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Tolerance to Target Doses of Thiazides in Actual Practice: A Feasibility Study

Information source: VA Pharmacy Benefits Management Strategic Healthcare Group
Information obtained from ClinicalTrials.gov on February 07, 2013
Link to the current ClinicalTrials.gov record.

Condition(s) targeted: Hypertension

Intervention: Favor one of two thiazides for new prescriptions & attempt target dose (Other)

Phase: Phase 4

Status: Recruiting

Sponsored by: VA Pharmacy Benefits Management Strategic Healthcare Group

Official(s) and/or principal investigator(s):
Madeline McCarren, PhD, MPH, Principal Investigator, Affiliation: VA Pharmacy Benefits Management

Overall contact:
Madeline McCarren, PhD, MPH, Phone: 708-786-7987, Email: madeline.mccarren@va.gov

Summary

This is a pilot study of a method to compare common, FDA-approved drugs in a clinic. Instead of putting single patients into one of two drug groups, the investigators will assign the doctors who prescribe these drugs for high blood pressure into two groups. One group of doctors has agreed to prescribe mostly ("favor") one drug, chlorthalidone, if that drug would be a good choice for a patient. The other group has agreed to prescribe mostly hydrochlorothiazide. For both groups, they will try to use the doses that were shown to be protective in other trials. If the doctors mostly prescribe the drug they agreed to favor, the investigators will be able to compare outcomes, like heart attacks, in the two groups.

Clinical Details

Official title: Tolerance to Target Doses of Thiazides in Actual Practice: A Feasibility Study

Study design: Allocation: Randomized, Intervention Model: Parallel Assignment, Masking: Open Label, Primary Purpose: Health Services Research

Primary outcome: prescription rates

Secondary outcome: factors associated with prescribing patterns

Eligibility

Minimum age: N/A. Maximum age: N/A. Gender(s): Both.

Criteria:

Inclusion Criteria:

- VA prescribers of thiazides for hypertension

Exclusion Criteria:

- at non-participating VA sites

Locations and Contacts

Madeline McCarren, PhD, MPH, Phone: 708-786-7987, Email: madeline.mccarren@va.gov

Edward Hines, Jr. VA Hospital, Hines, Illinois 60141, United States; Not yet recruiting
Madeline McCarren, PhD, MPH, Principal Investigator

Charles George VAMC, Asheville, North Carolina 28805, United States; Recruiting
Brian Peek, PharmD, Phone: 828-298-7911, Ext: 5782, Email: Brian.Peek@va.gov
Philip Nelson, PharmD, Phone: 828-298-7911, Email: philip.nelson@va.gov
Brian Peek, PharmD, Principal Investigator
Philip Nelson, PharmD, Sub-Investigator

Wilkes-Barre VA Medical Center, Wilkes-Barre, Pennsylvania 18711, United States; Recruiting
FaizMohamed M Mansuri, MD, Email: FaizMohamed.Mansuri@va.gov
FaizMohamed M Mansuri, MD, Principal Investigator

WJB Dorn VA Medical Center, Columbia, South Carolina 29209, United States; Recruiting
Brianne Dunn, PharmD, Email: Brianne.Dunn@va.gov
Brianne Dunn, PharmD, Principal Investigator

WJB Dorn VAMC/Columbia Orangeburg VA Outpatient Clinic, Orangeburg, South Carolina 29118, United States; Recruiting
Elaine Twedt, PharmD, Email: Elaine.Twedt@va.gov
Elaine Twedt, PharmD, Principal Investigator

Additional Information

Starting date: September 2011
Last updated: September 17, 2012

Page last updated: February 07, 2013

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