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Spironolactone AmiLoride Thiazide study of aldosterone sensitive hypertension
Source of recordUK Trials
ISRCTNISRCTN85520592
Date ISRCTN assigned28/03/2002
Local reference number(s)PG/02/014/13511
Public titleSpironolactone AmiLoride Thiazide study of aldosterone sensitive hypertension
Scientific title
AcronymSALT
Disease/condition/study domainLow-renin hypertension
Study hypothesisSpironolactone will reduce systolic Blood Pressure (sBP) by more than 5 mmHg than bendrofluazide.
Design/methodologyRandomised controlled trial
Research ethics reviewEthics approval information not required at time of registration.
Countries of trialUnited Kingdom
Participants - inclusion criteria1. 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 criteriaContraindications to study drugs
Patient information material
Anticipated start date01/02/2003
Anticipated end date01/09/2005
Status of trialCompleted
Target number of participants60
InterventionsSpironolactone (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.
PublicationsResults in http://www.ncbi.nlm.nih.gov/sites/entrez?cmd=retrieve&db=pubmed&list_uids=17606839
Sources of fundingBritish Heart Foundation (UK)
Sponsor nameBritish Heart Foundation (UK)
Sponsor details14 Fitzhardinge Street
London
United Kingdom
W1H 6DH
Sponsor telephone+44 (0)20 7935 0185
Sponsor fax+44 (0)20 7486 5820
Sponsor emailresearch@bhf.org.uk
Sponsor websitehttp://www.bhf.org.uk/
Contact nameProf Morris J Brown
Contact detailsClinical Pharmacology Unit
Level 6 ACCI
Box 110
Addenbrooke's Hospital
Cambridge
United Kingdom
CB2 2QQ
Contact telephone+44 (0)1223 336743
Contact fax+44 (0)1223 762576
Contact emailmjb14@medschl.cam.ac.uk
More informationFor more up-to-date information please go to the ISRCTN link below.
Link to record in ISRCTN RegisterISRCTN85520592
Date last extracted from ISRCTN register17/04/2008
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