Operational Aspects of Terminating the Doxazosin Arm of the Antihypertensive and Lipid Lowering Treatment to Prevent Heart Attack Trial (ALLHAT)
| Autor: | Barbara Kimmel, Sara L. Pressel, Barry R. Davis, Chuke Nwachuku, Charles E. Ford, Christine Lusk, Linda B. Piller, Jackson T. Wright, Judy Bettencourt, Lara M. Simpson, Therese S. Geraci, Curt D. Furberg, Connie Kingry, Heather Parks |
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| Rok vydání: | 2001 |
| Předmět: |
Male
medicine.medical_specialty Databases Factual Hypercholesterolemia Myocardial Infarction Coronary Disease Risk Assessment law.invention Double-Blind Method Randomized controlled trial law Cause of Death Internal medicine medicine Doxazosin Adverse Drug Reaction Reporting Systems Humans Amlodipine Antihypertensive Agents Pravastatin Heart Failure Pharmacology biology business.industry Lisinopril Middle Aged United States Surgery Survival Rate Clinical trial Treatment Outcome Hypertension HMG-CoA reductase biology.protein Female Chlorthalidone business medicine.drug |
| Zdroj: | Controlled Clinical Trials. 22:29-41 |
| ISSN: | 0197-2456 |
| DOI: | 10.1016/s0197-2456(00)00109-4 |
| Popis: | The Antihypertensive and Lipid Lowering Treatment to Prevent Heart Attack Trial (ALLHAT) is a randomized, practice-based trial sponsored by the National Heart, Lung, and Blood Institute (NHLBI). The double-blind, active-controlled component of ALLHAT was designed to determine whether the rate of the primary outcome-a composite of fatal coronary heart disease and nonfatal myocardial infarction-differs between diuretic (chlorthalidone) treatment and each of three other classes of antihypertensive drugs: a calcium antagonist (amlodipine), an angiotensin-converting enzyme inhibitor (lisinopril), and an alpha-adrenergic blocker (doxazosin) in high-risk hypertensive persons ages 55 years and older. In addition, 10,377 ALLHAT participants with mild to moderate hypercholesterolemia were also enrolled in a randomized, open-label trial designed to determine whether lowering serum LDL cholesterol with an HMG CoA reductase inhibitor (pravastatin) will reduce all-cause mortality as compared to a control group receiving "usual care." In January 2000, an independent data review committee recommended discontinuing the doxazosin treatment arm. The NHLBI director promptly accepted the recommendation. This article discusses the steps involved in the orderly closeout of one arm of ALLHAT and the dissemination of trial results. These steps included provisional preparations; the actual decision process; establishing a timetable; forming a transition committee; preparing materials and instructions; informing 65 trial officers and coordinators, 628 active clinics and satellite locations, 313 institutional review boards, over 42,000 patients, and the general public; reporting detailed trial results; and monitoring the closeout process. Control Clin Trials 2001;22:29-41 |
| Databáze: | OpenAIRE |
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