Actively Recruiting

Phase 4
Age: 45Years - 74Years
All Genders
NCT04974151

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

Led by Shenzhen Ausa Pharmed Co.,Ltd · Updated on 2025-02-26

24000

Participants Needed

20

Research Sites

253 weeks

Total Duration

On this page

Sponsors

S

Shenzhen Ausa Pharmed Co.,Ltd

Lead Sponsor

P

Peking University First Hospital

Collaborating Sponsor

AI-Summary

What this Trial Is About

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.

CONDITIONS

Official Title

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

Who Can Participate

Age: 45Years - 74Years
All Genders

Eligibility Criteria

Eligible

You may qualify if you...

  • Men and women aged 45 to less than 75 years
  • Diagnosed with primary hypertension and treated with antihypertensive medication in the past two weeks, or untreated but with blood pressure readings of SBP 6140 mmHg and/or DBP 690 mmHg at two separate visits
  • Confirmed MTHFR 677 TT genotype by central lab test or official previous report
  • Voluntarily consented to participate
  • Good compliance and tolerance to amlodipine during run-in period
  • No stroke or cardiovascular events during run-in period
  • Willingness to continue study participation
Not Eligible

You will not qualify if you...

  • Diagnosed with secondary hypertension
  • History of stroke, myocardial infarction, heart failure, or atrial fibrillation
  • Previous cardio-cerebral-kidney revascularization or large arterial stent
  • Currently on dialysis or diagnosed with stage 4-5 chronic kidney disease (eGFR <30 mL/min/1.73m8)
  • Congenital or acquired organic heart disease, including aortic stenosis
  • Active viral hepatitis or severe liver dysfunction
  • History of subtotal gastrectomy or gastrojejunostomy
  • Pulmonary heart disease
  • Malignant tumors or other severe diseases
  • Long-term gastrointestinal symptoms such as anorexia, nausea, or bloating
  • Vitamin B12 deficiency or related diseases
  • Unsuitable for study based on abnormal labs or clinical conditions
  • Significant intolerance to amlodipine, valsartan, indapamide, metoprolol, or folate-containing products
  • Regular folic acid or vitamin B compound use in the past 3 months
  • Dementia, severe mental disorders, inability to consent
  • Unlikely to complete follow-up or plans to move away
  • Poor compliance history with antihypertensive medications
  • Refusal to participate or inability to change current drug regimen
  • Pregnant or breastfeeding women, or unwilling/unable to use contraception
  • Participation in another clinical trial of unapproved or investigational drugs within one month prior to first visit

AI-Screening

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Trial Site Locations

Total: 20 locations

1

First Affillated Hospital of Bengbu Medical University

Bengbu, Anhui, China, 233004

Not Yet Recruiting

2

Bozhou People's Hospital

Bozhou, Anhui, China

Not Yet Recruiting

3

Chizhou People's Hospital

Chizhou, Anhui, China

Not Yet Recruiting

4

Taihe County People's Hospital

Fuyang, Anhui, China

Not Yet Recruiting

5

Peking University First Hospital

Beijing, Beijing Municipality, China

Not Yet Recruiting

6

Yangjiang People's Hospital

Yangjiang, Guangdong, China

Not Yet Recruiting

7

The Affiliated Hospital of Guizhou Medical University

Guiyang, Guizhou, China

Not Yet Recruiting

8

The First Affiliated Hospital of Hunan University of Medicine

Huaihua, Hunan, China

Not Yet Recruiting

9

Loudi Central Hospital

Loudi, Hunan, China

Not Yet Recruiting

10

Lianyungang Oriental Hospital

Lianyungang, Jiangsu, China, 222042

Actively Recruiting

11

The First People's Hospital of Lianyungang

Lianyungang, Jiangsu, China

Not Yet Recruiting

12

The Second People's Hospital of Lianyungang

Lianyungang, Jiangsu, China

Not Yet Recruiting

13

Yancheng First People's Hospital

Yancheng, Jiangsu, China

Not Yet Recruiting

14

The First Affiliated Hospital of Gannan Medical University

Ganzhou, Jiangxi, China

Not Yet Recruiting

15

Second Affiliated Hospital of Nanchang University

Nanchang, Jiangxi, China

Not Yet Recruiting

16

Weinan Central Hospital

Weinan, Shaanxi, China

Not Yet Recruiting

17

Tengzhou Central People's Hospital

Zaozhuang, Shandong, China, 277599

Not Yet Recruiting

18

Chengdu Fifth People's Hospital

Chengdu, Sichuan, China

Not Yet Recruiting

19

Deyang People's Hospital

Deyang, Sichuan, China

Not Yet Recruiting

20

The Affiliated Hospital of Southwest Medical University

Luzhou, Sichuan, China

Not Yet Recruiting

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Research Team

M

Minqing Tian, PhD

CONTACT

How is the study designed?

Study Type

INTERVENTIONAL

Masking

QUADRUPLE

Allocation

RANDOMIZED

Model

PARALLEL

Primary Purpose

TREATMENT

Number of Arms

3

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