Blood pressure drugs may slow brain damage in seniors
NCT ID NCT02472028
First seen Jun 26, 2026 · Last updated Jun 26, 2026
Summary
This study tests whether lowering blood pressure can slow the growth of white matter lesions in the brains of older adults (60-88) with high blood pressure and memory complaints. About 820 participants will receive either standard care or an enhanced blood pressure lowering strategy using common medications. The goal is to see if better blood pressure control can preserve brain health over time.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- blood pressure lowering drugs (diuretics, beta-blockers, ACE inhibitors, ARBs, calcium channel blockers)
- What this could lead to
- If successful, this could show that controlling blood pressure helps preserve brain health and slow cognitive decline in older adults.
- What could go wrong
- This is a Phase 4 study, but results may not apply to all older adults. Blood pressure medications can cause side effects like dizziness or falls.
This is an AI summary of the original study and may miss details. Read our disclaimer.
Study facts
What this study's own registry entry says, in plain language.
- Phase
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Phase 4
Runs after approval, following long-term safety and how well the treatment works in everyday use.
- Participants
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About 820 people
The number the study aims to enrol. It can still change while the study runs.
- Started
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Sep 2015
- Expected to finish
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Sep 2028
An estimate. End dates often move.
- Lead sponsor
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Other sponsor
The registry's catch-all category, for sponsors it does not file as a company, a government agency, or a research network.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
- Ages
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60 to 88 years
- Sex
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Anyone
- Healthy volunteers
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Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: * 60 to 88 years old patients; * Patient with cognitive complaint with MMSE ≥ 20performed within 6 months prior to enrollment (with or without dementia) * Patient with a socio-educational level ≥ 3 * Presence of hyperintensities of moderate to high grade on the last MRI or old scan (grades C and D on the modified Scheltens scale, grades 2/3 Fazekas). * Hypertension defined by a Systolic Blood Pressure (SBP) and / or a Diastolic Blood Pressure (DBP) ≥ 140/90 mmHg, treated or not * Affiliation to a social security system * Informed consent given, signed consent Exclusion Criteria: * Presence of severe orthostatic hypotension defined as a decrease of 30 mmHg in SBP standing within 3 minutes * Contraindication to MRI (presence of ferromagnetic foreign body (especially some intracranial clips, some heart valves, intraocular foreign bodies, metal prosthesis), subject carrying pacemaker, claustrophobic participants) * Severe diseases associated with a life expectancy of less than 3 months; * Major physical impairments that can interfere with the feasibility of the tests (sight, hearing ...) * Presence of another dementia different than Alzheimer's disease vascular dementia or mixed dementia, * Persons under guardianship; * Secondary hypertension: renovascular hypertension, primary aldosteronism, pheochromocytoma ...; * Patient already receiving 4 or more antihypertensive drugs at maximum dosage * Patient participating in another clinical research study on drug requiring exclusion period * severe renal impairment
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Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
How to take part
Only the study team decides who joins. These are the ways to reach them.
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The places running it
2 sites. The list below names each one and where it is.
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The official record
ClinicalTrials.gov lists the study team's own contact details, including names and phone numbers. We don't republish those.
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A doctor treating you
A doctor who knows your case can contact a study site on your behalf, and can tell you whether this study is worth pursuing at all.
Contacts and locations
Locations
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Memory Resources Centre and South of Ile de France Search - Broca Hospital
RECRUITINGParis, 75013, France
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Memory for Research and Resources Center / Neuroscience pole
NOT_YET_RECRUITINGBordeaux, Pellegrin Hospital Group, 33076, France
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