Unique ID issued by UMIN | UMIN000000666 |
---|---|
Receipt number | R000000801 |
Scientific Title | Effects of ARBs on ambulatory blood pressure, glucose and lipid metabolism, and autonomic nerve function in hypertensive diabetic nephropathy patients |
Date of disclosure of the study information | 2008/11/01 |
Last modified on | 2015/09/19 09:54:30 |
Effects of ARBs on ambulatory blood pressure, glucose and lipid metabolism, and autonomic nerve function in hypertensive diabetic nephropathy patients
Effects of ARBs on ambulatory blood pressure, glucose and lipid metabolism, and autonomic nerve function in hypertensive diabetic nephropathy patients
Effects of ARBs on ambulatory blood pressure, glucose and lipid metabolism, and autonomic nerve function in hypertensive diabetic nephropathy patients
Effects of ARBs on ambulatory blood pressure, glucose and lipid metabolism, and autonomic nerve function in hypertensive diabetic nephropathy patients
Japan |
Hypertension, type 2 diabetes, diabetic nephropathy
Medicine in general | Cardiology | Endocrinology and Metabolism |
Nephrology |
Others
NO
This study will compare telmisartan with losartan in blood pressure profile including short-term blood pressure variability and in metabolic profile in thirty patients with overt diabetic nephropathy by cross-over design.
Efficacy
Confirmatory
Pragmatic
Phase IV
1) Ambulatory blood pressure monitoring+: mean blood pressure, day-night variation, short-term blood pressure/heart rate variability, LF/HF
2) Renal function: creatinine clearance by Cockcroft-Gault method, urinary protein/albuminon excretion
3) Glucose metabolism: fasting blood glucose, fasting IRI, HOMA-IR.
4) Lipid metabolism: total cholesterol, LDL, HDL, MDA-LDA, oxidised cholesterol, small dense LDL, adiponectin.
5) Vascular function: ABI/baPWV, VEGF, HGF.
Interventional
Cross-over
Randomized
Individual
Open -but assessor(s) are blinded
Active
NO
NO
Institution is not considered as adjustment factor.
NO
No need to know
2
Treatment
Medicine |
TL group: Start with once-daily dosing of telmisartan 40 mg, and dosage may be modulated accroding to the clinical parameters (telmisartan 20-80 mg/day). After 12 weeks telmisartan will be changed to losartan with once-daily dosing of 50 mg. Dosage may be modulated accroding to the clinical parameters (losartan 25-100 mg/day).
LT group: Start with once-daily dosing of losartan 50 mg, and dosage may be modulated accroding to the clinical parameters (losartan 25-100 mg/day).. After 12 weeks losartan will be changed to telmisartan with once-daily dosing of 40 mg. Dosage may be modulated accroding to the clinical parameters (telmisartan 20-80 mg/day).
18 | years-old | <= |
Not applicable |
Male and Female
Type 2 diabetes
Mild-to-moderate hypertension (more than casual BP 130/85 or on antihypertensives)
Urinary protein excretion more than 0.3 g/day
Serum creatinine below 3.0 mg/dl
Age above 18 years
1) Pregnant women, or women suspected of being pregnant
2) Hyperkalemia
3) History of hypersensitivity to Telmisartan or Losartan
4) Severe liver disorder (losartan)
5) Severe biliary atresia or hepatic disorder (telmisartan)
60
1st name | |
Middle name | |
Last name | Kouichi TAMURA |
Yokohama City University School of Medicine
Department of Cardiorenal Medicine
3-9 Fukuura, Kanazawa-ku, Yokohama 236-0004, JAPAN
045-787-2635
tamukou@med.yokohama-cu.ac.jp
1st name | |
Middle name | |
Last name | Kazuaki UCHINO |
Yokohama City University School of Medicine
Department of Medical Science
3-9 Fukuura, Kanazawa-ku, Yokohama 236-0004, JAPAN
045-787-2634
uchinok@med.yokohama-cu.ac.jp
Department of Cardiorenal Medicine, Yokohama City University School of Medicine
Department of Cardiorenal Medicine, Yokohama City University School of Medicine
Self funding
NO
2008 | Year | 11 | Month | 01 | Day |
Unpublished
Completed
2004 | Year | 12 | Month | 13 | Day |
2005 | Year | 01 | Month | 01 | Day |
2011 | Year | 03 | Month | 01 | Day |
2012 | Year | 03 | Month | 01 | Day |
2013 | Year | 03 | Month | 01 | Day |
2013 | Year | 12 | Month | 01 | Day |
2007 | Year | 04 | Month | 02 | Day |
2015 | Year | 09 | Month | 19 | Day |
Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000000801