RecruitingPhase 4NCT04974151

China Stroke Primary Prevention Trial 2 for Participants With Hypertension and MTHFR 677 TT Genotype

Comparative Efficacy of Amlodipine Folic Acid vs. Amlodipine on the Risk of First Ischemic Stroke Among Participants With Hypertension and MTHFR 677 TT Genotype: A Multi-center, Randomized, Double-blind, Triple-dummy, Controlled Clinical Trial


Sponsor

Shenzhen Ausa Pharmed Co.,Ltd

Enrollment

24,000 participants

Start Date

Aug 22, 2024

Study Type

INTERVENTIONAL

Conditions

Summary

This is a multi-center, randomized, double-blind, triple-dummy, controlled trial in 24,000 Chinese men and women with hypertension and MTHFR 677 TT genotype. The study participants will be randomized to one of the three treatment groups: Group A: amlodipine tablet (5mg), taken orally, once daily, serving as active comparator. Group B: amlodipine folic acid 5.8mg tablet (5mg amlodipine and 0.8mg folic acid), taken orally, once daily. Group C: amlodipine folic acid 5.8mg tablet plus 5-methyltetrahydrofolate (5-MTHF, 0.4mg), taken orally, once daily. The primary endpoint is first ischemic stroke.


Eligibility

Min Age: 45 YearsMax Age: 74 Years

Plain Language Summary

Simplified for easier understanding

This trial is studying whether taking folic acid supplements alongside blood pressure medication can help prevent stroke in people with a specific genetic variation (MTHFR 677 TT type) that makes it harder for the body to use folate properly. You may be eligible if: you are between 45 and 74 years old; you have diagnosed high blood pressure and are being treated for it; you have the MTHFR 677 TT gene type; and you have given your voluntary informed consent. You may NOT be eligible if: you have a history of stroke, heart attack, heart failure, irregular heart rhythm, or severe kidney disease; you have serious liver, digestive, or respiratory problems; you have taken folic acid supplements in the past 3 months; or you are pregnant or breastfeeding. Talk to your doctor to see if this trial is right for you.

This summary was AI-generated to explain the trial in plain language. It is not medical advice. Always discuss eligibility with your doctor before enrolling in a clinical trial.

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Interventions

DRUGAmlodipine besylate

The amlodipine used in this study is a listed product.

DRUGAmlodipine besylate And Folic Acid

The amlodipine besylate and folic acid tablets have been approved for listing by the China Food and Drug Administration, approval number: Zhunzi H20180020.

DRUG5-methyltetrahydrofolate (5-MTHF)

The 5-MTHF used in this study is a listed product.

DRUGAmlodipine placebo

Amlodipine placebos are dummy pills of amlodipine with identical appearance.

DRUGAmlodipine folic acid placebo

Amlodipine folic acid placebos are dummy pills of amlodipine folic acid with identical appearance.

DRUG5-MTHF Placebos

5-MTHF placebos are the dummy pills of 5-MTHF with identical appearance.


Locations(20)

First Affillated Hospital of Bengbu Medical University

Bengbu, Anhui, China

Bozhou People's Hospital

Bozhou, Anhui, China

Chizhou People's Hospital

Chizhou, Anhui, China

Taihe County People's Hospital

Fuyang, Anhui, China

Peking University First Hospital

Beijing, Beijing Municipality, China

Yangjiang People's Hospital

Yangjiang, Guangdong, China

The Affiliated Hospital of Guizhou Medical University

Guiyang, Guizhou, China

The First Affiliated Hospital of Hunan University of Medicine

Huaihua, Hunan, China

Loudi Central Hospital

Loudi, Hunan, China

Lianyungang Oriental Hospital

Lianyungang, Jiangsu, China

The First People's Hospital of Lianyungang

Lianyungang, Jiangsu, China

The Second People's Hospital of Lianyungang

Lianyungang, Jiangsu, China

Yancheng First People's Hospital

Yancheng, Jiangsu, China

The First Affiliated Hospital of Gannan Medical University

Ganzhou, Jiangxi, China

Second Affiliated Hospital of Nanchang University

Nanchang, Jiangxi, China

Weinan Central Hospital

Weinan, Shaanxi, China

Tengzhou Central People's Hospital

Zaozhuang, Shandong, China

Chengdu Fifth People's Hospital

Chengdu, Sichuan, China

Deyang People's Hospital

Deyang, Sichuan, China

The Affiliated Hospital of Southwest Medical University

Luzhou, Sichuan, China

View Full Details on ClinicalTrials.gov

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NCT04974151


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