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Atacand Dose Ranging in Hypertensive Pediatric Subjects 1 Year to Less Than 6 Years of Age
This study has been completed.
Study NCT00244621   Information provided by AstraZeneca
First Received: October 25, 2005   Last Updated: August 7, 2009   History of Changes
Study Type: Interventional
Study Design: Randomized, Double Blind (Subject, Caregiver, Investigator), Dose Comparison, Parallel Assignment
Condition: Hypertension
Intervention: Drug: candesartan cilexetil (Atacand)

  Participant Flow
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Recruitment Details
Key information relevant to the recruitment process for the overall study, such as dates of the recruitment period and locations
The study population included male and female participants 1 to <6 years of age with mild to moderate hypertension. The participants were recruited during the time period from 04 November 2004 to 07 August 2008 at pediatric clinics in the USA, Puerto Rico and Europe.

Pre-Assignment Details
Significant events and approaches for the overall study following participant enrollment, but prior to group assignment
One to 2 weeks following a screening evaluation, participants underwent a 1-week, single-blind, placebo run-in period to reduce the variability in the baseline blood pressure measurements and to stabilize any concurrent antihypertensive medications.

Reporting Groups
  Description
Atacand .05 mg candesartan cilexetil (Atacand) 0.05 mg/kg once daily oral liquid dose
Atacand .20 mg candesartan cilexetil (Atacand) 0.20 mg/kg once daily oral liquid dose
Atacand .40 mg candesartan cilexetil (Atacand) 0.40 mg/kg once daily oral liquid dose

Participant Flow for 2 periods

Period:   Double-blind Treatment Period
  Atacand .05 mg Atacand .20 mg Atacand .40 mg
STARTED   29     32     32  
COMPLETED   27     29     30  
NOT COMPLETED   2     3     2  
      Lost to Follow-up               0                 0                 1  
      Withdrawal by Subject               0                 1                 0  
      Lack of Efficacy               0                 1                 0  
      Multiple Reasons               2                 1                 1  

Period:   Open-label Treatment Period
  Atacand .05 mg Atacand .20 mg Atacand .40 mg
STARTED   26[1]   29     30  
COMPLETED   25     28     28  
NOT COMPLETED   1     1     2  
      Lost to Follow-up               0                 1                 0  
      Withdrawal by Subject               1                 0                 0  
      Lack of Efficacy               0                 0                 0  
      Adverse Event               0                 0                 1  
      Moved abroad               0                 0                 1  
[1] One participant discontinued study due to Adverse Event after completing the double-blind period.



  Baseline Characteristics
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Reporting Groups
  Description
Atacand .05 mg candesartan cilexetil (Atacand) 0.05 mg/kg once daily oral liquid dose
Atacand .20 mg candesartan cilexetil (Atacand) 0.20 mg/kg once daily oral liquid dose
Atacand .40 mg candesartan cilexetil (Atacand) 0.40 mg/kg once daily oral liquid dose

Baseline Measures
  Atacand .05 mg Atacand .20 mg Atacand .40 mg Total
Number of Participants  
[units: participants]
29 32 32 93
Age, Customized  
[units: Participants]
       
1 to <2 years 6 5 5 16
2 to <6 years 23 27 27 77
Gender  
[units: Participants]
       
Female 11 10 12 33
Male 18 22 20 60



  Outcome Measures
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1.  Primary:   Mean Change From Baseline to Week 4 in Systolic Blood Pressure (SBP)   [ From randomisation to end of double-blind treatment (4 weeks) ]

2.  Secondary:   Mean Change From Baseline to Week 4 in Diastolic Blood Pressure (DBP)   [ From randomisation to end of double-blind treatment (4 weeks) ]

3.  Secondary:   Change in Albumin/Creatinine (A/C) Ratio for Each Assigned Dose Level From Baseline to Day 28   [ From randomisation to day 28 ]

4.  Secondary:   Change in Protein/Creatinine (P/C) Ratio for Each Assigned Dose Level From Baseline to Day 28   [ From randomisation to day 28 ]


  Serious Adverse Events
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  Other Adverse Events
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  More Information
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