0, or 4.0 mg, was prescribed as per usual care. Participants received at least one dose of trandolapril after enrollment. The Diabetic cohort includes all hypertensive participants who were either naïve to trandolapril or on trandolapril within past 30 days for whom a diagnosis of diabetes was present at the Baseline visit. Trandolapril 0.5, 1.0, 2.0, or 4.0 mg, was prescribed as per usual care. Participants received at least one dose of trandolapril after enrollment. The Isolated Systolic Hypertension (ISH) cohort includes all hypertensive participants who were either naïve to trandolapril or on trandolapril within past 30 days who had a baseline systolic blood pressure >/=140 mm Hg and a baseline diastolic blood pressure <90 mm Hg. Trandolapril 0.5, 1.0, 2.0, or 4.0 mg, was prescribed as per usual care. Participants received at least one dose of trandolapril after enrollment. The Renal Dysfunction cohort includes all hypertensive participants who were either naïve to trandolapril or on trandolapril within past 30 days for whom a co-morbidity of "renal dysfunction" was recorded at the Baseline visit. Trandolapril 0.5, 1.0, 2.0, or 4.0 mg, was prescribed as per usual care. Participants received at least one dose of trandolapril after enrollment.
    Measure Participants 4374 1347 1617 131
    SBP
    -19.8
    -15.3
    -19.2
    -17.5
    DBP
    -10.3
    -7.9
    -2.9
    -8.2
    26. Other Pre-specified Outcome
    Title Mean Change From Baseline in Systolic Blood Pressure (SBP) and Diastolic Blood Pressure (DBP) in Non-Diabetic, Diabetic, ISH, and Renal Dysfunction Cohorts at Month 12
    Description
    Time Frame Day 0 (Baseline), Month 12

    Outcome Measure Data

    Analysis Population Description
    Evaluable participants (ITT participants in the non-diabetic, diabetic, ISH, and renal dysfunction cohorts with blood pressure measurement at timepoint).
    Arm/Group Title Non-Diabetic Cohort Diabetic Cohort Isolated Systolic Hypertension Cohort Renal Dysfunction Cohort
    Arm/Group Description The Non-diabetic cohort includes all hypertensive participants who were either naïve to trandolapril or on trandolapril within past 30 days for whom a diagnosis of diabetes was not present at the Baseline visit. Trandolapril 0.5, 1.0, 2.0, or 4.0 mg, was prescribed as per usual care. Participants received at least one dose of trandolapril after enrollment. The Diabetic cohort includes all hypertensive participants who were either naïve to trandolapril or on trandolapril within past 30 days for whom a diagnosis of diabetes was present at the Baseline visit. Trandolapril 0.5, 1.0, 2.0, or 4.0 mg, was prescribed as per usual care. Participants received at least one dose of trandolapril after enrollment. The Isolated Systolic Hypertension (ISH) cohort includes all hypertensive participants who were either naïve to trandolapril or on trandolapril within past 30 days who had a baseline systolic blood pressure >/=140 mm Hg and a baseline diastolic blood pressure <90 mm Hg. Trandolapril 0.5, 1.0, 2.0, or 4.0 mg, was prescribed as per usual care. Participants received at least one dose of trandolapril after enrollment. The Renal Dysfunction cohort includes all hypertensive participants who were either naïve to trandolapril or on trandolapril within past 30 days for whom a co-morbidity of "renal dysfunction" was recorded at the Baseline visit. Trandolapril 0.5, 1.0, 2.0, or 4.0 mg, was prescribed as per usual care. Participants received at least one dose of trandolapril after enrollment.
    Measure Participants 3751 1174 1420 112
    SBP
    -21.2
    -16.7
    -20.5
    -18.3
    DBP
    -11.0
    -8.8
    -3.6
    -9.7
    27. Other Pre-specified Outcome
    Title Number of Participants Compliant With Therapy After 3 Months
    Description Compliance after 3 months of treatment was derived using responses to the Visit 2 question "How many trandolapril (Mavik®) doses have been missed since the subject's last visit?" If the response was "zero", the participant was classified as "compliant." If the response was any value greater than zero, regardless of the number of missed doses, the participant was classified as "non-compliant."
    Time Frame 3 Months

    Outcome Measure Data

    Analysis Population Description
    Evaluable participants (participants in the ITT cohort with compliance data available at given time point).
    Arm/Group Title All Enrolled Participants (ITT Cohort)
    Arm/Group Description Hypertensive participants (diabetics and non-diabetics, with or without isolated systemic hypertension and/or renal dysfunction) who were either naïve to trandolapril or on trandolapril within past 30 days. Trandolapril 0.5, 1.0, 2.0, or 4.0 mg, was prescribed as per usual care. Participants received at least one dose of trandolapril after enrollment.
    Measure Participants 6716
    Number [participants]
    5015
    62.7%
    28. Other Pre-specified Outcome
    Title Number of Participants Compliant With Therapy After 6 Months
    Description Compliance after 6 months of treatment was derived using responses to the question "How many trandolapril (Mavik®) doses have been missed since the subject's last visit?" at both Visit 2 and Visit 3, as follows: If the response was "zero" at both the Visit 2 and Visit 3 assessments, participant was classified as "compliant" after 6 months of treatment; If the response was any value greater than zero at either of the Visit 2 or Visit 3 assessments, regardless of the number of missed doses, participant was classified as "non-compliant" after 6 months of treatment
    Time Frame 6 Months

    Outcome Measure Data

    Analysis Population Description
    Evaluable participants (participants in the ITT cohort with compliance data available at given time point).
    Arm/Group Title All Enrolled Participants (ITT Cohort)
    Arm/Group Description Hypertensive participants (diabetics and non-diabetics, with or without isolated systemic hypertension and/or renal dysfunction) who were either naïve to trandolapril or on trandolapril within past 30 days. Trandolapril 0.5, 1.0, 2.0, or 4.0 mg, was prescribed as per usual care. Participants received at least one dose of trandolapril after enrollment.
    Measure Participants 5588
    Number [participants]
    3661
    45.8%
    29. Other Pre-specified Outcome
    Title Number of Participants Compliant With Therapy After 12 Months
    Description Compliance after 12 months of treatment was derived using responses to the question "How many trandolapril doses have been missed since the subject's last visit?" at Visit 2, Visit 3 and Visit 4, as follows: if the response was "zero" at all of the Visits 2 through 4 assessments, the participant was classified as "compliant" after 12 months of treatment; if the response was any value greater than zero at any of the Visits 2 through 4 assessments, regardless of the number of missed doses, the participant was classified as "non-compliant" after 12 months of treatment.
    Time Frame 12 Months

    Outcome Measure Data

    Analysis Population Description
    Evaluable participants (participants in the ITT cohort with compliance data available at given time point).
    Arm/Group Title All Enrolled Participants (ITT Cohort)
    Arm/Group Description Hypertensive participants (diabetics and non-diabetics, with or without isolated systemic hypertension and/or renal dysfunction) who were either naïve to trandolapril or on trandolapril within past 30 days. Trandolapril 0.5, 1.0, 2.0, or 4.0 mg, was prescribed as per usual care. Participants received at least one dose of trandolapril after enrollment.
    Measure Participants 4728
    Number [participants]
    2793
    34.9%
    30. Other Pre-specified Outcome
    Title Number of Participants With Dose Changes at 3 Months
    Description
    Time Frame 3 Months

    Outcome Measure Data

    Analysis Population Description
    Evaluable participants (all participants in the ITT cohort with data available at given time point).
    Arm/Group Title All Enrolled Participants (ITT Cohort)
    Arm/Group Description Hypertensive participants (diabetics and non-diabetics, with or without isolated systemic hypertension and/or renal dysfunction) who were either naïve to trandolapril or on trandolapril within past 30 days. Trandolapril 0.5, 1.0, 2.0, or 4.0 mg, was prescribed as per usual care. Participants received at least one dose of trandolapril after enrollment.
    Measure Participants 6456
    Dose Decreased
    173
    2.2%
    Dose Increased
    1868
    23.4%
    No Change in Dose
    4373
    54.7%
    Unknown
    42
    0.5%
    31. Other Pre-specified Outcome
    Title Number of Participants With Dose Changes at 6 Months
    Description
    Time Frame 6 Months

    Outcome Measure Data

    Analysis Population Description
    Evaluable participants (all participants in the ITT cohort with data available at given time point).
    Arm/Group Title All Enrolled Participants (ITT Cohort)
    Arm/Group Description Hypertensive participants (diabetics and non-diabetics, with or without isolated systemic hypertension and/or renal dysfunction) who were either naïve to trandolapril or on trandolapril within past 30 days. Trandolapril 0.5, 1.0, 2.0, or 4.0 mg, was prescribed as per usual care. Participants received at least one dose of trandolapril after enrollment.
    Measure Participants 5519
    Dose Decreased
    125
    1.6%
    Dose Increased
    578
    7.2%
    No Change in Dose
    4735
    59.2%
    Unknown
    81
    1%
    32. Other Pre-specified Outcome
    Title Number of Participants With Dose Changes at 12 Months
    Description
    Time Frame 12 Months

    Outcome Measure Data

    Analysis Population Description
    Evaluable participants (all participants in the ITT cohort with data available at given time point).
    Arm/Group Title All Enrolled Participants (ITT Cohort)
    Arm/Group Description Hypertensive participants (diabetics and non-diabetics, with or without isolated systemic hypertension and/or renal dysfunction) who were either naïve to trandolapril or on trandolapril within past 30 days. Trandolapril 0.5, 1.0, 2.0, or 4.0 mg, was prescribed as per usual care. Participants received at least one dose of trandolapril after enrollment.
    Measure Participants 4770
    Dose Decreased
    100
    1.3%
    Dose Increased
    370
    4.6%
    No Change in Dose
    4196
    52.5%
    Unknown
    104
    1.3%
    33. Other Pre-specified Outcome
    Title Percentage of Diabetic and Non-diabetic (Blood Pressure [BP]-Controlled and BP-Uncontrolled) Participants With Dose Increases After 3 Months
    Description The percentage of non-diabetic and diabetic participants whose systolic and diastolic blood pressures were "controlled" versus "uncontrolled" was assessed using 2008 CHEP-specified targets (non-diabetics: BP <140/90 mm Hg; diabetics: BP <130/80 mm Hg). The percentage of these "controlled" and "uncontrolled" participants who underwent or did not undergo a dose increase is presented.
    Time Frame 3 Months

    Outcome Measure Data

    Analysis Population Description
    Evaluable participants (diabetic and non-diabetic ITT participants with available data at given time point).
    Arm/Group Title Non-Diabetic Cohort: BP-Uncontrolled Non-Diabetic Cohort: BP-Controlled Diabetic Cohort: BP-Uncontrolled Diabetic Cohort: BP-Controlled
    Arm/Group Description The Non-diabetic cohort includes all hypertensive participants who were either naïve to trandolapril or on trandolapril within past 30 days for whom a diagnosis of diabetes was not present at the Baseline visit. Trandolapril 0.5, 1.0, 2.0, or 4.0 mg, was prescribed as per usual care. Participants received at least one dose of trandolapril after enrollment. Non-diabetics were considered to be BP-uncontrolled if BP >/=140/90 mm Hg. The Non-diabetic cohort includes all hypertensive participants who were either naïve to trandolapril or on trandolapril within past 30 days for whom a diagnosis of diabetes was not present at the Baseline visit. Trandolapril 0.5, 1.0, 2.0, or 4.0 mg, was prescribed as per usual care. Participants received at least one dose of trandolapril after enrollment. Non-diabetics were considered to be BP-controlled if BP <140/90 mm Hg. The Diabetic cohort includes all hypertensive participants who were either naïve to trandolapril or on trandolapril within past 30 days for whom a diagnosis of diabetes was present at the Baseline visit. Trandolapril 0.5, 1.0, 2.0, or 4.0 mg, was prescribed as per usual care. Participants received at least one dose of trandolapril after enrollment. Diabetics were considered to be BP-uncontrolled if BP >/=130/80 mm Hg. The Diabetic cohort includes all hypertensive participants who were either naïve to trandolapril or on trandolapril within past 30 days for whom a diagnosis of diabetes was present at the Baseline visit. Trandolapril 0.5, 1.0, 2.0, or 4.0 mg, was prescribed as per usual care. Participants received at least one dose of trandolapril after enrollment. Diabetics were considered to be BP-controlled if BP <130/80 mm Hg.
    Measure Participants 2115 2760 1077 413
    Dose Increase
    46.7
    0.6%
    17.9
    NaN
    31.4
    NaN
    10.4
    NaN
    No Dose Increase
    53.3
    0.7%
    82.1
    NaN
    68.6
    NaN
    89.6
    NaN
    34. Other Pre-specified Outcome
    Title Percentage of Diabetic and Non-diabetic (Blood Pressure [BP]-Controlled and BP-Uncontrolled) Participants With Dose Increases After 6 Months
    Description The percentage of non-diabetic and diabetic participants whose systolic and diastolic blood pressures were "controlled" versus "uncontrolled" was assessed using 2008 CHEP-specified targets (non-diabetics: BP <140/90 mm Hg; diabetics: BP <130/80 mm Hg). The percentage of these "controlled" and "uncontrolled" participants who underwent or did not undergo a dose increase is presented.
    Time Frame 6 Months

    Outcome Measure Data

    Analysis Population Description
    Evaluable participants (diabetic and non-diabetic ITT participants with available data at given time point).
    Arm/Group Title Non-Diabetic Cohort: BP-Uncontrolled Non-Diabetic Cohort: BP-Controlled Diabetic Cohort: BP-Uncontrolled Diabetic Cohort: BP-Controlled
    Arm/Group Description The Non-diabetic cohort includes all hypertensive participants who were either naïve to trandolapril or on trandolapril within past 30 days for whom a diagnosis of diabetes was not present at the Baseline visit. Trandolapril 0.5, 1.0, 2.0, or 4.0 mg, was prescribed as per usual care. Participants received at least one dose of trandolapril after enrollment. Non-diabetics were considered to be BP-uncontrolled if BP >/=140/90 mm Hg. The Non-diabetic cohort includes all hypertensive participants who were either naïve to trandolapril or on trandolapril within past 30 days for whom a diagnosis of diabetes was not present at the Baseline visit. Trandolapril 0.5, 1.0, 2.0, or 4.0 mg, was prescribed as per usual care. Participants received at least one dose of trandolapril after enrollment. Non-diabetics were considered to be BP-controlled if BP <140/90 mm Hg. The Diabetic cohort includes all hypertensive participants who were either naïve to trandolapril or on trandolapril within past 30 days for whom a diagnosis of diabetes was present at the Baseline visit. Trandolapril 0.5, 1.0, 2.0, or 4.0 mg, was prescribed as per usual care. Participants received at least one dose of trandolapril after enrollment. Diabetics were considered to be BP-uncontrolled if BP >/=130/80 mm Hg. The Diabetic cohort includes all hypertensive participants who were either naïve to trandolapril or on trandolapril within past 30 days for whom a diagnosis of diabetes was present at the Baseline visit. Trandolapril 0.5, 1.0, 2.0, or 4.0 mg, was prescribed as per usual care. Participants received at least one dose of trandolapril after enrollment. Diabetics were considered to be BP-controlled if BP <130/80 mm Hg.
    Measure Participants 1357 2785 870 406
    Dose Increase
    23.1
    0.3%
    4.9
    NaN
    12.1
    NaN
    5.4
    NaN
    No Dose Increase
    76.9
    1%
    95.1
    NaN
    87.9
    NaN
    94.6
    NaN
    35. Other Pre-specified Outcome
    Title Percentage of Diabetic and Non-diabetic (Blood Pressure [BP]-Controlled and BP-Uncontrolled) Participants With Dose Increases After 12 Months
    Description The percentage of non-diabetic and diabetic participants whose systolic and diastolic blood pressures were "controlled" versus "uncontrolled" was assessed using 2008 CHEP-specified targets (non-diabetics: BP <140/90 mm Hg; diabetics: BP <130/80 mm Hg). The percentage of these "controlled" and "uncontrolled" participants who underwent or did not undergo a dose increase is presented.
    Time Frame 12 Months

    Outcome Measure Data

    Analysis Population Description
    Evaluable participants (diabetic and non-diabetic ITT participants with available data at given time point).
    Arm/Group Title Non-Diabetic Cohort: BP-Uncontrolled Non-Diabetic Cohort: BP-Controlled Diabetic Cohort: BP-Uncontrolled Diabetic Cohort: BP-Controlled
    Arm/Group Description The Non-diabetic cohort includes all hypertensive participants who were either naïve to trandolapril or on trandolapril within past 30 days for whom a diagnosis of diabetes was not present at the Baseline visit. Trandolapril 0.5, 1.0, 2.0, or 4.0 mg, was prescribed as per usual care. Participants received at least one dose of trandolapril after enrollment. Non-diabetics were considered to be BP-uncontrolled if BP >/=140/90 mm Hg. The Non-diabetic cohort includes all hypertensive participants who were either naïve to trandolapril or on trandolapril within past 30 days for whom a diagnosis of diabetes was not present at the Baseline visit. Trandolapril 0.5, 1.0, 2.0, or 4.0 mg, was prescribed as per usual care. Participants received at least one dose of trandolapril after enrollment. Non-diabetics were considered to be BP-controlled if BP <140/90 mm Hg. The Diabetic cohort includes all hypertensive participants who were either naïve to trandolapril or on trandolapril within past 30 days for whom a diagnosis of diabetes was present at the Baseline visit. Trandolapril 0.5, 1.0, 2.0, or 4.0 mg, was prescribed as per usual care. Participants received at least one dose of trandolapril after enrollment. Diabetics were considered to be BP-uncontrolled if BP >/=130/80 mm Hg. The Diabetic cohort includes all hypertensive participants who were either naïve to trandolapril or on trandolapril within past 30 days for whom a diagnosis of diabetes was present at the Baseline visit. Trandolapril 0.5, 1.0, 2.0, or 4.0 mg, was prescribed as per usual care. Participants received at least one dose of trandolapril after enrollment. Diabetics were considered to be BP-controlled if BP <130/80 mm Hg.
    Measure Participants 912 2630 712 393
    Dose Increase
    15.7
    0.2%
    5.2
    NaN
    9.6
    NaN
    4.8
    NaN
    No Dose Increase
    84.3
    1.1%
    94.8
    NaN
    90.4
    NaN
    95.2
    NaN
    36. Other Pre-specified Outcome
    Title Number of Participants Adding Concomitant Cardiovascular Medications at 3 Months
    Description Presented by type of medication added.
    Time Frame 3 Months

    Outcome Measure Data

    Analysis Population Description
    Evaluable participants (all participants in the ITT cohort with available data at given time point).
    Arm/Group Title All Enrolled Participants (ITT Cohort)
    Arm/Group Description Hypertensive participants (diabetics and non-diabetics, with or without isolated systemic hypertension and/or renal dysfunction) who were either naïve to trandolapril or on trandolapril within past 30 days. Trandolapril 0.5, 1.0, 2.0, or 4.0 mg, was prescribed as per usual care. Participants received at least one dose of trandolapril after enrollment.
    Measure Participants 7125
    None
    6090
    76.2%
    Diuretic
    284
    3.6%
    Angiotensin receptor blocker
    133
    1.7%
    Calcium channel blocker
    186
    2.3%
    Beta-blocker
    78
    1%
    37. Other Pre-specified Outcome
    Title Number of Participants Adding Concomitant Cardiovascular Medications at 6 Months
    Description Presented by type of medication added.
    Time Frame 6 Months

    Outcome Measure Data

    Analysis Population Description
    Evaluable participants (all participants in the ITT cohort with available data at given time point).
    Arm/Group Title All Enrolled Participants (ITT Cohort)
    Arm/Group Description Hypertensive participants (diabetics and non-diabetics, with or without isolated systemic hypertension and/or renal dysfunction) who were either naïve to trandolapril or on trandolapril within past 30 days. Trandolapril 0.5, 1.0, 2.0, or 4.0 mg, was prescribed as per usual care. Participants received at least one dose of trandolapril after enrollment.
    Measure Participants 5833
    None
    5193
    65%
    Diuretic
    222
    2.8%
    Angiotensin receptor blocker
    82
    1%
    Calcium channel blocker
    123
    1.5%
    Beta-blocker
    41
    0.5%
    38. Other Pre-specified Outcome
    Title Number of Participants Adding Concomitant Cardiovascular Medications at 12 Months
    Description Presented by type of medication added.
    Time Frame 12 Months

    Outcome Measure Data

    Analysis Population Description
    Evaluable participants (all participants in the ITT cohort with available data at given time point).
    Arm/Group Title All Enrolled Participants (ITT Cohort)
    Arm/Group Description Hypertensive participants (diabetics and non-diabetics, with or without isolated systemic hypertension and/or renal dysfunction) who were either naïve to trandolapril or on trandolapril within past 30 days. Trandolapril 0.5, 1.0, 2.0, or 4.0 mg, was prescribed as per usual care. Participants received at least one dose of trandolapril after enrollment.
    Measure Participants 4983
    None
    4540
    56.8%
    Diuretic
    144
    1.8%
    Angiotensin receptor blocker
    61
    0.8%
    Calcium channel blocker
    86
    1.1%
    Beta-blocker
    35
    0.4%
    39. Other Pre-specified Outcome
    Title Number of Participants Discontinuing Concomitant Cardiovascular Medications at 3 Months
    Description Presented by type of medication discontinued.
    Time Frame 3 Months

    Outcome Measure Data

    Analysis Population Description
    Evaluable participants (all participants in the ITT cohort with available data at given time point).
    Arm/Group Title All Enrolled Participants (ITT Cohort)
    Arm/Group Description Hypertensive participants (diabetics and non-diabetics, with or without isolated systemic hypertension and/or renal dysfunction) who were either naïve to trandolapril or on trandolapril within past 30 days. Trandolapril 0.5, 1.0, 2.0, or 4.0 mg, was prescribed as per usual care. Participants received at least one dose of trandolapril after enrollment.
    Measure Participants 7125
    None
    6656
    83.3%
    Diuretic
    27
    0.3%
    Angiotensin-converting-enzyme inhibitor
    4
    0.1%
    Angiotensin receptor blocker
    6
    0.1%
    Calcium channel blocker
    22
    0.3%
    Beta-blocker
    20
    0.3%
    40. Other Pre-specified Outcome
    Title Number of Participants Discontinuing Concomitant Cardiovascular Medications at 6 Months
    Description Presented by type of medication discontinued.
    Time Frame 6 Months

    Outcome Measure Data

    Analysis Population Description
    Evaluable participants (all participants in the ITT cohort with available data at given time point).
    Arm/Group Title All Enrolled Participants (ITT Cohort)
    Arm/Group Description Hypertensive participants (diabetics and non-diabetics, with or without isolated systemic hypertension and/or renal dysfunction) who were either naïve to trandolapril or on trandolapril within past 30 days. Trandolapril 0.5, 1.0, 2.0, or 4.0 mg, was prescribed as per usual care. Participants received at least one dose of trandolapril after enrollment.
    Measure Participants 5833
    None
    5607
    70.1%
    Diuretic
    24
    0.3%
    Angiotensin-converting-enzyme inhibitor
    4
    0.1%
    Angiotensin receptor blocker
    4
    0.1%
    Calcium channel blocker
    17
    0.2%
    Beta-blocker
    8
    0.1%
    41. Other Pre-specified Outcome
    Title Number of Participants Discontinuing Concomitant Cardiovascular Medications at 12 Months
    Description Presented by type of medication discontinued.
    Time Frame 12 Months

    Outcome Measure Data

    Analysis Population Description
    Evaluable participants (all participants in the ITT cohort with available data at given time point).
    Arm/Group Title All Enrolled Participants (ITT Cohort)
    Arm/Group Description Hypertensive participants (diabetics and non-diabetics, with or without isolated systemic hypertension and/or renal dysfunction) who were either naïve to trandolapril or on trandolapril within past 30 days. Trandolapril 0.5, 1.0, 2.0, or 4.0 mg, was prescribed as per usual care. Participants received at least one dose of trandolapril after enrollment.
    Measure Participants 4983
    None
    4823
    60.3%
    Diuretic
    25
    0.3%
    Angiotensin-converting-enzyme inhibitor
    2
    0%
    Angiotensin receptor blocker
    3
    0%
    Calcium channel blocker
    10
    0.1%
    Beta-blocker
    6
    0.1%
    42. Other Pre-specified Outcome
    Title Percentage of Diabetic and Renal Dysfunction Participants Achieving the Target of Blood Pressure (BP) <140/90 mm Hg at 3 Months
    Description Participants achieving the target of blood pressure <140/90 mm Hg were considered "controlled."
    Time Frame 3 Months

    Outcome Measure Data

    Analysis Population Description
    Evaluable participants (ITT participants in the Diabetic or Renal Dysfunction cohorts with BP measurement at given time point).
    Arm/Group Title Diabetic Cohort Renal Dysfunction Cohort
    Arm/Group Description The Diabetic cohort includes all hypertensive participants who were either naïve to trandolapril or on trandolapril within past 30 days for whom a diagnosis of diabetes was present at the Baseline visit. Trandolapril 0.5, 1.0, 2.0, or 4.0 mg, was prescribed as per usual care. Participants received at least one dose of trandolapril after enrollment. The Renal Dysfunction cohort includes all hypertensive participants who were either naïve to trandolapril or on trandolapril within past 30 days for whom a co-morbidity of "renal dysfunction" was recorded at the Baseline visit. Trandolapril 0.5, 1.0, 2.0, or 4.0 mg, was prescribed as per usual care. Participants received at least one dose of trandolapril after enrollment.
    Measure Participants 1605 172
    Number [percentage of participants]
    65.7
    0.8%
    66.3
    NaN
    43. Other Pre-specified Outcome
    Title Percentage of Diabetic and Renal Dysfunction Participants Achieving the Target of Blood Pressure (BP) <140/90 mm Hg at 6 Months
    Description Participants achieving the target of blood pressure <140/90 mm Hg were considered "controlled."
    Time Frame 6 Months

    Outcome Measure Data

    Analysis Population Description
    Evaluable participants (ITT participants in the Diabetic or Renal Dysfunction cohorts with blood pressure measurement at given time point).
    Arm/Group Title Diabetic Cohort Renal Dysfunction Cohort
    Arm/Group Description The Diabetic cohort includes all hypertensive participants who were either naïve to trandolapril or on trandolapril within past 30 days for whom a diagnosis of diabetes was present at the Baseline visit. Trandolapril 0.5, 1.0, 2.0, or 4.0 mg, was prescribed as per usual care. Participants received at least one dose of trandolapril after enrollment. The Renal Dysfunction cohort includes all hypertensive participants who were either naïve to trandolapril or on trandolapril within past 30 days for whom a co-morbidity of "renal dysfunction" was recorded at the Baseline visit. Trandolapril 0.5, 1.0, 2.0, or 4.0 mg, was prescribed as per usual care. Participants received at least one dose of trandolapril after enrollment.
    Measure Participants 1347 131
    Number [percentage of participants]
    74.1
    0.9%
    70.2
    NaN
    44. Other Pre-specified Outcome
    Title Percentage of Diabetic and Renal Dysfunction Participants Achieving the Target of Blood Pressure (BP) <140/90 mm Hg at 12 Months
    Description Participants achieving the target of blood pressure <140/90 mm Hg were considered "controlled."
    Time Frame 12 Months

    Outcome Measure Data

    Analysis Population Description
    Evaluable participants (ITT participants in the Diabetic or Renal Dysfunction cohorts with BP measurement at given time point).
    Arm/Group Title Diabetic Cohort Renal Dysfunction Cohort
    Arm/Group Description The Diabetic cohort includes all hypertensive participants who were either naïve to trandolapril or on trandolapril within past 30 days for whom a diagnosis of diabetes was present at the Baseline visit. Trandolapril 0.5, 1.0, 2.0, or 4.0 mg, was prescribed as per usual care. Participants received at least one dose of trandolapril after enrollment. The Renal Dysfunction cohort includes all hypertensive participants who were either naïve to trandolapril or on trandolapril within past 30 days for whom a co-morbidity of "renal dysfunction" was recorded at the Baseline visit. Trandolapril 0.5, 1.0, 2.0, or 4.0 mg, was prescribed as per usual care. Participants received at least one dose of trandolapril after enrollment.
    Measure Participants 1174 112
    Number [percentage of participants]
    79.2
    1%
    75.0
    NaN
    45. Secondary Outcome
    Title Percentage of Participants Reporting Defined Levels of Satisfaction With Current Therapy at Baseline Versus After 12 Months of Therapy
    Description Satisfaction with therapy at baseline (BL) versus 12 months, using a 5-point Likert scale where participants responded to the question "Are you satisfied with your current hypertension therapy?". The range of responses varied from "1 = not at all satisfied" to "5 = extremely satisfied." Responses "2" through "4" were not otherwise defined, but represented increments of more or less satisfaction with current therapy, respectively.
    Time Frame Day 0 (Baseline), 12 months

    Outcome Measure Data

    Analysis Population Description
    Subset of participants from the ITT cohort who answered the satisfaction questions at both the Baseline and 12-Month visits.
    Arm/Group Title All Enrolled Participants (ITT Cohort)
    Arm/Group Description Hypertensive participants (diabetics and non-diabetics, with or without isolated systemic hypertension and/or renal dysfunction) who were either naïve to trandolapril or on trandolapril within past 30 days. Trandolapril 0.5, 1.0, 2.0, or 4.0 mg, was prescribed as per usual care. Participants received at least one dose of trandolapril after enrollment.
    Measure Participants 4510
    Score=1 (at BL) / Score=1 (at 12 Months)
    0.62
    0%
    Score=1 (at BL) / Score=2 (at 12 Months)
    0.67
    0%
    Score=1 (at BL) / Score=3 (at 12 Months)
    2.33
    0%
    Score=1 (at BL) / Score=4 (at 12 Months)
    8.36
    0.1%
    Score=1 (at BL) / Score=5 (at 12 Months)
    15.63
    0.2%
    Score=2 (at BL) / Score=1 (at 12 Months)
    0.42
    0%
    Score=2 (at BL) / Score=2 (at 12 Months)
    1.82
    0%
    Score=2 (at BL) / Score=3 (at 12 Months)
    2.71
    0%
    Score=2 (at BL) / Score=4 (at 12 Months)
    9.84
    0.1%
    Score=2 (at BL) / Score=5 (at 12 Months)
    11.82
    0.1%
    Score=3 (at BL) / Score=1 (at 12 Months)
    0.53
    0%
    Score=3 (at BL) / Score=2 (at 12 Months)
    0.89
    0%
    Score=3 (at BL) / Score=3 (at 12 Months)
    3.90
    0%
    Score=3 (at BL) / Score=4 (at 12 Months)
    12.06
    0.2%
    Score=3 (at BL) / Score=5 (at 12 Months)
    13.86
    0.2%
    Score=4 (at BL) / Score=1 (at 12 Months)
    0.07
    0%
    Score=4 (at BL) / Score=2 (at 12 Months)
    0.09
    0%
    Score=4 (at BL) / Score=3 (at 12 Months)
    0.53
    0%
    Score=4 (at BL) / Score=4 (at 12 Months)
    4.12
    0.1%
    Score=4 (at BL) / Score=5 (at 12 Months)
    5.96
    0.1%
    Score=5 (at BL) / Score=1 (at 12 Months)
    0.07
    0%
    Score=5 (at BL) / Score=2 (at 12 Months)
    0.07
    0%
    Score=5 (at BL) / Score=3 (at 12 Months)
    0.29
    0%
    Score=5 (at BL) / Score=4 (at 12 Months)
    0.67
    0%
    Score=5 (at BL) / Score=5 (at 12 Months)
    2.68
    0%

    Adverse Events

    Time Frame Day 0 to Day 360
    Adverse Event Reporting Description
    Arm/Group Title All Enrolled Participants (ITT Cohort)
    Arm/Group Description Hypertensive participants (diabetics and non-diabetics, with or without isolated systemic hypertension and/or renal dysfunction) who were either naïve to trandolapril or on trandolapril within past 30 days. Trandolapril 0.5, 1.0, 2.0, or 4.0 mg, was prescribed as per usual care. Participants received at least one dose of trandolapril after enrollment.
    All Cause Mortality
    All Enrolled Participants (ITT Cohort)
    Affected / at Risk (%) # Events
    Total / (NaN)
    Serious Adverse Events
    All Enrolled Participants (ITT Cohort)
    Affected / at Risk (%) # Events
    Total 83/7993 (1%)
    Cardiac disorders
    myocardial infarction 8/7993 (0.1%)
    atrial fibrillation 5/7993 (0.1%)
    angina pectoris 4/7993 (0.1%)
    cardiac arrest 3/7993 (0%)
    cardiac failure 3/7993 (0%)
    cardiac failure congestive 3/7993 (0%)
    acute coronary syndrome 2/7993 (0%)
    cardiac disorder 2/7993 (0%)
    coronary artery disease 2/7993 (0%)
    coronary artery stenosis 2/7993 (0%)
    palpitations 2/7993 (0%)
    ventricular hypokinesis 1/7993 (0%)
    arteriosclerosis coronary artery 1/7993 (0%)
    atrioventricular block 1/7993 (0%)
    bradycardia 1/7993 (0%)
    cardiac tamponade 1/7993 (0%)
    cardiogenic shock 1/7993 (0%)
    cardio-respiratory arrest 1/7993 (0%)
    coronary artery occlusion 1/7993 (0%)
    coronary artery thrombosis 1/7993 (0%)
    left ventricular dysfunction 1/7993 (0%)
    left ventricular hypertrophy 1/7993 (0%)
    mitral valve disease 1/7993 (0%)
    mitral valve incompetence 1/7993 (0%)
    myocardial ischemia 1/7993 (0%)
    pericardial haemorrhage 1/7993 (0%)
    right ventricular dysfunction 1/7993 (0%)
    sick sinus syndrome 1/7993 (0%)
    supraventricular tachycardia 1/7993 (0%)
    torsade de pointes 1/7993 (0%)
    ventricular fibrillation 1/7993 (0%)
    Endocrine disorders
    hypothyroidism 1/7993 (0%)
    Eye disorders
    eye haemorrhage 1/7993 (0%)
    ocular vascular disorder 1/7993 (0%)
    visual acuity reduced 1/7993 (0%)
    Gastrointestinal disorders
    abdominal pain 2/7993 (0%)
    pancreatitis acute 2/7993 (0%)
    ascites 1/7993 (0%)
    colitis iscaemic 1/7993 (0%)
    gastric ulcer 1/7993 (0%)
    gastroesophageal reflux disease 1/7993 (0%)
    hiatus hernia 1/7993 (0%)
    lip swelling 1/7993 (0%)
    oedema mouth 1/7993 (0%)
    swollen tongue 1/7993 (0%)
    General disorders
    death 5/7993 (0.1%)
    chest pain 4/7993 (0.1%)
    asthenia 3/7993 (0%)
    fatigue 2/7993 (0%)
    oedema peripheral 2/7993 (0%)
    chest discomfort 1/7993 (0%)
    malaise 1/7993 (0%)
    terminal state 1/7993 (0%)
    Immune system disorders
    amyloidosis 1/7993 (0%)
    Infections and infestations
    pneumonia 3/7993 (0%)
    sepsis 3/7993 (0%)
    gangrene 1/7993 (0%)
    lung infection 1/7993 (0%)
    Injury, poisoning and procedural complications
    fall 4/7993 (0.1%)
    hip fracture 2/7993 (0%)
    post-procedural complication 2/7993 (0%)
    road traffic accident 2/7993 (0%)
    complications of transplanted liver 1/7993 (0%)
    femur fracture 1/7993 (0%)
    foot fracture 1/7993 (0%)
    injury 1/7993 (0%)
    lower limb fracture 1/7993 (0%)
    rib fracture 1/7993 (0%)
    Investigations
    weight decreased 2/7993 (0%)
    blood pressure decreased 1/7993 (0%)
    Metabolism and nutrition disorders
    diabetes mellitus 2/7993 (0%)
    hyponatraemia 1/7993 (0%)
    Musculoskeletal and connective tissue disorders
    pain in extremity 2/7993 (0%)
    lower extremity mass 1/7993 (0%)
    mobility decreased 1/7993 (0%)
    Neoplasms benign, malignant and unspecified (incl cysts and polyps)
    lung neoplasm malignant 3/7993 (0%)
    metastatic neoplasm 2/7993 (0%)
    breast cancer 2/7993 (0%)
    adenocarcinoma 1/7993 (0%)
    colon cancer 1/7993 (0%)
    endometrial cancer 1/7993 (0%)
    hepatic neoplasm 1/7993 (0%)
    lung cancer metastatic 1/7993 (0%)
    lung squamous cell carcinoma stage unspecified 1/7993 (0%)
    metastases to bone 1/7993 (0%)
    multiple myeloma 1/7993 (0%)
    neoplasm malignant 1/7993 (0%)
    pancreatic carcinoma 1/7993 (0%)
    Nervous system disorders
    cerebrovascular accident 5/7993 (0.1%)
    dizziness 3/7993 (0%)
    syncope 1/7993 (0%)
    carotid artery stenosis 1/7993 (0%)
    cerebral hematoma 1/7993 (0%)
    coma 1/7993 (0%)
    dementia 1/7993 (0%)
    loss of consciousness 1/7993 (0%)
    quadriplegia 1/7993 (0%)
    transient ischemic attack 1/7993 (0%)
    VIIth nerve paralysis 1/7993 (0%)
    Psychiatric disorders
    alcoholism 1/7993 (0%)
    completed suicide 1/7993 (0%)
    schizophrenia 1/7993 (0%)
    Renal and urinary disorders
    renal failure 2/7993 (0%)
    glomerulonephritis membranous 1/7993 (0%)
    oliguria 1/7993 (0%)
    proteinuria 1/7993 (0%)
    renal failure acute 1/7993 (0%)
    Reproductive system and breast disorders
    post-menopausal haemorrhage 1/7993 (0%)
    Respiratory, thoracic and mediastinal disorders
    dyspnoea 5/7993 (0.1%)
    cough 2/7993 (0%)
    respiratory failure 2/7993 (0%)
    chronic obstructive pulmonary disease 1/7993 (0%)
    dyspnoea exertional 1/7993 (0%)
    pneumothorax 1/7993 (0%)
    pulmonary embolism 1/7993 (0%)
    respiratory arrest 1/7993 (0%)
    Skin and subcutaneous tissue disorders
    angioedema 1/7993 (0%)
    Social circumstances
    homicide 1/7993 (0%)
    Surgical and medical procedures
    pericardial drainage 1/7993 (0%)
    aortic valve replacement 1/7993 (0%)
    cardiac pacemaker insertion 1/7993 (0%)
    hernia hiatus repair 1/7993 (0%)
    hospitalization 1/7993 (0%)
    knee arthroplasty 1/7993 (0%)
    rotator cuff repair 1/7993 (0%)
    Vascular disorders
    infarction 2/7993 (0%)
    aortic aneurysm 1/7993 (0%)
    arterial occlusive disease 1/7993 (0%)
    arteriosclerosis 1/7993 (0%)
    blood pressure inadequately controlled 1/7993 (0%)
    hypotension 1/7993 (0%)
    peripheral ischaemia 1/7993 (0%)
    peripheral vascular disease 1/7993 (0%)
    shock 1/7993 (0%)
    pulmonary oedema 3/7993 (0%)
    Other (Not Including Serious) Adverse Events
    All Enrolled Participants (ITT Cohort)
    Affected / at Risk (%) # Events
    Total 527/7993 (6.6%)
    Respiratory, thoracic and mediastinal disorders
    cough 527/7993 (6.6%)

    Limitations/Caveats

    [Not Specified]

    More Information

    Certain Agreements

    Principal Investigators are NOT employed by the organization sponsoring the study.

    Abbott requests that any investigator or institution that plans on presenting/publishing results disclosure, provide written notification of their request 60 days prior to their presentation/publication. Abbott requests that no presentation/publication will be instituted until 12 months after a study is completed, or after the first presentation/publication whichever occurs first. A delay may be proposed of a presentation/publication if Abbott needs to secure patent or proprietary protection.

    Results Point of Contact

    Name/Title Global Medical Services
    Organization Abbott
    Phone 800-633-9110
    Email
    Responsible Party:
    Abbott
    ClinicalTrials.gov Identifier:
    NCT01078584
    Other Study ID Numbers:
    • P10-665
    First Posted:
    Mar 2, 2010
    Last Update Posted:
    Oct 25, 2012
    Last Verified:
    Oct 1, 2012