<?xml version="1.0" encoding="utf-8"?>
<!DOCTYPE trials [
<!ELEMENT trials (trial+)>

<!ELEMENT trial (main,contacts,countries,criteria,health_condition_code,health_condition_keyword,intervention_code,
          intervention_keyword,primary_outcome,secondary_outcome,secondary_sponsor,secondary_ids,source_support,ethics_reviews)>

<!ELEMENT main (trial_id,utrn?,reg_name,date_registration,primary_sponsor,public_title,acronym?,scientific_title,scientific_acronym?,
          date_enrolment,type_enrolment,target_size,recruitment_status,url?,study_type,study_design,phase,hc_freetext?,i_freetext?,results_actual_enrolment,results_date_completed,results_url_link,results_summary,           results_date_posted,results_date_first_publication,results_baseline_char,results_participant_flow,results_adverse_events,results_outcome_measures,results_url_protocol,results_IPD_plan, results_IPD_description)>
<!ELEMENT trial_id (#PCDATA)>
<!ELEMENT utrn (#PCDATA)>
<!ELEMENT reg_name (#PCDATA)>
<!ELEMENT date_registration (#PCDATA)><!-- dd/mm/yyyy -->
<!ELEMENT primary_sponsor (#PCDATA)>
<!ELEMENT public_title (#PCDATA)>
<!ELEMENT acronym (#PCDATA)>
<!ELEMENT scientific_title (#PCDATA)>
<!ELEMENT scientific_acronym (#PCDATA)>
<!ELEMENT date_enrolment (#PCDATA)><!-- dd/mm/yyyy -->
<!ELEMENT type_enrolment (#PCDATA)>
<!ELEMENT target_size (#PCDATA)>
<!ELEMENT recruitment_status (#PCDATA)><!-- Pending,Recruiting,Suspended,Complete,Other -->
<!ELEMENT url (#PCDATA)>
<!ELEMENT study_type (#PCDATA)><!-- interventional,observational -->
<!ELEMENT study_design (#PCDATA)>
<!ELEMENT phase (#PCDATA)>
<!ELEMENT hc_freetext (#PCDATA)>
<!ELEMENT i_freetext (#PCDATA)>
<!ELEMENT results_actual_enrolment (#PCDATA)>
<!ELEMENT results_date_completed (#PCDATA)><!-- dd/mm/yyyy -->
<!ELEMENT results_url_link (#PCDATA)>
<!ELEMENT results_summary (#PCDATA)>
<!ELEMENT results_date_posted (#PCDATA)><!-- dd/mm/yyyy -->
<!ELEMENT results_date_first_publication (#PCDATA)><!-- dd/mm/yyyy -->
<!ELEMENT results_baseline_char (#PCDATA)>
<!ELEMENT results_participant_flow (#PCDATA)>
<!ELEMENT results_adverse_events (#PCDATA)>
<!ELEMENT results_outcome_measures (#PCDATA)>
<!ELEMENT results_url_protocol (#PCDATA)>
<!ELEMENT results_IPD_plan (#PCDATA)>
<!ELEMENT results_IPD_description (#PCDATA)>


<!ELEMENT contacts (contact+)>
<!ELEMENT contact (type,firstname,middlename,lastname,address,city,country1,zip,telephone,email,affiliation)>
<!ELEMENT type (#PCDATA)><!-- Public,Scientific -->
<!ELEMENT firstname (#PCDATA)>
<!ELEMENT middlename (#PCDATA)>
<!ELEMENT lastname (#PCDATA)>
<!ELEMENT address (#PCDATA)>
<!ELEMENT city (#PCDATA)>
<!ELEMENT country1 (#PCDATA)>
<!ELEMENT zip (#PCDATA)>
<!ELEMENT telephone (#PCDATA)>
<!ELEMENT email (#PCDATA)>
<!ELEMENT affiliation (#PCDATA)>

<!ELEMENT countries (country2+)>
<!ELEMENT country2 (#PCDATA)>

<!ELEMENT criteria (inclusion_criteria,agemin,agemax,gender,exclusion_criteria)>
<!ELEMENT inclusion_criteria (#PCDATA)>
<!ELEMENT agemin (#PCDATA)>
<!ELEMENT agemax (#PCDATA)>
<!ELEMENT gender (#PCDATA)>
<!ELEMENT exclusion_criteria (#PCDATA)>

<!ELEMENT health_condition_code (hc_code+)>
<!ELEMENT hc_code (#PCDATA)>

<!ELEMENT health_condition_keyword (hc_keyword+)>
<!ELEMENT hc_keyword (#PCDATA)>

<!ELEMENT intervention_code (i_code+)>
<!ELEMENT i_code (#PCDATA)>

<!ELEMENT intervention_keyword (i_keyword+)>
<!ELEMENT i_keyword (#PCDATA)>

<!ELEMENT primary_outcome (prim_outcome+)>
<!ELEMENT prim_outcome (#PCDATA)>

<!ELEMENT secondary_outcome (sec_outcome+)>
<!ELEMENT sec_outcome (#PCDATA)>

<!ELEMENT secondary_sponsor (sponsor_name+)>
<!ELEMENT sponsor_name (#PCDATA)>

<!ELEMENT secondary_ids (secondary_id+)>
<!ELEMENT secondary_id (sec_id,issuing_authority)>
<!ELEMENT sec_id (#PCDATA)>
<!ELEMENT issuing_authority (#PCDATA)>

<!ELEMENT source_support (source_name+)>
<!ELEMENT source_name (#PCDATA)>

<!ELEMENT ethics_reviews (ethics_review+)>
<!ELEMENT ethics_review (status,approval_date,contact_name,contact_address,contact_phone,contact_email)>
<!ELEMENT status (#PCDATA)><!-- Not approved,Approved,NA -->
<!ELEMENT approval_date (#PCDATA)><!-- dd/mm/yyyy -->
<!ELEMENT contact_name (#PCDATA)>
<!ELEMENT contact_address (#PCDATA)>
<!ELEMENT contact_phone (#PCDATA)>
<!ELEMENT contact_email (#PCDATA)>
]>
<trials>
  <trial>
    <main>
      <trial_id>IRCT20260701070040N1</trial_id>
      <utrn></utrn>
      <reg_name>IRCT</reg_name>
      <date_registration>2026-08-08</date_registration>
      <primary_sponsor>Pak Emirates Military Hospital Rawalpindi</primary_sponsor>
      <public_title>Antihypertensive efficacy of valsartan versus telmisartan in young adults with essential hypertension</public_title>
      <acronym>VAlsartan vs Telmisartan Trial (VAST)</acronym>
      <scientific_title>A randomized controlled trial comparing the antihypertensive efficacy of valsartan versus telmisartan in young adults with essential hypertension</scientific_title>
      <scientific_acronym></scientific_acronym>
      <date_enrolment>2026-08-15</date_enrolment>
      <type_enrolment>anticipated</type_enrolment>
      <target_size>126</target_size>
      <recruitment_status>Recruiting</recruitment_status>
      <url>https://irct.ir/trial/92111</url>
      <study_type>interventional</study_type>
      <study_design>Randomization: Randomized, Blinding: Single blinded, Placebo: Not used, Assignment: Parallel, Purpose: Treatment, Other design features: A prospective, single-center, parallel-group randomized controlled trial with 1:1 allocation. Eligible participants with newly diagnosed essential hypertension will be randomized to receive either valsartan 160 mg once daily or telmisartan 80 mg once daily for 12 weeks. Blood pressure will be measured at baseline and during scheduled follow-up visits using a standardized protocol and calibrated equipment. Analysis will be performed according to the intention-to-treat principle, Randomization description: Participants will be randomly allocated (1:1) to valsartan or telmisartan using a computer-generated block randomization sequence. Allocation will be concealed using sequentially numbered, opaque, sealed envelopes opened only after participant enrollment and informed consent, Blinding description: This is a single-blind trial in which participants will be unaware of their treatment allocation. The treating physician responsible for prescribing the medication will know the assigned intervention, while participants will remain blinded throughout the study. Blood pressure measurements and follow-up assessments will be performed according to a standardized protocol.</study_design>
      <phase>4</phase>
      <hc_freetext>Essential Hypertension.</hc_freetext>
      <i_freetext>Intervention 1: Intervention group: Participants will receive telmisartan 80 mg orally once daily for 12 weeks along with standard lifestyle modification advice. Blood pressure will be monitored at baseline and follow-up visits. Intervention 2: Control group: Participants will receive valsartan 160 mg orally once daily for 12 weeks along with standard lifestyle modification advice. Blood pressure will be monitored at baseline and follow-up visits.</i_freetext>
      <results_actual_enrolment></results_actual_enrolment>
      <results_date_completed></results_date_completed>
      <results_url_link></results_url_link>
      <results_summary></results_summary>
      <results_date_posted></results_date_posted>
      <results_date_first_publication></results_date_first_publication>
      <results_baseline_char></results_baseline_char>
      <results_participant_flow></results_participant_flow>
      <results_adverse_events></results_adverse_events>
      <results_outcome_measures></results_outcome_measures>
      <results_url_protocol></results_url_protocol>
      <results_IPD_plan>No - There is not a plan to make this available</results_IPD_plan>
      <results_IPD_description>Justification or reason for not sharing IPD is There is no current plan to share individual participant data because of participant confidentiality and institutional data-sharing policies.</results_IPD_description>
    </main>
    <contacts>
      <contact>
        <type>public</type>
        <firstname>Dr. Shahryar Javed</firstname>
        <middlename></middlename>
        <lastname></lastname>
        <address>Abid Majeed Road Rawalpindi</address>
        <city>Rawalpindi</city>
        <country1>Pakistan</country1>
        <zip>46000</zip>
        <telephone>+92 333 8940707</telephone>
        <email>shahryaj@gmail.com</email>
        <affiliation>Pak Emirates Military Hospital Rawalpindi</affiliation>
      </contact>
      <contact>
        <type>scientific</type>
        <firstname>Dr Shahryar Javed</firstname>
        <middlename></middlename>
        <lastname></lastname>
        <address>Abid Majeed Road Rawalpindi</address>
        <city>Rawalpindi</city>
        <country1>Pakistan</country1>
        <zip>46000</zip>
        <telephone>+92 333 8940707</telephone>
        <email>shahryaj@gmail.com</email>
        <affiliation>Pak Emirates Military Hospital Rawalpindi</affiliation>
      </contact>
    </contacts>
    <countries>
      <country2>Pakistan</country2>
    </countries>
    <criteria>
      <inclusion_criteria>Age 18-40 years.
Either sex.
Newly diagnosed essential hypertension.
Previously untreated.
Office blood pressure 140/90 mmHg or higher.</inclusion_criteria>
      <agemin>18 years</agemin>
      <agemax>40 years</agemax>
      <gender>Both</gender>
      <exclusion_criteria>Secondary hypertension
Diabetes mellitus
Chronic kidney disease (eGFR &lt;60ml/min/1.73
Pregnancy
Lactation
Known hypersensitivity to angiotensin receptor blockers.
Antihypertensive drug use within the previous 4 weeks.
Significant hepatic dysfunction.
Serum potassium &gt;5.5 mmol/L.
Unable or unwilling to complete follow-up.</exclusion_criteria>
    </criteria>
    <health_condition_code>
      <hc_code>I10</hc_code>
    </health_condition_code>
    <health_condition_keyword>
      <hc_keyword>Essential (primary) hypertension</hc_keyword>
    </health_condition_keyword>
    <intervention_code>
      <i_code>Treatment - Drugs</i_code>
      <i_code>Treatment - Drugs</i_code>
    </intervention_code>
    <intervention_keyword>
      <i_keyword>Intervention group: Participants will receive telmisartan 80 mg orally once daily for 12 weeks along with standard lifestyle modification advice. Blood pressure will be monitored at baseline and follow-up visits.</i_keyword>
      <i_keyword>Control group: Participants will receive valsartan 160 mg orally once daily for 12 weeks along with standard lifestyle modification advice. Blood pressure will be monitored at baseline and follow-up visits.</i_keyword>
    </intervention_keyword>
    <primary_outcome>
      <prim_outcome>Change in systolic and diastolic blood pressure from baseline. Timepoint: 12 weeks. Method of measurement: Office blood pressure measurement using a validated automated sphygmomanometer after 5 minutes of rest, according to standard guidelines.</prim_outcome>
    </primary_outcome>
    <secondary_outcome>
      <sec_outcome>Proportion of participants achieving target blood pressure (&lt;140/90 mmHg). Timepoint: 12 weeks. Method of measurement: Blood pressure will be measured using a validated, calibrated automated sphygmomanometer according to standard guidelines.</sec_outcome>
    </secondary_outcome>
    <secondary_sponsor>
      <sponsor_name></sponsor_name>
    </secondary_sponsor>
    <secondary_ids>
      <secondary_id>
        <sec_id></sec_id>
        <issuing_authority></issuing_authority>
      </secondary_id>
    </secondary_ids>
    <source_support>
      <source_name>Pak Emirates Military Hospital Rawalpindi</source_name>
    </source_support>
    <ethics_reviews>
      <ethics_review>
        <status>Approved</status>
        <approval_date>2026-07-30</approval_date>
        <contact_name>Ethical Review Committee,Pak Emirates Military Hospital (PEMH),Rawalpindi</contact_name>
        <contact_address>Abid Majeed Road Rawalpindi Cantt Rawalpindi Punjab Pakistan</contact_address>
        <contact_phone></contact_phone>
        <contact_email></contact_email>
      </ethics_review>
    </ethics_reviews>
  </trial>
</trials>
