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Blood Pressure Reduction to Limit the Evolution of Vascular Brain Lesions in Elderly Individuals
Sponsor: Assistance Publique - Hôpitaux de Paris
Summary
The purpose of the study is to test the hypothesis of slowing the progression of White Matter Lesions (WML) by lowering blood pressure (BP) in patients with cognitive complaints and a moderate to high grade of WML on brain MRI.
Official title: LEukoaraiosis and blOod Pressure Reduction in OLD People
Key Details
Gender
All
Age Range
60 Years - 88 Years
Study Type
INTERVENTIONAL
Enrollment
820
Start Date
2015-09
Completion Date
2028-09-11
Last Updated
2025-09-05
Healthy Volunteers
No
Conditions
Interventions
blood pressure lowering algorithm
The treatments used in the "enhanced strategy" arm are those proposed by national (HAS2013, SFHTA2013) and international (ESH 2013) recommendations, according to their Marketing Authorization and Summary of Product Characteristics : Diuretics, beta-blockers, Angiotensin Converting Enzyme inhibitors, Angiotensin Receptor Blockers, Calcium Channel Blockers Throughout the study, choice of drugs in each therapeutic class is left on the investigator's initiative. All drugs of these classes may be used , no specific drug is tested in this study.
usual strategy
The implementation of antihypertensive therapy the current recommendations to reach the blood pressure target in usual care. Throughout the study, choice of drugs in each therapeutic class is left on the investigator's initiative. Combinations of different pharmacological classes can be tested in order to find the most effective and best tolerated combinations.
Locations (2)
Memory for Research and Resources Center / Neuroscience pole
Bordeaux, Pellegrin Hospital Group, France
Memory Resources Centre and South of Ile de France Search - Broca Hospital
Paris, France