Unique ID issued by UMIN | UMIN000001470 |
---|---|
Receipt number | R000001788 |
Scientific Title | Therapeutic effects of telmisartan and irbesartan on hypertensive patients with overt diabetic nephropathy |
Date of disclosure of the study information | 2008/11/01 |
Last modified on | 2015/09/19 09:59:03 |
Therapeutic effects of telmisartan and irbesartan on hypertensive patients with overt diabetic nephropathy
Therapeutic effects of telmisartan and irbesartan on hypertensive patients with overt diabetic nephropathy
Therapeutic effects of telmisartan and irbesartan on hypertensive patients with overt diabetic nephropathy
Therapeutic effects of telmisartan and irbesartan on hypertensive patients with overt diabetic nephropathy
Japan |
Hypertension, type 2 diabetes, diabetic nephropathy
Medicine in general | Cardiology | Endocrinology and Metabolism |
Nephrology |
Others
NO
This study will compare telmisartan with irbesartan concerning blood pressure profile including short-term blood pressure variability and metabolic profile in 60 patients with hypertensive patients with type 2 overt diabetic nephropathy.
Efficacy
Confirmatory
Pragmatic
Phase IV
1. Clinic blood pressure.
2. Ambulatory blood pressure monitoring: mean blood pressure, day-night variation, short-term blood pressure/heart rate variability, LF/HF.
3. Renal function: eGFR, urinary protein/albuminon excretion, urinary urea nitrogen, urinary type 4 collagen.
4. Glucose metabolism: fasting blood glucose, fasting IRI, HOMA-IR.
5. Lipid metabolism: total cholesterol, LDL, HDL, TG.
6. Renin-angiotensin system, inflammatory and oxidative stress markers: PRA, Urinary angiotensinigen, HMW-adiponectin, AGE, MDA-LDA, ADMA, cathecholamine.
7. Vascular function: ABI/baPWV.
Interventional
Parallel
Randomized
Individual
Open -but assessor(s) are blinded
Active
NO
NO
Institution is not considered as adjustment factor.
NO
Numbered container method
2
Treatment
Medicine |
Telmisartan group: Start with once-daily dosing of telmisartan 20 mg daily for 24 weeks, and dosage may be modulated accroding to the clinical parameters (telmisartan 20-80 mg daily). Target blood pressure level is below 130/80 mmHg.
Irbesartan group: Start with once-daily dosing of irbesartan 50 mg daily for 24 weeks, and dosage may be modulated accroding to the clinical parameters (irbesartan 50-200 mg daily). Target blood pressure level is below 130/80 mmHg.
20 | years-old | <= |
Not applicable |
Male and Female
1. Type 2 diabetes.
2. Mild-to-moderate hypertension (clinic systolic BP more than 130 mmHg, clinic diastolic BP more than 80 mmHg or on antihypertensive drugs).
3. Urinary protein excretion more than 0.3 g daily, or urinary protein concentartion more than 300 mg/gram urinary creatinine on spot urine examination.
1. Pregnant women, or women suspected of being pregnant
2. Hyperkalemia
3. History of hypersensitivity to Telmisartan or Irbesartan
4. Severe liver disorder, or severe biliary atresia.
5. Severe hypertension (clinic BP more than 180/100 mmHg).
60
1st name | |
Middle name | |
Last name | Kouichi TAMURA |
Yokohama City University Graduate 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 | Kazukai Uchino |
Yokohama City University Graduate School of Medicine
Department of Medical Science
3-9 Fukuura, Kanazawa-ku, Yokohama 236-0004, JAPAN
045-787-2634
tamukou@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
Terminated
2008 | Year | 10 | Month | 31 | Day |
2008 | Year | 11 | Month | 01 | Day |
2011 | Year | 03 | Month | 01 | Day |
2013 | Year | 03 | Month | 01 | Day |
2014 | Year | 03 | Month | 01 | Day |
2015 | Year | 03 | Month | 01 | Day |
2008 | Year | 10 | Month | 31 | Day |
2015 | Year | 09 | Month | 19 | Day |
Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000001788