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Study of Losartan in Pediatric Patients With Hypertension
This study is currently recruiting participants.
Verified by Merck, January 2010
First Received: September 18, 2008   Last Updated: January 27, 2010   History of Changes
Sponsor: Merck
Information provided by: Merck
ClinicalTrials.gov Identifier: NCT00756938
  Purpose

This study will explore the dose-response of losartan as well as the safety and tolerability in children 6 months to 6 years.


Condition Intervention Phase
Hypertension
Drug: Losartan 0.1 mg/kg/day titrating to a maximum dose of 1.4 mg/kg/day (not to exceed 100 mg/day) if blood pressure not at goal
Drug: Losartan 0.3 mg/kg/day titrating to a maximum dose of 1.4 mg/kg/day (not to exceed 100 mg/day) if blood pressure not at goal
Drug: Losartan 0.7 mg/kg/day titrating to a maximum dose of 1.4 mg/kg/day (not to exceed 100 mg/day) if blood pressure not at goal
Phase III

Study Type: Interventional
Study Design: Treatment, Randomized, Open Label, Dose Comparison, Parallel Assignment, Safety/Efficacy Study
Official Title: A Phase III, Randomized, Open-Label, Parallel-Group, Dose-Ranging Clinical Trial to Study the Safety and Efficacy of MK954/Losartan Potassium in Pediatric Patients With Hypertension

Resource links provided by NLM:


Further study details as provided by Merck:

Primary Outcome Measures:
  • To define a dose-response relationship for losartan in hypertensive children ages 6 months to 6 years specifically the change from baseline in systolic blood pressure. [ Time Frame: After 12 weeks of treatment ] [ Designated as safety issue: Yes ]

Secondary Outcome Measures:
  • To investigate the safety and tolerability of losartan in hypertensive children ages 6 months to 6 years. Safety will be primarily measured by the number of patients with adverse experiences during the 12-week base study and extension. [ Time Frame: After 21 day treatment period ] [ Designated as safety issue: No ]

Estimated Enrollment: 100
Study Start Date: March 2009
Estimated Study Completion Date: December 2010
Estimated Primary Completion Date: December 2010 (Final data collection date for primary outcome measure)
Arms Assigned Interventions
1: Experimental
Losartan
Drug: Losartan 0.1 mg/kg/day titrating to a maximum dose of 1.4 mg/kg/day (not to exceed 100 mg/day) if blood pressure not at goal
Arm 1: starting dose is 0.1 mg/kg/day. Titrate dose at Week 3 to 0.3 mg/kg/day. At Week 6 titrate dose to 0.7 mg/kg/day. At week 9 titrate dose to 1.4 mg/kg/day. Treatment period is 12 weeks.
2: Experimental
Losartan
Drug: Losartan 0.3 mg/kg/day titrating to a maximum dose of 1.4 mg/kg/day (not to exceed 100 mg/day) if blood pressure not at goal
Arm 2: starting dose of losartan is 0.3 mg/kg/day. At week 3 titrate dose to 0.7 mg/kg/day. At week 6 titrate dose to 1.4 mg/kg/day and will continue with dose until end of treatment. Treatment period is 12 weeks.
3: Experimental
Losartan
Drug: Losartan 0.7 mg/kg/day titrating to a maximum dose of 1.4 mg/kg/day (not to exceed 100 mg/day) if blood pressure not at goal
Arm 3: Starting dose of Losartan is 0.7 mg/kg/day. At week 3 titrate dose to 1.4 mg/kg/day and continue on dose until end of treatment. Treatment period is 12 weeks.

  Eligibility

Ages Eligible for Study:   6 Months to 6 Years
Genders Eligible for Study:   Both
Accepts Healthy Volunteers:   No
Criteria

Inclusion Criteria:

  • Patient is male or female 6 months to 6 years of age
  • Patient is determined to be hypertensive

Exclusion Criteria:

  • Patient has a history of severe or symptomatic hypertension
  • Patient has history of heart failure, rhythm disturbance or cardiomyopathy, or obstructive valvular disease
  • Patient has started taking hypertensive medications within the past 30 days
  • Patient has a known sensitivity to losartan or history of angioneurotic edema
  Contacts and Locations
Please refer to this study by its ClinicalTrials.gov identifier: NCT00756938

Contacts
Contact: Toll Free Number 1-888-577-8839

Locations
United States, California
Call for Information Recruiting
San Francisco, California, United States, 94143
United States, North Carolina
Call for Information Recruiting
Charlotte, North Carolina, United States, 28203
Sponsors and Collaborators
Merck
Investigators
Study Director: Medical Monitor Merck
  More Information

Additional Information:
No publications provided

Responsible Party: Merck Sharp & Dohme Corp ( Executive Vice President, Clinical and Quantitative Sciences )
Study ID Numbers: 2008_545, MK0954-337
Study First Received: September 18, 2008
Last Updated: January 27, 2010
ClinicalTrials.gov Identifier: NCT00756938     History of Changes
Health Authority: United States: Food and Drug Administration

Additional relevant MeSH terms:
Angiotensin II Type 1 Receptor Blockers
Losartan
Molecular Mechanisms of Pharmacological Action
Therapeutic Uses
Vascular Diseases
Cardiovascular Diseases
Cardiovascular Agents
Anti-Arrhythmia Agents
Antihypertensive Agents
Pharmacologic Actions
Hypertension

ClinicalTrials.gov processed this record on February 09, 2010