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ONgoing Telmisartan Alone or in combination with Ramipril Global Endpoint Trial
ISRCTN ISRCTN16228603
ClinicalTrials.gov identifier NCT00153101
Public title ONgoing Telmisartan Alone or in combination with Ramipril Global Endpoint Trial
Scientific title
Acronym ONTARGET
Serial number at source N/A
Study hypothesis To determine if:
1. Telmisartan (Micardis) 80 mg daily and Ramipril (Delix protect) 10 mg daily combination therapy is more effective in reducing the composite endpoint of Cardiovascular (CV) death, Myocardial Infarction (MI), stroke or hospitalisation for Congestive Heart Failure (CHF) compared with Ramipril 10 mg alone; and
2. Telmisartan 80 mg daily is at least as effective as (i.e. not less effective than) Ramipril 10 mg daily

A parallel trial "Telmisartan Randomised Assessment Study in Ace Intolerant Subjects with Cardiovascular Disease (TRANSCEND)" is registered with ISRCTN75807641.
Lay summary
Ethics approval Not provided at time of registration
Study design Prevention, randomised, double-blind, active controlled, parallel assignment
Countries of recruitment International
Disease/condition/study domain Congestive heart failure
Participants - inclusion criteria 1. Adults greater than or equal to 55 years
2. With a history of symptomatic coronary artery disease, cerebrovascular disease, peripheral vascular disease, or diabetes mellitus
3. Coronary Artery Disease: previous MI (greater than 2 days prior to informed consent), or stable or previous unstable angina (greater than 30 days prior to informed consent) with documented multivessel coronary artery disease or a positive stress test, or multivessel Percutaneous Transluminal Coronary Angioplasty (PTCA) (greater than 30 days prior to informed consent), or previous multivessel Coronary Artery Bypass Graft (CABG) without angina (if surgery performed greater than 4 years prior to informed consent) or with recurrent angina after surgery
4. No definite and specific indication or contraindication for any of the study treatments
5. Written informed consent

Other High Risk:
6. Peripheral Arterial Disease: previous limb bypass surgery or angioplasty or amputation, intermittent claudication on history with ankle/arm Blood Pressure (BP) ratio less than 0.8 on at least one side, or significant stenosis by angiography or non-invasive testing
7. Previous stroke
8. Transient Ischaemic Attach (TIA) greater than 7 days and less than 1 year prior to informed consent
9. Diabetes Mellitus (types I or II): with evidence of end-organ damage (retinopathy, Left Ventricular Hypertrophy [LVH], micro- or macro-albuminuria), or any evidence of previous cardiac or vascular disease
Participants - exclusion criteria Does not match inclusion criteria
Anticipated start date 01/01/2003
Anticipated end date 30/09/2008
Status of trial Completed
Patient information material
Target number of participants 31546
Interventions Ramipril (an ACE inhibitor), telmisartan (an angiotensin II blocker), their combination, or matched placebos.
Primary outcome measure(s) 1. Cardiovascular death
2. Non-fatal myocardial infarction
3. Non-fatal stroke
4. Hospitalisation for congestive heart failure
Secondary outcome measure(s) 1. Newly diagnosed congestive heart failure
2. Cardiovascular revascularisation procedures
3. Newly diagnosed diabetes
4. Cognitive decline (adjudication will be done by a special committee)
5. New onset of atrial fibrillation
6. Nephropathy
Sources of funding Boehringer Ingelheim (Canada) Ltd
Trial website http://www.ontarget-micardis.com/
Publications 1. 2004 protocol in http://www.ncbi.nlm.nih.gov/pubmed/15215792
2. 2005 baseline data in http://www.ncbi.nlm.nih.gov/pubmed/15868120
3. 2007 results in http://www.ncbi.nlm.nih.gov/pubmed/17339550
4. 2008 results in http://www.ncbi.nlm.nih.gov/pubmed/18378520
5. 2008 results in http://www.ncbi.nlm.nih.gov/pubmed/18707986
6. 2009 results in http://www.ncbi.nlm.nih.gov/pubmed/19770395
7. 2010 results in http://www.ncbi.nlm.nih.gov/pubmed/20231536
Contact name Professor  Salim  Yusuf
  Address Population Health Research Institute
McMaster University
Hamilton General Hospital
McMaster Clinic
237 Barton St E
  City/town Hamilton
  Zip/Postcode Ontario L8L 2X2
  Country Canada
  Tel +1 905 527 4322 ext 44515
  Fax +1 905 527 7654
  Email yusufs@mcmaster.ca
Sponsor Boehringer Ingelheim (Canada) Ltd
  Address Research and Development
2100 Cunard Street
  City/town Laval (Québec)
  Zip/Postcode H7S 2G5
  Country Canada
  Tel +1 450 682 4640
  Fax +1 450 682 8434
  Email info@lav.boehringer-ingelheim.com
  Sponsor website: http://www.boehringer-ingelheim.ca/
Date applied 18/12/2002
Last edited 01/04/2010
Date ISRCTN assigned 18/12/2002
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