<?xml version="1.0" encoding="utf-8"?>
<!DOCTYPE trials [
<!ELEMENT trials (trial+)>

<!ELEMENT trial (main,contacts,countries,criteria,health_condition_code,health_condition_keyword,intervention_code,
          intervention_keyword,primary_outcome,secondary_outcome,secondary_sponsor,secondary_ids,source_support,ethics_reviews)>

<!ELEMENT main (trial_id,utrn?,reg_name,date_registration,primary_sponsor,public_title,acronym?,scientific_title,scientific_acronym?,
          date_enrolment,type_enrolment,target_size,recruitment_status,url?,study_type,study_design,phase,hc_freetext?,i_freetext?,results_actual_enrolment,results_date_completed,results_url_link,results_summary,           results_date_posted,results_date_first_publication,results_baseline_char,results_participant_flow,results_adverse_events,results_outcome_measures,results_url_protocol,results_IPD_plan, results_IPD_description)>
<!ELEMENT trial_id (#PCDATA)>
<!ELEMENT utrn (#PCDATA)>
<!ELEMENT reg_name (#PCDATA)>
<!ELEMENT date_registration (#PCDATA)><!-- dd/mm/yyyy -->
<!ELEMENT primary_sponsor (#PCDATA)>
<!ELEMENT public_title (#PCDATA)>
<!ELEMENT acronym (#PCDATA)>
<!ELEMENT scientific_title (#PCDATA)>
<!ELEMENT scientific_acronym (#PCDATA)>
<!ELEMENT date_enrolment (#PCDATA)><!-- dd/mm/yyyy -->
<!ELEMENT type_enrolment (#PCDATA)>
<!ELEMENT target_size (#PCDATA)>
<!ELEMENT recruitment_status (#PCDATA)><!-- Pending,Recruiting,Suspended,Complete,Other -->
<!ELEMENT url (#PCDATA)>
<!ELEMENT study_type (#PCDATA)><!-- interventional,observational -->
<!ELEMENT study_design (#PCDATA)>
<!ELEMENT phase (#PCDATA)>
<!ELEMENT hc_freetext (#PCDATA)>
<!ELEMENT i_freetext (#PCDATA)>
<!ELEMENT results_actual_enrolment (#PCDATA)>
<!ELEMENT results_date_completed (#PCDATA)><!-- dd/mm/yyyy -->
<!ELEMENT results_url_link (#PCDATA)>
<!ELEMENT results_summary (#PCDATA)>
<!ELEMENT results_date_posted (#PCDATA)><!-- dd/mm/yyyy -->
<!ELEMENT results_date_first_publication (#PCDATA)><!-- dd/mm/yyyy -->
<!ELEMENT results_baseline_char (#PCDATA)>
<!ELEMENT results_participant_flow (#PCDATA)>
<!ELEMENT results_adverse_events (#PCDATA)>
<!ELEMENT results_outcome_measures (#PCDATA)>
<!ELEMENT results_url_protocol (#PCDATA)>
<!ELEMENT results_IPD_plan (#PCDATA)>
<!ELEMENT results_IPD_description (#PCDATA)>


<!ELEMENT contacts (contact+)>
<!ELEMENT contact (type,firstname,middlename,lastname,address,city,country1,zip,telephone,email,affiliation)>
<!ELEMENT type (#PCDATA)><!-- Public,Scientific -->
<!ELEMENT firstname (#PCDATA)>
<!ELEMENT middlename (#PCDATA)>
<!ELEMENT lastname (#PCDATA)>
<!ELEMENT address (#PCDATA)>
<!ELEMENT city (#PCDATA)>
<!ELEMENT country1 (#PCDATA)>
<!ELEMENT zip (#PCDATA)>
<!ELEMENT telephone (#PCDATA)>
<!ELEMENT email (#PCDATA)>
<!ELEMENT affiliation (#PCDATA)>

<!ELEMENT countries (country2+)>
<!ELEMENT country2 (#PCDATA)>

<!ELEMENT criteria (inclusion_criteria,agemin,agemax,gender,exclusion_criteria)>
<!ELEMENT inclusion_criteria (#PCDATA)>
<!ELEMENT agemin (#PCDATA)>
<!ELEMENT agemax (#PCDATA)>
<!ELEMENT gender (#PCDATA)>
<!ELEMENT exclusion_criteria (#PCDATA)>

<!ELEMENT health_condition_code (hc_code+)>
<!ELEMENT hc_code (#PCDATA)>

<!ELEMENT health_condition_keyword (hc_keyword+)>
<!ELEMENT hc_keyword (#PCDATA)>

<!ELEMENT intervention_code (i_code+)>
<!ELEMENT i_code (#PCDATA)>

<!ELEMENT intervention_keyword (i_keyword+)>
<!ELEMENT i_keyword (#PCDATA)>

<!ELEMENT primary_outcome (prim_outcome+)>
<!ELEMENT prim_outcome (#PCDATA)>

<!ELEMENT secondary_outcome (sec_outcome+)>
<!ELEMENT sec_outcome (#PCDATA)>

<!ELEMENT secondary_sponsor (sponsor_name+)>
<!ELEMENT sponsor_name (#PCDATA)>

<!ELEMENT secondary_ids (secondary_id+)>
<!ELEMENT secondary_id (sec_id,issuing_authority)>
<!ELEMENT sec_id (#PCDATA)>
<!ELEMENT issuing_authority (#PCDATA)>

<!ELEMENT source_support (source_name+)>
<!ELEMENT source_name (#PCDATA)>

<!ELEMENT ethics_reviews (ethics_review+)>
<!ELEMENT ethics_review (status,approval_date,contact_name,contact_address,contact_phone,contact_email)>
<!ELEMENT status (#PCDATA)><!-- Not approved,Approved,NA -->
<!ELEMENT approval_date (#PCDATA)><!-- dd/mm/yyyy -->
<!ELEMENT contact_name (#PCDATA)>
<!ELEMENT contact_address (#PCDATA)>
<!ELEMENT contact_phone (#PCDATA)>
<!ELEMENT contact_email (#PCDATA)>
]>
<trials>
  <trial>
    <main>
      <trial_id>IRCT20221016056199N1</trial_id>
      <utrn></utrn>
      <reg_name>IRCT</reg_name>
      <date_registration>2022-12-11</date_registration>
      <primary_sponsor>Shiraz University of Medical Sciences</primary_sponsor>
      <public_title>The effect of Valsartan and Amlodipine combination with two different forms in controlling 24-hour ambulatory blood presure</public_title>
      <acronym></acronym>
      <scientific_title>Comparison of the effect of Valsartan 80mg and Amlodipine 5mg as combination fix dose therapy and combination free drug therapy in controlling  24-hour ambulatory blood pressure</scientific_title>
      <scientific_acronym></scientific_acronym>
      <date_enrolment>2022-12-22</date_enrolment>
      <type_enrolment>anticipated</type_enrolment>
      <target_size>136</target_size>
      <recruitment_status>Complete</recruitment_status>
      <url>https://irct.ir/trial/66367</url>
      <study_type>interventional</study_type>
      <study_design>Randomization: Randomized, Blinding: Double blinded, Placebo: Not used, Assignment: Parallel, Purpose: Treatment, Randomization description: Randomization in this study was performed using permutation block randomization method (with block size=4). Patients will be assigned to each groups according to random list obtained by computer and randomization.com site. An assistant will include eligible patients to each groups (group A and B) according to random list and will divide Patients randomly into two groups of 68 using random list. The assistant is a different  person from researchers and physicians involved in this study. Researchers and physicians are not aware of patients grouping and this allocation will not be evident to the conductors and study analyzers until the end of the study, Blinding description: Physicians, staff and those who analyze and evaluate the study results will not be aware of the patient grouping. To achieve blinding, patients will be divided into groups A and B with the mentioned randomization method but this allocation will not be evident to the conductors and study analyzers until the end of the study. Moreover, those who will collect holter data and those who will analyze and evaluate the data will not be aware of the patients grouping.</study_design>
      <phase>3</phase>
      <hc_freetext>Essential Hypertension.</hc_freetext>
      <i_freetext>Intervention 1: Intervention group 1: In this group, 68 patients randomly undergo 24-hour ambulatory blood pressure monitoring with blood pressure holter and then combination fix dose of Valsartan 80mg and amlodipine 5mg (single pill) (Valzomix from Abidi pharmaceutical company) will be used per oral daily for 2 months and after that patients undergo another 24-hour ambulatory blood pressure monitoring with blood pressure holter. The patients who were not known cases of hypertension and their high blood pressure were diagnosed in routine check ups will enter the study according to inclusion and exclusion criteria. Their 24-hour blood pressure will be measured by blood pressure holter and then fix dose combination of Valsartan 80mg and amlodipine 5mg once daily will be started for them. 72 hours later and also a month later patients will be asked and monitored whether any side effects has happened and whether they are consuming medication in a right way. After 2 months patients' 24-hour blood pressure will be measured again by  blood pressure holter. Intervention 2: Intervention group 2: In this group, 68 patients randomly undergo 24-hour ambulatory blood pressure monitoring with blood pressure holter and then free drug combinations of Valsartan 80mg (Valsacor from Actoverco company) and amlodipine 5mg (Amlober from Actoverco company) (multi pill) will be used per oral daily for 2 months and after that patients undergo another 24-hour ambulatory blood pressure monitoring with blood pressure holter. The patients who were not known cases of hypertension and their high blood pressure were diagnosed in routine check ups will enter the study according to inclusion and exclusion criteria. Their 24-hour blood presuure will be measured by blood pressure holter and then free drug combination of Valsartan 80mg and amlodipine 5mg once daily will be started for them. 72 hours later and also a month later patients will be asked and monitored whether any side effects has happened and whether they are consuming medication in a right way. After 2 months patients' 24-hour blood pressure will be measured again by  blood pressure holter.</i_freetext>
      <results_actual_enrolment></results_actual_enrolment>
      <results_date_completed></results_date_completed>
      <results_url_link></results_url_link>
      <results_summary></results_summary>
      <results_date_posted></results_date_posted>
      <results_date_first_publication></results_date_first_publication>
      <results_baseline_char></results_baseline_char>
      <results_participant_flow></results_participant_flow>
      <results_adverse_events></results_adverse_events>
      <results_outcome_measures></results_outcome_measures>
      <results_url_protocol></results_url_protocol>
      <results_IPD_plan>No - There is not a plan to make this available</results_IPD_plan>
      <results_IPD_description>Justification or reason for not sharing IPD is Due to confidentiality of patients' information</results_IPD_description>
    </main>
    <contacts>
      <contact>
        <type>public</type>
        <firstname>Kimia Falamarzi</firstname>
        <middlename></middlename>
        <lastname></lastname>
        <address>No. 214, 8th Ave, Daneshgah blvd</address>
        <city>Shiraz</city>
        <country1>Iran (Islamic Republic of)</country1>
        <zip>7194677476</zip>
        <telephone>+98 71 3646 3245</telephone>
        <email>kimiafalamarzi@yahoo.com</email>
        <affiliation>Shiraz University of Medical Sciences</affiliation>
      </contact>
      <contact>
        <type>scientific</type>
        <firstname>Javad Kojuri</firstname>
        <middlename></middlename>
        <lastname></lastname>
        <address>Cardiology department, Alzahra Heart Hospital, Sibooye Blvd</address>
        <city>Shiraz</city>
        <country1>Iran (Islamic Republic of)</country1>
        <zip>-</zip>
        <telephone>+98 71 3735 5093</telephone>
        <email>kojurij@yahoo.com</email>
        <affiliation>Shiraz University of Medical Sciences</affiliation>
      </contact>
    </contacts>
    <countries>
      <country2>Iran (Islamic Republic of)</country2>
    </countries>
    <criteria>
      <inclusion_criteria>New case of hypertension
stage 1 or 2 hypertension</inclusion_criteria>
      <agemin>35 years</agemin>
      <agemax>70 years</agemax>
      <gender>Both</gender>
      <exclusion_criteria>Severe hypertension
Secondary hypertension
Positive history of ischemic heart disease
Patients on anti-hypertensive drugs beforehand
Patients who are not volunteered</exclusion_criteria>
    </criteria>
    <health_condition_code>
      <hc_code>I10</hc_code>
    </health_condition_code>
    <health_condition_keyword>
      <hc_keyword>Essential (primary) hypertension</hc_keyword>
    </health_condition_keyword>
    <intervention_code>
      <i_code>Treatment - Drugs</i_code>
      <i_code>Treatment - Drugs</i_code>
    </intervention_code>
    <intervention_keyword>
      <i_keyword>Intervention group 1: In this group, 68 patients randomly undergo 24-hour ambulatory blood pressure monitoring with blood pressure holter and then combination fix dose of Valsartan 80mg and amlodipine 5mg (single pill) (Valzomix from Abidi pharmaceutical company) will be used per oral daily for 2 months and after that patients undergo another 24-hour ambulatory blood pressure monitoring with blood pressure holter. The patients who were not known cases of hypertension and their high blood pressure were diagnosed in routine check ups will enter the study according to inclusion and exclusion criteria. Their 24-hour blood pressure will be measured by blood pressure holter and then fix dose combination of Valsartan 80mg and amlodipine 5mg once daily will be started for them. 72 hours later and also a month later patients will be asked and monitored whether any side effects has happened and whether they are consuming medication in a right way. After 2 months patients' 24-hour blood pressure will be measured again by  blood pressure holter.</i_keyword>
      <i_keyword>Intervention group 2: In this group, 68 patients randomly undergo 24-hour ambulatory blood pressure monitoring with blood pressure holter and then free drug combinations of Valsartan 80mg (Valsacor from Actoverco company) and amlodipine 5mg (Amlober from Actoverco company) (multi pill) will be used per oral daily for 2 months and after that patients undergo another 24-hour ambulatory blood pressure monitoring with blood pressure holter. The patients who were not known cases of hypertension and their high blood pressure were diagnosed in routine check ups will enter the study according to inclusion and exclusion criteria. Their 24-hour blood presuure will be measured by blood pressure holter and then free drug combination of Valsartan 80mg and amlodipine 5mg once daily will be started for them. 72 hours later and also a month later patients will be asked and monitored whether any side effects has happened and whether they are consuming medication in a right way. After 2 months patients' 24-hour blood pressure will be measured again by  blood pressure holter.</i_keyword>
    </intervention_keyword>
    <primary_outcome>
      <prim_outcome>Average 24-hour systolic and diastolic blood pressure. Timepoint: At the beginning of the study and 60 days after starting treatment. Method of measurement: Holter monitoring of blood pressure.</prim_outcome>
      <prim_outcome>Mean arterial pressure. Timepoint: At the beginning of the study and 60 days after starting treatment. Method of measurement: Holter monitoring of blood pressure.</prim_outcome>
    </primary_outcome>
    <secondary_outcome>
      <sec_outcome>Average daytime systolic and diastolic blood pressure. Timepoint: At the beginning of the study and 60 days after starting treatment. Method of measurement: Holter monitoring of blood pressure.</sec_outcome>
      <sec_outcome>Average nighttime systolic and diastolic blood pressure. Timepoint: At the beginning of the study and 60 days after starting treatment. Method of measurement: Holter monitoring of blood pressure.</sec_outcome>
    </secondary_outcome>
    <secondary_sponsor>
      <sponsor_name></sponsor_name>
    </secondary_sponsor>
    <secondary_ids>
      <secondary_id>
        <sec_id></sec_id>
        <issuing_authority></issuing_authority>
      </secondary_id>
    </secondary_ids>
    <source_support>
      <source_name>Professor Kojuri heart clinic</source_name>
    </source_support>
    <ethics_reviews>
      <ethics_review>
        <status>Approved</status>
        <approval_date>2021-12-21</approval_date>
        <contact_name>Ethics committee of Shiraz University of Medical Sciences</contact_name>
        <contact_address>Shiraz university of medical sciences, school of medicine, Emam Hossein Square, Zand Blvd Shiraz Fars Iran (Islamic Republic of)</contact_address>
        <contact_phone></contact_phone>
        <contact_email></contact_email>
      </ethics_review>
    </ethics_reviews>
  </trial>
</trials>
