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Spironolactone AmiLoride Thiazide study of aldosterone sensitive hypertension
ISRCTN ISRCTN85520592
ClinicalTrials.gov identifier
Public title Spironolactone AmiLoride Thiazide study of aldosterone sensitive hypertension
Scientific title
Acronym SALT
Serial number at source PG/02/014/13511
Study hypothesis Spironolactone will reduce systolic Blood Pressure (sBP) by more than 5 mmHg than bendrofluazide.
Ethics approval Ethics approval information not required at time of registration.
Study design Randomised controlled trial
Countries of recruitment United Kingdom
Disease/condition/study domain Low-renin hypertension
Participants - inclusion criteria 1. Hypertension (requiring treatment according to British Hypertension Society [BHS] criteria)
2. Aldosterone/renin ratio >400
3. Either Systolic Blood Pressure (SBP) on spironolactone more than or equal to 20 mmHg, during previous open-label treatment or Plasma renin activity less than 0.2 pmol/ml/h and response to spironolactone not previously tested
Participants - exclusion criteria Contraindications to study drugs
Anticipated start date 01/02/2003
Anticipated end date 01/09/2005
Status of trial Completed
Patient information material
Target number of participants 60
Interventions Spironolactone (50 & 100 mg), amiloride (20 & 40 mg), bendrofluazide (2.5 & 5 mg), irbesartan (150 mg), placebo.

The lower dose of each will be re-encapsulated in identical capsules. Patients will take two capsules each day, consisting of either two placebos, or one each active and placebo (ie low-dose active), or two active (ie high-dose active).
Primary outcome measure(s) sBP and plasma renin on spironolactone versus bendroflumethiazide.
Secondary outcome measure(s) 1. sBP on amiloride versus other diuretics.
2. Further measures of natriuresis.
Sources of funding British Heart Foundation (UK)
Trial website
Publications Results in http://www.ncbi.nlm.nih.gov/sites/entrez?cmd=retrieve&db=pubmed&list_uids=17606839
Contact name Prof  Morris J  Brown
  Address Clinical Pharmacology Unit
Level 6 ACCI
Box 110
Addenbrooke's Hospital
  City/town Cambridge
  Zip/Postcode CB2 2QQ
  Country United Kingdom
  Tel +44 (0)1223 336743
  Fax +44 (0)1223 762576
  Email mjb14@medschl.cam.ac.uk
Sponsor British Heart Foundation (UK)
  Address 14 Fitzhardinge Street
  City/town London
  Zip/Postcode W1H 6DH
  Country United Kingdom
  Tel +44 (0)20 7935 0185
  Fax +44 (0)20 7486 5820
  Email research@bhf.org.uk
  Sponsor website: http://www.bhf.org.uk/
Date applied 28/03/2002
Last edited 04/07/2007
Date ISRCTN assigned 28/03/2002
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